scholarly journals The development of telemedicine programs in Sub-Saharan Africa: Progress and associated challenges

2021 ◽  
Author(s):  
Joana Eva Dodoo ◽  
Hosam Al-Samarraie ◽  
Ahmed Alsswey
Keyword(s):  
Empirical Studies ◽  
Decision Makers ◽  
Sub Saharan Africa ◽  
Cultural Aspects ◽  
Governmental Agencies ◽  
Current Trends ◽  
Sub Saharan ◽  
Sustainable Usage ◽  
Ssa Countries ◽  
Study Offer

AbstractMonitoring the progress of telemedicine use in Sub-Saharan Africa (SSA) countries has received a considerable attention from many health organizations and governmental agencies. This study reviewed the current progress and challenges in relation to the development of telemedicine programs in SSA. The results from reviewing 66 empirical studies revealed an unbalanced progress across SSA countries. Further, technological, organisational, legal and regulatory, individual, financial, and cultural aspects were identified as the major barriers to the success of telemedicine development in SSA. This study reported the current trends in telemedicine application, as well as highlighting critical barriers for consideration by healthcare decision makers. The outcomes from this study offer a number of recommendations to support wider implementation and sustainable usage of telemedicine in SSA.

An Overview of Population Growth and Sustainable Development in Sub-Saharan Africa

2018 ◽  
pp. 480-499
Author(s):  
Vincent Sebastian Pande ◽  
Neema Penance Kumburu
Keyword(s):  
Sustainable Development ◽  
Population Growth ◽  
Future Development ◽  
Decision Makers ◽  
Sub Saharan Africa ◽  
Realistic Approach ◽  
Development Policies ◽  
A Priority ◽  
Sub Saharan ◽  
Ssa Countries

Development efforts in several countries in Sub-Saharan Africa (SSA) are harmed by a combination of many factors, high rates of population growth being among of them. Despite the strong links between population and sustainable development, these issues were not a priority in broader development policies and strategies in SSA. Population and sustainable development had been often addressed separately at policy and programme levels. Despite the fact that decision makers in these countries recognize the importance of population issues for sustainable development, these issues are rarely worked on together, limiting the payoff that could result from integrating the two. This chapter, therefore, re-examines and relates these two concepts to see their compatibility and provides a more realistic approach in converting population growth into economic gains for future development of SSA countries and Africa in general.

An Overview of Population Growth and Sustainable Development in Sub-Saharan Africa

2020 ◽  
pp. 76-95
Author(s):  
Vincent Sebastian Pande ◽  
Neema Penance Kumburu
Keyword(s):  
Sustainable Development ◽  
Population Growth ◽  
Future Development ◽  
Decision Makers ◽  
Sub Saharan Africa ◽  
Realistic Approach ◽  
Development Policies ◽  
A Priority ◽  
Sub Saharan ◽  
Ssa Countries

Development efforts in several countries in Sub-Saharan Africa (SSA) are harmed by a combination of many factors, high rates of population growth being among of them. Despite the strong links between population and sustainable development, these issues were not a priority in broader development policies and strategies in SSA. Population and sustainable development had been often addressed separately at policy and programme levels. Despite the fact that decision makers in these countries recognize the importance of population issues for sustainable development, these issues are rarely worked on together, limiting the payoff that could result from integrating the two. This chapter, therefore, re-examines and relates these two concepts to see their compatibility and provides a more realistic approach in converting population growth into economic gains for future development of SSA countries and Africa in general.

scholarly journals A Review of Energy Communities in Sub-Saharan Africa as a Transition Pathway to Energy Democracy

2021 ◽  
Vol 13 (4) ◽  
pp. 2128
Author(s):  
Amollo Ambole ◽  
Kweku Koranteng ◽  
Peris Njoroge ◽  
Douglas Logedi Luhangala
Keyword(s):  
Stakeholder Engagement ◽  
Energy Systems ◽  
Sub Saharan Africa ◽  
Energy Access ◽  
Energy Projects ◽  
Global North ◽  
Sub Saharan ◽  
Energy Justice ◽  
Design Proposal ◽  
Ssa Countries

