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Abstract Background Africa is the global region where modern-slavery is most prevalent, especially among women and girls. Despite the severe health consequences of human trafficking, evidence on the risks and experiences of trafficked adolescents and young women is scarce for the region. This paper addresses this gap by exploring the intersections between violence, migration and exploitation among girls and young women identified as trafficking survivors in Nigeria and Uganda. Methods We conducted secondary analysis of the largest routine dataset on human trafficking survivors. We used descriptive statistics to report the experiences of female survivors younger than 25 years-old from Nigeria and Uganda. We also conducted 16 semi-structured interviews with adolescents identified as trafficked in both countries. We used thematic analysis to explore participants’ perceptions and experiences before, during and after the trafficking situation. Results Young female survivors of human trafficking in Nigeria and Uganda are exposed to a range of experiences of violence before migration, during transit and at destination. The qualitative data revealed that children and adolescents migrated to escape family poverty, violence and neglect. They had very low levels of education and most had their studies interrupted before migrating. Family members and close social contacts were the most common intermediaries for their migration. During transit, sexual violence and hunger were common, especially among Nigerians. Participants in both the quantitative and qualitative studies reported high levels of violence, deception, coercion, withheld wages and poor working conditions at destination. The adolescents interviewed in the qualitative study reported severe mental suffering, including suicide attempts. Only one reported the prosecution of perpetrators. Conclusions Our findings suggest that interventions to prevent or mitigate the negative impact of adverse childhood experiences can contribute to preventing the trafficking of adolescents in Nigeria and Uganda. These interventions include social protection mechanisms, universal access to education, social service referrals and education of parents and carers. Importantly, effective prevention also needs to address the systemic conditions that makes trafficking of female adolescents invisible, profitable and inconsequential for perpetrators.

Emergency care occurs on a continuum. Developing prehospital emergency care systems that are integrated with in-hospital emergency care systems can be a sustainable and effective way to help address the large morbidity and mortality of acute disease in Africa. Unfortunately, development of such prehospital systems across Africa has been slow to progress for many reasons, including feared cost implications, no agreed optimal system structure and function, and poor advocacy. In November 2013, the African Federation for Emergency Medicine (AFEM) convened a second expert and stakeholder meeting in Cape Town, South Africa, with the objective of reaching consensus on a few position statements to facilitate advocacy and to guide the development of emergency care in Africa. The objective of this paper is to report the outputs and position statements emerging from the AFEM Out-of-Hospital Emergency Care Workgroup consensus process. The term “Out-of-Hospital Emergency Care” was agreed by consensus and defined by the Workgroup as a suitable umbrella term for use in Africa that refers to the full spectrum of emergency care that occurs outside healthcare facilities. Critical components of this system were defined, including first responder care (tier-one) systems, and prehospital care and emergency medical services (tier-two) systems. The Workgroup provided a practical, adaptable and flexible set of guidelines and expert recommendations to facilitate advocacy and development of out-of-hospital emergency care systems in needy African settings. Future directions of the AFEM Out-of-Hospital Emergency Care Workgroup include creating an online Toolkit. This will serve as a repository of template documents to guide implementation and development of clinical care, education, transportation, public access, policy and governance.

Abstract Background The emergence and rapid spread of gram-negative bacteria resistant to carbapenems among newborns is concerning on a global scale. Nonetheless, the pooled estimate of gram-negative bacteria resistant to carbapenem that cause neonatal sepsis in developing nations remains unknown. Thus, this study aimed to determine the combined prevalence of gram-negative bacteria resistant to carbapenem in African newborns who were suspected of having sepsis. Methods All studies published from January 1, 2010, up to December 30, 2023, from PubMed, Science Direct, Scopus electronic databases, and the Google Scholar search engine were researched. Isolates tested for carbapenem from neonates with sepsis, English language papers conducted in Africa, and cross-sectional and cohort studies papers were included. Using PRISMA guidelines, we systematically reviewed and meta-analyzed studies that assessed the prevalence of carbapenem-resistant gram-negative bacteria. The “Joanna Briggs Institute” was used critically to evaluate the quality of the included studies. The data analysis was carried out using STATA™ version 17. Heterogeneity across the studies was evaluated using Q and I 2 tests. The subgroup analysis was done and, funnel plot and Egger’s regression test were used to detect publication bias. A sensitivity analysis was conducted. Results All 36 studies were included in the meta-analysis and systematic review. The pooled prevalence of carbapenem resistance in Africa was 30.34% (95% CI 22.03–38.64%). The pooled estimate of gram-negative bacteria resistant to imipenem, and meropenem was 35.57% (95% CI 0.67–70.54%) and 34.35% (95% CI 20.04% – 48.67%), respectively. A. baumannii and Pseudomonas spp. had pooled prevalence of 45.9% (95% CI 33.1–58.7%) and 43.0% (95% CI 23.0–62.4%), respectively. Similarly, Pseudomonas spp. and A. baumannii also exhibited strong meropenem resistance, with a pooled prevalence of 29.2% (95% CI 4.8–53.5%) and 36.7% (95% CI 20.1–53.3%), respectively. E. coli and K. pneumoniae were the two most common isolates. Conclusion There should be urgent antimicrobial stewardship practices, strengthened surveillance systems and effective treatment for neonates with sepsis. There was remarkable variation in resistance across the continent.

In the context of an increasing number of doctoral studies on the African continent, there is a paucity of research examining the daily relationship between supervisors and doctoral students in Francophone sub-Saharan Africa. Consequently, the experience of doctoral students in this field is under-debated, under-questioned, under-analysed and under-taken into account. This is despite the fact that it is central to the success or failure of the thesis process. This paper aims to reflect on postgraduate study conditions in the context of the relationship between supervisor and candidate in francophone West Africa. A qualitative study based on conversational interviews with PhD students and supervisors, was conducted at the University of Abomey-Calavi, the main public university in Benin, with 58 doctoral programmes, and statistical data issued by the university analyzed. The paper examines the conditions of suffering at various levels for PhD candidates, the asymmetrical power relation between supervisors and candidates and silo’s logics which driven them. The paper demonstrates how the thesis process is complex as asymmetrical, power and conflict-prone. It also point that de the nature of doctoral work, doctoral students are exposes to various psychological, psychic and mental pressures that supervisors have to manage.

Gender equality is a prevailing global discourse and is particularly critical for Africa a continent drowned in patriarchy. Attempts are continually being made especially by gender inequality-conscious leadership in Africa to adopt international policies and implement national policies to promote gender parity. While African countries attained different levels of progress towards gender parity with these policies, the coronavirus pandemic that began in 2019 introduced another dimension to the gender equality debate globally. This study using the qualitative research method through pieces of literature analyzed the impact of COVID-19 on gender equality in Africa. It explored the potential for attaining gender equality in Africa by the years 2030 and 2063, as outlined in the Sustainable Development Goals and Agenda 2063, respectively It examined how COVID-19 exacerbated the inequalities amongst genders in comparison with the state of gender equality before COVID-19. The study further evaluated the role of COVID-19 in the state of affairs of gender roles, especially in attaining gender equality. The paper went ahead to discuss how gender equality can be improved during a crisis. The paper argued that the pandemic had magnified and exacerbated gender disparities in Africa, affecting various aspects of women’s lives. Furthermore, it was discovered that this effect has caused setbacks in the advancement towards SDGs 2030 and Agenda 2063. Issues such as gender-based violence, female genital mutilation, and maternal mortality rates have experienced a notable increase. Therefore, in addressing these disparities, the paper recommends countries build equitable healthcare systems, create gender-disaggregated data production, implement policies to support women in the formal sector in managing remote work while balancing their domestic responsibilities and adopt gender budgeting practices.

