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CHIMBINDI, TAKAWIRA. "An FORMAL EDUCATION FOR WOMEN ENABLEMENT." Advances in Social Sciences Research Journal 8, no. 2 (February 16, 2021): 102–19. http://dx.doi.org/10.14738/assrj.82.9619.
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Universally, there is concern for women enablement and United Nations Educational Science and Cultural Organisational (UNESCO) cites Zimbabwe as having 17% of the adult population being illiterate with two thirds being women (Kadada, 2014). Despite efforts by the government of Zimbabwe through formal education and other key players such as Non-governmental Organizations (NGOs) in ensuring women enablement, women have not been fully integrated into many development spheres. As alluded by Pietila, and Vickers, (1996), that the subordinate position of women limits their ability to effectively indulge in development activities and women in Chirumanzu district are no exception. They continue to be seen as a missing link in being effective stakeholders in development processes. A notable pattern inherently evident on the ground is that few women are socially, politically, and economically active in development programmes. Hence the need to advocate for women enablement through formal education. According to Pietila, and Vickers, (1996), “empowerment is an active, multidimensional process which enables women to realize their full identity and power in all spheres of life”. Women in Chirumanzu district need to be enabled enough to know their rights, to have access to knowledge and resources, greater autonomy in decision making, greater ability to plan their lives, greater control over the circumstances that influence their lives and finally to be free from customs, beliefs that are barriers to their enablement. In light of the above, this study therefore endeavours to assess how formal education has assisted women in Chirumanzu district to be enabled.
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Sayi, Takudzwa S., and Amson Sibanda. "Correlates of Child Marriage in Zimbabwe." Journal of Family Issues 39, no. 8 (January 31, 2018): 2366–88. http://dx.doi.org/10.1177/0192513x18755198.
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In countries where child marriage remains widespread, concerted efforts are underway to eliminate it, but overall progress remains uneven and slow. One in three Zimbabwean girls marries by age 18. To inform the country’s efforts to reduce child marriage, data from 5,542 women aged 20 to 24 years in the 2005-2006, 2010-2011, and 2015 Zimbabwe Demographic and Health Surveys are used to examine individual-, household-, and cluster-level correlates. Cumulative incidence functions first document changes over time, and multilevel models are used to explore correlates. Although prevalence is high, younger cohorts were less likely to marry young. A woman’s education, wealth quintile, religion, and provincial residence correlated with marrying as a child. Cluster-level female schooling, number of children ever born, and proportions using contraceptives were also correlated with child marriage. Efforts should promote socioeconomic well-being and target cultural practices promoting the practice. Interventions targeting at-risk women should complement universal approaches to combating child marriage.
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Benefo, Kofi D., and Vijayan K. Pillai. "Determinants of women's non-family work in Ghana and Zimbabwe." Canadian Studies in Population 30, no. 2 (December 31, 2003): 389. http://dx.doi.org/10.25336/p6ng60.
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One objective of this paper is to evaluate the determinants of female non-family work in Africa. Selected labor force participation theories are tested using demographic and health survey data. The traditional kinship-oriented family organization in Africa, along with high fertility, have long been seen as factors that constrain women’s participation in the labor force, particularly in seeking formal sector employment. We use demographic and health survey data from two African countries, Ghana and Zimbabwe. Education emerges as the most important determinant of non-family work. Even if female education levels increase, single women may not gain easy entry into the informal economy managed by kinship-based social networks. A large proportion of these educated women may not find jobs if the formal economy does not expand. Results from Ghana and Zimbabwe are compared.
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Kanyemba, Roselyn, and Maheshvari Naidu. "Nature and Perception of Sexist Humor at Great Zimbabwe University." Oriental Anthropologist: A Bi-annual International Journal of the Science of Man 19, no. 2 (September 5, 2019): 173–89. http://dx.doi.org/10.1177/0972558x19862403.
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For the majority of women, university represents a time of hopefulness and opportunities such that gendered incidences questioning their academic merit poses a serious setback. Sexist humor is one such incident which communicates a message that females are irrelevant and insignificant. This article discusses the nature and perceptions of sexist humor on University campuses. The views on how students on campus perceive sexist humor are crucial for understanding students’ response and offer a clear understanding of what justifies and normalizes sexist humor. The paper analyzes how the use of language can be connected to sexism and violence. Using a mixed methodology for data collection at Great Zimbabwe University, the paper attempts to link language, sexual violence, misogyny, and sexism as well as chronicle the overall pattern of exclusion and marginalization of women in higher education settings. The findings of the paper present evidence that the institutional and intellectual cultures of educational institutions are permeated with sexual and gender dynamics that have become embedded and naturalized in popular thought. Normalization of verbal harassment contributes to muting victimized women, thus perpetuating a culture in which violence against women becomes part of the social milieu. Thus, this study concludes that while one may consider higher education institutions in Africa as safer spaces for women, these are highly contested terrains as misogyny through sexist humor, among other hindrances, has created an obstacle for women’s equal participation in higher education.
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Moyo, Zvisinei, Juliet Perumal, and Philip Hallinger. "Struggling to make a difference against the odds: a synthesis of qualitative research on women leading schools in Zimbabwe." International Journal of Educational Management 34, no. 10 (August 27, 2020): 1577–94. http://dx.doi.org/10.1108/ijem-01-2020-0015.
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PurposeThis paper reports on results of a systematic research synthesis of 25 studies on women in educational leadership and management in Zimbabwe. The aim of this systematic review of research was to report conclusions drawn from a synthesis of findings from studies of gender and educational leadership in Zimbabwe.Design/methodology/approachThe review used systematic methods to identify 25 research studies that examined women leading schools in Zimbabwe. Research synthesis methods used for qualitative research studies were employed in order to identify three broad themes and related subthemes across the studies.FindingsThe review identified three themes: (1) barriers to women gaining access to management positions, (2) female ways of leading, (3) context challenges for women leaders. Both barriers to gaining positions and context challenges faced in enactment of the leadership role are described. These consist of an intertwined web of personal, institutional and cultural challenges. Women's ways of leading were characterized as collegial, collaborative and caring.Research limitations/implicationsThree implications are identified. First is a need for better statistical information on gender representation in Zimbabwe and other African countries. Second is a need to design and implement training, mentoring and networking support programs for female leaders in Zimbabwe. Finally, the authors recommend that future research move toward the use of mixed methods research designs capable of achieving complementary research goals of gaining a broad perspective on the effects of female leadership and in-depth understanding of how those are achieved.Originality/valueEmpirical studies of female leadership is especially urgent in Africa where particular features embedded in the cultural context shape female access to leadership role and attitude towards efforts of women to lead.
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Kurebwa, Jeffrey. "Gendered Inequalities in the Informal Economy in Masvingo Urban of Zimbabwe." Business, Management and Economics Research 4, no. 9 (September 10, 2018): 111–20. http://dx.doi.org/10.32861/bmer.8.49.111.120.
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This paper focuses on the gendered inequalities in the informal economy of Zimbabwe with specific reference to Masvingo urban in Zimbabwe. The informal economy in Zimbabwe is made up of unregistered and unrecorded statistics and therefore is not registered, supported or regulated by the Government. Women trading in the informal economy have little or no access to organised markets, credit institutions, formal education and training institutions, public services and amenities. Qualitative research methodology was used for the research. A case study research of Masvingo urban in Zimbabwe was used, while data was collected using key informant interviews, semi-structured interviews, observations and documentary search. The findings of the study indicates that women in the informal economy are affected by environmental, political, economic, social and personal constraints. Women are concentrated in this sector due to the value system in the society; fewer skills required for the jobs in this sector, technological advancement, and the traditional roles assigned to them. The study concludes that gender-sensitive macro-economic policies are an important enabler to address gender inequalities in the informal economy as they shape the economic environment for women’s empowerment. The study recommends that local authorities should come up gender-responsive policies to enable women to operate in an environment that has decent infrastructure for vending, free from police and sexual harassment and adequate security.
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Kurebwa, Jeffrey, and Nyasha Yvonne Kurebwa. "Child Marriages in Rural Zimbabwe." International Journal of Civic Engagement and Social Change 5, no. 1 (January 2018): 40–54. http://dx.doi.org/10.4018/ijcesc.2018010103.
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The objectives of this article was to understand the causes, effects and measures to reduce child marriages in rural Zimbabwe. Child marriages have serious social, economic, health and political implications on young girls and their communities. Young girls are also robbed of their locally and internationally recognised rights. Ending child marriages demands a multi-sectoral approach where all actors, such as parents, national governments, non-governmental organisations (NGOs), local culture, and religion are involved. This article relies on qualitative methodology to gather data. Purposive sampling and snow ball sampling methods were used to identify key informants and women who were victims of child marriages. Stakeholders involved in children's rights should provide reproductive health and education services to local communities in order to end child marriages.
