Middle-income African Countries Research Articles

Hepatitis B virus infection among illegal drug users in Enugu State, Nigeria: prevalence, immune status, and related risk factors

IntroductionHepatitis B virus infection poses a global health challenge, particularly in low- and middle-income African countries. Illicit drug use exacerbates the problem, with drug users having a higher HBV infection risk and maintaining a quiet transmission pool. This study aimed to determine HBV infection prevalence, immune status, and risk factors among illegal drug users in Enugu State, Nigeria.Materials and methodsA cross-sectional study was conducted in Enugu State, using privileged access interviewer methods to enroll drug users. Pre-tested structured questionnaires were administered after informed consent was obtained. Blood samples were tested for HBsAg, HBsAb, HBeAg, HBeAb, and HBcAb using immunochromatographic rapid test kits. Statistical analysis was performed using SPSS version 25.ResultsOne hundred drug users were recruited into the study. Overall, 7% of the drug users had HBV infection. 61% were found to be susceptible to HBV infection, 15% showed serological evidence of immunity from HBV vaccination and 1% developed natural immunity from HBV exposure. Significant risk factors for HBV infection were age less than 20 years, young age (≤ 20 years) at drug initiation, being single, injecting drugs more than or equal to 20 times per month and injecting with used syringes.ConclusionThis study shows high intermediate endemicity of HBV infection among drug users, low vaccination uptake, and high susceptibility to HBV infection. This calls for the urgent inclusion of drug users in national HBV vaccination campaigns and the adoption of the World Health Organization’s recommendations on the prevention of viral hepatitis among people who inject drugs.

The fishing industry and the growing food insecurity in Africa: an empirical analysis with an instrumented quantile approach

ABSTRACT Sustainable fishing and inclusive aquatic food systems improve livelihoods sustainability of millions of individuals in developing countries, particularly in Africa. This paper presents a comprehensive assessment of the role of the African fishing industry in ensuring food security in 40 African countries between 2001 and 2018, using the smoothed instrumental-variables quantile regression strategy. The findings reveal a positive effect of the fishing industry on food security in Africa, consistent in both the landlocked and coastal, low and middle-income African countries, irrespective of whether they adopt the English common law, the Portuguese or the French civil law systems to govern their institutions. Similarly, the results reveal that fisheries production interacts with increased nitrate-oxide emission to produce positive synergy effects on prevalence of undernourishment. Addressing the concern of environmental degradation in the quest for ensuring food security, we established a net impact of fish production-environmental degradation nexus on the prevalence of undernourishment which still reveals a negative effect. Practical policy implications should be formulated with immediate action to ensure sustainable fisheries management in preserving aquatic organisms for sustainable food security.

Respiratory adenovirus infections in children: a focus on Africa.

Lower respiratory tract infections (LRTIs) are an important cause of child morbidity and mortality globally, especially in children under the age of 5 years in Africa. Respiratory viruses, including human adenoviruses (HAdVs), are common causes of LRTIs in children. This review aims to shed light on the epidemiology, clinical manifestations, sequelae, and treatment options specific to adenovirus respiratory infections in African children. Recent evidence has challenged the perception that adenovirus is a negligible cause of LRTIs. Studies show HAdV emerging as the third most common viral pathogen in fatal pneumonias among under-5 children in low-income and middle-income African countries, contributing to 5.5% of all pneumonia deaths and ranking second in hospital-associated viral pneumonia deaths. Predominant HAdV serotypes associated with disease differ by country and region, and have changed over time. Risk factors for increased disease severity and long-term respiratory sequelae in previously healthy African children with HAdV LRTIs are not well established. Although respiratory viruses, including HAdV, are recognized contributors to LRTIs, the prevalence and impact of adenovirus infections have been under-recognized and understated. Available data suggests that African children, particularly those under 5 years old, are at risk of severe sequelae from respiratory HAdV infections. Long-term sequelae, including bronchiectasis and postinfectious bronchiolitis obliterans, further underscore the significant impact of HAdV infections. However, the scarcity of comprehensive data hampers our understanding of the extent of the impact of HAdV infections on child lung health in Africa. We recommend scaled-up HAdV surveillance, ensuring its consistent inclusion in population-level LRTI assessments, and expanded and equitable access to diagnostics for early recognition of African children at risk of developing chronic sequelae and death. Enhanced understanding of adenovirus epidemiology and clinical outcomes and the availability of therapeutic options are essential for informed public health strategies and clinical care.

