This dissertation considers how Western health interventions are incorporated in non-Western societies. It focuses specifically on ‘HIV Testing,’ a key strategy that emerged to fight the spread of HIV in the West and was later institutionalized globally and exported to other, very different parts of the world. The empirical object of study is the “3Cs,” the cluster of Western norms and ideals upon which global testing policy rests: (1) that it includes counseling, (2) that it be conducted with informed consent, and (3) that the test results be confidential. Employing several methods of field research, this project investigates how the rationalities and motivations of various actors at national and local levels affect the implementation of a key global AIDS intervention in Malawi, a high HIV prevalence, rural African setting. Fundamental differences between the West and sub-Saharan Africa form the basis of this inquiry as to how imported models fare when implemented outside of their context of origin. Towards that end, this study considers how three strata of social and institutional actors who inform the HIV Testing encounter in Malawi interpret, and put into practice, the same ideas: the Counseling and Testing Establishment (CTE), HIV Counselors, and rural Malawians. For the CTE, its proponents, the “3Cs” are Western, human rights imports that are worth defending formally, but not necessarily worth prioritizing in practice. For HIV Counselors, its implementers, knowledge of the “3Cs” as Western biomedical jargon distinguishes them from villagers, but places them in situations where the ethics of testing conflict with moral concerns they have for those whom they were trained to help; thus they adapt them in practice. And for rural Malawians, its beneficiaries, the “3Cs” have little inherent value, and are perceived largely as doing harm rather than good in their communities. Thus, the net contribution of this study is that the “3Cs” have no single meaning as a normative testing regime, but rather acquire (differential) meaning (and import) during their implementation. Indeed, unless policy makers and analysts know something about this, interventions developed from afar are unlikely to have their intended effects on the ground. / text

Demographic responses to environmental stress have long been hypothesized in classic population theory, though empirical analyses remain scarce and traditionally focus on aggregate units of analysis. With the growing concern over environmental degradation it remains an empirical question as to how, to what extent and in which spatial and temporal scales populations, especially in developing countries, are directly and indirectly affected by their immediate natural surroundings. This paper examines the link between fertility related behavior of women at the individual level and several environmental determinants across eight sub-Saharan West African countries. Data is pooled from georeferenced Demographic and Health Surveys (conducted 2001-2005) combined with long term climatic data and a time series of remotely sensed vegetation index spanning 23 years. Results consistently show little to no effect of immediate natural resources or gross land degradation on fertility related behavior, but that effects tend to become more pronounced in larger geographic scales. Despite data limitations these results call for improved theoretical specificity. Questions that need to be addressed, both theoretically and empirically, are at which spatial and temporal scales environmental pressures induce certain types of demographic responses. / text

The study is set to assess private actors participation in the global climate governance through the Clean Development Mechanism (CDM) adopted during the Kyoto Climate Conference of 1997 in Japan. The general aim of this thesis is to understand why there are so few CDM projects in Sub Saharan Africa (SSA). The study is based on literature review of selected academic and policy documents, statistical analysis of CDM project distribution, and a questionnaire distributed to four respondents that include Tricorona, EcoSecurities, Vattenfall and Swedish Energy Agency to acquire relevant data. The data was analyzed by using descriptive statistics and the CDM project pipeline. The main conclusions of the study are: (1) the Kyoto Protocol did not place a binding commitment on industrialized countries as to how they should channel CDM investment in developing countries and; (2) the market incentive placed within the CDM did not take into consideration the historical and socioeconomic issues of poverty, poor infrastructural and institutional problems of Sub Saharan African countries in order to avoid the unequal distribution of projects. The study concludes with the recommendation that the post-2012 CDM era should create a new framework that will assist Sub Saharan African Countries in developing alternative energy, and in promoting green technology. The thesis equally recommends that the market mechanism should be enforced by a new political mechanism that will help to promote good governance, as well as upgrade the existing political institutions and infrastructural development in SSA.

No description available.

Research regarding youth involvement in physical fighting and suicidal ideation has been primarily conducted in western countries, such as the U.S., and limited information is available on this subject in sub-Saharan Africa. This study used data from the Global School-Based Student Health Survey (GSHS) to analyze the prevalence and correlates (i.e., bullying victimization, loneliness, having no friends, sadness, alcohol use, and drug use) of physical fighting and suicidal ideation among students, both boys and girls in Uganda. In this study, 10.1% of urban students and 15.2% of rural students reported engaging in both physical fighting and suicidal ideation. Rural students overall have a higher prevalence of physical fighting, being bullied, suicidal ideation, alcohol use and drug use when compared to urban students. Other risk factors vary among boys and girls in urban and rural settings. Gender and urban/rural differences indicate that interventions among boys and girls and urban and rural students should be adapted to address the needs of the specific groups.

