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Medical education in Africa is in desperate need of reforms, evident in widespread diseases, and an inability to mobilise and train the required medical workforce to deal with these health issues. However, the exponential rise in the use of mobile technologies due to the spread of the Internet and increased telecommunication networks offer an opportunity for the transformation of medical education and practice through the deployment of mobile devices as a medium for learning and conveying health care services to the remote and resource-constrained locations of Sub-Saharan Africa (SSA). This paper reviewed articles on the affordances of m-learning for distributed medical education in SSA published between 2010-2018. Results from 18 articles identified in the review revealed a slow-paced ascendancy of practice and research in the field; it further exposed competing priorities, infrastructural deficit, and chronic workforce shortages as the bane of m-learning implementation in the subregion. This paper makes recommendations that will enhance the growth of mobile-based distance medical education and practice in SSA.

Inclusive education is a key strategy in addressing the needs of children with autism and other developmental disabilities in sub-Saharan Africa, who rarely access specialist care or quality education. We aimed to systematically review qualitative research on stakeholder experiences, attitudes and perspectives on inclusive education for pupils with developmental disabilities in mainstream schools in sub-Saharan Africa. We searched five databases and selected relevant studies through a two-stage screening process. We synthesised the papers identified through template analysis of the Results and Discussion sections, guided by the" Consolidated Framework for Implementation Research." Thirty-two publications met the inclusion criteria. The studies were conducted in seven countries and explored the experiences of pupils with developmental disabilities, parents, peers without developmental disabilities and teachers. Multiple barriers (e.g. unclear policies, insufficient training and support for teachers) and opportunities (e.g. teachers' commitment to inclusion, collaboration between teachers, the work of non-governmental organisations (NGOs)) for implementing inclusive education for pupils with developmental disabilities in sub-Saharan Africa were identified, occurring across national and community contexts and school, classroom and individual teacher levels. To effectively implement inclusive education for pupils with developmental disabilities, teachers need access to appropriate training, resources and support. Governments can capitalise on motivated teachers and the relevant work of NGOs.

This paper argues that lifelong learning can be a torch for education that is relevant, appropriate and appreciated by many Africans if conceptualized within the African Indigenous Learning (AIL) framework. Such learning is entrenched deep in the practices, cultures and ways of knowing of many Africans. The fundamentals or the ideals of lifelong learning in AIL can be presented in three dimensions of time, space, and I/We. Woven together, these concepts present a context in which lifelong learning is defined by aspects such as learning-in-action (immediacy of application); interactive methods; and a time that is only valued in respect of events that constitute it. Generally, an understanding of lifelong learning from the western perspective hinges on the linearity, economics and individualism of learning and these concepts may not be well promoted within the framework of AIL. It is not difficult to imagine the impact of borrowed concepts of learning on Africans if applied uncritically. Africans cannot afford to be oblivious of the differences in contexts between them and the western world. Context, therefore, is central to the application of lifelong learning. The authors of this paper have a full understanding that people in different parts of Africa may view lifelong learning in different ways. Thus, the term "African" is used to underscore the importance of context. The authors also note that the advantages of lifelong learning to Africa are obvious vis-a-vis learning as a human right and a social justice. While these ideals are helpful, Africans cannot be subservient to how lifelong learning comes packaged from the western perspectives. To illustrate some differences, some ideals of lifelong learning in the AIL are introduced through the case of an adult education compensatory programme, and a three dimensional model is proposed for applying these ideals. (Contains 1 table and 2 figures.)

The constructivist form of learning creates such an environment where the learners are not only active but they become actors' i.e members and contributors of the social and information space without taking into consideration the geographic boundaries. Such an innovative form of distance education was initiated in India in the year 2007 and it was meant to be offered as cross-border tele-education to the states of the African Union. The objective was two-fold: first to benefit the disadvantaged African learners who missed out opportunities to attend regular universities and earn degrees or seek employment. Secondly it was to promote the educational service of India under the umbrella of GATS (General Agreement on Trade in Services) which was operational since 1996. Initiatives were taken by the Government of India and the African Union to boost the usage of the available resources in IT, medical sciences etc. for the growth of the people of the African countries so that they could compete with the rest of the world. African learners can access higher education with the usage of Information and Communication Technology (ICT) which is considered to be the demand of the coming generation. The tele-education concept employs sophisticated technology, state of the art studio and the best of the class facility. The mode of this tele-education is made feasible through a virtual platform where education is imparted through a two way audio and two way video communications spreading over multiple countries of Africa in a single session. This paper is in attempt to describe this innovative form of virtual education and look into its impact on the African learning community. The general feedback is that the students have been greatly benefitted and the demand for such form of education has also increased multi fold with the students' enrolment having increased manifold, especially for the management programme. (Contains 1 table.)

