scholarly journals Perceptions of Cannabis in sub-Saharan Africa: Findings from a general population survey in six African countries with different Cannabis policies.

2022 ◽  
Author(s):  
Chenai Kitchen ◽  
John Alimamy Kabba ◽  
Tonny Ssekamatte ◽  
Ediomo-Ubong Nelson ◽  
Samuel Adu-Gyamfi ◽  
...  
Keyword(s):  
South Africa ◽  
Sierra Leone ◽  
Online Survey ◽  
Adult Population ◽  
Sub Saharan Africa ◽  
Policy Position ◽  
Categorical Variables ◽  
African Countries ◽  
Country Level ◽  
Sub Saharan

Abstract Background Recently, legislative shifts in cannabis regulation away from exclusively prohibitionist controls have been seen in sub-Saharan African countries. However, the extent to which public perceptions are aligned with policy trends is unclear. Given that views concerning cannabis may be influenced by associated legislation we aimed to compare public opinion towards cannabis amongst countries with legislatively different cannabis policies. Methods We conducted an online survey of the general adult population in six purposively selected countries representative of maximum policy variation across sub-Saharan Africa i.e., Ghana, Nigeria, Sierra Leone, South Africa and Zimbabwe. Survey questions covered perceptions towards users, risks and benefits, regulations and public health impacts as well as sociodemographic characteristics. Chi square tests were used to analyse the association between categorical variables and explore country level differences. Results Totally 1216 responses were received. Large variations were noted in responses towards user stereotypes, risks and preferred legislation. In relation to users being honest (X2=43.316, P<0.0001), most in Sierra Leone(52.9%), Nigeria (45.6%) and Uganda(48.6%) disagreed whereas in Ghana(39.4%), South Africa(43.3%) and Zimbabwe(40.1%) most agreed. Differences in smoking cannabis and smoking tobacco products(X2= 27.712, P=0.002) saw respondents from Ghana(51.4%), Nigeria(58.8%), Uganda(50.9%) and Zimbabwe(46.8%) agreeing that smoking cannabis is more harmful to health, whereas majorities in Sierra Leone(45.7%) and South Africa(49.8%) disagreed. Apart from South Africa were the greater proportion opted to allow cannabis for all purposes(28.8%), majorities in other countries supported only medicinal legalisation(X2= 96.631, P<0.0001). Conclusion Dependent upon the question of focus, at the liberal end of the policy spectrum are Ghana, South Africa and Zimbabwe whilst Nigeria, Sierra Leone and Uganda were more conservative. Responses tended to reflect the policy position of respective countries, however our findings suggest overall increasing medicinal cannabis support. Greater understanding of policy dynamics may help create frameworks for countries contemplating reforms.

scholarly journals Lockdown measures in response to COVID-19 in nine sub-Saharan African countries

2020 ◽  
Vol 5 (10) ◽  
pp. e003319
Author(s):  
Najmul Haider ◽  
Abdinasir Yusuf Osman ◽  
Audrey Gadzekpo ◽  
George O Akipede ◽  
Danny Asogun ◽  
...  
Keyword(s):  
South Africa ◽  
North America ◽  
General Population ◽  
Sierra Leone ◽  
Communicable Disease ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Community Transmission ◽  
Sub Saharan ◽  
Definition Of

Lockdown measures have been introduced worldwide to contain the transmission of COVID-19. However, the term ‘lockdown’ is not well-defined. Indeed, WHO’s reference to ‘so-called lockdown measures’ indicates the absence of a clear and universally accepted definition of the term ‘lockdown’. We propose a definition of ‘lockdown’ based on a two-by-two matrix that categorises different communicable disease measures based on whether they are compulsory or voluntary; and whether they are targeted at identifiable individuals or facilities, or whether they are applied indiscriminately to a general population or area. Using this definition, we describe the design, timing and implementation of lockdown measures in nine countries in sub-Saharan Africa: Ghana, Nigeria, South Africa, Sierra Leone, Sudan, Tanzania, Uganda, Zambia and Zimbabwe. While there were some commonalities in the implementation of lockdown across these countries, a more notable finding was the variation in the design, timing and implementation of lockdown measures. We also found that the number of reported cases is heavily dependent on the number of tests carried out, and that testing rates ranged from 2031 to 63 928 per million population up until 7 September 2020. The reported number of COVID-19 deaths per million population also varies (0.4 to 250 up until 7 September 2020), but is generally low when compared with countries in Europe and North America. While lockdown measures may have helped inhibit community transmission, the pattern and nature of the epidemic remains unclear. However, there are signs of lockdown harming health by affecting the functioning of the health system and causing social and economic disruption.

