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River modifications through hydropower dams and other infrastructure have far-reaching economic, ecological and social effects that are viewed in highly contrasting ways depending on underlying narratives. As part of a Euro-African research consortium funded by the European Commission we studied pathways for sustainable river basin management in the Omo-Turkana basins in Ethiopia and Kenya. Based on a literature review, stakeholder workshops, targeted interviews and considering our own positionality, we identified underlying narratives related to (a) economic transformation and modernization, (b) indigenous rights and (c) nature conservation, which were all connected through water, energy, food and ecosystems within a (d) landscape nexus. Yet, we also identified a (e) living museum narrative suggesting that international advocacy for indigenous rights and nature conservation is a means through which Western societies want to preserve African societies in an "undeveloped" state. National governments use this narrative to silence external critique, while the tourism industry promotes it to advertise visits to pastoralist tribes. This narrative reveals powerful, yet largely ignored hindrances for collaborative projects resulting from cultural and historical biases in Euro-African collaborations. Based on our analysis, we argue that international research projects in sustainability sciences need to increase the transparency of open and hidden narratives that influence research directions and power relationships between scientific partners, also those using mostly technically-driven approaches. We emphasize that African landscapes are not to be viewed as living museums, and collaborative research should be based on fairness, respect, care, and honesty to allow for multiple narratives that underlie research. [ABSTRACT FROM AUTHOR]

Background: Though institutional delivery plays a significant role in maternal and child health, there is substantial evidence that the majority of rural women have lower health facility delivery than urban women. So, identifying the drivers of these disparities will help policy-makers and programmers with the reduction of maternal and child death. Methods: The study used the data on a nationwide representative sample from the most recent rounds of the Demographic and Health Survey (DHS) of four East African countries. A Blinder-Oaxaca decomposition analysis and its extensions was conducted to see the urban-rural differences in institutional delivery into two components: one that is explained by residence difference in the level of the determinants (covariate effects), and the other components was explained by differences in the effect of the covariates on the outcome (coefficient effects). Results: The findings showed that institutional delivery rates were 21.00% in Ethiopia, 62.61% in Kenya, 65.29% in Tanzania and 74.64% in Uganda. The urban-rural difference in institutional delivery was higher in the case of Ethiopia (61%), Kenya (32%) and Tanzania (30.3%), while the gap was relatively lower in the case of Uganda (19.2%). Findings of the Blinder-Oaxaca decomposition and its extension showed that the covariate effect was dominant in all study countries. The results were robust to the different decomposition weighting schemes. The frequency of antenatal care, wealth and parity inequality between urban and rural households explains most of the institutional delivery gap. Conclusions: The urban-rural institutional delivery disparities were high in study countries. By identifying the underlying factors behind the urban-rural institutional birth disparities, the findings of this study help in designing effective intervention measures targeted at reducing residential inequalities and improving population health outcomes. Future interventions to encourage institutional deliveries to rural women of these countries should therefore emphasize increasing rural women's income, access to health care facilities to increase the frequency of antenatal care utilization. [ABSTRACT FROM AUTHOR]

Social norms surrounding women's and men's mobility in public spaces often differ. Here we discuss how gendered mobilities and immobilities influence women's and men's capacities to innovate in agriculture. We analyze four case studies from Western Kenya and Southwestern Nigeria that draw on 28 focus group discussions and 32 individual interviews with a total of 225 rural and peri-urban women, men and youth. Findings show that women in both sites are less mobile than men due to norms that delimit the spaces where they can go, the purpose, length of time and time of day of their travels. Overall, Kenyan women and Nigerian men have better access to agricultural services and farmer groups than their gendered counterparts. In Southwestern Nigeria this is linked to masculine roles of heading and providing for the household and in Western Kenya to the construction of women as the 'developers' of their households. Access and group participation may reflect norms and expectations to fulfill gender roles rather than an individual's agency. This may (re)produce mobility pressures on time constrained gendered subjects. Frameworks to analyze factors that support women's and men's agency should be used to understand how gendered mobilities and immobilities are embedded in community contexts and affect engagement in agricultural innovation. This can inform the design of interventions to consider the ways in which norms and agency intersect and influence women's and men's mobilities, hence capacity to innovate in agriculture, thus supporting more gender transformative approaches. [ABSTRACT FROM AUTHOR]

