The WHO global health sector strategy on viral hepatitis, created in May, 2016, aims to achieve a 90% reduction in new cases of chronic hepatitis B and C and a 65% reduction in mortality due to hepatitis B and C by 2030. Hepatitis B virus (HBV) is endemic in sub-Saharan Africa, and despite the introduction of universal hepatitis B vaccination and effective antiviral therapy, the estimated overall seroprevalence of hepatitis B surface antigen remains high at 6·1% (95% uncertainty interval 4·6–8·5).
In 2016, WHO adopted a strategy for the elimination of viral hepatitis by 2030. Africa, and more specifically, sub-Saharan Africa, carries a substantial portion of the global burden of viral hepatitis, especially chronic hepatitis B and hepatitis C virus infections. The task that lies ahead for sub-Saharan Africa to achieve elimination is substantial, but not insurmountable. Major developments in the management of hepatitis C have put elimination within reach, but several difficulties will need to be navigated on the path to elimination.
Background far too many women continue to die from pregnancy and childbirth related causes. While rates have decreased in the past two decades, some areas of the world such as sub-Saharan Africa continue to have very high maternal mortality rates. One intervention that has been demonstrated to decrease maternal mortality is use of family planning and modern contraception, yet rates of use in sub-Saharan countries with the highest rates of maternal death remain very low.
Background West Africa has the highest proportion of married adolescents, and the highest adolescent childbirth rate and maternal death rate in sub-Saharan Africa. However, few studies have focused on the type and quality of health care accessed by pregnant young women in countries in this subregion. Methods We obtained data from Demographic and Health Surveys done between 2010 and 2014, to compare the use, timing, source, and components of antenatal care between adolescent and older first-time mothers in 13 west African countries.
The tremendous increase in allergy in the African continent cannot simply be explained by the change in public hygiene. There are many “prehygiene” communities with sewage-contaminated water supplies, helminth infestations, bare footedness, and poor housing, and still there is a high prevalence of allergic disease. Africans can be exposed to many risk factors facilitating severe asthma and wheezing, including airborne viruses, smoke, indoor dampness, cockroaches, and poor access to health care.
Ecological infrastructure (EI) refers to ecosystems that deliver services to society, functioning as a nature-based equivalent of, or complement to, built infrastructure. EI is critical for socio-economic development, supporting a suite of development imperatives at local, national and international scales. This paper presents the myriad of ways that EI supports sustainable development, using South Africa and the South African National Development Plan as a case study, linking to the Sustainable Development Goals on a global level.
Nearly 30 years on from its launch by a group of UK West Country dairy farmers, the charity Send a Cow is making a big difference to people’s lives in seven countries in Africa. With its new campaign under way, Farmers Weekly finds out what the charity hopes to achieve and how farmers abroad are benefiting with the help of their UK counterparts. Endeavours such as this support SDG 1 No Poverty, and SDG 2 Zero Hunger and are a great example of SDG 17 Partnerships for the goals in action.
Background The Sustainable Development Goals strongly focus on equity. Goal 5 explicitly aims to empower all women and girls, reinforcing the need to have a reliable indicator to track progress. Our objective was to develop a novel women's empowerment indicator from widely available data sources, broadening opportunities for monitoring and research on women's empowerment. Methods We used Demographic and Health Survey data from 34 African countries, targeting currently partnered women.
‘Biosphere reserve’ is a United Nations (UN) designation stipulating that a region should attempt to follow the principles of sustainable development (SD). This paper adopts a stakeholder analysis framework to analyse the discourses of those tourism stakeholders who can actively affect SD in the Waterberg Biosphere Reserve (WBR), South Africa. Adopting an inductive qualitative methodology generated multiple research themes which were subsequently analysed using critical discourse analysis (CDA) techniques.
Existing studies on adaptation to climate change mainly focus on a comparison of male-headed and female-headed households. Aiming at a more nuanced gender analysis, this study examines how husbands and wives within the same household perceive climate risks and use group-based approaches as coping strategies. The data stem from a unique intra-household survey involving 156 couples in rural Kenya. The findings indicate that options for adapting to climate change closely interplay with husbands’ and wives’ roles and responsibilities, social norms, risk perceptions and access to resources.