Abstract This study contributes to income equality (IE) literature by examining four important issues. First, the study examines the effects of foreign bank presence (FBP) on IE. Second, the paper identifies the minimum threshold level of FBP which can lead to IE. Third, the effect of economic freedom on IE was investigated. Fourth, the paper determines whether economic freedom interacts with FBP to minimise IE. The findings are based on macro data for 33 African countries from 1995 to 2020. The findings from the two-stage system generalised method of moment indicate that unconditionally, FBP reduces income inequality. Also, results from the threshold effect reveal that whilst FBP reduces income inequality, if it exceeds 52%, it may contribute to it. Additionally, the study reveals that economic freedom dampens IIE. Furthermore, economic freedom conditions FBP to reduce IE. Based on these findings, policymakers are advised to exercise caution in attracting foreign banks and to promote local financial institutions. Policymakers are also advised to implement policies to promote economic freedom.

The article focuses on the role of id papers in the lives of African refugees on their way to and in Israel. In the article, I discuss the way in which documents both encapsulate the past and relations and therefore enable one's future, as much as they monitor and control the everyday lives of displaced persons. I therefore wish to examine the complex relationships between persons, documents and institutions, and the way power is manifested through them. In the article I thus show how refugees are not only helpless, but to an extent also ones who can together with others shape and change the face of their present and future.

Abstract Background Anthrax is a zoonotic disease that is still regarded as a public health issue in developing nations. This paper aims to discuss the epidemiology of anthrax in Africa, the current outbreaks in Ghana and Nigeria, clinical presentations, diagnosis, and treatment of anthrax, challenges associated with the transmission of the disease to both countries and recommendations to reduce this current outbreak and curb future outbreaks in Africa. Main body of the abstract Online databases (PubMed, and Google Scholar) and Nigeria Ministry of Agriculture report were used to provide detailed information on the paper. On June 1, 2023, two suspected human cases of anthrax were reported, via a letter sent to all stakeholders in the country, with one death in Binduri District, Upper East region of Ghana. The cases were due to the consumption of dead cattle. Four cattle were reported dead at the time, and eleven suspected human cases were identified through contact tracing. Afterward, on July 17, 2023, the Federal Ministry of Agriculture and Rural Development of Nigeria announced the first case of anthrax disease in Nigeria. The National Veterinary Research Institute confirmed the case from samples collected from a suspected livestock farm in Niger State, Nigeria. No human case has been reported. Short conclusion Anthrax poses significant challenges to public health and requires cooperation between nations, especially in regions like Ghana and Nigeria, where animal movement and ecological changes can impact disease transmission. Challenges attributed to the spread of anthrax in both countries were discussed, focusing on the role of government and the general public in addressing this public health concern. Given the endemicity of certain transboundary animal diseases such as anthrax in sub-Saharan Africa, the control of animal movement across intra- and international borders in the region needs to be tightened. Regulations governing the transboundary movement of animals should be based on the World Organisation of Animal Health Terrestrial Code and should be strictly enforced to prevent ongoing and future outbreaks in Africa.

Water and climate change are inherently linked because climate change complicates existing problems related to access to clean water, such as civil conflicts hindering access to water sources, underdeveloped infrastructure, overpopulation, and wastewater pollution. Relying on the basic factors of securitization theory, the paper examines the possibilities of the securitization process in solving problems caused by climate change. For the case study, vulnerable countries in Sub-Saharan Africa were selected and analysed in relation to the issue of insufficient drinking water. The lack of drinking water, caused by various factors, means that demands for water resources and human consumption are disproportionate. Dominant problems African countries face include drought, floods, and water pollution, as evidenced by examples from South Africa, Tanzania, Chad, Madagascar, Kenya, Malawi, and Ghana. The paper concludes that despite the measures taken and certain progress, African countries do not meet all the conditions suggested by securitization, and furthermore, they lack the means to finance such endeavours. In the foreseeable future, addressing the problem within a regional framework and cooperation among African countries in that format show greater potential for resolving this complex problem.

Electoral violence has become a recurring challenge in Africa, posing a significant threat to democracy, political stability, and human security. This paper explores the relationship between state security and electoral violence in the African context and draws valuable lessons for Ghana. The objectives of this study include investigating the causes and dynamics of electoral violence in Africa, analyzing the role of state security agencies in preventing and mitigating electoral violence, assessing lessons that Ghana could learn from other African countries' experiences, and proposing recommendations to enhance state security and prevent electoral violence in Ghana's Fourth Republic. The paper adopted an explanatory sequential mixed method design. The approach combined the quantitative data analysis and qualitative data collection through literature reviews, interviews, and focus group discussions. By identifying causes and dynamics of electoral violence, assessing the performance of state security agencies, and drawing lessons from successful strategies employed in other African countries. The aim of the study is to add to the existing literature the development of effective measures for ensuring peaceful and fair elections in Ghana. The results reveal a positive and direct relationship between electoral violence and democratization. Furthermore, the research discloses a positive and direct relationship between electoral violence and state security. Finally, the results reveal that state security has an intermediating effect between electoral violence and democratization. The research findings will inform policymakers, election officials, and relevant stakeholders in designing strategies to reduce electoral violence and promote democratic processes in Ghana and across the African continent. Based on these, the study recommends the provision of trusted security, a constitutional review, and an increment of trust in the electoral space.

This paper examines humanitarianism in the “Global South” through engaging with resilience projects in the Sahel and Lake Chad Basin (LCB) in Africa. It addresses how recent humanitarianism has moved away from top-down interventions which sought to either intervene to save those that have been rendered as “bare life” (Agamben, 1998: 4) by their own governments or improve the state’s —especially “fragile” and “failing” ones— capacity to govern, towards society-based projects which seek to produce resilient subjects. While previous accounts of security and development emphasized why fragile states and authoritarian regimes could constitute a threat to their people and the international system, society, or community, where justifications for interventions were based on their flouting of specific international norms and conventions. In contrast, recent humanitarianism has become less targeted at regime change as was evident with the reluctance that followed the unproductive cases in Afghanistan, Iraq, and Libya where assumptions that regime change, or democracy promotion could achieve or promote the ends of liberal governance. Moving away from these statist focus, post-intervention has moved towards strengthening the capacities of communities to withstand shocks, adapt and self-transform their own the broader social milieu. My contention is that the move towards resilience is not only an acknowledgement of the cognitive imperfections of the liberal subject but more importantly (Chandler, 2013b), it raises questions about historical claims concerning “liberal” and “illiberal” subjecthood. These imperfections have historically been reserved for non-whites and non-Europeans since the Enlightenment, i.e., issues related to (ir-)rationality and (un-)reason; the homo economicus is a myth after all (Thaler and Sunstein, 2009; Chandler, 2013a). By moving away from humanitarian activities that require intervention to post-intervention, which involves claims about the subject’s internal capacity to “self-govern” (Chandler, 2012; Chandler, 2013a), migration, development and security have become closely intertwined with some suggesting a migration-development-security nexus where humanitarian aid serves the purpose of accomplishing global governance of complexity (Stern and Öjendal, 2010; Truong and Gasper, 2011; Deridder et al., 2020). While useful, this paper problematizes this understanding of resilience which concerns itself with the biopolitics of enhancing life’s capacity to self-govern by unpacking the various ways in which “resilience processes are marked by inequities and by the consequences of a history of the coloniality of power, oppression, and privilege” (Atallah et al., 2021: 9), especially in the Global South. In particular, the move towards resilience has entailed further incursions into people’s lives such that various rationalities and techniques of governmentality target the population which may raise further questions when these populations are those of other countries or within regions that have a history of colonisation and subjugation. By reconceptualising biopolitics as racial biopolitics and by decentring the state and instead looking at assemblages, i.e., a multiplicity of actors and rationalities and technologies, and practices which function as totalities and produce passive or active agents with or without capacity for resistance, Deleuze and Guattari’s concept of agencement which is translated to English as “Assemblages”, is useful to capture the rationalities and techniques of resilience projects in the Sahel and LCB. I reconceptualise this powerful concept as “racialised assemblages,” made up of a set of “racial components” that produce “racialised ensembles,” i.e., a multiplicity of actors, rationalities, and technologies which attempt to interpellate subjects within these spheres of influence. This paper shows how resilience-building projects by Western state and non-state actors such as the United Kingdom, France and the EU and other humanitarian actors such as the International Organization for Migration (IOM) within the Sahel and the LCB are both exclusionary and raced and how these attempts seek to exploit the historical infantilization of the non-white subject or subjectivity within these regions. Engaging with humanitarian activities in the Sahel and LCB, the paper argues that through racialised and exclusionary racial biopolitics which function through racialised assemblages, European humanitarian aid and assistance through upstreaming border control management such as biometrics, exploit and sustain colonialities that seek achieve European outcomes abroad. While projects such as migration and border control in the Niger-Nigeria border through biometric management and development projects that seek to address the “root causes” of insecurity, underdevelopment and forced displacement are promoted as humanitarian issues and are facilitated through development aid, such racialised discourses and practices are a continuation of racist historical depictions associated with whiteness and non-whiteness which made assumptions about humans, the environment, and the relationship between the two. For those who emerged in European discourse as lacking the capacity to transform their environment, access to full personhood was either denied or delayed which could be found in recent attempts to interpellate persons and communities in the Sahel and LCB as “vulnerable” and “poor”, and states as “fragile” or “failing” to highlight their deficient resilience and how this could impact on other developed populations or countries who have achieved better resilience. For example, attempts to regularize various forms of desirable movements and criminalise others within the Sahel and LCB could be viewed as attempts to control those viewed as potentially risky to European security interests. For example, border policing and management posts in Konni-Illela and Eroufa in the Tahoua Region of Niger which both seek to manage and control movement across the Niger-Nigeria border are promoted as enhancing Niger’s own border management policy while it was set up through collaborative humanitarian efforts of various actors and was funded by the Bureau of International Narcotics and Law Enforcement Affairs (INL) of the U.S. Department of State (IOM, 2023). This paper shows how these all constitute racialised biopolitical assemblages which attempt to govern complexity within the African context which is a continuation of various historical colonialities where their inherent infantilizing tendencies assume the incapacity of full self-governance, and self-transformation; they perpetuate colonialities which within the Sahel, may stifle other possibilities of non-Western resilience such as those associated with human relationality where the definitions of the human and the environment may be different and their relationship may be more complex. It becomes necessary to problematize the various resilience projects, including those that have explicit humanitarian dimensions such as “assistance” and “aid” by asking critical questions about what they do which could expose the ways in which those that experience them may resist these attempts. Further research should investigate the l ways in which individuals and communities in the Sahel interact with these resilience projects and how various so-called African partners —state and non-state— who play integral roles in facilitating and implementing them become positioned and how they position themselves. Such research could adopt focus groups, in-depth interviews, or ethnographic methods to capture ways in which resilience projects are engaged with, modified, or even resisted by those who emerge as targets of European post-interventionist racial biopolitics.

