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2. Disability and Inclusive Education: Stocktake of Education Sector Plans and GPE-Funded Grants. Working Paper #3
- Author
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Global Partnership for Education (GPE)
- Abstract
This report was commissioned by the Global Partnership for Education's Secretariat to take stock of how disability and inclusive education are in included in education sector plans (ESPs) in 51 countries, including GPE-funded programs, such as education sector program implementation grants (ESPIGs), program documents (PADs), implementation progress reports (IPRs) Education Sector Analysis (ESA), if applicable, and other relevant GPE program documents. Moreover, a plethora of key international reports and monitoring reports was reviewed. This report documents progress and highlights the need to step up support to GPE partner countries on disability and inclusive education, to improve consideration of issues around disability and inclusion in education sector analysis and sector planning processes to better promote the achievement of GPE 2020 strategic goal 2, and to fulfill the transformative vision of Agenda 2030. This means ensuring that girls and boys with disabilities are not only able to access their right to a quality education in a nurturing environment, but also, through education, become empowered to participate fully in society, and enjoy full realization of their rights and capabilities. [This report was written with Louise Banham and Eleni Papakosta.]
- Published
- 2018
3. Meeting EFA: Reaching the Underserved through Complementary Models of Effective Schooling. Working Paper
- Author
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Academy for Educational Development, Washington, DC., DeStefano, Joseph, Moore, Audrey-Marie Schuh, Balwanz, David, and Hartwell, Ash
- Abstract
In 2004, the United States Agency for International Development (USAID)-funded Educational Quality Improvement Program 2 (EQUIP2) began investigating community-based schools as a mechanism for reaching the underserved populations. The team identified nine models that successfully organized schooling in regions least served by the formal education system. These complementary education approaches rely on community, non-governmental, and ministry collaboration and present a promising response to the challenge of meeting the EFA goals of universal access, completion, and learning. Complementary Education models work in support of the formal public system, offering students an alternative route to achieving the same educational outcomes as students in the government schools. The programs are designed to feed students into the government system at various entry points and are large enough to exhibit many of the same characteristics as mainstream schools. Over time, the models have increased rates of attendance, completion, and learning among the populations they serve. This EQUIP2 working paper synthesizes the findings from the nine case studies of successful complementary education programs in Afghanistan, Bangladesh, Egypt, Ghana, Guatemala, Honduras, Mali, and Zambia. The research demonstrated that the programs are more cost-effective than government schools in delivering education services and that they achieve higher learning outcomes through adjustments in school size and location, curriculum and language of instruction, school management and governance arrangements, and teaching staff and instructional support services.
- Published
- 2007
4. The Effectiveness of Teacher Resource Centre Strategy. Education Research Paper. Full Report.
- Author
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Department for International Development, London (England)., Fairhurst, Genevieve, Gibbs, William, Jain, Pankaj, Khatete, David, Knamiller, Gary, Welford, Geoff, and Wiegand, Patrick
- Abstract
During 1997-98, a research team from the University of Leeds investigated the effectiveness of teacher resource centers (TRCs) as a strategy for teacher development in developing nations. The study included a literature review and fieldwork in four countries (India, Kenya, Nepal, and Zambia). The study examined the extent to which TRCs helped improve the environment for learning in schools and the quality of teaching and learning in classrooms. It also examined issues surrounding TRCs and how TRCs were affected by those issues. Data collection involved literature reviews and observations and interviews at TRCs and in schools in the four countries. Results indicated that it was very difficult for TRCs to achieve their goal of improving teachers' classroom performance and thus positively impacting teaching and learning, because they were detached from work at schools. Overall, the TRCs and their inservice courses were used very little in all four countries and made little significant contribution to improved teaching and learning in schools. Teachers had to leave their classes to go to TRC activities, so the TRCs actually contributed to teacher absenteeism. Sustainability depended on outside resources, particularly international donors. (Contains 227 references.) (SM)
- Published
- 1999
5. Coordination of Information Systems and Services in Namibia. Papers of the Seminar (Windhoek, Namibia, February 25-March 5, 1993).
- Author
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German Foundation for International Development, Bonn (West Germany), Education, Science and Documentation Div., Namibia Univ., Windhoek., Ministry of Education and Culture, Windhoek (Namibia)., and Totemeyer, A.-J
- Abstract
This document contains the following papers presented at a seminar in which information workers from Namibia and neighboring countries elaborated on future information services in Namibia: "Welcome" (A. de Klerk); "Right to Information and Citizenship" (N. Angula); "Namibia: Information Policy Issues and the State of Information Services" (A. Totemeyer); "University of Namibia: A Key Player in Generating Scientific Information and Training of Information Specialists" (P. Katjavivi); "Role of the Ministry of Information and Broadcasting in Serving the Information Needs of the Broader Community" (H. Hamutenya); "Coordination of Information Systems and Services in Botswana" (A. Thapisa); "Coordination of Information Systems and Services in Zambia" (H. Mwacalimba); "Archives' Contribution to the Coordination of Information Systems and Services in Kenya" (M. Musembi); "Arrangements for the Coordination of Information Systems and Services in Malawi" (R. Mabomba); "Zimbabwe: An Overview on the Coordination of Information Services" (D. Pakkiri); "Library Services of the Ministry of Education and Culture" (A. Marais); "Role of the Namibian National Archives and Coordination with Private Archives in Namibia" (B. Lau, W. Hillebrecht); "University Library: Problems, Prospects and Coordination with Other Training Institution Libraries" (K. Avafia); "Bibliographic Control in Namibia" (J. Loubser); "History and Establishment of the Namibian Information Workers Association" (M. Viljoen); "Role of the Namibian Information Workers Association and Cooperation with Other Local and International Organizations" (V. Jacobs); "From a Public Library Service to a Community Library Service and Coordination with NGO Community Projects" (E. de Kock); "Special Libraries of Government and Prospects for Cooperation with Libraries from Para-Statal and Private Information Centres" (R. Morgenstern); "School Library Services in Namibia" (T. Klynsmith); "Development of a Teachers' Resource Centre Network in Namibia and Coordination with School Libraries" (R. Douglas); "Training of Library and Information Personnel at the University of Namibia" (V. Jacobs); "Training of Resource Teachers/School Librarians at Teacher Training Colleges in Namibia" (G. Reimers); "Findings and Recommendations of the University of Namibia, Department of Information Studies" (A. Totemeyer);"Role of the Office of the Prime Minister via its Directorate of Data Systems and Services" (N. Hamutenya); "Policy Statement and Recommendations by Participants"; and "Closing Speech" (V. Ankama). (SLD)
- Published
- 1993
6. Investigating Bilingual Literacy: Evidence from Malawi and Zambia. Education Research Paper.
- Author
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Department for International Development, London (England). and Williams, E.
- Abstract
This monograph describes contrasting classroom methods and experiences teaching reading in Malawi (where reading is taught through the medium of a local language) and in Zambia (where the medium used is English). In describing research carried out in Malawi and Zambia, the monograph specifically discusses the importance of the research for those policy makers in other countries who are considering comparable or related language issues. The monograph reports on reading tests carried out at years 3, 4, 5, and 6 in both English and the respective local languages (Chichewa in Malawi, Nyanja in Zambia) in rural and urban schools. In addition, a sample of pupils of differing English reading proficiencies were interviewed and participated in individual reading investigations. Findings confirm misgivings expressed in the 1992 Zambian Ministry report "Focus on Learning" that for the majority of pupils in primary schools, levels of reading in English are inadequate for learning to take place. The monograph closes with some suggestions as to how improvement might be brought about, while noting that the effect of the suggestions will necessarily be limited by factors outside the classroom, and in particular by the economic conditions of the teachers and of pupils' families. Includes 56 tables of data; contains 25 references. Appended are information on reading approaches, transcripts and texts of two lessons, test samples in the three languages, and graphs of test scores. (NKA)
- Published
- 1998
7. Implementing Educational Policies in Zambia. World Bank Discussion Papers No. 90. Africa Technical Department Series.
- Author
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World Bank, Washington, DC. and Achola, Paul Pius Waw
- Abstract
At the time of independence from Britain in 1964, the educational system in Zambia was, as elsewhere in Africa, racially segregated and heavily biased against Africans. This paper briefly reviews the situation at independence before enumerating post-independence educational policy landmarks through both acts of Parliament and national development plans and related documents. It discusses successes and failures in program implementation as evidenced by internal and external efficiency criteria. Particularly the primary school system has expanded substantially, although there are few data about internal efficiency. Nevertheless, the young and growing population continues to put pressure on the system--a doubling of primary school places by the year 2000 would be necessary simply to maintain the present gross enrollment rates. High rates of unemployment, especially after completion of primary and secondary school, point to poor external efficiency. Other factors contributing to problems with the successful implementation of educational policies have been a poor economy, inadequate supply of teachers above the primary level, problems with curriculum relevance, and an entrenched debate about the merits of English language versus native language teaching. (Author)
- Published
- 1990
8. Poverty Reduction in Zambia: A Conceptual Analysis of the Zambian Poverty Reduction Strategy Paper
- Author
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Imboela, Bruce Lubinda
- Abstract
Poverty reduction strategy papers (PRSPs) present a recipient country's program of intent for the utilization of World Bank loans and grants to alleviate debt under the bank's programs of action for poverty reduction in highly indebted poor countries (HIPCs). This article argues that structural transformation is a prerequisite for poverty reduction in Zambia. However, the Zambian PRSP is largely informed by mainstream thinking on poverty and livelihoods. It champions a neoliberal program constructed on the sanctity of the market and seeks to maintain the very structural processes that engender poverty. Because it fails to break, conceptually and methodologically, from past program failures, the PRSP is likely to be just the latest installment in the ever-changing fashionable semantics of the "development community." The article examines the conceptual and methodological failures of the Zambian PRSP particularly with respect to the measurement of poverty and the concept of participation.
