Decentralization of Land Administration in Sub-Saharan Africa: Recent Experiences and Lessons Learned

2014 ◽  
pp. 55-84 ◽  
Author(s):  
John Bruce
Keyword(s):  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Land Administration ◽  
Sub Saharan

scholarly journals Community-driven citizen science approach to explore cardiovascular disease risk perception, and develop prevention advocacy strategies in sub-Saharan Africa: a programme protocol

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kufre Joseph Okop ◽  
Kathy Murphy ◽  
Estelle Victoria Lambert ◽  
Kiya Kedir ◽  
Hailemichael Getachew ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Citizen Science ◽  
Risk Perceptions ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Data Gathering ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Rural And Urban ◽  
Sub Saharan

Abstract Background In sub-Saharan Africa (SSA), which experiences a disproportionately high cardiovascular disease (CVD) burden, population-based screening and prevention measures are hampered by low levels of knowledge about CVD and associated risk factors, and inaccurate perceptions of severity of risk. Methods This protocol describes the planned processes for implementing community-driven participatory research, using a citizen science method to explore CVD risk perceptions and to develop community-specific advocacy and prevention strategies in the rural and urban SSA settings. Multi-disciplinary research teams in four selected African countries will engage with and train community members living in rural and urban communities as citizen scientists to facilitate conceptualization, co-designing of research, data gathering, and co-creation of knowledge that can lead to a shared agenda to support collaborative participation in community-engaged science. The emphasis is on robust community engagement, using mobile technology to support data gathering, participatory learning, and co-creation of knowledge and disease prevention advocacy. Discussion Contextual processes applied and lessons learned in specific settings will support redefining or disassembling boundaries in participatory science to foster effective implementation of sustainable prevention intervention programmes in Low- and Middle-income countries.

scholarly journals Conducting clinical trials in sub-Saharan Africa: challenges and lessons learned from the Malawi Cryptosporidium study

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Neema Toto ◽  
Elaine Douglas ◽  
Markus Gmeiner ◽  
Lynn K. Barrett ◽  
Robert Lindblad ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Sub Saharan

Design-Based Approach for the Implementation of an International Cyberlearning Community of Inquiry for Medical Education

2013 ◽  
pp. 509-525
Author(s):  
Yianna Vovides ◽  
Kristine Korhumel
Keyword(s):  
Community Of Inquiry ◽  
Virtual Community ◽  
Medical Schools ◽  
Lessons Learned ◽  
Communication Strategy ◽  
Sub Saharan Africa ◽  
Teaching Presence ◽  
Web Based ◽  
Sub Saharan ◽  
Theoretical Foundations

This chapter describes the conceptualization and implementation of a cyberlearning environment as a community of inquiry (CoI). This environment includes 13 medical schools from Sub-Saharan Africa and their 50-plus partners from around the world. The theoretical foundations of Communities of Inquiry provided the framework that drove the design of the web-based platform used in this project. Through an emphasis on learning from conversations, the resulting cyberlearning environment was designed to foster engagement among faculty, staff, and students of the 13 medical schools and their partners. Recognizing that generating a virtual community of inquiry framed around the cognitive, social, and teaching presence is no easy task, the approach taken for the design was based on conceptualizing the development of such a community along a continuum that addressed the depth of interaction for each presence. This type of design assumes a phased-in implementation. The chapter describes this conceptualization by addressing the core communication strategy used, which underlies the interactions to support learning from conversations. In addition, the chapter addresses key environmental constraints and how these constraints guided operational decisions during implementation. In addition, the chapter discusses challenges and solutions, as well as lessons learned.

A Systems Approach for Sustainably Reducing Childhood Diarrheal Deaths in Developing Countries

2016 ◽  
pp. 1208-1227
Author(s):  
Monica Gray
Keyword(s):  
Developing Countries ◽  
Low Income ◽  
Systems Approach ◽  
Developed Countries ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Health Crisis ◽  
Industrialized Nations ◽  
Sub Saharan

Diarrhea is the second leading cause of death and is the major cause of malnutrition in children under age 5 worldwide. More than 50 percent of the cases occur in developing countries, particularly in sub-Saharan Africa and Southeast Asia. Open defecation, substandard fecal disposal systems, and contaminated water supplies are the typical causes of diarrheal diseases. This public health crisis in low income countries mirrors the experiences of today's industrialized nations two centuries ago. The lessons learned from their sanitary evolution can be instructive in charting a sustainable path towards saving the lives of almost 2 million children annually. In this chapter a case study of Cuba's sanitary reformation is also presented to showcase successes, similar to those of developed countries, within a developing country and economically challenging context.

Initial Experience with Cancer Guidelines Navigator, a tool to standardize and improve the quality of cancer care in Sub-Saharan Africa, at Ocean Road Cancer Institute in Tanzania.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e14106-e14106
Author(s):  
Fernando Jose Suarez Saiz ◽  
Leemor Yuravlivker ◽  
Jerry Ndumbalo ◽  
Julius Mwaiselage ◽  
Sadiq Maalim Siu ◽  
...  
Keyword(s):  
Cancer Treatment ◽  
Treatment Planning ◽  
Reference System ◽  
Point Of Care ◽  
Lessons Learned ◽  
Ease Of Use ◽  
Sub Saharan Africa ◽  
Digital Reference ◽  
Sub Saharan ◽  
Cancer Guidelines

