Download or read book Outcome Analysis of the Botswana Government Food Rations on the Nutritional Status of HIV Infected Children Under Five Years of Age in Mahalapye and Shoshong written by Bakelana Didi Mampasi and published by Grin Publishing. This book was released on 2017-10-18 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master's Thesis from the year 2017 in the subject Medicine - Pediatrics, Stellenbosch Universitiy, course: HIV AND AIDS MANAGEMENT, language: English, abstract: Malnutrition might be the result of complex and interconnected factors, but the role poverty and HIV and AIDS epidemic played in underprivileged settings were determinant in the prevalence of a situation that accounted alone for more than one-third of infant mortality in the developing world. As a vulnerable group, the necessity of a balanced nutrition for children below five years of age to ensure growth and strengthen a developing immune system is paramount. The research study assessed the outcome of the Botswana government food rations intervention through the analysis of the anthropometric parameters of 54 candidates in two constituencies of the central district (MAHALAPYE and SHOSHONG). Through a descriptive quantitative research design, the research study retrospectively reviewed anthropometric parameters of 54 HIV infected children below five years of age for their first year of attendance in respective child welfare clinics of the two constituencies. A customised data collection tool was designed for the purpose and aimed at recording the weights for each visit, the nutritional classifications per visit, the mid-upper-arm classifications, the default to child welfare clinics and the food packages study participants received per visit. Each study site visited availed the Nutritional Surveillance logbooks and the birth registers from 2010 to date. Only data from their first year under the food programme constituted the interest of the study. However, it resulted from the analysis a lower malnutrition rate of study participants (13%) in comparison to the latest national prevalence. A significant annual default rate of 33% was noted with regard to children attendance to child welfare clinics. The food programme did not perform according to expectations in reference to a reduced coverage rate of food rat

