Suchergebnisse

Agricultural development towards security of food, nutrition and livelihood is high on the political agenda in Sri Lanka. Recently, national priorities have included the development of food-secure and resilient cities; in this regard, the Western Province has been a forerunner, having commenced its urban agriculture campaign as early as 2000.

One year ago, the authors of this article reported in this journal on the malaria situation in Sri Lanka prior to the tsunami that hit on 26 December 2004, and estimated the likelihood of a post-tsunami malaria outbreak to be low. Malaria incidence has decreased in 2005 as compared to 2004 in most districts, including the ones that were hit hardest by the tsunami. The malaria incidence (aggregated for the whole country) in 2005 followed the downward trend that started in 2000. However, surveillance was somewhat affected by the tsunami in some coastal areas and the actual incidence in these areas may have been higher than recorded, although there were no indications of this and it is unlikely to have affected the overall trend significantly. The focus of national and international post tsunami malaria control efforts was supply of antimalarials, distribution of impregnated mosquito nets and increased monitoring in the affected area. Internationally donated antimalarials were either redundant or did not comply with national drug policy, however, few seem to have entered circulation outside government control. Despite distribution of mosquito nets, still a large population is relatively exposed to mosquito bites due to inadequate housing. There were no indications of increased malaria vector abundance. Overall it is concluded that the tsunami has not negatively influenced the malaria situation in Sri Lanka.

This is the final report (2009-2011 June) of the RUAF-FSTT Programme for the South and SOUTHEAST ASIA Region, coordinated by the International Water Management Institute (IWMI), from its Regional Office in Hyderabad, India. The programme of activities were carried out in two cities, namely Magadi, Ramanagara District, India, and Gampaha, Sri Lanka from 2009 to June 2011, with an no-cost extension of six months, ending in year June 2011. This programme of activities came under IWMI's theme on Water quality, Health and Environment. The programme was aimed at strengthening farmer organisations and their marketing capacities in urban/periurban settings, and developing sustainable urban farming systems that will contribute towards poverty alleviation, empowerment of disadvantaged and underserved groups in cities, enhance urban food security and social inclusion in development. The core activities were planned around two major components; 1. Operationalisation of a City Strategy Agenda (CSA), through a city multistakeholder forum (MSF) to promote Urban/Periurban Agriculture (UPA), which included diverse UPA activities and supported the shaping of policies to sustain UPA activities; 2. An innovation project that targeted low-income urban producers to innovate their farming practices from a market chain perspective, promoting eco-intensive agriculture based on ecological principals and maximum use of natural resources.

This project aims to identify the risks and benefits associated with the use of wastewater in urban and peri-urban fodder and vegetable cropping systems in India and Pakistan, where wastewater is largely untreated due to lack of public finance. Two mega-cities (Faisalabad, Pakistan and Hyderabad, India, with large untreated wastewater irrigation areas have been selected a) for comparative purposes and b) to develop and promote country-specific risk mitigation options. With a particular focus on food safety, livelihoods and livestock, the research will combine field and laboratory methods and structured interactions with producers, consumers, and authorities (urban planning, public health and water management). The goal of the project is to improve health and safeguard wastewater-dependent livelihoods of resource-poor urban and peri-urban farmers and consumers in developing countries. This overlaps with IWMI?s mission to improve water and land resources management for food, livelihoods and nature. The project?s purpose is to develop and promote the uptake of a set of risk mitigation options based on a comprehensive assessment of risks and benefits associated with wastewater irrigation in Hyderabad (India) and Faisalabad (Pakistan). The project will enable the uptake of the recommendations in two countries with large wastewater-irrigated areas and different political - institutional environments.

Early diagnosis and treatment of malaria cases is one of the basic elements of the current global malaria control strategy. In order to provide this service to people in rural areas there is a need for new cost-effective approaches. To ensure that such new approaches are acceptable to the target communities, it is important to know the rationale for people's malaria treatment-seeking behavior. The present study provides insights into the reasons for people's preferences for different types of healthcare facilities and describes variation of these preferences within a rural community in Sri Lanka. The study reports on the experiences with the establishment of a village health facility and its effect on the treatment-seeking behavior of the population. After the introduction of the village treatment center it quickly took over the role of main provider for diagnosis and treatment of malaria from the government facilities. The treatment center did not improve the response time in seeking treatment for young children, but the delay for adults was reduced by 1-2 days. Mothers with small children often preferred the government facilities since they wanted a more qualified opinion than available from the locally recruited staff of the village treatment center. The treatment center significantly reduced the stress and discomfort experienced by the elderly and handicapped segment of the community. The study indicated that the effective catchment area of a village treatment center will be influenced by the degree of initial support from key individuals in the communities, the selection procedure and training of assistants, and the history of the relationships between different villages to be served by the center. The government health services and communities across the dry zone of Sri Lanka could benefit substantially from the establishment of more village treatment centers. To ensure the long-term sustainability of these type of facilities it is necessary to assess the feasibility of charging a user fee and establishing multi-purpose clinics. Government policies and administrative procedures will need to be adjusted to make the successful operation of village treatment centers possible.

Malaria risk factor studies have traditionally used microscopy readings of blood slides as the measure of malaria infection in humans, although alternatives are available. There is the need for an assessment of how the use of these alternative diagnostic approaches will influence the efficiency and significance of epidemiological studies. In an area of Sri Lanka with known risk factors for malaria, two cross-sectional surveys were done at the start and at the peak of transmission season. Microscopy was compared with enzyme-linked immunosorbent assays (ELISA) and polymerase chain reaction (PCR). The major risk factor in this area was the location of houses relative to confirmed vector breeding sites. At the peak of the transmission season, the results pointed in the same direction, irrespective of the diagnostic method used. However, the importance of distance from the breeding site was not statistically significant when microscopy was used, which can be explained by the lower prevalence of microscopy positivity in comparison to the prevalence of ELISAand PCR-positivity. This study suggests that in low-transmission areas, such as Sri Lanka, smaller sample sizes can be used for epidemiological research studies using PCR instead of microscopy to estimate parasite prevalence. This efficiency gain has to be weighed against the higher cost and complexity of the PCR. PCR cannot replace microscopy as the standard diagnostic procedure at the field level. ELISA is not directly comparable with microscopy and PCR but it can also be a useful tool in malaria epidemiological studies. This study indicates that cross-sectional surveys are only efficient if they take place during peak transmission season. Cross sectional surveys currently implemented by the Sri Lankan government in response to local malaria outbreaks can form the basis for valid epidemiological studies and be used for the generation of malaria risk maps if samples were also analyzed using PCR.

When flowing through Hyderabad, the capital of Telangana, India, the Musi River picks up (partially) treated and untreated sewage from the city. Downstream of the city, farmers use this water for the irrigation of rice and vegetables. Treatment of the river water before it is used for irrigation would address the resulting risks for health and the environment. To keep the costs and operational efforts low for the farmers, the use of constructed wetlands is viewed as a suitable option. Towards this end, the paper investigates the interests and perceptions of government stakeholders and farmers on the treatment of wastewater for irrigation and further explores the consumer willingness to pay a higher price for cleaner produced vegetables. Full cost recovery from farmers and consumers cannot be expected, if mass scale treatment of irrigation water is implemented. Instead, both consumers and farmers would expect that the government supports treatment of irrigation water. Most stakeholders associated with the government weigh health and environment so high, that these criteria outweigh cost concerns. They also support the banning of irrigation with polluted water. However, fining farmers for using untreated river water would penalize them for pollution caused by others. Therefore public funding of irrigation water treatment is recommended.