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.

The past 20 years have witnessed a resurgence of maritime piracy, especially along the East and West coasts of Africa. Much scholarly research has been undertaken on this issue; however a consensus on the primary economic causes of piracy does not exist. This thesis seeks to identify the primary economic causes and consequences of maritime piracy in Somalia and Nigeria specifically, and coastal sub-Saharan Africa more generally. It investigates whether variables such as a lack of employment opportunities, particularly in the fisheries sector, are a causal factor of maritime piracy. These potential causal factors are explored using both case studies and regression analyses. Net exports of fish are found to be a statistically significant predictor of the frequency of piracy, suggesting that a decrease in national fish production and employment in the fisheries sector results in an increase in the occurrence of piracy.

This thesis investigates the affect of non-emergency food aid on producer prices and production quantities for cereal grains within the recipient country’s economy. The decision to evaluate developmental or non-emergency food aid (NEFA) stems from a lack of research on a macro scale of disaggregated food aid categories and their implications on developing country producers. The Sub-Saharan Africa (SSA) region is the world’s largest recipient of direct transfer non-emergency food aid leaving the region most susceptible to the ambiguous affects of these food aid allocations. The results for this research suggests that not only are there no detectable disincentive effects but that there is little explanatory power from non-emergency food aid based on the 12 sample countries within the region. Additionally, an estimation of NEFA’s relationship with imports suggests that rather then an addition to total supply, the international trade composition is flexible.

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<p>The study utilized a qualitative case study design to explore the problem of poor access to ART in Benue State. PLWHAs, policy makers, program managers and health workers were involved in an effort to describe the factors influencing access to ART in the State. Semi structured interviews, exit interviews and focus group discussions were used. To analyse the findings, categorization was done into facilitators and barriers to access, in addition to the ways respondents believe these barriers can be overcome. Other sub-themes were also identified and sorted. Themes were linked to direct quotes from the respondents. Additional literature review was done to review available information on the themes identified. Facilitators of access included free cost and increased number of sites / beneficial effects of ART / disclosure, membership in a support group and having a treatment partner. Barriers included stigma and discrimination / hunger, poverty, transportation and opportunity costs / hospital factors / non-disclosure / inaccurate knowledge and perceptions about HIV and ART / certain religious beliefs and advice / coverage, capping of services and fear of non-availability of ART. In addition to stigma, patients bypass closer ART access points to further away hospitals because of business opportunities / financial assistance / perceived better standard of care and hope that a cure, when found, will be more accessible to patients in bigger hospitals.</p>

Generally globalization has increased the number of the mobile populace making displacement and migration a common phenomenon in the narration of contemporary civilization. Over the past decade a vast number of Zimbabweans have migrated to different countries and still continue to do so, mainly due to the economic and political instability that has been present. This case study is an enquiry into the challenges Zimbabweans face when trying to settle or after settling in a foreign country. In spite of the difficulties Zimbabweans have faced in their native country, a large number of migrants may possibly be swapping old problems for a different array of extraneous and traumatic challenges. In order to understand the challenges that contemporary migrants face when settling it was essential to have a brief understanding of the reasons of migration as well as have a background nature of where they are coming from. Consequently this study begins by explaining the push and pull theory and the social inclusion theory which explain the migration patterns migration and post-migration experiences of Zimbabweans are likely to encounter. The researcher adopted both qualitative and quantitative research methods. The triangulation research technique was incorporated to heighten the level of interaction between the researcher and the subjects during the survey. It would appear that the declining level of education standards and lack of employment prompted much of the migration by Zimbabweans. The findings also revealed some discrepancies in perceptions and experiences of student and non-student migrants particularly in in how they perceive South Africans and in settling challenges. The biggest challenge encountered which still continues to pose as a problem is the language barrier. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritburg, 2012.

<p> <b>Background:</b> HIV testing saves lives. It is fundamental to combating the global HIV epidemic. Key populations at higher risk for HIV in Mozambique, including Men who have Sex with Men (MSM), Female Sex Workers (FSW) and mineworkers, are in urgent need of effective HIV prevention strategies. This is the first analysis ever conducted in Mozambique to identify levels of HIV testing and associated factors that inform these strategies. </p><p> <b>Methods:</b> This analysis used data from seven cross-sectional surveys conducted between 2011-2012 among MSM, FSW and Mineworkers in Mozambique. Participants completed a questionnaire and provided blood samples for HIV testing. MSM and FSW were recruited used Respondent Driven Sampling in Maputo, Beira and Nampula. Mineworkers were recruited using Time Location Sampling in Ressano-Garcia. Participants with previous HIV-positive tests or missing HIV test histories were excluded (&lt;5% overall). Weighted logistic regression was used to measure associations with recent HIV testing (&lt;12 months). Theory-driven multivariate logistic regression was conducted in R v2.15 using the Health Behavior Model as a conceptual framework. </p><p> <b>Results:</b> The prevalence of recent testing for HIV ranged from 29.8-59.5%, yet 4.4-25.0% had HIV and did not know it. Between 11.9-57.4% had never been tested, and fear was given as the primary barrier. Recent HIV testing was positively associated with knowledge of ARV drugs, knowing the HIV status of a sexual partner, knowing where to go to get tested, and having had contact with a peer educator. It was negatively associated with having had a genital sore or ulcer and unprotected sex. Between 32.1-90.0% of HIV-positive undiagnosed, key population members had used a healthcare service in the previous 12 months and 23.4-47.5% had tested negative for HIV in that time period. </p><p> <b>Conclusion:</b> Routine testing with strengthened post-test counseling encouraging key populations to have annual HIV screenings need to be implemented in Mozambique.</p>

<p> Without exception, healthcare systems in the Sub-Saharan Africa, including Ghana, face many challenges. Difficulties in Ghana&rsquo;s healthcare system stem from many factors, but the most notable one is professional migration, which has crippled the former British colony since 1980. Statistical data demonstrate the yearly migration of healthcare workers from Ghana and its impact on healthcare services (the doctor/nurse population ratio). This study used a quantitative multiple regression research method to examine and empirically analyze the relationship between healthcare workers, technological innovations, and changes in healthcare services in Ghana from 1990 to 2010. The main result was that technological innovations had a significant impact on healthcare services in Ghana during the observed period. Also, regional disparities in the number of medical doctors and nurses were largely explained by the degree of urbanization and economic development. Therefore, the pooled regression analysis from the panel data consistently showed that technological innovations significantly impacted the healthcare system in Ghana during the observed period. However, the numerical impact of the technological innovation coefficients was relatively lower in Ghana during the observed period.</p>