scholarly journals Social Inclusion and Immunisation

2021 ◽  
Author(s):  
Kerina Tull

The current COVID-19 epidemic is both a health and societal issue; therefore, groups historically excluded and marginalised in terms of healthcare will suffer if COVID-19 vaccines, tests, and treatments are to be delivered equitably. This rapid review is exploring the social and cultural challenges related to the roll-out, distribution, and access of COVID-19 vaccines, tests, and treatments. It highlights how these challenges impact certain marginalised groups. Case studies are taken from sub-Saharan Africa (the Democratic Republic of Congo, South Africa), with some focus on South East Asia (Indonesia, India) as they have different at-risk groups. Lessons on this issue can be learned from previous pandemics and vaccine roll-out in low- and mid-income countries (LMICs). Key points to highlight include successful COVID-19 vaccine roll-out will only be achieved by ensuring effective community engagement, building local vaccine acceptability and confidence, and overcoming cultural, socio-economic, and political barriers that lead to mistrust and hinder uptake of vaccines. However, the literature notes that a lot of lessons learned about roll-out involve communication - including that the government should under-promise what it can do and then over-deliver. Any campaign must aim to create trust, and involve local communities in planning processes.

2020 ◽  
Vol 5 ◽  
pp. 37 ◽  
Author(s):  
Alexei Yavlinsky ◽  
Swaib A. Lule ◽  
Rachel Burns ◽  
Alimuddin Zumla ◽  
Timothy D. McHugh ◽  
...  

In this paper we perform a rapid review of existing mobile-based, open-source systems for infectious disease outbreak data collection and management. Our inclusion criteria were designed to match the PANDORA-ID-NET consortium’s goals for capacity building in sub-Saharan Africa, and to reflect the lessons learned from the 2014–16 West African Ebola outbreak. We found eight candidate systems that satisfy some or most of these criteria, but only one (SORMAS) fulfils all of them. In addition, we outline a number of desirable features that are not currently present in most outbreak management systems.


Author(s):  
Ahmad Masum

Uganda lies in the heart of Sub-Saharan Africa. It is situated in East Africa and occupies an area of 241,038 sq km (roughly twice the size of the state of Pennsylvania) and its population is about 35,873,253 (CIA World Factbook, 2012). Uganda is bordered by Tanzania and Rwanda to the south, Democratic Republic of Congo to the west, South Sudan to the north, and Kenya to the east. Uganda is a landlocked country and occupies most of the Lake Victoria Basin, which was formed by the geological shifts that created the Rift Valley during the Pleistocene era. Uganda was a British colony and became an independent- sovereign nation in 1962 without a bloody struggle. Several ethnic groups reside in the country i.e. Baganda, Banyankole, Bahima, Bakiga, Bunyoro, Batoro, Basoga, Bagisu, Langi, Acholi, Lugbara, Karamojong and others. English is the official language by virtue of Article 6(1) of the 1995 Constitution and Swahili is also widely spoken especially in the urban areas. Uganda has no State religion. As a country, Uganda has witnessed some positive development in the area of security. The government managed to plant the seeds of peace in the north by defeating the Lord Resistance Army (LRA) led by Joseph Kony.    


2020 ◽  
Vol 12 (20) ◽  
pp. 8337
Author(s):  
Dastan Bamwesigye ◽  
Petr Kupec ◽  
Georges Chekuimo ◽  
Jindrich Pavlis ◽  
Obed Asamoah ◽  
...  

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.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kufre Joseph Okop ◽  
Kathy Murphy ◽  
Estelle Victoria Lambert ◽  
Kiya Kedir ◽  
Hailemichael Getachew ◽  
...  

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.


Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Neema Toto ◽  
Elaine Douglas ◽  
Markus Gmeiner ◽  
Lynn K. Barrett ◽  
Robert Lindblad ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kofi Agyekum ◽  
Emmanuel Adinyira ◽  
James Anthony Oppon

PurposeThe increased awareness of global environmental threats like climate change has created an upsurge of interest in low embodied carbon building materials for green building delivery. Though the literature advocates for the use of hemp-based building materials, there is no evidence of studies to explore its potential use in Ghana. Therefore, this study explores the potential factors that limit the adoption of hemp as an alternative sustainable material for green building delivery in Ghana.Design/methodology/approachA structured questionnaire was used to solicit the views of built environment professionals operating in construction, consulting and developer firms. The questions were developed through a comparative review of the related literature and complemented with a pilot review. Data were analysed via descriptive and inferential statistics.FindingsOn the average, the majority of the respondents showed a moderate level of awareness of hemp and its related uses in the construction industry. Also, certain key factors like the perceived association of hemp with marijuana, lack of expertise in the production of hemp-related building materials, farmers not getting the needed clearance for the cultivation of hemp, lack of legislation by the government in the legalisation of hemp and the inadequate knowledge of consumers on the benefits of hemp-based building materials were identified as potential limitations to the adoption of hemp as an alternative sustainable material for green building delivery.Originality/valueThe findings from this study provide insights into a less investigated area in sub-Saharan Africa and further provide new and additional information to the current state-of-the-art on the potential for the use of hemp in the building construction sector.


2019 ◽  
Vol 2019 ◽  
Author(s):  
Job Mwaura

In the past few years, Kenya’s digital landscape has transformed and this has been made possible by proliferation of the usage of digital technologies, particularly - mobile phones. Due to increased access to digital technologies, faster internet speeds, increased securitization among other issues, data on individuals in online spaces has also increased. Recently, the government rolled out a National Integrated Identity Management System (NIIMS) which is meant to capture biometric data but this has generated a huge debate online in Kenya under the hashtag #ResistHudumaNamba. This paper will therefore examine the following issues: What has contributed to the decline of trust between the government and its citizens when it comes to internet technologies? What are the actual sentiments given for and against in the introduction of Huduma Number? What are the underlying reasons for continued registration of individuals in Kenya? This research will be a qualitative research study. Data will be generated from social media sites (Twitter and Facebook), as well as blog posts and newspaper articles. A discourse analysis of the events around #ResistsHudumaNamba in these sources will be done so as to answer the research questions. This research has the potential to contribute to literature on trust in sub-Saharan Africa as well as establish trust issues between government and citizens when digital technologies are involved.


2021 ◽  
Vol 10 (6) ◽  
pp. 48
Author(s):  
David Mhlanga

The study intended to investigate the factors that are important in influencing the financial inclusion of smallholder farming households in Sub-Saharan Africa with a specific focus on Zimbabwe. Motivated by the fact that there is an increase in the evidence of the importance of financial inclusion in fighting poverty and the fact that by merely having a bank account, financial inclusion cannot be guaranteed, the study went further to interrogate factors that influence smallholder farmers to have a transaction account, to borrow and to have insurance. Since the dependent variable of financial inclusion had more than two categories, with three unordered categories, transaction account, savings/credit account, and insurance, the multinomial logistic regression was used to estimate the determinants of financial inclusion from these three categories of the dependent variable. The multinomial logit model results, with insurance as the reference category, indicated that the size of the household, transaction costs, gender and agricultural extension service were the factors influencing the demand for a household to open a transaction account. On the other hand, off-farm income and age of the household were the only two factors significantly influencing households to borrow. Therefore, it is imperative for, the government of Zimbabwe to come up with more policies that encourage farmers to participate in the formal financial market as financial inclusion can help to fight poverty and the general developments of societies.   Received: 28 April 2021 / Accepted: 31 August 2021 / Published: 5 November 2021


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