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Journal articles on the topic 'Rural development – Congo'
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1
Büscher, Karen, and Gillian Mathys. "War, Displacement and Rural–Urban Transformation: Kivu’s Boomtowns, Eastern D.R. Congo." European Journal of Development Research 31, no. 1 (November 26, 2018): 53–71. http://dx.doi.org/10.1057/s41287-018-0181-0.
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Riddell, J. Barry, G. Nguyen Tien Hung, J. Alfaro, R. E. Downs, W. Biddier, and R. Barbour. "Agriculture and Rural Development in the People's Republic of the Congo." Canadian Journal of African Studies / Revue Canadienne des Études Africaines 23, no. 2 (1989): 316. http://dx.doi.org/10.2307/485535.
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Ndaguba, Emeka A., Anthony Okarah, Chijioke Hope Ukanwah, Godwin Nebo, and Solomon U. Ndaguba. "Factors limiting the gains of MDGs in the Democratic Republic of the Congo: KEY DETERMINANT AND PITFALLS FOR FRAGILE STATES." Africa’s Public Service Delivery and Performance Review 4, no. 4 (December 1, 2016): 639. http://dx.doi.org/10.4102/apsdpr.v4i4.146.
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The Human Development Index in 2013 ranked Democratic Republic of the Congo 186th out of 187 in the United Nations Development Programme. The categorization came as a result of the deteriorating conflict that pushed the country towards a failed state realm. According to the 2015 Fragility Index of thePeaceFund, Democratic Republic of the Congo was among the nations ranked on the high alert (highly vulnerable andvolatile), consequently to as a result of non-provision of basic services. In addition to the deteriorating growth and development trajectory, infrastructural and systems failures have unabatedly limited service provision, resulting in inadequacies in humanitarian interventions. The study aims to evaluate the gains of MDGs in Democratic Republic of the Congo, taking into cognizance key deliverables, pitfalls, and prospects for development in fragile states. The study uses thematic reviews cushioned with elements of quantitative approach in providing answers to the study. On surface value, the study shows that 72% of rural households live in abject poverty. Additionally, more than 40% of children in rural areas suffer from chronic malnutrition, hunger and squalor. The study contends that without sustainable public institutions, systems and structure in the administration of services, DRC could likely remain in unending retrogression.
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Perez-Estebanez, Raquel, Elena Urquía-Grande, and Antti Rautiainen. "Technological and Economic Factors Determining ICT Level: Evidence from Rural Micro-Businesses in Democratic Republic of Congo." Journal of International Development 30, no. 1 (May 23, 2017): 118–33. http://dx.doi.org/10.1002/jid.3281.
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Baek Lim, Hyung, and Chulwoo Kim. "The failure of a rural development project: South Korean official development assistance in the Democratic Republic of the Congo." Asian Journal of Agriculture and Rural Development 10, no. 1 (2020): 259–69. http://dx.doi.org/10.18488/journal.1005/2020.10.1/1005.1.259.269.
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Cibangu, Sylvain K., Mark Hepworth, and Donna Champion. "Mobile phones for development." Aslib Journal of Information Management 69, no. 3 (May 15, 2017): 294–315. http://dx.doi.org/10.1108/ajim-09-2016-0151.
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Purpose This paper relayed an important line of Mark Hepworth’s work, which engages with information technologies and development. The purpose of this paper is to suggest a subfield of library and information science (LIS) for development to reclaim the role of information services and systems for social change in rural areas. The paper looked at the extent of development gained with the advent of mobile phones. Design/methodology/approach Rather than undertaking traditional large-scale, quantitative, context-independent and survey-type research, the paper employed capability approach and semi-structured interviews to ascertain the experiences that mobile phone kiosk vendors in the rural Congo had of mobile phones. Findings It was found that mobile phones should be geared towards the liberation, and not utilization or commodification of humans and their needs and that mobile phones were not a catalyst of human basic capabilities. Research limitations/implications Since the method employed is an in-depth qualitative analysis of mobile phone kiosk vendors, obtained results can be used to enrich or inform mobile phone experiences in other settings and groups. Practical implications This paper provided empirical evidence as to how an important group of mobile phone users could harness development with their mobiles. Originality/value Most LIS literature has presented mobile phones along the lines of information freedom or access, mass subscription, adoption rates, technological and entrepreneurial innovation, micro-credits, etc. However, the paper placed the topic development at the heart of LIS debates.
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Nackoney, Janet, and David Williams. "A comparison of scenarios for rural development planning and conservation in the Democratic Republic of the Congo." Biological Conservation 164 (August 2013): 140–49. http://dx.doi.org/10.1016/j.biocon.2013.04.011.
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Byombuka, Sadiki. "Innovation in Training Rural Development Technicians at University Level in African Context: The Experience of the Rural Development College of Bukavu in the Democratic Republic of the Congo." Open Journal of Education 2, no. 3 (2014): 135. http://dx.doi.org/10.12966/oje.09.03.2014.
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Kivilu, Sabakinu, and Herbert F. Weis. "Radicalisme rural et lutte pour l'independance au Congo-Zaire. Le Parti Solidaire Africain (1959-1960)." Canadian Journal of African Studies 33, no. 2/3 (1999): 719. http://dx.doi.org/10.2307/486293.
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BOUNDJA, Claver. "Modeling of the solidarity banking system in Congo: towards human development based on traditional African values." Advances in Social Sciences Research Journal 8, no. 7 (July 9, 2021): 127–39. http://dx.doi.org/10.14738/assrj.87.10484.
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Among the institutional instruments likely to participate in the economic development of a country, banks occupy a crucial place, as their role affects means of payment, exchanges, credit, financial transactions and advice. The analysis of paradigms and mechanisms of the banking system makes it possible to intervene in the heart of the economic system. Congo's banking system, like that of almost all African countries, is characterized by half a century of failure, several bankruptcies, endemic corruption, the embezzlement and exclusion of so-called poor populations and rural. This article proposes a model of the endogenous financing of the real economy through solidarity banks. Our objective is to formulate a decision-making tool for economic and financial governance, in terms of financing local development. We propose to explain the importance of monetary policy and the renovated banking system on endogenous bases, according to traditional African values.
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Cibangu, Sylvain K., Mark Hepworth, and Donna Champion. "The Impact of Mobile Phone Uses in the Developing World." International Journal of Information Communication Technologies and Human Development 9, no. 2 (April 2017): 20–48. http://dx.doi.org/10.4018/ijicthd.2017040102.
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In recent years, the rise of information and communication technologies (ICTs) contrasted with the dire living conditions of the world's poorest has been the subject of debate among industry and academia. However, despite the amount of writings produced on mobile phones, Western bias is surprisingly unbridledly prevailing alongside the fêted dissemination of mobile phones. Expansive literature tends to present the rapid adoption of mobile phones among rural individuals, with little to no indication of how local values and voices are respected or promoted. We undertook semi-structured interviews with 16 rural chiefs to inquire into ways in which mobile phones enabled socio-economic development in the rural Congo. Rather than using quantitative, large-scale, or top-down data, we sought to give voice to chiefs themselves about the role of mobile phones. We found that Western bias dominates the literature and deployment of mobile phones more than usually acknowledged. We suggested some paths forward, while bringing the African communal Utu or Ubuntu culture to the center stage.
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Cibangu, Sylvain K. "Marginalization of indigenous voices in the information age: a case study of cell phones in the rural Congo." Information Technology for Development 26, no. 2 (July 30, 2019): 234–67. http://dx.doi.org/10.1080/02681102.2019.1647403.
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Makori, Timothy. "Mobilizing the past:creuseurs, precarity and the colonizing structure in the Congo Copperbelt." Africa 87, no. 4 (October 26, 2017): 780–805. http://dx.doi.org/10.1017/s0001972017000365.
