Application of ICT in Strengthening Health Information Systems in Developing Countries in the Wake of Globalisation.

Information Communication Technology (ICT) revolution brought opportunities and challenges to developing countries in their efforts to strengthen the Health Management Information Systems (HMIS). In the wake of globalisation, developing countries have no choice but to take advantage of the opportunities and face the challenges. The last decades saw developing countries taking action to strengthen and modernise their HMIS using the existing ICT. Due to poor economic and communication infrastructure, the process has been limited to national and provincial/region levels leaving behind majority of health workers living in remote/rural areas. Even those with access do not get maximum benefit from ICT advancements due to inadequacies in data quality and lack of data utilisation. Therefore, developing countries need to make deliberate efforts to address constraints threatening to increase technology gap between urban minority and rural majority by setting up favourable policies and appropriate strategies. Concurrently, strategies to improve data quality and utilisation should be instituted to ensure that HMIS has positive impact on people's health. Potential strength from private sector and opportunities for sharing experiences among developing countries should be utilised. Short of this, advancement in ICT will continue to marginalise health workers in developing countries especially those living in remote areas

Crowdsourcing vegetables for farmers’ livelihood improvement: a novel collaborative pilot in Uganda. Resilient seed systems for climate change adaptation and sustainable livelihoods in the East Africa sub-region project progress report

The Alliance of Bioversity and CIAT is implementing a Dutch-supported project entitled: Resilient seed systems for climate change adaptation and sustainable livelihoods in the East Africa sub-region. This work aims to boost timely and affordable access to good-quality seed for a portfolio of crops / varieties for millions of women and men farmers’ and their communities across East Africa. East West Seed (EWS) and the Alliance, in collaboration with the Wageningen Center for Development Innovation, the World Vegetable Centre and National Agricultural Research Organisation (NARO)-Uganda, are combining the EWS farmer training approach and the Alliance’s crowdsourcing methodology in a small pilot initiative on vegetables in Uganda. The targeted portfolio of vegetables include traditional (e.g. green leafy vegetables) and modern ones (e.g. tomato, onion, sweet pepper, cabbage, pumpkin) based on farmers’ interests and marketing opportunities, sourced from EWS, the World Vegetable Centre and farmers’ own gardens. The main objective is to strengthen farmers’ capacity to make better use of crop (vegetable) diversity for multiple livelihood purposes. Based on a situational analysis in the Hoima area, 13 farmers were selected to take part in the pilot. They received training in the various aspects of vegetable management from the EWS Knowledge Transfer team in Uganda. The ultimate aim is scale the pilot to about 1,000 farmers. The main research questions for this initiative are: • What are the promising vegetable varieties that smallholder farmers could integrate in their production system? • How do social and gender variables influence crop/variety selection? • What organizational form can best support the testing and adoption of vegetable new species and varieties

Fishermen Willingness to Participate in an Insurance Program in Oman

This study is based on a survey of 210 fishermen in Oman to investigate their willingness to pay (WTP) for and enroll in an insurance scheme. The survey was designed to evaluate fishermen’s willingness to adopt a safety measures program. Most fishermen showed a low level of prudence except for community controlled measures. Actually, 82% of fishermen fish in groups rather than individually, 98% inform their families about the site where they are going to fish, and 76% listen to the weather forecast before leaving. A linear and a Logit model were used in this study. Results from the linear model show that virtually all the socioeconomic, boat characteristics, attitudinal, and wealth variables are important in explaining the amount of the insurance premium the fishermen are willing to pay for; however, only a few variables were significant in the Logit model. Overall, 52% of the respondents indicated WTP for insurance, which is a clear indication that the demand for insurance is substantial. The estimated annual insurance premium varies between Rials Omani (RO) 23.13 and RO 29.25, depending on whether it is a voluntary or legally required. WTP is estimated at RO 18.7.Small-scale fishery, safety equipment, econometric modeling, insurance premium, Institutional and Behavioral Economics, International Development, Risk and Uncertainty, Q22, H41,

Pigment and fatty acid profiling reveal differences in epiphytic microphytes among tropical Thalassodendron ciliatum meadows

