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Showing papers by "Japan International Cooperation Agency published in 2015"


Journal ArticleDOI
TL;DR: Multiple functional polymorphisms in a single disease resistance gene in rice enhance durable resistance to blast and increase the likelihood of long-term survival in the presence of a blast.
Abstract: Multiple functional polymorphisms in a single disease resistance gene in rice enhance durable resistance to blast

108 citations


Journal ArticleDOI
TL;DR: It is shown that renal IR injury induced fragmentation of mitochondria in a fission-dominant manner with Drp1 activation and subsequent cardiomyocyte apoptosis in the heart, suggesting that mitochondrial fragmentation by fission machinery may be a new therapeutic target in cardiac dysfunction induced by AKI.
Abstract: Experimental evidence has clarified distant organ dysfunctions induced by AKI. Crosstalk between the kidney and heart, which has been recognized recently as cardiorenal syndrome, appears to have an important role in clinical settings, but the mechanisms by which AKI causes cardiac injury remain poorly understood. Both the kidney and heart are highly energy-demanding organs that are rich in mitochondria. Therefore, we investigated the role of mitochondrial dynamics in kidney–heart organ crosstalk. Renal ischemia reperfusion (IR) injury was induced by bilateral renal artery clamping for 30 min in 8-week-old male C57BL/6 mice. Electron microscopy showed a significant increase of mitochondrial fragmentation in the heart at 24 h. Cardiomyocyte apoptosis and cardiac dysfunction, evaluated by echocardiography, were observed at 72 h. Among the mitochondrial dynamics regulating molecules, dynamin-related protein 1 (Drp1), which regulates fission, and mitofusin 1, mitofusin 2, and optic atrophy 1, which regulate fusion, only Drp1 was increased in the mitochondrial fraction of the heart. A Drp1 inhibitor, mdivi-1, administered before IR decreased mitochondrial fragmentation and cardiomyocyte apoptosis significantly and improved cardiac dysfunction induced by renal IR. This study showed that renal IR injury induced fragmentation of mitochondria in a fission-dominant manner with Drp1 activation and subsequent cardiomyocyte apoptosis in the heart. Furthermore, cardiac dysfunction induced by renal IR was improved by Drp1 inhibition. These data suggest that mitochondrial fragmentation by fission machinery may be a new therapeutic target in cardiac dysfunction induced by AKI.

86 citations


Journal ArticleDOI
TL;DR: Maintaining adherence to antiretroviral drugs through pregnancy to the postpartum period remains a crucial challenge in Zambia, and adherence to ARVs and retention in care should be improved at all health facilities.
Abstract: Adherence to antiretroviral (ARV) drugs is essential for eliminating new pediatric infections of human immunodeficiency virus (HIV). Since the Zambian government revised the national guidelines based on option A (i.e., maternal zidovudine and infant ARV prophylaxis) of the World Health Organization’s 2010 guidelines, no studies have assessed adherence to ARVs during pregnancy up to the postpartum period. This study aimed to examine adherence to ARVs and identify the associated risk factors. A prospective cohort study was conducted in the Chongwe district from June 2011 to January 2014. Self-reported adherence to ARVs was examined during pregnancy and at one week, six weeks, and 24 weeks postpartum among 321 HIV-positive women. The probability of remaining adherent to ARVs was estimated using the Kaplan-Meier method, and the risk factors for non-adherence were identified using the Cox proportional hazard regressions—treating loss to follow-up as non-adherence. The statuses of HIV in HIV-exposed infants were assessed in January 2014. During the study period, 326 infants were born to HIV-positive women, 262 (80.4 %) underwent HIV testing, and 11 (3.4 %) had their HIV infection detected at the time that they had the latest HIV testing as of January 2014. The ARV adherence rate was 82.5 % during pregnancy, 84.2 % at one week postpartum, 81.5 % at six weeks postpartum, and 70.5 % at 24 weeks postpartum. The probability of remaining adherent to ARVs was 0.61 at day 50, 0.35 at day 100, 0.18 at day 200, and 0.06 at day 300. Attending a referral health center (HC) was a risk factor for non-adherence compared with attending rural HCs that provided HIV care/treatment (adjusted hazard ratio [aHR] 0.71, 95 % confidence interval [CI] 0.57–0.88) and those that did not provide HIV care/treatment (aHR 0.58, 95 % CI 0.46–0.74). A new diagnosis of HIV infection compared to a known HIV-positive status before pregnancy was another risk factor for non-adherence (aHR 1.24, 95 % CI 1.03–1.50). Maintaining adherence to ARVs through pregnancy to the postpartum period remains a crucial challenge in Zambia. To maximize the treatment benefits, adherence to ARVs and retention in care should be improved at all health facilities.