Health expenditure: how much is spent on health and care worker remuneration? An analysis of 33 low- and middle-income African countries

ObjectivesTo assess the amount spent on health and care workforce (HCW) remuneration in the African countries, its importance as a proportion of country expenditure on health, and government involvement as a funding source.MethodsCalculations are based on country-produced disaggregated health accounts data from 33 low- and middle-income African countries, disaggregated wherever possible by income and subregional economic group.ResultsPer capita expenditure HCW remuneration averaged US$ 38, or 29% of country health expenditure, mainly coming from domestic public sources (three-fifths). Comparable were the contributions from domestic private sources and external aid, measured at around one-fifth each—23% and 17%, respectively. Spending on HCW remuneration was uneven across the 33 countries, spanning from US$ 3 per capita in Burundi to US$ 295 in South Africa. West African countries, particularly members of the West African Economic and Monetary Union (WAEMU), were lower spenders than countries in the Southern African Development Community (SADC), both in terms of the share of country health expenditure and in terms of government efforts/participation. By income group, HCW remuneration accounted for a quarter of country health expenditure in low-income countries, compared to a third in middle-income countries. Furthermore, an average 55% of government health expenditure is spent on HCW remuneration, across all countries. It was not possible to assess the impact of fragile and vulnerable countries, nor could we draw statistics by type of health occupation.ConclusionsThe results clearly show that the remuneration of the health and care workforce is an important part of government health spending, with half (55%) of government health spending on average devoted to it. Comparing HCW expenditure components allows for identifying stable sources, volatile sources, and their effects on HCW investments over time. Such stocktaking is important, so that countries, WHO, and other relevant agencies can inform necessary policy changes.

The family dynamics of children on the streets of Ibadan, Southwest Nigeria.

Children roaming the streets estimated at 1 in 10 by a 2021 United Nation Children's Funds (UNICEF) report is a growing problem, in cities of lower- and middle-income African countries. Studies of street children with no family ties abound, but there is a paucity of studies on children on the street who exist within families and return home daily. We explored the family dynamics of children on the streets of Ibadan, emphasising family structure, resources and relationships. Using an exploratory design based on a qualitative approach 53 participants were interviewed, including children on the streets, parental figures, child-welfare officers and street shop owners. Participants were selected from streets in the five urban local government areas of Ibadan, Nigeria. Recorded data were transcribed, and framework analysis was performed. The family dynamics included family structural problems, poor family resources and poor parent-child relationships. The family structural problems included: broken homes, large families and ambivalence around polygamy as subthemes. Family resources comprised: poor economic resources, poor social resources, educational challenges, cultural ambivalence and spiritual backdrops. The family relationships patterns included: poor adaptability, economic-oriented partnership, poor growth support, poor emotional connection and poor family bonding. The dynamics driving a family's choice for child streetism in Ibadan, mostly to hawk, are devaluation of family life, parenting irresponsibility, and poor filial relationship, underscored by economic constraints and socio-cultural decadence. The results of this research buttress the need for family-level interventions to forestall the escalating phenomenon of child streetism in Ibadan, Nigeria.Contribution:This research highlights the family dynamics of children on the streets, and buttresses family-level interventions are necessary to forestall escalating child-streetism in Ibadan, Nigeria.

Sustainable Small Ruminant Production in Low- and Middle-Income African Countries: Harnessing the Potential of Agroecology

The role of small ruminant production in achieving sustainable and resilient food systems in low- and middle-income countries (LMICs) is yet to be fully explored or incorporated into current agroecological practices and policies. This review examines the principles and practices of agroecology, focusing on circular food systems and the sociopolitical aspects of their implementation for small ruminant production in LMICs. It discusses Gliessman’s five levels of agroecological transition and eight principles for integrating small ruminant production into agroecology: input reduction, animal health, soil health, biodiversity, recycling, synergy, economic diversification, and co-creation of knowledge. The review highlights that, while there are differing interpretations in the scientific literature, there is a growing consensus that agroecological practices applied to small ruminant production have the potential to improve integration and self-sufficiency in farming systems, improve animal health, reduce reliance on external inputs, and promote circularity and biodiversity. This reinforces the view that agroecological approaches to small ruminant production can foster a sustainable and interconnected system that strengthens the relationships between animals, plants, and the environment and enhances circularity. To achieve successful implementation and widespread adoption of these approaches, it is crucial to facilitate greater collaboration and cocreation of knowledge among small ruminant farmers and stakeholders in the small ruminant livestock industry.