Tropical seagrasses support abundant and diverse epiphytic microalgae that form the base of seagrass food webs. To help better understand the influence of structural variability of tropical seagrass meadows on associated microalgal epiphytes, we quantified the relative abundance and distribution of epiphytic microphytes in subtidal meadows of Thalassodendron ciliatum with varying seagrass canopy structure, using pigments and fatty acid (FA) profiling. We observed significant differences in microalgal epiphytic communities (diatoms and Rhodophyta) among four seagrass meadows, which was best explained by seagrass leaf surface area. Contrary to expectations, seagrass meadows with lower leaf surface area supported higher relative epiphytic microphyte abundance than those with higher leaf surface area. These results increase understanding of how spatial variability of structural components in seagrass meadows can influence their functional components, with implications on the availability to primary consumers

EVALUATION OF EFFECTIVE MICROORGANISMS (EM) TECHNOLOGY IN MAIZE (Zea mays L.) GROWTH, DEVELOPMENT AND YIELD IN MOROGORO TANZANIA

The field experiment was conducted at Tushikamane Centre Kilakala, Morogoro Tanzania to investigate the effect of EM technology on maize (Zea mays L.) growth, development and yield. Maize is a major cereal consumed; over 80% of population depends on maize for food in Tanzania. Low soil fertility, insect pests and diseases are among the primary constraints in maize production. This is due to continuous cultivation without fertilizing the soil, poor and lack of proper measures to control pest and diseases. Most farmers in both rural and urban areas of Tanzania are not aware with the use of organic fertilizers especially the EM (Effective Microorganism) technology in agriculture to increase crop yield without the use of agricultural chemicals or artificial fertilizers, the method of farming is inexpensive, capable of producing high-quality products, high yield produces and preserving the environment. Therefore, this research work mainly aimed at studying the efficiency of EM technology on maize (Zea mays L.) crop performance in the field. Five treatments comprising of EM technology EM-Bokashi, Bokashi and EM-A, EM-FPE and EM-5, combination of Bokashi, EM-A, EMFPE and EM5, and absolute control were compared in a randomized complete block design with three replications. Bokashi leaves (3.7%N) at 1851.9kg/ha, 200 mls of EMA mixed with water to make a 2L solution, EMFPE and EM5 were mixed with water at 200mls to get a 2L solution which was sprayed thrice a week scheduled for application. Three weeks were scheduled for application of EM. Application of EM-Bokashi produced an average yield of 3.06 tonha-1, EM-Bokashi and EM-A produced grain yield of 3.24 tonha-1, EMFPE and EM-5 produced 3.11 tonha-1 and, application of all EM-Bokashi, EM-A, EMFPE and EM-5 produced grain yield of 3.51 tonha-1, while absolute control produced 2.12 tonha-1. Application of EM improved maize crop yield

Balancing conservation with national development: a socio-economic case study of the alternatives to the Serengeti Road

Developing countries often have rich natural resources but poor infrastructure to capitalize on them, which leads to significant challenges in terms of balancing poverty alleviation with conservation. The underlying premise in development strategies is to increase the socio-economic welfare of the people while simultaneously ensuring environmental sustainability, however these objectives are often in direct conflict. National progress is dependent on developing infrastructure such as effective transportation networks, however roads can be ecologically catastrophic in terms of disrupting habitat connectivity and facilitating illegal activity. How can national development and conservation be balanced? The proposed Serengeti road epitomizes the conflict between poverty alleviation on one hand, and the conservation of a critical ecosystem on the other. We use the Serengeti as an exemplar case-study in which the relative economic and social benefits of a road can be assessed against the ecological impacts. Specifically, we compare three possible transportation routes and ask which route maximizes the socio-economic returns for the people while minimizing the ecological costs. The findings suggest that one route in particular that circumnavigates the Serengeti links the greatest number of small and medium sized entrepreneurial businesses to the largest labour force in the region. Furthermore, this route connects the most children to schools, provisions the greatest access to hospitals, and opens the most fertile crop and livestock production areas, and does not compromise the ecology and tourism revenue of the Serengeti. This route would improve Tanzania’s food security and self-reliance and would facilitate future infrastructure development which would not be possible if the road were to pass through the Serengeti. This case study provides a compelling example of how a detailed spatial analysis can balance the national objectives of poverty alleviation while maintaining ecological integrity

