<p> Men in sub-Saharan Africa are less likely than women to use HIV services and, thus, are more likely to die from AIDS. While much of the literature argues that men&rsquo;s views of masculinity keep them from services, I use the theory of gendered organizations to provide another perspective. In this dissertation, I use a mixed methods approach to examine the gendered organization of facility-based HIV testing services in southern Malawi and how the organization of services creates additional barriers to men&rsquo;s use of care. </p><p> I combine four types of data: (1) survey data with facility clients to assess if quality of care differs by sex of client; (2) in-depth interviews with healthcare providers and policy makers to examine perceptions of men as clients; (3) participant observation in health facilities to understand how institutional protocols are enacted at the local level; and (4) international and national policy documents to situate local health institutions within broader global constructs of gender and HIV priorities. </p><p> I find that heterosexual men have become an invisible category within both international and national HIV policy. When they are included, they are described as the problem, not part of the solution to HIV epidemics. On the ground, the organization of HIV testing services has followed suit. </p><p> Health institutions, like other organizations, are not gender-neutral. Men in southern Malawi were not recruited for health services, were less likely than women to receive health education when they did attend a facility, and were less likely to have access to HIV testing because services were, at times, only offered during hours for antenatal services. Furthermore, HIV testing was often located near antenatal services, again contributing to the perception that testing was designed for women &ndash; because it was. Based on these findings, I argue that HIV testing is gendered across three levels of the health institution: (1) the organizational HIV policies; (2) the physical environment in which testing occurs; and (3) interactions within facilities that require clients to enact qualities typically viewed as feminine in order to successfully receive care (e.g., waiting long hours, being compliant, and being a caregiver).</p>

<p> Biomedical and behavioral interventions can virtually eliminate the risk of vertical (i.e., mother-to-child) HIV transmission. Pregnant and breastfeeding women&rsquo;s adherence to prevention of mother-to-child transmission (PMTCT) interventions, however, remains a challenge across sub-Saharan Africa. Using a concurrent mixed methods approach, including a survey and semi-structured interviews, I test whether a relationship exists between women&rsquo;s low power within married couples (based on domains from the Theory of Gender and Power) and adherence across the PMTCT cascade of care, including drug adherence during and after pregnancy, safe infant feeding practices, and pediatric HIV testing. The results of this study indicate that intimate partner violence is particularly detrimental to PMTCT adherence. Certain PMTCT protocols are also affected by partner controlling behaviors, participation in household decisions, and economic dependence, but not to the same extent as violence. Women with low power cite a lack of partner support and an unwillingness to disclose their HIV status to the husband due to fear of violence or abandonment as reasons for low PMTCT adherence. Conversely, women with high power cite partner support and the ability to prioritize PMTCT, sometimes even over the marriage, as enabling adherence. Based on these results, augmented efforts to address gender power dynamics both in society and within the home are recommended to promote the health of HIV-positive women and their families.</p>

This thesis examines the effects of overconsumption of clothing in the Global North on African textile industries through increased donations to secondhand stores. I begin by explaining how the growth of the fast fashion industry has increased the purchase and production of clothing over the recent decades. As an industry built on trends that quickly go in and out of style, fast fashion has resulted in massive amounts of unworn clothing. Consumers either throw away or donate their clothing, each of which result in either environmental or economic challenges. I explore post-consumer clothing’s donation route. Most donated clothing goes to secondhand stores such as Goodwill and The Salvation Army. However, with increasing amounts of donations going to these stores, they’ve reached a point in which they can no longer sell as quickly as they receive. Leftovers are sent overseas as a philanthropic action, but are met with concern from economists. Foreign aid to developing countries has been a topic of debate, critiqued as a lazy way of providing a short-term benefit with possibly detrimental long-term results. Introducing post-consumer clothing into African clothing markets raises the concern that they will replace local textile industries. I look at existing literature and fieldwork on this issue in order to examine the effects on textile industries in several countries. While the effects vary in differing countries and there are several other variables involved, such as market and political conditions, collective research shows that used-clothing donations account for 40% of the decline in apparel and textile production in an average African country.

