Journal articles on the topic 'Economic security – Zambia'

Family planning represents a ‘best buy’ in global efforts to achieve sustainable development and attain improvements in sexual and reproductive health. Ensuring access is amongst key transformative strategies that underpin health and sustainable development. It confers fertility choices on women and couples within a human rights framework. By meeting contraceptive needs of all women, significant public health impact and development gains accrue. At the same time, governments face the complex challenge of allocating finite resources to competing priorities, each of which presents known and unknown challenges and opportunities. As such, there is a need to carefully consider the estimated costs and benefits for each proposed investment in health, education, social welfare, and security. Zambia has experienced a slow but steady increase in contraceptive prevalence, with slight decline in total fertility rate (TFR), over the past 20 years. Increasing voluntary modern contraceptive use among women offers opportunities to reduce unintended pregnancy while effectively harnessing the demographic dividend in order to bolster socioeconomic outcomes for households and communities. Drawing from the Zambian context, we present a case for making investments in voluntary family planning (FP), underpinned by a human rights framework, as a pillar for accelerating development and socio-economic advancement. Through multilevel interventions aimed at averting unintended pregnancies, Zambia – and other low- and middle-income countries – can reduce their age dependency ratios and harness economic growth opportunities awarded by the demographic dividend while improving the health and quality of life of the population.

The overwhelmingly dominant regional power of southern Africa, South Africa, attempts to contain the political, economic, and military interdependence of neighboring states, irrespective of ideological preference. The Southern African Development Coordination Conference (SADCC) founded in 1980, is the response of the other states in the region to South Africa’s ambitions to maintain regional hegemony. Its nine member state are Angola, Botswana, Lesotho, Malawi, Mozambique, Swaziland, Tanzania, Zambia, and Zimbabwe, and an independent Namibia is expected to join. The specific objectives of SADCC, as stated in the 1980 Lusaka Declaration, are the reduction of economic dependence in general (not only on South Africa); the forging of links to create a genuinely meaningful and equitable system of regional integration; the mobilization of resources to support national, interstate, and regional policies; and concerted action to secure international cooperation for the purpose of economic liberation.

<p>The Zambian government and its cooperating partners have been trying to promote the use of conservation agriculture for improved food security and promotion of environmental sustainability. The methods used to promote conservation agriculture however are not adequately informed because no Zambia-specific studies have been done to explain adoption behaviour. This study aimed at explaining the factors that affect the adoption of conservation agriculture in Zambia using a case study.</p><p>A cross section survey of 200 randomly selected small scale farmers in Chongwe district was conducted using a structured questionnaire. Information collected included demographic characteristics of participating households, economic, as well as social characteristics. Respondents also provided information on the farming practices they are currently using vis a vis conservation agriculture.</p>A decision model was estimated using logistic regression and the results indicate that the adoption of conservation agriculture in the survey area is basically influenced by ownership of draft power, availability of labour, and the frequency of contact with the farmer support extension system. Potential to increase the adoption rate is plenty, but can only be tapped into if strategies and policies take into account the behavioural aspects of the adoption of the technology.

In this study, we surveyed two districts of Zambia—Choma and Pemba. The aim of this study was to obtain the perspective of farmers on anthill soil utilization practices for key information that could contribute towards the development of an anthill soil based research agenda. The study employed both a qualitative and quantitative method approach to gather data from the respondents, which included farmers and key informants. Qualitative data was analyzed using the triangulation method and Computer Assisted Qualitative Data Analysis Software (CAQDAS), Nvivo version 10, while data generated from quantitative interviews with a smart phone Application (Open Data Kit) were analyzed using Statistical Package for Social Sciences (SPSS). Results revealed that the key hurdles to the utilization of anthill soil lay in agro-climatic, biophysical, technological, land and institutional constraints. Broadly, farmers reported poor rainfall patterns (95%), decreasing soil fertility (70%), limited farm products (69%), finance (66%), limited access to research and extension services (55%) and security of land tenure (48%) as major constraints. We therefore advocate for strengthenedinstitutional linkages between research and extension for information dissemination, which would aid in decision-making used to promote integrated soil fertility management for improved agriculture production and productivity of rural households.

As concerns for employee well-being across all sectors increase, security guards in Southern Africa and the rest of Africa at large attract less attention in human resource management. Well-being is pivotal for positive psychological feeling of workers, and also conducive for economic growth. Employee well-being has positive effects on company performance, profitability and growth. Therefore, employee well-being is a cardinal factor across the globe. Security guards, like any other employees, deserve decent conditions of service, which promote their overall well-being. Youths who lack sufficient funds to pursue tertiary education in universities end up undertaking the most affordable short courses in order to see them through employment, as they are desperate for incomes to sustain themselves and families. The commonest affordable short courses in Southern Africa include those found in jobs such as security guards, carpentry, tailoring, and cookery. Amongst the most affordable short courses, youths prefer security guard training due to its high job market demand. The health, safety, and quality of the physical environment, as well as the low subsistence wages for Security guards leave much to be desired. The labour standards of security guards in Africa are unthinkable, unsatisfactory and atrocious. This study aims at introducing essential recommendations in order to improve the well-being of security guards in southern Africa. The paper adopted a qualitative research approach by gathering information from security guards working in five different security firms in Zambia.

