ABSTRACT An Examination of the Differences in Risk Factors and their Association with Variations in HIV Prevalence between Cameroon, Cote d’Ivoire, and Senegal (Under the direction of RICHARD ROTHENBERG, M.D., M.P.H. FACULTY MEMBER) Background: Extensive evidence suggests there are large variations in the prevalence of HIV infection among Sub-Saharan African countries. Some studies associated these variations in HIV prevalence to differences in the rate of HIV spread while others attributed the variations to risky sexual behaviors. The purpose of this study was to examine differences in risk factors for HIV infection between Cameroon, Cote d’Ivoire, and Senegal, to determine the association between HIV status and risk factors within and among countries, and identify best predictive risk factors that help explain variations in HIV prevalence. Methods: A cross-sectional study was conducted using nationally representative data from The Demographic and Health Surveys Program. Population-based samples of adults aged 15-49 representing 21,878 in Cameroon (2011), 14,682 in Cote d’Ivoire (2011-2012), and 20,102 in Senegal (2010-2011) were used in the study. Descriptive analysis and binary logistic regression were performed using IBM Statistical Package for the Social Sciences. Odds ratios and 95% confidence interval were calculated, and models were explored. Results: There are statistically significant (p Conclusion: There are differences in risk factors among the three countries and these differences can explain some of the variations in HIV prevalence. Further research is necessary to help capture variations in HIV prevalence that cannot be explained by differences in risk factors. These findings will help advance prevention efforts. KEYWORDS: HIV, AIDS, risk factors, HIV infection, HIV prevalence, Sub-Saharan Africa

The study examined the theory and practice of international political economy in sub-Saharan Africa from a developmental point of view. The study looked specifically at the politics of economic integration for development, multilateral institutions that are involved in the developmental aid of the region, the challenges posed to sub-Saharan Africa's development by the international system (multilateral institutions and western developed countries) and extra regional partnership initiatives for the region's development. The study ascertained that sub-Saharan African leaders have, since the era of decolonisation, embarked on different ways or mechanisms to address the economic crisis of the region but, however, failed to rescue the region. Amongst mechanisms adopted was that of creating regional economic groupings like ECOW AS and SADC. However, majority of regional settings created for economic development did not have much of successes in saving sub-Saharan countries from debt crisis. Failure of these settings has been more pointed on the unpreparedness of other regional countries to cooperate. Multilateral institutions (IMF, World Bank and WTO) on the other hand, worsened the underdevelopment situation in the region, and therefore continued to dictate economic policy to sub-Saharan African countries. This was possible because many sub-Saharan African countries relied on aid from these institutions. Multilateral institutions continued to feature in the underdevelopment of sub-Saharan Africa by posing challenges like globalisation, economic policy and democratization to the development of the region. These challenges interfered with the development process of Sub-Saharan Africa. However, with NEP AD as \ he latest initiative for extra-regional partnership, there is some hope that sub-Saharan region and Africa at large will benefit from developmental initiatives proposed by NEP AD. / M.Soc.Sc. (International Relations) North-West University, Mafikeng Campus, 2005

<p> Among the multitude of interventions to address the worst forms of child labor (WFCL), one of the responses to the presence of WFCL has been the institution of child labor monitoring (CLM). While systems to systematically monitor children with respect to their exposure and risks have been implemented, the degree of their efficacy and ultimately their effect on the targeted populations begs academic scrutiny. This dissertation seeks to provide an empirical view of the community-level dynamics that emerge in response to a community-based CLM program and their effects, in turn, on the CLM itself. </p><p> An embedded multiple case study methodology, surveying longitudinally at two points in time using a mix of purposive and probability sampling techniques, was employed for this study. Two communities, Ahokwa in the Western Region, and Dwease in the Ashanti Region of Ghana, were selected as cases. </p><p> The study finds that between the two points of observation &ndash; before and after the introduction of CLM &ndash; a profound reduction of WFCL is observed in Dwease, whereas much less reduction was observed in Ahokwa. A point-by-point analysis within and between the two villages reveals that individual, social and institutional factors worked together to transform behavior in Dwease. The principal change catalysts in Dwease were (a) a heightened awareness of child work hazards and a deepened parental investment in child education working at the individual level, coupled with (b) new norms created by the town's opinion leaders and the emergence of peer accountability at the social level, and (c) monitoring carried out by the Community Data Collection (CDC) and enforcement carried out by the Community Child Protection Committee (CCPC) &ndash; the two new institutions constituting CLM at the community-level. The underlying social dynamic proved to be decisive: a tipping point was crossed in Dwease whereby progressive opinion leaders in the community, who, once sensitized to recognize the pejorative effects of CL/WFCL, created new social norms and spurred a critical mass of community members to rid their community of CL/WFCL. </p><p> This study shows that with sufficient local ownership, and if properly instituted, the tandem operation of child protection committees and child labor monitoring enables a community to effectively detect, police and mitigate the practice of child labor and WFCL.</p>