The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) continues to have enormous implications on the health, economic and psychosocial well-being of individuals, family structures, and communities. Sub-Saharan Africa is the region most affected by the HIV/AIDS. The purpose of this study is to investigate the social and cognitive factors associated with HIV test uptake in the general population of Kenya. Data from the 2009/2010 Kenya Demographic Health Survey were utilized. Univariate, bivariate and multivariate analyses were conducted using STATA/SE software. Results showed that there were statistically significant differences between men and women in previous HIV testing status and HIV test uptake. Over 90% of participants reported knowing a place to seek testing. The mean HIV related knowledge was higher in men than women (x =0.1; 95% CI 0.04-0.16) than women (x = 0.04; 95% CI [0.01- 0.1]). Differences were found in expressed HIV stigmatizing attitudes, with women reporting more stigmatizing attitudes than men. For example 9.9% of women compared to 4.7% of men reported very high HIV stigmatizing attitudes. Weighted multinomial regression analyses were conducted with individuals who had not been previously tested and unwilling to be tested utilized as the reference group. Among the factors found to be significantly associated with HIV uptake include: HIV related knowledge- higher levels of HIV related knowledge were associated with increased HIV test uptake for men and women, HIV related stigma- lower levels of HIV related stigma were significantly associated with HIV test uptake for women but not men, acceptance to teach condoms to children and knowledge of someone infected with HIV/AIDS was positively associated with HIV test uptake, gender- compared to men, women were significantly less likely to agree to be take the HIV/AIDS test if not previously tested (OR 0.79; 95% CI [0.64, 0.97]) but significantly more likely to accept the HIV/AIDS test when offered (OR 1.341; 95% CI [1.02, 1.76]). Other significant associations included: Age, education attainment, sex of head of household, and wanting to keep a family member's tuberculosis infection a secret.

This dissertation explores the cultural and socioeconomic factors that influence adult role transitions in Ghana. Guided by a life course theoretical framework, and using a nationally representative survey (2003-2008 Ghana Demographic and Health Surveys), I estimate accelerated failure-time (AFT) log-normal models that control for the potential effects of unobserved heterogeneity due to the possible omission of certain relevant covariates. The models reveal that when the most optimal hazard distribution function is specified in an event history model, the problem of unobserved heterogeneity becomes significantly reduced. Results from both non-parametric and parametric models suggest a convergence in marriage and parenthood timing among contemporary young women and young men in Ghana compared with their older cohort, highlighting the salience of sociocultural timing on individuals’ life course decisions. The study also utilizes qualitative data from 30 in-depth interviews conducted in Aburi in the Eastern Region of Ghana, during the summer of 2010. The qualitative approach complements the survey methods by uncovering the influential role of the religious institution, a growing sense of individualism, as well as an emerging consumerist culture on family formation decisions in Ghana. Overall, the findings from this study indicate that the spread of information technology in the rapidly globalizing world has had differential effects on two birth cohorts in Ghana. / Thesis (Ph.D, Sociology) -- Queen's University, 2013-12-19 15:00:23.689

This thesis investigates whether adoption of partnerships between water utilities and Community Based Organisations (CBOs) in Sub-Saharan Africa can improve water services to informal urban settlements. The study is particularly relevant because over 1 billion of the world's population have no access to clean water supply with many living in urban areas. The lack of adequate resources coupled with insufficiency of conventional approaches has rendered it impossible for urban utilities to deliver sustainable water services to all customers, including the informal settlements. The thesis proposes that partnership between water utilities and CBOs is a viable approach for improving water services to informal settlements. The thesis enhances understanding of the context in which such partnerships could be developed.

This thesis investigates the effects of rangeland management systems on savanna ecosystems under different environmental conditions in Botswana, Southern Africa. The soil sampling and vegetation assessment were conducted in twenty–three transects located in communal and ranching grazing lands across three sites. Pastoralists were also interviewed on vegetation change on their respective grazing lands. Soil texture, pH, bulk density and soil organic carbon differed between sites, but not between communal and ranching lands. Soil organic carbon was positively affected by soil clay content. The herbaceous vegetation composition showed heterogeneity between sites, but Matlolakgang and Xanagas rangelands were in poor condition, particularly the communal grazing land that had high cover of increasers II species. Higher herbaceous biomass was observed in ranches than communal lands and biomass also increased with increasing soil organic carbon. Bush encroachment was observed in communal and ranching grazing lands at Matlolakgang and Xanagas, but not Goodhope. Woody plant cover, density and diversity increased with decline in soil clay content, but not linearly. Pastoralists indicated that herbaceous vegetation compositions had changed in some areas, with increase of unpalatable grass species and bush encroachment especially in communal land. Pastoralists considered bush encroachment a problem as it suppress herbaceous vegetation productivity, but they also considered woody vegetation as a valuable grazing resource. The long-term indicators of ecosystem degradation (soil and woody cover) showed that communal and ranching grazing did not affect the savanna ecosystem differently. This is contrary to assumptions of Tribal Grazing Land Policy of Botswana, which promote ranching as a more sustainable management system. The results revealed that rainfall and soil clay strongly influence rangeland condition. These results have implications for the management policies of communal grazing lands throughout sub-Saharan Africa and in similar arid habitats across the world.

