Academic literature on the topic 'Human Malawi Mzimba District'

AbstractMalawi is a country in South-East Africa with a population of approximately 10 million, over 95% of whom are negro of Bantu origin. The country is divided into 24 administrative districts, each of which provides details of births which are compiled centrally at the Ministry of Health. Using data reported annually by health facilities from 1987-1990, most districts had twinning rates in the range 16 to 24 per 1000 maternities, figures consistent with those of other negro populations in Africa. Two adjoining districts (Rumphi and Mzimba) had rates which were considerably higher, almost 30 per 1000. Although ethnic origin is not recorded in the latest Malawi census, language spoken in the home, which was last recorded in 1966, can be used as a proxy. Rumphi and Mzimba are the only districts with an overwhelming majority of Tumbuka speaking population. These people, who are of both Tumbuka and Ngoni ethnic origin, therefore have an unusually high twinning rate (29.57 per 1000 maternities). The rate for the main ethnic group in Malawi, the Chewa people, was 21.21 per 1000. The district of Thyolo, with a mixed ethnic population, had by far the lowest rate (13.75 per 1000).

Malawi, in south-eastern Africa, is one of the poorest countries in the world. Food security in the country hinges on rainfed systems in which maize and sorghum are staple cereals and groundnut and pigeonpea are now major grain legume crops. While the country has experienced a considerable reduction in forest lands, population growth and demand for food production have seen an increase in the area dedicated to agricultural crops. From 2010, pigeonpea developed into a major export crop, and is commonly intercropped with cereals or grown in double-up legume systems. Information on the spatial extent of these crops is useful for estimating food supply, understanding export potential, and planning policy changes as examples of various applications. Remote sensing analysis offers a number of efficient approaches to deliver spatial, reproducible data on land use and land cover (LULC) and changes therein. Moderate Resolution Imaging Spectroradiometer (MODIS) products (fortnightly and monthly) and derived phenological parameters assist in mapping cropland areas during the agricultural season, with explicit focus on redistributed farmland. Owing to its low revisit time and the availability of long-term period data, MODIS offers several advantages, e.g., the possibility of obtaining cloud-free Normalized Difference Vegetation Index (NDVI) profile and an analysis using one methodology applied to one sensor at regular acquisition dates, avoiding incomparable results. To assess the expansion of areas used in the production of pigeonpea and groundnut resulting from the release of new varieties, the spatial distribution of cropland areas was mapped using MODIS NDVI 16-day time-series products (MOD13Q1) at a spatial resolution of 250 m for the years 2010–2011 and 2016–2017. The resultant cropland extent map was validated using intensive ground survey data. Pigeonpea is mostly grown in the southern dry districts of Mulanje, Phalombe, Chiradzulu, Blantyre and Mwanza and parts of Balaka and Chikwawa as a groundnut-pigeonpea intercrop, and sorghum-pigeonpea intercrop in Mzimba district. By 2016, groundnut extent had increased in Mwanza, Mulanje, and Phalombe and fallen in Mzimba. The result indicates that the area planted with pigeonpea had increased by 29% (75,000 ha) from 2010–2011 to 2016–2017. Pigeonpea expansion in recent years has resulted from major export opportunities to Asian countries like India, and its consumption by Asian expatriates all over the world. This study provides useful information for policy changes and the prioritization of resources allocated to sustainable food production and to support smallholder farmers.

ABSTRACT The genus Mycobacterium includes many species that are commonly found in the environment (in soil and water or associated with plants and animals), as well as species that are responsible for two major human diseases, tuberculosis (Mycobacterium tuberculosis) and leprosy (Mycobacterium leprae). The distribution of environmental mycobacteria was investigated in the context of a long-term study of leprosy, tuberculosis, Mycobacterium bovis BCG vaccination, and the responses of individuals to various mycobacterial antigens in Karonga District, northern Malawi, where epidemiological studies had indicated previously that people may be exposed to different mycobacterial species in the northern and southern parts of the district. A total of 148 soil samples and 24 water samples were collected from various locations and examined to determine the presence of mycobacteria. The detection method involved semiselective culturing and acid-fast staining, following decontamination of samples to enrich mycobacteria and reduce the numbers of other microorganisms, or PCR with primers specific for the mycobacterial 16S rRNA gene, using DNA extracted directly from soil and water samples. Mycobacteria were detected in the majority of the samples, and subsequent sequence analysis of PCR products amplified directly from soil DNA indicated that most of the products were related to known environmental mycobacteria. For both methods the rates of recovery were consistently higher for dry season samples than for wet season samples. All isolates cultured from soil appeared to be strains of Mycobacterium fortuitum. This study revealed a complex pattern for the environmental mycobacterial flora but identified no clear differences between the northern and southern parts of Karonga District.