Energy communities have received considerable attention in the Global North, especially in Europe, due to their potential for achieving sustainable energy transitions. In Sub-Saharan Africa (SSA), energy communities have received less attention partly due to the nascent energy systems in many emerging SSA states. In this paper, we argue that these nascent energy systems offer an opportunity to co-create energy communities that can tackle the energy access challenges faced by most SSA countries. To understand how such energy communities are realised in the sub-region, we undertake a systematic review of research on energy communities in 46 SSA countries. Our findings show that only a few energy projects exhibit the conventional characteristics of energy communities; In most of these projects, local communities are inadequately resourced to institute and manage their own projects. We thus look to stakeholder engagement approaches to propose co-design as a strategy for strengthening energy communities in SSA. We further embed our co-design proposal in energy democracy thinking to argue that energy communities can be a pathway towards equity and energy justice in SSA. We conclude that energy communities can indeed contribute to improving energy access in Africa, but they need an enabling policy environment to foster their growth and sustainability.

Adoption of improved cassava varieties in Nigeria: Insights from DNA fingerprinting versus self-reporting varietal identification approaches

2021 ◽  
pp. 003072702199003
Author(s):  
Patience Ifeyinwa Opata ◽  
Oguejiofor Joseph Okorie ◽  
Juliana Chinasa Iwuchukwu ◽  
Chukwuma Otum Ume ◽  
Oyakhilomen Oyinbo
Keyword(s):  
Measurement Errors ◽  
Empirical Studies ◽  
Sub Saharan Africa ◽  
Limited Attention ◽  
Adoption Studies ◽  
Hidden Hunger ◽  
Varietal Identification ◽  
Sub Saharan ◽  
Cassava Varieties

Much of the empirical studies on crop varietal adoption in Sub-Saharan Africa relied on self-reported adoption in farm-household surveys, which is prone to measurement errors. In addition, farmers’ perceptions of consumption-related varietal traits in adoption studies has received limited attention compared with production-related traits. Using DNA-based and self-reported adoption measures, we analyze the adoption of improved cassava varieties (ICVs) with a focus on the extent of varietal misidentification, the sensitivity of the drivers of adoption to varietal misidentification and the role of farmers’ perceptions of biofortification trait in adoption decisions. We find that the adoption rate of ICVs is relatively high using both DNA-based and self-reported adoption measures, but there is notable misclassification in varietal adoption. We find that the mismatch in DNA-based and self-reported adoption measures leads to some variation in the factors that influence the likelihood and intensity of adoption of ICVs. This suggests that appropriate varietal identification helps in better understanding of the drivers of adoption. In addition, we find that despite the observed varietal misclassification, farmers’ perceptions of biofortification trait is significantly correlated with the probability and intensity of adoption of ICVs using both DNA-based and self-reported varietal identification. This suggests that inclusion of biofortification trait in cassava matters for both the likelihood and extent of adoption of ICVs. The latter lends credence to the emerging policy interests in breeding programs for biofortified crops to address hidden hunger in Nigeria.

scholarly journals Charcoal and Wood Biomass Utilization in Uganda: The Socioeconomic and Environmental Dynamics and Implications

2020 ◽  
Vol 12 (20) ◽  
pp. 8337
Author(s):  
Dastan Bamwesigye ◽  
Petr Kupec ◽  
Georges Chekuimo ◽  
Jindrich Pavlis ◽  
Obed Asamoah ◽  
...  
Keyword(s):  
Alternative Energy ◽  
Empirical Studies ◽  
Sub Saharan Africa ◽  
Natural Forests ◽  
Fuel Use ◽  
Wood Fuel ◽  
Biomass Utilization ◽  
Qualitative Approaches ◽  
Sub Saharan ◽  
The Government

Charcoal and firewood fuel biomass utilization is thought to be the main cause of deforestation in Uganda. Moreover, the practice of utilizing charcoal and wood fuel in Uganda is said to impact the health of many women and children in the region. The goal of this study was to comprehensively analyze charcoal and wood fuel utilization processes in Uganda and sub-Saharan Africa and the environmental and socioeconomic dynamics and implications. The study equally intended to model out some possible improvements to wood fuel use while conserving natural forests. Both qualitative and qualitative approaches were used to study the charcoal and wood fuel energy situation in Uganda. The study collected field data (sample size: 199) which was subjected to descriptive analysis. The findings show that over 90% of households in Uganda and the sub- Saharan region use firewood and charcoal wood fuel, and that this fuel use creates social and environmental hazards. Our findings are also in agreement with numerous empirical studies showing that firewood and charcoal biomass are among the major causes of deforestation in Uganda and the sub-Saharan region. Ceteris paribus, we propose the adoption of Improved Eco-Stoves (ICE), which not only enable comprehensive combustion but also lessen the quantity of firewood used by more than 60%, together with policy decisions on the government of Uganda, given peoples willingness to take on alternative energy sources such as gas and electricity.