41 citations


Journal ArticleDOI
TL;DR: The most effective gene combination for the suppression of leaf blast was pi21 + Pi35, which was similar to the level of the most effective resistance gene in the pair.
Abstract: Development of resistant cultivars has been an effective method for controlling rice blast disease caused by Magnaporthe oryzae. Quantitative blast resistance genes may offer durable resistance because the selection pressure on M. oryzae to overcome resistance is low as a result of the genes' moderate susceptibility. Because the effects of individual resistance genes are relatively small, pyramiding these genes in rice cultivars is a promising strategy. Here, we used near-isogenic and backcross lines of rice cultivar Koshihikari with single- or two-gene combinations of blast resistance genes (pi21, Pi34, and Pi35) to evaluate the suppression of leaf blast. The severity of the disease was assessed throughout the infection process. Resistance varied among the lines: Pi35 conferred the strongest resistance, while Pi34 showed the weakest effects. Two types of combined-gene interactions were observed, and they varied on the basis of gene combination and characteristic of the infection: (i) the combination of two resistance genes was more effective than either of the genes individually or (ii) the combination of two resistance genes was similar to the level of the most effective resistance gene in the pair. The most effective gene combination for the suppression of leaf blast was pi21 + Pi35.

41 citations


Journal ArticleDOI
TL;DR: Assessing the changes in pregnant women’s behavior towards the frequencies of their antenatal care service utilizations and their subsequent breastfeeding practices up to six months of age, through the MCH Handbook intervention in Vietnam confirmed that M CH Handbook plays a catalytic role in ensuring a continuum of maternal, newborn and child care.
Abstract: Maternal and Child Health (MCH) Handbook, an integrated MCH home-based record, was piloted in four provinces of Vietnam (Dien Bien, Hoa Binh, Thanh Hoa and An Giang). The study is aimed at assessing the changes in pregnant women’s behavior towards the frequencies of their antenatal care service utilizations and their subsequent breastfeeding practices up to six months of age, through the MCH Handbook intervention. This is because the levels of pregnant women’s knowledge, attitude and practices (KAP) towards their antenatal care service utilizations and exclusive breastfeeding practices have been previously neither analyzed nor reported in relation to MCH home-based records in the country. To compare pre-intervention baseline in 2011, post-intervention data were collected in 2013. Structured interviews were conducted with randomly selected 810 mothers of children 6-18 months of age in the four provinces. A focus group discussion among mothers in each of four provinces was conducted. There was no significant difference in pregnant women’s knowledge about the need for ≥3 antenatal care visits between pre- and post-interventions. Yet, the proportion of pregnant women who made ≥3 antenatal care visits in post-intervention was significantly higher than in pre-intervention. Thus, MCH Handbook is likely to have contributed to practicing ≥3 antenatal care visits, by changing their attitude. The proportion of mothers who know the need for exclusive breastfeeding necessary during the initial six months significantly increased between pre- and post-interventions. The proportion of those practicing exclusive breastfeeding significantly increased between pre- and post-interventions, too. Thus, MCH Handbook is likely to have contributed to the increase in both knowledge about and practices of exclusive breastfeeding. The results of study imply that MCH Handbook contributed to the increase in pregnant women’s practices of ≥3 antenatal care visits and in their knowledge about and practice of exclusive breastfeeding. While there is room for improvement in the level of its data recording, the study confirmed that MCH Handbook plays a catalytic role in ensuring a continuum of maternal, newborn and child care. Note that this study is the first study that attempted to estimate pregnant women’s behavioral changes through MCH Handbook intervention in Vietnam.

