The purpose of the study was to assess the coverage and effectiveness of the management of severe acute malnutrition project implemented in Dhas district of Borena zone, Ethiopia, from July 2010 to December 2010. Quantitative, descriptive study was conducted to assess the comparability of the outcome of community-based management of acute malnutrition in a pastoralist area to International Sphere standards using performance indicators. Data collection was done using data capturing sheet. Outpatient therapeutic programme (OPT) registers in all health facilities were the sources of data. Clinical records of children admitted to the programme (n=163) were analysed. Standard nutrition survey result was used to estimate the malnutrition prevalence and programme coverage. International Sphere standard was achieved for mortality rate but not for recovery rate, defaulter rate, length of stay and weight gain / Health Studies / M.A. (Public Health)

The purpose of the study was to assess the coverage and effectiveness of the management of severe acute malnutrition project implemented in Dhas district of Borena zone, Ethiopia, from July 2010 to December 2010. Quantitative, descriptive study was conducted to assess the comparability of the outcome of community-based management of acute malnutrition in a pastoralist area to International Sphere standards using performance indicators. Data collection was done using data capturing sheet. Outpatient therapeutic programme (OPT) registers in all health facilities were the sources of data. Clinical records of children admitted to the programme (n=163) were analysed. Standard nutrition survey result was used to estimate the malnutrition prevalence and programme coverage. International Sphere standard was achieved for mortality rate but not for recovery rate, defaulter rate, length of stay and weight gain / Health Studies / M.A. (Public Health)

Magister Public Health - MPH / Aim: This study sought to investigate service-related factors that affect uptake of HIV testing among children enrolled in CMAM. This was a descriptive study that used mixed quantitative and qualitative methods. To assess uptake of HIV testing records were reviewed of number of children tested as a percentage of number of children enrolled in CMAM over 12-month period in a sample of health facilities. Face to face in-depth interviews were conducted of CMAM and HTC focal persons to investigate factors affecting uptake. Information from interviews was analyzed using a thematic approach.

Seit der Unabhängigkeit der zentralasiatischen Republik Kirgisistan haben Politik, Verwaltung und Ökonomie verschiedene Formen von Dezentralisierung erfahren. Diese Dissertation umfasst fünf Essays, die die Dezentralisierung im landwirtschafltichen Sektor aus institutionenökonomischer Sicht untersuchen. Die ersten zwei Essays geben detaillierte Einblicke in die institutionellen Rahmenbedingungen von Dezentralisierung und beurteilen ihrer Wirkung in Hinblick auf Serviceverfügbarkeit und -qualität in dörflichen Gemeinden. Die folgenden drei Essays untersuchen, anhand einzelner und multipler Fallstudien, ein spezifisches Beispiel der Dezentralisierung landwirtschaftlicher Services: die Einführung von gemeindebasiertem Weidemanagement. Es lassen sich drei Ergebnisse ableiten: Erstens, internationale Nichtregierungsorganisationen (NROs) steuern das ländliche Dienstleistungsangebot und fördern die Bildung gemeindebasierter Nutzergruppen für ausgewählte Services. Zweitens, Institutionen zur Implementierung der Servicebereitstellung werden von NROs entwickelt; drittens, die Servicebereitsstellung ist nicht befriedigend und das Potential zur Berücksichtigung lokaler Servicebedürfnisse und lokalen Wissens wird nur teilweise ausgeschöpft, da die Implementierung keine umfassende Servicenutzerbeteiligung sicherstellt. Die Wirkungen gemeindebasierter Dezentralisierungsprozesse sind als Ergebnis rationaler Handlungsentscheidungen von lokalen Mitarbeitern der NRO und Verantwortlichen in der dörflichen Verwaltung zu verstehen. Diese Entscheidungen sind vielfach durch extern entwickelte, und teilweise unpassende, Institutionen bestimmt. Verbesserte Implementierungsstrategien sind daher notwendig. Diese sind auf Basis detaillierter qualitativer Studien des lokalen Umsetzungskontexts zu entwickeln. / Since the Central Asian Kyrgyz Republic gained independence from the Soviet Union, policy making, administration and economy have seen some form of decentralization. This dissertation contains five essays which study decentralization in the Kyrgyz agricultural sector from an institutional economics perspective. The first two essays provide in-depth information on the institutional setting of decentralization and its effects on service availability and quality at municipality level. The subsequent three essays explore, based on single and multiple case studies, one specific field of decentralized agricultural services: a community-based natural resource management reform in the pasture sector. The three key findings are: first, international NGOs govern rural service provision and support the creation of community-based service user groups for selected services; second, the NGOs design institutions for implementation and provide financial resources; third, service provision is unadequate and, because implementation does not provide for broader service user involvement in decision making, service user needs and local knowledge impact service decisions only to a very limited degree. The overall result of the dissertation is that the municipality-level processes of decentralization must be understood as outcomes of rational decision making of lowest-level NGO staff and municipality level policy administrators. These decisions are impacted by partly inappropriate, externally designed implementation institutions. Improved implementation rule design is therefore needed. The recommendation from this research is therefore to use detailed qualitative studies of implementation contexts as a basis for developing better tailored implementation strategies.