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Manase, Wilson T. "Grassroots Education in Zimbabwe: Successes and Problems Encountered in Implementation by the Legal Resources Foundation of Zimbabwe." Journal of African Law 36, no. 1 (1992): 11–18. http://dx.doi.org/10.1017/s0021855300009694.
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Zimbabwe has a population of almost ten million people of which approximately 80 per cent, are poor and live in the rural areas. The majority of the rural population lack formal education and are ignorant of their rights. They have no access to legal services as most of the country's lawyers are based in the urban areas. Even if legal practitioners were accessible to them, they would not be able to pay for their services. Thus, they are liable to exploitation.Since independence, the changes in Zimbabwe law have been rapid, farreaching and progressive. In the absence of any co-ordinated mass education campaign on their meaning and implications, or consultation with those to be affected before enactment, there has been a great deal of adverse reaction to new legislation, especially where it has safeguarded or equalised the rights of women. For the community, the effect has been chaos. Traditional structures, known and well-understood means of communication, and culturally entrenched roles have been transformed and replaced by a new order.The Legal Resources Foundation (LRF), an autonomous charitable and educational Trust, was established to meet the need to improve the accessibility of legal and information services to all sections of the population. It was formed following a regional workshop on legal aid which was held at the University of Zimbabwe in February 1984 and against the background of there being just 400 lawyers in Zimbabwe at the time, all of whom were urban based.
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Bengesai, Annah V., Lateef B. Amusa, and Felix Makonye. "The impact of girl child marriage on the completion of the first cycle of secondary education in Zimbabwe: A propensity score analysis." PLOS ONE 16, no. 6 (June 9, 2021): e0252413. http://dx.doi.org/10.1371/journal.pone.0252413.
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Background The association between girl child marriage and education is widely acknowledged; however, there is no large body of demographic studies from Zimbabwe that have addressed this aspect. This study aimed to examine the extent to which child marriage affects one academic milestone, i.e. completion of the Ordinary Level, the first cycle of high school, which is also the most critical indicator of educational achievement in Zimbabwe. Methods We used the 2015 Zimbabwe Demographic and Health Survey and extracted 2380 cases of ever-married women aged between 20–29 years. We applied a propensity score-based method, which allowed us to mimic a hypothetical experiment and estimate outcomes between treated and untreated subjects. Results Our results suggest that child age at first marriage is concentrated between the ages of 15–22, with the typical age at first marriage being 18 years. Both logistic regression and PSM models revealed that early marriage decreased the chances of completing the first cycle of high school. Regression adjustment produced an estimate of prevalence ratio (PR) of 0.446 (95% CI: 0.374–0.532), while PSM resulted in an estimate (PR = 0.381; 95% CI: 0.298–0.488). Conclusion These results have implications for Zimbabwe’s development policy and suggest that girl-child marriage is a significant barrier to educational attainment. If not addressed, the country will most likely fail to meet sustainable development Goal 4.2 and 5.3. Social change interventions that target adults and counter beliefs about adolescent sexuality and prepubescent marriage should be put in place. Moreover, interventions that keep teenage girls in school beyond the first cycle of high school should be prioritised.
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Manzini, Sibongile, Evaristo Nsenduluka, and Edwin Bbenkele. "A Business Case for the Adoption of a Knowledge Management Strategy and Government Policy as Precursors for Divapreneurship Development in Zimbabwe." International Journal of Entrepreneurial Research 3, no. 4 (November 30, 2020): 102–12. http://dx.doi.org/10.31580/ijer.v3i4.1546.
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The study showcases a business value proposition to policy makers for the adoption of a business paradigm involving the infusion of knowledge management practices, strategic thinking and government policy intervention for divapreneurship development in Zimbabwe. The significance of knowledge management (KM) in women entrepreneurial development arises from the fact that, KM is considered as one of the most effective strategic tools for enterprise survival (Kim and Koh, 2011). The study also investigated the antecedents of bringing about the divatude (positive attitude) in women, as a new way of addressing the impediments to the development of women so that they could be united, driven, inspired, action oriented and victorious ensuring that divapreneurship development becomes a reality in Zimbabwe (Bbenkele, 2013). The mixed method research paradigm was adopted with both quantitative and qualitative data integrated in data collection. Consequently, basing on a purposive sample of 558 structured questionnaires, and focus group discussions, data was collected in line with the sequential explanatory approach. The study was carried out in Bulawayo and Harare Metropolitan Provinces, and Matabeleland North Provinces in Zimbabwe. The study recommended a ten factor framework for divapreneurship development involving universities as the nerve centre, in unrolling entrepreneurial education and training working in collaboration with the Ministry of Women’s Affairs, Gender and Community Development.
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Chidarikire, Munyaradzi, Cecilia Muza, and Hessie Beans. "Integration of Gender Equality and Language Diversity in Zimbabwe Teacher Education Curriculum." EAST AFRICAN JOURNAL OF EDUCATION AND SOCIAL SCIENCES, Issue 2 (April to June 2021) (June 27, 2021): 231–38. http://dx.doi.org/10.46606/eajess2021v02i02.0094.
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This article explored the perceptions of lecturers on integration of gender equality and language diversity in Zimbabwe University teacher education curricula through the qualitative phenomenological design. Out of the population of forty lecturers from one State University and one church owned university in Masvingo Province, nine lecturers from the Department s of Educational Psychology, Educational Sociology and Special Needs Education were picked to participate in this study through Focus Group Discussion which was analyzed through the thematic approach. The study concluded that the challenges that face gender equality include lack of qualified lecturers to teach gender studies in universities, gender studies being elective at universities and lack of scholarly materials that deal with gender issues. These challenges negatively affect the goals of gender equality. The use of a variety of languages helps students and lecturers to socialize. However, some of the challenges that affect the effective use of a variety of languages as instruments of teaching and learning include inability of teachers to master and use all students’ languages, the lack of university course textbooks in various languages and lack of reading materials that are in vernacular languages. The study recommends that lecturers should be trained in gender equality issues through staff development programs periodically. The compulsory teaching and learning of gender studies will equip students with relevant knowledge of gender equality. Institutions of higher learning should have clear and deliberate policies of promoting women to positions of authority as a way for women empowerment. Finally, scholars should write literature in vernacular languages to enhance the use of multiple languages in teaching and learning in Zimbabwe.
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SENDA, TRINITY S., DON PEDEN, SABINE HOMANN-KEE TUI, GIVIOUS SISITO, ANDRÉ F. VAN ROOYEN, and JOSEPH L. N. SIKOSANA. "GENDERED LIVELIHOOD IMPLICATIONS FOR IMPROVEMENTS OF LIVESTOCK WATER PRODUCTIVITY IN ZIMBABWE." Experimental Agriculture 47, S1 (January 2011): 169–81. http://dx.doi.org/10.1017/s0014479710000943.
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SUMMARYScarcity, lack of access, and ineffective and inefficient use of water in Nkayi District, Zimbabwe, threaten agricultural production. The purpose of this study is to augment understanding of opportunities to increase livestock water productivity (LWP) in Nkayi District by taking into account key differences in the capacities, opportunities, and needs of women and men. There are two important types of female-headed households, de facto and de jure. The results from this study showed that male-headed and de facto and de jure female-headed households share much in common. They all had similar areas of cropland and access to education, finances, veterinary and extension services, and transportation and markets. Households of all types had similar herd sizes. All were desperately poor with incomes much less than a dollar a day. To rise out of poverty, the knowledge, skills and effort of all household heads will be needed. In spite of severe poverty, household heads of all types are literate and have sufficient education that can help enable adoption of intervention options that can lead to increased agricultural production and improved livelihoods. The results also showed that major differences exist in terms of the roles of men and women in ownership, management and decision making related to livestock keeping and animal production. Men clearly dominate in both ownership and decision making even though women play a major role in animal management. Only in de jure female-headed households were women more likely than men to own cattle and goats. They were also more likely to be involved in farming as a primary livelihood activity. Surprisingly, men were more likely to be involved in animal management in these de jure female-headed households. Women were also excluded from water users' and livestock producers' associations although a minority of men was members. By not involving the already-developed capacity of women, the community loses out on a significant opportunity to increase LWP and animal production more widely. Greater inclusion of women in decision making will be an important part of future efforts to improve livelihoods through livestock development.
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Barugahara, Florence. "Financial Inclusion in Zimbabwe: Determinants, Challenges, and Opportunities." International Journal of Financial Research 12, no. 3 (February 4, 2021): 261. http://dx.doi.org/10.5430/ijfr.v12n3p261.