Organisations worldwide have acknowledged the connection between corporate learning, development and business sustainability. Emphasis is being laid on creating and designing a learning organisation "that is skilled at creating, acquiring, interpreting, transferring and retaining knowledge" [Garvin, (2000), p.32]. Extensive literature exists about the successful implementation of the learning organisation design by numerous companies globally. However, the appropriateness of the ideology of learning organisation and its concepts globally, has so far been neglected [with the exception of Jackson (2004)]. This paper investigates the appropriateness and effectiveness of the learning organisation model in the African continent. The paper explores the various dimensions and characteristics of the learning organisation model to provide insights on any problematic concerns relating to the effective governance of these contemporary models. The paper bases its critical discussion and analysis of learning organisations including its negative consequences on empirical evidence obtained from a case study in Botswana. (Contains 1 table.)

In this paper, I discuss Universal Basic Education (UBE) in relation to the teaching and learning of mathematics in Southern Africa. I present the status of UBE for all countries in the region and then use 3 selected examples: Botswana, Malawi, and Zambia, to illustrate the provision of mathematics in the general framework of UBE in the countries. I draw from results of SACMEQ evaluations to compare the 3 countries' quality of primary education and also the mathematical achievement of learners. According to the evaluations, countries that have better age-appropriate enrolment and provide a better quality of primary education seem to have better mathematical achievement than countries that have less age-appropriate enrolment and less quality of primary education. While this might seem obvious, it is important to note because of the many challenges that some Southern African countries are facing in their efforts in providing quality mathematics education to all.

Although Africa has been home to famous ancient cities in the past, its modern conurbation areas are poor living spaces characterised by squalor, poor planning and human misery. The authors of this paper argue that the learning city concept, still almost unknown in Africa, holds enormous potential for redressing the dysfunctional state of things and for guiding future orderly development of African cities. There have been timid attempts at operationalising the learning city concept, for example in the Western Cape (South Africa) between 2004 and 2006, in Gaborone (Botswana) between 2008 and 2010, and in Lagos State (Nigeria) from 2007 onwards. Furthermore, two African governments, namely those of Nigeria (2005) and South Africa (2006), joined the global "Cities Alliance" partnership, which operates a "Cities without slums action plan". However, many of these projects have not been successful, and the authors of this article identify five factors which have stood in the way of their proper take-off. Based on this analysis, the authors then propose a model for future learning city projects in Africa. It is a process model that uses critical awareness-building promoted by civil society organisations and government and harnesses the pressure of other social dynamics such as ethnic culture clusters. The authors then offer three policy recommendations and conclude by expressing their hope that the learning city concept will take hold and unfold its potential in Africa in the foreseeable future.

There is increasing research interest on effective approaches to talent development and ways to establish a superior environment that facilitates the growth of junior athletes into senior and elite levels. There has been little research and funding dedicated to talent development programmes in Botswana. The primary purpose of this paper is to provide a critical overview of athletic talent development programmes in the unique context of Botswana, a developing country in Southern Africa with a small population. This paper is divided into three sections. The first section presents the historical evolution of sport in Botswana, particularly pre- and post-colonial sport, providing details of how Botswana sport has developed overtime. The second section shares information on the sport delivery system, and the role of sport governing bodies and the school sport administration, to describe how sport is currently implemented with implications on athletic talent development. In the third section, the paper builds a case for talent development and sport science research with a specific context of Botswana. This paper can benefit practitioners in the sport industry by helping them to develop context-specific talent development programmes in the country. [ABSTRACT FROM AUTHOR]

The teaching of controversial issues has been widely viewed as preparing students for effective citizenship and, as such, is regarded as inevitable in social studies classrooms if students are to be able to think intelligently and to participate effectively in society. However, the effective implementation of issue-centered education in African schools, particularly in the area of social studies, is replete with problems. This paper examines those problems and concludes with some suggestions as to how controversial issues could be handled in our classrooms.

This collection of three articles represents the "Points and Practices" section of this month's issue of "Research in Drama Education." The first article, "'Fitting the Bill' for 'Helping Them.' A Response to 'Integrated Popular Theatre Approach in Africa' and 'Commissioned Theatre Projects on Human Rights in Pakistan,'" by Syed Jamil Ahmed, discusses Zimbabwe's Amakhosi Theatre, a renowned company that has been touring the world since 1990. The theatre participants have produced several plays on HIV/AIDS to inform local communities of the danger of the growing epidemic. The second article, "Ac/counting the I's," by Dee Heddon, discusses the use of the word "I" in autobiographical inscriptions, particularly in applied drama practice. The final article, "A Point and a Pilot on Practice: Recording Performance of Place Research," by Sally Mackey rehearses and repositions arguments about the verifiability of practical research in performance-related disciplines. Mackey's article also serves as an accompaniment to a DVD-ROM entitled "Performing Place" that is included in the print edition of this issue. (Contains 4 endnotes.)