Student Self-Responsibility in the Indonesian Distance Education System

An ongoing concern in the distance education system in Indonesia is students' lack of commitment to ‘independent study'. The purpose of this paper is to review conceptual frameworks that could empower Indonesian students to accept responsibility for their learning at a level to address the learning challenges of distance education.  The review shows that to meet quality and equity expectations in online distance education, independent study modes should promote students' self-responsibility based primarily on both autonomy and capability.  The findings have the potential to add new perspective to education through supporting teaching and learning approaches in an online distance education class to enhance self-responsibility.  The paper suggests that students would take more control of independent learning if they accepted primary responsibility to determine their learning needs, resources, activities and outcomes.  To do this they need to view themselves as active agents with power to take independent choices that can result in creating their own approaches to resolve their learning limitation

Bronchoabsorption; a novel bronchoscopic technique to improve biomarker sampling of the airway

BACKGROUND: Current techniques used to obtain lung samples have significant limitations and do not provide reproducible biomarkers of inflammation. We have developed a novel technique that allows multiple sampling methods from the same area (or multiple areas) of the lung under direct bronchoscopic vision. It allows collection of mucosal lining fluid and bronchial brushing from the same site; biopsy samples may also be taken. The novel technique takes the same time as standard procedures and can be conducted safely. METHODS: Eight healthy smokers aged 40–65 years were included in this study. An absorptive filter paper was applied to the bronchial mucosa under direct vision using standard bronchoscopic techniques. Further samples were obtained from the same site using bronchial brushings. Bronchoalveolar lavage (BAL) was obtained using standard techniques. Chemokine (C-C Motif) Ligand 20 (CCL20), CCL4, CCL5, Chemokine (C-X-C Motif) Ligand 1 (CXCL1), CXCL8, CXCL9, CXCL10, CXCL11, Interleukin 1 beta (IL-1β), IL-6, Vascular endothelial growth factor (VEGF), Matrix metalloproteinase 8 (MMP-8) and MMP-9 were measured in exudate and BAL. mRNA was collected from the bronchial brushings for gene expression analysis. RESULTS: A greater than 10 fold concentration of all the biomarkers was detected in lung exudate in comparison to BAL. High yield of good quality RNA with RNA integrity numbers (RIN) between 7.6 and 9.3 were extracted from the bronchial brushings. The subset of genes measured were reproducible across the samples and corresponded to the inflammatory markers measured in exudate and BAL. CONCLUSIONS: The bronchoabsorption technique as described offers the ability to sample lung fluid direct from the site of interest without the dilution effects caused by BAL. Using this method we were able to successfully measure the concentrations of biomarkers present in the lungs as well as collect high yield mRNA samples for gene expression analysis from the same site. This technique demonstrates superior sensitivity to standard BAL for the measurement of biomarkers of inflammation. It could replace BAL as the method of choice for these measurements. This method provides a systems biology approach to studying the inflammatory markers of respiratory disease progression. TRIAL REGISTRATION: NHS Health Research Authority (13/LO/0256)

Adherence to artemether/lumefantrine treatment in children under real-life situations in rural Tanzania.

A follow-up study was conducted to determine the magnitude of and factors related to adherence to artemether/lumefantrine (ALu) treatment in rural settings in Tanzania. Children in five villages of Kilosa District treated at health facilities were followed-up at their homes on Day 7 after the first dose of ALu. For those found to be positive using a rapid diagnostic test for malaria and treated with ALu, their caretakers were interviewed on drug administration habits. In addition, capillary blood samples were collected on Day 7 to determine lumefantrine concentrations. The majority of children (392/444; 88.3%) were reported to have received all doses, in time. Non-adherence was due to untimeliness rather than missing doses and was highest for the last two doses. No significant difference was found between blood lumefantrine concentrations among adherent (median 286 nmol/l) and non-adherent [median 261 nmol/l; range 25 nmol/l (limit of quantification) to 9318 nmol/l]. Children from less poor households were more likely to adhere to therapy than the poor [odds ratio (OR)=2.45, 95% CI 1.35-4.45; adjusted OR=2.23, 95% CI 1.20-4.13]. The high reported rate of adherence to ALu in rural areas is encouraging and needs to be preserved to reduce the risk of emergence of resistant strains. The age-based dosage schedule and lack of adherence to ALu treatment guidelines by health facility staff may explain both the huge variability in observed lumefantrine concentrations and the lack of difference in concentrations between the two groups