Income Diversification, Bank Volatility Risk and Performance in Low- and Middle-income African Countries: Evidence from Normal and Crisis Periods

Using panel data from 2000 to 2019 for low-income and middle-income African countries, this study examined what determines income diversification and its impact on bank risk and performance. Based on the system’s generalized method of moments and least square dummy variable results, high volatility risk, profitability, cost efficiency and high GDP encourage banks to diversify their income. While having lower leverage, a high net interest margin, and during inflationary times, banks are less encouraged to pursue income diversification. Moreover, income-diverse approaches improve profitability in regular and crisis periods for low-income and middle-income countries. However, income diversification does not lower volatility risks during crisis times. The study shows that increasing the cost efficiencies, higher liquidity and leverage ratios positively affects profitability and reduces volatility risk during the non-crisis period. The net interest margin positively influences risk during and after a crisis. The results show that GDP positively connects to a bank’s profitability. The link between profitability and inflation varies based on the analysis’s emphasis (i.e., before, during or after the crisis) and income level (i.e., low income or middle income). This study’s results have significant implications for bankers, regulators and the banking literature on the determinant, merits and risks of income diversification.

Physical, mental and healthcare issues of children on the street of Ibadan, Nigeria.

Most street children studied in lower- and middle-income African countries are without family links. However, the majority of street children are children on the street, living with families during the night and spending their day-time on the streets. The health of this majority group is poorly captured in the literature despite the growing epidemic of child streetism. To explore the health of children on the street of Ibadan using multiple qualitative studies. A street in each of the five urban local government areas of Ibadan Oyo State, Nigeria. Participants comprising of children on the street, parental figures, street shop owners and child-welfare officers were purposively selected and interviewed. Interviews were audio recorded, transcribed, and thematically analyzed. Using triangulated data from 53 interviews, the study found that the children on the streets of Ibadan experienced many health challenges. Outstanding are poor carbohydrate-based diet, open defaecation with consequent infections, physical injuries and few deaths from road traffic accidents. Sexual, verbal and substance abuse were common although few children acquired resilience to adversity. The children had poor health-seeking behaviour and resorted to patent medicine dealers or tradomedical practitioners on the streets. This study bridged some gaps in the literature regarding the health of children on the streets in Nigeria. The straddling of children between the family and street has cumulative health consequences as depicted in this study.Contribution: This research can inform family-level intervention and primary health care plans to forestall the health challenges of children on the streets.

Self-reported beta-lactam allergy in government and private hospitals in Cape Town, South Africa.

Up to a quarter of inpatients in high-income countries (HICs) self-report beta-lactam allergy (BLA), which if incorrect,increases the use of alternative antibiotics, worsening individual health outcomes and driving bacterial resistance. In HICs, up to 95% ofself-reported BLAs are incorrect. The epidemiology of BLA in low- and middle-income African countries is unknown. To describe the epidemiology and de-labelling outcomes of self-reported BLA in hospitalised South African (SA) patients. Point-prevalence surveys were conducted at seven hospitals (adult, paediatric, government and privately funded, district andtertiary level) in Cape Town, SA, between April 2019 and June 2021. Ward prescription records and in-person interviews were conductedto identify and risk-stratify BLA patients using the validated PEN-FAST tool. De-labelling was attempted at the tertiary allergy clinic atGroote Schuur Hospital. A total of 1 486 hospital inpatients were surveyed (1 166 adults and 320 children). Only 48 patients (3.2%) self-reported a BLA,with a higher rate in private than in government-funded hospitals (6.3% v. 2.8%; p=0.014). Using the PEN-FAST tool, only 10.4% (n=5/48)of self-reported BLA patients were classified as high risk for true penicillin hypersensitivity. Antibiotics were prescribed to 70.8% (n=34/48)of self-reported BLA patients, with 64.7% (n=22/34) receiving a beta-lactam. Despite three attempts to contact patients for de-labelling atthe allergy clinic, only 3/36 underwent in vivo testing, with no positive results, and 1 patient proceeded to a negative oral challenge. Unlike HICs, self-reported BLA is low among inpatients in SA. The majority of those who self-reported BLA were low risk fortype 1 hypersensitivity, but outpatient de-labelling efforts were largely unsuccessful.