e14106 Background: The IBM Cancer Guidelines Navigator (CGN) is a digital reference system to support treatment planning that allows clinicians to enter a cancer patient’s clinical characteristics and presents the corresponding treatment options in the NCCN Harmonized Guidelines (TM) for Sub-Saharan Africa. In October 2019, Ocean Road Cancer Institute (ORCI) in Tanzania became the first site in Africa to initiate a hospital-wide implementation of the tool to help clinicians reduce cancer treatment variability by increasing adherence to standard evidence-based care. We describe training and lessons learned from system introduction. Methods: Training for clinical staff at ORCI occurred over one week and included daily one-hour lectures, followed by personalized hands-on training. A survey was administered to assess usability and use cases of the tool. Results: Thirty-one ORCI clinical and IT staff members participated in training, and 12 completed the survey. Responses indicated that the most beneficial uses for CGN were at point of care and for self-learning. Participants indicated that the top benefits of the tool were quick access to guidelines and evidence (75%) and ease of use (58%). Expanding cancer coverage (42%), offline access and better integration into the workflow (25%) were identified as areas for improvement. Post-training, ORCI implemented easier access to CGN on each computer and tablet used for consultation and care management. Conclusions: CGN is a digital reference system that is designed to support easy and efficient access to regionalized cancer-treatment guidelines for point-of-care treatment planning and education. Expansion of this program has been planned for other hospitals in Tanzania. Future studies will examine whether CGN usage affects guideline adherence.

scholarly journals Learning from Community-Based Natural Resource Management (CBNRM) in Ghana and Zambia: lessons for integrated landscape approaches

2021 ◽  
Vol 23 (3) ◽  
pp. 273-297
Author(s):  
S. Adeyanju ◽  
A. O'Connor ◽  
T. Addoah ◽  
E. Bayala ◽  
H. Djoudi ◽  
...  
Keyword(s):  
Land Use ◽  
Resource Management ◽  
Natural Resource Management ◽  
Natural Resource ◽  
Local Level ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Local Context ◽  
Community Based ◽  
Sub Saharan

Land use in much of sub-Saharan Africa is dominated by legislative frameworks based on a strong colonial legacy, focusing strongly on state control and minimal devolution of management responsibilities to local communities. However, attempts to reconcile conservation and socio-economic development by increasing stakeholder engagement in community-based natural resource management (CBNRM) have been undertaken since the late 1980s. Based on a review of published literature on historical land-use trajectories, the evolution of CBNRM, and key respondent interviews with NRM experts in Ghana and Zambia, this paper asks: What lessons can be learned from CBNRM to inform integrated landscape approaches for more equitable social and ecological outcomes? The paper discusses the positive characteristics and persistent challenges arising from CBNRM initiatives in both countries. The former being, improved rights and resource access, an established institutional structure at the local level, and a conservation approach tailored to the local context. The latter include the absence of multi-scale collaboration, inadequate inclusive and equitable local participation, and limited sustainability of CBNRM initiatives beyond short-term project funding timelines. The paper argues that integrated landscape approaches can address these challenges and improve natural resource management in Ghana and Zambia. We urge landscape practitioners to consider how the lessons learned from CBNRM are being addressed in practice, as they represent both challenges and opportunities for landscape approaches to improve natural resource management.

scholarly journals Locally-Procured Fish Is Essential in School Feeding Programmes in Sub-Saharan Africa

Foods ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 2080
Author(s):  
Molly Ahern ◽  
Shakuntala Thilsted ◽  
Marian Kjellevold ◽  
Ragnhild Overå ◽  
Jogeir Toppe ◽  
...  
Keyword(s):  
Task Force ◽  
Organizational Capacity ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Small Scale ◽  
Fish Products ◽  
Good Practices ◽  
Feeding Programs ◽  
School Feeding ◽  
Sub Saharan

Fish make an important contribution to micronutrient intake, long-chained polyunsaturated omega-3 fatty acids (n-3 LC-PUFAS), and animal protein, as well as ensuring food and nutrition security and livelihoods for fishing communities. Micronutrient deficiencies are persistent in sub-Saharan Africa (SSA), contributing to public health issues not only in the first 1000 days but throughout adolescence and into adulthood. School feeding programs (SFPs) and home-grown school feeding programs (HGSF), which source foods from local producers, particularly fisherfolk, offer an entry point for encouraging healthy diets and delivering essential macro- and micronutrients to schoolchildren, which are important for the continued cognitive development of children and adolescents and can contribute to the realization of sustainable development goals (SDGs) 1, 2, 3, 5, and 14. The importance of HGSF for poverty alleviation (SDG1) and zero hunger (SDG 2) have been recognized by the United Nations Hunger Task Force and the African Union Development Agency–New Partnership for African Development (AUDA-NEPAD), which formulated a strategy for HGSF to improve nutrition for the growing youth population across Africa. A scoping review was conducted to understand the lessons learned from SFPs, which included fish and fish products from small-scale producers, identifying the challenges and best practices for the inclusion of fish, opportunities for improvements across the supply chain, and gaps in nutritional requirements for schoolchildren which could be improved through the inclusion of fish. Challenges to the inclusion fish in SFPs include food safety, supply and access to raw materials, organizational capacity, and cost, while good practices include the engagement of various stakeholders in creating and testing fish products, and repurposing fisheries by-products or using underutilized species to ensure cost-effective solutions. This study builds evidence of the inclusion of nutritious fish and fish products in SFPs, highlighting the need to replicate and scale good practices to ensure sustainable, community-centred, and demand-driven solutions for alleviating poverty, malnutrition, and contributing to greater health and wellbeing in adolescence.

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