This article looks at the indigenous music of Botswana as an African musical idiom, to illustrate common aspects between approaches to teaching and learning music in African societies and the Jaques-Dalcroze approach. The author argues that a strong foundation exists in African musical practices upon which the Dalcroze approach can build. That foundation is provided by the evidence of emphasis on certain musical concepts as displayed in the performance of a sample of song and dance genres discussed in this article. It is further contended that musical performance in African societies develops the same skills that the Dalcroze approach aims to develop. (Contains 2 figures.)

Discussion of the formulation of national information policy in eastern and southern African countries describes the UNESCO guidelines on national information policy. Case studies of efforts to formulate an information policy in Botswana, Zambia, and Tanzania are presented; issues raised by these case studies are discussed; and elements of successful policymaking are listed. (27 references) (MES)

Fiscal and local content policies aimed at promoting linkages between mining and other economic sectors have been informed by theories built on historical observations dating back to the 1950s. This paper contends that there is a need to rethink theories about mining-based economic linkages and the prospects for structural change based on an improved understanding of existing and potential inter-sectoral linkages. Using the input–output tables for Tanzania and Botswana, we apply the Partial Hypothetical Extraction Method within the Leontief and Gosh input–output frameworks to examine the linkages between the mining and quarrying sector and other economic sectors within these two economies. We find that, for Botswana, possible linkage pathways lie in scaling-up coal, soda ash and salt mining and investing in glass, polymer, and chemicals manufacturing. For Tanzania, opportunities for linkage pathways lie with the mining and manufacturing of non-metallic and construction materials as well as metallic minerals and natural gas. For both countries, the prospects for transforming their economies away from a heavy reliance on mineral extraction hinges on leveraging extractives for infrastructure, innovative technology, and technical skills, as well as capturing business opportunities, knowledge, and financial returns to invest in more diversified economic activities. [ABSTRACT FROM AUTHOR]

Botswana is regarded as a model African country and has a diverse, complex sport system. Despite this, literature related to sport policy in the country is limited and existing texts are dated, limiting their relevance to sport officials and policymakers. Therefore, this paper offers an updated review of Botswana's sport policy landscape. The paper begins with a history of government involvement in sport, followed by an overview of the current administrative structure of sport in Botswana. Thereafter, the primary funding channels for sport organisations will be discussed, and a review of the country's main sport policy documents will be presented. Finally, the paper concludes with a discussion of challenges, trends and recommendations related to Botswana sport, especially as it relates to the development of an up-to-date and cohesive national sport policy. [ABSTRACT FROM AUTHOR]

The materialization of memory is one way in which the past becomes a powerful agent for negotiating the present. Today in Botswana, archaeological sites have become sites of memory where ancestors have been invoked for healing in response to the rapid spread of HIV/AIDS. This paper concentrates on one site, Khubu la Dintša, where a local community practiced an ancestral healing ceremony, phekolo, as a way to restore spiritual balance. Told through a set of narratives that integrate ethnographic interviews with one of the former church elders, Russia, the article chronicles the trajectory of the church, the perceived power and active role of the ancestors in this ceremony, and the complex web of morality and practicality in which alternative narratives emerge during a time of social disruption and later fall apart. This paper complements the others in this issue by focusing on how memory, place, time, and material culture are recursively engaged: a process that includes formal and accepted to marginal and even ephemeral viewpoints and holds lessons for how we as archaeologists approach and curate the past. [ABSTRACT FROM AUTHOR]

Entrepreneurship is well established as a development strategy to facilitate youth empowerment in Africa. Existing scholarship on youth entrepreneurship, while informative, remains limited given its focus on either normative institutional structures or individual decision-making behaviors. Recent research offers a contextualist approach, featuring the dynamic relationship between individual behavior and structural context. Engaging and building upon a contextualist approach, this paper offers a place-based study of youth entrepreneurship in Botswana. The paper documents empirical findings revealing trends in youth circumstances and experiences, namely empowerment potential, financial strain and knowledge/skill gaps. It then explores the cultural, political and institutional contextual effects shaping youth entrepreneurship within the Young Farmers Fund (YFF). Drawing on elements of 'best practice,' the paper offers suggestions for enhancing practical entrepreneurship in Botswana through educational, technical and operational means. Although the paper contributes a case study of youth and entrepreneurship in Botswana, it also offers and demonstrates the conceptual framework of contextualism as a useful research tool for subsequent place-based studies. [ABSTRACT FROM AUTHOR]

With the increasing number of people living with HIV/AIDS and the escalating costs of health care, there is an increasing demand for informal caregiving in the community. Currently, much emphasis is placed on individuals who are living with HIV/AIDS (in terms of the provision of social, psychological and economic support), but very little attention has been paid to the well-being and quality of life of informal caregivers. Lack of support and care for caregivers may have a negative impact on the quality of care and effective services for individuals living with HIV/AIDS. This paper is based on findings from a qualitative study that explored major sources of stress associated with caregiving among informal caregivers in a village in the southern part of Botswana. The paper suggests that informal caregivers are an integral part of the continuum of care. As a result, they need to be nurtured and supported for the betterment of those both infected and affected by HIV/AIDS. The paper concludes by discussing the implications for further research, policy and programme development. [ABSTRACT FROM AUTHOR]