Download or read book What Can We Learn from Nutrition Impact Evaluations written by The World Bank and published by World Bank Publications. This book was released on 2010-08-27 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluation Summary What Can We Learn from Nutrition Impact Evaluations? High levels of child malnutrition in developing countries contribute to mortality and have long-term consequences for children s cognitive development and earnings as adults. Recent impact evaluations show that many different interventions have had an impact on children s anthropometric outcomes (height, weight, and birth weight), but there is no simple answer to the question What works? to address the problem. Similar interventions have widely different results in different settings, owing to differences in local context, the causes and severity of malnutrition, and the capacity for program implementation. Impact evaluations of programs supported by the Bank, which are generally large-scale, complex inter-ventions in low-capacity settings, show equally variable results. The findings confirm that it should not be assumed that an intervention found effective in a randomized medical setting will have the same effects when implemented under field conditions. There are many robust experimental and quasi-experimental methods for assessing impact under difficult circumstances often found in field settings. The relevance and impact of nutrition impact evaluations could be enhanced by collecting data on service delivery, demand-side behavioral outcomes, and implementation processes to better understand the causal chain and what part of the chain is weak, in parallel with impact evaluations. It is also important to understand better the distribution of impacts, particularly among the poor, and to document better the costs and effectiveness of interventions. High levels of child malnutrition in developing countries are contributing to mortality and present long-term consequences for the survivors. An estimated 178 million children under age 5 in developing countries are stunted (low height for age) and 55 million are wasted (low weight for height). Malnutrition makes children more susceptible to illness and strongly affects child mortality. Beyond the mortality risk in the short run, the developmental delays caused by undernutrition affect children s cognitive outcomes and productive potential as adults. Micronutrient deficiencies vitamin A, iron, zinc, iodine, for example are also common and have significant consequences. Progress in reducing malnutrition has been slow: More than half of countries are not on track to achieve the Millennium Development Goal of halving the share of children who are malnou-rished (low weight for age) by 2015. The food price and financial crises are making achievement of this goal even more elusive. The World Bank has recently taken steps to ex-pand its support for nutrition in response to the underlying need and the increased urgency due to the crises. WHAT DO WE KNOW ABOUT REDUCING MALNUTRITION? The increased interest and resources focused on the problem of high and potentially increasing rates of undernutrition raises the question, what do we know about the causes of malnutrition and the in-terventions most likely to reduce it? The medical literature points to the need to inter-vene during gestation and the first two years of life to prevent child malnutrition and its consequences. It suggests that investments in interventions during this window of opportunity among children under 2 are likely to have the greatest benefits. Recently published meta-analyses of the impact evaluation literature point to several interventions found effective for reducing undernutrition in spe-cific settings. However, there are limitations to the generalizability of those reviews findings, particularly in the context of large-scale government programs most likely to be supported by the World Bank. The reviews tend to disproportionately draw on the findings of smaller, controlled experiments; there are few examples of evaluations of large-scale programs, over which there is less control in implementation. In reviewing a large number of studies, interventions, and outcomes, they tend to focus on average impacts. They generally do not explain the magnitude or variability of impacts across or within studies. Very few address the programmatic reasons why some interventions work or don t work, nor do they assess the cost-effectiveness of interventions. Objectives of the Review This paper reviews recent impact evaluations of interventions and programs to improve child anth-ropometric outcomes height, weight, and birth weight with an emphasis on both the findings and limitations of the literature and on understanding what might happen in a non-research setting. It further reviews in greater detail the experience and lessons from evaluations of the impact of World Bank-supported programs on nutrition outcomes. Specifically, the review addresses four questions. First, what can be said about the impact of different interventions on children s anthropometric outcomes? Second, how do these findings vary across settings and within target groups, and what accounts for this variability? Third, what is the evidence of the cost-effectiveness of these interventions? Finally, what have been the lessons from implementing impact evaluations of Bank-supported programs with anthropometric impacts? While there are different dimensions of child nutri-tion that could be explored, the report focuses on child anthropometric outcomes -- weight, height, and birth weight. These are the most common nutrition outcome indicators in the literature and the most frequently monitored by national nutrition programs supported by the World Bank. Low weight for age (underweight) is also the indicator for one of the MDGs. Methodology and Scope Forty-six nutrition impact evaluations published since 2000 were systematically reviewed. These evaluations assessed the impact of diverse interven-tions community nutrition programs, conditional and unconditional cash transfers, early child devel-opment programs, food aid, integrated health and nutrition services, and de-worming. All of the evaluations used research designs that compared the outcomes among those affected by the project to the counterfactual that is, what would have happened to a similar group of people in the absence of the intervention. About half used randomized assignment to create treatment and control groups, while the remainder used matching and various econometric techniques to construct a counterfactual. Among the 46 evaluations, twelve assessed the im-pact of World Bank-supported programs on nutri-tion outcomes in eight countries. While the broader review relies on the analysis of the published impact evaluations as the main source of data, for these twelve evaluations project documents and research outputs were reviewed and World Bank staff, country officials and the evaluators and re-searchers who conducted the studies were interviewed. Findings A wide range of interventions had a positive impact on indicators related to height, weight, wasting, and low birth weight. There were a total of 10 different outcome indica-tors for the four main anthropometric outcomes. A little more than half of the evaluations addressing a height-related indicator found program impacts on at least one group of children, and this was true for about the same share of interventions aimed at improving weight-related and wasting (low weight for height)-related indicators. About three-quarters of the 11 evaluations of interventions that aimed at improving birth weight indicators registered an impact in at least one specification, including five out of seven micronutrient interven-tions. There was no clear pattern of impacts across interventions in every intervention group there were examples of programs that did and did not have an impact on a given indicator, and with varying magnitude. Evaluations of the nutritional impact of programs supported by the World Bank, which are generally large-scale, complex, and implemented in low-capacity settings, show equally variable results. Even controlling for the specific outcome indicator, studies often targeted children of different age groups that might be more or less susceptible to the interventions. It is thus difficult to point to inter-ventions that are systematically more effective than others in reducing malnutrition across diverse set-tings and age groups. Differences in local context, variation in the age of the children studied, the length of exposure to the intervention, and differing methodologies of the studies account for much of the variability in results. Context includes factors like the level and local determinants of malnutrition, differences in the characteristics of beneficiaries (including their age), the availability of service infrastructure, and the implementation capacity of government. Outside of a research setting in the context of a large government program there are many things that can go wrong in either service delivery or the demand response that can compromise impact. Beyond this, there are social factors like the status of women or the presence of civil unrest that can affect outcomes. These findings underscore the conclusion that it should not be assumed that an intervention found effective in a randomized controlled trial in a re-search setting will have the same effects when im-plemented under field conditions in a different set-ting. They also point to the need to understand the prevailing underlying causes of malnutrition in a given setting and the age groups most likely to benefit in selecting an intervention. Further, impact evaluations need to supplement data measuring impact with data on service delivery and demand-side behavioral outcomes to demonstrate the plausibility of the findings, to understand what part of a program works, and to address weak links in the results chain to improve performance. There is scant evidence on the distribution of nutrition impacts who is benefiting and who is not or on the cost-effectiveness of interventions Just because malnutrition is more common among the poor does not mean that they will disproportio-nately benefit from an intervention, particularly if acting on new knowledge or different incentives relies on access to education or quality services. Only a third of the 46 evaluations looked at the distribution of impacts by gender, mother s education, poverty status, or availability of complementary health services. Only nine assessed the impacts on nutritional outcomes of the poor compared with the non-poor. Among the evaluations that did examine variation in results, several found that the children of more educated mothers or in better-off communities are be-nefitting the most. Bank-supported cash transfers, community nutrition, and early child development programs in six of eight countries had some impact on child anthropometric outcomes. Of the 12 impact evaluations of Bank support, all but one were of large-scale government programs with multiple interventions and a long results chain. Three-quarters found a positive impact on anthro-pometric outcomes of children in at least one age group, although the magnitude was in some cases not large or applied to a narrow age group. Most of the impact evaluations involved assessment of completely new programs and involved World Bank researchers. Most used quasi-experimental evaluation designs and two-thirds assessed impact after at most 3 years of program implementation. Only half of the evaluations documented the distribution of impacts and only a third presented information on the costs of the intervention (falling short of cost-effectiveness analysis). In two of the countries (Colombia and the Philippines) the evaluations likely had an impact on government policy or programs. Lessons A number of lessons for development practi-tioners and evaluators arose from the review of impact evaluations of World Bank nutrition support. For task managers: Impact evaluations of interventions that are clearly beyond the means of the government to sustain are of limited relevance. The complexity, costs, and fiscal sustainability of the intervention should figure into the decision as to whether an impact evaluation is warranted. Impact evaluations are often launched for the purpose of evaluating completely new pro-grams, but they may be equally or even more useful in improving the effectiveness of ongo-ing programs. There are methods for obtaining reliable impact evaluation results when randomized assignment of interventions is not possible for political, ethical, or practical reasons. For evaluators: In light of the challenges of evaluating large-scale programs with a long results chain, it is well worth the effort to assess the risks to disruption of the impact evaluation ahead of time and identify mitigation measures. The design and analysis of nutrition impact evaluations need to take into account the likely sensitivity of children of different ages to the intervention. For the purposes of correctly gauging im-pact, it is important to know exactly when delivery of an intervention took place in the field (as opposed to the official start of the program). Evaluations need to be designed to provide evidence for timely decision-making, but with sufficient elapsed time for a plausible impact to have occurred. The relevance of impact evaluations for po-licymakers would be greatly enhanced if im-pact evaluations were to document both the

