African Countries Research Articles

Political cycles, fiscal policy and capital flight in Africa

PurposeThis paper examined the interactive role of Political Cycles on the relationship between Fiscal Policy and Capital Flight in Africa.Design/methodology/approachA two-step System Generalized Methods of Moment empirical estimator was employed. This study used data on 40 African countries from 2009 to 2018.FindingsThe findings revealed that the interaction between political structures and fiscal policy is positive and significant, indicating that fiscal policies during election periods or different regimes would increase capital flight. The study found that political cycles positively affect capital flight, indicating that election periods and possible government changes promote capital flight activities. The tension and volatile atmosphere characterizing election periods in most African countries cause investors to use all alternatives, including illegal systems, to fly funds to a potentially stable economy.Practical implicationsThis study recommends that government and policymakers maintain fiscal discipline during election years and enact pragmatic policies to ensure the continuity of critical fiscal policies to promote business climate and economic stability, especially when there is a change in government.Originality/valueThis study contributes to capital flight literature in two forms. One, the study, to the best knowledge of the authors, is the first to proxy tax with corporate tax (a sound proxy for tax within the business space). Also, this study is the first to empirically show that elections worsen the effect of fiscal policy on capital flight in Africa.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-02-2024-0130

The Impact of Undernutrition and Anemia on HIV-Related Mortality Among Children on ART in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.

Although there have been significant advancements in providing HIV-infected children with access to antiretroviral therapy (ART), the mortality rates have remained unacceptably high. Inadequate nutrient intake or absorption is a widespread problem in several African nations, resulting in undernutrition and anemia. However, the pooled effect of malnutrition and anemia on HIV-related death related to children receiving ART was not investigated in sub-Saharan Africa. We searched multiple electronic databases (PubMed/MEDLINE, Embase, CINAHL, and Web of Science) for observational studies published between January 1, 2010, and April 24, 2024 that reported the risk factors or effects of undernutrition and, anemia on HIV-related mortality among children. Study selection, data extraction, and quality evaluation were carried out separately by two reviewers. A meta-analysis was conducted using random effect models. The review included 27 studies with a combined total of 61,796 study participants. The study findings showed that severe wasting (HR: 2.49; 95% CI: 1.87-3.30), being underweight (HR: 2.11; 95% CI: 1.64-2.72), and Anemia (HR: 2.58; 95% CI: 2.08-3.19) were highly linked to HIV-related death among children. The risk of death due to anemia was greater among children under the age of 5 years than older children. Undernutrition and anemia in sub-Saharan African children increased the risk of HIV-related death. The impact of malnutrition and anemia among under 5 years old children with HIV/AIDS was more pronounced, suggesting that these conditions at this early age can have more serious consequences for a child's survival. The importance of combining nutrition with HIV treatment programs in sub-Saharan African countries is crucial.

VAT On Imported Services In Africa – Why Consumption And Reverse Charge Concepts Remain Crucial

As exports and imports of services continue to grow globally, Value Added Tax (VAT) on imported services has also taken a centre stage in most countries. Unlike goods, determining the place of consumption for services is often a contentious issue and a source of VAT controversy in many countries. In resolving these controversies, African courts, with a few exceptions, have established a visible criterion for determining the place of consumption of cross-border service transactions that aligns with the OECD International VAT/GST Guidelines. Where consumption is not at issue, most African countries have opted to deploy a reverse charge mechanism blended with a “register and comply” requirement for the foreign supplier in order to administer and collect VAT on the foreign supply (imported service). In this article, the author argues that African countries should deploy a reverse charge mechanism for B2B transactions and only use a “register and comply” requirement by non-residents for B2C services.

Capital mobility, financial development and sustainable trade development in sub-Saharan Africa: a GMM-PVAR based analysis

PurposeThe existing literature on the effects of capital mobility and financial development on sustainable trade development in sub-Saharan African (SSA) countries has been centered on production-based carbon emissions without investigating consumption-based or trade-adjusted carbon emissions. The purpose of this paper is to examine the effects of capital mobility and financial development on sustainable trade development, specifically trade-adjusted carbon emissions in SSA economies.Design/methodology/approachThe study employed the novel GMM-PVAR estimator and the Drisc-Kraay fixed effect panel corrected standard error (PCSE) dynamic ordinary least squares (DOLS) and the fully modified least squares (FMOLS) approaches on panel data from 46 sub-Saharan African (SSA) countries over the period 1992–2021.FindingsThe study established that capital mobility has a significant positive effect on sustainable trade development in SSA in the long run. Further, the empirical results reveal that the link between financial development and sustainable trade development is significantly positive in the long run. Moreover, the results suggest that capital mobility and financial development have predictive power on sustainable trade development.Practical implicationsThe findings of the study imply that policymakers ought to pay equal attention to capital mobility and financial development when developing sustainable trade development policies.Originality/valueThe existing literature has been centered on production-based carbon emissions, without specifically considering sustainable trade development (consumption-based carbon emissions). To the best of our knowledge, this is the first study to examine the effect of capital mobility and financial development on sustainable trade development in SSA countries context.