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Financial inclusion is a highly topical issue for policymakers since inclusive finance is viewed as a channel of social and economic development. Therefore, this paper seeks to ascertain and examine the determinants, challenges, and opportunities for financial inclusion in Zimbabwe. The research is done by examining existing literature and estimating Logit and Probit models. This paper finds that, the major determinants of financial inclusion in Zimbabwe are; gender, age, education, income levels, employment status, the cost of financial services, account opening requirements, and level of trust in the financial system. Challenges to financial inclusion in Zimbabwe include; financial illiteracy, lack of formal identification documents, lack of trust in the financial system, fragile economy, rural poor and gender inequality, and high transaction costs of financial services. However, mobile money services such as Eco-cash, Tel-cash, and One-money have proved an opportunity for inclusive finance in Zimbabwe. Furthermore, the establishment of the women’s Bank of Zimbabwe is one of the strategies to enhance inclusive finance for women in Zimbabwe. The simplified KYC requirements for low-income groups and the financial inclusion strategy commissioned by the Reserve Bank of Zimbabwe are hoped to promote financial inclusion. This paper recommended that to make finance inclusive, the government should develop policies that target marginalized groups such as the elderly, rural population, low-income earners, females, and the unemployed. The government should also develop a strong consumer protection regulatory framework, promote financial literacy, reduce the transaction cost of financial services and encourage the use of accounts with simplified KYC requirements to ease documentation needs.
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HUMPHREY, J. H., K. J. NATHOO, J. W. HARGROVE, P. J. ILIFF, K. E. MUTASA, L. H. MOULTON, H. CHIDAWANYIKA, et al. "HIV-1 and HIV-2 prevalence and associated risk factors among postnatal women in Harare, Zimbabwe." Epidemiology and Infection 135, no. 6 (January 12, 2007): 933–42. http://dx.doi.org/10.1017/s0950268806007709.
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SUMMARYStudies of antenatal women form the predominant source of data on HIV-1 prevalence in Africa. Identifying factors associated with prevalent HIV is important in targeting diagnostic services and care. Between November 1997 and January 2000, 14 110 postnatal women from Harare, Zimbabwe were tested by ELISAs reactive to both HIV-1 and HIV-2; a subset of positive samples was confirmed with assays specific for HIV-1 and HIV-2. Baseline characteristics were elicited and modelled to identify risk factors for prevalent HIV infection. HIV-1 and HIV-2 prevalences were 32·0% (95% CI 31·2–32·8) and 1·3% (95% CI 1·1–1·5), respectively; 4% of HIV-1-positive and 99% of HIV-2-positive women were co-infected. HIV-1 prevalence increased from 0% among 14-year-olds to >45% among women aged 29–31 years, then fell to <20% among those aged >40 years. In multivariate analyses, prevalence increased with parity, was lower in married women than in single women, divorcees and widows, and higher in women with the lowest incomes and those professing no religion. Adjusted HIV-1 prevalence increased during 1998 and decreased during 1999. Age modified the effects of parity, home ownership and parental education. Among older women, prevalence was greater for women who were not homeowners. Among younger women, prevalence increased with parity and low parental education. None of these factors distinguished women co-infected with HIV-2 from those infected with HIV-1 alone. Prevalent HIV-1 infection is associated with financial insecurity and weak psychosocial support. The ZVITAMBO study apparently spanned the peak of the HIV-1 epidemic among reproductive women in Harare.
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Ndagurwa, Pedzisai, and Garikayi B. Chemhaka. "Education elasticities of young women fertility in sub-Saharan Africa: Insights from Ethiopia, Rwanda, and Zimbabwe." Development Southern Africa 37, no. 6 (April 8, 2020): 921–36. http://dx.doi.org/10.1080/0376835x.2020.1747987.
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Mbulayi, Shingirai P., Abigail Makuyana, and Simon M. Kang’ethe. "Psychosocial Impacts of the Coronavirus Disease (COVID-19) Pandemic in Zimbabwe: Citizens’ Perspective." Perspectives on Global Development and Technology 19, no. 5-6 (February 4, 2021): 565–83. http://dx.doi.org/10.1163/15691497-12341571.
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Abstract The outbreak of the ongoing coronavirus pandemic altered the social, economic, and public health landscape across the world, and unleashed a plethora of negative psychosocial impacts on society. This qualitative study used an online based case study design to explore the psychosocial impacts of COVID-19 among a few selected citizens of Zimbabwe. The study was conceptualized around an orienting question stated as: What are the psychosocial impacts of the COVID-19 pandemic in Zimbabwe? Participants for the study were purposively selected, and data was collected through in-depth interviews, which were hosted online. The study returned findings that the COVID-19 pandemic in Zimbabwe was concomitant with a range of psychosocial impacts including inter alia, exposure of people to mental health problems such as severe distress, phobias, anxiety, development of psychosomatic symptoms, as well as increase in social ills such as poverty, and domestic and sexual violence perpetrated against women and children.
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Shava, George N., and Clever Ndebele. "Challenges and Opportunities for Women in Distance Education Management Positions: Experiences from the Zimbabwe Open University (ZOU)." Journal of Social Sciences 40, no. 3 (September 2014): 359–72. http://dx.doi.org/10.1080/09718923.2014.11893331.
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Chabaya, Owence, Symphorosa Rembe, and Newman Wadesango. "The persistence of gender inequality in Zimbabwe: factors that impede the advancement of women into leadership positions in primary schools." South African Journal of Education 29, no. 2 (July 8, 2009): 235–51. http://dx.doi.org/10.15700/saje.v29n2a259.
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Mbizvo, E. M., S. E. Msuya, B. Stray-Pedersen, M. Z. Chirenje, and A. Hussain. "Cervical dyskaryosis among women with and without HIV: prevalence and risk factors." International Journal of STD & AIDS 16, no. 12 (December 1, 2005): 789–93. http://dx.doi.org/10.1258/095646205774988046.
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Women in developing countries often present for medical care with advanced cervical cancer, although this condition is preventable through regular screening and early treatment. This study sought to identify the prevalence and risk factors for cervical dyskaryosis among women in Zimbabwe with and without HIV. In a cross-sectional study, 200 consenting women were screened for cervical dyskaryosis and sexually transmitted infections (STI). The relationship between various risk factors for cervical dyskaryosis was examined. The overall prevalence of cervical dyskaryosis was high (19%), and significantly higher among HIV-infected women at 30% compared with 13% among seronegative women, with a peak at a younger age among seropositive women. Use of intravaginal herbs, practising intravaginal cleansing, being single, a history of three or more lifetime sexual partners and a history of previous STI were associated with cervical dysplasia. The high frequency of cervical abnormality lends weight to the demand for implementation of regular screening programmes and health education.
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MASON, PETER R., PIER LUIGI FIORI, PIERO CAPPUCCINELLI, PAOLA RAPPELLI, and SIMON GREGSON. "Seroepidemiology of Trichomonas vaginalis in rural women in Zimbabwe and patterns of association with HIV infection." Epidemiology and Infection 133, no. 2 (January 4, 2005): 315–23. http://dx.doi.org/10.1017/s0950268804003127.
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Serological assays using dried blood spots from 5221 women in rural areas of eastern Zimbabwe were used to assess the epidemiology of Trichomonas vaginalis infection, and its association with HIV. Antibodies to T. vaginalis and to HIV were detected by enzyme immunoassays. Behavioural and demographic data were collected by confidential questionnaires. In total, 516 (9·9%) women were seropositive for T. vaginalis and seroprevalence increased with age among younger women. Divorced, widowed and single women were more likely to be seropositive. After controlling for age, seropositivity was significantly associated with being sexually active, having multiple sex partners, having a partner who had multiple sex partners, and having a new sex partner in the past year. Seropositivity was associated with a recent history of genital discharge. Overall, 208 (40·3%) T. vaginalis-positive samples were also positive for HIV, compared with 1106 (23·5%) T. vaginalis-negative samples (age and sex adjusted OR 2·11, 95% CI 1·74–2·55, P<0·001). There was increased risk for being HIV-positive amongst T. vaginalis-seropositive women regardless of residence, employment or education. In a logistic regression controlling for common risk factors, the association remained significant. T. vaginalis-seropositive young women with a history of genital discharge were much more likely to be HIV-positive than women who were T. vaginalis-seronegative and had no history of discharge (OR 6·08, 95% CI 2·95–12·53). Although a causal relationship cannot be assumed, detection and treatment of trichomoniasis may be important in strategies to reduce HIV transmission through sexually transmitted infection control.
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Singh, Kavita, Winnie Luseno, and Erica Haney. "Gender equality and education: Increasing the uptake of HIV testing among married women in Kenya, Zambia and Zimbabwe." AIDS Care 25, no. 11 (November 2013): 1452–61. http://dx.doi.org/10.1080/09540121.2013.774311.
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Dimene, Liphapang, Mutseyekwa Fadzai, Jephat Chifamba, Gerald Nyakatawa, Carol Mahachi, Amos Marume, Michael Bhebhe, and Tafadzwa Taderera. "A cross-sectional study to determine the use of alternative medicines during pregnancy in the district hospitals in Manicaland, Zimbabwe." African Health Sciences 20, no. 1 (April 20, 2020): 64–72. http://dx.doi.org/10.4314/ahs.v20i1.11.
