scholarly journals Tackling adverse health effects of climate change and migration through intersectoral capacity building in Sub-Saharan Africa

BJGP Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. bjgpopen20X101065
Author(s):  
Charlotte Scheerens ◽  
Ilse Ruyssen ◽  
Sunanda Ray ◽  
An De Sutter ◽  
Wouter Vanhove ◽  
...  
Keyword(s):  
Climate Change ◽  
Capacity Building ◽  
Health Effects ◽  
Sub Saharan Africa ◽  
Adverse Health Effects ◽  
Adverse Health ◽  
Sub Saharan ◽  
And Migration

scholarly journals Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6323
Author(s):  
Charlotte Scheerens ◽  
Els Bekaert ◽  
Sunanda Ray ◽  
Akye Essuman ◽  
Bob Mash ◽  
...  
Keyword(s):  
Climate Change ◽  
Capacity Building ◽  
Primary Healthcare ◽  
Exploratory Study ◽  
Health Sector ◽  
Sub Saharan Africa ◽  
Health Impacts ◽  
Sub Saharan ◽  
And Migration

Although family physicians (FPs) are community-oriented primary care generalists and should be the entry point for the population’s interaction with the health system, they are underrepresented in research on the climate change, migration, and health(care) nexus (hereafter referred to as the nexus). Similarly, FPs can provide valuable insights into building capacity through integrating health-determining sectors for climate-resilient and migration-inclusive health systems, especially in Sub-Saharan Africa (SSA). Here, we explore FPs’ perceptions on the nexus in SSA and on intersectoral capacity building. Three focus groups conducted during the 2019 WONCA-Africa conference in Uganda were transcribed verbatim and analyzed using an inductive thematic approach. Participants’ perceived interactions related to (1) migration and climate change, (2) migration for better health and healthcare, (3) health impacts of climate change and the role of healthcare, and (4) health impacts of migration and the role of healthcare were studied. We coined these complex and reinforcing interactions as continuous feedback loops intertwined with socio-economic, institutional, and demographic context. Participants identified five intersectoral capacity-building opportunities on micro, meso, macro, and supra (international) levels: multi-dimensional and multi-layered governance structures; improving FP training and primary healthcare working conditions; health advocacy in primary healthcare; collaboration between the health sector and civil society; and more responsibilities for high-income countries. This exploratory study presents a unique and novel perspective on the nexus in SSA which contributes to interdisciplinary research agendas and FP policy responses on national, regional, and global levels.

scholarly journals Climate change and agriculture in Burkina Faso

2021 ◽  
pp. 22-47
Author(s):  
Hamid El Bilali
Keyword(s):  
Climate Change ◽  
Burkina Faso ◽  
Climate Extremes ◽  
Animal Husbandry ◽  
Conservation Agriculture ◽  
Sub Saharan Africa ◽  
Climate Trends ◽  
Crop Suitability ◽  
Sub Saharan ◽  
And Migration

The impacts of climate change (CC) are expected to be higher in developing countries (e.g. Sub-Saharan Africa). However, these impacts will depend on agriculture development and resilience. Therefore, this paper provides a comprehensive analysis of the multifaceted relationships between CC and agriculture in Burkina Faso (BF). A search performed in March 2020 on the Web of Science yielded 1,820 documents and 217 of them were included in the systematic review. The paper provides an overview on both bibliometrics (e.g. journals, authors, institutions) and topics addressed in the literature viz. agriculture subsectors, climate trends in BF, agriculture and CC mitigation (e.g. agriculture-related emissions, soil carbon sequestration), impacts of CC on agriculture (e.g. natural resources, crop suitability, yields, food security) as well as adaptation strategies. BF is experiencing CC as evidenced by warming and an increase in the occurrence of climate extremes. The literature focuses on crops, while animal husbandry and, especially, fisheries are often overlooked. Moreover, most of the documents deal with CC adaptation by the Burkinabe farmers, pastoralists and rural populations. Analysed adaptation options include conservation agriculture and climate-smart agriculture, irrigation, crop diversification, intensification, livelihoods diversification and migration. However, the focus is mainly on agricultural and individual responses, while livelihoods strategies such as diversification and migration are less frequently addressed. Further research is needed on the dual relation between agriculture and CC to contribute to the achievement of the Sustainable Development Goals. Research results are crucial to inform policies aimed at CC mitigation and/or adaptation in rural BF.

