Promoting inclusive development in Ghana: disabled people’s and other stakeholders’ perspectives

This article highlights barriers to inclusive development from the perspective of disabled people, as well as staff of NGOs and government agencies. A qualitative study was conducted between August 2011 and September 2012, and in September 2013, in rural and urban areas in Greater Accra and Eastern regions in Ghana. The research shows that inaccessible public infrastructure and services, negative attitudes of service providers, little political will, limited capacity of development agencies, and lack of multi-agency coordination in the disability development sector were barriers to disabled people’s inclusion and participation in development processes.     

Using birthing kits to promote clean birth practices in Ethiopia

This article explores three NGO projects that assemble and distribute clean birthing kits in Ethiopia. It contrasts the government's health strategy that aims to increase skilled birth attendance, with local realities as most women in rural and remote settings give birth at home, often in unhygienic conditions, and without skilled assistance. Many health facilities are also unable to provide hygienic conditions for birthing women. The findings indicate that clean birth kits have assisted the NGOs to effectively promote clean delivery at home or in health facilities, and to encourage antenatal care, and early referral to emergency obstetric and new-born care.     

Socio-economic dynamics in slums and implications for sanitation sustainability in Kisumu,Kenya

Lack of sanitation facilities is a major challenge in slum areas, and this has implications on the health and well-being of residents. Sanitation in slums is complex due to slum living conditions, and a detailed understanding of dynamics in slums and how they impact sanitation is required. This study sought to understand the relationship between socio-economic dynamics, and sanitation provision and management in the slums of Kisumu, Kenya. The results indicate a mix of social, cultural, economic, tenancy, and relationship dynamics, all of which influence sanitation provision and management. The article calls for collaboration among various stakeholders and the use of local knowledge dissemination approaches.     

Utilisation of maternal health services in Ethiopia: a key informant research project

This article explores the application of key informant research to examine barriers and facilitators to maternal health services in rural and pastoralist Ethiopia. The key informants were health extension workers (HEWs) who assist women with birth preparedness and facilitate timely referral to health centres for birth. While women encounter many barriers to giving birth in health facilities, where HEWs are supported by their communities and health centre staff, they can effectively encourage women to travel to health centres to give birth with skilled birth attendants rather than at home with unskilled relatives or traditional birth attendants.     

Older people’s conceptualisation of poverty and their experiences of government programmes in Uganda

This article explores older people’s understandings of poverty and analyses their experience of government policies for fighting poverty. It employed qualitative methods, including focus group discussions and key informant interviews. A total of 120 older people in two districts in Uganda participated in the study. Based on thematic analysis and observation of non-verbal communication, older people’s perspectives on poverty included a wide range of deprivations in their household. Findings reveal that there is a lack of legislation support and effective information for old people to demand accountability or influence policy strategies to address poverty. Despite the difficult living conditions of older people in poverty, the majority live independent lives, are self-reliant and use a variety of strategies to address poverty. Therefore, there is a need for scrutiny to ensure that poverty alleviation support reaches those who need it most.     

Mass media advertisements: Responses to selected advertisements in semi-urban Limpopo

Abstract

This article developed from pilot research in a coursework Master's module in African Languages into combined outcomes of persuasive messages and visual literacy based on semiotics. It tested assertions by various writers about mass media, as applicable to a semi-urban or rural group of (black) South Africans with educational levels ranging from Grade 10 to Honours level. Owing to the fact that interviewees are financially constrained (and therefore cannot always afford television access or the acquisition of magazines), the focus of ‘persuasive messages’ was on billboard advertising in their living and work contexts. It was found that the consumers (respondents to the questionnaire) reacted positively to billboards that supported products on which they have been relying; that once they have been introduced to a product and found it efficient, competitive campaigns do not impinge on their stance; but also that – in this particular semi-urban area – traditional values folklore and usages have to be taken into consideration by advertisers for effective communication.     