32 citations


Journal ArticleDOI
TL;DR: It is found that Chagas disease vector surveillance can be integrated into the primary health care service and can contribute to strengthening the preventive capacity of the PHC service.
Abstract: Integration of disease-specific programmes into the primary health care (PHC) service has been attempted mostly in clinically oriented disease control such as HIV/AIDS and tuberculosis but rarely in vector control. Chagas disease is controlled principally by interventions against the triatomine vector. In Honduras, after successful reduction of household infestation by vertical approach, the Ministry of Health implemented community-based vector surveillance at the PHC services (health centres) to prevent the resurgence of infection. This paper retrospectively analyses the effects and process of integrating a Chagas disease vector surveillance system into health centres. We evaluated the effects of integration at six pilot sites in western Honduras during 2008–2011 on; surveillance performance; knowledge, attitude and practice in schoolchildren; reports of triatomine bug infestation and institutional response; and seroprevalence among children under 15 years of age. The process of integration of the surveillance system was analysed using the PRECEDE-PROCEED model for health programme planning. The model was employed to systematically determine influential and interactive factors which facilitated the integration process at different levels of the Ministry of Health and the community. Overall surveillance performance improved from 46 to 84 on a 100 point-scale. Schoolchildren’s attitude (risk awareness) score significantly increased from 77 to 83 points. Seroprevalence declined from 3.4% to 0.4%. Health centres responded to the community bug reports by insecticide spraying. As key factors, the health centres had potential management capacity and influence over the inhabitants’ behaviours and living environment directly and through community health volunteers. The National Chagas Programme played an essential role in facilitating changes with adequate distribution of responsibilities, participatory modelling, training and, evaluation and advocacy. We found that Chagas disease vector surveillance can be integrated into the PHC service. Health centres demonstrated capacity to manage vector surveillance and improve performance, children’s awareness, vector report-response and seroprevalence, once tasks were simplified to be performed by trained non-specialists and distributed among the stakeholders. Health systems integration requires health workers to perform beyond their usual responsibilities and acquire management skills. Integration of vector control is feasible and can contribute to strengthening the preventive capacity of the PHC service.

26 citations


Journal ArticleDOI
TL;DR: This paper illustrates the successful development and national rollout of two information systems for HRH in Tanzania and identifies several key factors for the achievements such as using local experts for developing the systems, involvement of system users, positive attitudes among users, and provision of operations and data utilization trainings.
Abstract: The establishment of a functional information system for human resource for health (HRH) was one of the major challenges for the Tanzanian health sector. In 2008, the Ministry of Health and Social Welfare developed the HRH Strategic Plan, in which establishment of computerized information systems were one of the strategic objectives. In response to this objective, the Ministry developed two information systems, namely the Human Resource for Health Information System (HRHIS) and the Training Institution Information System (TIIS), to capture information from both the public and private sectors. The national rollout of HRHIS and TIIS was carried out in four phases during a 6 year period between 2009 and 2014. Together with other activities, the rollout process included conducting system operation training and data utilization training for evidence-based planning, development and management of HRH and social welfare workers and health training institutions. HRHIS was rolled out in all 25 regions of the Tanzanian mainland, including 171 districts, and TIIS was rolled out in all 154 health training institutions and universities. Information is captured from both the private and public health sectors with high-data coverage. The authors identified several key factors for the achievements such as using local experts for developing the systems, involvement of system users, positive attitudes among users, focusing on routine work of the system users and provision of operations and data utilization trainings. However, several challenges were also identified such as getting a consensus on sustainable HR information systems among stakeholders, difficulty in obtaining baseline HRH information, inadequate computer skills and unsatisfactory infrastructure for information and communication technology. We learned that detailed situation analysis and understanding of the reality on the ground helped to reduce the “design–reality gap” and contributed to establishing user-friendly systems and to improve sustainability of the systems. This paper illustrates the successful development and national rollout of two information systems for HRH in Tanzania. The approaches used and activities conducted here and lessons learned could be useful for countries which are planning to establish HR information systems.

