Bakgrund: Oculocutaneous albinism (OCA) är en ärftlig sjukdom som fysiskt, psykiskt och socialt påverkar de drabbade individerna. Okunskap, fördomar och myter om albinism utgör de största orsakerna till den diskriminering som personer med albinism utsatts för särskilt i vissa länder i Afrika söder om Sahara. Syfte: Syftet är att beskriva hälsan hos personer med albinism i Rwanda, utifrån begreppen diskriminering, coping och socialt stöd. Metod: En kvalitativ metod med induktiv ansats ligger till grund för denna undersökning. 14 semistrukturerade intervjuer genomfördes i Rwanda för insamlingen av data och en intervjuguide utformades för att underlätta intervjuprocessen. Intervjuerna spelades in och därefter transkriberades för att sedan analyseras med hjälp av en manifest innehållsanalys där datamaterialet framställdes i fyra kategorier. Resultat: Personer med albinism upplever diskriminering och deras hälsa påverkas därmed negativt. De använder sig utav olika coping-strategier för att hantera denna diskriminering. Förväntningarna är att med ökad kunskap om albinism och ökade stödinsatser bör kunna minska diskrimineringen i samhället. Slutsats: Albinism är ett folkhälsoproblem som förtjänar ytterligare forskning och utökade åtgärder för att öka medvetenheten om sjukdomen och för att stödja personerna som lever med albinism. / Background: Oculocutaneous albinism (OCA) is a hereditary disease that directly impacts the physical, mental and social health of affected individuals, particularly in some countries in sub-Saharan Africa. Ignorance, prejudices and myths about albinism are the biggest cause of the discrimination of people living with albinism in particular countries within this region. Aim: The aim is to describe the health of people with albinism in Rwanda, based on the concepts of discrimination, coping and social support. Method: A qualitative method with an inductive approach serves as the basis for this study. 14 semi-structured interviews were conducted in Rwanda for the collection of data and an interview guide was designed to facilitate the interview process. The interviews were recorded, transcribed and analyzed using a manifest content-analysis model that revealed four different categories of results. Result: People with albinism are experiencing discrimination and this adversely affects their health. Different coping strategies are used by people with albinism for dealing with their differing experiences of this discrimination. The expectations of these people are that increased knowledge about albinism and increased support measures ought to reduce the discrimination within their society. Conclusion: Albinism is a public health problem that deserves further research and increased measures towards increasing the awareness surrounding albinism and supporting the daily lives of the people living with albinism.

Master's Thesis: Tobin Hanspal May 18th, 2012 Variability Among Determinants of Education Attainment: The Effect of Natural Resources and Institutional Quality in Sub-Sahara Africa ABSTRACT: This thesis exploits survey data from 21 Sub-Saharan African countries. After constructing a dataset of over 100,000 households to analyze the variability in traditional determinants of schooling attainment across exogenous domains, results indicate strong heterogeneity across countries in the effects of household composition and parental background. Additionally, findings suggest that 1) marginal effects of parental education are on average three times smaller for secondary compared to primary school attainment, 2) countries with lower corruption are correlated with higher levels of educational mobility, 3) dependence on natural resource revenue is associated with increased educational mobility. And finally 4) household wealth becomes a stronger determinant in countries with better institutions. Exogenous factors appears to have a large correlative impact on schooling outcomes, such as individuals belonging to the richest households have almost ten times the chances of completing primary schooling over the poorest quintile in less corrupt states compared to only a marginal advantage in highly corrupt states.

Since 1992, the annual decline in the undernourished fraction of the world's population has been minimal (0.3%) making undernourishment one of the most pressing and alarming global issues. The FAO annually publishes a list of best and worst performing countries that respectively significantly decreased or increased the proportion of the population that was undernourished. Strikingly, seven out of ten global best performers and four out of ten global worst performers are located in Sub-Saharan Africa. This study therefore seeks to explore the variables affecting undernourishment rates, in an attempt to explain this variance. Six case studies hence explored three best performers (Angola, Chad and Ghana) and three worst performers (Botswana, Democratic Republic of Congo and Liberia) as the unit of analysis. Three clusters of variables were studied; natural shocks, agricultural production and economy. Changes in these variables were examined between 1992-2000 and Ragin's qualitative case study research strategy was applied to facilitate the analysis. The data indicated that the most influential variable was agricultural production. Furthermore, good governance leads to improvements in all three clusters of variables, whereas a civil war negatively effects all three clusters. Undernourishment proved to be a very complex and intertwined problem and similar research on a larger scale was recommended. / Master of Science

Entrepreneurship education has emerged as an alternative to traditional models of sustainable development in Sub-Sahara Africa. Traditional development models focus on economic reforms. In contrast, Amartya Sen’s capabilities approach to development emphasizes the importance of entitlements, choice, freedom, and addressing social and institutional conditions that facilitate development. This is a case study on a similar program, the Mandela Washington Fellowship (MWF) for Young African Leaders Initiative (YALI), in the business and entrepreneurship track. The objective is to examine the impact of MWF on participants in developing entrepreneurial and leadership skills, which has the potential to contribute to the overall growth and development of their communities. This research assesses the effectiveness of entrepreneurship and leadership education programs in successfully developing practical skills among participants. Further goal is to examine the links between sustainable development, entrepreneurship and leadership training programs, in the context of Sen’s capabilities approach to development in Sub-Sahara Africa.

