Digital Commons Network^™

Two Stories About Skin Color And International Human Rights Advocacy, William J. Aceves

Faculty Scholarship

Color is an important but underdeveloped designation in international law. It is identified as a protected category in several human rights documents. Despite its status as a protected category, there is no definition of color in these documents.

In the absence of an established definition, race is often used as a proxy for color. Yet, there is growing skepticism within the human rights community about the legitimacy of using racial categories to distinguish human beings. While race and color are often used interchangeably, it is important to treat color as a distinct category. Race and color do not always match. …

Mathematics Education In A Multilingual And Multicultural Environment, Anjum Halai, Richard Barwell

Book Chapters / Conference Papers

No abstract provided.

Akhuwat Issue No. 98, Aga Khan University

AKHUWAT Newsletters

• Dr Sadia Rasul receives Order of British Columbia
• Dr Bhutta receives CPBC's Professional of the Year Award
• AKU and DW sign a memorandum of understanding to develop world-class professional development programmes
• Farewell to Dr Greg Moran and Dr Yasmin Amarsi
• A time to bid farewell
• Leadership workshop to accelerate reduction of maternal and newborn deaths
• Africa's First Ladies visit AKUH Heart and Cancer Centre
• Enhancing Research Ethics Committee Reaccredited
• First PGME Open Day in East Africa
• Grid Station to meet University's future needs
• AKU-EB Middle School Programme Developing 21st Century Skills
• AKU-EB's unwavering commitment to education
• The Spirit of Service! …

Proceedings Of The African Pathologists Summit; March 22-23, 2013; Dakar, Senegal: A Summary, Shahin Sayed

Pathology, East Africa

Context: This report presents the proceedings of the African Pathologists Summit, held under the auspices of the African Organization for Research and Training in Cancer.

Objectives: To deliberate on the challenges and constraints of the practice of pathology in Sub-Saharan Africa and the avenues for addressing them.

Participants: Collaborating organizations included the American Society for Clinical Pathology; Association of Pathologists of Nigeria; British Division of the International Academy of Pathology; College of Pathologists of East, Central and Southern Africa; East African Division of the International Academy of Pathology; Friends of Africa-United States and Canadian Academy of Pathology Initiative; International Academy …

Psychobiobehavioral Model For Preterm Birth In Pregnant Women In Low- And Middle-Income Countries, Shahirose S. Premji, Ilona S. Yim, Aliyah Dosani (Mawji), Zeenatkhanu Kanji, Salima Sulaiman, Wangira Musana, Pauline Samia, Kiran Shaikh, Nicole Letourneau

School of Nursing & Midwifery, East Africa

Preterm birth (PTB) is a final common outcome resulting from many interrelated etiological pathways; of particular interest is antenatal psychosocial distress (i.e., stress, anxiety, and depression). In LMI countries, both exposure to severe life stressors and rate of PTB are on average greater when compared with high-income countries. In LMI countries women are exposed to some of the most extreme psychosocial stress worldwide (e.g., absolute poverty, limited social resources). High prevalence of antenatal stress and depression have been observed in some studies from LMI countries. We propose a psychosocial, biological, and behavioral model for investigating the complex multisystem interactions in …

Birth Preparedness And Complication Readiness – A Qualitative Study Among Community Members In Rural Tanzania, Furaha August, Andrea B. Pembe, Edmund Kayombo, Columba Mbekenga, Pia Axemo, Elisabeth Darj

School of Nursing & Midwifery, East Africa

Background: Birth preparedness and complication readiness (BP/CR) strategies are aimed at reducing delays in seeking, reaching, and receiving care. Counselling on birth preparedness is provided during antenatal care visits. However, it is not clear why birth preparedness messages do not translate to utilisation of facility delivery. This study explores the perceptions, experiences, and challenges the community faces on BP/CR.