Trading culture for development: assessing perceptions among rural agropastoral peoples in Tanzania

Development in rural parts of Africa is strongly desired by local people. Other views expressed by local people towards outside development initiatives vary considerably. Some perceptions are negative, as development recipients view development as a destructive agent of change in the local culture. Despite the negative effects associated with development, this study documented a unanimous desire among a stratified random sample of 418 respondents for more development interventions. Two villages in south-central Tanzania were selected based upon their adjacent proximity to Ruaha National Park. Findings suggest that a capability framework is useful for exploring local perceptions to outside development assistance.     

The role of marginalised women in sanitation initiatives: Somali women in northern Kenya

Research has shown women from marginalised communities have significant articulated needs for sanitation that are often unmet. Using focus group discussions with displaced Somali women living in rural villages in northern Kenya, this study found that women’s central concerns were for personal safety and convenience rather than hygiene; and for alleviation from the pain and discomfort associated with female genital mutilation and reproduction. Based on the findings, the article recommends organisations supporting sanitation initiatives should adopt approaches responsive to women’s particular concerns and needs. It makes specific recommendations for implementing an agenda of participation in a context where women are highly marginalised.     

Access to infrastructure and human well-being: evidence from rural Nepal

This article documents the level of access to infrastructure and assesses its perceived impacts on human well-being in rural Nepal. The study found a more varied level of well-being in less remote communities and determined that the perceived impacts of access to infrastructure on human well-being is higher in more remote areas. Notably, access to roads received the highest priority among respondents, followed by drinking water and irrigation. The methodology and findings of this study have practical implications for rural development in hills and mountains where human settlements are highly dispersed and access is key to human well-being.     

India 2025: the public distribution system and National Food Security Act 2013

The Government of India introduced the National Food Security Act (NFSA) 2013 to strengthen the public distribution system (PDS) in India. Extending the PDS service network is a contentious issue, especially for India’s rural regions. This article aims to estimate the level of expansion of the PDS network, additional food grain requirement, and increased storage facilities required to serve the growing population of India up to 2025. The statistical analysis highlights the need for significant changes in the PDS to meet NFSA, and the findings can aid policy-makers to design a more robust PDS.     

Faith and palliative care: a partnership of care in low- and middle-income countries

ABSTRACT

The provision of holistic palliative care has been identified by WHO as a human right, important for all people, at all ages, with all life-limiting illnesses. When faced with death and dying, issues of meaning and relationships with others, the world, and with the sacred are intensified even more in communities where faith and spiritual beliefs have a significant place. Being able to understand the significance of dying and interpreting the experience and period of living with life-limiting illness, presents an important challenge for palliative care. This article sets out the contribution that faith communities have made in understanding the significance of spiritual issues in health and in delivering palliative care in lower to middle-income contexts where palliative care has been prioritised.     

Global financial crisis and women's micro-lending innovations in Pakistan and Malawi

Microcredit/finance as a tool to eradicate poverty and empower women in developing countries has been a darling of developed countries. The success stories from microcredit borrowers from Bangladesh, India, and Africa, and global endorsement of microcredit programmes have largely ignored local indigenous initiatives managed by groups of women in rural and urban areas. Evidence from fieldwork in Pakistan and Malawi suggests that although systematically recorded history of such indigenous initiatives is lacking, women in these settings would attest that there exists generational knowledge about such small-scale, group-based micro-lending which can be used to enhance livelihoods in rural households.     

WaSH as a maternal health issue: three perspectives from rural Uganda

Inadequate water, sanitation, and hygiene (WaSH) knowledge and practices affect maternal and newborn morbidity and mortality. This article describes postpartum knowledge, resources, and practices in three rural Ugandan hospitals. A lack of WaSH resources was problematic for both staff and newly-birthed mothers who demonstrated a lack of knowledge about the appropriate use of WaSH resources and the links between WaSH and health protection. These results suggest that in addition to increasing the availability of medical interventions, basic preventative public health practices should be reflected in policy and practice integrated across the spaces inhabited by pregnant women to achieve improved maternal and newborn outcomes.     

Intersectionality – A challenge for development research and practice?