Impact of Financial Development and Economic Growth on Poverty in Middle Income African Countries

This study examined the impact of financial development and economic growth on poverty reduction in middle-income African countries using panel data from 1990 to 2021. The study was limited to Botswana, Kenya, Nigeria, South Africa and Tunisia. Im, Pesaran and Shin unit root test and Pedroni cointegration test approach were used for data analysis. Also, data were analysed using Panel ARDL model based on MG and PMG estimators proposed by Peseran and Smith (1995) and Peseran, Smith and Shin (1999). Results of the unit root test shows the variables are stationary of mixed order, while cointegration test indicates that the variables are linearly cointegrated in the long run. The study revealed that financial development proxy by broad money as share of GDP and broad money as ratio to reserve contributed to poverty reduction in the long the-run. On the other hand, Economic growth proxy by gross domestic product per capita also contributed to poverty reduction in the long run. On the contrary, financial development proxy by domestic credit to private sector as share of GDP had detrimental impact of poverty. To reduce poverty, the study recommended the need for the middle-income countries to implement long run sustainable financial and growth policies. Also, there is need for the implementation of sustainable financial policies that will encourage more credits to private sector at single digit interest rate to promote inclusive financial system, grow the economy and increase income redistribution and reduction in poverty.

Agricultural Export, Growth and the Poor in Africa: A Meta Analysis

Over the past decade, a growing number of studies have examined the role of agricultural export in economic growth in Africa. The literature, however, provides conflicting results about the agricultural export-led growth hypothesis. In this study, we aim to re-examine the impact of agricultural export on economic growth by performing a meta-analysis. There are two questions of interest, namely, (a) whether publication bias is present in the agricultural export-growth literature in Africa, and (b) if there is an overall effect of agricultural export on economic growth. Our meta-analysis finds significant negative publication bias in the literature. Moreover, after correction for publication bias, the results show that agricultural export leads to growth in low-income and lower middle-income African countries. These results are consistent with the agricultural export-led growth hypothesis. By this, we provide empirical basis that may enhance policy decisions on resource allocation to areas of comparative advantage. Additionally, the existence of an income differential effect on the agricultural export-led growth nexus implies that agricultural export-growth strategy has a pronounced effect on the poor in Africa. The result suggests that the poor in Africa could follow an agricultural growth strategy because it is a promising means to increase per capita wealth. JEL Classification: C10; C40; I30; N50; O55

The Impact of The COVID-19 Pandemic on the Management of Chronic Disease in South Africa: A Systematic Review