scholarly journals Household structure, maternal characteristics and children’s stunting in sub-Saharan Africa: evidence from 35 countries

2020 ◽  
Author(s):  
Sanni Yaya ◽  
Olanrewaju Oladimeji ◽  
Emmanuel Kolawole Odusina ◽  
Ghose Bishwajit
Keyword(s):  
Birth Interval ◽  
Household Wealth ◽  
Household Structure ◽  
Sub Saharan Africa ◽  
Physical Growth ◽  
Multiple Birth ◽  
Rural Children ◽  
Sub Saharan ◽  
Ssa Countries ◽  
Childhood Stunting

Abstract Background Adequate nutrition in early childhood is a necessity to achieve healthy growth and development, as well as a strong immune system and good cognitive development. The period from conception to infancy is especially vital for optimal physical growth, health and development. In this study we examined the influence of household structure on stunting in children <5 yrs of age in sub-Saharan Africa (SSA) countries. Methods Demographic and Health Survey data from birth histories in 35 SSA countries were used in this study. The total sample of children born within the 5 yrs before the surveys (2008 and 2018) was 384 928. Children whose height-for-age z-score throughout was <−2 SDs from the median of the WHO reference population were considered stunted. Percentages and χ2 tests were used to explore prevalence and bivariate associations of stunting. In addition, a multivariable logistic regression model was fitted to stunted children. All statistical tests were conducted at a p<0.05 level of significance. Results More than one-third of children in SSA countries were reportedly stunted. The leading countries include Burundi (55.9%), Madagascar (50.1%), Niger (43.9%) and the Democratic Republic of the Congo (42.7%). The percentage of stunted children was higher among males than females and among rural children than their urban counterparts in SSA countries. Children from polygamous families and from mothers who had been in multiple unions had a 5% increase in stunting compared with children from monogamous families and mothers who had only one union (AOR 1.05 [95% CI 1.02 to 1.09]). Furthermore, rural children were 1.23 times as likely to be stunted compared with urban children (AOR 1.23 [95% CI 1.16 to 1.29]). Children having a <24-mo preceding birth interval were 1.32 times as likely to be stunted compared with first births (AOR 1.32 [95% CI 1.26 to 1.38]). In addition, there was a 2% increase in stunted children for every unit increase in the age (mo) of children (AOR 1.02 [95% CI 1.01 to 1.02]). Multiple-birth children were 2.09 times as likely to be stunted compared with a singleton (AOR 2.09 [95% CI 1.91 to 2.28]). Conclusions The study revealed that more than one-third of children were stunted in SSA countries. Risk factors for childhood stunting were also identified. Effective interventions targeting factors associated with childhood stunting, such as maternal education, advanced maternal age, male sex, child’s age, longer birth interval, multiple-birth polygamy, improved household wealth and history of mothers’ involvement in multiple unions, are required to reduce childhood stunting in the region.

Preconception Care in Sub Saharan Africa: A Systematic Review and Meta-analysis on Prevalence and Its Correlation With Knowledge Level Among Women in Reproductive Age Group

2021 ◽  
Author(s):  
Demelash Woldeyohannes ◽  
Yohannes Tekalegn ◽  
Biniyam Sahiledengle ◽  
Desta Erkalo ◽  
Zeleke Hailemariam ◽  
...  
Keyword(s):  
Preconception Care ◽  
Meta Analysis ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Age Group ◽  
Knowledge Level ◽  
Sub Saharan ◽  
Ssa Countries ◽  
Reproductive Age Group