Abstract Cash transfer programs are rapidly becoming a key component of the social safety net of many countries in Sub-Saharan Africa. The primary aim of these programs is to help households improve their food security and to smooth consumption during periods of economic duress. However, beneficiary households have also been shown to use these programs to expand their microentrepreneurial activities. Cluster-randomized trials carried out during the rollout of large-scale programs in Malawi and Zambia show that children may increase their work in the household enterprise through such programs. Both programs increased forms of work that may be detrimental to children, such as activities that expose children to hazards in Malawi and excessive working hours in Zambia. However, both programs also induced positive changes in other child well-being domains, such as school attendance and material well-being, leading to a mixed and inconclusive picture of the implications of these programs for children.

Tsetse transmitted trypanosomiasis is a fatal disease commonly known as Nagana in cattle and sleeping sickness in humans. The disease threatens food security and has severe economic impact in Africa including most parts of Zambia. The level of effectiveness of commonly used African trypanosomiasis control methods has been reported in several studies. However, there have been no review studies on African trypanosomiasis control and management conducted in the context of One Health. This paper therefore seeks to fill this knowledge gap. A review of studies that have been conducted on African trypanosomiasis in Zambia between 2009 and 2019, with a focus on the control and management of trypanosomiasis was conducted. A total of 2238 articles were screened, with application of the search engines PubMed, PubMed Central and One Search. Out of these articles, 18 matched the required criteria and constituted the basis for the paper. An in-depth analysis of the 18 articles was conducted to identify knowledge gaps and evidence for best practices. Findings from this review provide stakeholders and health workers with a basis for prioritisation of African trypanosomiasis as an important neglected disease in Zambia and for formulation of One Health strategies for better control and/or management of the disease.

This paper aims at understanding how Zambia’s electricity system would be affected by droughts (due to a dry year) and how the system’s adaptive capacity could be improved. Hydropower currently supplies 99% of the total electricity in Zambia, and concerns have been raised because many climate change studies project increased occurrences of dry years in the Southern Africa region. Different economic and climatic scenarios were explored to understand their impact on the development of Zambia’s power generation system, and what policies and strategies could be adopted to mitigate these impacts on security of supply and average generation costs, which directly affect the electricity price. The results show that a dry year has significant impact on the average generating cost since hydropower continues to dominate the system. Diversifying the system does not improve the adaptive capacity of the system but only increases the average cost of generating electricity in an average year. The most cost effective way of increasing the system’s adaptive capacity is by importing electricity and gradually increasing share of renewable and coal technologies in the system. Further research on how electricity trade in Southern Africa could be enhanced, should be done.

Food security is seriously threatened by the low productivity of smallholder farmers, endemic poverty and widespread land degradation in the Northern Region of Zambia, The challenge is how to raise smallholder productivity at farm level in the face of developmental conflicts caused by demographic change, economic growth, strife and insecurity. The government is caught between the Structural Adjustment Programme (SAP) drawn up to enable it to pay off its huge foreign debt on the one hand, and the need to cushion the vulnerable sections of society (mostly smallholder farmers) from the worst aspects of the monetary squeeze on the other, Current evidence points to a dangerous imbalance, with the poor being hit hardest, but there are further steps which could be taken to support smallholders.

AbstractClimate variability and declining soil fertility pose a major threat to sustainable agronomic and economic growth in Zambia. The objective of this study was to assess crop yield, land and labor productivity of conservation agriculture (CA) technologies in Eastern Zambia. On-farm trials were run from 2012–2015 and farmers were replicates of a randomized complete block design. The trials compared three CA systems against a conventional practice. Yield and net return ha−1 were determined for maize and legume yield (kg ha−1) produced by ridge and furrow tillage, CA dibble stick planting, CA animal traction ripping and direct seeding. The dibble stick, ripline and direct seeding CA systems had 6–18, 12–28 and 8–9% greater maize yield relative to the conventional tillage system, respectively. Rotation of maize with cowpea and soybean significantly increased maize yields in all CA systems. Intercropping maize with cowpea increased land productivity (e.g., the land equivalent ratio for four seasons was 2.01) compared with full rotations under CA. Maize/cowpea intercropping in dibble stick CA produced the greatest net returns (US$312-767 ha−1) compared with dibble stick maize-cowpea rotation (US$204-657), dibble stick maize monoculture (US$108-584) and the conventional practice (US$64-516). The net-return for the animal traction CA systems showed that maize-soybean rotations using the ripper were more profitable than the direct seeder or conventional ridge and furrow systems. Agronomic and economic benefits of CA-based cropping systems highlight the good potential for improved food security and agricultural productivity for smallholder farmers.