- Published
- 2005
- Full Text
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9. Literacy in Development: People, Language and Power. Papers Given at, Relating to and Produced by the International Seminar Held at the Commonwealth Institute for International Literacy Year (London, England, April 6-7, 1990).
- Author
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Education for Development, King's Lynn (England)., Commonwealth Inst., London (England)., and Street, Brian
- Abstract
This report consists of papers given at, relating to, and produced by an international seminar that emphasized sharing practical experience and analyzing conditions necessary to set up and sustain a literacy program. The first section provides an "Introduction" (James Porter) and "Background to the Seminar" (Alan Rogers). Opening session papers include "The Meaning of Illiteracy: Moving from Rhetoric to Reality" (Manzoor Ahmed) and "Women, Literacy, and Development" (Lalage Bown). Information on organization of the workshops is followed by the "Seminar Programme Introductory Talk to Workshop Leaders" (Brian Street). The following papers and reports are provided for four workshops: "Literacy in Zambia: Human and Economic Crisis" (David Alexander); "The Relationship of Nonformal Education and Development" (David Stephens); "Which Literacies?" (Brian Street); "Definitions and Politics" (Didacus Jules); "Reflections on the Botswana National Literacy Programme" (E. K. Townsend Coles); "Case Studies from India" (Moitraye Mukhapadyaya); "Ideology and Curriculum" (Juliet McCaffrey); and "Appropriate Materials and Method in Literacy Teaching" (L. S. Saraswathi). A report to the plenary session is provided for each workshop. An "Afterword" (L. S. Saraswathi), "Comments on Workshops" (Brian Street, Alan Rogers), and a list of speakers and workshop leaders conclude the report. (YLB)
- Published
- 1990
10. Attentional Processes in Children's Learning. Appendix A: Project Papers.
- Author
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Harvard Univ., Cambridge, MA. Center for Research and Development in Educational Differences. and White, Sheldon H.
- Abstract
This appendix includes seven papers which focus on various aspects of the learning processes of children ages 5-7: (1) S. Thompson, "Transitions to concrete operations: A survey of Piaget's writings" (in outline form); (2) S. H. White, "Changes in learning processes in the late preschool years," an examination of cross-cultural evidence of significant physiological and behavioral changes in children; (3) C. M. Super, "Cognitive changes during the late preschool years: Non-Western evidence for universality," a study in which 13 "culture free" developmentally sensitive tasks were administered to urban and rural Zambian children; (4) C. E. Gunnoe, "The correlation between some measures of neurological and cognitive development in the child"; (5) S. W. White and R. S. Mansfield,"Effects of visual noise on problem solving estimated by an ascending method of limits"; a study which made use of an evolving two-choice discrimination task; (6) R. S. Mansfield, "Developmental trends in the effects of noise on problem solving"; and (7) M. F. Elias, "Three indicators of children's development ability to recognize and solve complex problems," a study which related the ability to hold a labile state to cognitive activity and age. (ED)
- Published
- 1972
11. School Inputs, Household Substitution, and Test Scores. NBER Working Paper No. 16830
- Author
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National Bureau of Economic Research, Das, Jishnu, Dercon, Stefan, Habyarimana, James, Krishnan, Pramila, Muralidharan, Karthik, and Sundararaman, Venkatesh
- Abstract
Empirical studies of the relationship between school inputs and test scores typically do not account for the fact that households will respond to changes in school inputs. We present a dynamic household optimization model relating test scores to school and household inputs, and test its predictions in two very different low-income country settings--Zambia and India. We measure household spending changes and student test score gains in response to unanticipated as well as anticipated changes in school funding. Consistent with the optimization model, we find in both settings that households offset anticipated grants more than unanticipated grants. We also find that unanticipated school grants lead to significant improvements in student test scores but anticipated grants have no impact on test scores. Our results suggest that naive estimates of public education spending on learning outcomes that do not account for optimal household responses are likely to be considerably biased if used to estimate parameters of an education production function.
- Published
- 2011
12. Research paper of the year: interventions to improve health.
- Author
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Groves T
- Subjects
- Africa South of the Sahara, Awards and Prizes, Canada, Cardiovascular Diseases prevention & control, Child, Child, Preschool, Drug Resistance, Fluid Therapy methods, Health Promotion methods, Humans, India, Infant, Infant Mortality, Infant, Newborn, Infections mortality, Infections therapy, Leishmaniasis, Visceral drug therapy, Midwifery education, Randomized Controlled Trials as Topic, Zambia, Delivery of Health Care, Manuscripts, Medical as Topic, Research standards
- Published
- 2012
- Full Text
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13. A filter paper method for the detection of Plasmodium falciparum gametocytes by reverse transcription polymerase chain reaction.
- Author
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Mlambo G, Vasquez Y, LeBlanc R, Sullivan D, and Kumar N
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- Animals, DNA Primers, Germ Cells, Humans, Malaria, Falciparum blood, Plasmodium falciparum genetics, Predictive Value of Tests, RNA, Protozoan analysis, Reverse Transcriptase Polymerase Chain Reaction, Zambia, Filtration, Malaria, Falciparum diagnosis, Plasmodium falciparum isolation & purification
- Abstract
Plasmodium falciparum gametocytes are obligate parasite sexual stages required for transmission of malaria from human hosts to the mosquito vector. Assessment of gametocyte carriers in the population is critical in understanding malaria transmission dynamics and in epidemiology studies. We applied a reverse transcription-polymerase chain reaction (RT-PCR)-based approach to detect pfs25 transcripts from blood dried on different filter papers in the laboratory. The detection limit was 1-2 gametocytes/microL. We further validated this assay by analyzing RNA in 10 matched blood samples (liquid blood and blood spotted on filter papers) collected from subjects under field conditions in Zambia. These results thus establish feasibility of detection of Plasmodium falciparum gametocytes by RT-PCR method from dried blood on filter paper. This assay will greatly facilitate bulk analysis of gametocyte RNA transcripts on filter paper, especially in areas where collection and preservation of liquid blood is not feasible.
- Published
- 2008
14. Operational Paper Comparative study of rainwater quality in urban Zambia.
- Author
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Handia, Lubinga
- Subjects
- *
WATER quality , *HYDROGEN-ion concentration , *HYDRAULIC engineering , *FLUID mechanics , *AGRICULTURAL engineering - Abstract
Five rainwater harvesting systems were installed in two peri-urban areas of Lusaka, the capital city of Zambia, consisting of six ferrocement tanks, water samples were collected from the direct rain, roof and tank. In order to compare the rainwater quality with water from other sources, samples were also collected from piped water, boreholes and shallow wells. Rainwater was of higher quality than catchment and storage rainwater. However, harvested rainwater in tanks showed the best bacteriological quality probably due to the elimination of contamination by the first flush. The pH in the storage water was higher than that in rainwater and catchment water due to the reaction with the ferrocement tank. However, it was expected that as the ferrocement tanks matured, pH would drop in the storage water and probably meet the World Health Organisation (WHO) guidelines. [ABSTRACT FROM AUTHOR]
- Published
- 2005
- Full Text
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15. The Victoria Falls 1900-1940: Landscape, Tourism and the Geographical Imagination* The research for this paper was funded by the British Academy and the University of Reading Research Endowment Trust Fund. I would like to thank Elizabeth Colson, Friday Mufuzi, Hugh MacMillan, David Phillipson, Lyn Schumaker and JSAS reviewers for their helpful comments on earlier drafts.
- Author
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McGregor, JoAnn
- Subjects
- *
TOURISM , *LOZI (African people) - Abstract
This article is about the politics of landscape ideas, and the relationship between landscape, identity and memory. It explores these themes through the history of the Victoria Falls, and the tourist resort that developed around the waterfall after 1900. Drawing on oral and archival sources, including popular natural history writing and tourist guides, it investigates African and European ideas about the waterfall, and the ways that these interacted and changed in the course of colonial appropriations of the Falls area. The tourist experience of the resort and the landscape ideas promoted through it were linked to Edwardian notions of Britishness and empire, ideas of whiteness and settler identities that transcended new colonial borders, and to the subject identities accommodated or excluded. Cultures of colonial authority did not develop by simply overriding local ideas, they involved fusions, exchanges and selective appropriations of them. The two main African groups I am concerned with here are the Leya, who lived in small groups around the Falls under a number of separate chiefs, and the powerful Lozi rulers, to whom they paid tribute in the nineteenth century. The article highlights colonial authorities' celebration of aspects of the Lozi aristocracy's relationship with the river, and their exclusion of the Leya people who had a longer and closer relationship with the waterfall. It also touches on the politics of recent attempts to reverse this exclusion, and the controversial rewriting of history this has involved. [ABSTRACT FROM AUTHOR]
- Published
- 2003
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16. Re.: Paper by Van Hoogstraten et al. (2000).
- Author
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Schim van der Loeff MF
- Subjects
- Confounding Factors, Epidemiologic, Humans, Zambia, Blood Transfusion, Cross Infection prevention & control, HIV Infections prevention & control
- Published
- 2001
- Full Text
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17. Adaptation and validation of antibody-ELISA using dried blood spots on filter paper for epidemiological surveys of tsetse-transmitted trypanosomosis in cattle.