25 citations


Journal ArticleDOI
TL;DR: The results suggest that transmission of the blaCTX-M-9-positive E. coli between humans and poultry was limited and the phylogenetic group compositions, sequence types, antimicrobial resistance profiles, and the prevalence of plasmid antibiotic resistance genes generally differed between the human and chickenE.
Abstract: We examined whether Escherichia coli isolates that produce CTX-M-9-type extended-spectrum β-lactamases (ESBL) are transferred between humans and chickens in a Vietnamese community. The phylogenetic group compositions, sequence types, antimicrobial resistance profiles, the prevalence of plasmid antibiotic resistance genes, and the plasmid replicon types generally differed between the human and chicken E. coli isolates. Our results suggest that transmission of the bla(CTX-M-9)-positive E. coli between humans and poultry was limited.

24 citations


Journal ArticleDOI
TL;DR: How large-scale insecticide spraying is neither effective nor affordable when T. dimidiata is widely distributed at low infestation levels is discussed.
Abstract: Chagas disease is one of the most serious health problems in Latin America. Because the disease is transmitted mainly by triatomine vectors, a three-phase vector control strategy was used to reduce its vector-borne transmission. In Nicaragua, we implemented an indoor insecticide spraying program in five northern departments to reduce house infestation by Triatoma dimidiata. The spraying program was performed in two rounds. After each round, we conducted entomological evaluation to compare the vector infestation level before and after spraying. A total of 66,200 and 44,683 houses were sprayed in the first and second spraying rounds, respectively. The entomological evaluation showed that the proportion of houses infested by T. dimidiata was reduced from 17.0% to 3.0% after the first spraying, which was statistically significant (P < 0.0001). However, the second spraying round did not demonstrate clear effectiveness. Space-time analysis revealed that reinfestation of T. dimidiata is more likely to occur in clusters where the pre-spray infestation level is high. Here we discuss how large-scale insecticide spraying is neither effective nor affordable when T. dimidiata is widely distributed at low infestation levels. Further challenges involve research on T. dimidiata reinfestation, diversification of vector control strategies, and implementation of sustainable vector surveillance.

23 citations


Journal ArticleDOI
TL;DR: The remaining coverage gaps in MNCH care indicate the need for maternal and child care to continue throughout the prenatal and postnatal periods to achieve the country's UN Millennium Development Goals (MDGs).

23 citations


Journal ArticleDOI
TL;DR: In this article, an attempt has been made to identify answers to these questions by looking into one of the PV micro-grid rural electrification projects in Sundarban area of West Bengal, India.

Journal ArticleDOI
TL;DR: The results suggested a short carriage period of the CTX-M-type ESBL-producing E. coli in healthy Vietnamese subjects, and identical PFGE patterns throughout the three samplings were not observed.
Abstract: Healthy carriage of CTX-M-type extended-spectrum β-lactamase (ESBL)-producing Escherichia coli was examined by thrice collecting fecal samples from the same 199 healthy Vietnamese subjects every 6 months. Using pulsed-field gel electrophoresis (PFGE), identical PFGE patterns throughout the three samplings were not observed, although prevalence of E. coli in the subjects was around 50% in the three samplings. Our results suggested a short carriage period of the CTX-M-type ESBL-producing E. coli in healthy Vietnamese subjects.

Journal ArticleDOI
TL;DR: Consistent monitoring within the local health system contributes to sustainability of health service responsiveness in community-based vector surveillance of Chagas disease, and countries can improve health service responsive with thoughtful strategies and management practices in the localhealth systems.
Abstract: Background Central American countries face a major challenge in the control of Triatoma dimidiata ,a widespread vector of Chagas disease that cannot be eliminated. The key to maintaining the risk of transmission of Trypanosoma cruzi at lowest levels is to sustain surveillance throughout endemic areas. Guatemala, El Salvador, and Honduras integrated community-based vector surveillance into local health systems. Community participation was effective in detection of the vector, but some health services had difficulty sustaining their response to reports of vectors from the population. To date, no research has investigated how best to maintain and reinforce health service responsiveness, especially in resource-limited settings.

