Sahel region

萨赫勒地区
  • 文章类型: Journal Article
    萨赫勒地区持续的恐怖袭击要求通过使用人类DNA识别技术来加强安全系统。在这种情况下,在为最具侵入性的监视和特征分析形式之一建立坚实的标准和普遍保障措施时,必须考虑公众舆论。为此,我们在布基纳法索(位于萨赫勒地区的一个国家)收集了互联网用户对使用DNA技术支持刑事调查的意见。结果显示,470名参与者中有91.7%(431)认为该技术目前是布基纳法索刑事司法系统所必需的。然而,受访者对国家法医DNA数据库的保管和管理表示担忧.在这个特定的安全设置中,这项研究的公众意见可能为领导人和政治政策制定者提供考虑遗传指纹和实施国家法医DNA数据库的线索,以支持布基纳法索的刑事调查,同时也考虑伦理影响.
    Ongoing terrorist attacks in the Sahel region call for strengthening the security system by using human DNA identification technology. In this context, public opinion must be considered when establishing solid standards and universal safeguards for one of the most invasive forms of surveillance and profiling. For this purpose, we gathered internet users\' opinions in Burkina Faso (a country located in the Sahel region) on the use of DNA technology to support criminal investigations. The results revealed that 91.7% (431) of the 470 participants believed that this technology is currently necessary for the Burkina Faso\'s criminal justice system. However, the respondents expressed concerns about the custody and management of a national forensic DNA database. In this particular security setting, the public opinion of this study may provide leaders and political policymakers with clues for considering genetic fingerprints and implementing an national forensic DNA database to support criminal investigations in Burkina Faso whilst also considering the ethical implications.
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  • 文章类型: Journal Article
    这项研究的目的是为1990年至2020年间萨赫勒地区九(9)个国家的气候变化与可持续农业增长之间是否存在联系提供经验答案。本研究利用面板ARDL和配对DumitrescuHurlin面板因果关系检验得出以下结论:首先,降雨变化导致的气候变化是导致萨赫勒地区可持续农业增长减少的一个非常突出的因素。从可持续农业增长到温室气体排放的一种反馈关系。根据上述情况,这项研究建议,在解决降雨变化对农业可持续性的不利影响方面,特别是萨赫勒地区和整个非洲的决策者应着手制定政策组合,通过灌溉来减轻政策反应,以确保可持续的农业生产,这是最好的供水方式,而不会对环境造成负面影响。此外,政策制定者应该积极主动,着手制定政策和计划,在农业引起的气候变化的未来不利影响之前,建立该地区的复原力和适应能力。
    The aim of this study is to provide an empirical answer to the question of whether nexus exists between climate change and sustainable agricultural growth in nine (9) countries within the Sahel region between 1990 and 2020. The study utilized Panel ARDL and Pairwise Dumitrescu Hurlin Panel Causality Tests to arrive at the following conclusions; firstly, the climate change orchestrated by change in rainfall is a very prominent factor causing reduction in sustainable agricultural growth in the Sahel region. One way feedback relationship flows from sustainable agricultural growth to greenhouse gas emission. In the light of the above, this study recommends that, in addressing the adverse effects of change in rainfall on agricultural sustainability, the policymakers in the Sahel region in particular and Africa as a whole should embark on a policy mix by embanking on mitigating policy response towards ensuring sustainable agricultural production via irrigation which is the best mode of water provisions without causing negative spilliovers on the environment. Also, the policymakers should be proactive by embarking on policies and programs that would build the resilience and adaptation of the region ahead of the future adverse effects of agriculturally induced climatic change.