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AbstractThe Copperbelt of Congo was once the bastion of industrial development and no individual embodied its modernity as fully as the salaried industrial miner. Today, with the near collapse of the state-run mining company, Gécamines, and the liberalization of the mining industry starting in 2002, the majority of miners are no longer trained and salaried industrial workers but rather children and youth eking out a precarious living as artisanal miners orcreuseurs. In Congo, artisanal mining is paradoxical, for, although it indexes a future of unskilled, untrained, flexible work in rural and peri-urban enclaves, its organization of labour and rudimentary techniques of copper extraction allude to and borrow from the colonial and precolonial past.Creuseursmobilize the past as a strategic response to the threat of dispossession of ‘their’ land by the state and foreign investors, and they do so by laying claim to an anterior ‘sovereign’ – the ancestors – whose existence predates colonialism. This paradoxical emplacement of artisanal mining, its entanglement in time, invites interrogation of some of the ways in which scholars have understood precarity not only as a politically induced condition resulting from neoliberalism but also as an outcome of the enduring nature of the colonizing structure in Africa.
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Brandt, Cyril Owen, and Tom De Herdt. "Reshaping the reach of the state: the politics of teacher payment reform in the DR Congo." Journal of Modern African Studies 58, no. 1 (February 20, 2020): 23–43. http://dx.doi.org/10.1017/s0022278x19000557.
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AbstractWe analyse the politics of the reform of teacher payment modalities in the Democratic Republic of Congo (DRC) in light of the uneven territorial reach of the DRC state. The reform focused on extending this reach by paying all teachers via a bank account, replacing long-standing shared governance arrangements between state and faith-based organisations with a public-private partnership. By using qualitative and quantitative data, we map the political practices accompanying the implementation of the reform. While the reform itself was officially deemed a success, its intended effects were almost completely offset in rural areas. Moreover, governance of teacher payments was not rationalised but instead became even more complex and spatially differentiated. In sum, the reform has rendered governance processes more opaque and deepened the existing unevenness in the geography of statehood.
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Jimenez-Redal, Ruben, Germán Arana-Landín, Beñat Landeta, and Jaime Larumbe. "Willingness to Pay for Improved Operations and Maintenance Services of Gravity-Fed Water Schemes in Idjwi Island (Democratic Republic of the Congo)." Water 13, no. 8 (April 11, 2021): 1050. http://dx.doi.org/10.3390/w13081050.
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Developing understanding of the economic value that communities ascribe to improved operations and maintenance (O&M) services has emerged as a key factor in achieving financial sustainability for rural water systems. The present study elicits household willingness to pay (WTP) for improved O&M services in eight gravity-fed water schemes in Idjwi Island (Democratic Republic of the Congo, DRC). A contingent valuation survey was implemented through an open-ended format questionnaire to 1105 heads of household and a log-linear regression model was employed to assess the factors influencing higher values. Findings show an average willingness to pay of 327 Congolese Francs (CDF) per month and 36 CDF per bucket. Results also indicate a significant WTP differential among studied schemes. The analysis of the conditioning factors reveals that the level of excludability, the participation in management meetings and the time employed in fetching water from an improved source are contingent with their WTP. The findings of this study are important for development agents trying to establish acceptable, affordable and practicable tariffs that help finance reliable rural water systems in Idjwi.
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Lukamba-Muhiya, J. M., and E. Uken. "The electricity supply industry in the Democratic Republic of the Congo." Journal of Energy in Southern Africa 17, no. 3 (August 1, 2006): 21–28. http://dx.doi.org/10.17159/2413-3051/2006/v17i3a3261.
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The electricity supply industry of the Democratic Republic of Congo is reviewed, from the formation of the Societé National d’Electricité (SNEL) in 1970 until today. The DRC government established a national utility, because electricity is a key element in the socio -economic development of a country. Due to the national monopoly of SNEL, hydropower plants could be constructed such as Inga1 and Inga2. They supply power to mining in the Katanga province, and to a steel company in Maluku, not far from Kinshasa. Currently, Inga1 and Inga 2 are not operating at full capacity. Many hydropower and thermal plants are located in different provinces and need to be refurbished to increase their capacity of electricity for the DRC. Due to technical problems, SNEL only generates 1150 MW. The electrification programme in urban and rural areas across the DRC caters for less than 10% of the 60 million inhabitants. In 1980, the government implemented a policy called Plan Directeur de SNEL for electrification, but the policies never reached their objectives. No Energy White Paper exists which outlines the entire policy framework for energy supply and demand. Power sector reform has also not been implemented in the electricity sector. This paper outlines future government options in the electricity sector. Accordingly, the Public Private Partnership model could play a major role in attracting private partners to invest in the electricity sector in order to have different hydropower and thermal plants refurbished.
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Bernard, Anne, and Nancy Gélinas. "A Step Prior to REDD+ Implementation: A Socioeconomic Study." International Journal of Forestry Research 2014 (2014): 1–10. http://dx.doi.org/10.1155/2014/563021.
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Phase 2 of the United Nations’ REDD+ climate change mitigation initiative is underway in the Democratic Republic of Congo. Meanwhile, activities are being implemented to assess the reduction of emissions from deforestation and forest degradation. REDD+ projects need to include a social dimension; thus, the aim of this research was to understand how land-use relationships vary across communities in an area where a REDD+ project is planned. Specifically, we aimed to identify the primary income-generating activities, the variation in access to land, the potential for the development of community projects, and the implementation of alternative income-generating activities. In the summer of 2013, we assessed a REDD+ pilot project in and around the Luki Biosphere Reserve, Bas-Congo Province. We used participatory rural appraisal (PRA) methods in four communities located both inside and outside the reserve. We found that current subsistence income activities led to the destruction of forest habitat due to population pressure and a lack of alternative income-generating activities. Customary land tenures overlay statutory rights, which can often mean that community rights are threatened. To achieve their targets, REDD+ projects should consider the actual land-use patterns of local communities in order to generate sustainable income from the land.
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Ledgerwood, John R., and Stephen N. Morgan. "Small-Scale Aid Donors, Agribusiness, And The Zambian Export Sector." International Business & Economics Research Journal (IBER) 11, no. 4 (March 21, 2012): 431. http://dx.doi.org/10.19030/iber.v11i4.6879.
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Production of high value agriculture and natural products has become a key instrument in economic development programs to accomplish the dual objectives of raising rural incomes and conserving valuable environmental resources. Rapid growth in global demand for organic and natural products has provided a strong economic incentive for small scale aid agencies to expand into this niche market. Through this analysis we investigate the economic impact that aid funded agricultural production has had on rural residents of Zambia and how this development strategy allows small scale aid donors to capitalize on the business and export opportunities in the Central African region. We want to determine what practices, if any, can be applied to other small development organizations working in economically deprived countries. The case for this analysis is Enright Flight Ministries, Inc. (EFM), a 501(c)3 not-for-profit organization with the dual objectives of promoting economic development and evangelism in Zambia. EFM has over 20 years experience in establishing agricultural production programs to support economic development in the Democratic Republic of the Congo and Zambia. Our focus will be on 5 major EFM agribusiness ventures: African hardwood products, organic honey, aloe vera, bananas, and fisheries. Analysis of the financial statements of EFM will be relied on to provide an accurate view of total investment into the various agricultural projects. Levels of investment will be discussed in light of the current global demand for each particular product. We break down project reports to determine what benefits accrue to both farm and non-farm rural Zambians. This financial analysis will be supplemented with semi-structured interviews performed with EFM administrative staff and aid recipients during the period August - December 2011. Special attention is paid to how aid recipients perceive the program benefits.
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Tiani, Anne Marie, Julie Gagoe Tchoko, Hélène Eboto, Jean Claude Njomkap, Théophile Bouki, Angéline Ndo, and Mariteuw Chimere Diaw. "Dynamiques sociales et stratégies féminines dans la Forêt modèle de campo-ma’an, cameroun." Forestry Chronicle 88, no. 03 (June 2012): 283–90. http://dx.doi.org/10.5558/tfc2012-055.
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Located in the southwestern corner of Cameroon, Campo-Ma’an Model Forest is part of the vast Congo Basin forest. Previously, a variety of interventions in the area have had different effects, some of them negative, on the lives of the local residents including women who are the main providers of household income in rural areas. With the inauguration of the Campo-Ma’an Model Forest in 2005—a platform based on a voluntary partnership of all public, private and community actors—was established. This led to collaboration capable of addressing sustainable development and conservation issues within this region. The goal of this paper is to show that, in this ever-changing context, the Model Forest concept is bringing about changes in the vision, structuring and strategies of the different social groups, particularly amongst women.