AbstractFloods are among the most frequently occurring natural hazards in Malawi, often with public health implications. This mixed methods study assessed the capacity for and implementation status of the disaster risk management (DRM) strategy for the health sector in Malawi, using flooding in the Nsanje District as a case. Data were collected using desk review and a workshop methodology involving key officials from government ministries, national and international development partners, and the academia. The results show that Malawi had recently strengthened its DRM institutional frameworks, with a pronounced policy shift from reactive to proactive management of disasters. Health sector personnel and structures were key contributors in the design and implementation of DRM activities at all levels. Development partners played a significant role in strengthening DRM coordination and implementation capacity. Lack of funding and the limited availability, and often fragmented nature, of vulnerability and risk assessment data were identified as key challenges. Limited human resource capacity and inadequate planning processes at district level impeded full implementation of DRM policies. These findings call for community-level interventions for improved coordination, planning, and human resource capacity to strengthen community disaster resilience and improve public health. The approach used in this study can serve as a model framework for other districts in Malawi, as well as in other low- and middle-income countries in the context of Sendai Framework implementation.

A swarm of granitic pegmatites occurs in Mzimba district from northern Kasungu to Kafukure near the western international border with Zambia. The granitic pegmatites are hosted by a mobile belt, within the Mozambiquan orogenic belt (c. 900 - 1800 Ma). They have been dated as 485 Ma. They intruded metasediments of high to medium grade metamorphic rocks of a Precambrian Basement Complex. The dominant trend of the pegmatites is NW - SE, exhibiting a cross-cutting relationship with the country rocks and their contacts with the latter are usually sharp. The six pegmatites investigated in this study are inhomogeneous, composed of a massive quartz core, an intermediate zone composed of a blocky pink K-feldspar rich sub-zone and muscovite rich sub-zone and a wall zone composed of quartz - pink K-feldspar - muscovite mineral assemblage. The Mzimba pegmatites are classified as lithium-caesium-tantalum (LCT) family of rare element granitic pegmatites as described by Černý and Ercit (2005). They belong to the beryl-columbite subtype and beryl-columbite-phosphate subtype of the rare element pegmatites. It is suggested that the pegmatites are the product of magmatic differentiation and that they form roofs of granite plutons lying deep below the current level of erosion. The six pegmatites were sampled and minerals analysed using standard analytical methods such as petrographic microscopy, X-ray diffraction (XRD) and X-ray fluorescence (XRF) analysis. Mineralogy of the granitic pegmatites indicates that they are predominantly composed of perthitic K-feldspar (perthite), Na-plagioclase (albite), quartz and muscovite as main mineral phases and accessory minerals including beryl, tantalite-columbite (ferrotantalite), iron-titanium oxides (ilmeno-rutile and ilmenite), tourmaline (schorl), garnet (almandine-spessartine) and triplite. Triplite is a very rare mineral found in a few pegmatites around the world, and this is the first reported account of this mineral in the Mzimba pegmatites and probably in Malawi. These minerals are being exploited by artisanal and small scale miners. Trace elements in K-feldspar and muscovite are significant indicators for the evaluation of economic potential of pegmatites as well as for the differentiation degree and origin of the magma. The K/Rb ratio for K-feldspars ranges between 12.72 and 109.38, while for muscovites it is between 16.66 and 82.36 indicating that the pegmatites are moderately evolved. The Ta versus Cs and the Ta versus K/Cs discrimination diagram indicates that all the investigated pegmatites plot above the 20 ppm threshold suggesting that the pegmatites have potential for Ta and Nb mineralization.