Design: A qualitative study design using Focused Group Discussions was conducted. Twelve focus group discussions were held with four separate groups: young men and women and older men and women in a rural community in Tanzania. Qualitative content analysis was used …

From A-Town To Atl: The Politics Of Translation In Global Hip Hop Culture, Holger Droessler

Journal of Hip Hop Studies

This article examines the linguistic and cultural tensions in global Hip Hop culture through an analysis of the performance of Gsann, an emcee from the Tanzanian Hip Hop crew X Plastaz, at the 2009 Black Entertainment Television (BET) Hip Hop Awards in Atlanta. Gsann's rhymes in Swahili, his emphasis on religion, and his global travels distinguished him from his African American colleagues in the cipha. At the same time, the decision by the BET producers to translate Gsann's Swahili rhymes into English has to be seen within the longer history of cultural and linguistic politics in Tanzania and the United …

Examining The Craniofacial Biomechanics Of Paranthropus Boisei, Amanda L. Smith

Legacy Theses & Dissertations (2009 - 2024)

An engineering method, finite element analysis (FEA), was used to examine the craniofacial biomechanics of Paranthropus boisei. The craniofacial morphology of Paranthropus boisei exhibits a number of highly derived characteristics that have commonly been thought to be related to feeding. This series of studies includes an ex vivo strain gage study (validation of techniques), an assessment of the effects of intraspecific craniofacial shape variation in chimpanzees (Pan troglodytes), and an examination of the feeding biomechanics of Paranthropus boisei. Modeling experiments were also conducted to test mechanical hypotheses regarding the effects of specific derived craniofacial features on Paranthropus feeding function.

A Technical And Cultural Feasibility Assessment Of Household Microbial Fuel Cells For Use In Hanan'g District, Tanzania, Erinn Kunik

Dissertations, Master's Theses and Master's Reports

Microbial fuel cells (MFCs) are an emerging electricity generation technology that has the potential for use in developing countries. This study assessed the feasibility of using MFCs in Tanzania through technical analysis of a MFC prototype alongside with interviews with Tanzanians for a cultural feasibility assessment of MFCs. For the technical analysis, this study evaluated the inputs needed for a household MFC to operate and produce electricity with cattle manure as a fuel and evaluated the electrochemical and chemical performance as well as the fecal coliform reduction of the manure during MFC operation. For this study, a MFC was built …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Tanzania 2009–2012, Population Council, Tanzania Commission For Aids (Tacaids), Zanzibar Aids Commission (Zac), Unicef Tanzania

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Tanzania 2009–12” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

Examining Tanzania's Development Landscape, Jenna Hussein

CMC Senior Theses

This thesis will examine Tanzania’s development landscape through Amartya Sen’s perspective, as per his conception of development that is put forth in Development as Freedom. Applying Sen’s conception of development to the case of Tanzania reinforces his view that development is an intricate process that is dependent on the expansion of various freedoms. It also yields unique insights about the most pressing issues that are currently impeding progress in the country. I will first clarify Sen’s framework and provide an explanation of development that corresponds with his ideals. Next, I will assess Tanzania’s state of affairs in terms of …

Positive Youth Development In Tanzanian Youth: Utility Of The Developmental Assets Approach, Christopher Fox Drescher

Electronic Theses and Dissertations

Researchers and practitioners are increasingly interested in positive youth development (PYD), an approach that emphasizes the competencies, strengths, and responsibilities of youth from all backgrounds. This paradigm may be especially useful in research with international youth given the paucity of research on international populations and the stigma surrounding research that focuses on deficits and problem behaviors. I explore youth's developmental strengths using one PYD measure, the Developmental Assets Profile (DAP), within a diverse, national sample of Tanzanian youth. The DAP Total score, Internal and External Assets, and Context Areas all displayed acceptable internal consistencies (.94 ≥ &agr; ≥ .74). Internal …

The Use Of Improved Technology And Market-Based Incentives To Increase Forest Resource And Biodiversity Conservation In Rwanda, Kelly M. Rayens