- Author
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Hopkins JS, Chitambo H, Machila N, Luckins AG, Rae PF, van den Bossche P, and Eisler MC
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- Animals, Cattle, Prevalence, Reproducibility of Results, Seroepidemiologic Studies, Trypanosomiasis, African veterinary, Trypanosomiasis, Bovine diagnosis, Trypanosomiasis, Bovine immunology, Zambia epidemiology, Antibodies, Protozoan blood, Enzyme-Linked Immunosorbent Assay methods, Trypanosomiasis, Bovine epidemiology
- Abstract
The indirect enzyme-linked immunosorbent assay (ELISA) for the detection of anti-trypanosomal antibodies in bovine serum was adapted for use with dried blood spots on filter paper. Absorbance (450 nm) results for samples were expressed as percent positivity, i.e. percentage of the median absorbance result of four replicates of the strong positive control serum. The antibody-ELISA was evaluated in Zambia for use in epidemiological surveys of the prevalence of tsetse-transmitted bovine trypanosomosis. Known negative samples (sera, n = 209; blood spots, n = 466) were obtained from cattle from closed herds in tsetse-free areas close to Lusaka. Known positive samples (sera, n = 367; blood spots, n = 278) were obtained from cattle in Zambia's Central, Lusaka and Eastern Provinces, diagnosed as being infected with Trypanosoma brucei, T. congolense, or T. vivax using the phase-contrast buffy-coat technique or Giemsa-stained thick and thin blood smears. For sera (at a cut-off value of 23.0% positivity) sensitivity and specificity were 86.1 and 95.2%, respectively. For bloodspots (at a cut-off value of 18.8% positivity) sensitivity and specificity were 96.8 and 95.7%, respectively. The implications of persistence of antibodies following treatment or self-cure are discussed.
- Published
- 1998
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18. Detection of Trypanosoma congolense and T. brucei subspecies in cattle in Zambia by polymerase chain reaction from blood collected on a filter paper.
- Author
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Katakura K, Lubinga C, Chitambo H, and Tada Y
- Subjects
- Animals, Cattle, DNA, Protozoan analysis, Rats, Sensitivity and Specificity, Trypanosoma brucei brucei genetics, Trypanosoma congolense genetics, Zambia, Polymerase Chain Reaction, Trypanosoma brucei brucei isolation & purification, Trypanosoma congolense isolation & purification
- Abstract
To facilitate epidemiology studies of African trypanosomiasis in cattle in Zambia, we adapted a polymerase chain reaction (PCR) method using blood spotted on filter papers. For easy preparation of template DNA from the dried blood, we adapted a simple DNA extraction method using Chelex-100, an anion-exchange resin. Using primers directed for repetitive nuclear DNA sequences, species-specific DNA amplifications were detected from the blood of rats infected with Zambian isolates of T. congolense and T. brucei subspecies. The method was sensitive enough to detect a single trypanosome for both species. In the Eastern Province of Zambia, 240 cattle were examined for motile flagellates in the buffy coat by the microhematocrit method, and 100 of them were positive for the test. These 100 animals were further examined by thin blood smears and PCR for species identification. The thin blood smear revealed 62 and 14 animals with T. congolense and T. brucei subspecies infection, respectively, whereas the PCR detected 73 of the former and 38 of the latter species. These results indicate that dried blood spots on filter papers are a useful source of DNA for detection of African trypanosomes by PCR.
- Published
- 1997
- Full Text
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19. The role of Chinese mining corporates in adhering to corporate social responsibility in Zambia's mining industry, 2010–2018.
- Author
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Rapanyane, Makhura B.
- Subjects
SOCIAL responsibility of business ,MINERAL industries ,BUSINESS enterprises ,MINING corporations ,BUSINESS planning ,SECONDARY research - Abstract
Within the context of Corporate Social Responsibility (CSR), this secondary data‐based research paper examined the role of China's mining companies' adherence to CSR within the context of its engagement with Zambia. The central question grappled within this paper is whether there is a practise of CSR as a corporate ethic strategy to further social good which must be interpreted even beyond the firm or companies' interests, all required by the internal laws of Zambia. The central objective is to analyse CSR which ought to be applied to enhance high ethical standards, reduction of legal risks, and positive public relations. As such, this paper argues that there is a deficit literature and/knowledge existing which outlines the role of Chinese mining corporates' CSR in the Zambian mining industry. Implying that there are limited policy blueprints or scholarly documents, outlining how Chinese mining companies are expected to conduct themselves. The only scholarly relevant available knowledge at our disposal in respect to the subject under scrutiny exists in Euro‐American Multimedia video‐sharing engines such as Youtube and Twitter. These knowledge systems are North [ern] angled, contributing to an imbalanced body of knowledge, that triggered the adoption of Afrocentricity as the alternative theoretical telescope. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
20. Living a private lie: intersectional stigma, depression and suicidal thoughts for selected young key populations living with HIV in Zambia.
- Author
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Zulu, Joseph Mumba, Budhwani, Henna, Wang, Bo, Menon, Anitha, Kim, Deogwoon, Zulu, Mirriam, Nyamaruze, Patrick, Govender, Kaymarlin, and Armstrong, Russell
- Subjects
SUICIDAL ideation ,MEN who have sex with men ,YOUNG adults ,HIV-positive men ,INTERSECTIONALITY ,LIE detectors & detection - Abstract
Background: Limited research has been conducted on the forms, manifestations and effects of intersectional stigma among young HIV-positive men who have sex with men (MSM) and transgender women (TGW) in Zambia. In this study, we aimed to address this gap by elucidating the experiences of these in a small group of young, HIV + MSM and TGW in Zambia. Methods: We applied a mixed-methods design. Data were collected from January 2022 to May 2022. Qualitative data were collected using in-depth interviews while quantitative data were collected using a questionnaire. Qualitative transcripts were coded using thematic analysis while paper-based questionnaire data were entered into Kobo Connect. Descriptive statistics, using chi-squared tests were calculated using Excel. In this paper, we provide a descriptive profile of the sample and then focus on the qualitative findings on intersectional stigma, depression, and contemplation of suicide. Results: We recruited 56 participants from three sites: Lusaka, Chipata, and Solwezi districts. Participants' mean age was 23 years. The study found that 36% of all participants had moderate to significant symptoms of depression, 7% had major depression, 30% had moderate signs of anxiety, 11% had high signs of anxiety, 4% had very high signs of anxiety and 36% had contemplated suicide at least once. A greater proportion of TGW had moderate to significant symptoms of depression (40%) or major depression (10%) compared to MSM, at 33% and 6%, respectively (X
2 = 0.65; p = 0.42). Similarly, more TGW (55%) had contemplated suicide than MSM peers (36%, X2 =1.87; p = 0.17). In the qualitative data, four emergent themes about the forms, manifestations, and effects of intersectional stigma were (1) HIV, sexual orientation, and gender identity disclosure; (2) Dual identity; (3) Challenges of finding and maintaining sexual partners; (4) Coping and resilience. Overall, having to hide both one's sexuality and HIV status had a compounding effect and was described as living "a private lie." Conclusion: Effectively addressing stigmas and poor mental health outcomes among young HIV-positive MSM and TGW will require adopting a socio-ecological approach that focuses on structural interventions, more trauma-informed and identity-supportive care for young people with HIV, as well as strengthening of authentic community-informed public health efforts. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
21. Gendered predictors of the impact of COVID-19 on cross-border fish trade in Zambia and Malawi.
- Author
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Mwema, Catherine Mawia, Mudege, Netsayi Noris, and Kakwasha, Keagan
- Subjects
FISH industry ,COVID-19 pandemic ,COVID-19 ,EMERGING markets ,LOGISTIC regression analysis - Abstract
Purpose: While the literature has highlighted the impacts of COVID-19, there is limited evidence on the gendered determinants of the impact of COVID-19 among small-scale rural traders in developing and emerging economies. Design/methodology/approach: Cross-border fish traders who had operated before and during the COVID-19 pandemic were interviewed in a survey conducted in Zambia and Malawi. Logistic regressions among male and female traders were employed to assess the gendered predictors. Findings: Heterogeneous effects in geographical location, skills, and knowledge were reported among male cross-border traders. Effects of household structure and composition significantly influenced the impact of COVID-19 among female traders. Surprisingly, membership in trade associations was associated with the high impact of COVID-19. Research limitations/implications: Due to the COVID-19 pandemic and the migratory nature of cross-border fish traders, the population of cross-border fish traders at the time of the study was unknown and difficult to establish, cross-border fish traders (CBFT) at the landing sites and market areas were targeted for the survey without bias. Originality/value: This paper addresses a gap in the literature on understanding gendered predictors of the impacts of COVID-19 among small-scale cross-border traders. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
22. Comparative Analysis on Food Security between Kenya and Zambia.
- Author
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Mwelwa, Chisanga, Njeri, Hope, Onchiri, Samwel, Martin, Anamaria Roxana, Bălan, Ioana Mihaela, Imakando, Liane Moosho, Lungu, Dryson, and Kinyua, Lucy
- Subjects
FOOD security ,FOOD chemistry ,COMPARATIVE studies ,AGRICULTURAL productivity ,FACTORS of production ,AGRICULTURAL innovations - Abstract
Food security, a vital determinant of overall health and well-being, hinges on the simultaneous achievement of four dimensions: physical availability of food, economic and physical access to food, utilization of nutrients, and stability over time. This paper explores the complex and multi-faceted food security situations in Kenya and Zambia, emphasizing key factors such as agricultural production, government policies, and socio-economic conditions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
23. Interventions to support the mental health of family carers of children with brain injury in low and middle income countries: a scoping review.
- Author
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Linden, M. A., Leonard, R., Ewing-Cobbs, L., Davis, K. C., and Schrieff-Brown, L.