Introduction: Adequate nutrition knowledge, positive attitudes and perceptions, and good practices of parents on infant and young child feeding (IYCF), among others, are essential for the optimal growth of children. Hence, the involvement of both parents in IYCF is essential. Aim: To explore and describe the involvement of both biological parents and caregivers in IYCF in Mzimba-north district, Malawi by assessing their nutrition knowledge, attitudes, perceptions and practices, and identifying the factors that affected their involvement. Study design: A cross sectional descriptive study employing quantitative and qualitative research methodologies. Setting: Five agriculture extension planning areas in Mzimba-north district, Malawi. Sampling technique: Stratified random sampling in the quantitative domain and purposive sampling in the qualitative domain. Sample: Quantitative domain: Households [mothers (n = 154) and fathers (n = 127)] with children aged zero to 24 months and caregivers (n = 4) where the biological parents were absent. Qualitative domain: A different sample of fathers (n = 41), mothers (n = 53) and local leaders (n = 3). Methodology: Quantitative domain: Participants were stratified into three groups based on the age of their children, i.e. 12 to 24 months. Data were collected using modified FAO nutrition knowledge, attitudes and practices (KAP) questionnaires. Data were analysed using Stata version 14.0 and Microsoft Excel 2013 version. The Chi-square, Fisher’s exact and McNemar's tests were used to compare the nutrition KAP between males and females. Testing was done at 0.05 significance level. Qualitative domain: Eleven focus group discussions (FGDs): five with males and six with females, and three in-depth interviews with three local leaders were conducted using three interview guides (one for each group). Creswell’s method of data analysis was used to identify themes and sub-themes. Ethical approval was obtained from the Ethics Committee, Faculty of Natural and Agricultural Sciences, University of Pretoria (Ref no EC151204-26) and the Ministry of Agriculture, Mzuzu Agriculture Development Division, Malawi. Results: Quantitative domain: More than half of the participants knew the recommended IYCF practices. More than 80% of the participants showed positive attitudes on the appropriate IYCF practices. No significant differences were observed between the male and female participants’ mean knowledge scores and their responses on the attitude statements (P > 0.05). All participants with children Dissertation (MSc)--University of Pretoria, 2017.
Food Science
MSc
Unrestricted

This study was based on data from the 1984 Malawi Family Formation Survey which was a nationwide sample survey conducted by the National Statistical Office and the Ministry of Health. This is an exploratory study on fertility and the use of birthspacing methods in Malawi based on data for the 476 ever-married women in Mzimba District. The major limitation of the data was the small sample size which limited the number of factors to be examined. Furthermore, a detailed classification of the variables have not been analyzed because cell sizes would be too small to be meaningful. Because the sample was designed to obtain estimates of total number of women aged 15-49 and their children at the regional level for rural areas and at the national level for urban areas, this study used unweighted data examining fertility differentials of ever-married women by place of residence, age at marriage, type of marriage, education and husband's occupation as well as family size preferences and knowledge and use of birthspacing methods. The objective of the study was to identify major determinants of fertility in Mzimba. The number of children ever born alive was the measure of fertility. The study showed that fertility differentials existed only by age at first marriage and also between women who were first wives and those who were second or higher order wives in polygamous marriages. Woman's current age appeared to influence family size preference positively. The study revealed low levels of knowledge and use of birthspacing methods among women in Mzimba District.