AbstractCrop wild relatives (CWR) are valuable gene pools for crop improvement and offer unique potential and opportunity for enhancing food security and adaptation to climate change. However, current actions towards conservation of plant genetic resources in Zambia do not adequately cover CWR occurring in the country. The article describes the process leading to the development of a national strategic action plan (NSAP) for the conservation and sustainable use of priority CWR in Zambia. Based on 59 prioritized crops, a partial checklist of 459 CWR taxa was generated from the national flora checklist of 6305 taxa. The generated CWR taxa were prioritized based on the socio-economic value of the related crop, their utilization potential in crop improvement, relative distribution and threat status to produce 30 prioritized CWR taxa. Occurrence data were compiled for all CWR inventory taxa and used in spatial analyses to establish species distribution, species richness, gaps in in situ conservation and genebank collections, and to identify priority sites for in situ conservation and ex situ collecting. Consistent with the national developmental agenda, along with the contribution of national stakeholders, spatial analyses of occurrence data of priority CWR taxa are valuable input for the development of the NSAP for the conservation and sustainable use of the priority CWR.

The relationship between African Union (AU) and Regional Economic Communities (recs) frameworks, especially as it relates to the application of the principle of subsidiarity to intervention that aims to ensure strict adherence to democratic standards, is at the heart of this article. Although there exists a 2007 ‘Draft Protocol on the Relations Between the African Union and the Regional Economic Communities’, it is yet to be adopted, and more importantly, its provisions are ambiguous. The same problem of ambiguity applies to the 2008 ‘Memorandum of Understanding (mou) on Cooperation in the Area of Peace and Security Between the African Union, The Regional Economic Communities and the Coordinating Mechanism of The Regional Standby Brigades of Eastern Africa and Northern Africa’. The lack of a consistent approach to situations in Burundi, The Gambia and Zambia, has since raised the question of subsidiarity, or to put it more specifically, the vague articulation of the concept in the AU. In redressing this problem, the article provides some normative suggestions on how to ensure the effective application of the principle of subsidiarity in advancing democracy and good governance in Africa.

Abstract:In China, Tanzania, and Zambia, state officials participate in an ongoing articulation of official memory of the TAZARA railway project of the 1970s. In high-level diplomatic relations, the TAZARA project and its construction workers are continually held up as a foundational legacy for China–African development cooperation and friendship. However, the now-retired workers who built the railway tell very different kinds of stories about their experiences. In the context of recent economic liberalization policies, retired TAZARA workers draw on individual and collective memories of railway building to achieve both recognition and material security in a world in which they feel forgotten. They seek resolution of their grievances in old age through the telling and retelling of narratives of their youth. By doing so, they claim their own right to remember in the face of ongoing official efforts to reinvent heroic pasts.

Zimbabwe has faced persistent droughts from around year 1990 to date posing a structural food security challenge to the populace. Recently, the government of Zimbabwe introduced a blue print to spearhead and map sustainable balance in tapping value from the available natural and man-made resources in the country. This is known as the Zimbabwe Agenda for Sustainable Socio-economic Transformation Programme (Zim Asset). Amongst its prospects, agriculture and nutrition has been reckoned as a sustainable cluster for economic development. This study was undertaken one and half years after the implementation of Zim Asset as an evaluation mechanism on the successes and challenges faced in transforming the Zimbabwean economy with specific reference to the Food and Nutrition Cluster. The study employed both post positivism and interpretivism philosophies applying quantitative and qualitative approaches in gathering research data. The research instruments included documentary evidence, face to face in-depth interviews and focus groups. The in-depth interviews explored issues to do with resources allocation in line with the Zim Asset agriculture sustenance objectives. Focus was therefore, on the four Ministries supporting the Food and Nutrition Cluster. Eighty percent of the respondents reported that the economic blue print has not made any significant strides in improving the country’s agricultural performance and food security since the inception of Zim Asset in October 2013. It was noted that the country continued to import maize from Zambia and other countries in the region. The major reason for its lack of success was due to the unavailability of resources to support the programme and the fact that land was allocated to unproductive and cell phone farmers. There was consensus that land audit and recapitalisation of the agriculture sector were critical in achieving the desired outcomes. The study recommends that the programme be adequately funded, so that the country can become self-sufficient.

The idea that food insecurity can be resolved by increasing the presence of supermarkets has been gaining traction in African cities and has recently gained political traction in Africa. This paper interrogates the potential value and risks associated with the adoption of the discourse of the food desert in the African context. The paper draws on findings from a households survey, neighborhoods-scale food retail mapping and surveys, and city-wide supermarket mapping conducted in Cape Town (South Africa), Kisumu (Kenya), and Kitwe (Zambia). Following a discussion of why the concept is gaining traction, the paper identifies false assumptions associated with the food desert framing in Africa, namely: supermarkets provide better access to healthier food, low-income areas have poor access to healthy food; and food security can be reduced to economic and physical accessibility. The paper concludes that although the food desert concept may be valuable for African researchers to provoke debates about systemic inequality, the food desert policy narrative should be rejected as it is ill-informed by the lived experiences of food insecurity in African cities and may promote policy interventions that erode rather than enhance the capacity of the food system to meet the food security needs of African urbanites.