DUS Topp–Leone-G Family of Distributions: Baseline Extension, Properties, Estimation, Simulation and Useful Applications

This study introduces the DUS Topp–Leone family of distributions, a novel extension of the Topp–Leone distribution enhanced by the DUS transformer. We derive the cumulative distribution function (CDF) and probability density function (PDF), demonstrating the distribution’s flexibility in modeling various lifetime phenomena. The DUS-TL exponential distribution was studied as a sub-model, with analytical and graphical evidence revealing that it exhibits a unique unimodal shape, along with fat-tail characteristics, making it suitable for time-to-event data analysis. We evaluate parameter estimation methods, revealing that non-Bayesian approaches, particularly Maximum Likelihood and Least Squares, outperform Bayesian techniques in terms of bias and root mean square error. Additionally, the distribution effectively models datasets with varying skewness and kurtosis values, as illustrated by its application to total factor productivity data across African countries and the mortality rate of people who injected drugs. Overall, the DUS Topp–Leone family represents a significant advancement in statistical modeling, offering robust tools for researchers in diverse fields.

Information communication technologies and intimate partner violence among women in sub-Saharan African countries

Intimate partner violence is widespread in sub-Saharan Africa with women the usual victims. Efforts to address intimate partner violence (IPV) include interventions with information communication technologies (ICT) that are being used to raise awareness and promote the empowerment of women. Thus, there is a need to examine the relationship between ICT ownership and IPV among women in sub-Saharan Africa. We conducted a cross-sectional study of four countries in sub-Saharan Africa using the Demographic and Health Survey data. Ownership of ICT was the main predictor variable that was measured by ownership of a radio, television, mobile phones, and access to the Internet. The outcome variable was IPV, which was measured in two forms: physical and sexual violence. A multivariable analysis using binary logistic regression was used to examine the association between ownership of ICT devices and intimate partner violence (IPV) among women. In Zambia and Mali, women who own ICT devices were significantly less likely to experience sexual violence than those who did not own ICT devices. Predictors such as age, place of residence, education, wealth status, employment status, number of children and age at first marriage were significantly associated with experiences of IPV, even though the strength of this relationship varied across countries and types of IPV. Access to ICT should be promoted among women because ICT can raise awareness and offer women a platform for receiving social support and advice about coping with intimate partner violence.

THE FUTURE WAR AND THE STRATEGIC ENVIRONMENT OF THE SOUTH ATLANTIC: AN ANALYSIS FOR THE DEVELOPMENT OF THE BRAZILIAN DEFENSE INDUSTRIAL BASE

This work aims to analyze the Future War, focusing on a scenario extending to 2039, and Brazil's interstate relations, with emphasis on the strategic environment of the South Atlantic, while observing classical geopolitical studies. Considering that the stability of the South Atlantic fundamentally depends on processes occurring on the western coast of Africa, this explains why Brazil's strategic environment extends to the other side of the Atlantic. This perspective also clarifies why Brazil contributes to the development of the African countries bordering the Atlantic Ocean. The study further extends its analysis to the Rio Grande Elevation Project. The entire context will serve as a foundation to examine the impacts on the development of the Brazilian Defense Industrial Base (BID). To carry out the research, the methodological approach is mixed: a qualitative perspective based on existing academic literature and field research, along with a quantitative structure, measuring data related to the BID and assessing the impacts of interstate relations on it. The direct result intended by this study is to produce new knowledge (scientific, doctrinal, and technological) in the field of defense through high-quality research, contributing to state policy. Indirectly, it aims to generate insights into Defense Studies and improve the decision-making process associated with the use of force, particularly as it relates to the BID.