Journal ArticleDOI
TL;DR: Results suggest that longer maternity leave would help extend the duration of exclusive breastfeeding and the improvement of a breastfeeding supportive environment in the workplace would be valuable and may be an effective means to improve breastfeeding practices and infant health.
Abstract: This study explored the association between mothers' work-related factors and breastfeeding practices in Bangkok, Thailand. Data were collected from 84 working mothers with a child aged 6 to 24 months who visited the breastfeeding mobile clinic at a nursery goods exhibition. Thai interviewers collected data using a structured questionnaire. Analysis of the data showed that exclusive breastfeeding for 3 months was 78.6%, and for 6 months it was 38.1%. Mothers who returned to work 3 months or more after giving birth exclusively breastfed more than the mothers who returned to work in less than 3 months (crude odds ratio [OR] = 4.26, 95% confidence interval [CI] = 1.39-13.05; adjusted OR = 4.15, 95% CI = 1.15-14.95). Moreover, mothers who worked at self-employed or family-owned businesses and some mothers working at private companies showed tendencies of returning to work in less than 3 months. Results suggest that longer maternity leave would help extend the duration of exclusive breastfeeding. In addition, the improvement of a breastfeeding supportive environment in the workplace would be valuable and may be an effective means to improve breastfeeding practices and infant health.

Journal ArticleDOI
TL;DR: Rice should be transplanted in July to ensure the maximum production and yield stability in Tanzania, and the yield-seasonality suggests that implementing measures to protect plants from low and high temperature stress at critical phenological stages may allow year-round rice production under fully-irrigated conditions in Tanzania.

Book
19 Jan 2015
TL;DR: The authors advocates on the importance of human capital of persons with disabilities and demands the paradigm shift from charity into investment approach, and describes how education in particular helps people with disabilities achieve economic independence and social inclusion.
Abstract: With several empirical evidences, this book advocates on the importance of human capital of persons with disabilities and demands the paradigm shift from charity into investment approach. Society in general believes that people with disabilities cannot benefit from education, cannot participate in the labour market and cannot be contributing members to families and countries. To invalidate such assumptions, this book describes how education in particular helps make persons with disabilities achieve economic independence and social inclusion. For the first time, detailed analyses of returns to the investment in education and nexus between disability, education, employability and occupational options are discussed. Moreover, other chapters describe disability and poverty followed by the discussion of barriers behind why persons with disabilities are unable to obtain education despite the significantly higher returns. These foundational themes recur throughout the book.


Journal ArticleDOI
TL;DR: Based on physiological, biochemical, and genotypic differences between the isolate and the type strains of the validly named species, it is proposed that the isolate be classified as a novel species of Acetobacter, for which the name AcetOBacter thailandicus sp.
Abstract: A Gram-negative, rod-shaped, and non-motile bacterium, designated as isolate AD25T, was isolated from a flower of the blue trumpet vine (Thunbergia laurifolia) at Tong Pha Phum, Kanchanaburi, Thailand. Phylogenetic analyses of 16S rRNA gene, 16S-23S rRNA gene internal transcribed spacer (ITS) region, and groEL gene sequences showed that the isolate was quite remote and constituted a cluster independent from the type strains of other Acetobacter species. The isolate was closely related to Acetobacter cibinongensis, one of the closest relatives, with 98.3 % 16S rRNA gene sequence similarity. The DNA G -+- C content of the isolate was 51.4 mol%. The isolate grew intensely on 10 % ethanol with 1.5 % D-glucose in the presence of 0.3 % peptone and 0.3 % yeast extract, and grew weakly on 3.0 % D-glucose in the presence of 0.1 % ammonium sulfate as the sole source of nitrogen. The isolate produced only D-gluconic acid from D-glucose. Based on physiological, biochemical, and genotypic differences between the isolate and the type strains of the validly named species, it is proposed that the isolate be classified as a novel species of Acetobacter, for which the name Acetobacter thailandicus sp. nov. is introduced. The type strain is isolate AD25T (= BCC 15839T = NBRC 103583T).