“Intersectionality” as a concept is increasingly finding its way into development work. In order to develop an understanding of the concept, this article shows how intersectionality can be used as a conceptual framework to analyse identity-based development claims. The article builds on qualitative research with people living in the countryside in northwest Pakistan to develop an intersectional methodology to engage with development claims. It uses a three-step analytical model to identify subject positions from which different people negotiate “eligibility for development'' and ‘‘responsibility to develop”. The paper shows how frequently used categorisations such as gender and class should be complicated by development practitioners and worked with in a more nuanced way.     

Harvested rainwater: quality,adequacy, and proximity in Ghanaian rural communities

This article presents a study that aimed to assess the accessibility, use, and quality of harvested rainwater in three rural communities in Ghana where the government of Ghana and local and international development organisations have sponsored domestic rainwater harvesting. The results showed that rainwater storage facilities were within the recommended distance of 1000m from each house. The amount of rainwater per person per day was below the recommended amount. The majority of the respondents therefore depended on other sources of water. Though the physico-chemical quality of rainwater met the WHO guideline limit for drinking water, the bacteriological quality did not. The majority of common water-associated infections experienced prior to the project have not been experienced after the project.     

Can school children reliably collect rural household data in developing countries? Evidence from Nepal

Household surveys are an important tool for assessing the status or trends of rural households, farms, and communities, and for conducting research. Conducting surveys in rural communities in developing countries is expensive and logistically challenging. We investigated whether primary school children could efficiently collect household or farm data as part of their homework. We hypothesised that primary school students can collect accurate data and therefore it should not be different from the data collected by trained interviewers. The results indicate that primary schools may be an excellent resource for efficiently collecting information about rural households and farm families in developing countries.     

Right to information (RTI) legislation: the role of infomediaries in enhancing citizens’ access to information

Merely creating a legal space by enacting right to information (RTI) legislation is often not enough to ensure citizens’, especially women's, access to information. Based on a pilot intervention on RTI implementation in Bangladesh, this article explores whether the introduction of information intermediaries, or “infomediaries”, enhances rural citizens’ access to information through using the RTI Act. It was found that due to the assisted access provided by infomediaries, the number of RTI Act users increased significantly in the intervention areas compared to the national average, with five times more women than men being able to use the Act.     

Land restitution and income generation in protected areas in Mpumalanga,South Africa

In many cases protected areas in South Africa have been established with little or no regard for communities living in or adjacent to them. The new challenge to protection of biodiversity is to find an equitable balance between conservation, beneficiation of the new land owners, and “balancing the books”. This article discusses the Blyde River Canyon Nature Reserve as a case study to illustrate some of the potential outcomes that co-management of protected areas can offer towards income generation, and highlights challenges towards success: it asks, can co-management be financially sustainable for both the conservation agency and the land claimants?     

Strengthening public health supply chains in Ethiopia: PEPFAR-supported expansion of access and availability

When the US President's Emergency Plan for AIDS Relief (PEPFAR)-supported Supply Chain Management System (SCMS) programme began working in Ethiopia in 2006, the estimated population of people living with HIV exceeded one million, while only 24,000 were on treatment and only 50 treatment sites were in operation. SCMS and other key partners entered into this context to support the Ethiopian government in significantly strengthening the public health supply chain system, with the aim of increasing the availability and accessibility of pharmaceutical products. The country now has 1,047 treatment sites and is nearing complete treatment coverage. This article discusses how priorities were set among many competing challenges from 2006 until 2014, and how the four-step strategy of build, operate, transfer, and optimise has resulted in a successful partnership.     

Who are those people we call farmers? Rural Kenyan aspirations and realities

Rural Kenyan households have different aspirations and income portfolio strategies, including agricultural intensification and income diversification. This article reports on a study that interviewed 624 households to explore rural aspirations and derive lessons for agricultural technology development and transfer. Though few households specialised in farming, many households self-identified as farmers and aspired to increase their agricultural income. Despite the prevalence of agricultural aspirations, few aspired for their children to have a future in farming. Combining aspirations with potential to invest, the article provides suggestions for targeting agricultural interventions. We need to start listening better to those people we call “farmers” to develop and offer innovations that meet their realities.