京都大学 / 新制・論文博士 / 博士(地球環境学) / 乙第13493号 / 論地環博第16号 / 新制||地環||44(附属図書館) / 京都大学大学院地球環境学舎地球環境学専攻 / (主査)教授 舟川 晋也, 教授 西前 出, 准教授 真常 仁志, 教授 樋口 浩和 / 学位規則第4条第2項該当 / Doctor of Global Environmental Studies / Kyoto University / DFAM

Maternal morbidity and mortality are prevalent issues worldwide that profoundly affects low- and middle-income countries (LMICs) in Africa. Estimates vary, but by the end of 2015, at least 300,000 women died in LMICs due to preventable pregnancy and childbirth conditions. Pregnant women die from complications that could be detected and managed if they were able to receive early access to necessary health interventions. Mobile technology is increasingly common across the globe, including LMICs, and incorporating digital health technologies, especially mobile phone (mHealth) programs, can offer a possible solution to morbidity and mortality related to pregnancy. A literature review analyzing the impact of mHealth programs on maternal health was conducted from various online databases. Nineteen articles that were published in the last ten years and contained technology-based interventions used for maternal health were reviewed. Inclusion criteria included countries listed as low-income and middle-income in the 2017 World Bank list of economies. The studies suggest mHealth programs have the potential to reduce maternal morbidity and mortality by increasing knowledge of safe health practices for pregnant women, community health workers, and traditional birth attendants. Mobile health technology also provides crucial information to providers when complications arise and can improve health facility utilization leading to increased deliveries with skilled birth attendants. This reinforces the need for more mHealth initiatives to be implemented in LMICs, addressing the barriers and community characteristics to positively impact and reduce maternal death in these settings.

Please read the abstract in the section 00front of this document / Thesis (DPhil (Zoology))--University of Pretoria, 2007. / Zoology and Entomology / unrestricted

Over one billion of the world’s population are smokers, with increasing tobacco use in low-and middle-income countries. However, information about the methodology of studies on tobacco control is limited. We conducted a literature search to examine and evaluate the methodological designs of published tobacco research in Sub-Saharan Africa (SSA) over the past 50 years. The first phase was completed in 2015 using PubMed, Embase, CINAHL, and Cochrane Central Register of Controlled Trials. An additional search was completed in February 2017 using PubMed. Only tobacco/smoking research in SSA countries with human subjects and published in English was selected. Out of 1796 articles, 447 met the inclusion criteria and were from 26 countries, 11 of which had one study each. Over half of the publications were from South Africa and Nigeria. The earliest publication was in 1968 and the highest number of publications was in 2014 (n = 46). The majority of publications used quantitative methods (91.28%) and were cross-sectional (80.98%). The commonest data collection methods were self-administered questionnaires (38.53%), interviews (32.57%), and observation (20.41%). Around half of the studies were among adults and in urban settings. We conclud that SSA remains a “research desert” and needs more investment in tobacco control research and training.

The proposition that American network television news coverage of sub-Sahara Africa increased substantially after the 1975-76 Angola conflict is examined in this study of the responsiveness of television to changing news values at the international level. News coverage for two thirty-month periods before and after the Angola conflict is compared using data derived from the Television News Index and Abstracts. The study finds that network news coverage of sub-Sahara Africa increased from 0.36 per cent of total news time before the Angola conflict to 4.46 per cent after, indicating that network news coverage is a reflection of the intensity of United States government activity at the international level.

Of all the countries studied in the large-scale WHO Multi-country Study on Women´s Health and Domestic Violence against Women (2005), Ethiopian women had the highest numbers of acceptance of intimate partner violence. And according to previous research on the subject, Ethiopian women have a high tolerance for and acceptance of the violence they endure. Yet when I interviewed women in Ethiopia (all of whom had been victims of violence) I discovered multiple forms of resistance to - rather than acceptance of - violence. Rather than confirming how women come to accept violence, my study uncovers many ways in which women resist violence, even in contexts where the available means of resistance are extremely limited.The aim of my inductive study is to begin to do justice to these forms of resistance, which are easily overlooked. First, as I argue in the analyses of my interviews with the women, our ability to discern forms of resistance in situations of intimate partner violence requires a more capacious notion of resistance than the one usually employed. Second, as I argue through my engagement with the previous research and the analyses of my interviews with women’s organizations in Ethiopia, the inability to discern multiple and varied forms of resistance leads one to underestimate the degree of non-acceptance and active resistance in situations of intimate partner violence. Thus, while my limited study does not permit general conclusions about violence against women in Ethiopia, I conclude by suggesting that my findings have two important implications for social work, one theoretical and one practical.