Trading Community Analysis of Countries’ Roll-On/Roll-Off Shipping Networks Using Fine-Grained Vessel Trajectory Data

Roll-on/roll-off vessels (RO/RO vessels) are playing an increasingly critical role in international automobile transport, facilitating the efficient movement of vehicles and heavy machinery across continents. Despite this growing significance, there is still limited research specifically focused on the RO/RO shipping network and its impact on global trade. This paper studies the global RO/RO shipping network using AIS data on RO/RO vessels collected from 2020 to 2023. We construct a method based on the complex network theory and the graph feature extraction method to quantitatively assess the features of the RO/RO shipping network. This method assesses the complexity, sparsity, homogeneity, modularity, and hierarchy of the RO/RO shipping network across various ports and countries and employs the graph convolutional neural network (GCN) model to extract network features for community detection. This process enables the identification of port clusters that are frequently linked to RO/RO vessels, as well as regional transport modes. The paper’s findings support these conclusions: (1) From 2020 to 2023, the number of nodes in the RO/RO shipping network increased by 22%, primarily concentrated in African countries. The RO/RO shipping network underwent restructuring after the pandemic, with major complex network parameters showing an upward trend. (2) The RO/RO shipping network is complex, with a stable graph density of 0.106 from 2020 to 2023. The average degree increased by 7% to 4.224. Modularity decreased by 6.5% from 0.431 in 2022 to 0.403, while the hierarchy coefficient rose to 0.575, suggesting that post-pandemic, community routes have become more diverse, reflecting the reconstruction and maturation of the overall network. (3) The model yielded a silhouette coefficient of 0.548 and a Davies–Bouldin index of 0.559 using an improved automatic feature extraction method. In comparison between 2020 and 2023, the changes in the two indicators are small. This shows that GINs can effectively extract network features and give us results that we can understand for community detection. (4) In 2023, key communities divide the RO/RO shipping network, with one community handling 39% of global routes (primarily Europe–Asia), another community handling 23% (serving Asia–Pacific, Africa, and the Middle East), and a third community managing 38% (linking Asia, Europe, and South America).

Renewable energy, carbon footprints, natural resources depletion and economic growth in Africa

Purpose This study aims to examine the interplay between renewable energy consumption, carbon footprints, natural resources depletion and economic growth. Design/methodology/approach It engaged 45 African countries using the generalized method of moments (GMM) approach. Data from the World Development Indicators for the period 2000–2023 are used to analyse the relationships among these variables. Findings The result indicates a positive and significant effect of greenhouse gas emissions on economic growth in all regions of Africa, except for Southern Africa. Regarding the depletion of natural resources, the authors observe a dominant negative effect on economic growth. Thus, an increase in the depletion of natural resources contributes to the reduction of economic growth in most regions of Africa, notably West Africa, East Africa and sub-Saharan Africa as a whole. Moreover, the depletion of natural resources can also have negative social impacts, such as conflicts over access to remaining resources, which can indirectly influence economic stability and growth. Originality/value This study contributes to the existing literature by providing empirical evidence of the positive effects of renewable energy consumption on carbon footprints, natural resource depletion and economic growth. By quantifying these relationships, the study offers valuable insights into the potential of renewable energy to address pressing environmental and economic challenges.

Scaling models for Regreening Africa: enhancing agroecological integration through smallholders’ assets and agency in Kenya

Urgent action is needed to address climate change, land degradation, and biodiversity loss. The Regreening Africa project (2017–2023), recently recognized as a UN World Restoration Flagship, aimed to reverse land degradation over large areas of land for the triple benefit of people, biodiversity, and climate in eight African countries. Based on projections and early lessons learned, the project sought to identify sustainable scaling models to achieve its ambitious targets. The so-called “Asset-Based Community-driven Development (ABCD) in Regreening” project aimed to demonstrate the positive contribution of deliberate community engagement and co-design. The project introduced ABCD sessions to 30 purposively selected community groups in the Regreening intensification sites in western Kenya. ABCD combines a unique set of framings, methods, and processes that focus on people’s assets and agency, and emphasizes the importance of their attitudes toward self and others for sustainable behavior change. To evidence that ABCD intrinsically contributes to sustainable adoption and scaling of Regreening practices, the project developed the F-ACT+ tool to assess the alignment between ABCD and agroecological practices, and collected baseline and endline data from 300 project and 300 non-project participants. Results showed accelerated agroecological integration among ABCD project participants. ABCD participants showed significant improvements in nine agroecological principles and eight system components, particularly in the economic diversification, social values and diets, and knowledge co-creation principles, as well as in the pest and disease, household, and value chain system components. Summary ATT between ABCD and non-ABCD respondents was positive and significant in 10 principles and eight system components. The results support the synergistic contribution of ABCD to projects targeting sustainable behavior change at the individual and collective levels. Due to its focus on outcomes, this study provided limited insight into the specific mechanisms of ABCD, which are the subject of a separate publication on parallel theory-based contribution analysis work.