Theses and Dissertations--Forestry and Natural Resources

This study evaluated the effectiveness of two distinct approaches to ecosystem conservation in Rwanda’s Nyungwe National Park: cookstove technology adoption and market-based policy instruments. A June 2014 survey of 250 households revealed that use of improved cookstove technology dramatically decreased fuelwood consumption for households in rural Rwanda, but that design, engineering and conflicting policy issues can hamper the widespread use of energy-efficient cooking technology. The second component of this research used the analytic hierarchy process (AHP) within a multi-criteria analysis (MCA) framework to explore the options for designing and implementing market-based instruments around the country’s conservation targets, particularly the highly …

Educational Infrastructure And Resources For Sustainable Access To Schooling And Outcomes: The Case Of Early Literacy Development In Southern Tanzania, Marriote Ngwaru, Mary Oluga

Institute for Educational Development, East Africa

Following on the 1990 and 2000 World Conferences on Education for All, African governments increased their focus on access to schooling (but not necessarily on outcomes) by providing more facilities for increased enrollments. The learning outcomes that had been neglected led to a call to focus on more sustainable access – re-examining the quality of some of those facilities against the anticipated quality of educational outcomes. Studies in Southern and Eastern Africa, including the one under discussion here, indicate that the achievement of the Millennium Development Goals (MDGs) will not rely only on school-based factors but also on the careful …

Prevalence Of Schistosoma Haematobium Infection Among School-Age Children In Afar Area, Northeastern Ethiopia, Abraham Degarege, Zeleke Mekonnen, Bruno Levecke, Mengistu Legesse, Yohannes Negash, Jozef Vercruysse, Berhanu Erko

Journal Articles: Epidemiology

In this study, the prevalence and intensity of Schistosoma haematobium infection was determined among school-age children living in the Middle and Lower Awash Valley, Afar Regional State of Ethiopia. Between February and May 2014, urine samples were collected from 885 school-age children (5-16 years of age) from the Middle (n = 632; 4 villages) and Lower (n = 253; 3 villages) Awash Valley. All samples were processed using urine filtration to detect and quantify S. haematobium eggs. In addition, a subset of the urine samples was tested for hematuria using a urine dipstick (n = 556). The overall prevalence was …

A Report From The First Regional Pain Medicine Symposia In East, Central And Southern African Region. (Ecsa-R)-“The Rhino Model In Pain Education In Africa”, Thikra Sharif, John Bugo

Anaesthesiology, East Africa

The 1st Regional pain medicine symposia were held between the 14th and 18th of November 2011 in 3 cities (Nairobi, Mombasa and Dar-es-salaam), across 2 countries, Kenya and Tanzania. It was funded by the International Association for the Study of Pain (IASP), through the IASP developing country education grant for 2011 and The Aga Khan University Hospital Nairobi (AKUHN). It was organized by faculty from the Pain Management Unit (PMU) AKUHN. The Pain medicine educators were from PMU, AKUHN and from Specialists in Pain International Network (SPIN).

The aims of the symposia were to introduce the Rhino model concept, the …

Gender Considerations Along The Hiv Treatment Cascade: An Evidence Review With Priority Actions, Melanie Croce-Galis, Jill Gay, Karen Hardee, What Works Association, Population Council

Reproductive Health

This treatment brief provides policymakers and program implementers with evidence about the impact of gender dynamics on treatment access and adherence and the gender-related gaps in treatment research and programming. It also includes priority actions that can be taken to better address gender within treatment programming and raises questions for implementation science in order to achieve the global 90-90-90 goal. This brief draws from What Works for Women and Girls: Evidence for HIV Interventions and uses the WHO treatment cascade framework to identify and analyze major gender considerations in providing antiretroviral therapy to those living with HIV in low- and …

A Due Process Balancing Act: The United States’ Influence On The U.N. Al-Qaeda Sanctions Regime, William Bartholomew

NYLS Law Review

No abstract provided.