Bioenergy can play an important role in achieving the agreed United Nations Sustainable Development Goals (SDGs) and implementing the Paris Agreement on Climate Change, thereby advancing climate goals, food security, better land use, and sustainable energy for all. In this study, we assess the surplus agricultural residues availability for bioelectricity in six least developed countries (LDCs) in Asia and Africa, namely Bangladesh, Lao-PDR, and Nepal in Asia; and Ethiopia, Malawi, and Zambia in Africa, respectively. The surplus agricultural residues have been estimated using residue-to-product ratio (RPR), agricultural residues lost in the collection, transportation and storage, and their alternative applications. We use a linear regression model to project the economic potential of bioelectricity. The contribution of bioelectricity for meeting the LDCs’ electricity requirements is estimated in a time frame between 2017 and 2030. Our results reveal that the surplus biomass feedstock available from the agriculture sector could provide the total current electricity demand in Malawi alone, followed by Nepal (45%), Bangladesh (29%), Lao People’s Democratic Republic (Lao-PDR) (29%), Ethiopia (27%), and Zambia (13%). This study also explores the complementarity and synergies of bioelectricity, SDG7, and their interlinkages with other SDGs. Findings from the study show that providing access to sustainable energy in the LDCs to meet the SDG7 by 2030 might be a challenge due to limited access to technology, infrastructure, and finance. Site-specific investigations on how much agricultural residues could be extracted in an environmentally benign manner for bioelectricity and increased investment in the bioenergy sector are key potential solutions in a myriad of options required to harness the full energy potential in the LDCs.

Smallholders and the poor populations, especially in rural areas, tend to have little or no access to formal credit, which limits their capacity to invest in the technologies and inputs they need to increase their yields and incomes and reduce hunger and poverty. This mainly arises because financial institutions interested in serving this market face a myriad of risks and challenges associated with agricultural production and lending, including seasonality and the associated irregular cash flows, high transaction costs, and systemic risks, such as floods, droughts, and plant diseases. As a solution to the challenge of financial exclusion among the rural poor, several international development organizations have been using Village Savings and Lending Associations (VSLAs) as an alternative option to increasing financial inclusion among the rural communities in most developing countries. Using both quantitative and qualitative methods, this study aimed to assess whether membership to these VSLAs results in significant improvements in household economic status as well as household food security. The results show that compared to non-members, members of these savings groups are more likely to have increased access to alternative and more sustainable financial tools. Membership to these savings groups is also associated with improved nutrition, education, living standards while the likelihood of being poor is also reduced.

For several years, the Zambian economy relied on the mining sector, which has been affected by fluctuations in commodity prices. The new century enhanced the calls for economic diversification, with the agricultural, manufacturing, and services sectors amongst those pronounced. This article focused on the role of agriculture in supporting the economy, particularly, the effect of agriculture on economic growth. The data analyzed was reviewed for the period 1983–2017. The ARDL Bounds Test was applied in order to meet the said objectives. The ECM results suggest that agriculture, manufacturing, services, and mining converge to an equilibrium and affect economic growth at the speed of adjustment of 90.6%, with the effect from agriculture, mining, and services being significant. The impact of agriculture on economic growth was significant in both the short-run and long-run, with coefficient unit effects of 0.428 and 0.342, respectively. The effects are strong because more than two-thirds of the rural population rely on farming, and agriculture has stood as a catalyst for food security. For the effect of agriculture to be much more profound, farmers must be supported with adequate infrastructure, accessibility to markets, farming inputs, better irrigation techniques, which would address the problem of reliance on rain, all of which were inconsistent in the last decade. Additionally, governments must ensure the institutionalization of food processing industries which add more value to the national income.

AbstractDifferent theories have been posited that try to explain the decision-making process of smallholders especially regarding the adoption of new technologies or new agricultural techniques. The objective of this paper is to review and re-assess the dominant household production theories to explain the decision making of smallholders practicing conservation agriculture (CA) in the southern, eastern, and central provinces of Zambia. It also discusses the potential role of CA toward economic development. It finds that the CA smallholders studied did not aim to maximize profits but tried to secure household consumption from their own production before any other considerations in risky and uncertain environments. Their response to economic incentives was contingent on minimizing risks associated with securing a minimum level of livelihood and investing into local forms of insurance. This paper concludes that the ability for CA to contribute to rural livelihoods and economic development would depend on how adequately the factors that hinder smallholder agricultural development in general are addressed.

Meal frequency is an important indicator of food security and nutritional status. Defining food insecurity as a household’s inability to consume at least three meals a day, this study uses a logit model to investigate the socioeconomic determinants of food insecurity among Zambian households. Primary data from the 2010 Living Conditions Monitoring Survey data set developed by the Central Statistical Office were used. The 2010 Living Conditions Monitoring Survey used a nationally representative sample of about 20,000 households. This study found that urban households, households with higher income, and households with younger, more educated and male heads were more likely to be food-secure. Therefore, there is need to accelerate investments in formal education, narrow the rural–urban socioeconomic divide, and reduce gender inequities through deliberate policies to increase women’s access to and control over economic resources such as land.

