scholarly journals Gendered determinants of food insecurity in ongoing regional conflicts, North and South Kivu, the Democratic Republic of Congo

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Wyvine Ansima Bapolisi ◽  
Giovanfrancesco Ferrari ◽  
Ghislain Bisimwa ◽  
Sonja Merten
Keyword(s):  
Decision Making ◽  
Resource Allocation ◽  
Food Insecurity ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Gender Based Violence ◽  
Republic Of Congo ◽  
South Kivu ◽  
Gender Based ◽  
North And South

Abstract Background Food insecurity remains a major concern worldwide. In North and South Kivu provinces, the Democratic Republic of the Congo, repeated wars and gender-based violence exacerbate the situation. However, little is known about the determinants of food insecurity in the region. Objective This study analyzed the gendered determinants of food insecurity in North and South Kivu in the Democratic Republic of Congo, a region of ongoing civil conflict. Methods 1754 women were included in a cross-sectional study. Multilevel ordinal logistic regression was used to identify household-level determinants of food insecurity. Results The poorest households were five times more likely to be food insecure (OR = 5.66, 95% CI 3.74–8.55). Women’s participation in decision-making about resource allocation decreased the risk for household food insecurity (OR = 0.68, 95% CI 0.57–0.87), while higher tolerance to gender-based violence increased the risk of food insecurity (OR = 1.29, 95% CI 1.05–1.54). Conclusion Involving empowered women in decision-making about resource allocation and actions to reduce gender-based violence could help mitigate food insecurity.

Understanding gender‐based differences in the engagement of the youth in agribusiness in South‐Kivu province, Democratic Republic of Congo

2020 ◽  
Author(s):  
Muhindo Patrick Minyangu ◽  
Paul Martin Dontsop Nguezet ◽  
Serge Amato Masirika ◽  
Adetunji Adeniyi ◽  
Olawale E. Olayide ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Republic Of Congo ◽  
South Kivu ◽  
Gender Based

scholarly journals Markers of sulfadoxine–pyrimethamine resistance in Eastern Democratic Republic of Congo; implications for malaria chemoprevention

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Marit van Lenthe ◽  
Renske van der Meulen ◽  
Maryvonne Lassovski ◽  
Adelaide Ouabo ◽  
Edwige Bakula ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Intermittent Preventive Treatment ◽  
Parasite Prevalence ◽  
Current Data ◽  
World Health ◽  
Success Rates ◽  
Republic Of Congo ◽  
South Kivu ◽  
North And South

Abstract Background Sulfadoxine–pyrimethamine (SP) is a cornerstone of malaria chemoprophylaxis and is considered for programmes in the Democratic Republic of Congo (DRC). However, SP efficacy is threatened by drug resistance, that is conferred by mutations in the dhfr and dhps genes. The World Health Organization has specified that intermittent preventive treatment for infants (IPTi) with SP should be implemented only if the prevalence of the dhps K540E mutation is under 50%. There are limited current data on the prevalence of resistance-conferring mutations available from Eastern DRC. The current study aimed to address this knowledge gap. Methods Dried blood-spot samples were collected from clinically suspected malaria patients [outpatient department (OPD)] and pregnant women attending antenatal care (ANC) in four sites in North and South Kivu, DRC. Quantitative PCR (qPCR) was performed on samples from individuals with positive and with negative rapid diagnostic test (RDT) results. Dhps K450E and A581G and dhfr I164L were assessed by nested PCR followed by allele-specific primer extension and detection by multiplex bead-based assays. Results Across populations, Plasmodium falciparum parasite prevalence was 47.9% (1160/2421) by RDT and 71.7 (1763/2421) by qPCR. Median parasite density measured by qPCR in RDT-negative qPCR-positive samples was very low with a median of 2.3 parasites/µL (IQR 0.5–25.2). Resistance genotyping was successfully performed in RDT-positive samples and RDT-negative/qPCR-positive samples with success rates of 86.2% (937/1086) and 55.5% (361/651), respectively. The presence of dhps K540E was high across sites (50.3–87.9%), with strong evidence for differences between sites (p < 0.001). Dhps A581G mutants were less prevalent (12.7–47.2%). The dhfr I164L mutation was found in one sample. Conclusions The prevalence of the SP resistance marker dhps K540E exceeds 50% in all four study sites in North and South Kivu, DRC. K540E mutations regularly co-occurred with mutations in dhps A581G but not with the dhfr I164L mutation. The current results do not support implementation of IPTi with SP in the study area.

Sign in / Sign up

Export Citation Format

Share Document