Influence Of Saltwater Intrusion, Climate, And Development On The Ground Water Supply Of San Juan Island, Scott Joel Adolphson

All Master's Theses

Freshwater availability is a serious resource concern, due to the needs of its increasing population. This issue is especially critical in coastal regions, both due to supplying the growing number of people migrating to these areas and the higher potential for saltwater intrusion into groundwater supplies as water demands increase. This study assessed the degree of saltwater intrusion on San Juan Island, Washington, including its extent, contributing factors and the implication for the water resource availability. Results indicate that saltwater intrusion levels have not increased significantly in the study area, yet the size of the area threatened has increased. Saltwater …

Incomplete Adherence Among Treatment-Experienced Adults On Antiretroviral Therapy In Tanzania, Uganda And Zambia, Julie A. Denison, Olivier Koole, Sharon Tsui, Joris Menten, Kwasi Torpey, Eric Van Praag, Ya Diul Mukadi, Robert Colebunders, Andrew F. Auld, Simon G. Agolory, Jonathan Kaplan, Modest Mulenga, Gideon Kwesigabo, Fred Wabwire-Mangen, David Bangsberg

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objectives—To characterize antiretroviral therapy (ART) adherence across different programmes and examine the relationship between individual and programme characteristics and incomplete adherence among ART clients in sub-Saharan Africa.

Design—A cross-sectional study.

Methods—Systematically selected ART clients (≥18 years; on ART ≥6 months) attending 18 facilities in three countries (250 clients/facility) were interviewed. Client self-reports (3-day, 30-day, Case Index ≥48 consecutive hours of missed ART), healthcare provider estimates and the pharmacy medication possession ratio (MPR) were used to estimate ART adherence. Participants from two facilities per country underwent HIV RNA testing. Optimal adherence measures were selected on the basis of degree of association …

From A-Town To Atl: The Politics Of Translation In Global Hip Hop Culture, Holger Droessler

Journal of Hip Hop Studies

This article examines the linguistic and cultural tensions in global Hip Hop culture through an analysis of the performance of Gsann, an emcee from the Tanzanian Hip Hop crew X Plastaz, at the 2009 Black Entertainment Television (BET) Hip Hop Awards in Atlanta. Gsann's rhymes in Swahili, his emphasis on religion, and his global travels distinguished him from his African American colleagues in the cipha. At the same time, the decision by the BET producers to translate Gsann's Swahili rhymes into English has to be seen within the longer history of cultural and linguistic politics in Tanzania and the United …

Case Finding For Pulmonary Tuberculosis Among People Who Inject Drugs In Dar Es Salaam, Tanzania, Akash Gupta

Yale Medicine Thesis Digital Library

CASE FINDING FOR PULMONARY TUBERCULOSIS AMONG PEOPLE WHO INJECT DRUGS IN DAR ES SALAAM, TANZANIA. Akash Gupta. Jessie Mbwambo. Ibrahim Mteza. Sheela Shenoi. Barrott Lambdin. Cassian Nyandindi. Basra Ismail Doula, Said Mfaume, and Robert Douglas Bruce. Department of Internal Medicine, Yale University, School of Medicine, New Haven, CT.

Active case finding is a World Health Organization (WHO)-endorsed strategy for improving case detection of tuberculosis. Despite WHO recommendations for active case finding among people who inject drugs (PWID), there are few published studies. The historical focus of case finding has been in populations that are HIV-positive, incarcerated, or at higher occupational …

Heavy Metal Uptake By Four Plant Species: Radish, Indian Mustard, Corn, And Soybean., Oluwasogo Bolaji Alonge

Graduate Theses, Dissertations, and Problem Reports (ETD)

Metal contaminated soils are a problem throughout the world. Because metals accumulate in the food chain they have been linked to adverse human and ecosystem health. One promising approach to remediating metal contaminated soils is phytoremediation but success has been limited by an incomplete understanding of the factors that control metal uptake by plants, including the effects when more than one contaminant metal is present in the system. Metal contaminated soil for this study was collected from near Spelter in Harrison County WV, the site of a former zinc smelting site that has contaminated residential soils and stream sediments with …

Determinants Of Early Feeding Practices Among Hiv+ Mothers In Sub- Saharan Africa: A Realist Review, Camille Adrianne Pottinger

