In an understocked game management area surrounding privately managed Kasanka national park in the Central Province of Zambia, local attitudes towards conservation and park-people relations were examined in the context of a community based natural resource management program. A semi-structured questionnaire was administered to 260 households and a multiple linear regression was used to analyze the data. Significant socioeconomic factors and attributes of households relevant in explaining positive conservation attitudes were education, employment with the park, and experience with outreach efforts. Outreach though is constrained by the limits on revenue generation of a small park, low communication of program purpose, and poor relations between park management and the chief. Support for conservation is undermined by antagonism between locals and wildlife scouts and crop damage by elephants. However, attitudes should improve with a strategy to address human-elephant conflict and enhance communication of the programs accomplishments and objectives.

Copper mining is the main driver of Zambia’s economic growth and development and plays a significant role in the global supply of materials for electrical, plumbing, heating and transport equipment among other benefits. However, primary production and beneficiation of copper pose serious risks to the mining districts such as environmental pollution, landscape alterations, land degradation and social economic challenges to the host communities. This research looks at the landscape alterations in the mining district of Luanshya, and how these alterations are related to mining and other land uses. Using remote sensing and Geographic Information Systems (GIS), the landscape alterations were mapped and analysed to identify the processes causing these alterations and their impacts on land use. Secondly, stakeholder interviews were conducted to gain a deeper understanding of the mapped landscape alterations, what the approach has been to land use planning and the stakeholder roles in this planning. Analysis of the findings identifies that landscape alterations in the district have been caused by different inter-related mechanisms stemming from a number of causes. These causes include high dependency on copper mining; inadequate enforcement of environmental legislation; lack of state involvement in land use planning of mining districts; and also global factors such as commodity market conditions. As a result, boom and bust commodity cycles have had significant impacts on the wellbeing of both mining communities and the environment. These impacts are not limited to the mine sites alone but extend to entire districts. This research also identifies that while mining plays a vital role in the economic development of Zambia, adequate enforcement of environmental legislation and adoption of inclusive land use planning may stimulate sustainable development of mining districts and foster sustainable land use patterns. Furthermore, this study recommends that future land use planning must be dynamic in terms of adopting postmining restoration of landscapes and infrastructure while also taking the direct and indirect impacts of mining into account.

This study investigates how the development of the agro-food processing industry could support the structural transformation of the Zambian economy. This is set against a backdrop of improved food systems coupled with increased demand for processed foods domestically and regionally, as well as income growth, urbanization, and regional integration. Developing the agro-processing sector will involve the building of dynamic industrial capabilities along with product certification and standards, packaging, logistics, and access to formal markets. Using the value chain of soya beans, the study explains how the development of such a value chain could support structural transformation. Findings suggest that there are numerous opportunities, currently underexploited, for processing soya beans into diversified products. Insights from the study reveal further opportunities to accumulate productive capabilities, both downstream and upstream to stimulate value-addition and export-led growth. Harnessing these opportunities will require specific policy support for soya beans particularly aimed at growing smallholder entry, upgrading agricultural efficiency, engaging government and non-state actors to build capacity to improve processing technologies, food testing, packaging, meeting standards and certification schemes, as well as harmonisation of regional standards.

BACKGROUND: Recently there has been a shift in the global health arena towards maternal immunization as the missing link to protect mother, fetus, and infant. However, as research is being conducted across the maternal immunization portfolio to address underlying immunological mechanisms, effectiveness, stability, and safety, there is minimal data regarding acceptance from the perspective of women and providers, specifically in low-resource settings. Serving as a factor that informs a global and national recommendation for vaccine use, closing this knowledge gap will be necessary to reach policy decisions, develop strategies to introduce maternal vaccines into National Immunization Programs, and secure uptake of such policies on the part of intended beneficiaries. METHODS: Qualitative data was collected across three health facilities (urban, peri-urban, rural) via focus group discussions (women), key informant interviews (family/community members), and clinical vignettes (women). Thematic analysis was guided by the World Health Organization’s Model of Determinants of Vaccine Hesitancy using the seven stages of the Framework Method. RESULTS: Results demonstrated that while women showed confidence in the safety and efficacy of vaccines, hesitancy towards maternal vaccination was fostered by misinformation, religious beliefs, use of traditional medicine, social norms, family involvement, and concerns about risk benefit profiles. In contrast, providers expressed service delivery barriers such as long wait times, husband involvement in decision-making, and religion as main reasons why women were hesitant to be vaccinated during pregnancy. Providers believed that these barriers could easily be overcome with proper outreach, education, and modifications to service delivery. Additionally, providers displayed confidence in their own understanding of the vaccine ecosystem and the level of knowledge women possessed about vaccines. CONCLUSION: To ensure the full potential of maternal vaccines, policies, national strategies, and implementation approaches will need to consider knowledge, attitudes, and beliefs expressed by women and providers, as well as the cultural dynamics of the setting in which vaccines are being administered. Furthermore, research is required to understand the relative strength of explanatory factors in deciding to be vaccinated during pregnancy, as well as exploration of how these factors change over time and contribute to policy and program implementation approaches. / 2022-09-30T00:00:00Z

No abstract available. / Dissertation (MA(Theol))--University of Pretoria, 2011. / Church History and Church Policy / unrestricted

Master of Public Health - MPH / The HIV incidence among young people aged 15 to 24 years remains a global health concern. Sub-Saharan Africa (SSA) is the home of approximately four million young people living with HIV, and young people in the region account for about 70% of new infections annually. Over 85% of HIV infections among young people in SSA is sexually transmitted. Therefore, the aim of the study was to understand young people’s experiences and perspectives on HIV prevention in four communities in Zambia.

