Farm production diversity is widely promoted as a strategy for enhancing smallholders' food and nutrition security. Nonetheless, empirical evidence from the rural smallholder context is still mixed. ...This study compares the nature, determinants and influence of farm production diversity on household dietary diversity in rural and peri-urban settings in Kenya and Tanzania. Descriptive and econometric analyses are employed using household-level survey data from four counties in Kenya (n = 1212) and two districts in Tanzania (n = 899). Results show notable variations in farm production diversity in the two countries as well as varying levels of household dietary diversity. For both countries, results further show that, farm production diversity has a positive and significant influence on indicators of household dietary diversity. However, this influence is more pronounced to households in remote rural settings. In peri-urban and rural areas with better market access, production diversity is generally lower but dietary diversity higher. These findings imply that although production diversity remains an important factor in ensuring enhanced household dietary diversity, it is imperative for policies related to food and nutrition security to consider context specific production and market-related aspects of smallholder agriculture. That is, while interventions focusing on farm production diversity may be important in rural contexts with poor market access, addressing market related bottlenecks can be more beneficial in rural and urban areas with better market access.
As the climate changes, farmers in developing countries seek to employ strategies to help them sustain food production. The objectives of this paper were to identify adaptation strategies in response ...to climate change and the determinants for their adoption, and to explore the impact of these strategies on food security. The analysis was based on a survey of 900 small-scale farmers in a semi-arid (Dodoma) and a semi-humid (Morogoro) region in Tanzania. Farmers in the semi-humid region tended to diversify their crops, i.e. added additional crop types. Given the more challenging environment in the semi-arid region, farmers there changed their portfolio of crops, i.e. substituted some crops or cultivars with others. Logistic regressions highlighted higher tolerance to risk, land ownership, education and experiences of farmers as drivers of adoption, while income diversification had a negative effect. The propensity score matching approach showed that adopters of climate-smart strategies are on-average more food-secure. These users showed a more diverse pattern of food consumption, greater protein intake and better economic access to food. Changing crop portfolios can help households to cope with climate-related shocks such as droughts and thus appears to be the best performing strategy, especially in terms of more stable food provisioning throughout the year.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Extreme weather events are reported to have severe effects on rural households in the developing world. This study uses a unique and comparable panel dataset of about 4000 rural households collected ...in three years (2010, 2013, and 2016) from Northeast Thailand and Central Vietnam to examine and compare the welfare effects of floods, droughts, and storms reported to be experienced by rural households. Our results show that these weather shocks have significant effects on household income, consumption, and poverty in both countries, though the levels of severity are different. Drought is the common extreme weather event in these two countries with significant and negative effects on household income, consumption and poverty. In Thailand, floods have higher impacts on rural households in terms of income and poverty than storms do. Compared to Thailand, Vietnam is more exposed and significantly affected by storms. In addition to weather shocks, the welfare of rural households is significantly affected by other factors representing their livelihood platforms. Promoting farm mechanization and rural education should be given high priority in both countries. In Thailand, the accumulation of farmland should also be encouraged. In Vietnam, accelerating internet access and supporting livestock production would contribute to increasing household income and consumption and consequently decreasing poverty.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
The Child Health Care System of Germany Ehrich, Jochen, MD, DCMT; Grote, Ulrike, MD, MPH; Gerber-Grote, Andreas, MD ...