(1) This research paper aims to conduct a comprehensive review of the existing scientific literature on intentional dental modifications within the African population. By synthesizing and analysing studies, this paper aims to shed light on the prevalence, cultural significance, and forensic implications of intentional dental modifications. (2) A scoping review was conducted according to PRISMA for Scoping Reviews and a search performed in June 2023 on the three electronic databases Scopus, PubMed, and Web of Science. (3) The search resulted in 30 studies and showed that intentional dental modifications, also referred to as nontherapeutic dental modifications, are prevalent across the African population for reasons linked to traditional medicine, ethnic affiliation, and individualism, with the highest-reported modification being infant oral mutilation at 53%, followed by tooth filing at 10%, and others such as lip plates, diastema piercings, dental avulsion, dental tattooing, crowns, and oral piercings. (4) The quality and quantity of the available literature on intentional dental modifications in the African population is limited due to bias in reporting, as most studies are those of individuals with severe health complications. The data gathered from this study could further aid in the analysis and identification of nontherapeutic dental modifications, be used in profiling, and assist in the estimation of population affiliation.

Abstract Background Women in Africa are experiencing a rising burden of endometrial cancer. Research and investment to improve treatment and outcomes are critically needed. We systematically reviewed and characterized endometrial cancer-related research within a clinically relevant context to help organize and assess existing endometrial cancer research in Africa. Methods According to PRISMA guidelines, we searched online databases for published endometrial cancer articles from African countries from January 1, 2011, to July 20, 2021. Based on our inclusion and exclusion criteria, independent reviewers documented the study design, country/region, human development index, focus of research, type of interventions performed, and histologic and molecular type to illustrate the breadth of research coverage in each region. Results A total of 18 research articles were included. With an average Human Development Index (HDI) in Africa of 0.536, the average HDI of the represented countries in this study was 0.709. The majority (88.9%) of prospective endometrial cancer research articles in Africa were from North Africa, with Egypt encompassing 83.3% of the papers. Most of these studies focused on endometrial cancer diagnosis. Research on the treatment of endometrial cancer is still emerging (33% of papers). Of all included articles, only 11.1% represented Sub-Saharan Africa, where the majority population of black Africans reside. Conclusions Endometrial cancer research in Africa is extremely limited, with the majority being concentrated in African countries with higher HDIs. As the incidence of endometrial cancer rises in Sub-Saharan Africa, there is a pressing need for more prospective clinical research to tackle the growing disease burden and improve outcomes.

Times of crisis provide the opportunity to question the behaviour of socioeconomic agents and specific phenomena around economic growth’s resilience. Hence, this paper relies on econometrics to analyse the data compiled from secondary sources mainly available within the World Development Indicators to comparatively examine foreign investors’ behavioural shifts in Eastern Europe and Africa during significant crises that the world faced during the last two decades. The aim is to identify, through their impacts, the above behavioural shifts and thereby assist policymakers in advancing policies strengthening and nurturing foreign direct investments’ “FDI” resilience and maintenance during and post-crises. It was uncovered that foreign investors appear to reduce their exposure during crises in Eastern Europe and Africa. The decrease in inflows seems to be higher in Eastern Europe than in Africa. However, the change in net FDI effects on infrastructure, trade openness, and economic growth is more significant in African economies. It is therefore believed that, to nurture FDIresilience or maintenance post-crisis, lawmakers should infer policies supporting the reduction of FDI outflows, the development of infrastructure, the improvement of trade openness, and ultimately advancing a sustainable FDI agenda. Through an empirical analysis of the effects that crisis periods have on FDI in Eastern Europe and Africa, the paper gives suggestions regarding policies that encourage fostering FDI resilience and maintenance in these regions. However, while future research may build on the above, there is a need to particularly investigate how sustainable instruments may support FDI resilience during crises.

Abstract Background Biobanking and genomic research requires collection and storage of human tissue from study participants. From participants’ perspectives within the African context, this can be associated with fears and misgivings due to a myriad of factors including myths and mistrust of researchers. From the researchers angle ethical dilemmas may arise especially with consenting and sample reuse during storage. The aim of this paper was to explore these ethical considerations in the establishment and conduct of biobanking and genomic studies in Africa. Methods We conducted a narrative synthesis following a comprehensive search of nine (9) databases and grey literature. All primary research study designs were eligible for inclusion as well as both quantitative and qualitative evidence from peer reviewed journals, spanning a maximum of 20 years (2000–2020). It focused on research work conducted in Africa, even if data was stored or analysed outside the region. Results Of 2,663 title and abstracts screened, 94 full texts were retrieved and reviewed for eligibility. We included 12 studies (7 qualitative; 4 quantitative and one mixed methods). Ethical issues described in these papers related to community knowledge and understanding of biobanking and genomic research, regulation, and governance of same by research ethics committees, enrolment of participants, types of informed consents, data collection, storage, usage and sharing as well as material transfer, returning results and benefit sharing. ca. Biospecimen collection and storage is given in trust and participants expect confidentially of data and results generated. Most participants are comfortable with broad consent due to trust in researchers, though a few would like to be contacted for reconsenting in future studies, and this would depend on whether the new research is for good cause. Sharing data with external partners is welcome in some contexts but some research participants did not trust foreign researchers. Conclusion Biobanking and genomic studies are a real need in Africa. Linked to this are ethical considerations related to setting up and participation in biobanks as well as data storage, export, use and sharing. There is emerging or pre-existing consensus around the acceptability of broad consent as a suitable model of consent, the need for Africans to take the lead in international collaborative studies, with deliberate efforts to build capacity in local storage and analysis of samples and employ processes of sample collection and use that build trust of communities and potential study participants. Research ethics committees, researchers and communities need to work together to work together to adapt and use clearly defined ethical frameworks, guidelines, and policy documents to harmonize the establishment and running of biobanking and genomic research in Africa.

