scholarly journals An Overview of Cholera Epidemiology: A Focus on Africa; with a Keen Interest on Nigeria

2020 ◽  
pp. 1-17
Author(s):  
Tarh, Jacqueline Ebob
Keyword(s):  
Local Government ◽  
Task Force ◽  
Case Fatality ◽  
Sub Saharan Africa ◽  
Polluted Water ◽  
The People ◽  
Sanitation And Hygiene ◽  
The World ◽  
Sub Saharan ◽  
Sanitary Conditions

Cholera is still a problem in the world today. A huge population of deaths due to cholera disease still occur in Sub-Saharan Africa (Nigeria most especially), Asia, the Americas and other developing countries, where approximately 1.7 billion inhabitants are still served by faecally polluted water sources. Approximately, 2.4 billion inhabitants of these areas of the world lack the majorly required sanitary conditions of living. Legros, asserts that, as of 2019, about forty-seven countries of the globe, are still affected by cholera. Raw or undercooked, contaminated seafood, serves as a vehicle for the transmission (especially to non-endemic areas). A Case Fatality Rate of 4.87% was recorded from 34 Local Government Areas of Bauchi, Borno, Kaduna, Kano and Zamfara state in Nigeria by the 34th week, in 2018, while 298 confirmed cases and 38 deaths (CFR 1.5%) were recorded from three Local Government Areas in two States (Adamawa & Borno) by Epidemiological week 41 in 2019. Cholera in some cases is regarded as a “disease of the poor” because the populations most affected are those that cannot afford to provide the basic health facilities for themselves. For example, waste management systems, and good accommodation with toilet facilities (the living and health conditions of the people) are wanting. In 2017, A Global Roadmap to 2030 was launched by the Global Task Force on Cholera Control (GTFCC Ending Cholera) to decrease the death rate due to cholera by 90%. By so doing, the disease can be eradicated from at least half of the 47 cholera-affected countries. The objectives of this roadmap are: to fortify health systems, water, sanitation and hygiene (WASH), and to coordinate different ways by which cholera can be controlled in these countries by 2030 (ensuring early detection and prompt response to contain outbreaks). This review aimed to understand the epidemiology of cholera in Nigeria, Africa and the world at large, to access the level of spread, management and preventive measures so far implemented in the endemic regions.

scholarly journals The seasonality of cholera in sub-Saharan Africa

2021 ◽  
Author(s):  
Javier Perez-Saez ◽  
Justin Lessler ◽  
Elizabeth C. Lee ◽  
Francisco J. Luquero ◽  
Espoir B. Malembaka ◽  
...  
Keyword(s):  
Large Scale ◽  
Task Force ◽  
Case Fatality ◽  
Sub Saharan Africa ◽  
Health Concern ◽  
National Differences ◽  
Sub Saharan ◽  
Eastern And Southern Africa ◽  
Positive Correlations ◽  
Gates Foundation

Background Cholera remains a major threat in Sub-Saharan Africa (SSA) where some of the highest case fatality risks are reported. Knowing in what months and where cholera tends to occur across the continent can aid in improving efforts to eliminate cholera as a public health concern; though largely due to lack of unified large-scale datasets, no continent-wide estimates exist. In this study we aim to estimate cholera seasonality across SSA. Methods We leverage the Global Task Force on Cholera Control (GTFCC) global cholera database with statistical models to synthesize data across spatial and temporal scale in order to infer the seasonality of excess suspected cholera occurrence in SSA. We developed a Bayesian statistical model to infer the monthly risk of excess cholera at the first and/or second administrative levels. Seasonality patterns were then grouped into spatial clusters. Finally, we studied the association between seasonality estimates and hydro-climatic variables. Findings The majority of studied countries (24/34) have seasonal patterns in excess cholera, corresponding to approximately 85% of the SSA population. Most countries (19/24) also had sub-national differences in seasonality patterns, with strong differences in seasonality strength between regions. Seasonality patterns clustered into two macro-regions (West Africa and the Sahel vs. Eastern and Southern Africa), which were composed of sub-regional clusters with varying degrees of seasonality. Exploratory association analysis found most consistent and positive correlations between cholera seasonality and precipitation, and to a lesser extent with temperature and flooding. Interpretation Widespread cholera seasonality in SSA offers opportunities for intervention planning. Further studies are needed to study the association between cholera and climate. Funding The NASA Applied Sciences Program and the Bill and Melinda Gates Foundation.