This paper examines economic growth in 52 African countries for 1961–2016 and seeks to find if there is common growth. As all African countries have their particular features, concerning climate, harvest, industry, size, politics, and infrastructure, and more, it seems best to rely on a non-parametric method. Dynamic Time Warping is such a convenient method, also as it allows leads and lags across countries to vary over time, and as it can easily be incorporated into a clustering technique. Five clusters are found, two of which concern Equatorial Guinea and Botswana, and the three other clusters have common growth rates of about 0, 2 and 4 over more than five decades. [ABSTRACT FROM AUTHOR]

In most studies, Africans and other local residents in the Global South are often considered merely as hosts, and as a result, they are often misrepresented in shaping tourism in their own countries. Using Botswana as an example, this paper explores issues of the prevailing colonialist notion and perception that non-Westerners are 'non-travellers'. This study utilizes an interpretive research paradigm; 72 interviews with local residents and tourism marketers were conducted. Additionally, a content analysis of tourism promotion materials was carried out. The study indicates a misrepresentation and exclusion of local residents in tourism, and consequently the promotion of a Western gaze. Furthermore, tourism promotions perpetuate stereotypes, space confinements, and the false depiction of the country to satisfy Western tourists. Local residents perceive promotions as being incomplete in their portrayal of the country while marketers view protected areas as spaces for Westerners. Results call for the inclusion of local residents in the creation of the country's image and more awareness and education for both local residents and marketers. [ABSTRACT FROM AUTHOR]

Purpose - The paper is an exploratory attempt to examine the practice of management consultancy and the cultural components of rituals, symbolism and magic in Botswana. Management consultants as catalytic agents of change remain relevant in organisational life and this study aims to investigate how they are perceived and how they perform their tasks in the African context Design/methodology/approach - In-depth unstructured interviews were conducted with seven top management consultancy firms in Botswana, who agreed to participate in the study, focusing on six key research questions. Findings - Findings revealed that the role of cultural values, while relevant, does not affect actual consultancy practice. It also establishes that consultation process is limited to mainly big organisations and government departments. The activities of consultants may be ritualistic to the extent of repetitiveness; there are also symbolic practices, there is, however, no evidence of superstitious or magical acts. Research limitations/implications - Qualitative data generally struggles with the accusation of researchers bias, while a sample size of seven consultants, certainly limits the generalisability of the findings, how much can we possibly learn from such a small size? Practical implications - The need to reposition the consultation process for long-term survival in the non-Western context by inculcating indigenous values and mores was discussed as well as other policy implications. Originality/value - The paper demonstrates the need for a re-conceptualisation of what should constitute an effective management consultancy practice in non-Western settings. Since managers are not divorced from their socio-cultural environment their mental images reflect axioms that are deeply located in the uniqueness of their cultural settings. [ABSTRACT FROM AUTHOR]

Parks and reserves, created to protect Africa's unique mammal life increasingly share buffer zones needed for their ecological survival with expanding rural populations, resulting in more conflict. While concern about the encroachment of human activity (or 'human sprawl') into natural areas is worldwide, it takes on an extra dimension in eastern and southern Africa, where we find the last large-scale migrating herds of large mammals. The paper uses the Ngamiland region of Botswana in which the Moremi Game Reserve is situated to discuss problems and options surrounding park buffer zones in a context of rapid national economic growth, high levels of demographic growth and increasing international tourism activity, using human footprint and human sprawl mapping as tools to assess population conservation interaction. The paper argues that it is useful to employ footprint mapping in African protected area buffer zones to reveal specific regional patterns and options in order to enhance the search for workable solutions. [ABSTRACT FROM AUTHOR]

Donkeys provide affordable and accessible means of transport, draught power and food security for smallholder farmers in and around Maun, Botswana. Their role and welfare is often compromised by people's extensive use of and inability to care for their animals given their individual or broader circumstances. Our paper explores the lives of donkeys and donkey-human relations in Botswana. We apply a feminist posthumanist iteration of performativity to illustrate and explain who the donkey is, what they experience, and the context within and through which these performances are constituted. Methodologically we merge tools from animal welfare science with social science to unearth donkey physical and emotional states of being, as well as the ways in which humans use, care for, and value donkeys in this particular context. Our findings reveal donkey subjectivities (experiences) characterized by relative drudgery, hardship, and compromised physical and emotional welfare; donkey subjects (identities) grounded in their marginalized status within government and everyday livelihood realms; and donkey spatiality (contextual factors) emerging from their performances as working animals, lesser than cattle, and pathways out of poverty. Contributions of our work include empirical insights on donkey-human relations, theoretical exploration of animal performativity, and methodological innovation investigating the lives of animals. [ABSTRACT FROM AUTHOR]