This study links rural electrification and the transition to modern energy services with poverty reduction and rural development in Ethiopia. Benefits of rural electrification in reducing poverty and accelerating rural development in low-income developing countries have been insufficiently researched. This study analyses available empirical evidence at a local level and examines how electricity access translates into productive use beyond powering radios and lighting. A survey of 336 households was conducted in Northern Ethiopia on impacts of electrification on four rural towns with varying number of years of access to electricity. Evidence at household and community levels shows that access to electricity was followed by an increase in household connectivity rate, and slow transition to modern energy services based on level of household income and number of years of a household’s connection to electricity services. The pace of transition to modern energy services was slow, and household energy poverty and dependence on biomass fuels continued in most rural towns, having little impact on improved environmental management practices. Improvement in rural livelihood, poverty reduction, and delivery of public services was highest for those with more years of access to electricity, and higher income households. The fact that impacts of RE depend on number of years of a household’s electricity connection implies gradual improvements rather than immediate benefits after connection. In the short-term, households improved their quality of life through better lighting and reduced indoor-air pollution. In the medium and longer-term, households and communities diversified their income and received improved public services such as education, health, and potable water. Further benefits were wider off-farm and non-farm employment, increased rural markets, and improved environment for rural development. Very poor households benefited least, while those better-off utilized opportunities created through rural electrification. Though necessary for development, rural electrification alone is insufficient, and requires strong government commitment and political will to invest in public services and infrastructure, and encourage private sector participation. / Graduate

Economists have studied the relationship between population growth and economic growth for a very long time and not found any clear relationships. Recently they have begun to focus on the factors of population growth such as fertility and mortality rates. From this line of study came the age-structure hypothesis. The age-structure hypothesis was founded on the evidence from Asia’s very successful demographic transition and many economists are now wondering whether Sub-Saharan Africa (SSA) will be able to repeat this feat. Hence, this study aims to investigate the relationship between the dependency ratio (a ratio between the dependents (ages 0-14 and 65+) and the number of workers (aged 15-64) in a population (Eastwood and Lipton, 2012)) and economic growth in SSA and search for evidence of a demographic dividend. Not many previous studies have been done focusing completely on SSA and this study therefore aims to shed some light on the subject. The investigation was done by a cross-sectional regression analysis using a sample of 26 sub-Saharan countries and secondary data from mostly the World Bank. The results show a significant relationship between both versions of the dependency ratio and economic growth but do not show evidence of a demographic dividend. Out of the two versions of the age-structure hypothesis, most support was found for the strong version. Furthermore, support was found for the conditional convergence theory and both savings per capita and the initial level of education were found significant. However, the results had problems with severe multicollinearity and it was concluded that the results were not entirely reliable and should not be depended upon.

Economic growth is a goal for countries around the world in order to improve living standards, and the effect of foreign direct investments (FDI) has long been studied. There are today many theories and empirical studies regarding FDI. Many questions being studied but finding a straight answer to these have showed to be anything but easy. The results and conclusions go in different directions and much disagreement on whether or not FDI actually contributes to growth. One of the core triggers to the Chinese high economic growth pattern is attributed to FDI, this thesis investigates the same FDI impact on economic growth but with focus on sub-Sahara Africa. With the help of different theories and empirical studies we have selected our variables believing they will have a significant impact on this question. With the data collected from the World Bank database about the countries and seven different variables, a regression is created. The results show that FDI plays a part when it comes to GDP per-capita growth and also that corruption has a significant negative effect on growth rates. FDI in sub-Saharan Africa is hypothesized to mainly consist of brownfield investments as a potential explanation. The data this study uses is between 2005 and 2013, meaning the results are probably not applicable to be interpreted long-term.

Edward Said stresses the politically and ideologically skewed nature of western imperial responses to colonised or formerly colonised cultures and peoples, articulated in a variety of media, including scholarly and imaginative writings, which are inflected by the various kinds of power (political, intellectual, cultural and moral) that the West has wielded and continues to wield over non-Western regions of the world. While recognising the pathbreaking import of Said's work, critics have pointed out his blindness to the possibilities of resistance to and subversion of the discourse of Empire within the western-authored texts that he discusses. Even where he does consider the issue of resistance and opposition to Empire by western intellectuals, he still stresses the complicity of their texts with the processes of Empire. If one were to pursue the logic of such criticisms to its limit and apply it to the intellectual resistance generated from the centre in the context of the post-War dismantling of European overseas empires and its aftermath, one might be tempted to conclude that such resistance constitutes an unqualified disruption of colonial modes of apprehending difference. Against the backdrop of such readings of Said, this thesis examines the issue of cross-cultural representation in a selection of mainstream metropolitan French writings relating to black Africa produced between 1945 and the present. It brings together scholars and writers like Gide, Sartre and Griaule, some of whose works relating to black Africa belong to the first decade of the post-War period marked by France's continued colonial presence in the continent. It also considers other scholars and writers like Dumont, Conchon, Verchave and Le Clézio, whose books appeared in the second and succeeding decades of the period. The overall aim is to identify the ways in which these writers respond individually and collectively to black Africa often construed as a paradigm of cultural difference, and to consider whether such cross-cultural responses, given their historical context, can be described as being invariably a function of the changing relations between France and black Africa. What forms do the cross-cultural responses take? What cultural assumptions and ideological motivations shape those responses? Are the responses entirely disruptive of colonial modes of relating to difference? If not, what are their aporias, their ambiguities and paradoxes? My conclusion is that while Sartre and others relate to black Africa with unmistakeable empathy, their positive cross-cultural disposition does not necessarily enable them to attain a relationship with the peoples and cultures of Africa which is an equipollent relationship between equals.