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Background: Traditional medicines are widely used in the rapidly growing health system and are of economic importance. The study aimed at determining the frequency, pattern of use and factors that influence traditional medicines use during pregnancy.
Materials and methods: A cross-sectional study was carried out at four district hospitals in Manicaland, Zimbabwe, using questionnaire based convenience sampling.
Results: Traditional medicines use was found to be high with 54% (n = 337) of pregnant women using traditional medicines during pregnancy. The major purpose of use of traditional medicine was found to be preparation for delivery; cervical dila- tion in particular. The following factors showed a significant statistical association for use of traditional medicines: previous mode of delivery (p = 0.006), level of education (p = 0.016), family income (p = 0.007), and residential settlement (p = 0.026). Some of the common traditional medicines used during pregnancy include Camellia sinensis, Aloe, Spirostachys Africana, Thumbergia lancifolia, Dalbergiella nyasae, Steganotaenia oraliacea, Stomatostemma monteiroae and Cussonia arborea.
Conclusion: A number of pregnant women use traditional medicines as partus preparators (labour aids) throughout the entire pregnancy period. This calls for obstetricians, general practitioners and midwives to inquire about use of traditional medicine in history.
Keywords: Traditional medicines; pregnancy; Zimbabwe.
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Nhuta, Stephen, and Ellen Mukumba. "Empowerment of Zimbabwean Women through Entrepreneurship an Economic and Social Perspective." IRA-International Journal of Management & Social Sciences (ISSN 2455-2267) 7, no. 3 (June 23, 2017): 373. http://dx.doi.org/10.21013/jmss.v7.n3.p1.
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<div><p><em>The objectives of the study were to<ins cite="mailto:usr" datetime="2017-03-14T09:40"> </ins>identify socio-economic characteristics of female entrepreneurs in Zimbabwe and to ascertain the relationship between women empowerment in entrepreneurship and economic/social development. The research looked at economic and social independent variables that affect women empowerment in entrepreneurship. Literature covered but not limited to, power in households, decision making, ownership of property, access to capital, networking and freedom of movement. This study adopted a mixed research methodology that combined the positivism and the interpretivism paradigms. With regard to this study, the target population was the female entrepreneurs in Harare, Zimbabwe. </em><em>Non-probability was chosen as the sampling technique for this study because it is quicker, easier and cheaper. Convenience and judgmental sampling techniques shall were employed. The questionnaire was used to collect primary data for this study.</em><em>The study revealed that married female entrepreneurs continue to be absent from the household decision-making that shapes the allocation of the economic and financial resources, which further perpetuates gender inequality. The study also confirmed that education and training as well as previous work experience are important success characteristics for empowerment, required by emerging female entrepreneurs as they start and grow their business. The study also confirmed that the lack of access to capital exacerbated by lack of collateral and high interest rates is one of the major deterrents for empowering women through entrepreneurship. Recommendations include coalition among female entrepreneurs, mentoring schemes and changing entrenched patriarchal cultural norms.</em></p></div>
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Vusumuzi Nani, Gwendoline. "A synthesis of changing patterns in the demographic profiles of urban street vendors in Botswana, South Africa and Zimbabwe." Problems and Perspectives in Management 14, no. 3 (September 27, 2016): 549–55. http://dx.doi.org/10.21511/ppm.14(3-2).2016.11.
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Street vending is a phenomenon that has been in existence for hundreds of years. It has since increased owing to economic challenges experienced, especially in developing countries. This article sought to highlight changing patterns in the demographic profiles of urban street vendors in Botswana, South Africa and Zimbabwe through a desk research study. The aim was to sensitize local governments, particularly in Zimbabwe, to develop appropriate policies in line with changing patterns in the demographic profiles of urban street vendors. Findings revealed that there has been an increase in the number of single and married women in urban street vending; more young people have joined this practice and more educated people are also part of urban street vendors. The study concluded that street vending is a dynamic phenomenon with changes having been noticed in gender, marital status, age and level of education of urban street vendors. Recommendations were that local governments need to re-visit policies pertaining to planning for urban street vending in line with the changing circumstances. Keywords: changing patterns, urban street vending, dynamic phenomenon, qualitative analysis. JEL Classification: P25, C13
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Mbizvo, E. M., E. Msuya Sia, B. Stray-Pedersen, M. Z. Chirenje, M. Munjoma, and A. Hussain. "Association of herpes simplex virus type 2 with the human immunodeficiency virus among urban women in Zimbabwe." International Journal of STD & AIDS 13, no. 5 (May 1, 2002): 343–48. http://dx.doi.org/10.1258/0956462021925171.
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A cross-sectional study at two urban primary health care clinics in Zimbabwe was conducted among 393 consecutive women. The purpose was to determine the seroprevalence of herpes simplex virus type 2 (HSV-2), to identify coinfections and to determine the association between HSV-2, HIV and other sexually transmitted infections (STIs). Sera were tested for HSV-2, HIV and syphilis. Genital specimens were tested for the other STIs. The seroprevalence of ulcerative STIs tested was 42.2% for HSV-2 and 3.9% for syphilis. HSV-2 seropositive women had twice the risk of being HIV infected compared to HSV-2 seronegative women, adjusted OR=2.05 (95% CI=1.29-3.23). HSV-2 seropositivity was also associated with older age, a lower level of education, increase in the number of lifetime sexual partners and history of genital ulcers in the past six or more months. Our data suggest that in this population HSV-2 may contribute more to HIV infection than syphilis because of its high frequency. There is an urgent need for development of an effective HSV-2 vaccine.
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Mbizvo, E. M., S. E. Msuya, A. Hussain, M. Z. Chirenje, and B. Stray-Pedersen. "HIV prevalence in Zimbabwean women: 54-67% knowledge and perceived risk." International Journal of STD & AIDS 14, no. 3 (March 1, 2003): 202–7. http://dx.doi.org/10.1258/095646203762869232.
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This study examined the level of knowledge of sexually transmitted infections (STI) and HIV, knowledge of symptoms and potential sequelae of STI and perceived personal risks of infection among urban women in Zimbabwe. The women consented to being interviewed, examined, tested and treated for curable diagnosed STIs. Prevalence of both STI and HIV was high 11.4% and 54.5% among women aged 15-19 years, 28.5% and 62.4% among those 20-29 years and was highest among the age group ≥30 years 39.0% and 67.0% respectively. Women aged 15-19 years least perceived their risk of infection. Of the women with the highest rates of STI/HIV infection, less than 30% were aware of their vulnerability to such infections. Knowledge of specific STIs, their symptoms and sequelae was generally low. Women who did not know about syphilis, gonorrhoea, chancroid or warts were more likely to perceive themselves at no risk of infection. Condom use was very low (16.5%). There is an urgent need to improve current education programmes to raise awareness of STIs and the dangers of their long-term sequelae along with behavioural skills building interventions that include equipping women with negotiating skills, making female condoms available at affordable prices and motivating condom use.
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Asiedu-Danso, Michelle, Irene A. Kretchy, Jeremiah Kobby Sekyi, and Augustina Koduah. "Adherence to Antidiabetic Medications among Women with Gestational Diabetes." Journal of Diabetes Research 2021 (August 6, 2021): 1–9. http://dx.doi.org/10.1155/2021/9941538.
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Background. Optimal adherence to prescribed medications in women with gestational diabetes is relevant for perinatal outcomes. Objective. To summarize available information on the prevalence and factors contributing to medication adherence in women with gestational diabetes from the biological and psychosocial perspectives. Methods. A literature search on adherence in gestational diabetes was conducted in PubMed/MEDLINE, CINAHL, Scopus, and the Directory of Open Access Journals for studies published on the topic. The Arksey and O’Malley framework for scoping reviews was used to explore and summarize the evidence. Results. A total of 2395 studies were retrieved of which 13 fully met the eligibility criteria. The studies were reported in Zimbabwe ( n = 5 ), Iran ( n = 1 ), Mexico ( n = 1 ), South India ( n = 1 ), the United States of America ( n = 4 ), and one multinational study covering Australia, Europe, North and South America. The main types of antidiabetic medications used were insulin ( n = 6 ), metformin ( n = 4 ), and glyburide ( n = 2 ). The prevalence of adherence ranged from 35.6% to 97%, with the assessment tool being self-report measures ( n = 8 ). The main factors associated with nonadherence included worsening pregnancy symptoms, side effects of medications, perceived risks, mental health symptoms, poor social support, and socioeconomic status. Recommendations that evolved from the studies to improve adherence included education, counselling, improved support networks, and social interventions, while the main reported interventional study employed continuous education on the impact of adherence on perinatal outcomes. Conclusion. Medication nonadherence in gestational diabetes seems to be influenced by multiple factors with some educational interventions positively impacting adherence behaviours. Thus, future research in women with gestational diabetes could consider interventions from a multifactorial perspective to improve therapeutic outcomes.