Download or read book National Settlement Policy written by Botswana. Department of Town and Regional Planning and published by . This book was released on 1998 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Impact of Household Food Insecurity on Adherence to Antiretroviral Therapy ART Among Urban PLHIV The Case of Hawassa City SNNPR State Ethiopia written by Eyasu Desta Menamo and published by Anchor Academic Publishing (aap_verlag). This book was released on 2014-04-24 with total page 89 pages. Available in PDF, EPUB and Kindle. Book excerpt: HIV, the virus that causes AIDS, "Acquired Immunodeficiency Syndrome," has become one of the world's most serious health and development challenges, since the first cases were reported in 1981: At the end of 2010, an estimated 34 million people were living with HIV globally, including 3.4 million children less than 15 years. The number of people newly infected in 2010 was 2.7 million. Almost all of those living with HIV (97%) reside in low and middle income countries, particularly in sub-Saharan Africa. Sub-Saharan Africa remained the most affected region in the global AIDS epidemic. This regions accounts more than two third (68%) of people living with HIV. Most children with HIV live in this region. Globally, the annual numbers of people newly infected with HIV continues to decline (Global HIV/AIDS Response progress report, 2011).

Download or read book The Family in Africa written by Man Singh Das and published by M.D. Publications Pvt. Ltd.. This book was released on 1993 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Family in Africa is a valuable source book. It introduces the reader to the effect of industrialisation, urbanization and modernization on African society and consequent changes in family structure, marriage institution, kith relationship, sex role and lifestyle in third world countries- especially in Nigeria, somalia, tanzania, Swaizland and Libya.

Download or read book The Social and Political History of Southern Africa s Languages written by Tomasz Kamusella and published by Springer. This book was released on 2017-11-21 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first to offer an interdisciplinary and comprehensive reference work on the often-marginalised languages of southern Africa. The authors analyse a range of different concepts and questions, including language and sociality, social and political history, multilingual government, and educational policies. In doing so, they present significant original research, ensuring that the work will remain a key reference point for the subject. This ambitious and wide-ranging edited collection will appeal to students and scholars of southern African languages, sociolinguistics, history and politics.