Journal ArticleDOI
17 Aug 2015
TL;DR: An event-based surveillance system at the health centre (HC) level in Ethiopia that collects rumours in the community and registers them in rumour logbooks to record events of disease outbreaks and public health emergencies is piloted.
Abstract: This study piloted an event-based surveillance system at the health centre (HC) level in Ethiopia. The system collects rumours in the community and registers them in rumour logbooks to record events of disease outbreaks and public health emergencies. Descriptive analysis was conducted on the events captured at the 59 study HCs in the Amhara Region in north-western Ethiopia between October 2013 and November 2014. A total of 126 rumours were registered at two thirds of the HCs during the study period. The average event reporting time was 3.8 days; response time of the HCs was 0.6 days, resulting in a total response time of 4.4 days. The most commonly reported rumours were measles-related (n = 90, 71%). These rumours followed a similar pattern of measles cases reported in the routine surveillance system. The largest proportion of rumours were reported by community members (n = 38, 36%) followed by health post workers (n = 36, 29%) who were normally informed by the community members about the rumours. This surveillance system was established along with an existing indicator-based surveillance system and was simple to implement. The implementation cost was minimal, requiring only printing and distribution of rumour logbooks to the HCs and brief orientations to focal persons. In countries where routine surveillance is still weak, an event-based surveillance system similar to this should be considered as a supplementary tool for disease monitoring.

Journal ArticleDOI
TL;DR: In this article, an independent-sample t-test, using historical data on the areas of monthly rice harvest failure at regency level for the recent 10 years, finds that harvest failure during the rainy seasons in a group of the regencies located in the Bengawan Solo River Basin is significantly greater than the other group consisting of the remaining regencies in the province.
Abstract: The present study demonstrated the importance of designing insurance as a part of broader risk management, using pilot insurance for rice farmers in East Java, Indonesia, as a case. An independent-sample t-test, using historical data on the areas of monthly rice harvest failure at regency level for the recent 10 years, finds that harvest failure during the rainy seasons in a group of the regencies located in the Bengawan Solo River Basin is significantly greater than the other group consisting of the remaining regencies in the province. This is due to frequent floods, which are largely attributed to the declining function of the Wonogiri reservoir as the primary flood control facility. It suggests the necessity of risk prevention measures, such as those to pump out dead storage and upgrade spillway capacity, to allow insurance to work in the basin. The present study also investigated a feasibility of weather index insurance. It compares the correlation coefficients and statistical significance of monthly ...

Journal ArticleDOI
TL;DR: To determine the seroprevalence of Chagas disease among pregnant women and estimate the risk factors for Chagis disease during pregnancies, a large number of patients with known or suspected cases of the disease are surveyed during pregnancies.
Abstract: Objectives To determine the seroprevalence of Chagas disease among pregnant women and estimate the risk factors for Chagas disease during pregnancies. Methods Community-based serological tests on Trypanosoma cruzi and structured interviews on socio-demographic and socio-economic status were conducted with pregnant women registered at three health centres in Sonsonate province El Salvador. Results Of 797 pregnant women participating in the study 29 (3.6%) were infected with Chagas disease. None had clinical symptoms. The results of bivariate analyses showed the significant association between seropositivity and maternal age =35 years anaemia illiteracy having no formal school education and having knowledge on Chagas disease (P < 0.05). The results of multivariate analysis indicate that age =35 years and anaemia were significantly associated with being infected with Chagas disease among pregnant women (OR = 3.541 and 5.197 respectively). Conclusion We recommend that the national Chagas disease control programme be better coordinated with the national maternal and child health programme to introduce blood screening for T. cruzi during antenatal visits. If financial constraint allows systematic blood screening to be only partially implemented resources should be focused on pregnant women =35 years and women who have anaemia.