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ADETUNJI, JACOB, and DOMINIQUE MEEKERS. "CONSISTENCY IN CONDOM USE IN THE CONTEXT OF HIV/AIDS IN ZIMBABWE." Journal of Biosocial Science 33, no. 1 (January 2001): 121–38. http://dx.doi.org/10.1017/s0021932001001213.
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Against the backdrop of a high prevalence of the human immunodeficiency virus infection in Zimbabwe, this paper analyses data from the 1997 Zimbabwe Sexual Behaviour and Condom Use Survey to throw light on the degree to which sexually active adults consistently use condoms in high-risk sexual situations. The multivariate results indicate that at the time of the survey, consistent condom use in non-marital relationships is significantly higher for males than females, higher among those who had access to information about condoms from multiple sources than among those with limited access, and higher among those who have positive attitudes to condoms than among those with negative attitudes. Even though consistent condom use with non-marital partners is higher for those who know a source where condoms can be obtained, this effect is due to the fact that these respondents have more positive attitudes towards condoms. Likewise, the higher levels of consistent condom use exhibited by those who are aware of the efficacy of condoms are due to the fact that men have higher awareness of this, and men use condoms more consistently than women. In sum, the results suggest that the effects of the respondents’ sex and their knowledge of the prophylactic importance of condoms and where condoms might be obtained are a function of other socioeconomic advantages they have. It is, therefore, concluded that programmes that use mass media information, education and communication campaigns to reduce shyness, embarrassment and stigma about condom use can help increase consistent use of condoms in non-marital relationships in Zimbabwe.
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Apanga, Paschal Awingura, Maxwell Tii Kumbeni, Emmanuel Awine Ayamga, Mark B. Ulanja, and Robert Akparibo. "Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study." BMJ Open 10, no. 9 (September 2020): e041103. http://dx.doi.org/10.1136/bmjopen-2020-041103.
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ObjectiveTo assess the prevalence and factors associated with modern contraceptive (CP) use among women of the reproductive age.DesignCross-sectional study.SettingWe used data from the Multiple Indicator Cluster Surveys (MICSs) from 20 African countries collected between 2013 and 2018.ParticipantsData on 1 177 459 women aged 15–49 years old.MethodsMultivariable logistic regression was used to identify factors associated with modern CP use, while controlling simultaneously for independent variables, and accounting for clustering, stratification and sample weights from the complex sampling design. We used random effects meta-analysis to pool adjusted estimates across the 20 countries.ResultsThe overall prevalence of modern CP use was 26% and ranged from 6% in Guinea to 62% in Zimbabwe. Overall, injectable (32%) was the most preferred method of CP, followed by oral pill (27%) and implants (16%). Women were more likely to use a modern CP if they: had a primary (adjusted prevalence odds ratios (aPORs): 1.68, 95% CI: 1.47 to 1.91)) or secondary/higher education (aPOR: 2.16, 95% CI: 1.80 to 2.59) compared with women with no formal education; had no delivery in the last 2 years (aPOR: 3.89, 95% CI: 2.76 to 5.47) compared with women who delivered in the last 2 years; were aged 25–34 years (aPOR: 1.33, 95% CI: 1.20 to 1.47) compared with women aged 15–24 years; were of middle-income status (aPOR: 1.25, 95% CI: 1.11 to 1.39) or rich (aPOR: 1.53, 95% CI: 1.27 to 1.84) compared with poor women and had two or more antenatal care visits compared with women without a visit. Perceived domestic violence was not associated with modern CP use (aPOR: 0.98, 95% CI: 0.92 to 1.05).ConclusionOur findings are relevant in a global context, particularly in the African region, and improve our understanding on relevant factors essential to increasing modern CP use.
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Mishra, Vinod, Shyam Thapa, Robert D. Retherford, and Xiaolei Dai. "Effect of Iron Supplementation during Pregnancy on Birthweight: Evidence from Zimbabwe." Food and Nutrition Bulletin 26, no. 4 (December 2005): 338–47. http://dx.doi.org/10.1177/156482650502600403.
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Background Iron deficiency in pregnant women has been shown to reduce the oxygen supply to the fetus, cause intrauterine growth retardation, and increase the risk of premature delivery and reduced birthweight. Yet the effects of iron supplementation programs on pregnancy outcomes are not well documented for developing countries. Objective To examine the relation between iron supplementation of mothers during pregnancy and children's birthweight using data from a national population-based survey in Zimbabwe. Methods The analysis uses information on 3,559 births during the five years preceding the 1999 Zimbabwe Demographic and Health Survey. The effect of iron supplementation during pregnancy on birthweight was estimated by multiple regression, controlling for potential confounding effects of prenatal care, child's sex and birth order, mother's education and nutritional status (measured by body-mass index), household living standard, smoke exposure, and other variables. Results Babies born to mothers who received iron supplementation during pregnancy were 103 g heavier (95% confidence interval, 42–164; p = .001), on average, than babies born to mothers who did not receive iron supplementation during pregnancy. The difference was 64 g (95% confidence interval, 2–125; p = .043) for children whose birthweights were taken from health cards and 163 g (95% confidence interval, 44–281; p = .008) for children whose birthweights were reported by their mothers. Conclusions Iron supplementation during pregnancy is associated with significantly higher birthweight, independent of other pregnancy care factors, mother's nutritional status, smoke exposure, and a number of demographic and socioeconomic factors. Prenatal iron supplementation programs can improve pregnancy outcomes and promote child survival in developing countries.
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Farid, Shiza, Jason Bremner, and Emma Anderson. "No one left behind: has the pursuit of FP2020’s 120 million additional users goal left some women behind?" Gates Open Research 5 (July 28, 2021): 114. http://dx.doi.org/10.12688/gatesopenres.13339.1.
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Background: An important question is whether the FP2020’s “120 million additional users” goal exacerbated inequities and led to a prioritization of populations within countries where substantial gains towards the goal could be made. We examine FP2020 country data and policies for signs of inequity in gains in modern contraceptive prevalence (MCP) and in the focus of family planning programs and policies. Methods: We selected 11 countries (Bangladesh, Burundi, Ethiopia, Haiti, Malawi, Mali, Nepal, Pakistan, Senegal, Sierra Leone, Uganda, and Zimbabwe) to conduct a bivariate analysis. We evaluated if MCP growth had been equitable by assessing MCP between two surveys stratified by residence, levels of education, age groups, marital status, and wealth. Results: In most countries, MCP increased among rural women and in seven African countries these gains were significant. In six countries, MCP gains were significant both among women with no education and in the lowest wealth group. MCP gains among young women aged 15-19 and 20-24 were seen in four African countries: Malawi, Senegal, Sierra Leone, and Uganda. Conclusions: Our findings suggest that between two surveys since 2010 many countries saw MCP gains across different dimensions of equity and do not suggest a focus on expanded coverage at the expense of equity. As the family planning community begins to look ahead to the next partnership, this analysis can help inform the emerging FP2030 framework, which includes equity as a guiding principle.
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Chirombe, Magnus, Bernard Ngara, Raymond Chibvongodze, Venneth Charuka, and Danai Tavonga Zhou. "Glucose Control in Diabetic Patients Attending Parirenyatwa Group of Hospitals in Zimbabwe." Open Clinical Biochemistry Journal 8, no. 1 (November 16, 2018): 12–19. http://dx.doi.org/10.2174/2588778501808010012.
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Background: Diabetes mellitus is a non-communicable disease whose prevalence is increasing even in low-income countries like Zimbabwe. It is usually diagnosed late when complications are already present mainly due to slow onset of disease, low accessibility to healthcare facilities and socio-economic hardships. Poor glycaemic control in diabetics is associated with the development of long-term microvascular and macrovascular complications such as nephropathy, neuropathy, retinopathy, cardiovascular disease and diabetic foot syndrome. Therefore, good glycaemic control is essential to prevent complications, to improve the quality of life of diabetic patients and to reduce healthcare costs. Objectives: This study sought to find the status of glycaemic control and to identify factors that are associated with poor glycaemic control among diabetic patients attending Parirenyatwa Group of Hospitals Diabetic Clinic in Harare, Zimbabwe. Method: A cross-sectional study involving a total of 182 diabetic patients was carried out. Demographic data (age and gender) and clinical information (hypertension, duration, height, weight and lipid therapy) were retrieved from patients’ clinical records. Blood samples from participating diabetic patients were analysed for HbA1c on the Mindray® BS 400 Analyser. Measurement of HbA1c was done enzymatically using the International Federation of Clinical Chemists (IFCC) method. Result and Discussion: A total of 182 patients (30.2% men, 69.8% women) were enrolled whose mean (SD) age in years was 55 (9.0). The glycaemic status was generally poor with a prevalence of poor glycaemic control as high as 58.2%. This prevalence is higher than that previously obtained at the same hospital in 2013 thus presenting a major health challenge. This also means the burden of diabetic complications is likely to increase. Poor glycaemic control was significantly associated with gender and duration of diabetes mellitus. Conclusion: We conclude that in order to improve glycaemic control among diabetic patients, primary healthcare facilities need to focus on patient education and should facilitate early diagnosis through routine medical check-ups.