scholarly journals The toll of COVID-19 on African children: A descriptive analysis on the COVID-19-related morbidity and mortality among the pediatric population in Sub-Saharan Africa

2021 ◽  
Author(s):  
Sabina Rodriguez Velasquez ◽  
Lea Jacques ◽  
Jyoti Dalal ◽  
Paolo Sestito ◽  
Zahra Habibi ◽  
...  
Keyword(s):  
Cumulative Incidence ◽  
Pediatric Population ◽  
Adult Population ◽  
Age Groups ◽  
Sub Saharan Africa ◽  
Morbidity And Mortality ◽  
African Countries ◽  
Regional Office ◽  
Sub Saharan ◽  
Epidemiological Characteristics

Introduction: Since the beginning of the COVID-19 pandemic, very little data on the epidemiological characteristics among the pediatric population in Africa has been published. This paper examines the age and sex distribution of the morbidity and mortality rate in children with COVID-19 and compares it to the adult population within 15 Sub-Saharan African countries. Methods: A merge line listing dataset using a reverse engineering model shared by countries within the Regional Office for Africa was analyzed. Patients diagnosed within 1 March 2020 and 1 September 2020 with confirmed positive RT-PCR test for SARS-CoV-2 were analyzed. Children data were stratified into three age groups: 0-4 years, 5-11 years, and 12-17 years, while adults were combined. The cumulative incidence of cases including its medians and 95% confidence intervals were calculated. Results: 9% of the total confirmed cases and 2.4% of the reported deaths were pediatric cases. The 12-17 age group in all 15 countries showed the highest cumulative incidence proportion in children. COVID-19 cases in males and females under the age of 18 were evenly distributed. Among adults, a higher case incidence per 100,000 people was observed compared to children. Conclusion: The cases and deaths within the children population was smaller than the adult population. These differences can reflect biases in COVID-19 testing protocols and reporting implemented by countries, highlighting the need for more extensive investigation and focus on the effects of COVID-19 in children.

scholarly journals South-South migration and elections: evidence from post-apartheid South Africa

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Biniam E. Bedasso ◽  
Pascal Jaupart
Keyword(s):  
South Africa ◽  
Ethnic Diversity ◽  
Negative Impact ◽  
African National Congress ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Single Issue ◽  
Local Public Services ◽  
Sub Saharan ◽  
Election Results

AbstractLittle is known about the political consequences of immigration in Sub-Saharan Africa. In this paper, we estimate the effect of exposure to immigration on election outcomes in South Africa. Our analysis is based on municipality panel data and an instrumental variable (IV) strategy exploiting historical migrant settlement patterns. We find that local immigration concentration has a negative impact on the performance of the incumbent African National Congress, whereas support for the main opposition party, the Democratic Alliance, is found to increase in municipalities with a larger immigrant presence. These effects hold regardless of the skill levels of immigrants in a municipality. In terms of mechanisms, competition over jobs and local public services as well as ethnic diversity and cultural factors influence how immigration affects election outcomes. These findings are robust to a broad range of sensitivity checks. They provide evidence that immigration can be a politically salient issue in migrant-destination Sub-Saharan African countries. They also show that immigration can affect election results even in contexts where there is no single issue anti-migrant party.

scholarly journals Angola - an Oil Dependant Country in Sub-Saharan Africa

2016 ◽  
Vol 9 (35) ◽  
pp. 233-242
Author(s):  
Boris Baumgartner
Keyword(s):  
South Africa ◽  
World Economy ◽  
Sub Saharan Africa ◽  
African Countries ◽  
The Third ◽  
The World ◽  
Sub Saharan ◽  
The One ◽  
Rich Countries ◽  
Essential Problem

Abstract The Sub-Saharan Africa belongs to the most underdeveloped regions in the world economy. This region consists of forty nine countries but it’s world GDP share is only a small percentage. There are some very resource rich countries in this region. One of them is Angola. This former Portuguese colony has one of the largest inventories of oil among all African countries. Angola recorded one of the highest growth of GDP between 2004-2008 from all countries in the world economy and nowadays is the third biggest economy in Sub-Saharan Africa after Nigeria and South Africa. The essential problem of Angola is the one-way oriented economy on oil and general on natural resources. Angola will be forced to change their one-way oriented economy to be more diversified and competitive in the future.