Trauma Intervention in Sub-Saharan African Children: A Systematic Literature Review

2017 ◽  
Vol 20 (4) ◽  
pp. 453-469
Author(s):  
Tiamo Katsonga-Phiri ◽  
Kathryn E. Grant ◽  
Molly Brown
Keyword(s):  
Mental Health ◽  
Health Resources ◽  
Sub Saharan Africa ◽  
World Health ◽  
African Countries ◽  
The People ◽  
Qualitative Systematic Review ◽  
The World ◽  
Sub Saharan ◽  
Health Organization

Sub-Saharan Africa is a part of the world that is highly affected by a large number of atrocities, causing a myriad of financial, physical health, and mental health consequences. Yet, unfortunately, according to the World Health Organization (WHO), this is also the part of the world that is least served by mental health services. In response, the WHO has created mandates to increase mental health resources and capacity in all countries. Researchers have taken on the work of introducing and adapting treatments in various sub-Saharan African countries with an aim to create sustainable, evidence-based treatment in a part of the world with high need. The current qualitative systematic review of the literature examines 20 articles that report on research conducted in sub-Saharan African countries with children who have suffered different types of traumas. This review answers questions concerning the types of treatments used, the people administering the treatments, the measures they take to adapt these treatments, and the types of outcomes that are seen. Overall, the majority of treatments being used are shown to be effective with the associated populations.

Funding Rural Development in Post-Apartheid South Africa's Land Reform Programme

2020 ◽  
pp. 118-139
Author(s):  
Mukovhe Maureen Nthai
Keyword(s):  
South Africa ◽  
Rural Development ◽  
South African ◽  
Land Reform ◽  
Development Strategies ◽  
Sub Saharan Africa ◽  
Post Colonial ◽  
The People ◽  
The World ◽  
Sub Saharan

The development of Africa is not only a problem to the Africans alone but also to the world at large. This is because some regions of the world also depend on Africa for their livelihoods. In Sub Saharan Africa one of the rural development strategies identified is land reform. Post-colonial African governments have argued that land reform would alleviate the majority of the people in the region from poverty, create employment, and address inequality. This is the position adopted by the post-apartheid government in South Africa beyond 27 April 1994. However, the South African post-apartheid land reform has had some significant complexities in its implementation – especially with regard to funding. Funding was impeded by widespread corruption in government. In addition, there has been immense lack of interest in making funds available for land reform in South Africa from non-governmental entities and donors.

scholarly journals The seasonality of cholera in sub-Saharan Africa

2021 ◽  
Author(s):  
Francisco Javier Perez-Saez ◽  
Justin Lessler ◽  
Elizabeth C. Lee ◽  
Francisco J. Luquero ◽  
Espoir B. Malembaka ◽  
...  
Keyword(s):  
Large Scale ◽  
Task Force ◽  
Case Fatality ◽  
Sub Saharan Africa ◽  
Health Concern ◽  
National Differences ◽  
Administrative Unit ◽  
Sub Saharan ◽  
Eastern And Southern Africa ◽  
Gates Foundation

BackgroundCholera remains a major threat in Sub-Saharan Africa (SSA) where some of the highest case fatality risks are reported. Knowing in what months and where cholera tends to occur across the continent can aid in improving efforts to eliminate cholera as a public health concern; though largely due to lack of unified large-scale datasets, no continent-wide estimates exist. In this study we aim to estimate cholera seasonality across SSA. MethodsWe leverage the Global Task Force on Cholera Control (GTFCC) global cholera database with statistical models to synthesize data across spatial and temporal scale in order to infer the seasonality of excess suspected cholera occurrence in SSA. Cholera excess occurrence was defined based on exceeding previously published estimates of mean monthly cholera incidence estimates in a given administrative unit. We developed a Bayesian statistical model to infer the monthly risk of excess cholera at the first and/or second administrative levels. Seasonality patterns were then grouped into spatial clusters. Finally, we studied the association between seasonality estimates and hydro-climatic variables.FindingsWe find that the majority of studied countries (26/38) have seasonal excess cholera patterns, corresponding to ~85% of the SSA population. Most countries (20/38) also had sub-national differences in seasonality patterns, with strong differences in seasonality strength between regions. Seasonality patterns clustered into two macro-regions (West Africa and the Sahel vs. Eastern and Southern Africa), which were composed of sub-regional clusters with varying degrees of seasonality. Exploratory association analysis found most consistent and positive correlations between cholera seasonality and precipitation, and to a lesser extent with temperature and flooding.InterpretationWidespread cholera seasonality in SSA offers opportunities for intervention planning. Further studies are needed to study the association between cholera and climate. FundingThe NASA Applied Sciences Program and the Bill and Melinda Gates Foundation.