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Jaacks, Lindsay M., Justine Kavle, Abigail Perry, and Albertha Nyaku. "Programming maternal and child overweight and obesity in the context of undernutrition: current evidence and key considerations for low- and middle-income countries." Public Health Nutrition 20, no. 7 (January 9, 2017): 1286–96. http://dx.doi.org/10.1017/s1368980016003323.
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AbstractThe goals of the present targeted review on maternal and child overweight and obesity were to: (i) understand the current situation in low- and middle-income countries (LMIC) with regard to recent trends and context-specific risk factors; and (ii) building off this, identify entry points for leveraging existing undernutrition programmes to address overweight and obesity in LMIC. Trends reveal that overweight and obesity are a growing problem among women and children in LMIC; as in Ghana, Kenya, Niger, Sierra Leone, Tanzania and Zimbabwe, where the prevalence among urban women is approaching 50 %. Four promising entry points were identified: (i) the integration of overweight and obesity into national nutrition plans; (ii) food systems (integration of food and beverage marketing regulations into existing polices on the marketing of breast-milk substitutes and adoption of policies to promote healthy diets); (iii) education systems (integration of nutrition into school curricula with provision of high-quality foods through school feeding programmes); and (iv) health systems (counselling and social and behaviour change communication to improve maternal diet, appropriate gestational weight gain, and optimal infant and young child feeding practices). We conclude by presenting a step-by-step guide for programme officers and policy makers in LMIC with actionable objectives to address overweight and obesity.
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Nkomo, Gabriel Vusanimuzi, MM Sedibe, and MA Mofokeng'. "Farmers’ production constraints, perceptions and preferences of cowpeas in Buhera district, Zimbabwe." African Journal of Food, Agriculture, Nutrition and Development 20, no. 06 (October 31, 2020): 16832–57. http://dx.doi.org/10.18697/ajfand.94.19795.
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Many smallholder farmers face crop production constraints, especially under rapidly changing climatic conditions. A survey was carried out to assess farmers’ production constraints, traits, and preferred cowpea varieties. A semi-structured questionnaire was used in a survey of Buhera District, Zimbabwe, in March and April of 2018. Women farmers dominated the survey as they were 52% of the surveyed population, while men occupied 48% of the total population. Eighty-three percent of farmers cited the shortage, unavailability, and cost of fertiliser. Sixteen per cent of farmers acknowledged that they do not have access to quality seeds, and 1% cited labour as the major constraint in cowpea production. Cowpea yield varied from 100 to 500 kg/ha. However, 48% of farmers harvested 200 kg/ha.As for abiotic factors, farmers ranked heat (86%), drought (10%), and soil fertility (4%) as the most important abiotic factors.Ninety-one percent of farmers ranked rust as the most destructive disease, while 2% ranked storage rot, 1% ranked anthracnose, and 1% ranked downy mildew. Eighty-one percent of farmers cited aphids as the main pests, while 3% ranked thrips, 3% ranked legume borers, and 2% ranked pod borers as other pests.Fifty-two percent of farmers preferred varieties that are resistant to diseases such as rust, whereas 48% were not concerned about diseases.As for qualitative traits, 50% of farmers had no specific colour preference, 32% preferred white colour, 14% preferred brown colour, 3% preferred red colour, and 1% preferred tan colour. For quantitative traits, such as grain size, pod size, plant height, and head size, the preferences of farmers varied. Ninety-nine percent of the farmers interviewed preferred cowpea varieties that are bred for drought tolerance, as Buhera District is frequented by intermittent droughts. Farmers’ experience in growing cowpeas ranged from 5 to 30 years. The top ranked accessions were CBC1, IT 18, and Chibundi Chitsvuku,while the least ranked was Kangorongondo. Identified constraints to cowpea farming included lack of education,insect pests, diseases, drought, weeds, harvesting difficulties and a lack of agriculture extension advice. The survey showed that there is a need to breed for biotic factors such as pests and diseases and abiotic factors such as drought and moisture stress.
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Ezeh, Alex C., Blessing U. Mberu, and Jacques O. Emina. "Stall in fertility decline in Eastern African countries: regional analysis of patterns, determinants and implications." Philosophical Transactions of the Royal Society B: Biological Sciences 364, no. 1532 (October 27, 2009): 2991–3007. http://dx.doi.org/10.1098/rstb.2009.0166.
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We use data from the Demographic and Health Surveys to examine the patterns of stall in fertility decline in four Eastern African countries. Contrary to patterns of fertility transition in Africa that cut across various socio-economic and geographical groups within countries, we find strong selectivity of fertility stall across different groups and regions in all four countries. In both Kenya and Tanzania where fertility decline has stalled at the national level, it continued to decline among the most educated women and in some regions. While fertility has remained at pre-transition level in Uganda over the past 20 years, there are signs of decline with specific groups of women (especially the most educated, urban and those in the Eastern region) taking the lead. For Zimbabwe, although fertility has continued to decline at the national level, stall is observed among women with less than secondary education and those in some of the regions. We link these intra-country variations to differential changes in socio-economic variables, family planning programme environment and reproductive behaviour models. The results suggest that declines in contraceptive use, increases in unmet need for family planning, increasing preferences for larger families, and increases in adolescent fertility were consistently associated with stalls in subgroup fertility across all four countries. These results are consistent with models that emphasize the role of declines in national and international commitments to family planning programmes in the premature stall in sub-Saharan fertility transition.
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MASUDI UCHUDI, JOSEPH. "SPOUSES’ SOCIOECONOMIC CHARACTERISTICS AND FERTILITY DIFFERENCES IN SUB-SAHARAN AFRICA: DOES SPOUSE’S EDUCATION MATTER?" Journal of Biosocial Science 33, no. 4 (October 2001): 481–502. http://dx.doi.org/10.1017/s0021932001004813.
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Although the general objective of this study is to examine the extent to which spouses’ socioeconomic characteristics determine whether modern contraception is used and whether family limitation (the demand for no more children) is desired, its central goal is to evaluate the degree to which the net effect of a woman’s education on those fertility decisions is altered once a control is made for the level of schooling of the husband. Individual characteristics of spouses included as controls in this analysis are on the one hand women’s attributes relating to employment, age, parity, ethnic identity, and urban residence and, on the other hand, the occupation of the husband. Data used in this research are provided by DHS surveys conducted in fourteen sub-Saharan countries: Mali, Burkina Faso, Niger, Nigeria, Cameroon, Benin, Senegal, Ghana, Central African Republic, Kenya, Zambia, Zimbabwe, Namibia and Rwanda. With two dichotomous outcome variables, logistic regression was used to estimate two nested models for each dependent variable and for each country covered by the study. DHS respondents used as units of analysis in this study are women who were married (any kind of union) and non-pregnant at the time when each national survey was conducted. The findings suggest that, while an educated wife needs the support of an educated husband to state a preference for family limitation in contemporary sub-Saharan Africa, controlling for husband’s education and other relevant covariates does little to undermine the evidence that woman’s advanced education and the adoption of modern family planning are positively related in the developing world.
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Tessema, Zemenu Tadesse, and Amare Minyihun. "Utilization and Determinants of Antenatal Care Visits in East African Countries: A Multicountry Analysis of Demographic and Health Surveys." Advances in Public Health 2021 (January 13, 2021): 1–9. http://dx.doi.org/10.1155/2021/6623009.