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  • 文章类型: Journal Article
    过渡是艾滋病毒感染青年领域的下一个主要障碍,尤其是在撒哈拉以南非洲。在瓦加杜古的圣卡米尔医院,13岁以上的充分知情和合规的患者有资格转介成人艾滋病毒/艾滋病服务,在完成个性化准备过程后。过渡包括在各自设施中至少两次连续的“加入服务”约会。我们回顾性比较了免疫学,临床,和过渡前一年的治疗数据,过渡期和过渡期后一年。2008年至2019年期间,73名患者(34名女性,39名男性)过渡。所有这些人之前都接受过儿科护理至少1年,66人接受了HAART。CD4计数的匹配配对分析显示CD4细胞随时间适度下降(p<0.05)。临床数据还显示,在三个时间点,WHO临床分期之间存在强烈波动。有明显的趋势,尤其是转移后的严重性增加。来自萨赫勒国家的大型回顾性12年的单中心经验显示,一年的保留率为95.8%。它展示了一个全面的计划,认真执行,可以提供出色的保留,即使在低资源环境中。然而,轻度免疫功能下降与令人担忧的临床恶化有关,强调在过渡后评估后者的重要性。
    ABSTRACTTransition is the next major hurdle in the field of HIV-infected youth, especially in sub-Saharan Africa. At St Camille Hospital in Ouagadougou, fully informed and compliant patients over 13-years-old were eligible for referral to the adult HIV/AIDS service, after completion of an individualized preparatory process. Transition consisted in at least two consecutive \"joined-service\" appointments in the respective facilities. We retrospectively compared immunological, clinical, and therapeutical data one year before transition, at transition and one year after transition. Between 2008 and 2019 73 patients (34 females, 39 males) were transitioned. All had been previously in pediatric care for at least 1 year and 66 were on HAART. Matched paired analysis of CD4 counts revealed a modest drop in CD4 cells over time (p < 0.05). Clinical data also showed strong fluctuation between WHO clinical stages over the three time points, with a clear trend towards increased severity especially post transfer. This large retrospective 12-year single-center experience from a Sahel country showed a 95.8% retention rate at one year. It demonstrates how a comprehensive plan, carefully implemented, can provide excellent retention, even in a low-resource setting. However, mild immunological decline was associated with a worrisome clinical deterioration, underlining the importance of assessing the latter after transition.
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  • 文章类型: Journal Article
    有必要了解宗教领袖对现代避孕药具使用的看法及其在影响生育行为中的作用,以成功采用计划生育,特别是在宗教领袖的社会中,“意见可以对个人的生殖决定产生重大影响”。这项研究,因此,旨在评估布基纳法索萨赫勒地区宗教领袖的计划生育知识及其对计划生育方案的参与。
    这是一项定性研究,包括对布基纳法索萨赫勒地区多里镇21位宗教领袖的深入个人访谈。采访指南用于数据收集。本采访指南是根据为研究确定的中心主题和子主题制定的,即,宗教领袖对现代避孕的知识,包括有关宗教活动期间现代避孕以及宗教领袖与生殖健康服务之间关系的信息。所有访谈均使用MicrosoftWord以法语进行记录和转录。然后对逐字进行编码以进行内容分析。所选用的分析方法是专题分析法。
    研究结果表明,宗教领袖对计划生育有很好的了解,包括现代避孕方法和通过生育间隔调节生育。关于他们参与计划生育方案,宗教领袖说他们参与得不够多。然而,研究结果表明,领导者不愿推广使用FP方法。
    虽然宗教领袖对计划生育很熟悉,他们仍然不愿意在自己的社区推广使用现代避孕方法。要做到这一点,需要努力在计划生育方案中提高他们的认识和动员他们。当地宗教领袖的合作将有助于促进计划生育,并通过实现该国的人口红利来改善布基纳法索在可持续发展目标方面的表现。
    UNASSIGNED: It is necessary to understand religious leaders\' perceptions of modern contraceptive use and their role in influencing fertility behaviour for the successful adoption of family planning, especially in societies where the religious leaders\' opinions can have a significant influence on individuals\' reproductive decisions. This study, therefore, aimed to assess religious leaders\' knowledge of family planning and their involvement in family planning programmes in the Sahel region of Burkina Faso.
    UNASSIGNED: This is a qualitative study comprising in-depth individual interviews with twenty-one religious\' leaders in the town of Dori in the Sahel region of Burkina Faso. An interview guide was used for data collection. This interview guide was developed based on the central themes and sub-themes determined for the research, namely, the religious leaders\' knowledge of modern contraception, the inclusion of information on modern contraception during religious activities and the relationship between religious leaders and reproductive health services. All interviews were recorded and transcribed in French using Microsoft Word. The verbatims were then coded for content analysis. The analysis method chosen was that of thematic analysis.
    UNASSIGNED: The results of the study showed that religious leaders had good knowledge about family planning including modern contraceptive methods and fertility regulation through birth spacing. Regarding their involvement in family planning programme, religious leaders said they were not involved enough. However, the results of the study showed that leaders are reluctant to promote the use of FP methods.