Development Solutions for Africa: The Need for Policy Reform and Good Governance

1997 ◽  
Vol 25 (1) ◽  
pp. 35-38
Author(s):  
Kempe Ronald Hope
Keyword(s):  
Good Governance ◽  
Policy Reform ◽  
Sub Saharan Africa ◽  
Annual Growth ◽  
Annual Growth Rate ◽  
The People ◽  
The World ◽  
Per Capita ◽  
Sub Saharan ◽  
Annual Decline

With few exceptions, economic development in the African states has generally been elusive and the people in sub-Saharan Africa remain among the poorest in the world. From 1970 to 1990, GDP per capita in sub-Saharan Africa grew in real terms by only US$80 and the region’s aggregate GNP per capita was only US$340 in 1990. In terms of annual percentage change, the region registered a 1.8 percent annual growth from 1970-77, an annual decline of 3.0 percent from 1978-84, and an annual increase of 2.4 percent from 1985-90. However, for the entire period of 1970-90, growth was statistically insignificant. During the period 1980-92 the annual growth rate of GNP per capita in sub-Saharan Africa was recorded as -1.83.

In the name of bringing services closer to the people? Explaining the creation of new local government districts in Uganda

2014 ◽  
Vol 80 (4) ◽  
pp. 766-788 ◽  
Author(s):  
Nicholas Awortwi ◽  
A.H.J. (Bert) Helmsing
Keyword(s):  
Local Government ◽  
Central Government ◽  
Political Process ◽  
Democratic Governance ◽  
Sub Saharan Africa ◽  
Policy Objective ◽  
The People ◽  
Policy Statements ◽  
Policy Objectives ◽  
Sub Saharan

Many governments in Africa and elsewhere in Asia and Latin America have created new local government (LG) jurisdictions as part of their decentralization policies. However, most decentralization studies have focused on fiscal, political and administrative assignments between levels of government. Much less attention has been given to the number and size of LG jurisdictions. Often, these are considered to be an accident of history, but the reality is not so. This article pursues five propositions concerning the rationale for creating LG jurisdictions and examines their relevance in the Uganda context. The article concludes that creation of LG jurisdictions in Uganda neither conforms to the policy objective of bringing services closer to the people nor to promoting participatory democratic governance. Instead, the practice conforms to central government gerrymandering tactics of forging an electoral alliance with small jurisdictions and to extend neo-patrimonial networks to win votes in order to stay in power. Points for practitioners Donors and development practitioners have often expressed their frustrations on decentralization policies and outcomes in sub-Saharan Africa (SSA) because they have analysed the policy based on what governments say their intentions are. Until they understand the political economy of decentralization in Africa they will always be bewildered not only by the mismatch between policy objectives and outcomes but also by many unspoken rationales for implementing decentralization reforms. Decentralization can be a facade behind which quite different practices take place. In many countries in SSA, it is a narrowly political process that ruling governments pursue for their own benefit (or accept to pursue when pushed by donors where it hurts them least) and not for the nicely written policy statements of improving services.