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Background. The health care a woman receives during pregnancy is important for her survival and baby, both at the time of delivery and shortly after that. In the context of high maternal morbidity and mortality in sub-Saharan Africa, fewer than 80% of pregnant women receive antenatal care visit services. Receiving antenatal care visits at least four times increases the likelihood of receiving effective maternal health interventions through the antenatal period. This study aimed to identify the utilization and determinants of attending at least four visits in 12 East African countries. Methods. The study used the demographic and health survey data from 12 East African countries from 2008 to 2018. The DHS program adopts standardized methods involving uniform questionnaires, manuals, and field procedures to gather information comparable across countries globally. A multivariable logistic regression model was fitted to identify the determinants of completing at least four antenatal care services. With their 95% CI obtained from the adjusted multilevel logistic regression model, the adjusted odds ratio was presented to show the magnitude of the relationship between the independent variable and completing antenatal care visits. Results. The pooled utilization of attending at least four antenatal care visit in the East African region was 52.44% (95% CI: 52.13, 52.74), with the highest attending at least four or more antenatal care visit visits in Zimbabwe (75.72%) and the lowest attending at least four or more antenatal care visit visits in Ethiopia (31.82%). The significant determinants of completing at least four ANC visits were age category (24–34 (AOR = 1.24, 95% CI: 1.18, 1.31) and 35–49 (AOR = 1.42, 95% CI: 1.32, 1.53)); being married women (AOR = 1.11, 95% CI: 1.1.05, 1.16); education levels of primary education (AOR = 1.20, 95% CI: 1.13, 1.27), secondary education (AOR = 1.24, 95% CI: 1.24, 1.47), and higher education (AOR = 1.91, 95% CI: 1.62, 2.14); birth order (2–4 (AOR = 0.75, 95% CI: 0.70, 0.79) and 5+ (AOR = 0.63, 95% CI: 0.58, 0.68)); planned pregnancy (AOR = 0.81, 95% CI: 0.75, 0.86); contraceptive utilization (AOR = 1.36, 95% CI: 1.29, 1.43); wealth status of middle (AOR = 1.11, 95% CI: 1.05, 1.17) and rich (AOR = 1.25, 95% CI: 1.18, 1.32); having no problem accessing health care (AOR = 1.0.95, 95% CI: 0.89, 0.97); and living countries. Conclusions. The coverage of completing the recommended antenatal care visit was low in the region. Age, marital status, mother’s and partner’s education, women’s occupation, birth order, planned pregnancy, contraceptive utilization, wealth status, healthcare accessibility, and living countries were the major determinants of completing recommended antenatal care visits. Therefore, intersectoral collaboration to promote female education and empowerment, improve geographical access to health care, and strengthen implementation of antenatal care policies with active community participation is recommended. In addition, creating a conducive environment in entrepreneurial activities for poor women is needed.
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Menon, Manoj, Elizabeth Krantz, and Corey Casper. "Correlates of cervical cancer screening from four Sub-Saharan African (SSA) countries: Results from the Demographic Health Survey (DHS)—2013-2015." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e18006-e18006. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18006.
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e18006 Background: Widespread cervical cancer screening has led to a dramatic reduction in cervical-cancer related mortality in resource-rich regions. However, cervical cancer remains a leading cause of cancer-related death in SSA due in part to a lack of accessible screening and treatment options. Methods: The DHS is a nationally representative household survey designed by ICF International and typically implemented every 5 years. In addition to demographic characteristics, select surveys collect data on cervical cancer awareness and screening. We included women aged ≥21 years from Côte d'Ivoire, Kenya, Namibia, and Zimbabwe who participated in the DHS. After sample weights were applied, we used logistic regression to examine associations of demographics and national cervical cancer incidence (as per the International Agency on Research on Cancer) with cervical cancer screening. Factors with p < 0.20 in bivariate analyses were included in a multivariate model. Results: We analyzed data from 45,947 women aged 21 to 49 years (mean = 32.2); 69% were married with an average of 3 children. Nearly half had completed secondary education (47%), 73% were literate, and 48% belonged to the highest two wealth quintiles. Over 70% of women were aware of cervical cancer; 24% of all women reported a previous screening exam with variation by country. Namibia, with the highest rates of screening (46%), had the lowest incidence. In multivariate analyses, cervical cancer screening was associated with increasing age (OR = 1.06; CI = 1.05, 1.07), education (OR = 1.48; CI = 1.30, 1.69), literacy (OR = 1.80; CI = 1.53, 2.13), and wealth (OR = 1.14; CI = 1.09, 1.20). Higher cervical cancer incidence at the national level (OR = .980; CI = .976, .983) and rural residence (OR = .839; CI = .738, .953) were inversely associated with odds of cervical cancer screening. Conclusions: Based on DHS data from four SSA countries, awareness of cervical cancer is high, but receipt of cervical cancer screening is low and may be associated with reductions in cervical cancer incidence. Targeted efforts to increase utilization of cervical cancer screening in SSA are warranted to reduce the preventable burden of cervical cancer.
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Chikwira, Loreen. "Contested narratives of belonging: Zimbabwean women migrants in Britain." Women's Studies International Forum 87 (July 2021): 102481. http://dx.doi.org/10.1016/j.wsif.2021.102481.
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Runyowa, L., T. S. Chigarira, A. Antonio, P. S. Chabva, I. Mabhungu, E. Keche, A. Musekiwa, et al. "The effect of gender, level of education and age on socio-cultural perceptions of women in leadership: Case of Kadoma urban district secondary schools in Zimbabwe." Southern Africa Journal of Education, Science and Technology 3, no. 1-2 (March 19, 2018): 1. http://dx.doi.org/10.4314/sajest.v3i1.39806.
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Laver, Susan M., Bart Van Den Borne, Gerjo Kok, and Godfrey Woelk. "Was the Intervention Implemented as Intended?: A Process Evaluation of an AIDS Prevention Intervention in Rural Zimbabwe." International Quarterly of Community Health Education 16, no. 1 (April 1996): 25–46. http://dx.doi.org/10.2190/emcn-h455-ykaq-tgx6.
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End-point evaluations are still the most commonly used method of assessing the success or failure of interventions. This article describes how a process evaluation was used to measure “what happened” during an HIV/AIDS prevention program for farm workers in Zimbabwe. The intervention was developed according to the Paulo Freirian theory of Social Change and the Ecological Model for health promotion. The stages of the intervention were cyclical; in the first stage innovative methods were used to encourage appraisal of vulnerability to HIV/AIDS through activities which raised critical thinking and dialogue. In the next phase, emphasis was placed on developing cognitive and attitude change in the target group. Self-protective behavior was encouraged through condom use and an increase in self-efficacy with respect to negotiating safe sex, especially among women. In the last stage of the intervention, efforts were made to create a climate for maintenance of behavior and socially responsible action within the community. The process evaluation provided valuable insight into factors which, when aggregated, provided an overview of a program whose successes and failures may well have been determined by issues outside the scope of the intervention. The effect of seasonal fluctuations of labor, income, and farming activity on program activity, patterns of STD, and condom demand were marked. This leads back to the researchers' initial question: “Was the intervention implemented as planned?” and the answer—only partially.
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Garutsa, Tendayi C., Chipo P. Mubaya, and Leocadia Zhou. "Gendered differentials in climate change adaptation amongst the Shona ethnic group in Marondera Rural District, Zimbabwe: A social inclusions lens." AAS Open Research 1 (April 26, 2018): 14. http://dx.doi.org/10.12688/aasopenres.12826.1.
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Background: Various studies on climate change treat men and women as unitary categories with contrasting needs. There is a dearth of studies which use a social inclusions lens to understand the impacts of climate change on gender. Other social markers that give an in-depth insight of the social differences within and between genders to the impacts of climate change are consequently ignored. Methods: Utilizing a mixed methods approach, this study aimed to explore and investigate the gendered crops grown as a climate adaptation strategy to respond to perennial droughts, increased temperatures and unreliable rainfall patterns amongst the Shona in Marondera rural district. Results: The findings indicated that social differences between gender lines like age, household types, income, education and employment status amongst other social variables produce differentiated vulnerabilities and potential opportunities towards climate adaptation. Conclusions: The main position advanced in this article is that treating gender as the primary cause of vulnerability produces a narrow analysis making other social markers (age, types of households, income and ethnicity) analytically invisible. This paper recommends a holistic and comprehensive analysis to inform climate change programming and policy frameworks. This would in turn address and improve climate adaptation strategies within and between genders which are often obscured to address the needs of all vulnerable members of a given economy.
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Tsala Dimbuene, Zacharie, Joshua Amo-Adjei, Dickson Amugsi, Joyce Mumah, Chimaraoke O. Izugbara, and Donatien Beguy. "WOMEN’S EDUCATION AND UTILIZATION OF MATERNAL HEALTH SERVICES IN AFRICA: A MULTI-COUNTRY AND SOCIOECONOMIC STATUS ANALYSIS." Journal of Biosocial Science 50, no. 6 (November 6, 2017): 725–48. http://dx.doi.org/10.1017/s0021932017000505.