scholarly journals Is iodine deficiency still a problem in sub-Saharan Africa?: a review

2019 ◽  
Vol 78 (4) ◽  
pp. 554-566 ◽  
Author(s):  
Sanjoy Saha ◽  
Brenda A. Z. Abu ◽  
Yasaman Jamshidi-Naeini ◽  
Upasana Mukherjee ◽  
Makenzie Miller ◽  
...  
Keyword(s):  
Health Effects ◽  
Iodine Deficiency ◽  
Iodine Intake ◽  
Sub Saharan Africa ◽  
Iodine Status ◽  
Adverse Health Effects ◽  
Excess Iodine ◽  
Excessive Iodine ◽  
Sub Saharan ◽  
Goitre Prevalence

Iodine is an essential trace mineral, vital for its functions in many physiological processes in the human body. Both iodine deficiency (ID) and excess are associated with adverse health effects; ID and excess iodine intake have both been identified in sub-Saharan Africa (SSA). The review aims to (1) review the iodine status among populations in SSA until October 2018, and (2) identify populations at risk of excess or inadequate iodine intakes. A systematic search of relevant articles was carried out by a seven-member research team using PubMed, Science Direct and Scopus. A total of twenty-two articles was included for data extraction. Of the articles reviewed, the majority sought to determine the prevalence of iodine status of the study populations; others measured the impact of uncontrolled and unmonitored salt iodisation on iodine excess and tested the effectiveness of water iodisation. Although iodine status varied largely in study populations, ID and excessive iodine intake often coexisted within populations. The implementation of nutrition interventions and other strategies across SSA has resulted in the reduction of goitre prevalence. Even so, goitre prevalence remains high in many populations. Improvements in access to iodised salt and awareness of its importance are needed. The emerging problem of excess iodine intakes, however, should be taken into consideration by policy makers and programme implementers. As excessive iodine intakes may have adverse health effects greater than those induced by iodine deficient diets, more population-based studies are needed to investigate iodine intakes of the different population groups.

Green Sukuk, Energy Poverty, and Climate Change: A Roadmap for Sub-Saharan Africa

2018 ◽  
Author(s):  
Dalal Aassouli ◽  
Mehmet Asutay ◽  
Mahmoud Mohieldin ◽  
Tochukwu Chiara Nwokike
Keyword(s):  
Climate Change ◽  
Sub Saharan Africa ◽  
Energy Poverty ◽  
Sub Saharan

Managing African Urbanization in the Context of Environmental Change

2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Shuaib Lwasa
Keyword(s):  
Climate Change ◽  
Economic Growth ◽  
Social Services ◽  
Urban Areas ◽  
Urban Governance ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Sub Saharan ◽  
Urbanization Rate ◽  
Development And Management

Africa’s urbanization rate has increased steadily over the past three decades and is reported to be faster than in any other region in the world . It is estimated that by 2030, over half of the African population will be living in urban areas . But the nature of Africa’s urbanization and subsequent form of cities is yet to be critically analyzed in the context of city authorities’ readiness to address the challenges . Evidence is also suggesting that urbanization in African countries is increasingly associated with the high economic growth that has been observed in the last two decades . Both underlying and proximate drivers are responsible for the urbanization, and these include population dynamics, economic growth, legislative designation, increasing densities in rural centers, as well as the growth of mega cities such as Lagos, Cairo and Kinshasa, that are extending to form urban corridors . With the opportunities of urbanization in Sub–Saharan Africa, there are also challenges in the development and management of these cities . Those challenges include provision of social services, sustainable economic development, housing development, urban governance, spatial development guidance and environmental management, climate change adaptation, mitigation and disaster risk reduction . The challenge involves dealing with the development and infrastructure deficit, in addition to required adaption to and mitigation of climate change . This paper examines the current state of urban management in Africa .

scholarly journals Positioning for success: building capacity in academic competencies for early-career researchers in sub-Saharan Africa