There are many dimensions to conflict in Africa. It depends on the nature of the underlying demography, heterogeneity, and historical context of the state’s social and political problems. The impact of the coronavirus has greatly affected the socioeconomic structure and governance system in Africa, leading to social conflicts. Moreover, the social conflict led to deaths, job losses, and human capital reductions, resulting in economic catastrophes in South Africa, Egypt, and Ethiopia, among others. In Nigeria, the government was unable to cushion the impact of Covid-19, frustrated by the issues of poverty and inequality, wherein the masses were pounded with hunger and insecurity; a corrupt policing system precipitated the social unrest in 2020. Nigeria’s social issues, coupled with the shock of Covid-19, cumulated into protest actions, looting, and police brutality. The government’s inadequate response to the political crisis and state of unrest greatly influenced the public’s belief and outlook on social concerns. The research postulates the following question: how did the social conflict in Africa and Nigeria become overheated during Covid-19? The paper adopts a qualitative method that explores existing literature and media sources on social conflicts and Covid-19 in Africa and Nigeria. The study anchors its theoretical framework on the fragile state theory. The paper concludes that Nigeria’s weakened socioeconomic structure met with the shock of the horror of Covid-19, which sparked social conflict in the country.

Malnutrition is a major global challenge. Multiple forms, from underweight to obesity, exist, and several forms coexist within communities and households. Traditional food markets, also known as wet, local, or informal markets, are widespread in sub-Saharan Africa (SSA) and are a key place where people buy and sell food and socially interact, especially those vulnerable to malnutrition. As such they are vital to food and nutrition security. While it is recognized that gender is an important consideration in food and nutrition security, very little has been published in peer reviewed journals, with respect to gender and traditional food markets in SSA. This mini review aims to explore the nexus role of traditional food markets and gender in food and nutrition security. This study presents a narrative literature review, informed by literature identified in a systematic manner. Four databases were searched for key terms, including nutrition, different forms of malnutrition, gender, traditional food markets, and vendors. The papers provided insight into two main topics pertaining to the role of traditional food market practices, gender, and food and nutrition security. While few papers were identified in this mini review, they illustrated insightful nuances into traditional food markets, gender, and food and nutrition security. There is a need for explicitly framed gender studies that can better inform the limited existing knowledge of the experiences of gender and nutritional security of women and men in traditional food markets in SSA.

Despite the agribusiness industry's potential, it is still characterised by a high level of conventional means of production, denying it numerous opportunities along the value chain in Africa. Meanwhile, adopting modern means of production using digital innovations can boost farmers' efficiency. Given the relevance of digital innovations within the agribusiness industry, the current paper gives an overview of digital innovations in the agribusiness industry, particularly in Africa, by synthesising existing literature on digital innovations to consolidate scattered ideas and give recommendations for practice and future studies. The PRISMA technique was adopted to synthesise 47 existing relevant articles from the Scopus database. Bibliometric tools such as VOSviewer and R-Package-Bibliometrix were used to analyse the data. From the results, most papers on African digital innovations emanated from a journal with a broader scope—Sustainability Journal (Switzerland). Most of the funding for digital innovation studies in agribusiness was sponsored by foreign donors outside the African Continent, with the Consortium of International Agricultural Research Centers in France sponsoring the most research. Based on the publication synthesis and the trend of publications, five themes, namely, digital innovations in the agricultural value chain, training and skills development through digital innovations, digital finance innovations in agribusiness, precision digital innovations: agribusiness survival, and drivers of digital innovation adoption in agribusiness were identified. From the results, digital agribusiness innovations in marketing, production, and finance have been profound in Africa, though they are skewed towards a few South, West, and North African countries. Meanwhile, the drivers and challenges of digital innovations in Africa have been mainly social, economic, political, and institutional factors. Given the results, it is recommended that, since most of the studies were primarily sponsored by foreign governments, thus betraying the commitment of the African continent's readiness to transform the agribusiness sector via innovation and technology, African Governments, first, and second, non-governmental organisations and other agricultural donors should prioritise the digitalisation of the agriculture sector by integrating them into economic development plans and making relevant resources available to all actors from upstream to downstream.

African development is defined by a number of meta-trends, including climate disruption, digitalisation, informalisation, regionalisation and most recently the impacts of the coronavirus disease 2019 (COVID-19) pandemic. The paper under consideration here is informed primarily by two of these: regionalism and the COVID-19 pandemic. Africa, or at least parts of it, have been severely affected by pandemics in recent decades. At the same time deepening regionalisation allows for more coordinated and effective actions to mitigate their worst effects. However, to date, regional integration efforts have not generally delivered desired results, and in the area of Health Science Research (HSciR) specifically, which is the area of focus for this paper. This important paper considers the nature of current activities in relation to health research by regional organizations on the continent. It provides a baseline study and incipient manifesto for increased effectiveness and greater contribution in the area of HSciR on the continent.

This paper introduces the monographic issue of Linguistic Typology at the Crossroads entitled “Language contact and non-convergent change: cases from Africa”, edited by Pierpaolo Di Carlo and Pius W. Akumbu. After briefly outlining non-convergent change under contact with a special attention to African settings, it deals with the fact that the languages discussed in the monographic issue have been spoken for generations in contexts of small-scale multilingualism. This is a key aspect to consider since small-scale multilingualism is a type of multilingualism that is overall little known as to its possible effects at the level of language change. The paper then addresses methodological aspects related to the study of non-convergent change in contact situations and introduces the novel concept of “correlated dissimilarity”. A call for the collection of new and more comprehensive data in the field as the only possible way to test the hypotheses raised in this volume concludes this introduction.

This systematic literature review explored the application of Ubuntu, an African philosophy, in business contexts. Ubuntu has been increasingly recognized for its potential to advance positive outcomes in various settings. However, despite its growing prominence, a comprehensive understanding of Ubuntu's antecedents, descriptors and consequences is still required. This paper analyzed existing articles, using a thorough search strategy to identify relevant literature. The findings of this paper reveal that the most ubiquitous precursors of Ubuntu in businesses are a mandate for corporate social responsibility and cultural diversity. A business culture of fairness was found to be the most prevalent driver of implementing this philosophy. Conversely, individualism was determined to be the prevailing inhibitor of Ubuntu. Humanness and interdependence were found to be the most frequently used descriptions of Ubuntu in the included articles. Increased collaborative decision-making and better stakeholder relations are the most common outcomes found. This study concludes with managerial implications and recommendations for future research.

Development economists have preached that functioning warehouse receipt systems (WRSs) will help smallholder African farmers access loans to help reduce poverty and enhance financial inclusion. Unfortunately, many reviews of African country WRSs have concluded that anticipated benefits are not accruing to smallholder farmers. Given the theoretical case and positive experience elsewhere, this paper meticulously reviewed reports that WRSs are not working in the interest of African farmers to identify the challenges. Then, several scenarios in respect of use of WRSs were formulated and analysed for Ghana and Uganda. Scenarios include paying/not paying collateral management fees, grading/not grading maize, using/not using warehouse receipts (WR) as collateral, using community warehouses, etc. Malawi and Zambia are also discussed. The paper concludes that the potential for positive impact of WRSs on the lives of smallholder African farmers exists. However, it is necessary to structure WRSs to suit the situation of smallholder African farmers. The key to profitably implementing WRSs in Africa is not to blindly replicate WRSs as implemented in other jurisdictions. Important African specific context ingredients include focusing on community warehouses rather than commercial warehouses, not focusing on grading of grains and not implementing full-scale collateral management arrangements.