The aim of this research was to explore the challenges faced by women providing home-based care to those infected and affected by HIV and AIDS. The specific objectives of the study were to explore the gender-related, sociocultural and socioeconomic challenges faced by these women; and to investigate best practices in home- based care. An exploration of the challenges women experience in their communities as they provide care for the HIV and AIDS infected and affected is located within a gender and power framework. Feminist theories are also used to try and explain the reasons behind the differences and inequalities that exist in the community, particularly as regards the women who provide home-based care. A qualitative study, which used both qualitative and participatory methods of data gathering, was undertaken in 2014 in Mzimba, Malawi. Data was collected from 26 women participants by means of Critical Incident Narrative interviews (5), Individual In-Depth Interviews (5), and two Focus Group Discussions (6 and 10 participants respectively). Three Key Informant Interviews were conducted with a Ministry of Local Government official, another with a Nursing sister at the Mzimba District Hospital Tuberculosis Ward, and the Mzimba District Hospital Home-based care Coordinator. Purposive and snowballing sampling techniques were used to recruit the research participants. A topic guide was used in critical incident narrative interviews. An interview schedule consisting open-ended questions and face interviews were used for the Individual In-depth Interviews. A topic guide was used for the Focus Group Discussions. All the data collection instruments were guided by the themes of social, economic, cultural, psychological challenges; food security, and coping mechanisms. An interview schedule consisting of open-ended questions were used for the Key Informant Interviews. A Check List of WHO minimum package for home-based care programmes was used to assess the actual program best practices. The methodology of this study was guided by the WHO framework on home-based care. In this framework, the home-based care programme includes the following elements which make up the minimum package of care: provision of care, continuum of care, education, supplies and equipment, staffing, finance and sustainability, and monitoring and evaluation. Very few studies have been concluded to understand the sociological issues that affect women who provide care to the HIV and AIDS infected and affected in households and communities. It is hoped that this study will in some way address this gap, and that the information and recommendations contained in this thesis will guide policy recommendations in Malawi that will incorporate the lived experiences of those who provide this care. The study revealed that women providing home-based care to the HIV and AIDS infected and affected experience harsh challenges. Women carry the burden of care as traditionally men do not provide care. Women experience extreme deprivation which manifests itself through a number of socio-economic difficulties and these include been shown in their inability to provide for their basic necessities such as food, and other household needs. For most of the women carers, the deprivation is a direct consequence of their low levels of education which rendered them unable to find employment of engage in successful business ownership. The women carers also lack social security in the sense that they do not have access to land for example which could ensure that they have some level of food security. When the main income earner died the women carers and their dependants were left to fend for themselves. Women carers also experienced various psychological problems and these included nightmares, insomnia, depression and these affected their physical health such a few reported lack of appetite for food as a major issue. Women carers and in particular the young women reported that they had to elements which make up the minimum package of care: provision of care, continuum of care, education, supplies and equipment, staffing, finance and sustainability, and monitoring and evaluation. Very few studies have been concluded to understand the sociological issues that affect women who provide care to the HIV and AIDS infected and affected in households and communities. It is hoped that this study will in some way address this gap, and that the information and recommendations contained in this thesis will guide policy recommendations in Malawi that will incorporate the lived experiences of those who provide this care. The study revealed that women providing home-based care to the HIV and AIDS infected and affected experience harsh challenges. Women carry the burden of care as traditionally men do not provide care. Women experience extreme deprivation which manifests itself through a number of socio-economic difficulties and these include been shown in their inability to provide for their basic necessities such as food, and other household needs. For most of the women carers, the deprivation is a direct consequence of their low levels of education which rendered them unable to find employment of engage in successful business ownership. The women carers also lack social security in the sense that they do not have access to land for example which could ensure that they have some level of food security. When the main income earner died the women carers and their dependants were left to fend for themselves. Women carers also experienced various psychological problems and these included nightmares, insomnia, depression and these affected their physical health such a few reported lack of appetite for food as a major issue. Women carers and in particular the young women reported that they had to drop of school to marry when their parents or guardians died. The other dimension to this issue was that the older women carers reported that during their young years, it was common place to find girls who did not attend school or were pressurised to get married because their parents did not believe in educating girls. The background is currently affecting the women carers as they find that they cannot get involved in profitable business or even look for employment. They lack the basic literacy levels that would allow them to be become more productive and ensure financial security. Women carers experienced a number of gender related challenges as they provided care and these included the burden of care being almost solely borne by the women. Women revealed that they have had to use various coping strategies in the face of the overwhelming challenges that they continue to experience. Elderly women have found ways to cope by selling the property such as land and household goods, conducting small scale informal business, and sending the children away to relatives to be fostered. The young women on the other hand have sometimes reverted to some dangerous strategies for coping such as getting a boyfriend to provide for their financial needs, engaged in transactional sex, and some got married very early. The other coping strategies that the young women employed were to conduct small businesses, depended on family and relatives to provide for their various needs. The women volunteers revealed that they used their group as a therapy group, they shared the work, and that they were involved in small scale businesses. The study has also revealed that there is a home-based care programme that is functioning fairly well. However, there are indications that as much as the various players are trying to assist those who are infected and affected by HIV and AIDS, there are severe gaps in the effectiveness of the programme. There is need for a review of the programme so that it answers to the needs of those who are caring for those who are on home-based care i.e. a more rigorous implementation of HBC programme is required. The overall findings of the study indicate that the poverty trap in which the women are caught impacts on every aspect of their existence, with little hope of them ever improving their conditions. There is need for the Malawi government to come up with strategic interventions that would alleviate of women in general but in particular those who are left to provide care at home. Such interventions could include poverty alleviation strategies for women who are providing care to ensure that their situation does not deteriorate once they begin to provide care. Since Malawi is a signatory to the UN Millennium Development Goals, it is important that the plight of women is revisited and find lasting solutions to the challenges that they experience. Women are still lagging behind in education for example. There is need to improve girls and women access to education. The health of women has been affected by HIV and AIDS. The Government of Malawi also needs to review the policies that are in place which address women’s health. Essentially the status of women is need of a major change in order for the country to achieve some level of development which is at par with other countries in the sub-Saharan African region.
Sociology
D. Phil. (Sociology)

Abstract Decentralization of health services entails empowering local governments to take the lead on decision-making and governance of health services provided in their districts. If managed properly, decentralization has the potential to strengthen governance, leadership, management, and accountability of the district health system; improve efficiency and responsiveness of the district healthcare system at all levels; and increase investments in human capital. Undergoing decentralization since 1998, Malawi has made significant progress in devolving human resources for health (health workforce), strengthening governance and leadership, and enhancing accountability through devolved health financing and health information systems. However, challenges remain, including lack of clarity on the roles, responsibilities, and the decision-making process within the context of decentralization, insufficiency of funds, and insufficient human resources for health. Using human resources for health as an entry point, and the case example of Malawi, this chapter demonstrates that systems thinking offers a useful framework through which to understand the process of decentralization in a particular context.