    UNASSIGNED: Although religious leaders are knowledgeable about family planning, they are still reluctant to promote the use of modern contraceptive methods in their communities. To do so, efforts are needed to sensitise and mobilise them in family planning programmes. The cooperation of local religious leaders will help promote family planning and improve Burkina Faso\'s performance on the Sustainable Development Goals through the achievement of the demographic dividend in the country.
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  • 文章类型: Journal Article
    气候干扰造成的极端干旱事件正在削弱萨赫勒地区的生计并限制农业和畜牧业生产。缺乏相关信息来预测应对措施,加剧了影响,导致大多数地方的气候适应失败。在这方面,当前的研究论文收集了重要的数据集,目的是评估极端干旱事件对家庭生计的影响,以便更好地了解影响,当地人的感知,以及植被覆盖的变化,以支持对干旱的强有力的适应策略。该研究进行了家庭调查,并收集了卫星数据进行比较分析。第一次调查于2013年进行,通过结构化问卷收集了465名户主的数据。2018年还进行了补充焦点小组讨论(FGD),以收集目标受访者的定性信息,例如村领导和包括妇女和青年在内的其他关键群体的成员。描述性统计和相关系数矩阵用于表征对家庭主要生计的影响,并使用逻辑回归来预测人们对过去20年牧场枯竭的看法。卫星数据用于得出土地覆盖的光谱植被和无监督分类指数。个别调查和焦点小组讨论都认为干旱是减少作物产量的主要气候制约因素,水和牧场。逻辑分析表明,如果受访者的主要职业是牲畜,感知牧场枯竭的可能性将增加28%。同时,卫星图像观测与野外调查完全一致,1986-2016年研究区水面和植被分别损失6.78%和6.01%。这些发现表明,逻辑回归与卫星信息相结合可以告知过去和未来的影响,这对于萨赫勒地区的合理适应计划至关重要。
    Extreme drought events from climate disturbances are weakening livelihood and limiting agriculture and livestock production in the Sahel region. The lack of relevant information to anticipate coping measures has exacerbated impacts leading to climate adaptation failure in most parts. In this regard, the current research paper has collected important datasets with an objective to assess the impact of extreme drought events on household\'s livelihoods for better understanding impacts, local people\'s perception, and the changes on vegetation cover in order to support a robust adaptation strategy to drought. The study conducted a household survey and collected satellite data for comparative analysis. The first survey was conducted in 2013 to collect data from 465 household heads through a structured questionnaire. Supplementary focus group discussions (FGDs) were also conducted in 2018 to collect qualitative information from targeted respondents such as village leaders and members of other key groups including women and youth. Descriptive statistics and correlation coefficient matrix were used to characterize the impact on households\' main livelihoods and logistic regression to predict people\'s perception on pasture depletion over the last 20 years. Satellite data were used to derive spectral vegetation of land covers and unsupervised classification indexes. Both individual survey and focus group discussions identified drought as the main climate constraint which reduced crop production, water and pastures. The logistic analysis revealed that if the respondent\'s major occupation is livestock, the probability to perceive a depletion of pasture will increase by 28%. Concurrently, the satellite image observation in perfect agreement with the field survey showed 6.78% and 6.01% losses of water surface and vegetation cover respectively between 1986 and 2016 in the study area. These findings showed that logistic regression coupled with satellite information can inform on past and future impacts which are extremely crucial for sound adaptation planning in the Sahel region.
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  • 文章类型: Journal Article
    背景:尽管布基纳法索的营养利益相关者努力改善婴幼儿喂养(IYCF)的做法,该国仍在努力遏制营养不良。浪费,或者急性营养不良,是对儿童造成最有害的短期后果的营养不良形式。我们研究的目的是估计布基纳法索萨赫勒地区6-23个月儿童的消瘦患病率,并确定其相关因素。
    方法:我们对2015年全国营养调查的数据进行了二次分析。使用逻辑回归确定了与研究人群中消耗相关的因素。
    结果:共有956名儿童参与了这项研究。在萨赫勒地区,消瘦的患病率为25%(95%CI[22.28,27.87])。调查前一天,只有24.37%的儿童接受了最低的进餐频率,而13.38%的儿童接受了最低的饮食多样化。在多变量分析中,男性(aOR=1.99;95%CI[1.46,2.72]),调查前一天母乳喂养(aOR=2.43;95%CI[1.13,5.22]),并且有病史(aOR=2.32;95%CI[1.67,3.21])显著增加急性营养不良的风险.