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SummaryThere is an abundant literature on the relationship between women’s education and maternal and child outcomes, including antenatal and postnatal care, onset of antenatal care and skilled birth attendance. However, few studies have adopted the ‘equity’ lens, despite increasing evidence that inequities between rich and poor are increasing although maternal and child mortality is declining. This study examined the differential effects of women’s education within different socioeconomic strata in Africa. The most recent Demographic and Health Surveys (DHS) conducted in the Democratic Republic of the Congo, Egypt, Ghana, Nigeria and Zimbabwe were used. In each country, the original sample was stratified into three socioeconomic groups: poor, middle and rich. For each maternal health service utilization variable, the gross and net effects of women’s education, controlling for age, parity, religion, marital status, health insurance, access to health facilities, partner’s education and current place of residence, were estimated using logistic regression, taking into account the complex sampling design of the DHS. The findings revealed country-specific variations in maternal health service utilization, and for most indicators there was a clear gradient among socioeconomic strata: women living in better-off households exhibited greater access to, and utilization of, maternal health services. Multivariate analyses revealed that women’s education had a positive association with type of antenatal care provider, timing and frequency of antenatal care visits, place of delivery and presence of a skilled birth attendant at delivery. Many other factors were found to be significantly associated with maternal health service utilization. For instance, parity had a negative and significant association with timing of first antenatal care visit. Likewise, partner’s education was positively and statistically associated with timing of first antenatal care visit. It is argued that an over-generalization of the association between women’s education and maternal health service utilization can be misleading. Efforts to improve maternal health service utilization in Africa must adopt an ‘equity’ approach, taking into account the specific needs of sub-populations.
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Yeshaw, Yigizie, Tadeg Jemere, Henok Dagne, Zewudu Andualem, Yonas Akalu, Reta Dewau, Achamyeleh Birhanu Teshale, Getayeneh Antehunegn Tesema, and Baye Dagnew. "Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries." PLOS ONE 16, no. 6 (June 17, 2021): e0253126. http://dx.doi.org/10.1371/journal.pone.0253126.
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Introduction Maternal and neonatal tetanus remains a global public health problem affecting mainly the poorest and most marginalized subpopulations. In spite of the problem, studies conducted on the associated factors of births protected against neonatal tetanus are scarce in Africa. Therefore, this study aimed to identify both individual and community-level factors associated with births protected against neonatal tetanus in the region. Methods The most recent Demographic and Health Survey datasets of five African countries (Ethiopia, Burundi, Comoros, Zimbabwe and Zambia) were used to investigate the associated factors of births protected from neonatal tetanus. STATA Version 14 statistical software was used for the analysis. The data were weighted before doing any statistical analysis and deviance was used for model comparison. Multilevel binary logistic regression was used to identify the associated factors of births protected against neonatal tetanus. Finally, the adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for each potential factors included in the multivariable multilevel logistic regression model. Results A total weighted sample of 30897 reproductive age women who had a birth within 5 years preceding the survey were included in the analysis. Those women with age of 20–34 (AOR = 1.32, 95%CI: 1.18–1.48) and 35–49 years (AOR = 1.26, 95% CI: 1.10–1.44), high community level of women education (AOR = 1.13, 95%CI: 1.04–1.23), being from poorer(AOR = 1.23, 95% CI: 1.14–1.33), middle (AOR = 1.31, 95%CI: 1.21–1.43), richer (AOR = 1.21, 95%CI: 1.11–1.32) and richest households (AOR = 1.59, 95%CI: 1.44–1.74), having antenatal care follow up (AOR = 9.62, 95% CI: 8.79–10.54), not perceiving distance to health facility as a big problem (AOR = 1.18, 95% CI: (1.11–1.25) had higher odds of having births protected against neonatal tetanus. Conclusion Both individual and community level factors were found to be associated with births protected against neonatal tetanus in Africa. This suggests that a variety of factors are affecting births protected against neonatal tetanus in the region. Hence, the impact of these factors should be recognized while developing strategies to reduce neonatal tetanus in the region.
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Saberian, Mehran, Kamran Mehrabani, and Hadi Raeisi Shahraki. "Clustering time trends of breast cancer incidence in Africa: a 27-year longitudinal study in 53 countries." African Health Sciences 21, no. 1 (April 16, 2021): 47–53. http://dx.doi.org/10.4314/ahs.v21i1.8.
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Background: Breast cancer is the most common, frequently diagnosed cancer with the highest incidence among female worldwide. Although the incidence is decreasing in developed countries, it is on increase in most of the African countries.
Objective: This study aimed to identify different time trends of breast cancer incidence among African countries using latent mixture approach.
Methods: The information includes newly diagnosed breast cancer patients per 100,000 women for 53 African countries in a period of 1990-2016. Latent mixture modeling was performed in Mplus 7.4 software.
Results: The overall trend of breast cancer in Africa was increasing. Latent mixture model with 5 clusters was estimated as the best using fit indices and linear growth trajectories were specified for each cluster. Nigeria was the only country which belongs to a cluster with negative slope indicating a slow decrease in the breast cancer incidence; also, Seychelles was the only country that showed a sharp increase over time. 31 countries belonged to a cluster with a slope of 0.08, indicating that the incidence of breast cancer is almost constant over time. Cluster 3 including Algeria, Angola, Botswana, Central African Republic, Cote d’lvoire, Equatorial Guinea, Lesotho, Libya, Namibia, Somalia, Sudan, Swaziland, Uganda and Zimbabwe and cluster 2 including Gabon, Mauritius, Morocco, South Africa, Tunisia and Congo showed a slow and moderate increase in the incidence of breast cancer, respectively.
Conclusion: Providing health education programs is essential in African countries with rising trend of breast cancer during the last decades.
Keywords: Africa; breast cancer; incidence; latent mixture model; trend.
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Edupuganti, Srilatha, Nyaradzo M. Mgodi, Shelly Karuna, Philip Andrew, Nidhi Kochar, Kyle Marshall, Allan Decamp, et al. "1272. Feasibility and Successful Enrollment in Proof-of-Concept Trials to Assess Safety and Efficacy of a Broadly Neutralizing Monoclonal Antibody, VRC01, to Prevent HIV-1 Acquisitionin in Uninfected Individuals." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S457—S458. http://dx.doi.org/10.1093/ofid/ofz360.1135.
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Abstract Background The Antibody-mediated Prevention (AMP) trials (HVTN 704/HPTN 085 and HVTN 703/HPTN 081) are the first efficacy trials to evaluate whether VRC01, a broadly neutralizing antibody (bnAb) that targets CD4 binding site of HIV envelope, prevents HIV acquisition in uninfected individuals. In these ongoing trials, 10 intravenous (IV) infusions of VRC01 are given every 8 weeks over a period of 2 years. We report on interim operational feasibility, enrollment and safety. Methods Participant recruitment was enhanced by extensive community engagement and education. Eligible participants were randomly assigned 1:1:1 to 10mg/kg, 30mg/kg of VRC01 or saline placebo. HVTN 704/HPTN 085 enrolled high-risk men (MSM) and transgender (TG) individuals who have sex with men at 26 sites in United States, Peru, Brazil, and Switzerland. HVTN 703/HPTN 081 enrolled high-risk heterosexual women at 20 sites in Botswana, Kenya, Malawi, Mozambique, South Africa, Tanzania, and Zimbabwe. HIV testing occurs monthly. Results In October 2018, the AMP trials completed enrollment of 4,625 participants. Enrollment met or exceeded targets throughout the trial period, peaked at 298 participants/month, and was slowed mid-trial to allow for sufficient drug supply at trial sites. In HVTN 704/HPTN 085, 2701 (target N = 2700) MSM/TG participants 18–50yrs were enrolled with median age of 28; 99% born male; 90% identified as male gender and 5% TG female. Race/ethnicity was 32% White, 15% Black and 57% Hispanic/Latino/a. 28% had a sexually transmitted infection (STI) including gonorrhea (GC), chlamydia (CT) or syphilis at enrollment. In HVTN 703/HPTN 081,1924 (target N = 1900) women 18–40yrs were enrolled with median age of 26;100% were born female (53% female gender, 47% gender not assessed); 99% were Black. 26% had a STI at enrollment including GC, CT, trichomonas or syphilis. Overall 36,945 infusions have been given so far with no serious procedural complications due to IV administration. Retention and adherence to the rigorous study schedule (monthly visits for 2 years) remain within an acceptable range. Conclusion The AMP trials have exceeded enrollment of target populations and are maintaining high rates of retention. With exceptional safety and operational feasibility, they are paving the way for future large-scale bnAb trials for HIV prevention and/or treatment. Disclosures All authors: No reported disclosures.
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Ngara, Constantine, Robin Pflüger, and Alejandro Veas. "Gifted education in Zimbabwe." Cogent Education 4, no. 1 (January 1, 2017): 1332840. http://dx.doi.org/10.1080/2331186x.2017.1332840.
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Abraham, Rachel. "Art Education in Zimbabwe." International Journal of Art & Design Education 21, no. 2 (May 2002): 116–23. http://dx.doi.org/10.1111/1468-5949.00306.
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Kanji, Nazneen, and Niki Jazdowska. "Structural adjustment and women in Zimbabwe." Review of African Political Economy 20, no. 56 (March 1993): 11–26. http://dx.doi.org/10.1080/03056249308703982.
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Ncube, Lisa, and James Greenan. "Entrepreneurial Careers of Women in Zimbabwe." Journal of Vocational Education Research 28, no. 3 (January 1, 2003): 217–58. http://dx.doi.org/10.5328/jver28.3.217.
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