- Subjects
PSYCHOTHERAPY ,MIDDLE-income countries ,MEDICAL information storage & retrieval systems ,MENTAL health ,CINAHL database ,EXECUTIVE function ,SERVICES for caregivers ,GROUP psychotherapy ,SYSTEMATIC reviews ,MEDLINE ,LITERATURE reviews ,MEDITATION ,PSYCHOLOGY of caregivers ,BRAIN injuries ,ONLINE information services ,LOW-income countries ,PSYCHOLOGY information storage & retrieval systems ,WELL-being ,PSYCHOSOCIAL functioning ,MENTAL depression - Abstract
Aim: To review the international evidence base on interventions to support the mental health of family carers of children with brain injuries in low and middle income countries (LMIC). Methods: Searches were conducted with five electronic databases (Pubmed, Web of Science, Embase, PsycINFO, CINAHL) using search terms related to "family carers", "brain injury", "children" and "low and middle income countries". Studies were independently screened using predetermined eligibility criteria by two authors. Data were extracted from included studies using standardised data extraction and quality appraisal tools. These data were then subjected to narrative synthesis. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to govern the review process. Findings: One study met our inclusion criteria and described an acquired brain injury called nodding syndrome which occurs in Sub-Saharan Africa. The study was conducted in Ghana and provided group-based psychotherapy to carers and their children. As such we found no study which sought to solely support the mental health of family carers. Conclusions: There has been a lack of focus in the literature on the mental health of family carers of children with brain injuries in LMIC. Considering the vital importance of caregivers in supporting their children it is imperative that service providers and researchers devise programmes to better meet their needs. The mental health of family carers should be better supported to improve their overall wellbeing, which will in turn improve the wellbeing of their children. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
24. Building back better? The role of education sector responses in strengthening or eroding societal resilience during the COVID-19 pandemic.
- Author
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Shah, Ritesh, Flemming, Jennifer, Chinnery, Julie, and Heaner, Gwen
- Subjects
COVID-19 pandemic ,SOCIAL capital ,STATE education officials ,SOCIAL services ,DEVELOPING countries ,SOCIAL systems - Abstract
COVID-19 laid bare many failings and shortcomings of state systems, institutions and structures which aim to protect citizens against harm. As observed from the outcomes of the pandemic in many parts of the Global South and Global North, the resilience of health, social protection, governance, economic, education, and social welfare systems has been significantly eroded or challenged, leaving large segments of the population open to heightened risk and vulnerability. This has been noted to have significantly eroded social capital, namely the trust, communication, and dialogue between citizens in the state as well as citizens with each other. Based on comparative research carried out on the return to schooling process in five countries, Lebanon, Nigeria, Colombia, Georgia, and Zambia, the paper highlights the important role and function that educational governance, decision-making, and control throughout the pandemic has played a key role in either maintaining or erode social capital, and ultimately the resilience of the entire education system. Much of this was based on how well state officials and local education officials both considered and communicated their actions to educators, students and their families. The importance of education as a site where both bridging and linking social capital is both strengthened, but also capitalized on is also discussed. Specifically, the paper highlights, using the example of COVID-19 education responses, how a state that is responsive and accountable to its citizenry in a time of crisis, stands the greatest chance of ensuring such periods do not lead to an erosion of social capital. [ABSTRACT FROM AUTHOR]
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- 2024
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25. OVER TWO DECADES OF EXISTENCE OF THE LANDS TRIBUNAL IN ZAMBIA: Review of Progress and Challenges.
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Mushinge, Anthony, Lungu, Jimmy, Munshifwa, Ephraim K., Chileshe, Roy A., Jain, Niraj, and Chomba, Richard
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LAND management ,SOCIAL media ,AWARENESS ,DATA analysis - Abstract
Context and Background: The specialised land court in Zambia is known as the Lands Tribunal, and it was created in 1996 through the 1995 Lands Act. The Tribunal was established with the objective of achieving speedy, low cost, flexible and efficient means of settling conflicts over land. Inspite of being existence for 27 years, little has been done on the progress and challenges of the Lands Tribunal in resolving conflicts over land in the country. Goal and Objectives: This paper aims at establishing the progress made by the Lands Tribunal in resolving conflicts over land and investigating the challenges faced by the Lands Tribunal in resolving conflicts over land. Methodology: The study incorporated the use of both primary and secondary data collected between January and October 2023. Secondary data were obtained through documents which include peer-reviewed journal articles, theses, books, media, Zambian land laws, and technical reports. Secondary data was supplemented by primary data obtained from three purposively selected institutions: Lands Tribunal, Law Association of Zambia, and Zambia Land Alliance (Kitwe office). The data collection method used with the key informants was in-depth face-to-face interviews. Office management at each institution chose the key informant based on their expertise and experience on the subject. Results: In order to strengthen the Tribunal's operations, the Lands Tribunal Act of 2010 was enacted, enhancing the Tribunal's operations by granting it more authority and responsibilities (that is, expanding jurisdiction). Research findings showed that between 2014 and 2023, the Lands Tribunal handled 3318 cases. According to research findings, if the Tribunal was operating efficiently and effectively, it could have handled more than 3,318 cases between 2014 and 2022 considering the numerous problems facing the general courts which adversely affect the general public to resolve their land conflicts. However, the Tribunal could not handle more cases because of various challenges which include inadequate funding, Inadequate staff, poor conditions of service for members of the Tribunal, inadequate transport, delay in the delivery of judgments, low public awareness of the Lands Tribunal, centralised operations of the Lands Tribunal, and forum shopping [ABSTRACT FROM AUTHOR]
- Published
- 2024
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26. En-route to the 'elimination' of genotypic chloroquine resistance in Western and Southern Zambia, 14 years after chloroquine withdrawal.
- Author
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Sitali, Lungowe, Mwenda, Mulenga C., Miller, John M., Bridges, Daniel J., Hawela, Moonga B., Chizema-Kawesha, Elizabeth, Chipeta, James, and Lindtjørn, Bernt
- Subjects
BLOOD testing ,MULTIDRUG resistance ,FILTER paper ,PLASMODIUM falciparum ,MALARIA ,PLANT resistance to viruses - Abstract
Background: Anti-malarial resistance is, and continues to be a significant challenge in the fight against malaria and a threat to achieving malaria elimination. In Zambia, chloroquine (CQ), a safe, affordable and well-tolerated drug, was removed from use in 2003 due to high levels of resistance evidenced with treatment failure. This study sought to investigate the prevalence of chloroquine resistance markers in Southern and Western Provinces of Zambia 14 years after the withdrawal of CQ. Methods: Data from a cross-sectional, all-age household survey, conducted during the peak malaria transmission season (April–May 2017) was analysed. During the all-age survey, socio-demographic information and coverage of malaria interventions were collected. Consenting individuals were tested for malaria with a rapid diagnostic test and a spot of blood collected on filter paper to create a dried blood spot (DBS). Photo-induced electronic transfer–polymerase chain reaction (PET–PCR) was used to analyse the DBS for the presence of all four malaria species. Plasmodium falciparum positive samples were analysed by high resolution melt (HRM) PCR to detect the presence of genotypic markers of drug resistance in the P. falciparum chloroquine resistance transporter (Pfcrt) and P. falciparum multi-drug resistance (Pfmdr) genes. Results: A total of 181 P. falciparum positive samples were examined for pfcrt K76T and MDR N86. Of the 181 samples 155 successfully amplified for Pfcrt and 145 for Pfmdr N86. The overall prevalence of CQ drug-resistant parasites was 1.9% (3/155), with no significant difference between the two provinces. No N86Y/F mutations in the Pfmdr gene were observed in any of the sample. Conclusion: This study reveals the return of CQ sensitive parasites in Southern and Western Provinces of Zambia 14 years after its withdrawal. Surveillance of molecular resistant markers for anti-malarials should be included in the Malaria Elimination Programme so that resistance is monitored country wide. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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27. Halting and re-issuing of the Zambia community health strategy (2017–2021): a retrospective analysis of the policy process and implications for community health systems.
- Author
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Chavula, Malizgani Paul, Silumbwe, Adam, Munakampe, Margarate Nzala, Zulu, Joseph Mumba, Zulu, Wanga, Michelo, Charles, and Mulubwa, Chama
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MIDDLE-income countries ,PUBLIC health ,POWER (Social sciences) ,COMMUNITY coordination ,THEMATIC analysis - Abstract
Background: Over the years, low-and middle-income countries have adopted several policy initiatives to strengthen community health systems as means to attain Universal Health Coverage (UHC). In this regard, Zambia passed a Community Health Strategy in 2017 that was later halted in 2019. This paper explores the processes that led to the halting and re-issuing of this strategy with the view of drawing lessons to inform the development of such strategies in Zambia and other similar settings. Methods: We employed a qualitative case study comprising 20 semi-structured interviews with key stakeholders who had participated in either the development, halting, or re-issuing of the two strategies, respectively. These stakeholders represented the Ministry of Health, cooperating partners and other non-government organizations. Inductive thematic analysis approach was used for analysis. Results: The major reasons for halting and re-issuing the community health strategy included the need to realign it with the national development framework such as the 7th National Development Plan, lack of policy ownership, political influence, and the need to streamline the coordination of community health interventions. The policy process inadequately addressed the key tenets of community health systems such as complexity, adaptation, resilience and engagement of community actors resulting in shortcomings in the policy content. Furthermore, the short implementation period, lack of dedicated staff, and inadequate engagement of stakeholders from other sectors threatened the sustainability of the re-issued strategy. Conclusion: This study underscores the complexity of community health systems and highlights the challenges these complexities pose to health policymaking efforts. Countries that embark on health policymaking for community health systems must reflect on issues such as persistent fragmentation, which threaten the policy development process. It is crucial to ensure that these complexities are considered within similar policy engagement processes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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28. Understanding inequalities in the coverage of adolescent sexual and reproductive health services: a qualitative case study of the selected regions of Zambia.
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Munakampe, Margarate Nzala, Ngoma-Hazemba, Alice, Sampa, Mutale, and Jacobs, Choolwe N.