Introduction: The abrupt development of the coronavirus (COVID-19) pandemic has posed a threat to persons with chronic diseases' compliance with treatment, which is critical to improving their health, life expectancy, and lowering death and morbidity rates. The public health control measures for the pandemic have been heavily politicized. The focus on the COVID-19 epidemic has resulted in a neglect for chronic disease management. As a result, the goal of this study was to review the literature in order to gain a broader perspective on how the COVID-19 pandemic has impacted chronic disease management, as well as to investigate various strategies to deal with similar occurrences in the future when faced with medical emergencies, in order to reduce the potential harm of these measures to non-communicable disease control. Methodology: To analyze and identify full-text studies relevant to the influence of COVID-19 on the management of chronic diseases conducted in an African environment from 2019 to 2021, the suggested reporting items for systematic reviews and meta-analyses were used. Six databases were searched to find relevant studies, which include CINAHL Plus (EBSCO), PubMed, Google Scholar, Medline, ProQuest, and APA PsychINFO. Researchers performed a quality assessment for each included paper prior to data synthesis, as well as a formal risk-of-bias assessment. Results: Out of 119 abstracts reviewed, 17 full-text studies were included. Three themes were identified: the impact of COVID-19 on the healthcare system; the psychological impact on people with chronic diseases and healthcare providers; and the digitalization of healthcare services. The majority of studies were conducted in South Africa and other African countries in collaboration with western countries. The majority of studies focused on lessons learned during periods of strict public health measures, however a few empirical investigations of patients or healthcare providers were done. It is recommended that African countries should develop an integrated community-based non-communicable disease (NCD) and infectious disease care model and protocols, initiate innovative ways of central dispensing, pre-packaging and home delivery of medications to stable patients, use of telemedicine, and emphasize mental health services during medical emergencies. Contribution: The study’s findings could improve policy implementation regarding the management of chronic diseases during a medical emergency; in this case, COVID-19. It could also improve self-care management. The main goal is to maintain adherence and compliance with treatment to reduce complications and the disease burden. The study mainly focused on the African context. Conclusion: The literature revealed that the COVID-19 pandemic has had a severe impact on the management of chronic diseases and disrupted access to related healthcare services in terms of prevention, diagnosis, routine clinical care, and self-care. In addition, the mental health of both patients and healthcare providers has been affected. Chronic diseases should also be considered a public health emergency and should be given the same attention and priority as infectious diseases during a pandemic to reduce the burden of disease, especially in low and middle-income African countries already experiencing a shortage of resources. Rather than depending on the researcher's opinion, viewpoint, and notes taken during the COVID-19 lockdown, primary investigations should be done to address the inadequacies brought to light on the management of chronic diseases due to COVID-19.

Barriers and facilitators to education experienced by students with disabilities in low- and middle-income African countries: a systematic review of qualitative evidence.

This review sought to collect and synthesize studies that investigated the lived experience of barriers and facilitators to educational access and excellence for students with disabilities in low- and middle-income African countries. Access to education in low- and middle-income African countries for students with disabilities is often inequitable. Although governments have developed policies and programs for student with disabilities, much of the literature guiding policy and program development has focused on the views of academics, parents, teachers, and political figures. This systematic review considered studies that included participants who were students or trainees at the time of the study, have a disability, and were located in a low- and middle-income African country. The phenomena of interest were barriers and facilitators to educational success for students with disabilities. This review included qualitative, interpretive, and critical studies that drew on the experiences of students with disabilities. An initial search was conducted in CINAHL and MEDLINE, followed by development of a full search strategy that was used for AMED, Embase, CINAHL, Global Health, MEDLINE, and Epub Ahead of Print, In-Process and Other Non-Indexed Citations, Daily and Versions, spanning from 1910-2021. Articles were limited to those published in English. The JBI approach was followed for study selection, critical appraisal, data extraction, data synthesis, and assessing confidence in the findings with ConQual. Thirteen qualitative studies were included from seven African countries, and included primary, secondary and postsecondary students. The data were qualitatively synthesized into 64 findings, within six categories, which then formed two synthesized findings. The synthesized findings were: barriers and challenges to engaging in education, and supports for educational success. This review is a synthesis of the lived experiences of students with disabilities in low- and middle-income African countries to understand, in their own words, the challenges and supports they encounter during their educational journeys. Although many barriers and supports reported by students with disabilities and other stakeholders (eg, parents, teachers, administrators) are similar to those identified in this review, our findings identify that integrated research that includes students with disabilities will provide contextual and individual factors that are crucial for students to achieve equitable access to education. PROSPERO CRD42019137951.

Analysis of registered radiological equipment in Kenya.

Introductiondiagnostic radiology plays a key role in healthcare. Proper planning of healthcare requires accurate and robust data. There´s, however, paucity of comprehensive figures on radiological equipment in the African setting. The goal of this study was to carry out an in-depth analysis of the registered radiological equipment in Kenya, a lower middle-income African country, and compare the findings to published international data.Methodsdata on radiological equipment were obtained from the Kenya Nuclear Regulatory Authority and analyzed as units/million of the population by imaging modality, health service sector and administrative units. The findings were then compared to published international data.Resultsthere has been an overall increase in the number of radiological equipment in comparison to data published in 2013, with a relatively uniform distribution of resources across all eight regions. General radiography is the most available modality at 24.5 units/million with the majority of the equipment owned privately, while the public sector (9.6 units/million) has less than a half of the WHO recommendation of 20 units/million. Accessibility to computerized tomography (CT) scan, fluoroscopy and mammography in the public sector closely mirrors that of South Africa. On the contrary, positron emission tomography-computerized tomography (PET-CT) is the least-resourced modality and is currently only available in the private sector.Conclusionthe increased number and homogenous distribution of radiological resources can largely be attributed to the Managed Equipment Services project launched by the national government in 2016. More needs to be done with regards to availability of PET/CT scanners and general radiography equipment in the public sector.