scholarly journals Factors influencing COVID-19 vaccines hesitancy in rural and urban West Africa: Implications for vaccination strategies

2021 ◽  
Author(s):  
Sylvain Faye ◽  
Ralf Krumkamp ◽  
Seydou Doumbia ◽  
Moctar Tounkara ◽  
Ricardo Strauss ◽  
...  
Keyword(s):  
Social Media ◽  
West Africa ◽  
Sierra Leone ◽  
Adult Population ◽  
Sub Saharan Africa ◽  
Vaccine Hesitancy ◽  
Sources Of Information ◽  
Factors Influencing ◽  
Rural And Urban ◽  
Sub Saharan

Abstract Background: Raising immunization coverage against COVID-19, in particular in low- and middle-income countries (LMICs), is crucial in addressing the current pandemic. Additionally, in Africa reaching the necessary herd immunity threshold is jeopardized by factors, such as vaccine hesitancy. To build confidence in COVID-19 vaccines, it is important to understand and address the reasons for vaccine hesitancy. Yet, few studies for rural and urban Sub-Saharan Africa exist, which have analyzed these factors. Methods: This study reports on a cross-sectional survey in five West African countries (Burkina Faso, Guinea, Mali, Senegal, and Sierra Leone) to identify and describe factors influencing COVID-19 vaccine hesitancy in rural and urban settings. The survey was conducted at a time when in these countries the roll-out of COVID-19 vaccines had not yet or only just begun. Data were analyzed using descriptive statistics and Poisson regression models, with robust standard errors. The general protocol is registered on clinicaltrial.gov (protocol number: NCT04912284)Results: Findings show that in West Africa COVID-19 adult vaccine acceptance ranges from 60% in Guinea and 50% in Sierra Leone to 11% in Senegal. This is largely congruent with acceptance levels of COVID-19 vaccinations for children. Multivariable regression analysis shows that perceived effectiveness and safety of COVID-19 vaccines increased the willingness to get vaccinated, rather than socio-demographic factors, such as educational attainment and rural/urban residence. Primary sources of information about COVID-19 vaccines, include television, radio, and social media. Conclusions: Communication strategies addressed at the adult population using mass and social media, which emphasize COVID-19 vaccine effectiveness and safety, could encourage greater acceptance also of COVID-19 child vaccinations in Sub-Saharan countries.

scholarly journals Lockdown measures in response to COVID-19 in Sub-Saharan Africa: A rapid study of nine countries

2020 ◽  
Author(s):  
Najmul Haider ◽  
Abdinasir Yusuf Osman ◽  
Audrey Gadzekpo ◽  
George O. Akpede ◽  
Danny Asogun ◽  
...  
Keyword(s):  
South Africa ◽  
North America ◽  
Health System ◽  
Sierra Leone ◽  
Sub Saharan Africa ◽  
Community Transmission ◽  
Holistic Assessment ◽  
Sub Saharan

Lockdown measures have been introduced worldwide to contain the transmission of COVID-19. This paper defines the term lockdown and describes the design, timing and implementation of lockdown in nine countries in Sub Saharan Africa: Ghana, Nigeria, South Africa, Sierra Leone, Sudan, Tanzania, Uganda, Zambia and Zimbabwe. It also discusses the manner in which lockdown is enforced, the need to mitigate the harms of lockdown, and the association between lockdown and the reported number of COVID-19 cases and deaths. While there are some commonalities in the implementation of lockdown, a more notable finding is the variation in the design, timing and implementation of lockdown measures across the nine countries. We found that the number of reported cases is heavily dependent on the number of tests done, and that testing rates ranged from 9 to 21,261 per million population. The reported number of COVID-19 deaths per million population also varies, but is generally low when compared to countries in Europe and North America. While lockdown measures may have helped inhibit some community transmission, the pattern and nature of the epidemic remains unclear. Of concern are signs of lockdown harming health by affecting the functioning of the health system and causing social and economic harms. This paper highlights the need for inter-sectoral and trans-disciplinary research capable of providing a rigorous and holistic assessment of the harms and benefits of lockdown.