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MEDICAL care for teenagers ,HEALTH services accessibility ,FEAR ,REPRODUCTIVE health ,QUALITATIVE research ,FOCUS groups ,MEDICAL quality control ,RESEARCH funding ,MEDICAL care ,INTERVIEWING ,HERBAL medicine ,HIV infections ,DESCRIPTIVE statistics ,SOUND recordings ,THEMATIC analysis ,STAY-at-home orders ,RESEARCH methodology ,MALE contraceptives ,CONDOMS ,MARITAL status ,RELIGION ,CASE studies ,HEALTH education ,COUNSELING ,DATA analysis software ,SEXUAL health ,COVID-19 pandemic - Abstract
Introduction: Despite substantial investment in improving healthcare among adolescents in low- and middle-income countries, barriers to access and utilization of services persist, especially to sexual and reproductive health (SRH) services. In response to adolescents' health service needs due to their vulnerability, interventions aimed at improving access and utilization of sexual and reproductive health services have been implemented in specific regions of Zambia. To highlight progress in the access and the overall delivery of services in Zambia, in the wake of a system-level funding mechanism, this paper aims to understand the accessibility, availability, acceptability and quality (AAAQ) of health services provided to young people. Materials and methods: In a qualitative case study, 48 discussions-32 individual interviews with stakeholders and 16 focus group discussions, consisting of 128 male and female adolescents were conducted in six districts from Eastern, Southern and Muchinga provinces of Zambia. Interviews were audio-recorded, recordings transcribed verbatim, and transcripts were analysed using deductive thematic analysis, using the AAAQ framework and Atun's framework on integration, as a guide to reporting the findings. Results: We found that adolescents knew of and had access to common commodities and services-male condoms, health education and HIV counselling and testing. However, availability was affected by access-related barriers such as frequent stock-outs and insufficiently trained healthcare providers. In addition, accessibility was more restricted during the COVID-19 pandemic lockdown and compounded by the low acceptability of SRH service among adolescents across all contexts. This led to the use of alternatives such as herbal medicine and maintained common myths and misconceptions. The overall quality was marred by the lack of dedicated spaces for adolescent health services and the lack of information, education and communication (IEC) materials in some spaces. Conclusion: While it was noted that some services were available for adolescents in all the study sites, numerous barriers inhibited access to these services and had an impact on the quality-of-service provision. With the added restriction to SRH service asses for young people, due to the low acceptability of adolescent SRH service use, the overall integration of adolescent SRH interventions into routine service provision was low and can be improved by targeting contextual barriers and maintaining best practices. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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29. Deployment of attractive targeted sugar baits in western Zambia: installation, monitoring, removal, and disposal procedures during a Phase III cluster randomized controlled trial.
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Orange, Erica, Kyomuhangi, Irene, Masuzyo, Mundia, Mwenya, Mwansa, Mambo, Patricia, Saili, Kochelani, Chishya, Chama, Chanda, Javan, Ashton, Ruth A., Eisele, Thomas P., Yukich, Joshua, Miller, John, Silumbe, Kafula, Hamainza, Busiku, Wagman, Joseph, Arnzen, Annie, Harris, Angela F., Entwistle, Julian, Slutsker, Laurence, and Burkot, Thomas R.
- Subjects
CLUSTER randomized controlled trials ,INSECTICIDE-treated mosquito nets ,SUGAR - Abstract
Background: Attractive Targeted Sugar Baits (ATSBs) offer a complementary vector control strategy to interventions targeting blood feeding or larval control by attacking the sugar feeding behaviour of adult mosquitoes using an attract-and-kill approach. Western Zambia was the first location to receive and deploy ATSB Sarabi version 1.2 stations in a Phase III cluster randomized controlled trial. This paper describes ATSB station installation, monitoring, removal, and disposal, quantifies ATSB station coverage, and reports major reasons for ATSB station replacement. Methods: ATSB stations were deployed during two annual transmission seasons, through scheduled installation and removal campaigns. During deployment, monitoring was conducted per protocol to maintain high coverage of the ATSB stations in good condition. Routine monitoring visits during the trial captured details on ATSB station damage necessitating replacement following pre-defined replacement criteria. Annual cross-sectional household surveys measured ATSB station coverage during peak malaria transmission. Results: A total of 67,945 ATSB stations were installed in Year 1 (41,695 initially installed+ 26,250 installed during monitoring) and 69,494 ATSB stations were installed in Year 2 (41,982 initially installed+ 27,512 installed during monitoring) across 35 intervention clusters to maintain high coverage of two ATSB stations in good condition per eligible household structure. The primary reasons for ATSB station replacement due to damage were holes/tears and presence of mold. Cross-sectional household surveys documented high coverage of ATSB stations across Year 1 and Year 2 with 93.1% of eligible structures having ≥ 2 ATSB stations in any condition. Discussion: ATSB station deployment and monitoring efforts were conducted in the context of a controlled cRCT to assess potential product efficacy. Damage to ATSB stations during deployment required replacement of a subset of stations. High coverage of eligible structures was maintained over the two-year study despite replacement requirements. Additional research is needed to better understand the impact of damage on ATSB station effectiveness under programmatic conditions, including thresholds of threats to physical integrity and biological deterioration on product efficacy. Conclusions: Optimizing ATSB stations to address causes of damage and conducting implementation research to inform optimal delivery and cost-effective deployment will be important to facilitate scale-up of ATSB interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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30. Organic carbon and nitrogen export from a tropical dam-impacted floodplain system.
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Zurbrügg, R., Suter, S., Lehmann, M. F., Wehrli, B., and Senn, D. B.
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FLOODPLAIN ecology ,CARBON ,NITROGEN ,TRANSPORT theory ,DENITRIFICATION - Abstract
Tropical floodplains play an important role in organic matter transport, storage, and transformation between headwaters and oceans. However, the fluxes and quality of organic carbon (OC) and organic nitrogen (ON) in tropical river-flodplain systems are not well constrained. We explored the quantity and characteristics of dissolved and particulate organic matter (DOM and POM) in the Kafue River flowing through the Kafue Flats (Zambia). The Kafue Flats are a tropical dam-impacted river-floodplain system in the Zambezi River basin. During the flooding season, >80% of the Kafue River water passed through the floodplain, mobilizing large quantities of OC and ON, which resulted in a net export of 75 kgOCkm
-2 d-1 and 2.9 kgONkm-2 d-1 , 80% of which was in the dissolved form. Mass budget estimates showed that ON export, denitrification, and burial caused an annual deficit of ≈21 000 tNyr-1 in the Kafue Flats. A N isotope balance and the δ15 N of DON and PON suggest that N-fixation must level out the large N losses. The elemental C:N ratio of ∼20, the δ13 C values of higher than -24‰, and spectroscopic properties (excitation-emission matrices) showed that DOM in the river was mainly of terrestrial origin. Despite a threefold increase in OC loads due to inputs from the floodplain, the river DOM characteristics remained relatively constant along the sampled 400-km river reach. This suggested that ?oodplain DOM had similar prop- 13 erties than DOM from the upstream reservoir. In contrast, based on its low δ13 C of -29‰ and the C:N ratio of ∼8, POM originated from phytoplankton production in the upstream reservoir and in the floodplain. While the reservoir had little impact on DOM properties, terrestrial POM was efficiently trapped and, instead, phytoplankton-derived POM was discharged to the downstream Kafue Flats. [ABSTRACT FROM AUTHOR]- Published
- 2012
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31. Reflecting on our good intentions: A critical discourse analysis of women's health and empowerment discourses in sexual and gender-based violence policies relevant to southern Africa.
- Author
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Breton, Nancy Nyutsem
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VIOLENCE ,CRITICAL theory ,SELF-efficacy ,GENDER ,INTIMATE partner violence ,GOVERNMENT policy ,DISCOURSE analysis ,RESEARCH funding ,INTENTION ,WOMEN'S health ,REFLECTION (Philosophy) - Abstract
Decades of 'feminist' sexual- and gender-based violence (SGBV) policies have produced limited change in southern African SGBV rates. Recent critiques highlight ongoing colonial legacies in such policymaking, arguing that these legacies limit the potential for liberatory change. Further, reflecting on such discourses can highlight reasons behind global public health intervention failure. To promote reflexivity among public health actors who create, reproduce, and implement SGBV policies, this paper presents a critical discourse analysis of how women's empowerment is constructed in foundational global and national health and development policies bearing on SGBV in Zambia. The analysis identifies neoliberal feminist discourses of empowerment: (i) the protection of women, which perpetuates a saviour complex; (ii) the promotion of equality to men, which excludes those deemed unworthy; (iii) the eradication of harmful cultural norms, which challenge the preservation of African values; and (iv) (neoliberal) empowerment through women's attained employment and capital, which empowers women within unequal economic relations rather than liberating women from those relations. The author critiques such neoliberal empowerment discourses for failing to structurally transform the conditions for women's liberation. This paper offers a first step to the dismantling of colonial structures in SGBV policies by unpacking and promoting reflexivity about such discourses. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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32. Effectiveness of public institutions in addressing illegal acquisition of state land in zambia: Case of Ministry of Lands and Kitwe Municipality.
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Mushinge, Anthony, Munshifwa, Ephraim. K., Jain, Niraj, Chileshe, Roy. A., and Ngosa, Mukeya
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PUBLIC institutions ,LAND use ,LAND tenure ,MERGERS & acquisitions - Abstract
Context and Background Like in a number of African countries, the issue of illegal acquisition of state land is evident in Zambia. There are public land institutions (that is, Ministry of Lands and Natural Resources and Local Authorities) mandated to deal with illegal acquisition of state land in the country. Despite the existence of the two public institutions, evidence shows a high frequency of illegal acquisition of state land in the country. Thus the key question for this paper was: how effective are these public institutions in dealing with cases of illegal occupation of land in Zambian cities?. Goal and Objectives: This paper aims at investigating the challenges faced by public land institutions in dealing with the illegal acquisition of state land and establishing the consequences of illegal acquisition of state land. Methodology: Primary data was collected from eight (8) respondents (two employees from Ministry of Lands and Natural Resources; two employees from Kitwe City Council; one employee from Civic Forum on Housing and Habitat; and one employee from Kitwe District Land Alliance). Semi-structured in-depth interviews were used to collect information from the aforementioned respondents. Regarding secondary data, different types of documents were reviewed for this paper, and these included Zambian land laws, peer-reviewed journal articles, books, theses, technical reports, and conference proceedings. Results: This study has revealed that the two public land institutions face various challenges in addressing illegal acquisition of state. Challenges among others included limited provision of information on land acquisition procedure to the public, failure to address illegal allocation of land by some Councillors and council employees as well as some political cadres, and poor land record keeping. Moreover, illegal acquisition of state land had consequences which included demolition of properties, violence, disruption in land use planning, and loss of government revenue. In view of the foregoing, illegal acquisition can be addressed through: sufficient provision of information on land acquisition procedure to the public; eradicating illegal allocation of land by some Councillors and council employees as well as some political cadres; improving land record keeping by digitisation of land record keeping by local authorities and ultimately strong political will to deal with this vice. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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33. Exploring the Relational in Relational Wellbeing.