<p><strong>1. How can we maintain a sustainable private practice in the current political and economic climate?</strong></p><p>Eugene Allers</p><p><strong>2. SASOP Clinical guidelines, protocols and algorithms: Development of treatment guidelines for bipolar mood disorder and major depression</strong></p><p> Eugene Allers, Margaret Nair, Gerhard Grobler</p><p><strong>3. The revolving door phenomenon in psychiatry: Comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country</strong></p><p>U A Botha, P Oosthuien, L Koen, J A Joska, J Parker, N Horn</p><p><strong>4. Neurophysiology of emotion and senses - The interface between psyche and soma</strong></p><p>Eugene Allers</p><p><strong>5. Suicide prevention: From and beyond the psychiatrist's hands</strong></p><p>O Alonso Betanourt, M Morales Herrera</p><p><strong>6. Treatment of first-episod psychosis: Efficacy and toleabilty of a long-acting typical antipsychotic </strong></p><p>B Chiliza, R Schoeman, R Emsey, P Oosthuizen, L KOen, D Niehaus, S Hawkridge</p><p><strong>7. Treatment of attention deficit hyperactivity disorder in the young child</strong></p><p>Helen Clark</p><p><strong>8. Holistic/ Alternative treatment in psychiatry: The value of indigenous knowledge systems in cllaboration with moral, ethical and religious approaches in the military services</strong></p><p>J Dill</p><p><strong>9. Treating Schizophrenia: Have we got it wrong?</strong></p><p>Robin Emsley</p><p><strong>10.Terminal questions in the elderly</strong></p><p>Mike Ewart Smith</p><p><strong>11. Mental Health Policy development and implementation in Ghana, South Africa, Uganda and Zambia</strong></p><p>Alan J Flisher, Crick Lund, Michelle Frank, Arvin Bhana, Victor Doku, Natalie Drew, Fred N Kigozi, Martin Knapp, Mayeh Omar, Inge Petersen, Andrew Green andthe MHaPP Research Programme Consortium</p><p><strong>12. What indicators should be used to monitor progress in scaling uo services for people with mental disorders?</strong></p><p>Lancet Global Mental Health Group (Alan J Flisher, Dan Chisholm, Crick Lund, Vikram Patel, Shokhar Saxena, Graham Thornicroft, Mark Tomlinson)</p><p><strong>13. Does unipolar mania merit research in South Africa? A look at the literature</strong></p><p>Christoffel Grobler</p><p><strong>14. Revisiting the Cartesian duality of mind and body</strong></p><p>Oye Gureje</p><p><strong>15. Child and adolescent psychopharmacology: Current trends and complexities</strong></p><p>S M Hawkridge</p><p><strong>16. Integrating mental illness, suicide and religion</strong></p><p>Volker Hitzeroth</p><p><strong>17. Cost of acute inpatient mental health care in a 72-hour assessment uniy</strong></p><p>A B R Janse van Rensburg, W Jassat</p><p><strong>18. Management of Schizophrenia according to South African standard treatment guidelines</strong></p><p>A B R Janse van Rensburg</p><p><strong>19. Structural brain imaging in the clinical management of psychiatric illness</strong></p><p>F Y Jeenah</p><p><strong>20. ADHD: Change in symptoms from child to adulthood</strong></p><p>S A Jeeva, A Turgay</p><p><strong>21. HIV-Positive psychiatric patients in antiretrovirals</strong></p><p>G Jonsson, F Y Jeenah, M Y H Moosa</p><p><strong>22. A one year review of patients admitted to tertiary HIV/Neuropsychiatry beds in the Western Cape</strong></p><p>John Joska, Paul Carey, Ian Lewis, Paul Magni, Don Wilson, Dan J Stein</p><p><strong>23. Star'd - Critical review and treatment implications</strong></p><p>Andre Joubert</p><p><strong>24. Options for treatment-resistent depression: Lessons from Star'd; an interactive session</strong></p><p>Andre Joubert</p><p><strong>25. My brain made me do it: How Neuroscience may change the insanity defence</strong></p><p>Sean Kaliski</p><p><strong>26. Child andadolescent mental health services in four African countries</strong></p><p>Sharon Kleintjies, Alan Flisher, Victoruia Campbell-Hall, Arvin Bhana, Phillippa Bird, Victor Doku, Natalie, Drew, Michelle Funk, Andrew Green, Fred Kigozi, Crick Lund, Angela Ofori-Atta, Mayeh Omar, Inge Petersen, Mental Health and Poverty Research Programme Consortium</p><p><strong>27. Individualistic theories of risk behaviour</strong></p><p>Liezl Kramer, Volker Hitzeroth</p><p><strong>28. Development and implementation of mental health poliy and law in South Africa: What is the impact of stigma?</strong></p><p>Ritsuko Kakuma, Sharon Kleintjes, Crick Lund, Alan J Flisher, Paula Goering, MHaPP Research Programme Consortium</p><p><strong>29. Factors contributing to community reintegration of long-term mental health crae users of Weskoppies Hospital</strong></p><p>Carri Lewis, Christa Kruger</p><p><strong>30. Mental health and poverty: A systematic review of the research in low- and middle-income countries</strong></p><p>Crick Lund, Allison Breen, Allan J Flisher, Ritsuko Kakuma, Leslie Swartz, John Joska, Joanne Corrigall, Vikram Patel, MHaPP Research Programe Consortium</p><p><strong>31. The cost of scaling up mental health care in low- and middle-income countries</strong></p><p>Crick Lund, Dan Chishlom, Shekhar Saxena</p><p><strong>32. 'Tikking'Clock: The impact of a methamphetamine epidemic at a psychiatric hospital in the Western Cape</strong></p><p>P Milligan, J S Parker</p><p><strong>33. Durban youth healh-sk behaviour: Prevalence f Violence-related behaviour</strong></p><p>D L Mkize</p><p><strong>34. Profile of morality of patients amitted Weskoppies Psychiatric Hospital in Sout frican over a 5-Year period (2001-2005)</strong></p><p>N M Moola, N Khamker, J L Roos, P Rheeder</p><p><strong>35. One flew over Psychiatry nest</strong></p><p>Leverne Mountany</p><p><strong>36. The ethical relationship betwe psychiatrists and the pharmaceutical indutry</strong></p><p>Margaret G Nair</p><p><strong>37. Developing the frameor of a postgraduate da programme in mental health</strong></p><p>R J Nichol, B de Klerk, M M Nel, G van Zyl, J Hay</p><p><strong>38. An unfolding story: The experience with HIV-ve patients at a Psychiatric Hospital</strong></p><p>J S Parker, P Milligan</p><p><strong>39. Task shifting: A practical strategy for scalingup mental health care in developing countries</strong></p><p>Vikram Patel</p><p><strong>40. Ethics: Informed consent and competency in the elderly</strong></p><p>Willie Pienaar</p><p><strong>41. Confronting ommonmoral dilemmas. Celebrating uncertainty, while in search patient good</strong></p><p>Willie Pienaar</p><p><strong>42. Moral dilemmas in the treatment and repatriation of patients with psychtorders while visiting our country</strong></p><p>Duncan Ian Rodseth</p><p><strong>43. Geriatrics workshop (Psegal symposium): Medico-legal issuess in geriatric psyhiatry</strong></p><p>Felix Potocnik</p><p><strong>44. Brain stimulation techniques - update on recent research</strong></p><p>P J Pretorius</p><p><strong>45. Holistic/Alternative treatments in psychiatry</strong></p><p>T Rangaka, J Dill</p><p><strong>46. Cognitive behaviour therapy and other brief interventions for management of substances</strong></p><p>Solomon Rataemane</p><p><strong>47. A Transtheoretical view of change</strong></p><p>Nathan P Rogerson</p><p><strong>48. Profile of security breaches in longerm mental health care users at Weskoppies Hospital over a 6-month period</strong></p><p>Deleyn Rema, Lindiwe Mthethwa, Christa Kruger</p><p><strong>49. Management of psychogenic and chronic pain - A novel approach</strong></p><p>M S Salduker</p><p><strong>50. Childhood ADHD and bipolar mood disorders: Differences and similarities</strong></p><p>L Scribante</p><p><strong>51. The choice of antipsychotic in HIV-infected patients and psychopharmacocal responses to antipsychotic medication</strong></p><p>Dinesh Singh, Karl Goodkin</p><p><strong>52. Pearls in clinical neuroscience: A teaching column in CNS Spectrums</strong></p><p><strong></strong>Dan J Stein</p><p><strong>53. Urinary Cortisol secretion and traumatics in a cohort of SA Metro policemen A longitudinal study</strong></p><p>Ugash Subramaney</p><p><strong>54. Canabis use in Psychiatric inpatients</strong></p><p><strong></strong>M Talatala, G M Nair, D L Mkize</p><p><strong>55. Pathways to care and treatmt in first and multi-episodepsychosis: Findings fm a developing country</strong></p><p>H S Teh, P P Oosthuizen</p><p><strong>56. Mental disorders in HIV-infected indivat various HIV Treatment sites in South Africa</strong></p><p>Rita Thom</p><p><strong>57. Attendanc ile of long-term mental health care users at ocupational therapy group sessions at Weskoppies Hospital</strong></p><p>Ronel van der Westhuizen, Christa Kruger</p><p><strong>58. Epidemiological patterns of extra-medical drug use in South Africa: Results from the South African stress and health study</strong></p><p>Margaretha S van Heerden, Anna Grimsrud, David Williams, Dan Stein</p><p><strong>59. Persocentred diagnosis: Where d ps and mental disorders fit in the International classificaton of diseases (ICD)?</strong></p><p>Werdie van Staden</p><p><strong>60. What every psychiatrist needs to know about scans</strong></p><p>Herman van Vuuren</p><p><strong>61. Psychiatric morbidity in health care workers withle drug-resistant erulosis (MDR-TB) A case series</strong></p><p>Urvashi Vasant, Dinesh Singh</p><p><strong>62. Association between uetrine artery pulsatility index and antenatal maternal psychological stress</strong></p><p>Bavanisha Vythilingum, Lut Geerts, Annerine Roos, Sheila Faure, Dan J Stein</p><p><strong>63. Approaching the dual diagnosis dilemma</strong></p><p>Lize Weich</p><p><strong>64. Women's mental health: Onset of mood disturbance in midlife - Fact or fiction</strong></p><p>Denise White</p><p><strong>65. Failing or faking: Isses in the fiagnosis and treatment of adult ADHD</strong></p><p>Dora Wynchank</p>