In this paper we describe social change and the potential of agricultural innovation processes to create, or expand, spaces for women to exercise agency in economic and agricultural decision-making in Kenya. Rural communities are increasingly drawn into global processes that create local economic and agrarian change, with marked influences on gender relations, roles and responsibilities. We draw on a qualitative case study with 140 research participants from rural and peri-urban villages in Western Kenya. We examine how global processes have fostered local level changes in the last decade to contextualize innovation processes. Economic changes related to paid work and an evident increase of women's participation in rural development programs reflect, in part, a gender, often women-centred development agenda that targets women in rural programming. Next, we describe a more recent agricultural innovation process to explore decision-making about time use, access to and control over productive resources. Lastly, we describe patterns in gender relations, roles and responsibilities that have changed in response to broader community change and how innovation specific decision-making may create spaces for women to exercise agency in local contexts. We draw on feminist geographic perspectives to better understand these processes through an exploration of everyday practices. Our focus on gender relations and agency as spatial phenomena facilitates an understanding of how roles and responsibilities are created, reproduced and, in some cases, transformed to increase women's agency in particular spaces. Our key findings highlight how economic pressure and agricultural programs that focus on women have brought women into public spaces in new ways and created gendered opportunity spaces amidst persisting roles of men as authorities and final decision-makers and women playing supportive roles. Innovation processes often replicate gender patterns through decision-making in productive assets, however access to agriknowledge offers avenues for women to expand their opportunity spaces by expanding social networks and their ability to negotiate for resources in the household. We recommend further studies that draw on feminist geography to inform the design of agricultural innovations and interventions to benefit women, men and to improve overall livelihoods. [ABSTRACT FROM AUTHOR]

Background: Several low and middle-income countries (LMIC) use Demographic and Health Surveys (DHS) and/or Health and Demographic Surveillance System (HDSS) to monitor the health of their population. The level and trends of under-five mortality rates could be different in the HDSS sites compared to the DHS reports. In this study, we investigated the change in under-five mortality rates overtime in the HDSS sites and the corresponding DHS reports in eight countries and 13 sites.Methods: Under-five mortality rates in the HDSS sites were determined using number of under-five deaths (numerator) and live births (denominator). The trends and annualized rate of change (ARC) of under-five mortality rates in the HDSS sites and the DHS reports were compared by fitting exponential function.Results: Under-five mortality rates declined substantially in most of the sites during the last 10-15 years. Ten out of 13 (77 %) HDSS sites have consistently lower under-five mortality rates than the DHS under-five mortality rates. In the Kilifi HDSS in Kenya, under-five mortality rate declined by 65.6 % between 2003 and 2014 with ARC of 12.2 % (95 % CI: 9.4-15.0). In the same period, the DHS under-five mortality rate in the Coastal region of Kenya declined by 50.8 % with ARC of 6 % (95 % CI: 2.0-9.0). The under-five mortality rate reduction in the Mlomp (78.1 %) and Niakhar (80.8 %) HDSS sites in Senegal during 1993-2012 was significantly higher than the mortality decline observed in the DHS report during the same period. On the other hand, the Kisumu HDSS in Kenya had lower under-five mortality reduction (15.8 %) compared to the mortality reduction observed in the DHS report (27.7 %) during 2003-2008. Under-five mortality rate rose by 27 % in the Agincourt HDSS in South Africa between 1998 to 2003 that was contrary to the 18 % under-five mortality reduction in the DHS report during the same period.Conclusions: The inconsistency between HDSS and DHS approaches could have global implication on the estimation of child mortality and ethical issues on mortality inequalities. Further studies should be conducted to investigate the reasons of child mortality variation between the HDSS and the DHS approaches. [ABSTRACT FROM AUTHOR]