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Halloran, A., R. Caparros Megido, J. Oloo, T. Weigel, P. Nsevolo, and F. Francis. "Comparative aspects of cricket farming in Thailand, Cambodia, Lao People's Democratic Republic, Democratic Republic of the Congo and Kenya." Journal of Insects as Food and Feed 4, no. 2 (June 15, 2018): 101–14. http://dx.doi.org/10.3920/jiff2017.0016.
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Cricket farming can have a positive impact on rural development and rural economy in low- and middle-income countries. Moreover, crickets have the potential to address food and nutrition insecurity and promote food sovereignty through the promotion of local production and consumption. This paper presents and discusses five complementary studies conducted in Thailand, Cambodia, Lao People's Democratic Republic (Lao PDR), the Democratic Republic of the Congo (DRC) and Kenya. Cricket farming is being promoted in these countries under research projects, public-private partnerships, NGOs and international organisations. In the majority of the countries, cricket farming is still in its infancy and research into how to improve cricket farming systems is still on-going. Cricket farming in Cambodia, Lao PDR, DRC and Kenya remains relatively limited, and many farmers are still a part of pilot projects. In each of the five regions, different cricket species have been a part of traditional diets. As discussed in this paper, many of the potential benefits of the production and consumption of crickets have not yet been realised in many cases due to: (1) lack of adequate support and awareness from stakeholders (especially government agencies); (2) unknown trade volumes; (3) high costs of inputs; and (4) cultural taboos. The information presented in this paper will be especially useful to stakeholders from governmental institutions, non-governmental organisations, civil society organisations and research institutions.
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Brown, Chloe, Anna Daniels, Doreen S. Boyd, Andrew Sowter, Giles Foody, and Siddharth Kara. "Investigating the Potential of Radar Interferometry for Monitoring Rural Artisanal Cobalt Mines in the Democratic Republic of the Congo." Sustainability 12, no. 23 (November 24, 2020): 9834. http://dx.doi.org/10.3390/su12239834.
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Greater awareness of the serious human rights abuses associated with the extraction and trade of cobalt in the Democratic Republic of the Congo (DRC) has applied increasing pressure for businesses to move towards more responsible and sustainable mineral sourcing. Artisanal and small-scale mining (ASM) activities in rural and remote locations may provide heightened opportunities to conceal the alleged human rights violations associated with mining, such as: hazardous working conditions, health impacts, child labour, child trafficking, and debt bondage. In this study, we investigate the feasibility of the Intermittent Small Baseline Subset (ISBAS) interferometric synthetic aperture radar (InSAR) method, teamed with high temporal frequency Sentinel-1 imagery, for monitoring ASM activity in rural locations of the “Copperbelt”, the DRC. The results show that the ISBAS descriptive variables (mean, standard deviation, minimum, and maximum) were significantly different (p-value = ≤ 0.05) between mining and non-mining areas. Additionally, a significant difference was found for the ISBAS descriptive variables mean, standard deviation, and minimum between the different mine types (industrial, surface, and tunnels). As expected, a high level of subsidence (i.e., negative ISBAS pixel value) was a clear indicator of mine activity. Trial activity thresholds were set for the descriptive variables mean (-2.43 mm/yr) and minimum (-5.36 mm/yr) to explore an ISBAS approach to active mine identification. The study concluded that the ISBAS method has great potential as a monitoring tool for ASM, with the ability to separate mining and non-mining areas based on surface motion values, and further distinguish the different mine types (industrial, surface, and tunnel). Ground data collection and further development of ISBAS analysis needs to be made to fully understand the value of an ISBAS-based ASM monitoring system. In particular, surrounding the impact of seasonality relative to longer-term trends in ASM activity.
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Ngbolua, Koto-te-Nyiwa, Guy Kumbali Ngambika, Blaise Mbembo-wa-Mbembo, Ruphin Djolu DJoza, Gédéon Ngiala Bongo, Falanga Mawi Clarisse, Benjamin Gbolo Zoawe, Masengo Ashande Colette, and Libwa Momi Tabonge Bertin. "Epidemio-therapeutic Survey on Malnourished Children Aged 0-5 Years Old in the Gbado-Lite Health Zone (Nord Ubangi Province, Democratic Republic of the Congo)." Britain International of Exact Sciences (BIoEx) Journal 1, no. 1 (August 20, 2019): 22–28. http://dx.doi.org/10.33258/bioex.v1i1.24.
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Child malnutrition is one cause of death worldwide, but the greatest burden is borne by African countries, particularly in Sub-Saharan Africa. The Democratic Republic of Congo, despite its wealth of biodiversity, is confronted with this phenomenon which seriously hinders its development. A cross-sectional descriptive study was conducted in The Nord Ubangi Province from 01 to 31 December 2016 on a population of 133 malnourished children aged 0 to 5. The results show that the 2 to 3 year old age group (25-36 months) was the most affected by malnutrition. The most affected children were male, at 52.63%. Most of these children, 24.8%, resided in rural areas around Gbadolite. The majority of their parents, 61.6%, was farmers or only engaged in housework. 78.9% of respondents had edema in their bodies, and 91.7% did not meet the appetite test. These children were subjected to antibacterial treatment outside of ready-to-use therapeutic foods (ATPE). After this treatment, the cure rate was satisfactory at 73.6%.
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Gobbers, Erik. "Ethnic associations in Katanga province, the Democratic Republic of Congo: multi-tier system, shifting identities and the relativity of autochthony." Journal of Modern African Studies 54, no. 2 (May 13, 2016): 211–36. http://dx.doi.org/10.1017/s0022278x16000185.
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ABSTRACTThis article unravels the world of ethnic associations in Katanga that emerged as a result of rural–urban migration. These associations constitute a multi-tier system reflecting ethnic, provincial and national identity levels. Primarily meant to organise mutual aid and foster cultural values, they have behaved as interest groups since democracy was re-established in the 1990s. Representing ethnic communities, they try to influence the distribution of spoils through lobbying activities, emphasising the right of ‘autochthons’ to be prioritised regarding employment and development. Political and socio-economic changes trigger identity shifts and ethnic associations adapt by inventing alternative ‘autochthony’/‘allochthony’ dichotomies, causing friction between communities. The multi-tier system provides forums where ethnic differences can be negotiated and ethnic communities can integrate. In its current manner of functioning it is only effective at mitigating acute crises. In order to resolve more complex political issues, it would benefit from a preventive approach within a permanent framework of consultation between associations and authorities.
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Udelsmann Rodrigues, Cristina, Patience Mususa, Karen Büscher, and Jeroen Cuvelier. "Boomtown Urbanization and Rural-Urban Transformation in Mining and Conflict Regions in Angola, the DRC and Zambia." Sustainability 13, no. 4 (February 20, 2021): 2285. http://dx.doi.org/10.3390/su13042285.
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Starting from temporary settlements turning into permanent urban centers, this paper discusses the transformations taking place through the process of so-called ‘boomtown’ urbanization in Central and Southern Africa. Based on data collected in Angola, Zambia and the Democratic Republic of Congo, the paper identifies the different conditions for migration and settlement and the complex socio-economic, spatial, as well as political transformations produced by the fast growth and expansion of boomtowns. Different historical and contemporary processes shape boomtown urbanization in Africa, from colonial territorial governance to large- and small-scale mining or dynamics of violence and forced displacement. As centers of attraction, opportunities, diversified livelihoods and cultures for aspiring urbanities, boomtowns represent an interesting site from which to investigate rural-urban transformation in a context of resource extraction and conflict/post conflict governance. They equally represent potential catalyzing sites for growth, development and stability, hence deserving not only more academic but also policy attention. Based on the authors’ long-term field experience in the countries under study, the analysis draws on ethnographic fieldwork data collected through observations as well as interviews and focus group discussions with key actors involved in the everyday shaping of boomtown urbanism. The findings point to discernible patterns of boomtown consolidation across these adjacent countries, which are a result of combinations of types of migration, migrants’ agency and the governance structures, with clear implications for urban policy for both makeshift and consolidating towns.