<p> Sub-Saharan Africa has the lowest rates of electrification and some of the worst education statistics worldwide. In the absence of strong infrastructure for a reliable grid system and quality universal primary schooling, the poor suffer significantly. Though substantial research has been done on both issues separately, the relationship between the two has yet to be explored. This thesis uses social justice theories to introduce the connections between energy poverty and an individual&rsquo;s education capabilities through a case study in Zambia. Case study research was carried out in the urban low-resource settlements of Lusaka, Zambia over a period of two months with Lifeline Energy, using methods of participant observation.</p><p> Drawing on trends discovered in survey responses, interviews and feedback from a distribution of renewable technologies, this study demonstrates that a lack of modern forms of energy detracts from education. By synthesizing the data with Martha Nussbaum's capabilities approach and Sendhil Mullainathan and Eldar Shafir&rsquo;s scarcity theory, the research reveals that energy poverty hinders an individual&rsquo;s ability to study and gain a quality education and diminishes their available cognitive capacity to learn by tunneling attention to the resource deficit. Furthermore, it supports the claim that energy poverty is not gender neutral. The research concludes that the scarcity caused by energy poverty can be lessened by the investment in and use of small-scale renewable technologies which alleviates some of the daily stress and grind of poverty. This thesis lays the groundwork to recognize energy poverty as an injustice.</p><p> <b>Keywords: Energy Poverty, Education, Gender, Sub-Saharan Africa, Scarcity, Capabilities Approach.</b></p>

<p> The purpose of this qualitative, grounded theory study was to explore and describe the perceptions and experiences of African-born and educated nurses (ABEN) in order to understand how the nurses influenced systems of professional practice in healthcare systems of Maricopa County of Arizona. The overarching research question for the study directly reflected the purpose statement. Four sub-questions were also used in the study. These centered on was how care experiences shaped ABEN perceptions of the healthcare delivery system, how ABEN informed and shaped their social interactions when caring for patients and residents, the barriers to providing care and to fulfilling work practices and processes that ABEN described and the components of a model to adjust or remove experienced barriers. The sample consisted of 17 registered nurses, 16 females and one male, from five African countries, who participated in individual interviews. Lee's push-pull theory formed the theoretical framework of the study. Responses from interviews and researcher field notes were coded and thematically analyzed to determine answers to research questions. Six categories emerged from conceptual data analysis: optimism, self-development, confronting barriers, discovering, assimilation drive, and adaptability. A four-stage model of acclimation was developed from these six components. Results have implications for healthcare policy changes such that ABEN become fully assimilated and accepted as contributors to healthcare delivery in Maricopa County.</p>

Water is life and its provision is vital not only for purposes of sustaining life but also for convenience, health, sanitation and economic well being. The United Nations estimates that over one billion people living in developing countries lack access to safe water, with a substantialp roportion of thesel iving in Africa. As a consequenceo f urbanisation and rapid growth of cities, urban water utilities in developing countries face an enormous challenge in meeting the water requirements of urban dwellers. The challenge is even greater when the prevailing poverty, high levels of debt and declining funding (in form of official developmenta ssistance)a re taken into account. In particular, Sub-Saharan Africa is facing low levels of water services and water supply coverage. Under thesec ircumstancesa, key objective for water utilities in Sub-SaharanA frica is to provide services to the growing urban population, including the poor, in a financially sustainable manner. To achieve this objective, utility managers need innovative methods of financing and managing urban water services. A systematic approach consisting of market segmentation, service and price differentiation is proposed as a suitable method of managing urban water services in Sub-Saharan Africa. This approach is the subject under investigation in the research, which is reported in this thesis. Using primarily the case study research methodology but also incorporating surveys, interviews and f6cus group discussions within the case study, research was carried out to investigate the use of a systematic approach consisting of segmentation, service and price differentiation for managing urban water services in the context of Sub-Saharan Africa. The detailed field research was carried out in Kenya and South Africa, and two case studies were prepared. Among the key findings was that this approach offers a framework for water utilities to structure their service delivery with appropriate pricing and serve more customers (including people living in informal settlements) at affordable cost, while achieving financial sustainability. The finding leads to the conclusion that segmentation, service and price differentiation is a suitable methodology that utilities can use to improve urban water servicesi n Sub-SaharanA frica.