    结论:2015年,萨赫勒地区儿童消瘦的患病率很高,良好的IYCF做法仍然不足。迫切需要实施良好的IYCF做法,并加强干预措施,以改善该地区的婴儿健康。
    BACKGROUND: Despite the efforts of nutrition stakeholders in Burkina Faso to improve infant and young child feeding (IYCF) practices, the country is still struggling to stem undernutrition. Wasting, or acute malnutrition, is the form of malnutrition that has the most harmful short-term consequences for children. The objective of our study was to estimate the prevalence of wasting in children aged 6-23 months in the Sahel region of Burkina Faso and to identify its associated factors.
    METHODS: We conducted a secondary analysis of data from the 2015 National Nutrition Survey. The factors associated with wasting in the studied population were identified using a logistic regression.
    RESULTS: A total of 956 children participated in the study. The prevalence of wasting was 25% (95% CI [22.28, 27.87]) in the Sahel region. Only 24.37% of children received a minimum meal frequency and 13.38% received a minimum dietary diversification the day before the survey. In the multivariate analysis, being male (aOR = 1.99; 95% CI [1.46, 2.72]), breastfeeding the day before the survey (aOR = 2.43; 95% CI [1.13, 5.22]), and having a history of illness (aOR = 2.32; 95% CI [1.67, 3.21]) significantly increased the risk of acute malnutrition.
    CONCLUSIONS: In 2015, the prevalence of wasting among children was high in the Sahel region and good IYCF practices were still inadequate. There is an urgent need to implement good IYCF practices and strengthen interventions to improve infant health in this region.
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  • 文章类型: Journal Article
    背景:产妇死亡率相当高。这对发展中国家尤其重要,包括撒哈拉以南非洲的那些。这项工作的目的是研究多里地区医院的孕产妇死亡病例,布基纳法索在萨赫勒地区,通过分析这些死亡的流行病学方面,以指导决策。
    方法:这是一项描述性横断面研究,涵盖2014年1月1日至2016年12月31日。通过文件审查收集了在此期间在医院发生的孕产妇死亡和活产病例。
    结果:共记录了141例孕产妇死亡和2,626例活产,100,000例活产的孕产妇死亡率为5,369例。在99例(72.20%)中,死亡发生在产后。在33.70%的病例中报告了送货上门。在72.10%的病例中发现了直接的产科原因。主要表现为感染(32.40%)和出血(23%)。贫血是25名妇女(17.80%)死亡的间接原因。保健服务的延迟和缺乏血液制品导致64.50%和26.20%的产妇死亡。
    必须加强关于快速使用医疗保健的重要性的提高认识信息。此外,对护理环境和社区中的孕产妇死亡进行系统审计,将有可能澄清萨赫勒地区孕产妇死亡率的决定因素,并提供适当的解决方案。
    BACKGROUND: Maternal mortality is of considerable magnitude. It is particularly relevant to developing countries, including those in Sub-Saharan Africa. The aim of this work was to study the cases of maternal deaths in the Dori Regional Hospital, Burkina Faso in the Sahel region, by analyzing the epidemiological aspects of these deaths in order to guide decision-making.
    METHODS: This was a descriptive cross-sectional study which spanned the period from January 1, 2014 to December 31, 2016. Cases of maternal death and live births that occurred in the hospital during this period were collected by documentary review.
    RESULTS: A total of 141 maternal deaths and 2,626 live births were recorded with a maternal mortality ratio of 5,369 for 100,000 live births. In 99 (72.20%) cases, death occurred in the postpartum. A home delivery had been reported in 33.70% of cases. Direct obstetric causes were found in 72.10% of cases. They were mainly represented by infections (32.40%) and hemorrhages (23%). Anemia was the indirect cause of death in 25 women (17.80%). The delay in health care access and the lack of blood products contributed to maternal deaths in 64.50% and 26.20% of cases.
    UNASSIGNED: An intensification of awareness-raising messages about the importance of the rapid use of health care is necessary. Also, systematic audits of maternal deaths in the care environment and in the community would make it possible to clarify the determinants of maternal mortality in the Sahel region and to provide adequate solutions.
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