Download or read book Tourism and Handicrafts written by and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The International Conference on Tourism and Handicrafts held in Tehran, Iran, in May 2006 was the first international conference ever with specific focus on the linkage between tourism and handicrafts. The main objectives of this conference were the evaluation of poverty alleviation opportunities offered by a closer cooperation of both sectors and the role of local tourism in the preservation of traditional craft. The conference examined case studies of the production and marketing of tourism-related handicrafts and defined strategies and practical tools for governments and the private sector to strengthen the partnership between handicraft production and tourism. The conference was supported by UNWTO, UNESCO and Iran Cultural Heritage, Handicrafts and Tourism Organization (ICHHTO) which brought together a strong team of experts, international speakers and delegates.

Download or read book Annuaire Statistique 2016 written by United Nations Publications and published by . This book was released on 2016-10-30 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Statistical Yearbook is an annual compilation of a wide range of international economic, social and environmental statistics on over 200 countries and areas, compiled from sources including UN agencies and other international, national and specialized organizations. The 2016 edition contains data available to the Statistics Division as of 31 July 2016 and presents them in 26 tables on topics such as: communication; crime; development assistance; education; energy; environment; finance; gender; international merchandise trade; international tourism; labor force; national accounts; population and migration; price and production indices; and science and technology. Most tables covering the period up to 2016. Accompanying the tables are technical notes providing brief descriptions of major statistical concepts, definitions and classifications.

Download or read book Development and the Rural Urban Divide written by John Harriss and published by Routledge. This book was released on 2017-10-16 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1984. It is widely acknowledged that rural-urban differences and interrelationships play an important role in the development process. Some theorists believe they are a primary cause of continuing poverty in poor nations. This volume of essays summarises and appraises theories of rural-urban relations and economic development and explores, mainly on the basis of country case studies, the conceptual and theoretical problems to which they give rise, and the extent to which they correspond to recent experiences in the Third World.

Download or read book Problems of Regional Economic Planning written by Jacques Raoul Boudeville and published by . This book was released on 1972 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Urbanization and Rural Development written by Dennis A. Rondinelli and published by Greenwood. This book was released on 1978 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Monograph containing a conceptual framework for an integrated approach to urban development and rural development in the developing countries - reviews past development policies, examines the need for reorientation of aid programmes and development projects, and discusses the role of UN, World Bank, and other international organizations in providing development aid. ILO mentioned. Bibliography pp. 200 to 217, and references.

Download or read book Development from Above Or Below written by Walter B. Stohr and published by Chichester [Sussex] ; Toronto : Wiley. This book was released on 1981-07-29 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Monograph presenting development theory and case studies on regional development and regional planning in developing countries - comprises essays contrasting centre-down development paradigm, (planning centralization from international and national levels) with development from below (planning decentralization from a regional level) as well as theoretical issues relating to basic needs strategies and growth poles, etc., and illustrates concepts with third world comparison. Bibliography after each essay, diagrams, graphs and maps.

Download or read book Bibliography of South African Jewry written by Veronica Belling and published by [Cape Town] : Jewish Publications-South Africa, Kaplan Centre for Jewish Studies and Research, University of Cape Town. This book was released on 1997 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Afrikaans, Yiddish, and Hebrew.

Download or read book Afrika twasebana written by Simon Mwansa Kapwepwe and published by . This book was released on 1991 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Language Policy and National Unity in South Africa Azania written by Neville Alexander and published by . This book was released on 1989 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Language and Social History written by Rajend Mesthrie and published by New Africa Books. This book was released on 1995 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Politics of Language and Nation Building in Zimbabwe written by Finex Ndhlovu and published by Peter Lang Limited, International Academic Publishers. This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the exclusion of minority languages (and their speakers) from the mainstream domains of everyday social life in postcolonial Zimbabwe. It considers forces of hegemonic nation building, subtle cultural oppression and a desire for linguistic uniformity as major factors contributing to the social exclusion of Zimbabweans from language groups other than Shona and Ndebele. The book interprets the various forms of language-based exclusion exercised by Shona and Ndebele language speakers over minority groups as constituting a form of linguistic imperialism. Contrary to the popular view that English is Zimbabwe's «killer language», which should be replaced by selected indigenous languages that are perceived as more nationally «authentic» and better grounded in both pre- and post-imperial frameworks, this book argues that linguistic imperialism has very little to do with whether the dominating language is «foreign» or «indigenous». The author discusses oral submissions from minority language speakers, language experts, policy-makers and educators. While the focus is specifically on the politics of language and identity in Zimbabwe, this case study gives an insight into the complexity of identity and nation building in postcolonial Africa.