Participatory monitoring of ecological and socioeconomic effects of harvesting and trading natural resources is advocated as a promoter of natural resource conservation and local communitiy empowerment. Nevertheless, the strategys success depends upon peoples willingness and availability to participate. Yet little is known about the factors that drive local communities to volunteer in participatory monitoring, particularly in relation to small-scale communities living in remote locations. This thesis investigated whether a number of candidate factors were able to predict peoples participation in monitoring. To do so, we conducted a study in a forest community of the Brazilian Amazon that harvested and traded Carapa guianensis (andiroba), a non-timber forest product (NTFP). Two methods of data gathering were employed: (i) an interview-based survey of 166 adults ( 18 y.o.; 51 households) to estimate peoples self-stated intention to participate and the drivers of their participation, and (ii) experimentally-implemented monitoring tasks of the effects of harvesting and trading C. guianensis to measure peoples actual participation. Results are presented in three chapters. In Chapter 1, we evaluated whether economic benefits received from the NTFP trade or, alternatively peoples cooperativeness, were more important in predicting peoples participation. Results indicated that both variables raised peoples intention and actual levels of participation in monitoring, but cooperativeness was a stronger and better predictor across monitoring tasks. In Chapter 2, we investigated the psychology of engaging in monitoring, departing from the theoretical framework of the Theory of Planned Behavior (TPB) for understanding whether the variables in the model were appropriate to predict the willingness to volunteer in monitoring tasks. We found that the TPB model, in general, was able to predict peoples intention to volunteer in monitoring tasks. Specifically, one of the attitude indicators (attitude pleasure) explained the intention to engage in all monitoring tasks assessed. Subjective norms were also important to predict the intention to collect data on natural resource populations and to interview community inhabitants, whereas perceived behavioral control predicted the intention to collect data on natural resources and to deal with data management and storage. Finally, in Chapter 3 we hypothesized that the awareness of ecological and socioeconomic impacts of NTFP harvest and trade should explain peoples participation in monitoring. Results indicated that both factors were important, particularly regarding to peoples actual participation, although factors such as gender, age and schooling were occasionally stronger predictors. Nevertheless, there is evidence that combining monitoring of ecological and socioeconomic factors will boost the practices success. The study conclusions contribute to lessons aimed at stimulating participation in monitoring. Among those, we highlight the importance of strategies to increase levels of cooperativeness among people, spreading information about the possible negative effects of natural resource harvest and trade, and granting financial compensations equivalent to the opportunity costs of participation. / O monitoramento participativo dos efeitos ecológicos e socioeconômicos da coleta e do comércio de recursos naturais é uma estratégia considerada promotora tanto da conservação ambiental, quanto do empoderamento das comunidades locais. O sucesso da estratégia, todavia, depende, sobretudo, da disponibilidade e disposição dos indivíduos em participarem. Apesar disso, sabe-se pouco sobre os fatores que determinam a participação voluntária no monitoramento, especialmente em comunidades de pequena escala habitantes de áreas remotas. Sendo assim, esta tese teve por objetivo investigar o efeito de determinantes da participação no monitoramento. Para tal, foi estudada uma comunidade da Amazônia brasileira que coleta e comercializa Carapa guianensis (andiroba), um produto florestal não madeireiro (PFNM). Dois métodos de coleta de dados foram utilizados: (i) survey por meio de entrevistas a 166 adultos ( 18 anos; 51 unidades domésticas) para estimar a intenção de participar e os determinantes da participação, e (ii) implementação de monitoramento experimental dos efeitos da coleta e do comércio de C. guianensis para quantificar a participação real no monitoramento. Os resultados são apresentados em três capítulos. No Capítulo 