In the course of its postcolonial development, the African continent has faced many challenges, ranging from socio-economic crises to political instability and the proliferation of terrorism. The lack of security, which remains a source of constant concern for Africans, and the gradual disengagement of the international community, primarily the United Nations (UN), from armed involvement in the resolution of military conflicts on the continent in the 1990s, led to the emergence of the concept of “African solutions to African problems.” The phrase, which reflects the determination of Africans to solve their problems without the participation of external actors, has become a source of their pride; however, the possibility and ability of the inhabitants of the continent to implement this approach still raises justified doubts for a number of reasons that are to be discussed in this paper. The concept of “African solutions to African problems” has now become the main principle that determines the level and nature of the peacekeeping activities of the African Union (AU) and African regional blocs; the verbal adherence of the AU member states to this maxim has been noted by many Russian and foreign researchers. However, a comprehensive analysis of the reasons for the unsuccessful implementation of this concept has not yet been carried out by Russian scholars, so the present article aims to fill this gap. In particular, the paper examines attempts of Africans to solve their problems in the field of security independently. The study allows us to claim that the African continent, primarily due to its insufficient integration and lack of consensus on a number of issues of political development and security, is not yet ready to carry out full-fledged peacekeeping operations without external support, although the gradual acquisition of relevant experience, the decrease in economic dependence on the West, and the diversification of foreign policy will contribute to laying a solid foundation for the idea of “African solutions to African problems.”

This study examines the causal relationship between informality and globalisation in 30 African countries. It deviates from traditional research by adopting a bi-directional framework to address reverse causality. By applying the DH causality method in both linear and nonlinear frameworks, this research challenges the assumption of a linear relationship and finds that the causal structure is better explained within a nonlinear asymmetric context. This paper provides recommendations based on the identified causal relationships. For countries in which globalisation leads to informality, such as Angola, Congo, Guinea, Gambia, Mozambique, Sierra Leone, Tunisia, Tanzania, Uganda, Zambia, and Zimbabwe, the paper suggests policy measures to integrate the informal sector into the formal economy. These measures include designing programmes to facilitate transition, implementing skill development initiatives, and establishing support mechanisms for entrepreneurship and small businesses. Additionally, this paper advises the development of social safety nets, improved market access, effective monitoring and regulation mechanisms, education on the benefits of globalisation, and international cooperation. For countries experiencing positive shocks from informality to globalisation, this paper recommends targeted support programs for entrepreneurship, initiatives to formalize the sector, the enhancement of market access, and skill development tailored to the needs of the informal sector. These policy recommendations aim to capitalize on the positive shocks in informality by fostering entrepreneurship, formalization, market access, and skill development. In the case of negative shocks in globalisation leading to positive shocks in informality, the paper suggests implementing resilience-building policies for the informal sector during economic downturns, establishing social safety nets, and adopting flexible labour policies.

This paper examines the impact and implications of ChatGPT and other generative AI technologies within the African context while looking at the ethical benefits and concerns that are particularly pertinent to the continent. Through a robust analysis of ChatGPT and other generative AI systems using established approaches for analysing the ethics of emerging technologies, this paper provides unique ethical benefits and concerns for these systems in the African context. This analysis combined approaches such as anticipatory technology ethics (ATE), ethical impact assessment (EIA), and ethical issues of emerging ICT applications with AI (ETICA) with specific issues from the literature. The findings show that ChatGPT and other generative AI systems raise unique ethical concerns such as bias, intergenerational justice, exploitation of labour and cultural diversity in Africa but also have significant ethical benefits. These ethical concerns and benefits are considered crucial in shaping the design and deployment of ChatGPT and similar technologies responsibly. It further explores the potential applications of ChatGPT in critical domain areas such as education, agriculture, and healthcare, thereby demonstrating the transformative possibilities that these technologies can have on Africa. This paper underscores the critical role of AI governance as Africa increasingly adopts ChatGPT and similar AI systems. It argues that a comprehensive understanding of AI governance is essential not only for maximising the benefits of generative AI systems but also for facilitating a global dialogue. This dialogue aims to foster shared knowledge and insights between the Global North and the Global South, which is important for the development and creation of inclusive and equitable AI policies and practices that can be beneficial for all regions.

Abstract The relationship between external debt and economic growth has been extensively studied by researchers and policymakers. However, the link between external debt and domestic investment remains an underexplored area of research. Therefore, this paper investigates the nexus between external debt and domestic investment, using institutional quality as a moderator. The sample consists of 47 sub-Saharan African countries with data spanning from 1996 to 2021. The empirical findings from conventional and robust estimators indicate that external debt negatively and significantly hampers domestic investment, while institutional quality plays a significant moderating role in this relationship. Additionally, the benefits of debt can only be realized by the SSA region when the average quality of institutions is above − 1.174 on the scale of − 2.5 to 2.5. The in-depth analysis offers insights that high-quality institutions (above a certain threshold) can help countries leverage debt for positive outcomes by promoting efficient resource allocation and attracting further investment. Thus, policymakers are advised to uphold debt management strategies and institutional reforms, such as reducing corruption, improving property rights, and strengthening the rule of law, to ensure transparency in debt use and maintain a sustainable debt burden. This will create a more attractive environment for both domestic and foreign investment. The results remain robust to alternative methodologies.

Context and background Multidimensional Poverty (MP) considers poverty in multiple dimensions of deprivations such as health, education, energy, the standard of living and access to basic services. MP remains a major challenge in Africa, with a large proportion of the population living in MP. According to United Nations Development Programme (UNDP), Africa has shown the highest Multidimensional Poverty Index (MPI) having over 40% of its population living in MP. Goal and Objectives: This paper is a review, aimed at assessing the potential of the integration of satellite and Artificial Intelligence (AI) in mapping MP, with a specific focus on Africa. Methodology: Based on the reviews of past studies, the combination of satellite data such as nighttime light, daytime satellite imagery and high-resolution settlement data in combination with techniques such as field surveys, statistical correlation models (transfer learning) and AI (deep learning) has been applied in mapping MP. Results: The findings from studies show that the combination of satellite data and AI has the capability of providing more accurate and granular MP maps, compared to the traditional approach. Again, this paper explains the concept of MP with a specific focus on Africa and presents a map depicting the current MPI in African countries. Finally, pitfalls especially in the accuracy, granularity and frequency of MP data were identified. Consequently, the satellite and AI approaches are recommended for more accurate, frequent, cost-effective and granular data, required in mapping poverty and design of interventions that effectively address the needs of the vulnerable populations in Africa.

BackgroundClinical research and epidemiological studies have shown that many women experience physical and behavioral symptoms that begin during the luteal phase of the menstrual cycle and terminate around the onset of menses; this is called premenstrual syndrome. The reviews stated that the pooled prevalence of premenstrual syndrome was around 50 percent. However, there has been no review done on premenstrual syndrome in Africa. Therefore, the aim of this systematic review and meta-analysis was to summarize the most recent data evidence on the pooled prevalence of premenstrual syndrome and its pooled effect of associated factors in Africa.MethodWe used an appropriate guideline for systematic reviews and meta-analyses reports, which is the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This review protocol was registered in PROSPERO (CRD42023414021). The publications were identified from PubMed/Medline, EMBASE, Scopus databases, and other grey searches. The included papers were the original data that reported the prevalence of premenstrual syndrome and associated factors published, in English, and papers available online from January 1, 2000, to May 30, 2023. The data was extracted in Microsoft Excel, and then it would be imported into STATA 11.0 for analysis.ResultsWe have included 16 studies conducted in African countries with 6530 study participants. In this meta-analysis, the pooled prevalence of premenstrual syndrome among the reproductive-age participants in Africa was 46.98 (95% CI: 28.9–65.06%). Further, in subgroup analysis, the pooled prevalence of premenstrual syndrome was 57.32% in Nigeria, 43.8% in Ethiopia, and 38.6% among university students and 66.04% among secondary school students. Among associated factors, the early age of menarche was significantly related to premenstrual syndrome.ConclusionIn this review, the pooled prevalence of premenstrual syndrome in Africa was high. Among factors, the early age of menarche was a risk factor for premenstrual syndrome. This finding might help the stakeholders (mental health policy makers, administrators, and mental health professionals) to address prevention, early screening, and management of PMS among reproductive-age women, and to give attention to more vulnerable bodies.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier CRD42023414021.