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Ndongo, Alain Symphorien. "Social housing for urban households sheltering children responsible for the "kuluna" and "black babies" phenomena in Congo Brazzaville." Advances in Social Sciences Research Journal 7, no. 12 (January 2, 2021): 424–37. http://dx.doi.org/10.14738/assrj.712.9541.
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Housing as a place where household members spend about half (12 hours) of their daily time, including six to eight hours in sleep, is one of the essential conditions in the fight against poverty and precariousness. The current Congolese urban environment is facing serious problems: small plots of land, lack of suitable housing in relation to the size and composition of households, overcrowding, and water and electricity supplies. This situation is becoming critical with the appearance of deviant behavior among children aged between 10 and 30. The government and its development partners have demonstrated their powerlessness face to this situation, leaving thousands of children on the streets without education or family warmth to form real criminal gangs. These street children have created the phenomena of "kuluna" and "black babies". It has been shown that these one act in this way for their survival, claiming their rights. In this study, we find innovative proposals to provide households sheltering adulterine and adoptive children with low-cost social housing, in order to restore the image of the head of the household and provide the children with a pleasant space for their physical, economic, cultural and spiritual development. This will undoubtedly help to find solutions to the problems facing children and indeed Congolese society as a whole today. The study revealed that if the government does not take practical measures in response to the phenomena created by wayward children, especially "black babies" and "kuluna", there will be a massive adherence of other children, especially the adulterine and adoptive ones. There will be a risk of the phenomena will to be exported to rural areas. The study recommends a "State - Household" partnership in the manufacture of new types of urban housing for households housing children likely to integrate or create gangs, jeopardizing social order and public security.
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Woomer, Paul, Wellisa Mulei, and Samuel Maina. "An ICT Strategy Based upon E-Teaching and E-Learning in Response to the COVID-19 Crisis in Africa." Journal of International Agricultural and Extension Education 28, no. 2 (March 15, 2021): 51–67. http://dx.doi.org/10.5191/jiaee.2021.28205.
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The COVID-19 pandemic is a crisis that has gripped the world, causing governments and development agencies to search for critical measures to protect their people. The situation not only represents a significant health risk but has resulted in school closures that have disrupted agricultural education. This impedes the attainment of Africa’s larger food security and rural transformation agendas. Six months before the advent of the pandemic, the International Institute of Tropical Agriculture initiated a pilot project, Start Them Early Program (STEP) whose goal is to reinforce pathways to careers in agriculture within secondary schools in DR Congo, Kenya, and Nigeria. The project has now been forced to rethink its approach while embracing information and communication technologies due to the school closures. This paper describes the process involved in that operational pivot, particularly concerning the shift from electronic teaching by instructors towards distance electronic learning by students. Key issues addressed are the consolidation of digital applications, development of a mobile-based toolbox for use by young farmers, and constraints to device ownership. The means of addressing these concerns through working with instructors and their larger school systems are explained. Action points and resources that are recommended include the distribution of upgraded instructor workstations, a listing of relevant software applications, and the design of a mobile-based all-in-one toolkit for agriculture students and young farmers. The latter two developments have wider application in the reform of agricultural extension amongst the tech-savvy youth taking up agribusiness.
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Jiang, Shengnan, Zhenke Zhang, Hang Ren, Guoen Wei, Minghui Xu, and Binglin Liu. "Spatiotemporal Characteristics of Urban Land Expansion and Population Growth in Africa from 2001 to 2019: Evidence from Population Density Data." ISPRS International Journal of Geo-Information 10, no. 9 (August 29, 2021): 584. http://dx.doi.org/10.3390/ijgi10090584.
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Africa has been undergoing a rapid urbanization process, which is critical to the achievement of the 11th Sustainable Development Goal (SDG11). Using population density data from LandScan, we proposed a population density-based thresholding method to generate urban land and urban population data in Africa from 2001 to 2019, which were further applied to detect the spatiotemporal characteristics of Africa’s urbanization. The results showed that urban land and urban population have both grown rapidly in Africa, which increased by about 5.92% and 4.91%, respectively. The top three countries with the most intense urbanization process in Africa are Nigeria, the Democratic Republic of the Congo, and Ethiopia. The coupling relationship index of urban land expansion and population growth was 0.76 in Africa during 2001–2019. Meanwhile, the total proportion of uncoordinated development types at the provincial level was getting higher, which indicated an uncoordinated relationship between urban land expansion and population growth in Africa. Cropland, grassland, rural land, and forests were the most land-use types occupied by urban expansion. The proportion of cropland, grassland, and forests occupied was getting higher and higher from 2001 to 2019. The extensive urban land use may have an impact on the environmental and economic benefits brought by urbanization, which needs further research.
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Keese, Alexander. "Forced Labour in the “Gorgulho Years”: Understanding Reform and Repression in Rural São Tomé e Príncipe, 1945–1953." Itinerario 38, no. 1 (April 2014): 103–24. http://dx.doi.org/10.1017/s0165115314000072.
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The crossroads of nationalist historiographies in sub-Saharan Africa and of the history of developmentalist attempts that characterise the European late colonial states, have left us with very incomplete images of important trajectories. In the seemingly more “liberal” large colonial empires—notably the French and British—sails were set by 1945 towards a policy of investment and economic change. Some of the scholarly debates question whether this investment was genuine or just a last resort to avoid (rapid) decolonisation; others put the emphasis on inadequate routines of development implemented in these territories, many of which have apparently been continued since decolonisation.In this context, we encounter a clear lack of understanding about how decisions made by individual actors on the administrative level interacted with the larger panorama of social conditions in colonial territories, and of the consequences that these interactions had for the paths towards decolonisation. For a smaller empire such as the Belgian colony of Congo-Léopoldville, these processes are still more obscure; and for the colonies ruled by authoritarian metropoles, as in the cases of territories under Spanish and Portuguese rule, stagnation and absence of change are often taken for granted. In other words, these territories, which were under the rule of metropoles regarded as rather weak in economic terms, are treated as unrepresentative of the broader, European movement towards change in colonial policies. However, the conditions of change towards economic and social modernisation in this latter group of empires, even when inhibited by lack of funding and weak professionalisation of the administration, are frequently very telling for the broader range of challenges that the late colonial states faced.
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MACGAFFEY, WYATT. "JAN VANSINA, Being Colonized: the Kuba experience in rural Congo, 1880–1960. Madison WI: University of Wisconsin Press (pb $26.95 – 978 0 29923 644 1). 2010, 344 pp." Africa 81, no. 3 (July 22, 2011): 495–97. http://dx.doi.org/10.1017/s0001972011000283.
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Ephrem, Akilimali Ndatabaye, Paul Martin Dontsop Nguezet, McEdward Murimbika, Zoumana Bamba, and Victor Manyong. "Perceived Social Norms and Agripreneurial Intention among Youths in Eastern DRC." Sustainability 13, no. 6 (March 19, 2021): 3442. http://dx.doi.org/10.3390/su13063442.
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The Democratic Republic of the Congo (DRC) is a country with a high agricultural productivity potential; however, the agribusiness sector remains unattractive to youths. This study examined the extent to which perceived social norms and psychological capital affect youths’ intentions to pursue agribusiness opportunities in the Eastern DRC. Data was collected on a sample of 600 youths. We applied Partial Least Squares Structural Equation Modelling (PLS−SEM) in order to examine the relationship between the variables. The findings indicated that most of the youths did not select agribusiness as their top career choice. The intention to engage in agribusiness activities was significantly higher among the youths who perceived that agribusiness was socially valued and supported. Psychological capital significantly and positively affects youths’ agripreneurial intention. The findings contribute to the underlying Theory of Planned Behavior by supporting a positive mediation role of psychological capital—and the moderating roles of educational level, gender, access to land, and location—on the relationship between perceived social norms and agripreneurial intention. The paper concludes that the provision of funds is not enough to promote youth agripreneurship in an environment in which agricultural-related social norms, youths’ psychological capital, gender, access to land, educational level, and location (rural versus urban) are not thoroughly considered.