1, avaliamos se os benefícios econômicos obtidos com o comércio de PFNM ou, alternativamente, o comportamento cooperativo são determinantes mais importantes da participação. Os resultados indicaram que as duas variáveis aumentam a intenção e a participação real no monitoramento. Porém, o comportamento cooperativo foi um indicador mais forte da participação entre as diferentes atividades de monitoramento avaliadas. No Capítulo 2, investigamos os fatores psicológicos que afetam a participação, utilizando como base a Teoria do comportamento planejado (TCP) e avaliando o efeito das variáveis deste modelo sobre a probabilidade da participação voluntária no monitoramento. Os resultados indicaram que, em geral, o modelo da TCP é adequado para prever a intenção de participar em diferentes etapas do monitoramento avaliadas. Em particular, um dos indicadores de atitude (prazer) é capaz de explicar a participação nas quatro etapas de monitoramento. Normas subjetivas também foram importantes preditores da intenção de participar da coleta de dados da população de andiroba e entrevistar outros moradores da comunidade. Já o controle comportamental percebido previu a intenção de participar da coleta de dados sobre a população do recurso natural e a entrada e armazenamento de dados. No Capítulo 3, partimos da hipótese de que a percepção dos impactos ecológicos e socioeconômicos da coleta e do comércio de PFNM pode explicar a participação no monitoramento. Os resultados indicaram que a percepção dos dois tipos de impactos é importante, sobretudo para a participação real. Porém, outros fatores como gênero, idade e escolaridade são determinantes mais fortes da participação em algumas atividades. Ademais, encontramos evidências de que aliar o monitoramento de impactos ecológicos e socioeconômicos aumenta o sucesso da prática. As conclusões do estudo contribuem com lições práticas para aumentar a participação no monitoramento. Destacamos, dentre elas, a importância de estratégias para aumentar a cooperação entre os comunitários, a disseminação de informações sobre os possíveis impactos negativos da coleta e do comércio de recursos naturais, e o fornecimento de compensações financeiras equivalentes ao custo de oportunidade de participação

Participatory monitoring of ecological and socioeconomic effects of harvesting and trading natural resources is advocated as a promoter of natural resource conservation and local communitiy empowerment. Nevertheless, the strategys success depends upon peoples willingness and availability to participate. Yet little is known about the factors that drive local communities to volunteer in participatory monitoring, particularly in relation to small-scale communities living in remote locations. This thesis investigated whether a number of candidate factors were able to predict peoples participation in monitoring. To do so, we conducted a study in a forest community of the Brazilian Amazon that harvested and traded Carapa guianensis (andiroba), a non-timber forest product (NTFP). Two methods of data gathering were employed: (i) an interview-based survey of 166 adults ( 18 y.o.; 51 households) to estimate peoples self-stated intention to participate and the drivers of their participation, and (ii) experimentally-implemented monitoring tasks of the effects of harvesting and trading C. guianensis to measure peoples actual participation. Results are presented in three chapters. In Chapter 1, we evaluated whether economic benefits received from the NTFP trade or, alternatively peoples cooperativeness, were more important in predicting peoples participation. Results indicated that both variables raised peoples intention and actual levels of participation in monitoring, but cooperativeness was a stronger and better predictor across monitoring tasks. In Chapter 2, we investigated the psychology of engaging in monitoring, departing from the theoretical framework of the Theory of Planned Behavior (TPB) for understanding whether the variables in the model were appropriate to predict the willingness to volunteer in monitoring tasks. We found that the TPB model, in general, was able to predict peoples intention to volunteer in monitoring tasks. Specifically, one of the attitude indicators (attitude pleasure) explained the intention to engage in all monitoring tasks assessed. Subjective norms were also important to predict the intention to collect data on natural resource populations and to interview community inhabitants, whereas perceived