Abstract BackgroundThe aim of the preconception care (PCC) is to promote the health of women in the reproductive age before the conception in order to reduce preventable poor pregnancy outcomes. Although there are several published primary studies from Sub Saharan African (SSA) countries on PCC, they do not quantify the extent of PCC Utilisation, Knowledge level about PCC and the association between them among women in the reproductive age group in this region. This systematic review and meta-analysis aimed to estimate the pooled utilisation of PCC, Pooled knowledge level about PCC and their association among women in the reproductive age group in Sub Saharan Africa.MethodsDatabases including PubMed, Science Direct, Hinari, Google Scholar and Cochrane library were systematically searched for literature. Additionally, the references of appended articles were checked for further possible sources. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity of the included studies. A random-effect meta-analysis model was used to estimate pooled the prevalence of PCC, knowledge level of PCC and their correlation among reproductive aged women in Sub-Saharan African countries.ResultsOf the identified 1593 articles, 20 studies were included in the final analysis. The pooled utilisation of PCC and good knowledge level towards PCC among women of reproductive age group in Sub Saharan Africa were found to be 24.05% (95% CI: 16.61, 31.49) and 33.27% (95% CI: 24.78, 41.77), respectively. Women in the reproductive age group with good knowledge level were two times more likely to utilize the PCC than the women with poor knowledge level in Sub Saharan Africa (OR: 2.35, 95% CI: 1.16, 4.76). ConclusionIn SSA Countries, the utilisation of PCC and knowledge towards PCC were low. Additionally, the current meta-analysis found good knowledge level to be significantly associated with utilisation of PCC among women in the reproductive age. These findings indicate that, it is imperative to launch programs to uplift knowledge level about PCC utilisation among women in reproductive age group in SSA countries.

scholarly journals Prospects for sustainable intensification of soybean production in sub-Saharan Africa

2020 ◽  
Vol 15 (4) ◽  
pp. 365-371
Author(s):  
Deepayan Debnath ◽  
◽  
Suresh Babu ◽  
Keyword(s):  
Agricultural Sector ◽  
Sustainable Intensification ◽  
Sub Saharan Africa ◽  
Yield Gap ◽  
Livestock Industry ◽  
Soybean Yield ◽  
Soybean Production ◽  
Soy Meal ◽  
Sub Saharan ◽  
Ssa Countries

There is a significant soybean yield gap in sub-Saharan African (SSA) countries. Sustainable intensification of the agricultural sector to reduce such a yield gap is important. Increasing soybean productivity can meet the growing demand for food and feed when complemented with higher soy meal demand by the local livestock industry. This study performs an ex-ante economic analysis to determine the effect of higher soybean production on trade and land use within SSA countries. We find that increasing soybean yield by 50% can increase the total returns from soybean production by 186 million LC (local currency) in Ethiopia and 36 billion LC in Nigeria. We show that soybean yield growth alone is enough to boost soy oil production, as the crushing of the beans produces 18% oil and 79% meal. While increasing productivity may lead to freeing land to produce high-valued cash crops, investors will be reluctant to invest in the crushing facilities in the absence of soy meal demand by the livestock industry. Therefore, policymakers need to establish collaboration between development organisations, private companies, farmers and researchers to achieve this transformation and thereby raise agricultural productivity.

Cross-Border Funding and Microfinance Mission Drift: Evidence from Sub-Saharan Africa

2016 ◽  
Vol 17 (2) ◽  
pp. 20-40
Author(s):  
Akem Forkusam
Keyword(s):  
Sub Saharan Africa ◽  
Microfinance Institutions ◽  
Public And Private ◽  
Mission Drift ◽  
Cross Border ◽  
The Social ◽  
Sub Saharan ◽  
The Impact ◽  
Different Sources ◽  
Ssa Countries

Sub-Saharan Africa (SSA) has become the top priority for international funders and they are now increasing their cross-border funding to microfinance institutions (MFIs) in the region. This foreign funding is considered an additional source of capital for MFIs in the region who are facing difficulties in meeting the demand of the poor. However, these funds are provided by public and private funders who each have different motives. The paper examines the impact of these different sources of funding on microfinance performance and mission drift in SSA, which is the world’s poorest region. The study utilizes data from 212 MFIs in 30 SSA countries accessed over a three-year period (i.e. 2007, 2009, and 2011). The findings show that cross-border funding does not affect either the social or financial performance of MFIs when time and country effects are accounted for.

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