Public Health Theses

INTRODUCTION: Exclusive breastfeeding has been shown to provide many benefits that can be life saving for the infant and mother in low resource settings7. Although the potential effects of breastfeeding appear large, exclusive breastfeeding rates remain low in this area of the world, and are even lower among the HIV population8-10. It is important to understand what influences HIV + mothers to exclusively breastfeed, as well as formula feed and adhere to ARV (antiretroviral) medication while breast feeding in order to make comprehensive policy recommendations that are as culturally sensitive and practical as possible. The objective of this review is …

Factors Associated With Type 2 Diabetes Management In Santa Elena, Ecuador, Suhana Sarkar

Public Health Theses

Background: There has been a growing prevalence of diabetes in rural populations in low and middle income countries. Over a third of Ecuador’s population lives in rural areas, which tend to experience poorer health outcomes than urban areas. Therefore, the objective of this study was to examine potential risk factors associated with diabetes management in this region.

Methods: A sample of 150 diabetes patients from the Futuro Valdivia clinic in Santa Elena, Ecuador were surveyed and tested for HbA1c. The interview collected data on a variety of risk factors including diet, exercise, eating habits, food insecurity, medication usage, medication adherence, …

The Epidemiology Of Drug Use And Hiv-Related Risk Behaviors In Mwanza, Tanzania, Xulin Tan

Public Health Theses

Heroin trafficking and consumption has increased steadily over the past decade in Tanzania, but limited information regarding HIV and drug abuse exists for the city of Mwanza. Our study investigates the epidemiology of drug use, and HIV risk behaviors among drug users in the northwestern city of Mwanza. Using a combination of targeted sampling and participant referral, we recruited 480 participants in Mwanza between June and August 2014. The sample was 92% male. Seventy-nine (16.4%) of participants reported injecting heroin, while 434 (90.4%) reported smoking heroin. Housing and cohabitation status were the only socioeconomic characteristics significantly associated with heroin injection. …

Is China The Answer? The Effect Of Chinese Engagement On Economic And Human Development In Africa, Ralph Achacoso

Dissertations and Theses

Though the relationship between China and Africa dates back to the 1950s, China's ever-increasing demand for energy sources has garnered newfound attention from scholars, coinciding with the rapid expansion of the Chinese economy over the last fifteen years. In order to fuel its economic machine, China has turned to Africa, a resource-rich continent and holder of one-third of the world's oil deposits. Taking a unique approach that blurs the line between aid, trade, and investment, China‘s search for resource security has injected new life into Africa‘s developmental efforts. To Africa's benefit, the relationship has boosted African trade volumes, productivity, physical …

Stigmatized Sites And Urban Brownfield Redevelopment, Joel B. Eisen

Law Faculty Publications

This chapter addresses the "stigmatized sites" located in urban areas in the United States and Europe and the "brownfields" redevelopment programs aimed at removing the stigma and promoting remediation and reuse of these sites. Although the European Union has put regulatory frameworks in place, the United States has led the global effort to address brown fields redevelopment, and the discussion in this chapter will focus on American models for brown fields remediation and reuse.

Perceptions Of The Preparedness Of Medical Graduates For Internship Responsibilities In District Hospitals In Kenya: A Qualitative Study, Patricia Muthaura, Tashmin Khamis, Mushtaq Ahmed, Syeda Ra’Ana Hussain

Obstetrics and Gynaecology, East Africa

Background: Aga Khan University is developing its undergraduate medical education curriculum for East Africa. In Kenya, a 1 year internship is mandatory for medical graduates’ registration as practitioners. The majority of approved internship training sites are at district hospitals. The purposes of this study were to determine: (1) whether recent Kenyan medical graduates are prepared for their roles as interns in district hospitals upon graduation from medical school; (2) what working and training conditions and social support interns are likely to face in district hospital; and (3) what aspects of the undergraduate curriculum need to be addressed to overcome perceived …

The Effect Of Mulch And Watering On Tomato Yields And Potential For Adoption During The Dry Season In Nanjara Village, Tanzania, Emily A. Okal

Graduate Student Theses, Dissertations, & Professional Papers

No abstract provided.