AbstractThis paper examines the micro-level link between migrant remittances and state legitimacy. The paper argues that there are two theoretical channels through which remittances may ultimately erode state legitimacy. First, remittance income earners may use remittance income to bribe state institutions, and thus may feel that they do not need to abide by the laws those state institutions enact. Second, remittances provide funds for political mobilization and thus may enhance uprisings against autocratic states. I test these claims using individual-level pooled data from 3 rounds of the Afrobarometer surveys. For the quantitative analysis, I use multiple linear regression, propensity score matching, and an informal method of testing for omitted variables bias. Overall, the findings of the study show that remittance-receiving Africans hold de-legitimizing behavior towards the state.

AbstractIs there any possibility that foreign aid may negatively affect African social ties? To answer such a question, this paper examines the impact of local Chinese aid projects on social capital in Africa. China or Chinese contractors directly control or operate Chinese projects in Africa. This feature may disengage Africans from participating in their own local development activities. Likewise, China gives unconditional aid, which may nurture corruption. By creating losers and winners, corruption may make people unhappy. Because of these features, Chinese aid projects may hinder the formation of social capital. This paper puts this claim to an empirical test using data from the Afrobarometer surveys and AidData. Conditional on a set of controls, I find several interesting results. First, Chinese aid is negatively associated with generalized trust. Second, Chinese aid projects are related to disengagement from associational life. Third, no similar pattern is found when the main analysis is replicated on aid from the World Bank. Finally, neither the Chinese nor the World Bank’s aid is related to subjective wellbeing. The results suggest that Chinese aid may wither local social ties through social disengagement. Overall, the findings imply that it is vital to engage local citizens in the design and implementation of Chinese aid projects.

Global warming and rapid population growth are two of the most pressing issues in today’s world. There is growing evidence of rising temperatures. The urban heat island effect is a significant environmental issue facing cities today. Although this issue has gained much attention from developed countries, countries in Africa are yet to grapple with it on a significant scale. This paper examined the rising research dimensions and major methodological techniques in studying urban heat effects. The paper adopted a systematic review method where peer-reviewed articles formed the trajectory of debate on Urban Heat Island (UHI) in African cities. The paper finds remote sensing the most common method in analysing UHI effect than ground use technology (weather station), which is limited in spatial spread in most African countries. Urbanization and other human-induced factors majorly contribute to UHI and this has an impact on many elements of life, including morbidity, mortality, birth weight decrease, and social strife. The paper recommends research priority on UHI effect in African cities due to the rising population.

The study was centered on the main objective of examining three approaches of protection of geographical indications which trademark system, sue generis system and the unfair competition system. This paper is intended to study various approaches of legal framework for protection of geographical indications as applied in different countries with the view of ascertaining the strength and weakness of each approach in order to recommended the right approach for Tanzania. The main problem which prompted the study is results from flexibility of the system for protection of geographical indications allowed by the WTO Agreement on Trade Related Aspects of Intellectual Property Rights of 1994. On part of methodology, the study is qualitative in nature and uses mainly secondary date derived by using documentary review of various international legal instruments, reports, legal text books, articles and conference papers based on protection of geographical indications. Data were analyzed by using content analysis in which the researcher sorted data basing on the relevancy of the content on the study objectives of the study. Generally, the findings has revealed that, apparently states protects geographical indications by using trademark laws, sue generis or specific laws and unfair competition system. However, the more comprehensive and effective approach that Tanzania can adopt is the sue generis system because it provided for specific standards for protection of geographical indications which cannot be mixed with trade mark or competition laws.

In recognition of the work that Ilse Feinauer has done for the development of translation studies in Africa, this paper considers the position of translation studies on the continent. It proposes a comparative approach to translation studies on the continent to counter the two extremes of universalism and provincialism in the field of study. After considering some of the epistemological problems that translation studies faces in Africa, the paper suggests that a complex adaptive systems approach linked to a semiotic conceptualisation of translation allows for this kind of comparative approach. The paper concludes with some suggestions about the nature of comparative work in translation studies.

The following is an expanded version of an interview with Marcus Rediker, a shortened version of which was first published in Pittsburgh City Paper. This new version also includes additional material supplied by Marcus Rediker.

This paper examines the liberal society that Popper lauds, that aims to be truly open, and discusses why another, more communitarian kind of society, particularly societies in Africa, may also reflect the quest for intellectual openness that is Popper’s ideal. Moreover, this paper avers reasons why Popper should be comfortable with such a liberal-communitarian mix. The inter-subjectivity in his critical rationalism is a balance of an explicit individualism, and an implicit social element (Afisi, 2016a). Popper is indeed an author of such a balance. For a society to be truly open requires the careful recognition and protection of individual freedom. However, the extent to which individuals are free to perform actions that they desire without external constraints, and the level of their individuality in relation to others when performing such actions, remain a contentious issue between liberals and more communitarian thinkers. Popper’s critical rationalism provides the necessary impetus to this contention through his view of freedom that I contend can best be viewed as carefully balanced, a view which combines individuality with a social element that upholds community values necessary for openness of society. With this combination, Popper’s politics of liberalism provides an effective model of how a truly open society can be achieved. The values inherent to Popper’s liberalism including those concerning intellectual openness, individual freedom, mutual respect, measured self-respect, welfarism, humanitarianism, accountability, critical debates and feedback from the citizens, together concern the conditions for a society to be truly open. There are many competing thoughts as to what openness might be in Popper’s philosophy. The present study of Popper does not presume to address them all. The focus here is specifically on using Popper’s idea of critical rationalism to balance relations between liberal politics of individual rights and freedom, and communitarian politics of the common good, as it relates to situations about how socio-economic and political conditions in Africa societies should be structured. While I contend that Popper’s works in political philosophy focused centrally on Western political tradition, and not about Africa in its strict sense, significant lessons can be distilled from Popper that can offer suggestions on social reforms in Africa. This paper explores Popper’s project of the open society across the plurality and differences of societies, so that his liberal ideas of individual freedom are not undermined, and the progress of the communitarian idea of the common good, that Africa societies are built upon, is also well enhanced. Liberal individualism and community values inherent to communitarianism are both well accommodated within Popper’s critical rationalism.

AbstractAfrica has recently focused on an ambition to achieve digital transformation through the pursuit of various flagship initiatives which are aimed at achieving its ‘Agenda 2063’ objectives. Digital transformation will be better achieved through appropriate cyber governance policies and mechanisms, and the success of Africa’s Digital Transformation Strategy 2020-2030 hinges on diverse factors. According to the Strategy, African governments have a fundamental responsibility to create an enabling environment, with policies and regulations that promote digital transformation across foundation pillars, which include cybersecurity. The Strategy also stipulates the need to reinforce the region’s human and institutional capacity to secure the cyberspace by building trust and confidence in the use of cyber technologies. The aim of the paper is to examine Africa’s cyber governance agenda in relation to peace and security. While there are political dimensions to determining the thresholds of such discourses in Africa, the uncertainties of governance mechanisms, political underpinnings and limitations in digital capacity may mean that international standards of cyber governance have merely been theoretical in the African context. The paper examines Africa’s extant policies and political strategies for cyber governance, and the region’s interaction with international cyber governance processes. The paper further discusses the prospects and challenges to cyber governance in the region, and the approaches to leveraging international cooperation in promoting cyber stability in the region.