behavioral control predicted the intention to collect data on natural resources and to deal with data management and storage. Finally, in Chapter 3 we hypothesized that the awareness of ecological and socioeconomic impacts of NTFP harvest and trade should explain peoples participation in monitoring. Results indicated that both factors were important, particularly regarding to peoples actual participation, although factors such as gender, age and schooling were occasionally stronger predictors. Nevertheless, there is evidence that combining monitoring of ecological and socioeconomic factors will boost the practices success. The study conclusions contribute to lessons aimed at stimulating participation in monitoring. Among those, we highlight the importance of strategies to increase levels of cooperativeness among people, spreading information about the possible negative effects of natural resource harvest and trade, and granting financial compensations equivalent to the opportunity costs of participation. / O monitoramento participativo dos efeitos ecológicos e socioeconômicos da coleta e do comércio de recursos naturais é uma estratégia considerada promotora tanto da conservação ambiental, quanto do empoderamento das comunidades locais. O sucesso da estratégia, todavia, depende, sobretudo, da disponibilidade e disposição dos indivíduos em participarem. Apesar disso, sabe-se pouco sobre os fatores que determinam a participação voluntária no monitoramento, especialmente em comunidades de pequena escala habitantes de áreas remotas. Sendo assim, esta tese teve por objetivo investigar o efeito de determinantes da participação no monitoramento. Para tal, foi estudada uma comunidade da Amazônia brasileira que coleta e comercializa Carapa guianensis (andiroba), um produto florestal não madeireiro (PFNM). Dois métodos de coleta de dados foram utilizados: (i) survey por meio de entrevistas a 166 adultos ( 18 anos; 51 unidades domésticas) para estimar a intenção de participar e os determinantes da participação, e (ii) implementação de monitoramento experimental dos efeitos da coleta e do comércio de C. guianensis para quantificar a participação real no monitoramento. Os resultados são apresentados em três capítulos. No Capítulo 1, avaliamos se os benefícios econômicos obtidos com o comércio de PFNM ou, alternativamente, o comportamento cooperativo são determinantes mais importantes da participação. Os resultados indicaram que as duas variáveis aumentam a intenção e a participação real no monitoramento. Porém, o comportamento cooperativo foi um indicador mais forte da participação entre as diferentes atividades de monitoramento avaliadas. No Capítulo 2, investigamos os fatores psicológicos que afetam a participação, utilizando como base a Teoria do comportamento planejado (TCP) e avaliando o efeito das variáveis deste modelo sobre a probabilidade da participação voluntária no monitoramento. Os resultados indicaram que, em geral, o modelo da TCP é adequado para prever a intenção de participar em diferentes etapas do monitoramento avaliadas. Em particular, um dos indicadores de atitude (prazer) é capaz de explicar a participação nas quatro etapas de monitoramento. Normas subjetivas também foram importantes preditores da intenção de participar da coleta de dados da população de andiroba e entrevistar outros moradores da comunidade. Já o controle comportamental percebido previu a intenção de participar da coleta de dados sobre a população do recurso natural e a entrada e armazenamento de dados. No Capítulo 3, partimos da hipótese de que a percepção dos impactos ecológicos e socioeconômicos da coleta e do comércio de PFNM pode explicar a participação no monitoramento. Os resultados indicaram que a percepção dos dois tipos de impactos é importante, sobretudo para a participação real. Porém, outros fatores como gênero, idade e escolaridade são determinantes mais fortes da participação em algumas atividades. Ademais, encontramos evidências de que aliar o monitoramento de impactos ecológicos e socioeconômicos aumenta o sucesso da prática. As conclusões do estudo contribuem com lições práticas para aumentar a participação no monitoramento. Destacamos, dentre elas, a importância de estratégias para aumentar a cooperação entre os comunitários, a disseminação de informações sobre os possíveis impactos negativos da coleta e do comércio de recursos naturais, e o fornecimento de compensações financeiras equivalentes ao custo de oportunidade de participação