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Pfund, Jean-Laurent, Pierre Kistler, and Stefano Guidese. "Gestion de la forêt tropicale en zone rurale: le transfert de technologies peut-il être le catalyseur de partenariats durables? | Management of tropical forests in rural areas: Can technology transfer really act as a catalyst for sustainable partnerships?" Schweizerische Zeitschrift fur Forstwesen 155, no. 3-4 (March 1, 2004): 97–105. http://dx.doi.org/10.3188/szf.2004.0097.
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This article discusses the necessary adaptation of improvement techniques to local rural requirements, based on two case studies on (i) a forest with high timber potential and (ii) a forest with high agricultural pressure. Results underline the importance of the exchange of information and communication networks as essential components of a dynamic development. In spite of fundamentally different forest management schemes, a number of analytical elements seem common in both cases studied (Congo Basin and Madagascar). According to these examples, one can see that the disabling factors arise,on the one hand, from classical problems of maladjustment to local conditions, and from deficiencies in the «tools» of information transmission and sustainability gaps, due to lack of support from the local population, on the other. Moreover, it is clear that a strategy needs to be adopted that grants the local system as much autonomy as possible. The strategy must satisfy the basic needs of the local population and also take the growing need for cash into account. The article concludes that the transfer of technologies can indeed quickly become a catalyst of sustainable partnerships in favorable conditions of local development, provided that the local beneficiaries of the transfer are identified in an equitable manner. At the same time, preceding and normally complementary measures are necessary to improve local competences and organization. The setting up of lasting relations with partners and their organisations is the key to reaching a consensus on the definition of objectives, as well as to regular relations that allow for adjustments to the system should complications arise. Responsibility for the sustainability of the system remains with the State, which co-ordinates activities as a whole, while dynamic impulses come more from the economic sector. In addition to setting up long-term partnerships the central concerns of the system include local know-how, the capabilities of assimilation and negotiation between the principal local actors and sound financial analysis.
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Ahinkorah, Bright Opoku, Melissa Kang, Lin Perry, Fiona Brooks, and Andrew Hayen. "Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa: A multi-country analysis." PLOS ONE 16, no. 2 (February 4, 2021): e0246308. http://dx.doi.org/10.1371/journal.pone.0246308.
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Introduction In low-and middle-income countries, pregnancy-related complications are major causes of death for young women. This study aimed to determine the prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa. Methods We undertook a secondary analysis of cross-sectional data from Demographic and Health Surveys conducted in 32 sub-Saharan African countries between 2010 and 2018. We calculated the prevalence of first adolescent (aged 15 to 19 years) pregnancy in each country and examined associations between individual and contextual level factors and first adolescent pregnancy. Results Among all adolescents, Congo experienced the highest prevalence of first adolescent pregnancy (44.3%) and Rwanda the lowest (7.2%). However, among adolescents who had ever had sex, the prevalence ranged from 36.5% in Rwanda to 75.6% in Chad. The odds of first adolescent pregnancy was higher with increasing age, working, being married/cohabiting, having primary education only, early sexual initiation, knowledge of contraceptives, no unmet need for contraception and poorest wealth quintile. By contrast, adolescents who lived in rural areas and in the West African sub-region had lower odds of first adolescent pregnancy. Conclusion The prevalence of adolescent pregnancy in sub-Saharan African countries is high. Understanding the predictors of first adolescent pregnancy can facilitate the development of effective social policies such as family planning and comprehensive sex and relationship education in sub-Saharan Africa and can help ensure healthy lives and promotion of well-being for adolescents and their families and communities.
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Quattrochi, John Paul, Aidan Coville, Eric Mvukiyehe, Caleb Jeremie Dohou, Federica Esu, Byron Cohen, Yannick Lokaya Bokasola, and Kevin Croke. "Effects of a community-driven water, sanitation and hygiene intervention on water and sanitation infrastructure, access, behaviour, and governance: a cluster-randomised controlled trial in rural Democratic Republic of Congo." BMJ Global Health 6, no. 5 (May 2021): e005030. http://dx.doi.org/10.1136/bmjgh-2021-005030.
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IntroductionInadequate water and sanitation is a central challenge in global health. Since 2008, the Democratic Republic of Congo government has implemented a national programme, Healthy Villages and Schools (Villages et Ecoles Assainis (VEA), with support from UNICEF, financed by UK’s Foreign, Commonwealth and Development Office.MethodsA cluster-level randomised controlled trial of VEA was implemented throughout 2019 across 332 rural villages, grouped into 50 treatment and 71 control clusters. Primary outcomes included time spent collecting water; quantity of water collected; prevalence of improved primary source of drinking water; and prevalence of improved primary defecation site. Secondary outcomes included child health, water governance, water satisfaction, handwashing practices, sanitation practices, financial cost of water, school attendance and water storage practices. All outcomes were self-reported. The primary analysis was on an intention-to-treat basis, using linear models. Outcomes were measured October–December 2019, median 5 months post-intervention.ResultsThe programme increased access to improved water sources by 33 percentage points (pp) (95% CI 22 to 45), to improved sanitation facilities by 26 pp (95% CI 14 to 37), and improved water governance by 1.3 SDs (95% CI 1.1 to 1.5), water satisfaction by 0.6 SD (95% CI 0.4 to 0.9), handwashing practices by 0.5 SD (95% CI 0.3 to 0.7) and sanitation practices by 0.3 SD (95% CI 0.1 to 0.4). There was no significant difference in financial cost of water, school attendance, child health or water storage practices.ConclusionVEA produced large increases in access to and satisfaction with water and sanitation services, in self-reported hygiene and sanitation behaviour, and in measures of water governance.Trial registration numberAEARCTR-0004648; American Economic Association RCT registry.
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Bliznashka, Lilia, Ifeyinwa E. Udo, Christopher R. Sudfeld, Wafaie W. Fawzi, and Aisha K. Yousafzai. "Associations between women’s empowerment and child development, growth, and nurturing care practices in sub-Saharan Africa: A cross-sectional analysis of demographic and health survey data." PLOS Medicine 18, no. 9 (September 16, 2021): e1003781. http://dx.doi.org/10.1371/journal.pmed.1003781.
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Background Approximately 40% of children 3 to 4 years of age in low- and middle-income countries have suboptimal development and growth. Women’s empowerment may help provide inputs of nurturing care for early development and growth by building caregiver capacity and family support. We examined the associations between women’s empowerment and child development, growth, early learning, and nutrition in sub-Saharan Africa (SSA). Methods and findings We pooled data on married women (15 to 49 years) and their children (36 to 59 months) from Demographic and Health Surveys that collected data on child development (2011 to 2018) in 9 SSA countries (N = 21,434): Benin, Burundi, Cameroon, Chad, Congo, Rwanda, Senegal, Togo, and Uganda. We constructed a women’s empowerment score using factor analysis and assigned women to country-specific quintile categories. The child outcomes included cognitive, socioemotional, literacy–numeracy, and physical development (Early Childhood Development Index), linear growth (height-for-age Z-score (HAZ) and stunting (HAZ <−2). Early learning outcomes were number of parental stimulation activities (range 0 to 6) and learning resources (range 0 to 4). The nutrition outcome was child dietary diversity score (DDS, range 0 to 7). We assessed the relationship between women’s empowerment and child development, growth, early learning, and nutrition using multivariate generalized linear models. On average, households in our sample were large (8.5 ± 5.7 members) and primarily living in rural areas (71%). Women were 31 ± 6.6 years on average, 54% had no education, and 31% had completed primary education. Children were 47 ± 7 months old and 49% were female. About 23% of children had suboptimal cognitive development, 31% had suboptimal socioemotional development, and 90% had suboptimal literacy–numeracy development. Only 9% of children had suboptimal physical development, but 35% were stunted. Approximately 14% of mothers and 3% of fathers provided ≥4 stimulation activities. Relative to the lowest quintile category, children of women in the highest empowerment quintile category were less likely to have suboptimal cognitive development (relative risk (RR) 0.89; 95% confidence interval (CI) 0.80, 0.99), had higher HAZ (mean difference (MD) 0.09; 95% CI 0.02, 0.16), lower risk of stunting (RR 0.93; 95% CI 0.87, 1.00), higher DDS (MD 0.17; 95% CI 0.06, 0.29), had 0.07 (95% CI 0.01, 0.13) additional learning resources, and received 0.16 (95% CI 0.06, 0.25) additional stimulation activities from their mothers and 0.23 (95% CI 0.17 to 0.29) additional activities from their fathers. We found no evidence that women’s empowerment was associated with socioemotional, literacy–numeracy, or physical development. Study limitations include the possibility of reverse causality and suboptimal assessments of the outcomes and exposure. Conclusions Women’s empowerment was positively associated with early child cognitive development, child growth, early learning, and nutrition outcomes in SSA. Efforts to improve child development and growth should consider women’s empowerment as a potential strategy.