- Author
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White, Sarah C. and Jha, Shreya
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WELL-being ,FOSTER parents ,FOSTER children ,BIRTHPARENTS ,DEVELOPING countries ,HOUSEHOLD moving - Abstract
This paper explores the different ways that relationships and the relational figure in the integrative approach, relational wellbeing (RWB). These are (1) conceptualising persons as relational subjects; (2) relationships as the means through which people seek to address a wide variety of needs; (3) inter-relations between the experience of wellbeing and the underlying factors within persons and their contexts that either promote or undermine wellbeing; (4) relationships serving as conduits of power and the making of identities; and (5) inter-relations between the concepts and methods of research with representations of (persons and) wellbeing. The main thrust of the paper is theoretical, but it is anchored in long-standing research into wellbeing in the global South and practical experience in applying RWB in the global North. Empirically, it draws, in particular, on a case study from Zambia of a 'meshwork' of relations between birth and foster parents and children moving between households. This places the relational, rather than the individual, at the centre of analysis. It shows how different dimensions of wellbeing may coincide, but there may also be trade-offs between them. Relationships are bearers of power, and it is the interactions of structure and agency that ultimately limit or engender opportunities for sustained individual and collective wellbeing. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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34. Reconsidering and teaching sociologies in Zambian teacher education: seeking Mbuyi, Mulenga, and Munkombwe.
- Author
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Thomas, Matthew A. M., Serenje, Janet, and Chipindi, Ferdinand Mwaka
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TEACHER education ,EDUCATION & society ,STUDENT teachers ,SOCIAL context - Abstract
Global movements to decolonise sociology have gained significant momentum in recent decades and offer far-reaching implications for the field of education. One understudied area of research, however, concerns the sociologies of education taught and experienced in teacher education outside of Anglo/European contexts. This paper uses post-/decolonial theory to explore the teaching and learning of sociology of education for pre-service teachers at the University of Zambia. It draws on data from surveys (n=318) and five focus groups with pre-service teachers (n=20), a focus group with tutors (n=3) working on the course, and reflections by course lecturers to examine Zambian pre-service teachers’ experiences and perspectives of sociology. We argue that a sociology of education which includes some elements of the classical canon but is grounded more firmly in sociological perspectives related to local social issues, contexts, and epistemologies may lead to a more informed and inspired cadre of pre-service teachers, and by extension, citizens. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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- View/download PDF
35. Political party ideology in Zambia: comparing the PF and the UPND on social welfare policies.
- Author
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Hallink, Courtney and Siachiwena, Hangala
- Subjects
PUBLIC welfare policy ,POLITICAL doctrines ,POLITICAL parties ,SOCIAL services ,ETHNIC groups ,ETHNICITY - Abstract
This paper challenges existing analyses of party cleavages in Sub-Saharan Africa which over-emphasise the centrality of ethnicity. Parties express ideological positions that reflect the socio-economic interests of specific regions, which, especially in Zambia, coincide with particular ethnic groups. We demonstrate this through an examination of party manifestos, policy documents and semi-structured interviews with members of two political parties in Zambia – the Patriotic Front and the United Party for National Development. These parties express clear normative ideas about social welfare, especially the role of the state in providing social assistance to the poorest. These ideological positions reflect the socio-economic interests of the ethnic groups and regions where support for each party is dominant. These are shaped by the ways in which these regions were historically incorporated into the colonial economy. In order to gain a better understanding of African politics, ethnicity must be conceptualised as a socio-cultural construct and situated historically. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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36. Evaluation of an international health partnership to capacity build emergency, trauma and critical care nurse education and practice in Zambia: An experience from the field.
- Author
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Carter, Chris and Notter, Joy
- Subjects
NON-communicable diseases ,COMMUNICABLE diseases ,WOUND nursing ,INTENSIVE care nursing ,WORLD health ,NURSING education ,LEARNING strategies ,RISK assessment ,EPIDEMICS ,INTERNATIONAL agencies ,COVID-19 pandemic ,EMERGENCY nursing ,DISEASE risk factors - Abstract
Aim: To evaluate an international health partnership project to capacity build emergency, trauma and critical care nurse education and practice in Zambia. Background: Zambia continues to face a significant workforce challenge and rising burden of communicable and non‐communicable diseases, compounded by the COVID‐19 pandemic. In response to these, the Zambian Ministry of Health is investing in specialised nurses. Emergency, trauma and critical care nursing education and training were seen as one of the solutions. North–south partnerships have been identified as a force for good to capacity build and develop emerging specialities. Sources of evidence: We use an evaluative approach, which includes desk research, a rapid literature review and documentary data analysis from published papers, government reports and project documentation. Ethics committee approval was sought and gained in both Zambia and the UK. Discussion: A critical review of the evidence identified three key themes: challenges with changing education and practice, developing Zambian faculty for sustainability and the effect of an international health partnership project on both Zambia and UK. The outcomes from this project are multifaceted; however, the main achievement has been the implementation of emergency, trauma and critical care graduate programmes by the Zambian faculty. Conclusion: This experience from the field outlines the benefits and limitations of a north–south partnership and the importance of transparency, shared ownership and collegiate decisions. It has facilitated knowledge exchange and sharing to capacity build emergency, trauma and critical care nursing. Implications for nursing practice: Lessons learned may be applicable to other international nursing partnerships, these include the need for deep understanding of the context and constraints. Also, the importance of focusing on developing long‐term sustainable strategies, based on research, education and practice was noted. Implications for nursing policy: This paper outlines the importance of developing nursing education and practice to address the changing burden of disease in line with Zambian national policy, regional and international standards. Also, the value of international nursing partnerships for national and international nursing agendas was described. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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37. Liquid Intelligent Technologies inks digital transformation MoU with Zambia.
- Subjects
DIGITAL transformation ,DIGITAL technology ,ELECTRONIC paper ,LETTERS of intent ,LIQUIDS - Abstract
Liquid Intelligent Technologies has entered into a memorandum of understanding (MoU) with the Government of Zambia to provide connectivity to all Zambians. [ABSTRACT FROM AUTHOR]
- Published
- 2023
38. Towards a Lightning Detection and Warning System in Zambia.
- Author
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Mpanga, Shadreck, Mwanza, Mabvuto, and Zulu, Ackim
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LIGHTNING ,ELECTROMAGNETIC devices ,BIG data ,ARTIFICIAL intelligence - Abstract
Lightning is essentially an electromagnetic field phenomenon that can fundamentally be characterized using scientific methods. It would interest property designers and managers to have a facility of protection against lightning for property and life and one stage to effect the protection is an ability to predict the occurrence of lightning. In one type of approach, lightning alert regions can be configured around important assets such as buildings in different locations. Notifications about alerts in an area of interest can be sent via emails, SMS texts to phones and user interface (UI) platforms on personal computers. The meteorology industry can leverage real-time lightning information to improve forecasting, monitoring and safety of communities. This paper uses big data from 2016 to 2022 to show how much lightning Zambia experienced in the seven-year span. Big data was used to detect patterns and trends around the country. Big data is one common and contemporary factor that informs policy and decision in business sectors. The paper also shows how an alert region, Lusaka city, can be configured in order to send alerts and warnings to the users within the city about lightning threat developments. By employing AI-based analytics the results show that Zambia experienced a total of 89,826,330 lightning events from 2016 to 2022. By centering Lusaka city at coordinates 15.3875 oS and 28.3228 oE, 168 alerts were monitored using Thunderstorm Manager between 25 January 2023 and 24 February 2023. The longest lightning threat duration observed was 11 hours 20 minutes within Lusaka city. [ABSTRACT FROM AUTHOR]
- Published
- 2023
39. Being both a grandmother and a health worker: experiences of community-based health workers in addressing adolescents' sexual and reproductive health needs in rural Zambia.