African states hope the Gulf crisis will end soon

2017 ◽  
Keyword(s):  
South Africa ◽  
Saudi Arabia ◽  
Sub Saharan Africa ◽  
African Union ◽  
African Countries ◽  
Content Type ◽  
Gulf Countries ◽  
Political Effects ◽  
Gulf Crisis ◽  
Sub Saharan

Significance The split between Qatar and its neighbours has pushed a few small African countries to side with Saudi Arabia, but leaves the continent’s leading powers and several conflict-afflicted nations eager to stay neutral -- for now. In sub-Saharan Africa (SSA) -- where Gulf countries have strong diplomatic ties and major economic investments -- the crisis has had significant political effects. Impacts The withdrawal of Qatari peacekeepers from the Djibouti-Eritrea border will become a pressing concern for the African Union. Ongoing expulsions of African migrants from Saudi Arabia will complicate Saudi and Emirati efforts to find African partners against Qatar. Countries such as South Africa and Nigeria may begin to act more assertively in calling for neutrality.

5. HIV AND WOMEN: THE AFRICAN EXPERIENCE

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 286
Author(s):  
D. A. Lewis
Keyword(s):  
South Africa ◽  
Cervical Screening ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Hormonal Contraceptives ◽  
First Line ◽  
African Countries ◽  
Incidence Studies ◽  
Seroprevalence Data ◽  
Sub Saharan

Africa as a continent has been devastated by the acquired immunodeficiency syndrome epidemic caused by the human immunodeficiency virus (HIV). Women are more likely to acquire HIV/AIDS for a number of reasons and incidence studies show that younger women are particularly at risk of HIV acquisition. Biologically, they are more vulnerable and the acquisition of HIV can be influenced by hormonal contraceptives as well as sexually transmitted infections, which are often more asymptomatic than is the case for men. Women in Africa are also more vulnerable because of cultural issues; in some countries polygamy is accepted practice. Women are often economically disadvantaged and disempowered. It is often hard for them to insist on the use of condoms with husbands and regular partners. Physical and sexual abuse of women, including rape, remains a major problem on the continent, particularly in times of civil war. Many women are forced to work as sex workers or be involved in transactional sex in order to survive. Most countries rely on anonymous antenatal surveys to generate HIV seroprevalence data for women of reproductive age. These data is often used as surrogate markers for HIV prevalence rates in men of a similar age. The seroprevalence of HIV among pregnant women differs remarkably around the continent, with the highest rates being seen in Southern Africa, as high as 30%, and much lower rates being seen in West Africa. These reasons underlying these differences are complex and not completely understood. UNAIDS estimated in 2005 that 470�000 (87%) of the world's 540�000 newly infected children (<15 years old) reside in Sub-Saharan Africa. Prevention of mother to child transmission (PMTCT) of HIV is thus a national priority in many Sub-Saharan African countries. Despite policies, treatment is sometimes not given at the clinic level for several reasons, and when it is, most commonly it is with single dose Nevirapine. Data from South Africa has shown that both mothers and infected babies rapidly acquire nevirapine resistance. It is likely that this will lead to early failure of first line antiretroviral (ARV) therapy among these mothers once they start their ARVs. In South Africa, for example, either efavirenz or nevirapine form the backbone of the first-line ARV regimens. AIDS defining illnesses (ADIs) in women living in Africa are similar to those observed in men. Tuberculosis is the most common ADI but other life-threatening illnesses such as cryptococcal meningitis are relatively common compared to other parts of the world. Cervical cancer and cervical intra-epithelial neoplasia (CIN) lesions are more common in HIV-infected than in non-infected women. Most countries in Africa do not have cervical screening programmes and, even in richer countries such as South Africa, the national policy is to screen women three times in their life at 30, 40 and 50 years of age. Many HIV specialist centres, with additional donor funds, are now attempting to perform annual cervical screening, at least in South Africa.

Special COVID-19 Preventive Diets Consumed in sub-Saharan Africa during the Lockdown

2021 ◽  
Vol 21 (06) ◽  
pp. 18192-18205
Author(s):  
Eridiong O. Onyenweaku ◽  
◽  
H Kesa ◽  
AK Tchuenchieu ◽  
◽  
...  
Keyword(s):  
South Africa ◽  
Online Survey ◽  
Fruits And Vegetables ◽  
Developed Countries ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Neem Leaves ◽  
Sub Saharan ◽  
Combretum Micranthum ◽  
June July