The role of the financial sector in helping an economy grow has been the subject of debate for a long time. Recently, however, consensus has been reached, through empirical evidence, showing the importance of financial sector development in achieving economic growth (ADB, 2009). Using the Global Financial Development Database (GFDD) model, the study done here will provide an analysis of financial sector development in Sub-Saharan Africa and its effect on economic growth, using data for 40 countries, in the years from 2000-2014. This analysis was done using a cross-sectional regression analysis of countries in Sub-Saharan Africa (SSA) with data provided from the World Bank. The regression shows significantly positive results between economic growth and firms using banks to finance investments, bank cost to income ratio and bank credit to bank deposits, while significantly negative results are shown in financial system deposits and stock market total value traded. However, seeing as financial sector development is diverse and dynamic, these measurements and the regression done here will not provide a comprehensive picture of the state of financial sector development in SSA.

This research contributes to the growing body of research on cloud computing and addresses the paucity of research on cloud computing adoption, as well as information systems (IS) and information communication technologies (ICTs) adoption in sub-Saharan Africa. The research addresses the current state of cloud computing adoption in addition to the issues that can encourage or preclude its use by SMEs in sub-Saharan Africa. Further, the research establishes the extent to which cloud computing adoption stimulates small and medium-sized enterprises (SMEs) in sub-Saharan Africa to contribute to development. A qualitative research methodology with an interpretive viewpoint is adopted for this research comprising of two major phases that involved a total of eighteen small and medium sized enterprises (SMEs) in Nigeria. A pilot exploratory study using grounded theory was conducted in the initial phase and the development and refinement of a conceptual framework for analysis and evaluation was carried out in the second phase. The framework is theoretically grounded in the integration of two distinct theoretical traditions, i.e. institutions theory and the capability approach. This is the first research study that employs such a combination to examine cloud computing adoption. This research examines the expectations of cloud users against their fears together with other related influences to draw conclusions regarding the future of cloud computing usage in sub-Saharan Africa. The research found that SMEs considered issues like security, privacy and trust as playing a role in enabling adoption of cloud computing. This is in contrast with SMEs in the global north where these specific issues are discouraging adoption. The research recommends to policy makers and stakeholders interested in developing the cloud infrastructure in sub-Saharan Africa, that there is the need to be cautious in drafting policies (which are non-existent at present). This is in order not to draft policies and regulations with regard to cloud computing usage that will inhibit adoption. Finally, this research presents an incremental model that is used to analyse how cloud service provision was introduced in sub-Saharan Africa. The novel three-stage maturity model identified the incremental approach to the delivery of cloud services in sub-Saharan Africa which started from (i) no local provision, (ii) cloud brokers promoting foreign cloud service provision and (iii) locally-available cloud service provision over a period of three to four years. This research envisages that, with further development of the cloud infrastructure especially in terms of internet connectivity, and improved awareness, more SMEs will adopt cloud computing as part of their IS/ICT strategy.

It is gradually becoming common knowledge that, natural resources have not been able to make positive impact on economic growth of countries. In that, countries rich in natural resources grow at a slower pace than the resource-poor countries. This occurrence is one of the reasons behind many defections and militant groups against state authority in many resource-rich countries, especially those in sub-Saharan Africa. Using panel data from 1980 to 2010 on 34 sub- Saharan African countries, this paper examines whether institutionalised authority, which is a proxy for state authority, can change the negative relationship between natural resources and economic growth. The key finding is that, institutionalised authority can alter the negative relationship that exists between natural resources and economic growth. JEL Classification C33, O43, Q28, Q33, Q43, Keywords Natural Resources, Economic growth, Institutionalised Authority, Dutch Disease, sub-Saharan Africa