- Author
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Mulubwa, Chama, Zulu, Joseph Mumba, Hurtig, Anna-Karin, and Goicolea, Isabel
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REPRODUCTIVE health services ,YOUNG adults ,REPRODUCTIVE health ,RURAL health ,TEENAGERS ,RIGHT to health - Abstract
Introduction: Community-based health workers (CBHWs) possess great potential to be the missing link between the community and the formal health system for improving adolescents' access to sexual and reproductive health and rights (SRHR) information and services. Yet, their role in addressing adolescents' SRHR within the context of the community-based health system has received very little attention. This paper analyses how CBHWs experience and perceive their role in addressing adolescents' SRHR needs in rural Zambia, including the possible barriers, dilemmas, and opportunities that emerge as CBHWs work with adolescents. Methods: Between July and September 2019, we conducted 14 in-depth interviews with 14 community-based health workers recruited across 14 different communities in the central province of Zambia. The interviews were focused on eliciting their experiences and perceptions of providing sexual and reproductive health services to adolescents. Charmaz's grounded theory approach was used for the analysis. Results: We present the core category "being both a grandmother and a CBHW", which builds upon four categories: being educators about sexual and reproductive health; being service providers and a link to SRHR services; being advocates for adolescents' SRHR; and reporting sexual violence. These categories show that CBHWs adopt a dual role of being part of the community (as a grandmother) and part of the health system (as a professional CBHW), in order to create/maximise opportunities and navigate challenges. Conclusion: Community-based health workers could be key actors providing context-specific comprehensive SRHR information and services that could span all the boundaries in the community-based health system. When addressing adolescents SRHR, playing dual roles of being both a grandmother and a professional CBHW were sometimes complimentary and at other times conflicting. Additional research is required to understand how to improve the role of CBHWs in addressing adolescents and young people's sexual and reproductive health. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
40. THE INFLUENCE OF GEOTECHNICAL, GEOLOGICAL AND MINING FACTORS ON THE FORMATION OF SINKHOLES AT LUBAMBE MINE, ZAMBIA.
- Author
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PATSON MUTAMBO, VICTOR, CHUKHAREV, SERHII, SINKALA, PARDON, and MIKOLONI, DRAIDA
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SINKHOLES ,MINES & mineral resources ,COPPER mining - Abstract
Mining-induced sinkholes are a common feature in underground mines. Sinkholes usually disrupt mining operations and associated infrastructure when they occur. This paper presents a case study of the lubambe copper mine, where nine (9) sinkholes have been reported on the eastern and southern limbs. The development of sinkholes has resulted in increased mining costs due to the closure of the 182 ml decline on the eastern limb and the 175 ml truck route on the southern limb. This study establishes the influence that poor ground formation, rock stability, geological structures, and inappropriate mining practices have on the formation of surface sinkholes. Assessment of ground condition was done by core logging, and borehole analysis was conducted using GEM4d-basrock software to classify the rock mass quality based on RQD, RMR, Q-System and GIS. Assessment of the mining operational environment was focused on the effects of varying stope designs and sequencing on ground stability. Results of the study indicate that the formation of surface-induced sinkholes is attributed to historical mining in weak rock formation and weathered rock coupled with subsequent failure of unsupported stopes with stope height between 8 and 25 metres and less stand-up time of 7 days. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
41. Effects of changes in traditional land tenure administration on land use/cover dynamics in rural Zambia.
- Author
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Mwanza, Dinah, Munshifwa, Ephraim Kabunda, Kalaba, Felix Kanungwe, Phiri, Darius, and Nyirenda, Vincent Raphael
- Subjects
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LAND tenure , *LAND use , *AGRICULTURAL industries , *DEFORESTATION - Abstract
Goal and Objectives: This paper examined the relations between informal documentations and land tenure security on change in land use/cover. Using Chamuka land registration, the paper focuses on caused of land use/cover change and how informal documents-based land dealings leads to tenure security and a more productive land use. Methodology: The study used various methods, including 345 households' interviews, group discussions and satellite images of 2010, 2015 and 2020, to understand how land ownership in Chamuka chiefdom effect on land use. Results: The study results shows that the introduction of Land Advisory Boards (LABs), Customary Certificate of Land Occupancy (CCLO) and the land register has scored several successes (i.e., increase in land rights, ownership, low cost of land registration, tenure security and reduction in land-related conflicts. Other improvements include the practice of conservation farming, i.e. agroforestry, fire management resulting to improved crop and livestock farming. Despite these positive results, the satellite images showed decline in vegetation and forest cover due to expansion of agricultural area, buildup and decrease in water bodies. This study provides new insights into how the evolution of the traditional land tenure system, as an integral part of resource governance, its effect on land use/cover. Next to suggesting is how to strengthen informal documents, and efficiency of local land management institutions in order to reduce loss of vegetation and deforestation. [ABSTRACT FROM AUTHOR]
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- 2024
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42. Does value chain inclusiveness increase smallholder resilience during pandemics? Lessons from the Zambia's sugar‐belt.
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Manda, Simon and Miti, Caroline
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VALUE chains ,FARMERS ,COVID-19 pandemic ,PANDEMICS ,PSYCHOLOGICAL resilience - Abstract
This paper asks whether value chain integration increases smallholder resilience during shocks. Using a qualitative research study design and the test case of the 'sugar‐belt' in Zambia, the paper draws on interviews with participants from different stakeholder groups, including household case studies and group discussions. Results show sugarcane value chain integration enhances smallholder livelihood resilience during pandemics through its coordination arrangement, but more could be done. Indirect involvement in, and joint procurement processes of inputs between smallholders and the management company, existing ready and stable access to markets and access to Fairtrade relief funds that point to direct livelihood support proved crucial for strengthening smallholder livelihood resilience during the pandemic. There were COVID‐19‐related adjustments by the management company, which further increased smallholder support. However, in as much as coordination arrangements seemed to have worked well during COVID‐19, smallholder livelihoods remained narrow and risky, raising the need for diversification that could strengthen sustainable resilience. This paper sheds light on how value chains could be organised to enhance pandemic recovery and build livelihood resilience. It helps us to reflect on the '(in)effectiveness' of value chain institutions and the role and importance of smallholder coordination arrangements during pandemics. Ultimately, the result is a contribution to livelihood resilience thinking in value chains—one we hope is appropriate to our conjuncture. [ABSTRACT FROM AUTHOR]
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- 2024
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43. The Politics of Who Gets What and Why: Learning from the Targeting of Social Cash Transfers in Zambia.
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Pruce, Kate
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GOVERNMENT policy ,SOCIAL justice ,COMMUNITIES ,DESIGN protection ,BUDGET ,TRANSFER of training ,HOUSEHOLD budgets ,AUSTERITY - Abstract
Copyright of European Journal of Development Research is the property of Palgrave Macmillan Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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44. Rethinking Female Rites of Passage: The Chinamwali, Male Power, and African Feminisms.
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Talakinu, Carina Mweela
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FEMINISTS ,KUNDA (African people) ,MASCULINITY ,HEGEMONY - Abstract
Engaging the African Feminist ideological framework, this paper explores the intersection between African female initiation rites and male power and privilege. The paper engages the chinamwali, a female initiation rite practised by the Chikunda of Zambia. The initiation rite involves the seclusion of the 'namwali', the initiate, in an informal learning process during which older and more experienced women, aphungu, pass on messages to her on what it means to be a woman in society. The data for the article were generated from a study undertaken in 2018 in Chief Mphuka's area of Luangwa District, in the Eastern part of Zambia, using narratives from 30 participants, including 15 women who have undergone chinamwali, who constituted the main research participants; 5 ritual instructors, aphungu; 5 men; and five uninitiated women. A thematic analysis of the findings led to the development of the 'Chikunda masculinity', which gives impetus to feminist scholarship regarding a new focus on women's sexuality as a source of legitimising men's dominant position over women. The article recommends the integration of transformative messages in the chinamwali curriculum that could empower the initiate to confront cultural practices that reinforce patriarchal hegemony. [ABSTRACT FROM AUTHOR]
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- 2023
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45. Spatial Tools for Inclusive Landscape Governance: Negotiating Land Use, Land-Cover Change, and Future Landscape Scenarios in Two Multistakeholder Platforms in Zambia.
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Siangulube, Freddie Sayi, Ros-Tonen, Mirjam A. F., Reed, James, Bayala, Eric Rega Christophe, and Sunderland, Terry
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LAND use ,LANDSCAPES ,REMOTE-sensing images ,URBAN growth ,SCHOLARLY method ,COMMUNITIES - Abstract
Landscape approaches are being promoted as a form of negotiated governance to help reconcile competing land uses and identify common concerns for planning envisioned future landscapes. Multistakeholder platforms play a key role in these efforts. This paper aims to contribute to an emerging scholarship that explores how spatial tools can be used in such platforms as boundary objects and if and how they can contribute to inclusive landscape negotiations and governance. We used spatial mapping to observe and document stakeholder perceptions about drivers of land-use and land-cover change and desired future scenarios that accommodate competing land uses. We found that land-cover maps derived from satellite images helped participants identify land-use change dynamics and drivers. The ensuing community mapping of desired landscape scenarios in both multistakeholder platforms (MSPs) triggered a process of identifying common concerns and defining actionable priorities. However, in one MSP, stakeholders ultimately reached a compromise on a draft land-use map that was widely regarded as an entry point for further negotiations in Local Area Plans, while the other lacked consensus due to deep-seated social-cultural issues, such as social-class-based disagreements. This paper illustrates, first, that instead of focusing on the end product (participatory maps), understanding negotiation processes helps uncover why spatial tools may fail to achieve the intended purpose of reconciling land uses. Second, spatial tools only work for landscape approaches if MSPs are inclusive and foster a collaborative process that considers the views of all participants. The authors recommend that those steering MSPs stimulate them to evolve from "mere consultation forums" to "innovative, participatory platforms", encouraging stakeholders to engage in genuine negotiation processes that allow negotiated and alternative outcomes. We contend that such an approach, supported by spatial tools, is likely to contribute to the implementation of landscape approaches. Policymakers and land users can use these spatial tools as boundary objects in user-focused strategies that engender inclusive stakeholder participation and ensure legitimate, acceptable, and sustainable outcomes. [ABSTRACT FROM AUTHOR]
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- 2023
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46. Rapid risk assessment of plant pathogenic bacteria and protists likely to threaten agriculture, biodiversity and forestry in Zambia.