Associated Factors for the Prevalence of Bedbug Infestation (Cimex hemipterus) among Households in Nakuru Town, Kenya

Background: Infestations and the resurgence of bedbugs have recently been documented as serious health issues worldwide. Kenya reported 4000 bedbug-infested homes in 2018, so the increase in infestations is comparable to that of other African countries and the global average. Objective: the objective of the study was to determine bedbug prevalence and factors associated with bedbug infestation among heads of households in Nakuru County, Kenya. Method: The study used a cross-sectional descriptive study design. Cluster sampling and proportionate sampling were used to recruit the study respondents in this study. The Cochran formula was used to recruit 422 study respondents. The threshold for statistical significance was set at 0.05. Results: The prevalence of bedbug infestation was 53.1%. The presence of households with bedbugs was associated with the prevalence of bedbugs in the study households (p value<0.001). The purchase of second-hand furniture and clothes was associated with bedbug prevalence (p value=0.002 and 0.007 respectively). The number of rooms in households was associated with the prevalence of bedbugs (p value=0.008). The number of people living in households (p value=0.021) and the type of house were associated with the prevalence of bedbugs (p value<0.001). Conclusion: The prevalence of bedbug infestation was 53.1%. The type of house, number of people in a household, number of rooms in the household, and social factors including the existence of neighbors, relatives, friends, and job mates with bedbugs in their homes, heightened the chances of spreading the bedbugs to others. The purchase of second-hand furniture and clothes increased the prevalence of bedbugs.

Excessive Pharmaceutical Pricing and Repercussions on Paediatric Health Services

Context: Paediatric pharmaceutics have a significant share in expensive drugs. Recent years have seen significant calls for intervention against high prices for pharmaceutical products. The prohibition of prices that are excessive as a form of abuse of dominance is considered as Competition law violation in the European Union Law and national legal orders of its Member States. Majority of the Organization for Economic Cooperation and Development (OECD) member countries have similar prohibitions in their respective Competition laws with important exemption of United States (US) Antirust Law, although there is some indication of change in US exactly in the area of pharmaceutical sector. Regulation of excessive prices also exists in Competition laws of all BRICS (Brazil, Russian Federation, India, China, and South Africa) countries. The problem of excessive prices in pharmaceutics is one of the emerging themes in Competition law literature and case law development. This is the area where intellectual property rights, usually patent protection, collide with competition rules. Costs of research and development for such pharmaceutics are often very high emphasizing the need for balance between colliding legitimate interests: access to health and research development. Aim: To present regulatory and case law development of application of excessive prices as form of abuse of dominance in pharmaceutical sector with emphasis on paediatric health services. Data source: OECD, PubMed, Google Scholar, Scopus. Conclusion: Balance between competition rules on excessive prices as form of abuse of dominance and intellectual property rights in the area of expensive paediatric pharmaceutics can be regarded as suboptimal. Thus, there is a need for further regulatory development and application of rules on excessive prices in that field.

Flexible sovereignty and contested legality: The overseas employment and legal struggles of Chinese workers

The surge in Chinese overseas investments has increased the transnational movement of Chinese workers. While much literature explores the interactions between Chinese managers and local workers in host countries, the dynamics between Chinese employers and Chinese workers abroad remain under-examined. This paper employs the conceptual frameworks of flexible sovereignty and contested legality to examine the distinctive norms and practices in labor recruitment, management, and dispute resolution emerged through overseas employment. Through a critical review of lawsuits between returned Chinese workers and their Chinese employers in Chinese courts – originating from the top five African countries receiving Chinese labor (Algeria, Angola, Nigeria, Ethiopia, and Equatorial Guinea) – the analysis reveals new spatialities and temporalities of sovereign control exerted by globalized Chinese companies over overseas workplaces and migrant workers. Overseas employment marks a complex process of coupling and decoupling among various forms of Chinese capital and labor. Three mechanisms of corporate sovereign control are identified: the delineation of workplaces and workers' bodies as spaces of exception, the flexibilization of working hours and job tenure, and the politics of delays in wage disbursement and dispute resolution. These mechanisms provoke contentious debates during court proceedings and result in uneven judicial outcomes for Chinese workers.