Journal ArticleDOI
TL;DR: In this article, the issue of social inclusion of people with disabilities who acquired impairments through Nepal's decade-long insurgency was discussed, and a disparity in government facilities and services was observed, whereby the combatants reported receiving fewer services than the Nepali army.
Abstract: This paper discusses the issue of social inclusion of people with disabilities who acquired impairments through Nepal's decade-long insurgency. In-depth qualitative interviews have been conducted with nine individuals. A disparity in government facilities and services was observed, whereby the combatants reported receiving fewer services than the Nepali army. In relation to their impairments, participants experienced mostly non-discriminatory behaviour from their families, whereas their perceived impression of the community's behaviour was mixed. Additionally, participants were anxious about their daily living in part resulting from insufficient facilities and inadequate community inclusion strategies, as well as the lack of activities that can help increase opportunities for their economic well-being.

Journal ArticleDOI
TL;DR: In this paper, the authors reported the current traffic conditions in Yangon and discussed the issues with the mobility and the future direction of the urban transportation system, and the achievements of the large-scale survey are so valuable that the traffic conditions have been successfully revealed for understanding the current problems and for planning the future transportation policy/network in the city.
Abstract: This paper reported the current traffic conditions in Yangon and discussed the issues with the mobility and the future direction of the urban transportation system. The achievements of the large-scale survey are so valuable that the traffic conditions have been successfully revealed for understanding the current problems and for planning the future transportation policy/network in Yangon. The evidence from these surveys are expected to contribute to the data-based approach in the urban transportation planning and decision-making process in Myanmar.

Journal ArticleDOI
TL;DR: • Approximately, 50% of the values of the Global Hunger Index are derived from non-hunger elements, by its original definition.

Journal ArticleDOI
TL;DR: Showing the four dimensions of participation in each step of the action research process, promoting participation of various stakeholders improved disabled people's living conditions and enhanced their empowerment.
Abstract: This study examines the participation of stakeholders, including disabled people, in disability and community issues in rural areas in Sri Lanka. As a conceptual framework, four dimensions of participation in community-based rehabilitation (CBR) are summarised from previous research. This research was mainly conducted in the model administrative division of the national CBR programme in Anuradhapura district. An action research approach was applied in March 2013, which consisted of eight steps. The study used data from the hearing survey on disabled children under 18 years old (n=103), semi-structured interviews with disabled people (n=20), focus group discussions with participants of community workshops (n=34) and social services officers (n=5) separately, and the authors’ field notes, amongst others. Data were analysed with a qualitative procedure, except for quantitative data. Showing the four dimensions of participation in each step, we found promoting participation of various stakeholders improved disabled people’s living conditions and enhanced their empowerment. The study also revealed elements that were significant in promoting participation through the action research process: key persons, information and network, utilising existing local resources, dialogue in meetings, and multisectional practice. Finally, we discuss the theoretical implications of this research.

Journal ArticleDOI
TL;DR: To assess the rate of cesarean delivery and its indications at public emergency obstetric care hospitals in a district in Bangladesh, a large number of hospitals in the district are EmOCs.

Journal ArticleDOI
TL;DR: The Kilimanjaro Agricultural Training Center (KATC) extension approach has disseminated cultivation techniques for irrigated rice across Tanzania as discussed by the authors, which was greatly simplified for the dissemination of NERICA1 that was recently released for rainfed rice fields.
Abstract: The Kilimanjaro Agricultural Training Center (KATC) extension approach has disseminated cultivation techniques for irrigated rice across Tanzania. KATC provides training to extension officers and key farmers (KFs). It also helps subsequent farmer-to-farmer (FTF) extension from KFs to intermediate farmers (IFs) and then to other farmers (OFs). The long-term intensive training for irrigated rice was greatly simplified for the dissemination of NERICA1 that was recently released for rainfed rice fields. While the original approach involves a 12-day residential training and a season-long field follow-up, the simplified one only provides a 2-day residential training. Here, we investigated the extent to which the simplified approach diffused NERICA1. The FTF extension worked almost theoretically from KFs to IFs but not from KFs/IFs to OFs over three cropping seasons. However, the number of OFs gradually increased with little intervention, suggesting that this approach should have some mechanism that enco...