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Mulema, Joseph, Phiri, Sydney, Bbebe, Nchimunya, Chandipo, Rodwell, Chijikwa, Mutibo, Chimutingiza, Hildah, Kachapulula, Paul, Mwanda, Francisca Kankuma, Matimelo, Mathews, Mazimba-Sikazwe, Emma, Mfune, Sydney, Mkulama, Mtawa, Moonga, Miyanda, Mphande, Wiza, Mufwaya, Millens, Mulenga, Rabson, Mweemba, Brenda, Mabote, Damien Ndalamei, Nkunika, Phillip, and Nthenga, Isaiah
- Subjects
PHYTOPATHOGENIC bacteria ,PLANT parasites ,RISK assessment ,PATHOGENIC bacteria ,PROTISTA ,BIOLOGICAL invasions ,FORESTS & forestry - Abstract
A prioritisation study was conducted to address the lack of adequate information about potential pests likely to be introduced in Zambia and become invasive. The study was conducted by subject matter experts from relevant institutions in and outside Zambia. Although this study focused on major pest categories, this paper only addresses bacteria and Protista. A list of 306 bacterial and 10 Protista species adjudged to affect plants was generated using CABI's Horizon Scanning Tool. The 316 (total) pest species were refined to focus on pests that affect value chains important to Zambia's economy. This resulted in a final list of 133 bacteria and eight Protista. Four additional bacteria species considered of phytosanitary interest were added and all 137 bacteria and eight Protista species were subjected to a rapid risk assessment using agreed guidelines. Vectors reported to transmit any of the pathogenic organisms were also subjected to a risk assessment. A proportion of 53% (n = 77 of 145) comprising 73 bacteria and four Protista species were reported as present in Africa. Of these, 42 (57%, n = 73) bacterial species and two (n=4) Protista species were reported in neighbouring countries. Considering a cut-off of 54, the highest scor- ing pests were 40 bacteria (highest score of 140) and three Protista (highest score of 125). Three actions were suggested for high-scoring pests, a detection surveillance, a pest-initiated pest risk analysis (PRA) or a detection surveillance followed by pest-initiated PRA. A "no action" was suggested where the risk was very low although, for some pathogenic organisms, a "no action" was followed by periodic monitoring. This information will contribute towards proactive prevention and management of biological invasions. [ABSTRACT FROM AUTHOR]
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- 2024
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47. Parental stress and child stimulation practices: examining associations with child developmental outcomes over time in Kenya and Zambia.
- Author
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Okelo, Kenneth, Murray, Aja Louise, King, Josiah, Kitsao-Wekulo, Patricia, Onyango, Silas, Nampijja, Margaret, and Auyeung, Bonnie
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PSYCHOLOGICAL stress ,CAREGIVERS ,PARENT-child relationships ,DATABASES - Abstract
Background: Parental stress often arises when parenting demands exceed the expected and actual resources available for parents to succeed in the parenting role. Parental stress is an important contributor to parent-child relationships. This, in turn, affects opportunities to engage their children in stimulating activities which could improve their development outcomes. However, limited evidence exists from sub-Saharan Africa (SSA) on the association between parental stress, caregiving practices, and child developmental outcomes. Methods: The findings reported in this paper were derived from data collected through previous longitudinal work on nurturing care evaluation studies in Kisumu and Nairobi Counties in Kenya, and Chisamba District in Zambia. A total of 341 caregivers and their children who participated in the three rounds of data collection were included in this study. The children's mean age was 9.3 (SD = 8.2) months pre-intervention, 25.5 (SD = 8.6) months in mid-intervention, and 36 (SD = 10.0) months post-intervention. The Ages and Stages Questionnaire (ASQ), Parental Stress Scale (PSS), and caregiving tools were used to assess children's developmental outcomes, parental stress, and stimulation practices, respectively. A Random Intercept Cross-Lagged Panel model (RI-CLPM) was used to determine the association between caregivers' parenting stress, child stimulation practices, and child developmental outcomes. Results: The findings showed that caregiver stimulation practices were positively associated with developmental outcomes. Findings on the associations between parental stress and caregivers' stimulation practices and children's developmental outcomes were not universally supported. Conclusion: The findings show that improved caregiver stimulation practices are likely to improve children's developmental outcomes. The policy implications of the findings from this study focus on improving parenting practices by addressing the predictors of parental stress. This includes subsidising childcare services to reduce costs. Trial registration: Pan African Clinical Trials Registry (https://pactr.samrc.ac.za/) database (ID number: PACTR20180774832663 Date: 26/July/2018. [ABSTRACT FROM AUTHOR]
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- 2024
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48. A phone-based tobacco use cessation program for people living with HIV in Uganda and Zambia: study protocol for a randomized controlled trial.
- Author
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Wipfli, Heather, Arinaitwe, Jim, Goma, Fastone, Atuyambe, Lynn, Guwatudde, David, Phiri, Masauso Moses, Rutebemberwa, Elizeus, Wabwire-Mangen, Fred, Zulu, Richard, Zyambo, Cosmas, Guy, Kyra, Kusolo, Ronald, Mukupa, Musawa, Musasizi, Ezekiel, and Tucker, Joan S.
- Subjects
NICOTINE replacement therapy ,TOBACCO use ,HIV-positive persons ,TEXT messages ,RANDOMIZED controlled trials ,MEDICAL personnel ,RURAL health clinics - Abstract
Background: Nicotine replacement therapy (NRT) and short messaging service (SMS)-based tobacco cessation interventions have demonstrated effectiveness in reducing tobacco use in many populations, but evidence is needed on which tailored treatments are most efficacious in meeting the complex medical and psychosocial factors confronting people living with HIV (PLWH) in sub-Saharan Africa (SSA). This paper describes the protocol of a study to test the efficacy of both NRT and a tailored SMS-based tobacco use cessation intervention among PLWH in Uganda and Zambia. Methods: In a randomized controlled trial, 800 adult PLWH who use tobacco will be recruited by health care professionals at HIV treatment centers where they are receiving care. Participants will be randomized to one of the four study arms: (1) standard of care [SOC; brief clinician advice to quit combined with HIV education and information aimed at encouraging HIV treatment adherence (with no mention of tobacco) delivered via text messages]; (2) SOC + 12 weeks of NRT; (3) SOC + 6 weeks of SMS text messages to support quitting tobacco use (SMS); or (4) SOC + NRT + SMS. Participants will receive a cell phone and solar panel with power bank for charging the phone. The main outcome is cessation of tobacco use by study participants verified by urinary cotinine (< 15 ng/mL) at 6 months post-enrollment. As a secondary tobacco use outcome, we will measure 7-day point-prevalence abstinence (7 consecutive days of no tobacco use) measured by self-report and biochemically-verified at 4 weeks, 8 weeks, and 3 months post enrollment. Discussion: Our study will provide insight into the efficacy, feasibility and applicability of delivering tobacco cessation interventions through health care professionals combined with tailored tobacco cessation SMS text messaging in two countries with different tobacco use patterns, policy environments, and health care resources and provide needed information to providers and policymakers looking for cost-effective tobacco cessation interventions. The previously tested SMS-platform to be used in our study is uniquely positioned to be scaled in low- and middle-income countries worldwide, in which case evidence of even modest success in reducing the prevalence of tobacco consumption among PLWH could confer enormous health and economic benefits. Trial registration: ClinicalTrials.gov Identifier NCT05487807. Registered August 4, 2022, https://clinicaltrials.gov/ct2/show/record/NCT05487807 [ABSTRACT FROM AUTHOR]
- Published
- 2024
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49. Sustainable Rail/Road Unimodal Transportation of Bulk Cargo in Zambia: A Review of Algorithm-Based Optimization Techniques.
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Miyoba, Fines, Mujuni, Egbert, Ndiaye, Musa, Libati, Hastings M., and Abu-Mahfouz, Adnan M.
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AUTOMOTIVE transportation ,MATHEMATICAL optimization ,FREIGHT & freightage ,DIESEL trucks ,SUSTAINABLE transportation ,RAILROAD travel ,INTERMODAL freight terminals - Abstract
Modern rail/road transportation systems are critical to global travel and commercial transportation. The improvement of transport systems that are needed for efficient cargo movements possesses further challenges. For instance, diesel-powered trucks and goods trains are widely used in long-haul unimodal transportation of heavy cargo in most landlocked and developing countries, a situation that leads to concerns of greenhouse gases (GHGs) such as carbon dioxide coming from diesel fuel combustion. In this context, it is critical to understand aspects such as the use of some parameters, variables and constraints in the formulation of mathematical models, optimization techniques and algorithms that directly contribute to sustainable transportation solutions. In seeking sustainable solutions to the bulk cargo long-haul transportation problems in Zambia, we conduct a systematic review of various transportation modes and related mathematical models, and optimization approaches. In this paper, we provide an updated survey of various transport models for bulk cargo and their associated optimized combinations. We identify key research challenges and notable issues to be considered for further studies in transport system optimization, especially when dealing with long-haul unimodal or single-mode heavy cargo movement in countries that are yet to implement intermodal and multimodal systems. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
50. Link between structural risk factors for adverse impacts of COVID-19 and food insecurity in developed and developing countries.
- Author
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Marti, Luisa and Puertas, Rosa
- Subjects
FOOD security ,GLOBAL value chains ,DEVELOPING countries ,COVID-19 ,TOPSIS method - Abstract
COVID-19 has had serious consequences for world food security; lockdowns and social distancing have led to changes in global food value chains, primarily affecting the poorest of the planet. The aim of this research is to analyse the relationship between food insecurity and the structural risk factors for adverse impacts of COVID-19. To that end, 12 contingency tables are constructed to identify the association between the pillars of the food insecurity index and the INFORM COVID-19 Risk Index. We use the Gamma coefficient as a measure of association. In addition, this paper proposes a synthetic index produced by applying the TOPSIS method, using the pillars of the two aforementioned indices (criteria) to establish a ranking of 112 countries (alternatives) ordered from highest to lowest risk faced in the key year of the pandemic, 2020. The results show that the two problems are connected, indicating to international organizations that countries with worse food insecurity will suffer more serious consequences from extreme situations such as the one experienced during the pandemic. The ranking established directs international organizations' attention to countries such as Haiti, Zambia and Burundi, highlighting their greater need for an injection of financial aid than other emerging economies. Conversely, Switzerland is the country with the lowest combined risk. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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