Background: The increase in the volume of research conducted in Low and Middle Income Countries (LMIC), has brought a renewed international focus on processes for ethical conduct of research. Several programs have been initiated to strengthen the capacity for research ethics in LMIC. However, most such programs focus on individual training or development of ethics review committees. The objective of this paper is to present an approach to institutional capacity assessment in research ethics and application of this approach in the form of a case study from an institution in Africa. Methods: We adapted the Octagon model originally used by the Swedish International Development Cooperation Agency to assess an organization along eight domains in research ethics: basic values and identity; structure and organization; ability to carry out activities; relevance of activities to stated goals; capacity of staff and management; administrative, financing and accounting systems; its relations with target groups; and the national context. We used a mixed methods approach to collect empirical data at the University of Botswana from March to December 2010. Results: The overall shape of the external evaluation Octagon suggests that strengths of the University of Botswana are in the areas of structure, relevance, production and identity; while the university still needs more work in the areas of systems of finance, target groups, and environment. The Octagons also show the similarities and discrepancies between the 'external' and 'internal' evaluations and provide an opportunity for exploration of these different assessments. For example, the discrepant score for 'identity' between internal and external evaluations allows for an exploration of what constitutes a strong identity for research ethics at the University of Botswana and how it can be strengthened. Conclusions: There is a general lack of frameworks for evaluating research ethics capacity in LMICs. We presented an approach that stresses evaluation from both internal and external perspectives. This case study highlights the university's rapid progress in developing research ethics capacity and points to some notable areas for improvement. We believe that such an empirically-driven and participatory assessment allows a more holistic measurement and promotion of institutional capacity strengthening for research ethics in LMICs. [ABSTRACT FROM AUTHOR]

The Chobe River, characterized by an unusual flood pulsing regime and shared between Botswana and Namibia, lies at the heart of the world's largest transfrontier conservation area (the Kavango-Zambezi Transfrontier Conservation Area). Significant ecological changes and vegetation conversions are occurring along its floodplains. Various scenarios for agricultural and urban water use are currently being proposed by the government of Botswana. However, the understanding of the river's annual flow regime and timing of the relative contributions of water from three different sources is relatively poor. In light of past and future climate change and variability, this means that allocating water between ecological flows and economic and domestic uses will become increasingly challenging. We reconstruct the inundation history in this basin to help ease this challenge. This paper presents a spatiotemporal approach to estimate the contribution of water from various sources and the magnitude of changes in the flooding extent in the basin between 1985 and 2010. We used time series analysis of bimonthly NOAA AVHRR and NASA MODIS data and climatologic and hydrologic records to determine the flooding timing and extent. The results indicate that between 12 and 62 % of the basin is flooded on an annual basis and that the spatial extent of the flooding varies throughout the year as a function of the timing of peak discharge in two larger basins. A 30-year trend analysis indicates a consistent decline in the average monthly flooded area in the basin. The results may prove useful in future water utilization feasibility studies, in determining measures for protecting ecological flows and levels, and in ecosystem dynamics studies in the context of current and future climate change and variability. [ABSTRACT FROM AUTHOR]

HIV/AIDS can no longer be regarded solely as a public health issue as its impact extends well into all spheres of life, sectors of society and levels of the education system. This paper argues that not only is it paramount to draw on children's understanding of the impact of AIDS on their lives, but it is equally important to draw on their solutions in order to foster their agency. Using the ‘draw and write’ methods, this research explores children's perception of the impact of HIV/AIDS and their understanding of the capabilities needed in order for them to become active change agents. The findings indicate that short-term intervention programmes are insufficient in curbing the HIV trends and in mitigating its impact. The authors argue that there is now a paramount need to re-evaluate the role and goal of education to allow it to serve as a prophylaxis for HIV/AIDS. [ABSTRACT FROM PUBLISHER]

For children, the death of a parent initiates a rite of passage, a three-stage process: separation from their status as 'son' or 'daughter', a period of liminality with rituals of mourning, burial and interment, and finally re-aggregation into a re-formed social network with a new status as a 'child without parents'. Many orphans in Botswana are excluded from the funerals of their parents; they are structurally invisible. Sometimes, particularly in the case of young children, they are taken to another place, thus they are literally not seen. In the case of older children, some complete all three stages of the rite of passage and the transformation results in clear aggregation into a new status and role. Those children are often resilient and cope well with the trials of orphanhood, For others, liminality is prolonged and the orphans are not reincorporated into a new social network; they are marginalised and may seek 'belonging', 'acceptance' and 'membership' in alternative relationships and in socially unacceptable ways. This paper uses Van Gennep's concept of rite of passage as a framework for examining the coping strategies of orphans in Botswana, where some children demonstrate resilience as they emerge from liminality while others seem stuck in perpetual marginalisation. [ABSTRACT FROM AUTHOR]