2019 ◽  
Vol 6 ◽  
Author(s):  
C. Merritt ◽  
H. Jack ◽  
W. Mangezi ◽  
D. Chibanda ◽  
M. Abas
Keyword(s):  
Mental Health ◽  
Capacity Building ◽  
Low Cost ◽  
Early Career ◽  
Sub Saharan Africa ◽  
Training Experience ◽  
African Countries ◽  
Early Career Researchers ◽  
Academic Competencies ◽  
Sub Saharan

Background. Capacity building is essential in low- and middle-income countries (LMICs) to address the gap in skills to conduct and implement research. Capacity building must not only include scientific and technical knowledge, but also broader competencies, such as writing, disseminating research and achieving work–life balance. These skills are thought to promote long-term career success for researchers in high-income countries (HICs) but the availability of such training is limited in LMICs. Methods. This paper presents the contextualisation and implementation of the Academic Competencies Series (ACES). ACES is an early-career researcher development programme adapted from a UK university. Through consultation between HIC and LMIC partners, an innovative series of 10 workshops was designed covering themes of self-development, engagement and writing skills. ACES formed part of the African Mental Health Research Initiative (AMARI), a multi-national LMIC-led consortium to recruit, train, support and network early-career mental health researchers from four sub-Saharan African countries. Results. Of the 10 ACES modules, three were HIC-LMIC co-led, four led by HIC facilitators with LMIC training experience and three led by external consultants from HICs. Six workshops were delivered face to face and four by webinar. Course attendance was over 90% and the delivery cost was approximately US$4500 per researcher trained. Challenges of adaptation, attendance and technical issues are described for the first round of workshops. Conclusions. This paper indicates that a skills development series for early-career researchers can be contextualised and implemented in LMIC settings, and is feasible for co-delivery with local partners at relatively low cost.

scholarly journals Study protocol for a randomised controlled trial examining the effect of blood and plasma donation on serum perfluoroalkyl and polyfluoroalkyl substance (PFAS) levels in firefighters

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044833
Author(s):  
Gabriel Silver ◽  
Yordanka Krastev ◽  
Miriam K Forbes ◽  
Brenton Hamdorf ◽  
Barry Lewis ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Health Effects ◽  
Whole Blood ◽  
Sulfonic Acid ◽  
Controlled Trial ◽  
Adverse Health Effects ◽  
Plasma Donation ◽  
Adverse Health ◽  
Study Results ◽  
Randomised Controlled

IntroductionPerfluoroalkyl and polyfluoroalkyl substances (PFAS) are a diverse group of compounds that have been used in hundreds of industrial applications and consumer products including aqueous film-forming foam (AFFF) for many years. Multiple national and international health and environmental agencies have accepted that PFAS exposures are associated with numerous adverse health effects. Australian firefighters have been shown to have elevated levels of PFAS in their blood, specifically perfluorooctane sulfonic acid (PFOS) and perfluorohexane sulfonic acid (PFHxS), due to the historical use of AFFF. While PFAS concentrations decline over time once the source of exposure has been removed, their potential adverse health effects are such that it would be prudent to develop an intervention to lower levels at a faster rate than occurs via natural elimination rates.Methods and analysisThis is a randomised controlled trial of current and former Australian firefighters in the Metropolitan Fire Brigade/Fire Rescue Victoria, and contractors, with previous occupational exposure to PFAS and baseline elevated PFOS levels. The study is investigating whether whole blood donation every 12 weeks or plasma donation every 6 weeks will significantly reduce PFAS levels, compared with a control group. We have used covariate-adaptive randomisation to balance participants’ sex and blood PFAS levels between the three groups and would consider a 25% reduction in serum PFOS and PFHxS levels to be potentially clinically significant after 12 months of whole blood or plasma donation. A secondary analysis of health biomarkers is being made of changes between screening and week 52 in all three groups.Ethics and disseminationThis trial has been approved by Macquarie University Human Research Ethics Committee (reference number: 3855), final protocol V.2 dated 12 June 2019. Study results will be disseminated via peer-reviewed publications and presentations at conferences.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12619000204145).

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