The Journal of pediatrics,
10/2016, Volume:
177
Journal Article
Peer reviewed
Open access
We describe the strengths and challenges of the child health care system in Germany and also provide an outlook on future health plans, focusing on making idiosyncrasies of national health care ...services in Europe understandable to those pediatricians working in other countries. The aim should be to avoid those unnecessary processes in child care which, unless abandoned, may be responsible for a poor outcome of child health. Larger countries, such as Germany, have many distinct regional differences. When it comes to problem-solving strategies, pediatricians must be aware of unavoidable cultural and historic differences that may influence the outcome of care. Even when assuming unlimited financial resources, different regional priorities might result in diverging goals.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
Rice farmers in developing countries need to increase production efficiency in order to meet a growing rice demand. To identify and compare the determinants of rice production efficiency at different ...stages of economic development, a one-stage stochastic frontier model is applied to a cross-sectional dataset collected in 2013 of 623 households in Ubon Ratchathani (Thailand) and 407 households in Stung Treng (Cambodia). The results indicate that the average level of rice production efficiency is 72 % in Thailand and 64 % in Cambodia. There are a number of factors that commonly affect the production efficiency in both countries. These factors are the farm size, per capita income, amount of agricultural credit, degree of commercialization, and share of nonfarm income. However, there are also a number of country-specific factors that are unique to the respective environments. These factors are the distance to fields, mechanization, agricultural assets, share of remittances, education of household heads, and distance to town in Thailand, and household size in Cambodia. These findings suggest that promoting the development of household capital, access to rural infrastructure as well as the specialization and commercialization of rice production would contribute to increasing production efficiency of rice farms in developing countries.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
•The inclusion of aspirations and ambitions as additional dimensions to understand the decision-making processes of smallholder farmers is of great importance for the long-term success of ...agricultural and agroforestry interventions.•Analyses are based on primary data collected in 2021 as part of a CIFOR-ICRAF agroforestry project.•Quantifying the relationship between ambition and agroforestry adoption, we confirm the inverted-U relationship and find a significant positive correlation of ambition in the medium 80 % range with adoption.•Directed livelihood aspirations (off-, or on-farm endeavors) increase agency in terms of the decision to adopt agroforestry.•The integration of fruit trees on farm can improve household food security via two pathways: increase in the direct seasonal availability of fruits; growth of household income.
Current food production systems all over the world face numerous challenges. Particularly smallholder farming in sub-Saharan Africa is in substantial need of sustainable solutions. Yet, the adoption of already existing sustainable agricultural practices such as agroforestry often remains low. This paper aims to deepen the understanding of smallholders’ decision-making processes for agroforestry adoption. Using the example of a CIFOR-ICRAF agroforestry project (Fruit Tree Portfolios), we examine the associated influences of ambition and livelihood aspirations on adoption and assess the impact of agroforestry on household well-being. We conduct several statistical analyses, including a logistic regression on the influence of ambitions and aspirations on adoption, and a linear regression with endogenous treatment effects and propensity score matching to assess the impact of adoption on well-being. The analyses are based on a primary data set collected from rural Kenyan households that participated in the project in 2021.
We confirm the inverted U-shaped relationship between ambition and the willingness to take proactive steps, in this case the adoption of agroforestry, and emphasize its relevance for decision-making processes. In addition, livelihood aspirations towards off- or on-farm activities promoted the likelihood of adoption. Due to the versatility of integrating fruit trees into farms, they can serve both market- and food security-oriented purposes and thus supporting livelihoods in multiple ways. This is confirmed by the positive results of adoption on household well-being in terms of food security and household income. In summary, the inclusion of cognitive factors such as ambition and livelihood aspirations can help explain the adoption decisions of smallholder households and support inclusive and customized project designs. In the long term, these findings could have the potential to ensure that development interventions are adopted more successfully.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
African indigenous vegetables (AIVs) have high nutritional value, forming a potent weapon against the pressing hidden hunger problem in East Africa, but they are not sufficiently adopted as cash ...crops by Kenyan small-scale farmers to meet the rising demand in the urban areas. This study therefore aims (i) to explore which factors motivate small-scale farmers to specialize in commercial AIV production and (ii) to assess the impact of AIV production on household income and food security. This analysis was based on primary data from 706 rural and peri-urban small-scale vegetable producers in Kenya. Results of a binary choice model showed that education, participation in producer groups, access to market information and irrigation water, as well as distance to the next city influenced the decision to commercialize AIV production. Impact analysis was conducted with binary and continuous propensity score matching (PSM) and endogenous switching regression (ESR). The production of AIVs as cash crops positively influenced the total per capita household income and the food security status of the households.
