Cerebral palsy is a major cause of disability and most survivors are left with residual disability and are dependent on parents/caregivers for essential care. This study aimed to determine the experiences of parents/caregivers of cerebral palsy children receiving out-patient physiotherapy. A concurrent mixed methods was used to collect data in the present study. The modified caregiver strain index (MCSI-13) was used to detect Disturbed sleep, Inconvenient/Tiresome, Physical strain, Confining, Family changes, Changes in personal plan, Other demands, Emotional adjustments, Upsetting behavior, Patient has changed, Work adjustments, Financial Strain and Feeling Overwhelmed (strain morbidity) in 25 parents/caregivers of CP children. A purposive sample of 25 parents/caregivers was selected for both the quantitative part and qualitative part of the study. The study was conducted at Community Based Intervention Association Out-patients at the University Teaching Hospital in Lusaka, Zambia. The MCSI was used to collect quantitative data and in-depth interviews provided the qualitative data. The median age of the participants was 33.6 years and a range of 27 to 50 years. The study sample consisted of more females (92%) than males (8%). being overwhelmed and inconvenient/tiresome followed by family adjustments and work adjustment 72 and 68% respectively for each were the experiences mostly highlighted by the parents/caregivers in this study. When it came to the needs of the parents/caregivers more than half of them needed help with caring. To this effect participants expressed their perception; one mother had this to say, “…I need someone to help in caring. Sometimes I need to do some other things but can’t, because if I do then no one will remain with the child…”. This study point out to some evidence that the burden inflicted on those caring for children with cerebral palsy should be addressed if the quality of care for those with cerebral palsy is to be improved.

Sustainable land management (SLM) practices are often touted as a vehicle for simultaneously increasing agricultural productivity and food security in rural areas. In Eastern Zambia, numerous initiatives such as the Zambia Integrated Forest Landscape Project (ZIFLP) have been implemented. Yet, empirical data suggest relatively low levels of SLM uptake in the smallholder farming sector. Therefore, the broad objective of this study was to estimate the relationship between smallholder farmer awareness of SLM technologies and land allocated to SLM at the farm level. We hypothesized the following: H1: Increased farmer awareness of SLM practices leads to more land allocated to SLM activities in Zambia’s Eastern Province; and H2: Adoption of specific SLM practices influences the extent of land allocated to SLM. Using an intra-household cross-sectional survey, data were collected from 761 randomly selected households from 11 chiefdoms of the Eastern Province. The Heckman selection procedure was used to analyze the study’s overarching hypothesis. Findings showed that farmers were generally conversant with SLM as a construct (>90%), with choices being influenced by gender. Conservation agriculture in the form of crop rotations, use of manure, mixed cropping, tree planting, and minimum tillage methods were the most commonly known SLM technologies among farmers. Findings also indicated that awareness is an important antecedent in the use of SLM practices (χ² = 76.6, p = 0.00), with greater access to extension being positively associated with farmer awareness (p < 0.05). The land allotted to SLM hinged on crop diversity, ownership of different types of livestock, and access to agricultural extension. These findings suggest that long-term commitments to training farmers in SLM is critical. This will be achieved when there is coherence in the information on SLM being given to farmers by all the actors working in the region.

Ination between scientists, experts, innovators and policymakers can we solve the COVID-19 pandemic. Sharing observations and perspectives in real time will be crucial to improving the connection between research, policy and community, and leading to the solutions we need. When the Covid-19 pandemic is under control, and the world economy is back on track, it is important to reassess the status and fate of the 2030 Agenda, also known as Sustainable Development Goals (SDGs). The Decade of Operation was scheduled to kick-off the year 2020. With only 10 years to go, plans have been made to undertake “ambitious global efforts” to deliver the promise of 2030—by mobilizing more governments, civil society, businesses, and calling on all people to make their own the Global Goals....

Introduction:The prolonged life expectancy for people living with HIV has led to an increase in the prevalence of people living with HIV and AIDS.Most of these patients are experiencing episodes of wellness and illness with related disability. In Zambia, many HIV patients who required rehabilitation services were not able to access these services.A community based physiotherapy intervention programme using Community Health Workers who were equipped with basic physiotherapy skills was set up in Mtendere and Chawama Townships of Lusaka, Zambia from 2008 to 2015.This study set out to assess the intervention output in relation to patients’ trends, process of the intervention and challenges experienced for the period October, 2012 to September, 2014.Methods: This evaluation reviewed monthly and annual reports of the programme from October, 2012 to September, 2014.A desk review of palliative care related reports and policy was also reviewed. Both qualitative and quantitative data was extracted from these reports, with quantitative data being analyzed using excel while qualitative data was analysed usingQSR NVIVO 10 after being transcribed and translated from texts.Results: The patients’ trends during this period showed a steady increase in the proportion of new patients being enrolled onto the programme compared to those who were being lost to follow up, death, discharge or other loss such as transfers and many others. Themes under qualitative analysis were Community Health Workers, procurements, service delivery programme challenges and palliative care policy.The programme planned to conduct two trainings for each of the years under review but only managed one in each year. There were many challenges identified under this programme and all of them bordered on inconsistencies in the release of funds.Conclusion: This evaluation shows that the prevalence of HIV patients presenting with disabling conditions has been increasing and there is need to provide the needed rehabilitation services through the community based programme. Using Community Health Workers to provide physiotherapy services in the community enables many patients to access these services and hence a policy that supports this would be ideal. Keywords:palliative care; physiotherapy; HIV comorbidity; public policy

Tackling Disability of Speech due to Stroke: Perspectives from Stroke Caregivers of the University Teaching Hospital in Zambia

Established techniques such as choropleth rendering, graduated circles, graduated pie charts, buffering, overlay analysis, and animation. The import of these mapping services is primarily to educate the public (especially travelers to potentially affected areas) and empower public health authorities in mapping spatial and temporal trends and patterns in COVID-19, as well as in assessing/reviewing the efficacy of current control protocols and actions....