Food security has been a major concern because of low crop productivity in Zambia. Food insecurity is a cost to the social-economic development of Zambia and the SADC region. Unpredictable weather and climatic fluctuations have further aggravated this situation. To help address these challenges associated with climate change and crop productivity there has been a major paradigm shift towards crop diversification. As a result, the major goal of the Sorghum Breeding Program is to shift sorghum from a subsistence crop to a value-added cash crop. The inherent capacity of sorghum to tolerant harsh weather gives it an added advantage in mitigating the effects of climate change. The major goal of the Sorghum Program in Zambia is to upscale dissemination of already developed, underutilized, low cost, proven and improved sorghum technologies. The program has invested in the development of Sorghum Open Pollinated Variety (SOPVs) Technologies that are high yielding with a broader environmental adaptation. SOPVs contribute to national food security and economic development and need to be upscaled through research, extension and enabling policies. The Sorghum Breeding Program utilizes sustainable approaches to ensure that the climate adaptation technologies are utilized by farmers along the Zambezi and Luangwa river basins because these are areas mostly affected by the impact of climatic fluctuations. To make this approach sustainable the Sorghum Breeding Program incorporates agronomic practices such as conservation farming and other soil improvement technologies. Since farmers not only need food security but also income for social-economic growth, the program equally makes efforts to link small-scale farmers to markets. Disseminating technologies on sorghum value addition is also on the priority list because sorghum can also be used in the food industry (healthy foods), feed industry (stock feed and silage), brewing industry (malt and beer) and energy industry (bio-fuels). The private sector has been persuaded to continue investing in agriculture through input supplies and value addition. While the public sector (government) has been encouraged to make appropriate policies that can enhance sustainable agriculture. The changing climates and economies require that food diversification, sustainable agriculture and proven technologies for climate change adaptation are encouraged.