Zusammenfassung
Beim ersten Auftreten des Erregers SARS-CoV‑2 im Dezember 2019 standen weder spezifische therapeutische Möglichkeiten noch ein Impfstoff zur Verfügung. Auch in Deutschland rückten ...deshalb nichtpharmakologische Maßnahmen zur Kontrolle der COVID-19-Pandemie in den Vordergrund. Am Robert Koch-Institut wurde eine Multikomponentenstrategie aus bevölkerungsbasierten und individuellen infektionshygienischen Maßnahmen entwickelt, die auf bestehenden Influenzapandemieplänen und generischen Planungen aufbaute. Der Beitrag erläutert die empfohlenen nichtpharmakologischen Maßnahmen und stellt die parallel entwickelten pharmakologischen Ansätze dar.
Zu den bevölkerungsbasierten Maßnahmen gehören u. a. allgemeine Kontaktbeschränkungen, die Versorgung mit Materialien für den Infektionsschutz, Veranstaltungsverbote, die Schließung von Bildungseinrichtungen und die Beschränkung des Reiseverkehrs. Zusätzlich sind individuelle infektionshygienische Maßnahmen notwendig: z. B. Einhaltung eines Mindestabstands, Reduktion von Kontakten, Tragen einer Mund-Nasen-Bedeckung sowie Einhaltung von Quarantäne und Isolierung. Die Maßnahmen im Gesundheitswesen bauen auf Empfehlungen der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) auf und werden von den Fachgesellschaften spezifiziert und implementiert. Als pharmakologische Maßnahmen stehen mit Stand November 2020 eine antivirale Therapie mit Remdesivir und die Behandlung mit dem Glucocorticoid Dexamethason zur Verfügung. Monoklonale Antikörper sind zu diesem Zeitpunkt noch nicht zugelassen. Die therapeutische Antikoagulation wird empfohlen.
Die Empfehlungen werden kontinuierlich an die wachsende Kenntnis der Eigenschaften und Übertragungswege des Erregers angepasst. Eine große Herausforderung besteht darin, das Vertrauen der Bevölkerung in die empfohlenen Maßnahmen zu stärken. Viele Maßnahmen müssen individuell angewandt werden, um gemeinsam zu wirken.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Some recent research began to shift the focus of development efforts away from income and yield to more diverse concepts that consider people’s intrinsic drivers and values, such as aspirations and ...personality traits. We aim to contribute to the literature by exploring the connections between intrinsic drivers. Hence, we analyze if and how the formation of aspirations relates to personality traits against the background of different socio-economic household characteristics. This research will help us provide practical insights for the successful design of development projects specifically tailored to the unique needs and aspirations of individuals and households. Our analyses are based on a primary data set of 272 smallholder farming households in rural and peri-urban Kenya. Structural Equation Modeling (SEM) results show a significant positive correlation of personality traits with aspirations (openness; extraversion; conscientiousness), indicating that personality structures indeed correlate with the formation of aspirations in a rural, agricultural context. Furthermore, we show that household and respondent characteristics are associated with differences in education, income, and social aspirations. Considering intrinsic factors for the prediction of human behavior has the potential to increase the efficiency of agricultural development projects and policies. We conclude that a contextualized understanding of aspirations can provide useful insights for development practice aiming to support smallholder farmers’ livelihoods.
The level of agricultural productivity in Sub-Saharan Africa remains far below the global average. This is partly due to the scarce use of production- and process-enhancing technologies. This study ...aims to explore the driving forces and effects of adopting innovative agricultural technologies in food value chains (FVC). These enhancing FVC technologies are referred to as upgrading strategies (UPS) and are designed to improve specific aspects of crop production, postharvest processing, market interaction, and consumption. Based on cross-sectional data collected from 820 Tanzanian farm households, this study utilized the adaptive lasso to analyse the determinants of UPS. To measure the impact of their adoption on well-being, this study applied the propensity score matching approach (PSM). Results from the adaptive lasso suggested that access to credit, experience of environmental shocks and social capital were the main drivers of UPS adoption. In contrast, the engagement in off-farm wage employment impeded adoption. The results from the PSM suggested that UPS adoption has a positive and significant impact on well-being among sampled households, especially with respect to their total value of durable goods and commercialization. The paper suggests that the promotion of social capital and access to financial capital is pivotal in enhancing the adoption of innovative UPS in the farming sector.