Key to discussions around feedback of individual results from genomics research are practical questions on how such results should be fed back, by who and when. However, there has been virtually no work investigating these practical considerations for feedback of individual genetic results in the context of low-and middle-income countries (LMICs), especially in Africa. Consequently, we conducted deliberative focus group discussions with 6 groups of adolescents (n = 44) who previously participated in a genomics study in Botswana as well as 6 groups of parents and caregivers (n = 49) of children who participated in the same study. We also conducted in-depth interviews with 6 adolescents and 6 parents or caregivers. Our findings revealed that both adolescents and parents would prefer to receive their individual genetic results in person, with adolescents preferring researchers to provide feedback, while parents preferred doctors who are associated with the study. Both adolescents and parents further expressed that feedback should be supported by counselling but differed on the timing of feedback, with preferences ranging from feedback as quickly as possible to feedback at project end. In conclusion, decisions on practicalities for feedback of results should be done in account of participants' context and considerations of participants' preferences. [ABSTRACT FROM AUTHOR]

Notes on four Festucula species are provided. One species, F. botswana sp. nov., is described as new to science (♀, Botswana). The name F. monticola is revalidated and the male of this species is assigned. The female of F. lawrencei is described for the first time. A new record of F. leroyae is provided. [ABSTRACT FROM AUTHOR]

Entomophagy is an ancient and actually African tradition that has been receiving renewed attention since edible insects have been identified as one of the solutions to improve global nutrition. As any other foodstuff, insects should be regulated by the government to ensure product quality and consumer safety. The goal of the present paper was to assess the current legal status of edible insects in Africa. For that, corresponding authorities were contacted along with an extensive online search, relying mostly on the FAOLEX database. Except for Botswana, insects are not mentioned in national regulations, although the definitions for "foodstuff" allow their inclusion, i.e., general food law can also apply to insects. Contacted authorities tolerated entomophagy, even though no legal base existed. However, insects typically appear in laws pertaining the use of natural resources, making a permit necessary (in most cases). Pest management regulation can also refer to edible species, e.g., locusts or weevils. Farming is an option that should be assessed carefully. All this creates a complex, nation-specific situation regarding which insect may be used legally to what purpose. Recommendations for elements in future insect-related regulations from the food hygiene point of view are provided. [ABSTRACT FROM AUTHOR]

This paper describes how the national antiretroviral (ARV) programme in Botswana has influenced the willingness of the community of Tutume District, Botswana to come forward for HIV testing. A retrospective review of Tutume Primary Hospital records was performed for three different periods: prior to the national antiretroviral therapy (ART) programme, once ART was available in limited centres and once ART was available locally. There was a five-fold increase in the number of HIV tests performed once treatment became available locally, primarily due to female voluntary testing. Access to free ART increases the HIV testing rate of previously reluctant communities. [ABSTRACT FROM AUTHOR]

Background: The treatment of mental health issues among people living with HIV (PLH) in Botswana is yet to be addressed. A recent study revealed that depressive symptoms are highly prevalent in a sample of PLH in Botswana. Based on empirical findings of a study that investigated intervention targets for PLH in Botswana, a self-help program with coaching in booklet format in the Setswana and English languages was developed, composed of cognitive behavioral techniques, coping skills interventions, and goal adjustment training. We will investigate the program for effectiveness in the treatment of depressive symptoms among PLH. Additionally, we will investigate treatment moderators and mediators. This paper describes the study protocol.Methods/design: A randomized controlled trial will be conducted to compare the booklet self-help program with coaching with an attention-only control condition, by including pre-test, post-test, and follow-up assessments. We aim to enroll 200 participants with mild to moderate depressive symptoms into the study. The self-help program contains the following main components: activation, relaxation, changing maladaptive cognitions, and the attainment of new personal goals. This content is covered over six lessons to be completed in a maximum of 8 weeks. It uses a combination of psycho-education, assignments, and exercises. The participants will work on the program 1-2 h every week for 6 weeks (maximum 8 weeks). Coaches will offer support and motivate the participants. For both groups, depressive symptoms and possible mediators will be measured three times during the intervention, and at pre-test, post-test, and follow-up.Discussion: If the intervention is found to effectively treat depressive symptoms, it will be implemented and thus help improve the psychological health of PLH in Botswana.Trial Registration: Netherlands Trial Register, NTR7428 . Registered on 23 August 2018. [ABSTRACT FROM AUTHOR]