COVID-19 is nowadays considered a pandemic whose mortality rate is clearly higher in developed countries. In contrast to predictions, Africa appears as one of the least affected continents. This pilot study was designed with the aim of identifying the various foods/drinks consumed in various sub-Saharan countries under partial or total lockdown to prevent the disease. In this condition, a cross-sectional online survey was carried out for six weeks (June/July, 2020). A total of 817 people from Cameroon (246), Ethiopia (35), Ghana (57), Kenya (87), Nigeria (211) and South Africa (181) voluntarily took part to this study. Among them, 51.7% reported consuming nothing special for COVID-19 prevention. On the other hand, foods/drinks consumed by the rest of the respondents for therapeutic purposes were grouped into five classes; infusions made from spices, honey and fruits (like lemon, lime, ginger and garlic) were the most popularly consumed class followed by fruits and vegetables. Two other groups related to medicinal plants consisted of ‘Bark Infusions and decoctions’ mainly of Kinkeliba (Combretum micranthum) or Quinquina (Cinchona officinalis), as well as ‘Maceration, decoction or infusion of Neem leaves or Artemisia. These were mainly consumed in Cameroon. Another group was ‘local beverages’ like those from Hibiscus, beetroot or lemonade. The last group was represented by those consuming conventional medicines/supplements especially Vitamin C and Zinc. This was mainly the case in South Africa. Globally, females, white people (race) and those affluent (income) had a significantly higher tendency to consume conventional medicines (p<0.05). Up to 70% of the respondents believed the cited special diets/drinks could be helpful in boosting the immune system. The majority reported informing themselves through social media, friends and relatives. A systematic review of the healthy properties and antiviral potential of the identified special foods, therefore, becomes a prerequisite for prioritizing and promoting them in the fight against the COVID-19 pandemic.

scholarly journals Trends in handwashing behaviours for COVID-19 prevention: Longitudinal evidence from online surveys in 10 sub-Saharan African countries

2021 ◽  
Vol 1 (11) ◽  
pp. e0000049
Author(s):  
Bolanle Olapeju ◽  
Zoé Mistrale Hendrickson ◽  
Joseph G. Rosen ◽  
Dominick Shattuck ◽  
J. Douglas Storey ◽  
...  
Keyword(s):  
South Africa ◽  
Disease Transmission ◽  
Fixed Effects ◽  
African Countries ◽  
Post Secondary ◽  
Attitudes And Practices ◽  
Country Level ◽  
Prevention Messages ◽  
Personal Action ◽  
Sub Saharan

Handwashing is essential for respiratory virus prevention, but uptake of handwashing in the context of the SARS-CoV-2 pandemic remains under-explored. This study examines trends in and determinants of handwashing practices for COVID-19 prevention in 10 countries in West, East, and Southern Africa. Data are derived from an online global Facebook survey assessing COVID-19 knowledge, attitudes, and practices, fielded in July (Round 1) and November 2020 (Round 2). Adults ≥18 years (N = 29,964) were asked if they practiced handwashing with soap and water in the past week to prevent COVID-19. Design-corrected F-statistics compared knowledge and practice of handwashing, at country and regional levels, between survey rounds. A country-level fixed-effects logistic regression model then identified socio-demographic and ideational correlates of handwashing at Round 2. Most participants were >30 years-old, men, post-secondary educated, and urban residents. Between survey rounds, handwashing prevalence declined significantly across regions and in each country, from a 14% decline (Δ84%–70%) in Tanzania to a 3% decline (Δ92%–89%) in South Africa. Handwashing was higher among participants aged >30 years (Adjusted Odds Ratio [aOR] = 1.25, 95% confidence interval [95%CI]: 1.15–1.35) and with post-secondary education (aOR = 1.62, 95%CI: 1.49–1.77) but lower among men (aOR = 0.71, 95%CI: 0.64–0.78). Ideational factors associated with handwashing included perceived effectiveness of handwashing (aOR = 2.17, 95%CI: 2.00–2.36), knowing someone diagnosed with COVID-19 (aOR = 1.28, 95%CI: 1.18–1.40), and perceived importance of personal action for COVID-19 prevention (aOR = 2.93; 95%CI: 2.60–3.31). Adjusting for socio-demographic and ideational factors, country-level marginal probabilities of handwashing ranged from 67% in Tanzania to 91% in South Africa in Round 2. COVID-19 prevention messages should stress the importance of handwashing, coupled with mask use and physical distancing, for mitigating respiratory disease transmission. Behaviour change communications should be sensitive to resource heterogeneities in African countries, which shape opportunities for sustainable handwashing behaviours.

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