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Budiastutik, Indah, and Muhammad Zen Rahfiludin. "Faktor Risiko Stunting pada anak di Negara Berkembang." Amerta Nutrition 3, no. 3 (September 9, 2019): 122. http://dx.doi.org/10.20473/amnt.v3i3.2019.122-129.
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Background: The problem of stunting occurs in developing countries including Indonesia. In Indonesia the prevalence of child stunting is 30.8%, still above the world prevalence, which is 22.2%. The prevalence of stunting in sub-Saharan Africa is 34.5%, in Ethiopia is 52.4%, and the prevalence of stunting in Congo is 40%. While WHO stipulates that nutrition problems should not exceed 20%. Stunting could inhibit linear growth, development and degenerative diseases later in adulthood.Objective: This review discussed the risk factors of child stunting in developing countries.Discusion: One of the causes of increased stunting in children was due to inadequate nutritional intake in a long period. Stunting was often not realized by parents and only visible after the age of 2 due to low stature. Based on the results of the literature review the likelihood of stunting in developing country were: 16.43 times morelikely due to low birth length, 3.27 times higher due to maternal education, 2.45 times higher if the children were living in rural area, 4.5 times higher due to low birth weight, no risk Antenatal Care increase the risk 3.4 times, 6.38 times higher due to no immunization, and no exclusive breastfeeding increase the risk of stunting 4.0 times.Conclusion: The risk factor for child stunting in developing countries are exclusive breastfeeding, socioeconomic, low birth weight, length of birth, low maternal education, infectious disease.ABSTRAKLatar Belakang: Masalah stunting (stunting) yang terjadi di Negara Berkembang seperti Indonesia masih tinggi yaitu 30,8% masih di atas dunia yaitu 22,2%. Stunting di sub sahara Afrika 34,5%, di Ethiopia 52,4%, prevalensi stunting di Congo 40%. Word Health Organization sudah menentukan bahwa terjadinya masalah gizi suatu negara sebaiknya kurang dari 20%. Stunting memiliki risiko gangguan pertumbuhan, perkembangan dan penyakit degeneratif pada usia dewasa nanti.Tujuan: Review ini bertujuan untuk mengidentifikasi faktor risikos apa saja yang dapat menentukan terjadinya stunting anak di Negara berkembang.Ulasan: Berdasarkan dari beberapa hasil penelitian menyebutkan bahwa salah satu penyebab stunting pada anak adalah karena tidak terpenuhinya gizi yang baik pada kurun waktu yang panjang dan sering kali tidak disadari oleh orang tuanya sehingga setelah anak usia di atas 2 tahun baru terlihat bahwa anaknya mengalami stunting. Berdasarkan hasil literatur review menunjukkan bahwa faktor risiko terjadinya stunting adalah panjang lahir berisiko 16,43 kali, pendidikan ibu yang rendah berisiko 3,27 kali, serta anak yang tinggal di desa berisiko 2,45 kali, BBLR berisiko 4,5 kali, tidak ANC berisiko 3,4 kali, tidak imunisasi berisiko 6,38 kali, dan tidak ASI Eksklusif berisiko 4,0 kali adalah merupakan faktor risiko stunting anak di negara berkembang.Kesimpulan: Hasil sintesis ini secara konsisten yang menjadi faktor risikos terjadinya stunting pada anak di negara berkembang adalah tidak diberikan ASI eksklusif, sosial ekonomi, berat bayi lahir rendah, panjang lahir, pendidikan ibu rendah, penyakit infeksi.
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Bethancourt, Hilary, Edward Frongillo, and Sera Young. "Water Insecurity Is Prevalent and Associated With Constrained Food Choices in Low- and Middle-Income Countries." Current Developments in Nutrition 5, Supplement_2 (June 2021): 625. http://dx.doi.org/10.1093/cdn/nzab045_007.
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Abstract Objectives Water insecurity may coincide with and exacerbate food insecurity and poor nutrition and health. The Household Water Insecurity Experiences (HWISE) Scale permits quantification and comparison of water access and use across low- and middle-income countries (LMICs). With Gallup and UNESCO, we collected the first nationally representative data on water insecurity in half the world's population. We investigated the national prevalence of water insecurity and predictors of altered food choice resulting from problems (in quantity, quality, or stability) with water. Methods The 2020–2021 Gallup World Poll administered the 12-item HWISE module to individuals ≥ 15 y in 31 countries in Africa, Asia, and South America. Responses to each item were “never,” “1–2 months,” “some, not all months,” and “almost every month” (scored 0–3, total range 0–36) in the prior 12 months. One HWISE item asked the frequency with which respondents changed what was eaten due to water problems. Ordered logistic regression models controlling for country fixed effects examined the odds of reporting a higher frequency of water-induced changes in food choices in relation to 10-y-increment age groups, sex, rural/urban residence, marital status, education, number of children and adult household members, 27 income brackets, difficulty affording shelter, and social support. Results In the seven countries for which data were available at the time of submission (China, Congo Brazzaville, Ghana, Ivory Coast, Mauritius, Uganda, and Zambia, n = 8,916), the national prevalence of water insecurity (HWISE score > 12) ranged from 2.4 ± 0.4% in China to 42.7 ± 2.1% in Zambia. Higher odds of water-induced changes in food choices were found for each additional child (OR: 1.05; 95% CI: 1.02, 1.08) and with difficulty affording shelter (OR: 1.90; 95% CI: 1.69, 2.14). Lower odds of water-induced changes in food choices were found for each higher income bracket (OR: 0.97; 95% CI: 0.96, 0.98) and amongst those with social support (OR: 0.76; 95% CI: 0.67, 0.87) and those > 65 years of age relative to other age groups (ORs ranging from 0.50–0.60; all P < 0.02). Conclusions Water insecurity is a concern in many LMICs and may constrain food choices for people experiencing other social and economic hardships. Funding Sources Carnegie Corporation and United State Agency for International Development Cooperative Agreement.
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Fava, Ferdinando. "Le interazioni sul campo e l'implicazione in Gérard Althabe. Oltre lo stallo dell'etnografia urbana." SOCIOLOGIA URBANA E RURALE, no. 95 (July 2011): 63–87. http://dx.doi.org/10.3280/sur2011-095004.
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L'autore presenta la nozione d'implicazione del ricercatore nei lavori dell'antropologo francese Gérard Althabe e ne illustra l'originalitŕ mettendola a confronto con la nozione deidi Raymond Gold e deidi Patricia e Peter Adler per pensare le interazioni sul campo. Proprio sul campo, Althabe ha riconosciuto il suo potenziale gnoseologico, prima per rendere conto dell'universo rurale africano negli anni della decolonizzazione, e poi, nel contesto urbano francese, per analizzare le interazioni nello spazio pubblico residenziale, al tempo della trasformazione strutturale del lavoro salariato e del capitale degli anni Ottanta. L'autore evidenzia la pertinenza attuale dell'implicazione e delle operazioni di conoscenza a cui abilita a proposito delle novitŕ metodologiche invocate per superare lo stallo della etnografia urbana contemporanea.