This articles presents a new series of maps showing the climate and environmental variability of Botswana. Situated in southern Africa, Botswana has an arid to semi-arid climate, which significantly varies in its different regions: Kalahari Desert, Makgadikgadi Pan and Okavango Delta. While desert regions are prone to droughts and periods of extreme heat during the summer months, other regions experience heavy downpours, as well as episodic and unpredictable rains that affect agricultural activities. Such climatic variations affect social and economic aspects of life in Botswana. This study aimed to visualise the non-linear correlations between the topography and climate setting at the country's scale. Variables included T °C min, T °C max, precipitation, soil moisture, evapotranspiration (PET and AET), downward surface shortwave radiation, vapour pressure and vapour pressure deficit (VPD), wind speed and Palmer Drought Severity Index (PDSI). The dataset was taken from the TerraClimate source and GEBCO for topographic mapping. The mapping approach included the use of Generic Mapping Tools (GMT), a console-based scripting toolset, which enables the use of a scripting method of automated mapping. Several GMT modules were used to derive a set of climate parameters for Botswana. The data were supplemented with the adjusted cartographic elements and inspected by the Geospatial Data Abstraction Library (GDAL). The PDSI in Botswana in 2018 shows stepwise variation with seven areas of drought: (1) −3.7 to −2.2. (extreme); (2) −2.2 to −0.8 (strong, southern Kalahari); (3) −0.8 to 0.7 (significant, central Kalahari; (4) 0.7 to 2.1 (moderate); (5) 2.1 to 3.5 (lesser); (6) 3.5 to 4.9 (low); (7) 4.9 to 6.4 (least). The VPD has a general trend towards the south-western region (Kalahari Desert, up to 3.3), while it is lower in the north-eastern region of Botswana (up to 1.4). Other values vary respectively, as demonstrated in the presented 12 maps of climate and environmental inventory in Botswana. [ABSTRACT FROM AUTHOR]

Botswana, a prosperous stable democracy in southern Africa is at a cross road. The Green Movement demands that it promote sustainable development while curtailing an increasingly high HIV infection rate that leaves many of its children parentless, Batswanas with a sense of hopelessness, strained human and financial resources from high death rates, and expensive universal retroviral drug programs. Botswana's children are burdened with emotional scars from AIDS and some have no hope of enjoying the prosperity of their homeland so they drop out of school. Such a waste of future human capital is counterproductive when Botswana depends on foreign human, managerial, agricultural and other technical expertise. Dependence on highly paid foreigners has led to resentment among Batswana's poor (over 50% of the population) and contradicts Botswana's quest for sustainable development. Resentment may become a destabilizing force and needs to be addressed in a manner that is best for the country and its people. Botswana needs to redesign and deliver social institutions,policies, and programs that will safeguard its children and its future. [ABSTRACT FROM AUTHOR]

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We report on three years of continuous monitoring of carbon dioxide (CO2) and methane (CH4) emissions in two contrasting wetland areas of the Okavango Delta, Botswana: a perennial swamp and a seasonal floodplain. The hydrographic zones of the Okavango Delta possess distinct attributes (e.g. vegetation zonation, hydrology) which dictate their respective greenhouse gas (GHG) temporal emission patterns and magnitude. The perennial swamp was a net source of carbon (expressed in CO2-eq units), while the seasonal swamp was a sink in 2018. Despite differences in vegetation types and lifecycles, the net CO2 uptake was comparable at the two sites studied in 2018/2020 (-894.2±127.4 gm-2 yr-1 at the perennial swamp, average of the 2018 and 2020 budgets, and -1024.5±134.7 gm-2 yr-1 at the seasonal floodplain). The annual budgets of CH4 were however a factor of three larger at the permanent swamp in 2018 compared to the seasonal floodplain. Both ecosystems were sensitive to drought, which switched these sinks of atmospheric CO2 into sources in 2019. This phenomenon was particularly strong at the seasonal floodplain (net annual loss of CO2 of 1572.4±158.1 gm-2), due to a sharp decrease in gross primary productivity. Similarly, drought caused CH4 emissions at the seasonal floodplain to decrease by a factor of 4 in 2019 compared to the previous year, but emissions from the perennial swamp were unaffected. Our study demonstrates that complex and divergent processes can coexist within the same landscape, and that meteorological anomalies can significantly perturb the balance of the individual terms of the GHG budget. Seasonal floodplains are particularly sensitive to drought, which exacerbate carbon losses to the atmosphere, and it is crucial to improve our understanding of the role played by such wetlands in order to better forecast how their emissions might evolve in a changing climate. Studying such hydro-ecosystems, particularly in the data-poor tropics, and how natural stressors such as drought affect them, can also inform on the potential impacts of man-made perturbations (e.g. construction of hydro-electric dams) and how these might be mitigated. Given the contrasting effects of drought on the CO2 and CH4 flux terms, it is crucial to evaluate an ecosystem's complete carbon budget instead of treating these GHGs in isolation. [ABSTRACT FROM AUTHOR]