Christianity in the Twentieth Century

2019 ◽  
Author(s):  
Brian Stanley
Keyword(s):  
Latin America ◽  
Racial Identity ◽  
Sub Saharan Africa ◽  
Central Importance ◽  
Regional Survey ◽  
History Of Christianity ◽  
The World ◽  
History Of ◽  
Sub Saharan ◽  
Different Parts

This book charts the transformation of one of the world's great religions during an age marked by world wars, genocide, nationalism, decolonization, and powerful ideological currents, many of them hostile to Christianity. The book traces how Christianity evolved from a religion defined by the culture and politics of Europe to the expanding polycentric and multicultural faith it is today—one whose growing popular support is strongest in sub-Saharan Africa, Latin America, China, and other parts of Asia. The book sheds critical light on themes of central importance for understanding the global contours of modern Christianity, illustrating each one with contrasting case studies, usually taken from different parts of the world. Unlike other books on world Christianity, this one is not a regional survey or chronological narrative, nor does it focus on theology or ecclesiastical institutions. The book provides a history of Christianity as a popular faith experienced and lived by its adherents, telling a compelling and multifaceted story of Christendom's fortunes in Europe, North America, and across the rest of the globe. It demonstrates how Christianity has had less to fear from the onslaughts of secularism than from the readiness of Christians themselves to accommodate their faith to ideologies that privilege racial identity or radical individualism.

Crowdsourcing Covid-19 signals in sub-Saharan Africa: Leveraging digital contributor networks for participatory surveillance of Covid-19 symptoms and deaths (Preprint)

2020 ◽  
Author(s):  
Ngozi A Erondu ◽  
Sagal A Ali ◽  
Mohamed Ali ◽  
Schadrac C Agbla
Keyword(s):  
Public Health ◽  
Sub Saharan Africa ◽  
Specific Information ◽  
Surveillance Systems ◽  
Health Seeking ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Local Networks ◽  
The World ◽  
Sub Saharan

BACKGROUND In sub-Saharan Africa, underreporting of cases and deaths has been attributed to various factors including, weak disease surveillance, low health-seeking behaviour of flu like symptoms, and stigma of Covid-19. There is evidence that SARS-CoV-2 spread mimics transmission patterns of other countries across the world. Since the Covid-19 pandemic has changed the way research can be conducted and in light of restrictions on travel and risks to in-person data collection, innovative approaches to collecting data must be considered. Nearly 50% of Africa’s population is a unique mobile subscriber and it is one of the fastest growing smart-phone marketplaces in the world; hence, mobile phone platforms should be considered to monitor Covid-19 trends in the community. OBJECTIVE We demonstrate the use of digital contributor platforms to survey individuals about cases of flu-like symptoms and instances of unexplained deaths in Ethiopia, Kenya, Nigeria, Somalia, and Zimbabwe. METHODS Rapid cross-sectional survey of individuals with severe flu and pneumonia symptoms and unexplained deaths in Ethiopia, Kenya, Nigeria, Somalia and Zimbabwe RESULTS Using a non-health specific information platform, we found COVID-19 signals in five African countries, specifically: •Across countries, nearly half of the respondents (n=739) knew someone who had severe flu or pneumonia symptoms in recent months. •One in three respondents from Somalia and one in five from Zimbabwe respondents said they knew more than five people recently displaying flu and/or pneumonia symptoms. •In Somalia there were signals that a large number of people might be dying outside of health facilities, specifically in their homes or in IDP or refugee camps. CONCLUSIONS Existing digital contributor platforms with local networks are a non-traditional data source that can provide information from the community to supplement traditional government surveillance systems and academic surveys. We demonstrate that using these distributor networks to for community surveys can provide periodic information on rumours but could also be used to capture local sentiment to inform public health decision-making; for example, these insights could be useful to inform strategies to increase confidence in Covid19 vaccine. As Covid-19 continues to spread somewhat silently across sub-Saharan Africa, regional and national public health entities should consider expanding event-based surveillance sources to include these systems.

Human Development Paradigm for South Asia

2018 ◽  
Keyword(s):  
South Asia ◽  
Human Development ◽  
Sub Saharan Africa ◽  
Health And Nutrition ◽  
The People ◽  
Sub Saharan ◽  
Development Paradigm

In the chapter, Haq gives a snapshot of the human progress of South Asia, comparing it with other regions. He was worried about the region beginning to lag behind all other regions, including Sub-Saharan Africa. He highlights the role of the two largest economies in the region, India and Pakistan, in financing the major investment in education, health and nutrition for the people. Haq advocates some fiscal and monetary reforms are suggested to invest in human development.

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