EPID-03. BRAIN CANCER IN AFRICA: UNCOVERING THE HIDDEN EPIDEMIC THROUGH A SYSTEMATIC REVIEW

Abstract BACKGROUND Cancer poses a significant public health threat globally, leading to substantial morbidity. While malignancies were previously thought to predominantly affect high-income countries, numerous studies indicate an increasing burden on resource-limited nations. Brain cancer, in particular, can be devastating due to treatment challenges and high mortality rates. Africa, with its resource-limited countries, must establish proper healthcare infrastructure to reduce cancer incidence and enhance patient survival. Additionally, the scarcity of data in this area in Africa presents a challenge to effective management. This study aims to explore the available evidence on the epidemiology and etiology of brain cancer in resource-limited African countries, highlighting the growing burden and advocating for further research. MATERIALS AND METHODS We conducted a systematic review by searching PubMed and Scopus using a predefined approach. Additionally, we utilized the Global Cancer Observatory and Global Burden of Disease databases. Studies reporting on brain cancer epidemiology, etiology, and impact in Africa were included, with the level of evidence assessed according to Centre for Evidence-Based Medicine guidelines. RESULTS Brain cancer presents a significant healthcare challenge in many African developing nations due to poor survival rates, inadequate funding and resources for reporting, identification, and treatment, as well as limited comprehensive research. CONCLUSION This study underscores the urgent need to address brain cancer as a major public health crisis in Africa. Improved treatment options and access to screening are essential to mitigate the disease burden. Thus, substantial and comprehensive research on brain cancer within Africa is crucial for effective management and reducing associated morbidity and mortality.

Cancer in the Grand Libreville, Gabon (2013–2017)

BackgroundThe burden of cancer is expected to nearly double in sub-Saharan Africa over the next 20 years. In Gabon, the primary population-based cancer registry to be established is located in the Grand Libreville. This study presents cancer incidence rates covering the first 5-year period of registration in this region. Patients and methods1,549 cancer cases were recorded among residents of the Grand Libreville between 2013 and 2017, 955 (61.6 %) women and 594 (38.3 %) males. ResultsThe age standardized incidence rates (ASR) for all sites were 73.3 per 105 in females and 47.7 per 105 in males, rather similar from those observed in neighbouring countries of central Africa. Breast (ASR 19.0 per 105) and cervical cancers (ASR 16.3 per 105) accounted for half of female cancers. Prostate (ASR 12.0 per 105), liver (ASR 5.1 per 105) and colorectal cancers (ASR of 5.0 per 105) accounted for 41.1 % of male cancers. ConclusionBreast and prostate cancers ranked first in females and males, respectively, even if the incidences appear much lower in comparison with other regional cancer registries rates, implying they may be underestimated. Cancers of the digestive organs were markedly more frequent in men than women, especially for liver, colorectal (and anus) and the mouth and pharynx. The incidence rates of these latter cancers are relatively similar to those of other registries of the central African region. These results may be of importance for implementing more adapted strategies in the battle against cancer.

ICT and energy consumption in Sub-Saharan Africa: Effects and transmission channels

This paper contributes to the literature on the relationship between information and communication technologies (ICTs) and energy consumption. Despite increasing attention on the subject, existing studies have not yet investigated the channels through which ICTs affect energy demand. We use a stochastic impact model extended to the population, wealth and technology regression model to estimate both the effect and transmission of ICTs on energy demand in 24 sub-Saharan African countries from 1995 to 2018. Empirical results show that ICT use, measured by mobile and fixed-line telephone penetration significantly reduces energy consumption. In addition, the mediation analysis reveals that ICTs not only have a direct negative effect on energy consumption but also an indirect negative effect through its impact on GDP per capita and industrial sector development and a mixed indirect effect through financial development. However, the total effect is negative and indicates that ICTs are reducing energy consumption in sub-Saharan Africa. To accentuate the negative effects of ICTs on energy consumption, Governments should design policies to improve access to credit for the private sector, reduce income inequalities among populations, promote the use of industrial development and provide financial incentives for the development of green technologies.

Testing the effects of merit appointments and bureaucratic autonomy on governmental performance: Evidence from African bureaucracies

AbstractAppointing bureaucrats based on merit and protecting them from excessive political interference have become bedrocks of modern bureaucracy. Populist leaders throughout the world, however, are looking to undermine merit systems and politicize bureaucracies. This study analyzes the impact of merit‐based appointments and bureaucratic autonomy on service delivery effectiveness, using longitudinal data from a panel of African countries. Throughout Africa, social, economic, and political conditions have made it difficult for meritocratic and autonomous bureaucracies to take root and flourish as they have elsewhere. Despite these challenges, the study's main finding is that the practice of appointing bureaucrats based on merit has a positive effect on the provision of public services like transportation infrastructure, standardized education, drinking water, sanitation, and waste disposal. Political leaders undercutting meritocratic civil services and expanding patronage appointments do so at their own peril due to the adverse consequences of their actions on governmental performance. Little evidence is found of a relationship between bureaucratic autonomy and service delivery effectiveness.