Relationship Between the Early Initiation of Substance Use and Attempted Suicide Among in-School Adolescents in Seven Low- or Middle-Income African Countries: An Analysis of the Global School-Based Student Health Survey Data.

Background: Preventing suicide among adolescents is an urgent global public-health challenge, especially in Africa. Accordingly, the aim of this study was to examine the relationship between the early initiation (< 12 years old) of substance use (cigarette smoking, alcohol use, and drug use) and attempted suicide among in-school adolescents in seven African countries.Methods: Data on the early initiation of substance use and on attempted suicide among in-school adolescents over the previous 12 months in Benin, Liberia, Mauritius, Mozambique, Namibia, Seychelles, and the United Republic of Tanzania were collected from Global School-based Student Health Surveys and were pooled to determine the overall prevalence of these behaviors in adolescents. Univariate and multivariate logistic regressions were then performed to evaluate country-specific associations between the early initiation of substance use and attempted suicide in these adolescents, followed by meta-analyses to evaluate overall pooled associations.Results: In the abovementioned seven African low- or middle-income countries (LMICs), overall weighted prevalences of attempted suicide and early initiation of cigarette smoking, alcohol use, and drug use among in-school adolescents were 16.05, 7.76, 17.68, and 3.48%, respectively. Multivariate logistic regression analyses revealed that relative to non-smoking, the early initiation of smoking was significantly associated with attempted suicide in these adolescents [OR (95% CI) = 1.783 (1.219–2.348)]. Additionally, the relationship between early initiation of cigarette smoking and attempted suicide is mostly driven by a higher association in girls [OR (95% CI) = 1.867 (1.031–2.703)] than boys [OR (95% CI) = 1.392 (0.995−1.789)]. Moreover, relative to not using other drugs, the early and later initiation of other drug use were also significantly associated with attempted suicide in these adolescents [ORs (95% CIs) = 2.455 (1.701–3.208) and 1.548 (1.198–1.898)].Conclusion: Programs that can eliminate or decrease the early initiation of substance use among adolescents should be implemented in African LMICs to prevent subsequent suicide attempts, especially among adolescent girls.

Climate-Induced migration and unemployment in middle-income Africa

One of the major unresolved questions in the study of vulnerability to climate change is how human migration will respond in low and middle-income countries. The present study directly addresses this lacuna by using census data on migration from 4 million individuals from three middle-income African countries over a 22-year period. We link these individuals to climate exposures in their origins and estimate climatic effects on migration using a fixed-effects regression model. We show that climate anomalies affect mobility in all three countries. Specifically, mobility declines by 19% with a 1-standard deviation increase in temperature in Botswana. Equivalent changes in precipitation cause declines in migration in Botswana (11%) and Kenya (10%), and increases in migration in Zambia (24%). The mechanisms underlying these effects appear to differ by country. Negative associations between precipitation anomalies, unemployment, and inactivity suggest migration declines may be due to an increased local demand for workers to offset production risk, while migration increases may be indicative of new opportunities in destinations. These country-specific findings highlight the contextually-specific nature of climate-migration relationships, and do not support claims that climate change is widely contributing to urbanization across Africa.