Magister Public Health - MPH / In recent years, the Chipata district has been making progress in promoting Respectful Maternity Care (RMC) implementation, with great emphasis on its underlying principles of ethics and psycho-sociocultural aspects as critical ingredients of care. RMC approach is individual-oriented and is based solely on the understanding of ethics and respect for human rights. Additionally, this approach utilizes evidence-based practices that recognize the needs and preferences of women and that of their newborns. Unfortunately, disrespectful and abusive care during childbirth has been found to discourage women from having their babies delivered by qualified health care workers, a practice that is essential in reducing maternal and neonatal mortalities. However, lacking are studies in the Chipata district that describe the prevalence of disrespectful and abusive maternity care.

Magister Public Health - MPH / HIV/AIDS remains a major public health issue that is affecting all population groups and communities in Zambia. Among the most affected groups are key populations (KPs) such as female sex workers. KPs are considered at high risk of contracting HIV but have limited access to HIV services and retention in care due to internalized stigma, discrimination, criminalization, and negative attitudes towards HIV treatment. Under the USAID Open Doors project in Zambia, KPs access comprehensive HIV prevention, care and treatment services. The test and treat strategy is implemented by the project in support of the UNAIDS 90-90-90 targets by 2020 to diagnose 90% of people living with HIV, put 90% of them on treatment, and for 90% of them to have suppressed viral load.

付記する学位プログラム名: グローバル生存学大学院連携プログラム / 京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21670号 / 医博第4476号 / 新制||医||1035(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 今中 雄一, 教授 佐藤 俊哉, 教授 川村 孝 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

The prevalence of post abortion contraception in Zambia is lower than in many other African countries, with unmet family planning needs. Midwives play an important professional role in family planning. In conjunction with an abortion the midwife is provided with an opportunity to inform, discuss, prescribe and initiate family planning with the woman concerned. It is shown that women receiving information and knowledge about post abortion contraception are more likely to use it.   The aim of the study was to describe midwives experiences of working with post abortion family planning in Zambia.   A qualitative interview study with semi-structured questions was used. To conduct the study and find participants with the right inclusion criteria a strategic sampling was used. Ten midwives working with post abortion family planning in Zambia were interviewed. Qualitative content analysis was performed to analyze the collected data from the interviews.   During the data-analysis two categories and eight subcategories were identified. The midwives had experiences of several challenges within post abortion family planning. These included lack of knowledge, supplies and health care staff as well as problem with stigma around family planning and lack of compliance. The midwives also described other factors influencing the work with post abortion family planning. These factors included changes in attitudes, the midwife's knowledge and the importance of information provided by the midwives.   The midwives experienced that there were several factors influencing their work with post abortion family planning. Several challenges within post abortion family planning were identified in this study. Areas of improvement involve education, more midwives working and a better availability to post abortion family planning equipment and services. / Användandet av preventivmedel efter abort är lägre i Zambia i jämförelse med andra afrikanska länder och behovet av familjeplanering är inte tillfredsställt i Zambia. Barnmorskeprofessionen har en viktig roll i familjeplanering. I samband med abort har barnmorskan ett utmärkt tillfälle att informera, diskutera, förskriva samt initiera familjeplanering med den berörda kvinnan. Det har visat sig att kvinnor som får information och kunskap om familjeplanering efter abort är mer benägna att använda sig av preventivmedel.   Syftet med denna studie var att beskriva barnmorskors erfarenheter av att arbeta med familjeplanering för kvinnor i Zambia som genomgått en abort.   En kvalitativ intervjustudie med semistrukturerade frågor användes. För att nå deltagare som uppfyllde studiens inklusionskriterier användes ett strategiskt urval. Tio barnmorskor i Zambia som arbetar med familjeplanering efter abort deltog i studien. En kvalitativ innehållsanalys utfördes för att analysera det insamlade materialet.   Under analysen identifierades två kategorier och åtta subkategorier. Barnmorskorna hade erfarenhet av flera utmaningar inom familjeplanering efter abort. Dessa bestod dels av brist på kunskap, material och vårdpersonal samt problem med stigma kring familjeplanering och brist på följsamhet rörande preventivmedelsanvändning. Barnmorskorna beskrev även andra faktorer som påverkade arbetet med familjeplanering efter abort. Dessa faktorer bestod av ändrade attityder, barnmorskans kunskap och vikten av barnmorskans information.   Barnmorskorna hade erfarenhet av att flera faktorer påverkade deras arbete med familjeplanering efter abort. Flera utmaningar med familjeplanering efter abort identifierades genom den här studien. Förbättringsområden involverar utbildning, fler verksamma barnmorskor och en bättre tillgänglighet till material och familjeplanering efter abort.