Background Whilst informed consent is a key component of considering whether individual genomic research results could or should be fed back to research participants, little is known about the views of African research participants on its role. Methods We carried out a qualitative study to explore views of adolescents and parents or caregivers regarding informed consent for feedback of individual results from a genomics research project in Botswana. We conducted 24 deliberative focus group discussions with 93 participants (44 adolescents and 49 parents or caregivers) and 12 in-depth interviews (6 adolescents and 6 parents). Results Our findings revealed that most participants would like to be informed about the possibility of discovering individual genetic results during the consent process and that consent be obtained for feedback during the enrollment process. They further expressed that in cases where prior consent to feedback was not obtained, then participants should be re-contacted where life-saving genetic information is discovered. Participants emphasized the need for researchers to ensure that participants' decisions regarding feedback of results are well-informed. Autonomy, transparency, and communication were identified as key values to uphold during the consent process. Conclusion In conclusion, obtaining participants' consent for feedback of results is important to ensure that their rights and wellbeing are protected in research. This is critical in building trust relationships between participants and researchers. [ABSTRACT FROM AUTHOR]

Undernutrition affects sub-Saharan African countries with increased stunting among children under 5 years old. The short- and long-term effects of this stunting include the potential for slow growth in early life, impaired health, and educational and economic disadvantages in adolescent and adult years. In this quantitative cross-sectional study, we analyzed the relationship between single-mother families and the occurrence of stunting among children under 5 years old in the Kgatleng District of Botswana. We collected primary data from 196 mothers and their children who visited selected clinics in Kgatleng. The results of the binary logistic regression analysis were significant: X2 (1, N = 196) = 4.119, p = .046, indicating the model was able to distinguish between those respondents who reported stunting and those who did not report stunting. The implications for positive social change include the potential to increase awareness among health professionals to continually check the linear growth of children under 5 to help curb the deleterious effects and the social inequalities caused by stunting. [ABSTRACT FROM AUTHOR]

The feedback of individual results of genomics research is an ethical issue. However, which genetic results African participants would like to receive and why, remains unclear. A qualitative study was conducted to collect data from 44 adolescents and 49 parents/caregivers of adolescents enrolled in a genomic study in Botswana. Almost all the participants wanted to receive genetic results. Parents and caregivers wanted to receive results across all categories of genetic conditions discussed in the study, while adolescents were reluctant to receive results for severe, non-preventable, and unactionable conditions. Participants expressed different reasons for wanting feedback of results, including for awareness, improving lifestyle, accepting one' situation, and preparing for the future. Our findings also reveal that participants' context, relations, and empowerment are important to consider in interpreting their preferences for feedback of results. [ABSTRACT FROM AUTHOR]

Syphilis data from low- and middle-income countries are lacking due to limited testing. Point-of-care tests (POCTs) have been promoted to expand testing but previously only included treponemal tests, which cannot distinguish active from past infection. We aimed to assess the feasibility of using a combined treponemal and non-treponemal POCT in HIV clinic patients in Gaborone, Botswana, and estimate syphilis prevalence in our clinic sample using this approach. We recruited 390 non-pregnant patients. Participants underwent a combined treponemal and non-treponemal POCT (Dual Path Platform (DPP®) Syphilis Screen and Confirm Assay (Chembio Diagnostic Systems)) on finger-prick blood sample and a questionnaire. Median age 45 years, 30% men, median CD4 count 565 cells/μL, and 91% had an HIV viral load <400 copies/mL. Five participants had active syphilis (1.3%, 95% CI 0.5–3.0%) and 64 had previous syphilis (16.4%, 95% CI 13.0–20.4%) using the DPP POCT. There was a reasonable level of agreement between digital and visual reading of the POCT (kappa statistic of 0.81); however, visual reading missed three active infections (60%). The level of active syphilis was similar to local antenatal data. The DPP POCT led to five participants with active syphilis being diagnosed and starting same-day treatment. The digital reader should be used. [ABSTRACT FROM AUTHOR]

Urban and rural grandmothers (n = 20) in Botswana participated in focus groups to learn their expectations for the acquisition of skills by preschool children. Their expectations for self‐care, traditional politeness, and participation in household chores were dramatically earlier than developmental timetables reported for Western middle‐class populations. There are some differences, however, in the urban and rural grandmothers' expectations. Rural grandmothers had earlier expectations for self‐care skills and participation in household chores, and they had more specific expectations for mastering Setswana cultural customs. In addition, some urban grandmothers, who were generally more educated, described using more reciprocal communication, and they believed in playing with their grandchildren, whereas the rural grandmothers' communication was more instructional, and they insisted that children should play away from adults. Strikingly, there was no mention of school readiness goals or activities by either group, suggesting a "cultural misfit" between the standard early childhood curriculum, largely imported from the United States and other Western countries, and the cultural backgrounds of Batswana families. To create a more workable partnership between preschool teachers and grandparents—important caretakers of young children, both traditionally and currently—will require efforts to acknowledge and promote the values and expectations of both groups. [ABSTRACT FROM AUTHOR]