Even though witchcraft may not be scientifically proven, it is a widely believed phenomenon in Ghana and other parts of the world. The issue of witchcraft has attracted scholarly attention because it affects the society in diverse ways. This paper contributes to the discussion by offering a theological reflection on the subject from a Ghanaian Christian perspective. The paper used a mixed research methodology involving an empirical approach and a literature review. Primary data were collected through participant observations and personal interviews involving five people selected from different Christian denominations and different geographical locations in Ghana. The secondary data for the research were gathered from books, articles, dissertations and Bible commentaries. The paper argued for the reality of the existence of the phenomenon of witchcraft and encouraged the Ghanaian church to take the issue seriously in its theological, and pastoral ministry. The church is encouraged to help believers practicalize their authority over witchcraft based on Christ’s victory over Satan and his host.

Purpose – This paper investigates the impact of institutional factors on financial deepening and its implications on bank credit in Africa. Design/methodology/approach – The paper employs different panel econometric models to examine the heterogeneity of 50 African countries from 2000 to 2019. The estimators include panel corrected standard errors, system generalized method of moments, quantile and threshold regressions. Findings – The results show that rule of law, regulatory quality, government effectiveness, voice and accountability, control of corruption and political stability significantly influence financial deepening in Africa. However, government effectiveness has a higher effect on middle- and high-income countries, while other indicators have a high impact on low-income countries. All institutional indicators have stronger effects, almost double, at higher financial depth levels than for countries with lower levels. Government effectiveness and regulatory quality impact financial deepening more for countries with strong institutions than weak ones. Thus, the relationship between institutional qualities and credit provided by banks is non-monotonic. Practical implications – The findings suggest that strengthening appropriate institutional factors based on country heterogeneity may effectively stimulate debt financing in Africa, the primary source of financing for small and medium-sized enterprises and entrepreneurs. Originality/value – The novelty of this paper is that previous studies did not sufficiently scrutinize the heterogeneity of the structure of African economies – i.e. differences in institution, credit and income levels.

Abstract Background The emergence of coronavirus disease 2019 (COVID-19) pandemic has brought an unprecedented burden on health systems and personnel globally. This pandemic potentially can result in increased frequency of stress and burnout experienced among healthcare workers (HCWs), especially in lower-and-middle-income countries with inadequate health professionals, yet little is known about their experience. This study aims to describe the range of research evidence on occupational stress and/burnout among HCWs compounded by the COVID-19 pandemic in Africa, as well as identify research gaps for further investigations to inform health policy decisions towards stress and/burnout reduction in this era and when a future pandemic occurs. Method Arksey and O’Malley’s methodological framework will be used to guide this scoping review. Literature searches will be conducted in PubMed, CINAHL, SCOPUS, Web of Science, Science Direct, and Google Scholar for relevant articles published in any language from January 2020 to the last search date. The literature search strategy will include keywords and Boolean and medical subject heading terms. This study will include peer-reviewed papers about Africa, with a focus on stress and burnout among HCWs in the COVID-19 era. In addition to the database searches, we will manually search the reference list of included articles as well as the World Health Organization’s website for relevant papers. Using the inclusion criteria as a guide, two reviewers will independently screen the abstracts and full-text articles. A narrative synthesis will be conducted, and a summary of the findings reported. Discussion This study will highlight the range of literature HCWs’ experience of stress and/or burnout including the prevalence, associated factors, interventions/coping strategies, and reported effects on healthcare services during the COVID-19 era in Africa. This study’s findings will be relevant to inform healthcare managers plan to mitigate stress and/or burnout as well prepare for such future pandemics. This study’s findings will be disseminated in a peer-review journal, scientific conference, academic and research platforms, and social media.

Entrepreneurship plays an important role in employment, income generation, food security, empowerment, job creation, and productivity growth in Africa. However, many businesses in Africa are heavily dependent on foreign direct investment and channels both for inputs and markets and lack economic resilience and diversification. Consequently, the complete lockdown and frontier closure due to the COVID-19 pandemic resulted in a deteriorating impact on its formal and informal economic activities. The purpose of the paper is therefore to examine the challenges and responses of the African economy to COVID-19 and if the contextualized entrepreneurship approach is important in the post-COVID recovery and growth in Africa. The paper used secondary data collected through a systematic and contextual review of the latest publications and reports. The findings show that Africa is challenged with a lack of managerial skills, infrastructure, capital markets, access to finance, and incentives for entrepreneurship. Moreover, a realistic, contextualized, and sustainable trajectory recovery and development plan is critical to tackle the scale and depth of the COVID-19 challenges in Africa. In this regard, this paper provides important recommendations for African-oriented entrepreneurship development pathways and policies. This will have important implications for the post-COVID-19 recovery and the growth of entrepreneurship in Africa.

While incidents of xenophobia, or the occurrence thereof, in some parts of South Africa, are both deplorable and deeply reprehensible, it is important never to ignore the political factors that perpetuate them. Using the interpretive method, this article drew on the literature to present or reinterpret the story of Noah’s Ark in Genesis 6:13-9:29 and the Great Commission of Matthew 28:16-20 in a way that is aimed at defusing xenophobia in South Africa. The Missio Politica as used in this paper provided a missiological framework in which political factors perpetuating xenophobia were seen as an obstacle to the goals of the Missio Dei, particularly the complete redemption of humanity. This paper argued that the continued unlawful imposition of international sanctions against some African countries such as Zimbabwe and, moreover, the lack of refugee camps in countries such as South Africa significantly exacerbates the problem of xenophobia. Consequently, pursuant to defusing xenophobia in South Africa, this paper calls for a renewed mission that includes rejecting unlawful sanctions against African countries and establishing refugee camps not only in South Africa but in all African countries.

Article 43 of the African Charter on the Rights and Welfare of the Child mandates state parties to report on their efforts made towards implementing treaty provisions to the African Committee on the Rights and Welfare of the Child (ACERWC). The aim of this process is to afford states an opportunity to internally assess their progress and to grant the ACERWC an opportunity to guide states in the implementation of the treaty provisions through constructive dialogue during the state reporting process and through concluding observations which states are required to implement. While much has been written about the value of the state reporting process, not much has been said about the measures taken by states to implement the concluding observations from the state reporting process. The concluding observations offer a premise on which to advance a discourse on state implementation of the regional norms, given that they emanate from an incisive reflection of state parties' reports by the ACERWC. This paper finds that while the ratification of the African Children's Charter by the countries under consideration has led to normative and institutional changes in these countries, there are pertinent challenges that need to be addressed in the realisation of children's rights in Africa. Through the concluding observations, this paper examines the domestic implementation of children's rights in four African countries, namely: Kenya, Nigeria, South Africa and Egypt.

Fiscal decentralization, widely believed to be one essential tool to boost economic growth, is typically presented as something that works for developed countries. However, this needs to be investigated, which is what this paper aims to do. This paper investigates the relationship between fiscal decentralization and economic growth, specifically focusing on its applicability in both developed and developing countries. Using cross-sectional data from 23 African and 23 OECD countries, we employ two-stage estimation methods, including two-stage least squares (2SLS), Generalized Method of Moments (GMM), and Limited Information Maximum Likelihood (LIML), to address concerns related to endogeneity. The inclusion of instruments representing country size, ethnoreligious diversity, and administrative structure enhances the analysis. The dependent variable is based on average values for the five-year period between 2015 and 2019, while the explanatory variables are derived from data in 2017, representing the midpoint of the 2013–2021 period. The results highlight the effectiveness of the 2SLS method in estimating the relationship between fiscal decentralization, control variables, instrument variables, and per capita GDP. Empirical findings indicate significant positive impacts of both expenditure decentralization and revenue decentralization on per capita GDP, holding true for both developed and developing countries, with a slightly stronger effect observed in the latter. These results underscore the potential benefits of fiscal decentralization across diverse economies and offer valuable insights for policymakers.The study uses cross-sectional data from 23 African and 23 OECD countries and applies two-stage estimation methods to effectively address the endogeneity issue in the modeling. A variety of such methods in two-stage least squares (2SLS), Generalized Method of Moments (GMM), and Limited Information Maximum Likelihood (LIML) are applied and compared against the ordinary least squares (OLS) method. Variables that represent the size, the ethnoreligious diversity and the type of administrative structure of the countries are employed as instruments. The 2SLS method proved to excellently estimate the relationship between the fiscal decentralization terms as well as other control and instrument variables and the per capita GDP. The findings from the empirical analysis showed that both expenditure decentralization and revenue decentralization have significant positive impacts on per capita GDP of a country. This relationship holds not only for developed countries but also for developing ones, even to a slightly better degree in the latter.