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Charnel Kehoua, Gilles Tixier, Catherine-Marie Dubreuil, Bebene Ndamba Bandzouzi, Maëlenn Guerchet, Pascal Mbelesso, Jean-François Dartigues, and Pierre-Marie Preux. "P2-264: Stigmatizing attitudes of relatives against people suffering from dementia in urban and rural areas of the republic of congo: An epidemca-fu result." Alzheimer's & Dementia 11, no. 7S_Part_13 (July 2015): P592. http://dx.doi.org/10.1016/j.jalz.2015.06.805.
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Ouadika, Séverin Aimé Blanchard. "Health shocks and vulnerability to poverty in Congo." Humanities and Social Sciences Communications 7, no. 1 (December 2020). http://dx.doi.org/10.1057/s41599-020-00674-w.
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AbstractThe analysis of the link between poverty and health status in developing countries is a major focus of development policy. However, few studies, particularly in the Congo, focus on a prospective analysis of poverty and consider the variability of future consumption after a health shock. The objective of this study is to estimate vulnerability to poverty and analyse the factors that lead to a loss of well-being after a health shock in Congo. The study uses data from the 2011 Congolese Household Survey (CHS). Estimation of vulnerability to poverty and modelling of the effect of the health shock on expected future consumption are performed using the three-step feasible generalized least squares (FGLS) method. This method is also used to identify the socio-demographic determinants of vulnerability. On average, 26.8% of households are vulnerable to poverty in Congo. Health shocks accentuate this vulnerability. Households living in rural areas are more vulnerable to poverty than those in urban areas. Furthermore, household size and the level of education and marital status of the head of household have an impact on vulnerability. In view of the results obtained, poverty reduction efforts should focus on strategies to develop social safety nets and/or health insurance programmes to stabilize consumption in the event of a health shock in the household.
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Mwembo -Tambwekoy, A., F. Chenge, and B. Criel. "Development of Learning and Research Health Districts (LRHD) in the DR Congo: results." European Journal of Public Health 30, Supplement_5 (September 1, 2020). http://dx.doi.org/10.1093/eurpub/ckaa166.1276.
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Abstract Issue There is great need in DRCongo for adequate training sites where national public health managers and workers can discover what is means to manage complex district healthcare delivery systems in a perspective of PHC and UHC. The development of such LRHD is coherent with the national policy in DRC advocating for demonstration districts. Description of the Problem The RIPSEC has launched three sites called LRHD, two of which are rural and one urban. A specialist in the organization and management of health services, from each of the three schools of public health, supervised the development and monitoring of those LRHDs. The Provincial Supervisor was also involved. Three approaches to solving priority problems have been defined: strengthening leadership at the HD level; transform health services into a learning and research framework. We analyze the transformation process obtained in these HD. Results Transformation processes in the district went through a strengthening of the capacity of the district health teams and via a process of action-research. The results of those LRHD after 4 years were mixed: the leadership of the management teams has improved. A reflexive attitude developed which contributes to more appropriate decision-making,monitoring and evaluation.At least one hospital service and 2 health centers have been transformed according to specific problems,improving the interaction between health structures, in order to quality of care has improved, the results of action research have made it possible to resolve local health problems. RIPSEC support to Provincial Supervisor to develop their working tools to better address their functions and responsibilities. However, the documentation of these changes induced by RIPSEC was not yet systematized. No residential internship could be carried out due to operational constraints. Lessons Mentoring, through its intellectual inputs, has contributed to a dynamic of change in the HD. Key messages The basis of the strategy is the improvement of the leadership of the HD management team,reinforced by mentoring and systematic documentation of complex decisions. This program could be continued to perpetuate these fragile achievements. This experience can be used elsewhere in different contexts. But,the residential internship requires other resources.
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Baba, Amuda, Tim Martineau, Sally Theobald, Paluku Sabuni, Marie Muziakukwa Nobabo, Ajaruva Alitimango, John Kisembo Katabuka, and Joanna Raven. "Developing strategies to attract, retain and support midwives in rural fragile settings: participatory workshops with health system stakeholders in Ituri Province, Democratic Republic of Congo." Health Research Policy and Systems 18, no. 1 (November 4, 2020). http://dx.doi.org/10.1186/s12961-020-00631-8.
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Abstract Background Midwifery plays a vital role in the quality of care as well as rapid and sustained reductions in maternal and newborn mortality. Like most other sub-Saharan African countries, the Democratic Republic of Congo experiences shortages and inequitable distribution of health workers, particularly in rural areas and fragile settings. The aim of this study was to identify strategies that can help to attract, support and retain midwives in the fragile and rural Ituri province. Methods A qualitative participatory research design, through a workshop methodology, was used in this study. Participatory workshops were held in Bunia, Aru and Adja health districts in Ituri Province with provincial, district and facility managers, midwives and nurses, and non-governmental organisation, church medical coordination and nursing school representatives. In these workshops, data on the availability and distribution of midwives as well as their experiences in providing midwifery services were presented and discussed, followed by the development of strategies to attract, retain and support midwives. The workshops were digitally recorded, transcribed and thematically analysed using NVivo 12. Results The study revealed that participants acknowledged that most of the policies in relation to rural attraction and retention of health workers were not implemented, whilst a few have been partially put in place. Key strategies embedded in the realities of the rural fragile Ituri province were proposed, including organising midwifery training in nursing schools located in rural areas; recruiting students from rural areas; encouraging communities to use health services and thus generate more income; lobbying non-governmental organisations and churches to support the improvement of midwives’ living and working conditions; and integrating traditional birth attendants in health facilities. Contextual solutions were proposed to overcome challenges. Conclusion Midwives are key skilled birth attendants managing maternal and newborn healthcare in rural areas. Ensuring their availability through effective attraction and retention strategies is essential in fragile and rural settings. This participatory approach through a workshop methodology that engages different stakeholders and builds on available data, can promote learning health systems and develop pragmatic strategies for the attraction and retention of health workers in fragile remote and rural settings.
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Baba, Amuda, Tim Martineau, Sally Theobald, Paluku Sabuni, and Joanna Raven. "Using data to support evidence-informed decisions about skilled birth attendants in fragile contexts: a situational analysis from Democratic Republic of the Congo." Human Resources for Health 18, no. 1 (October 29, 2020). http://dx.doi.org/10.1186/s12960-020-00511-w.
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Abstract Background Most low- and middle-income countries are experiencing challenges in maternal health in relation to accessing skilled birth attendants (SBA). The first step in addressing this problem is understanding the current situation. We aimed to understand SBA’s availability and distribution in Ituri Province, North Eastern Democratic Republic of the Congo (DRC) from 2013 to 2017. Methods We used available data on SBAs (doctors, nurses and midwives) from the Ituri Provincial Human Resource for Health Management Unit’s database from 2013 to 2017. The current distribution across and within three categories of district (rural, peri-urban and urban) and characteristics of SBAs as well as 5-year trends and vacancy trends were identified. Data on training outputs for SBA cadres was collected from training schools in the province. Descriptive analysis, disaggregating by district, cadre and gender where possible, was conducted using Excel. Results The national ratio of SBAs per 1000 population is four times less than the Sustainable Development Goals threshold (4.45) while the Ituri Province ratio is one of the lowest in DRC. There are more doctors and nurses in urban and peri-urban districts compared to posts, and shortages of midwives in all district categories, particularly in rural districts. From 2013 to 2017, occupied posts for doctors and nurses in all three categories of districts increase while midwives decrease in peri-urban and rural districts. There is clear gender and occupational segregation: doctors and nurses are more likely to be male, whereas midwives are more likely to be female. The projections of training outputs show a surplus against authorised posts of doctors and nursing increasing, while the shortfall for midwives remains above 75%. Conclusion This is the first study to use existing human resource data to analyse availability and distribution of SBAs in a DRC province. This has provided insight into the mismatch of supply and demand of SBAs, highlighting the extreme shortage of midwives throughout the province. Further investigations are needed to better understand the situation and develop strategies to ensure a more equitable distribution of SBAs throughout this province and beyond. Without this, DRC will continue to struggle to reduce maternal mortality.
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Glass, Nancy, Anjalee Kohli, Pamela J. Surkan, Mitma Mpanano Remy, and Nancy Perrin. "The relationship between parent mental health and intimate partner violence on adolescent behavior, stigma and school attendance in families in rural Democratic Republic of Congo." Global Mental Health 5 (2018). http://dx.doi.org/10.1017/gmh.2018.10.