Comparative strategic approaches to COVID-19 in Africa: Balancing public interest with civil liberties

As COVID-19 spreads rapidly across Africa, causing havoc to economies and disruption to already fragile healthcare systems, it is becoming clear that despite standardised global health strategies, national and local government responses must be tailored to their individual settings. Some African countries have adopted stringent measures such as national lockdown, quarantine or isolation, in combination with good hand hygiene, mandatory wearing of masks and physical distancing, to prevent an impending healthcare crisis. The impact of stringent measures in low- to middle-income African countries has bought time for healthcare facilities to prepare for the onslaught of COVID-19 cases, but some measures have been challenging to implement. In some settings, public health measures have been associated with serious violations of individual rights owing to abuse of power and gaps in implementation of well-intentioned policy. Collateral damage with regard to non-COVID-19 diseases that were suboptimally managed in pre-pandemic times may mean that lives lost from other diseases could exceed those saved from COVID-19. While individuals complying with lockdown regulations have embraced an acceptance of the concept of the common good, at a broad community level many are finding the transition from individualism to collective thinking required during a pandemic difficult to navigate. In this article, we look at government responses to the pandemic in six African countries (Malawi, South Africa, Uganda, Zambia, Zimbabwe and Botswana), and highlight ethical concerns arising in these contexts.

Structure and Trends of Financial Development and Sectoral Growth in Ethiopia

Ethiopian economy had passed through different regimes and, hence economic policies had formulated differently. As a result, national economic policies were set in line with the respective regime’s political ideology as policies are directed with the intention of achieving a wide range of macroeconomic goals. Throughout all regimes, the major financial institutions operating in Ethiopia are banks, insurance companies, and microfinance institutions and the financial sector of the country shows a slightly on the way of growth but the performance of the financial sector of Ethiopia as compared to other middle-income African countries shows the need for more improvement which show still weak financial system which manifested in high government regulation and dominance of the government-owned commercial bank in terms of holding assets, savings mobilization, and loans disbursement. Following different economic policies set by different regimes, on average, the service sector has contributed increasingly and agricultural sector decreasingly contribute to economic growth while until implementation of Growth and Transformation plan I, industry sector showed a slow trend in contribution to economic growth In line with surprising economic growth registered last one decades, the financial system in Ethiopia has also improved following rapid growth in the number of participating institutions including the scope and services rendered in which the system comprises the regulatory authorities, banks, non-bank financial institutions. Keywords : financial development, sectoral growth, Private credit to sectors, Ethiopia DOI: 10.7176/DCS/10-8-01 Publication date: August 31 st 2020

Effect of quantity and quality of education on per capita real-GDP growth: evidence from low- and middle-income African countries

ABSTRACT Although several empirical studies have investigated the growth impact of the quantity of schooling in African countries, research on the impact of schooling quality (the degree to which schooling nurtures professional and cognitive skills) is rare. To fill this research gap, this study examines the effects of the quantity and quality of education on per capita real-GDP growth in low-income and a combination of low- and middle-income African countries using dynamic generalized method of moment estimation on panel data from 2003 to 2016. The results suggest the quantities of primary and secondary education have a positive and statistically significant impact on per capita real-GDP growth; however, the correlation between the quality of education and economic growth is weak and not robust. Furthermore, standardized coefficients indicate the quantity of primary education has a stronger impact on growth than the quantity of secondary education and quality of education, and the quantity of secondary education has a stronger impact on growth than the quality of education. Overall, these results suggest policy authorities should target both the quantity and quality of education to achieve per capita real-GDP growth, with a particular focus on ensuring universal primary education.

The Latin American and Nigerian Conditional Cash Transfer Experience: A Comparative Analysis

Despite the recent economic growth in Nigeria, poverty remains a social problem. One of the strategies employed by the Nigerian government and some development partners towards solving this problem is the deployment of social protection instruments, such as Conditional Cash Transfers (CCTs), which aim at stemming the tide of poverty and vulnerability. This study uses the secondary research method to examine the extent to which the Latin American CCT model influenced the design and operation of the Nigerian CCT programme. The policy diffusion model adopted for the study posits that the success of CCT programmes in Latin America has stimulated its extension to many developing countries outside the region. The findings from the review of selected literature explain the rationale for CCTs as short-term poverty reduction and long-term human capital development. Admittedly, a nexus exists between the Latin American and Nigerian strategies. Yet the study concludes that the Latin American model cannot adequately serve as a blueprint for the Nigeria strategy, given that underlying conditions in upper middle-income Latin American countries are clearly different from those present in low income or lower middle-income African countries like Nigeria. The study recommends urgent implementation of the National Social Protection Policy; a review of the current CCT programme in Nigeria every two years and extensive research into social protection strategies.