Abstract Background Systemic lupus erythematosus (SLE) is a life-threatening, chronic, autoimmune disease requiring long term subspecialty care due to its complex and chronic nature. Childhood-onset SLE (cSLE) is more severe than adult-onset, and the cSLE population in South Africa has been reported to have an even higher risk than patients elsewhere. Therefore, it is critical to promptly diagnose, treat, and manage cSLE. In this paper, we aim to describe and evaluate barriers and enablers of appropriate long-term care of cSLE South Africa from the perspective of caregivers (parents or family members). Methods Caregivers (n = 22) were recruited through pediatric and adult rheumatology clinics. Individuals were eligible if they cared for youth (≤ 19 years) who were diagnosed with cSLE and satisfied at least four of the eleven ACR SLE classification criteria. Individual in-depth, semi-structured interviews were conducted between January 2014 and December 2014, and explored barriers to and facilitators of ongoing chronic care for cSLE. Data were analyzed using applied thematic analysis. Results Four barriers to chronic care engagement and retention were identified: knowledge gap, financial burdens, social stigma of SLE, and complexity of the South African medical system. Additionally, we found three facilitators: patient and caregiver education, robust support system for the caregiver, and financial support for the caregiver and patient. Conclusion These findings highlight multiple, intersecting barriers to routine longitudinal care for cSLE in South Africa and suggest there might be a group of diagnosed children who don’t receive follow-up care and are subject to loss to follow-up. cSLE requires ongoing treatment and care; thus, the different barriers may interact and compound over time with each follow-up visit. South African cSLE patients are at high risk for poor outcomes. South African care teams should work to overcome these barriers and place attention on the facilitators to improve care retention for these patients and create a model for other less resourced settings.

Abstract Anthropogenic climate change has an unprecedented impact on ecosystems and their services, with severe consequences for human well‐being, particularly for the marginalised and vulnerable members of society in the Global South. The well‐being of communities relies not only on material and regulating services ecosystems provide but also on non‐material services. In this paper, we unravel the diverse ways that climate change impacts affect Nature's Contributions to People (NCP) and the well‐being of rural populations in four sites in Madagascar—a biodiversity hotspot but one of the economically poorest countries in the world. We conducted participatory community workshops, mapping and semi‐structured interviews with local residents across social subgroups to understand the mechanisms of climate‐related degradation and the resulting impacts on different dimensions of human well‐being through an NCP lens. We found that non‐material services are generally more often associated with well‐being effects. Climate change degrades material and non‐material services through sea level rise, biodiversity loss, drought, precipitation and temperature variability, with consequences for materials, companionship and labour, food and feed, and physical and psychological experiences. Loss of land and forests is expressed through ecological grief. The outcome of our research provides evidence‐based information to local policymakers, conservation practitioners, and climate change agencies. This information can help improve government efforts toward holistic conservation and climate change adaptation by addressing the impacts on the physical and mental well‐being of the most vulnerable communities. Read the free Plain Language Summary for this article on the Journal blog.

Migration at international level is a global phenomenon. In recent years the world experienced the highest number of people who migrated abroad. For example, in 2020 approximately 3.6% of global population were international migrants. This was the highest proportion of the global population registered in the last thirty years. The paper analyses some general aspects of international migration. There are detailed migration patterns in various regions such as America, Europe, the Asia-Pacific region, and Africa. Based on the data provided can be drawn some policy implications. Countries of destination should apply policies in order to facilitate the integration of migrants and should provide labour market regulations.

Abstract Ports play a significant role in facilitating international trade and economic development, serving as vital gateways for the movement of goods across the continent and beyond. As global trade volumes continue to rise, efficient port operations hold the potential to not only enhance economic growth but also contribute significantly to job creation across various sectors of the economy. This paper examines the impact of container port throughput on employment in Africa and further tests whether causality runs from employment to container port throughput. To do so, we use a sample of 27 African countries with seaport and data spanning the period from 2010 to 2020 for the analysis. The system- Generalized Method of Moments (SGMM) estimation technique is used as the estimation strategy. We use service, industrial, and total employment percentages of the total population as proxies for employment while annual container throughput measured in Twenty foots Equivalent Units (TEUs) is used as an indicator for port throughput. Based on the empirical results, we establish a positive significant effect of port throughput on employment in Africa. We further show that bidirectional causality exists between port throughput and employment in Africa. Following these findings, we recommend policies that increase port throughput in Africa.

Abstract Introduction In December 2019, the COVID-19 pandemic highlighted the urgent need for rapid collaboration, research, and interventions. International research collaborations foster more significant responses to rapid global changes by enabling international, multicentre research, decreasing biases, and increasing study validity while reducing overall research time and costs. However, there has been low uptake of collaborative research by African institutions and individuals. Aim To systematically review facilitating factors and challenges to collaborative surgical research studies conducted in Africa. Methodology A meta-research review using PubMed®/MEDLINE and Embase on surgical collaboration in Africa from 1st of January 2011 to 31st of September 2021 in accordance to PRISMA guidelines. Surgical studies by collaborative groups involving African authors and sites were included (55 papers). Data on the study period, geographical regions, and research scope, facilitating factors, and challenges were extracted from the studies retrieved from the search. Results Most of the collaborations in Africa occurred with European institutions (76%). Of the 54 African countries, 63% (34/54) participated in surgical collaborations. The highest collaboration frequency occurred in South Africa (11%) and Nigeria (8%). However, most publications originated from Eastern Africa (43%). Leveraging synergies between high- and low- to middle-income countries (LMICs), well-defined structures, and secure data platforms facilitated collaboration. However, the underrepresentation of collaborators from LMICs was a significant challenge. Conclusion Available literature provides critical insights into the facilitating factors and challenges of research collaboration with Africa. However, there is a need for a detailed prospective study to explore the themes highlighted further. Systematic review registration PROSPERO 2022 CRD42022352115 .

The history of North Africa has been always tightly connected to events occurring in Eurasia. Human migrations in both directions are well-documented in written sources and archaeological records. To gain a comprehensive understanding of historical processes, it is essential to study the remains of individuals who inhabited this region during various time periods. A lack of cranial metric data on the Medieval population of North Africa impedes thorough investigation of the population history of the region. This paper presents a craniometric study of the sample from the Southern necropolis at Deraheib. This study contributes to filling the existing void in the understanding of the Medieval population of North Africa. According to written sources, the site was a center of gold mining, known as the city of al-Allaki, dated to the 9th to 15th centuries AD. The city attracted a diverse population seeking economic opportunities. Besides this, Al-Allaki served as an important point on the caravan route which was utilized by merchants and pilgrims traversing the Nubian Desert on their way to Jeddah. The study analyzes cranial metrics of a total of 23 individuals (14 male and 9 female) skulls recovered from the southern necropolis Deraheib sample and employs 55 linear dimensions, following Martin's/Howells craniometric protocol as well as some additional measurements. Statistical analyses were performed using the R language packages and the Multican software. Our results revealed heterogeneity of the sample in male and female parts of the sample at the intragroup level: an observation aligning with existing archaeological and historical evidence. The limited size of the sample warns against any firm conclusions regarding affinities of the Deraheib population. Our intergroup comparison has shown that the cranial sample from the Southern Necropolis of the Deraheib site displays morphological features that are more similar to neighboring Caucasoid populations rather than equatorial groups from East Africa.