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Background.Prolonged conflict and economic instability challenge the existing support networks in families and society places significant stress on both adults and adolescents. Exploring individual, family and social factors that increase the likelihood of or protect adolescents from negative outcomes are important to the development of evidence-based prevention and response programing in global settings.Objective.Examine the relationship between parent mental health and experience/perpetration of intimate partner violence (IPV) and adolescent behaviors, stigma, and school attendance. The relationship is further examined for differences by gender.Methods.Secondary analysis of data from an ongoing comparative effectiveness trial of a productive asset transfer program in eastern Democratic Republic of Congo (DRC).Results.Three hundred and eighty-eight adolescent and parent dyads were included in the analysis. The analysis demonstrated that parent mental health and IPV can have a negative impact their children's well-being and the impact is different for boys and girls, likely linked to gender roles and responsibilities in the home and community. Social relationships of adolescents, as reported through experienced stigma, were negatively impacted for both boys and girls. Parent report of symptoms of PTSD and depression had a stronger negative effect on girls’ outcomes, including experienced stigma, externalizing behaviors, and missed days of school than boys. For adolescent boys, their parent's report of IPV victimization/perpetration was associated with more negative behaviors at the 8-month follow-up assessment.Conclusion.The findings reinforce the critical importance of interventions that engage parents and their children in activities that advance health and improve relationships within the family.
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Tripp, Katie, Svenja Jungjohann, Heather Clayton, Simeon Nanama, Fanny Sandalinas, Winnie Mujinga, Cristina Palma, et al. "Formative Work to Design the Packaging of a Lipid-based Nutrient Supplement for a Home Fortification Program in the Democratic Republic of Congo (DRC)." European Journal of Nutrition & Food Safety, August 14, 2015, 636–37. http://dx.doi.org/10.9734/ejnfs/2015/21004.
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Objectives: To determine a culturally appropriate product name and package design that would communicate important usage instructions for a lipid-based nutrient supplement (LNS) for a target population with diverse languages and low literacy.
Methods: Formative work was conducted in two locations in Katanga region, DRC: Mabaya, a rural village and Kipushi, a peri-urban area. In each site, focus group discussions with parents of children aged 0-24 months (3 with mothers, and 1 with fathers) were conducted. Additionally, two key informant interviews with mothers and health workers were conducted in each location. Two sets of 7 images, one for each LNS sachet in the strip, were tested to assess perceptions of use. Different color options and product names were tested to identify culturally appropriate packaging.
Results: The majority of participants read the different images on the multi sachet strip as a story line. Participants retained the main messages that the strip should convey: Optimal child feeding and care, product use, target group and potential product benefits. All participants recognized the mother and children in the images as "Congolese". Green and brown were identified as suitable colors for the packaging and were associated with qualities such as growth, and healthy development. The names Kulazuri (eating well) and Afiabora (good health) were preferred. A combination of the first two name proposals "Kulabora" (eating better) was decided upon.
Conclusions: The results from this formative assessment were used to finalize the design of the LNS product, which is currently being distributed in Kasenga health zone.
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Yaya, Sanni, Olanrewaju Oladimeji, Emmanuel Kolawole Odusina, and Ghose Bishwajit. "Household structure, maternal characteristics and children’s stunting in sub-Saharan Africa: evidence from 35 countries." International Health, January 13, 2020. http://dx.doi.org/10.1093/inthealth/ihz105.
Full textAbstract:
Abstract Background Adequate nutrition in early childhood is a necessity to achieve healthy growth and development, as well as a strong immune system and good cognitive development. The period from conception to infancy is especially vital for optimal physical growth, health and development. In this study we examined the influence of household structure on stunting in children <5 yrs of age in sub-Saharan Africa (SSA) countries. Methods Demographic and Health Survey data from birth histories in 35 SSA countries were used in this study. The total sample of children born within the 5 yrs before the surveys (2008 and 2018) was 384 928. Children whose height-for-age z-score throughout was <−2 SDs from the median of the WHO reference population were considered stunted. Percentages and χ2 tests were used to explore prevalence and bivariate associations of stunting. In addition, a multivariable logistic regression model was fitted to stunted children. All statistical tests were conducted at a p<0.05 level of significance. Results More than one-third of children in SSA countries were reportedly stunted. The leading countries include Burundi (55.9%), Madagascar (50.1%), Niger (43.9%) and the Democratic Republic of the Congo (42.7%). The percentage of stunted children was higher among males than females and among rural children than their urban counterparts in SSA countries. Children from polygamous families and from mothers who had been in multiple unions had a 5% increase in stunting compared with children from monogamous families and mothers who had only one union (AOR 1.05 [95% CI 1.02 to 1.09]). Furthermore, rural children were 1.23 times as likely to be stunted compared with urban children (AOR 1.23 [95% CI 1.16 to 1.29]). Children having a <24-mo preceding birth interval were 1.32 times as likely to be stunted compared with first births (AOR 1.32 [95% CI 1.26 to 1.38]). In addition, there was a 2% increase in stunted children for every unit increase in the age (mo) of children (AOR 1.02 [95% CI 1.01 to 1.02]). Multiple-birth children were 2.09 times as likely to be stunted compared with a singleton (AOR 2.09 [95% CI 1.91 to 2.28]). Conclusions The study revealed that more than one-third of children were stunted in SSA countries. Risk factors for childhood stunting were also identified. Effective interventions targeting factors associated with childhood stunting, such as maternal education, advanced maternal age, male sex, child’s age, longer birth interval, multiple-birth polygamy, improved household wealth and history of mothers’ involvement in multiple unions, are required to reduce childhood stunting in the region.
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Gebremichael, Shewayiref Geremew, and Setegn Muche Fenta. "Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries." Tropical Medicine and Health 49, no. 1 (May 26, 2021). http://dx.doi.org/10.1186/s41182-021-00335-x.
Full textAbstract:
Abstract Introduction Institutional delivery is a major concern for a country’s long-term growth. Rapid population development, analphabetism, big families, and a wider range of urban-rural health facilities have had a negative impact on institutional services in Sub-Saharan Africa (SSA) countries. The aim of this study was to look into the factors that influence women’s decision to use an institutional delivery service in SSA. Methods The most recent Demographic and Health Survey (DHS), which was conducted in nine countries (Senegal, Ethiopia, Malawi, Rwanda, Tanzania, Zambia, Namibia, Ghana, the Democratic Republic of Congo) was used. The service’s distribution outcome (home delivery or institutional delivery) was used as an outcome predictor. Logistic regression models were used to determine the combination of delivery chances and different covariates. Results The odds ratio of the experience of institutional delivery for women living in rural areas vs urban area was 0.44 (95% confidence interval (CI) 0.41–0.48). Primary educated women were 1.98 (95% CI 1.85–2.12) times more likely to deliver in health institutes than non-educated women, and secondary and higher educated women were 3.17 (95% CI 2.88–3.50) times more likely to deliver in health centers with facilities. Women aged 35–49 years were 1.17 (95% CI 1.05–1.29) times more likely than women aged under 24 years to give birth in health centers. The number of ANC visits: women who visited four or more times were 2.98 (95% CI 2.77–3.22) times, while women who visited three or less times were twice (OR = 2.03; 95% CI 1.88–2.18) more likely to deliver in health institutes. Distance from home to health facility were 1.18 (95% CI 1.11–1.25) times; media exposure had 1.28 (95% CI 1.20–1.36) times more likely than non-media-exposed women to delivery in health institutions. Conclusions Women over 24, primary education at least, urban residents, fewer children, never married (living alone), higher number of prenatal care visits, higher economic level, have a possibility of mass-media exposure and live with educated husbands are more likely to provide health care in institutions. Additionally, the distance from home to a health facility is not observed widely as a problem in the preference of place of child delivery. Therefore, due attention needs to be given to address the challenges related to narrowing the gap of urban-rural health facilities, educational level of women improvement, increasing the number of health facilities, and create awareness on the advantage of visiting and giving birth in health facilities.