Abstract Background Adolescent pregnancy is a complex socio-economic phenomenon ranking high on the global health policy agenda. Early childbearing is associated with early marriage and school drop-out, and is defined as a problem to the health and development of girls. This paper reports from formative research. The formative research aimed to explore socio-cultural and structural dynamics at work behind early pregnancy and school drop out in rural Zambia. The study findings have been used to inform a school based intervention to reduce early pregnancy (RISE: ‘Research Initiative to Support the Empowerment of Girls’). Theoretically the study is informed by social constructionism. Methods A qualitative approach was employed. Semi-structured qualitative interviews (61) and focus group discussions (7) were carried out with girls (in and out of school), boys, parents, teachers, health workers and community- and district leaders in 2014–15. Systematic text condensation was drawn upon in the analysis of the material. Results The study findings indicate that the official Zambian discourse that presents early pregnancy as a serious challenge and schooling as the prime way to confront the problem enjoy substantial support at community levels. However, a parallel discourse on fertility, early marriage and childbearing as social and economic security surfaced and was articulated by the same study participants. The latter contrasting discourse questioned schooling as the only solution to secure a girl’s future arguing that there are many reasons why early pregnancy may emerge as rational. Conclusions Grasping the complexity of local discourse is vital in planning health interventions. The present study revealed that although delayed child bearing and schooling among girls enjoyed high status and legitimacy in the study area, the social and economic context worked to reward early marriage. Interventions to reduce early pregnancies in rural Zambian communities need to fundamentally address the material constraints that condition and reinforce a culture of early childbearing.

AbstractDeclining soil fertility and negative impacts of climate effects threaten the food security of millions in Africa. Conservation Agriculture (CA) is a promising strategy to address these challenges. However, lack of viable economic entry points and short-term benefits for smallholders limit its adoption. Legume intensification can possibly increase the output per unit area, thus making the system more attractive. Rotations of maize with intensified legume systems were tested for three consecutive years under ridge and furrow (RF) tillage and CA to investigate: (a) increases in productivity of legumes and the subsequent maize crop; (b) changes in land equivalent ratios (LERs) and; (c) improved total system productivity. Results showed an increase in legume yields when growing two legumes simultaneously, leading to greater LERs (ranging between 1.13 and 1.29). However, there was only a significant season and not a main treatment effect as CA did not outperform RF in both phases of the rotation. Full populations of companion legumes improved overall system productivity, yielding 76.8 GJ ha−1 in a more conducive season while sole cropping of pigeonpea yielded only 4.4 GJ ha−1. We conclude that the doubled-up legumes systems have great potential to improve household food security when integrated into current smallholder farming.

AbstractInvasive alien species have environmental, economic and social impacts, disproportionally threatening livelihood and food security of smallholder farmers in low- and medium-income countries. Fall armyworm (FAW) (Spodoptera frugiperda), an invasive insect pest from the Americas, causes considerable losses on maize to smallholder farmers in Africa since 2016. The increased use of pesticides to control FAW in Africa raises concerns for health and environmental risks resulting in a growing interest in research on biological control options for smallholder farmers. In order to evaluate the occurrence of local natural enemies attacking FAW, we collected on a weekly basis FAW eggs and larvae during a maize crop cycle in the rainy season of 2018–2019 at four locations in the Lusaka and Central provinces in Zambia. A total of 4373 larvae and 162 egg masses were collected. For each location and date of collection, crop stage, the number of plants checked and amount of damage were recorded to analyse which factors best explain the occurrence of the natural enemy species on maize. Overall parasitism rates from local natural enemies at each location varied between 8.45% and 33.11%. We identified 12 different egg-larval, larval and larval-pupal parasitoid species. Location, maize growth stage, pest density and larval stage significantly affected parasitoid species occurrence. Our findings indicate that there is potential for increasing local populations of natural enemies of FAW through conservation biological control programmes and develop safe and practical control methods for smallholder farmers.