Journal ArticleDOI
TL;DR: The findings suggest that people in the healthy village project site have higher self-efficacy, especially those with active participation in the health committee activities, and to recruit more participants in future healthy village projects, consider the gender and level of education, and match the perceived benefits of participants accordingly.
Abstract: An assessment of self-efficacy and social capital may have the potential to detect an effect of dynamic, complex and comprehensive collective actions in community-based health promotion. In 2003, a healthy village project was launched in Santa Cruz, Bolivia with technical assistance from the Japan International Cooperation Agency (JICA). The originally developed FORSA (Fortalecimiento de Redes de Salud) model accounted for participatory processes in which people could improve their health and well-being through individual behavioral changes and family/community-driven activities. This study aimed to examine the extent of self-efficacy and social capital obtained via project activities by a cross-sectional analysis. We randomly selected 340 subjects from the healthy village project site and 113 subjects from a control area. Both groups were interviewed using the same structured questionnaire. Self-efficacy was assessed with a General Self-Efficacy Scale (GSES), while social capital was measured as the frequency of formal group participation in community meetings during the past three months, perceived social solidarity, and general trust. The study results showed that the participants in the project site had higher self-efficacy and social capital compared to those in the control site. The number of times a subject participated in the health committee activities was positively associated with the self-efficacy scale. Regarding social capital, females and lower-educated people were more likely to have had more frequent participation in formal groups; males and higher-educated participants showed less formal group participation, but more generosity to contribute money for the community. The main perceived benefit of participation in formal group activities varied among individuals. The findings suggest that people in the healthy village project site have higher self-efficacy, especially those with active participation in the health committee activities. To recruit more participants in future healthy village projects, we should consider the gender and level of education, and match the perceived benefits of participants accordingly.

Journal ArticleDOI
TL;DR: Twenty-three strains of acetic acid bacteria were isolated by an enrichment culture approach from fruits, flowers, mushrooms, and fermented rice products collected in Thailand and assigned to the genus Acetobacter and examined taxonomically for 16S rRNA gene and groEL gene sequences.
Abstract: Twenty-three strains of acetic acid bacteria were isolated by an enrichment culture approach from fruits, flowers, mushrooms, and fermented rice products collected in Thailand. All were assigned to the genus Acetobacter and examined taxonomically for 16S rRNA gene and groEL gene sequences. Based on analysis of 16S rRNA gene and groEL gene sequences, the strains isolated were divided into ten groups: Group 1 comprised four isolates identified as A. tropicalis, Group 2 consisted of three isolates identified as A. indonesiensis, Group 3 had two isolates identified as A. persici, Group 4 was two isolates (A. orientalis), Group 5 was one isolate (A. cibinongensis), Group 6 contained three isolates (A. pasteurianus), Group 7 was one isolate of A. papayae, Group 8 was two isolates identified as A. fabarum, Group 9 was one isolate of A. okinawensis, and Group 10 was four isolates identified as A. ghanensis.

Journal ArticleDOI
TL;DR: High priority should be placed on measures to tackle undernutrition and micronutrient deficiencies including iron deficiency in SA and some countries in SEA and WA; overweight and obesity in WA and CA; and dietary risks among RAW, in most Asian regions.
Abstract: Changes in lifestyle have led to better nutrition or increasing the risk of NCDs in Asia, while there are still many children and reproductive-aged women (RAW) suffering undernutrition whose lives are at risk in the same region. The MDG of reducing the prevalence of underweight <5 children to half has been achieved already or nearly achieved in many Asian countries, whereas South Asian (SA) countries and several other countries (Cambodia, Laos, East Timor and Yemen) have difficulties in achieving the goal by 2015. In particular, East Timor and Yemen are in a critical situation with undernutrition. There is a strong concern about a rapid increase in overweight and obesity rates in West Asian (WA) and some Central Asian (CA) countries. Iron deficiency is one of the most important risk factors that threaten healthy life among RAW especially in SA, followed by Southeast Asia (SEA) and CA. The same issue is observed among children (1-4 y) in the same regions. Dietary risks (based on DALYS) increase with advancing age in most Asian regions whereas high Body Mass Index is the most important risk factor in WA and some CA countries. High priority should be placed on measures to tackle undernutrition and micronutrient deficiencies including iron deficiency in SA and some countries in SEA and WA; overweight and obesity in WA and CA; and dietary risks among RAW, in most Asian regions.