A Call for Afrocentric Decolonial Endogenous Marketing and Public Policy Research and Practice: Toward Sustainable Peace and Well-Being in African Societies

Africa experiences one-third of all conflicts globally, resulting in the diminishment of human, social, and economic well-being; high levels of insecurity; poverty; and disrupted marketing systems. Drawing on the experiences of African countries, the article illuminates the ways in which the slave trade and, later, the colonization of the African continent fomented the social and economic convulsions that continue to erupt into continuing cycles of social conflict. Today these are manifested in the neocolonial influence of public policy on the continent by international organizations, funding bodies, and local and international institutions that control the public policy discourse and resources. The authors argue that if marketing systems are to enhance well-being and reduce social conflict, marketing policy makers need to contest failed “external to Africa” policy frameworks and look to endogenous policies better suited to contemporary African challenges. A case study of Rwanda illuminates how endogenous, “home-grown” decolonial and Afrocentric policy can create enduring peace and improve marketing systems and well-being. The authors call for research at the nexus of public policy and African marketing systems that adopts decolonized, endogenous, and Afrocentric perspectives to address this lacuna in marketing and public policy research and practice.

Real-Life Diagnostic Accuracy and Clinical Utility of Hepatitis B Virus (HBV) Nucleic Acid Testing Using the GeneXpert Point-of-Care Test System from Fresh Plasma and Dry Blood Spot Samples in The Gambia

The GeneXpert HBV Viral Load test is a simplified tool to scale up screening and HBV monitoring in resource-limited settings, where HBV is endemic and where molecular techniques to quantify HBV DNA are expensive and scarce. However, the accuracy of field diagnostics compared to gold standard assays in HBV-endemic African countries has not been well understood. We aim to validate the diagnostic performance of the GeneXpert HBV Viral Load test in freshly collected and stored plasma and dried blood spot (DBS) samples to assess turn-around-time (TAT) for sample processing and treatment initiation, to map GeneXpert machines and to determine limitations to its use in The Gambia. Freshly collected paired plasma and DBS samples (n = 56) were analyzed by the GeneXpert test. Similarly, stored plasma and DBS samples (n = 306, n = 91) were analyzed using the GeneXpert HBV test, in-house qPCR and COBAS TaqMan Roche. The correlation between freshly collected plasma and DBS is r = 0.88 with a mean bias of −1.4. The GeneXpert HBV test had the highest quantifiable HBV DNA viremia of 81.4% (n = 249/306), and the lowest was detected by in-house qPCR at 37.9% (n = 116/306) for stored plasma samples. Bland–Altman plots show strong correlation between GeneXpert and COBAS TaqMan and between GeneXpert and in-house qPCR with a mean bias of +0.316 and −1.173 log10 IU/mL, respectively. However, paired stored plasma and DBS samples had a lower mean bias of 1.831 log10 IU/mL, which is almost significant (95% limits of agreement: 0.66–3.001). Patients (n = 3) were enrolled in the study within a TAT of 6 days. The GeneXpert HBV test displayed excellent diagnostic accuracy by detecting HBV viremia in less than 10 IU/mL.

The Role of Formal Schooling, Literacy, and Health Knowledge in Addressing Domestic Violence Against Women in West Africa

When “education” is cited as a solution for domestic violence, different aspects of knowledge acquisition are often omitted. This study uses 2019 Demographic and Health Surveys from four West African countries (The Gambia, Liberia, Senegal, Sierra Leone) with a combined sample size of 12,480 women and generalized ordered logit regression to examine the effects of types of knowledge (years of schooling, literacy, and health knowledge) on domestic violence (physical abuse, emotional abuse, and control issues). The results suggest that literacy has the most reliable beneficial impact on domestic violence and was consistently associated with decreased odds of abuse. However, greater findings suggest that schooling, literacy, and health knowledge function as separate types of education and that their relationships are complex and context-specific. By neglecting to see these types of knowledge as separate entities that can operate together, it is possible that mitigation strategies for domestic violence are going undiscovered.