Gynanisa maja (Klung, 1836) is the wild edible caterpillar of a speckled emperor moth belonging to the order Lepidoptera and the family Saturniidae. It is a species of nutritional and economic importance and provides food security at household level during its harvesting season. Despite the significant value this caterpillar has, it is harvested seasonally and harvested in unsustainable ways such as cutting down of its food plants resulting in habitat destruction likely to lead into species extinction consequently, threatening food security. Therefore, this study aimed at identifying the preferred food plants of wild G. maja that will help in the definition of the actions needed for conservation of the G. maja moth consequently contribute positively towards combating food and nutrition insecurity. The household survey was carried out in 61 villages from five clusters of Luampa district to determine the knowledge of people on the food plants of G. maja and the structured questionnaire was used to collect data via face to face interview. A total of 400 respondents participated and five food plants belonging to the family Fabaceae were mentioned which include; Julbernadia paniculata (Benth.) Troupin, Erythrophleum africanum (Welw. ex Benth.) Harms, Brachystegia longifolia Benth, Albizia antunesiana Harms and Brachystegia spiciformis Benth. All (100% of respondents) mentioned J. paniculata (Benth.) Troupin as the primary preferred food plant of G. maja while others indicated the other four food plants as secondary or alternatives. Based on these findings, the food plant like J. paniculata can be utilised for embarking on farming G. maja which will result in the conservation of G. maja and its food plant.

Abstract Introduction Unsafe abortion is a major contributor to the continued high global maternal mortality and morbidity rates. Legal abortion frameworks and access to sexuality education and contraception have been pointed out as vital to reduce unsafe abortion rates. This paper explores the relationship between abortion law, policy and women’s access to safe abortion services within the different legal and political contexts of Ethiopia, Tanzania and Zambia. The research is inspired by recent calls for contextualized policy research. Methods The research was based in Addis Ababa (Ethiopa), Dar es Salaam (Tanzania) and Lusaka (Zambia) and had a qualitative exploratory research design. The project involved studying the three countries’ abortion laws and policies. It moreover targeted formal organizations as implementers of policy as well as stakeholders in support of, or in opposition to the existing abortion laws. Semi-structured interviews were carried out with study participants (79) differently situated vis-à-vis abortion, exploring their views on abortion-related legal- and policy frames and their perceived implications for access. Results The abortion laws have been classified as ‘liberal’ in Zambia, ‘semi-liberal’ in Ethiopia and ‘restrictive’ in Tanzania, but what we encountered in the three study contexts was a seeming paradoxical relationship between national abortion laws, abortion policy and women’s actual access to safe abortion services. The study findings moreover reveal that the texts that make up the three national abortion laws are highly ambiguous. The on-paper liberal Zambian and semi-liberal Ethiopian laws in no way ensure access, while the strict Tanzanian law is hardly sufficient to prevent young women from seeking and obtaining abortion. In line with Walt and Gilson’s call to move beyond a narrow focus on the content of policy, our study demonstrates that the connection between law, health policy and access to health services is complex and critically dependent on the socio-economic and political context of implementation. Conclusions Legal frameworks are vital instruments for securing the right to health, but broad contextualized studies rather than classifications of law along a liberal-restrictive continuum are demanded in order to enhance existing knowledge on access to safe abortion services in a given context.

Aims: The aim of this research was to contribute to the survey of ethnobotanical knowledge on the use of Dracaena camerooniana by the local communities’ bordering the tropical forests of Uíge province. Study Design: The data collections were carried out using the semi-structured interview method. The approch methods are an ethnobotanical and socio-economics surveys populations of the study area. Place and Duration of Study: The study was undertaken in the province of Uíge, Republic of Angola, from April 2016 to March 2018, period that covers the dry and rainy season. Methodology: The surveys consisted in drafting a questionnaire beforehand to apprehend the knowledge and multiples uses of D. camerooniana among the surrounding population. The interview were conducted in Kikongo language and in Portuguese according to the mastered by the people surveyed. Results: The findings show that tropical forest zones of Congolese guinea/Zambian located in Uíge Province, is full of high value non-wood forest products (NWFPs) including D. camerooniana Baker (locally called Nzala bakala or Nsala bakala). This plant species is a wild green vegetable essence appreciated by the local population and is an additional source of financial income for subsistence farmers and Hunter-gatherers. Knowledge of D. camerooniana consumption was transmitted from generation to generation by oral tradition. The study also shows that D. camerooniana is well known and used by the local communities of Uíge. Finally, the consumption and commercialization of NWFPs, such as the leaves of D. camerooniana contribute in strengthening nutrition, health, food diversity, income and livelihoods. Conclusion: Despite its importance in food security and socioeconomic terms in both rural and urban areas, few scientific researchers have been fully interested in its valorization. In addition, the phytochemical studies should be carried out to discover the nutritional, toxic, and medicinal properties of this plant.