<p> The objectives of this explorative case study investigated a multistakeholder conflict in Tanzania Africa, using stakeholder theory as the theoretical foundation. While stakeholder theory has evolved and gained prominence as a method for reviewing conflict resolution processes it was important to conceptualize any discrepancies that could establish a framework for resolving conflicts in practice and in strategy. The research design analyzed five factors of framing, reframing, managing, power and trust with four different stakeholders involved in higher education loan conflicts. The results of the study showed distinct differences compared to previous research findings focused on multistakeholder conflicts. One primary distinction was characterization of the conflicts followed other studies however the lack of motivation to change was complex. There was a strong risk aversion which blocked a link for long-term solutions. Though like other studies competitive, collaboration and coalition for managing the conflicts were identified, risk aversion precipitated an unpredictable mixture of these management processes. Furthermore power imbalances and trust were identified as important aspects of multistakeholder conflicts; however this study linked the impact of results when risk aversion is included in the conflict. Finally, like other studies barriers to a strong conflict resolution process were related to normative values. However, this study enhanced the impact of a lack of societal values for motivating stakeholders to include normative values. It is recommended that further research be conducted to explore the implications of the multistakeholder conflict resolution model. </p>

Despite the global progress made in improving health of people and increasing the life expectancy, Sub-Saharan Africa continues to be plagued by many health problems. Commercialization of health products from Sub-Saharan Africa presents opportunities to solve some of these health problems as well as generate economic returns. This thesis explored science based health product commercialization in sub-Saharan Africa through three studies. The objective was to identify opportunities and challenges facing health product commercialization in Sub-Saharan Africa. A qualitative case study approach was used and data collected using interviews. The first study involved looking at science based health product commercialization at a national level. Rwanda was chosen for this study. Thirty eight key informants selected from various institutions that form the health innovation system in Rwanda were interviewed. The results of the study show that opportunities exist in Rwanda for health product commercialization mainly because of the strong political will to support health innovation. However the main challenge is that there are no linkages between the actors involved in health innovation in Rwanda. The second study looked at health innovation at the level of a research institution. The Kenya Medical Research Institute (KEMRI) was studied where eight key informants were interviewed. The results show that KEMRI faced many challenges in its attempt at health product development, including shifting markets, lack of infrastructure, inadequate financing, and weak human capital with respect to innovation. However, it overcame them through diversification, partnerships and changes in culture. The third study looked at health technologies that are being developed in sub-Saharan Africa but have stagnated in laboratories. Thirty nine key informants were interviewed. A total of 25 technologies were identified, the majority being traditional plant medicines; other technologies identified included diagnostic tests and medical devices. Many of these technologies require further validation. Other key challenges to commercialization of these technologies that were identified included a lack of innovative culture amoung scientists and policy makers and lack of proof of concept funds including venture capital. Overall, this thesis identified opportunities for science based health commercialization in Africa, and also provides recommendations on how to overcome major challenges.

Despite the global progress made in improving health of people and increasing the life expectancy, Sub-Saharan Africa continues to be plagued by many health problems. Commercialization of health products from Sub-Saharan Africa presents opportunities to solve some of these health problems as well as generate economic returns. This thesis explored science based health product commercialization in sub-Saharan Africa through three studies. The objective was to identify opportunities and challenges facing health product commercialization in Sub-Saharan Africa. A qualitative case study approach was used and data collected using interviews. The first study involved looking at science based health product commercialization at a national level. Rwanda was chosen for this study. Thirty eight key informants selected from various institutions that form the health innovation system in Rwanda were interviewed. The results of the study show that opportunities exist in Rwanda for health product commercialization mainly because of the strong political will to support health innovation. However the main challenge is that there are no linkages between the actors involved in health innovation in Rwanda. The second study looked at health innovation at the level of a research institution. The Kenya Medical Research Institute (KEMRI) was studied where eight key informants were interviewed. The results show that KEMRI faced many challenges in its attempt at health product development, including shifting markets, lack of infrastructure, inadequate financing, and weak human capital with respect to innovation. However, it overcame them through diversification, partnerships and changes in culture. The third study looked at health technologies that are being developed in sub-Saharan Africa but have stagnated in laboratories. Thirty nine key informants were interviewed. A total of 25 technologies were identified, the majority being traditional plant medicines; other technologies identified included diagnostic tests and medical devices. Many of these technologies require further validation. Other key challenges to commercialization of these technologies that were identified included a lack of innovative culture amoung scientists and policy makers and lack of proof of concept funds including venture capital. Overall, this thesis identified opportunities for science based health commercialization in Africa, and also provides recommendations on how to overcome major challenges.

This concurrent mixed methods study sought to determine e-learning readiness by distance education students in Nigeria based on their level of communication technology usage and perceptions of distance education delivery methods, and comparing learning experiences via the Internet and via study centre methods in Nigeria. This exploratory study using quantitative survey instrument measured the current levels of students’ technology usage, while qualitative interview instrument was used to examine students’ perceptions, attitudes and experiences of communication technology by distance education students in Nigeria. The results of this study reported high communication technology usage based on the high level of smart phone ownership and Internet browsing, high level of personal computer usage, high level of internet social networking, and high positive response for online learning, among other positive indicators. Consequently, the research findings seemed to indicate that distance education students surveyed are highly enthusiastic and are ready for e-learning in Nigeria. / 2012 - June

Education broadens the life choices and capabilities of those who receive it, and confers external benefits to society as a whole. In sub-Saharan Africa, a major issue concerning school attendance among the poor has been the direct monetary costs represented by primary school “user” fees, which became particularly commonplace in sub-Saharan African countries during the post-colonial period. While fees have been advocated in the past as a way for impoverished governments to fund the improvement and expansion of primary education, in more recent years the position of the international development community has shifted in favour of fee abolition as a means of achieving Universal Primary Education. This thesis examines the long-term relationship between school fees and education quality and access over the past 40 years in seven sub-Saharan African countries. I find that the introduction of fees decreased primary school enrolment, primarily by keeping the poorest children out of school, without achieving significant quality improvements. A fall-off in government spending following the introduction of fees is presented as a possible explanation. I also focus on the quality impacts associated with the major increases in enrolment following fee abolition, and emphasize the importance of government commitment to making up the funding shortfall generated by this policy change.