Delays in childhood immunization in a conflict area: a study from Sierra Leone during civil war

ABSTRACT: BACKGROUND: Sierra Leone has undergone a decade of civil war from 1991 to 2001. From this period few data on immunization coverage are available, and conflict-related delays in immunization according to the Expanded Programme on Immunization (EPI) schedule have not been investigated. We aimed to study delays in childhood immunization in the context of civil war in a Sierra Leonean community. METHODS: We conducted an immunization survey in Kissy Mess-Mess in the Greater Freetown area in 1998/99 using a two-stage sampling method. Based on immunization cards and verbal history we collected data on immunization for tuberculosis, diphtheria, tetanus, pertussis, polio, and measles by age group (0-8/9-11/12-23/24-35 months). We studied differences between age groups and explored temporal associations with war-related hostilities taking place in the community. RESULTS: We included 286 children who received 1690 vaccine doses; card retention was 87%. In 243 children (85%, 95% confidence interval (CI): 80-89%) immunization was up-to-date. In 161 of these children (56%, 95%CI: 50-62%) full age-appropriate immunization was achieved; in 82 (29%, 95%CI: 24-34%) immunization was not appropriate for age. In the remaining 43 children immunization was partial in 37 (13%, 95%CI: 9-17) and absent in 6 (2%, 95%CI: 1-5). Immunization status varied across age groups. In children aged 9-11 months the proportion with age-inappropriate (delayed) immunization was higher than in other age groups suggesting an association with war-related hostilities in the community. CONCLUSION: Only about half of children under three years received full age-appropriate immunization. In children born during a period of increased hostilities, immunization was mostly inappropriate for age, but recommended immunizations were not completely abandoned. Missing or delayed immunization represents an additional threat to the health of children living in conflict areas.

'Dime cómo hablas y te diré dónde vives'. Percepción lingüística y representaciones geosociales en la ciudad de Lima

Esta contribución se inscribe dentro de un proyecto de investigación en marcha desde enero de 2012 que tiene por objetivo analizar la percepción de las hablas limeñas y las actitudes frente a éstas que tienen los hablantes de la capital del Perú, en directa relación con las representaciones geosociales que manejan de su ciudad, para lo cual partimos del concepto de estilos de interacción. Al hablar de representaciones geosociales queremos hacer hincapié en el hecho de que nuestra investigación no gira en torno a datos efectivos, empíricamente comprobables mediante censos y estudios socioeconómicos sobre la composición sociodemográfica de Lima Metropolitana y sus distritos, sino que se centra en los mapas sociales que forman y perfilan sus habitantes como consecuencia de sus experiencias individuales y de percepciones colectivas sociohistórica y culturalmente motivadas. Subrayemos entonces que el enfoque teórico de este estudio es constructivista, a partir del cual se analizará cómo los hablantes de Lima, en tanto que actores sociales, moldean su espacio urbano mediante las percepciones de la lengua y en interacción dinámica con “el otro” . Dentro de este marco, en el presente estudio nos ocupamos específicamente de la manera como es percibida por jóvenes limeñas la forma de hablar de otras limeñas jóvenes cuyos padres proceden de la Sierra peruana: ¿qué rasgos actúan como indicadores socio-étnicos y dónde, sobre la base de dichas percepciones, son “localizadas” en los mapas mentales de las entrevistadas estas “nuevas” limeñas? Estas preguntas son relevantes en relación con las hablas limeñas porque dada la situación de la ciudad de Lima, cuya población ha crecido fuertemente debido a la emigración de habitantes originarios de otras regiones del país, un estudio sobre las percepciones, representaciones y actitudes que tienen las jóvenes limeñas puede dar luces acerca de la existencia de nuevas variedades fruto del contacto interdialectal en Lima, de su reconocimiento y de su aceptabilidad sociolingüística por parte de los hablantes.

Cartografías de la ciudad. Representación y estilización lingüística en mapas mentales de Buenos Aires

Desde un enfoque constructivista del espacio urbano como producto social, en el presente artículo presentamos algunos aspectos teóricos y metodológicos para el análisis de las representaciones geosociales y la identidad urbana para luego investigar a partir de una selección de mapas mentales la imagen espacial que los hablantes expresan a través de las variedades lingüísticas que distinguen, estilizan y ubican en su cartografía mental de la ciudad. Se trata de un primer acercamiento a un corpus recopilado en 2013, que permite observar, por un lado, que la percepción del espacio urbano está basada en la fuerte identificación de los porteños con los barrios de la ciudad y, por otro lado, que existe en el imaginario colectivo una dicotomía norte-sur estilizada que se refleja tanto en lo social, lo espacial y lo lingüístico.

Ethnography of a Land-Deal. Local Perceptions and Vertical Perspectives of a Large Scale Land Acquisition Project in Northern Sierra Leone

In the aftermath of the devastating civil war, the Sierra Leonean government created favourable conditions for foreign investors willing to lease large areas of land to bring development to the country. A team of anthropologists and geographers did extensive fieldwork on the Addax Bioenergy Project in order to a) document the project affected people’s (PAP) perceptions and interests on a horizontal level and b) identify the different actors that are necessary for the implementation of such a project on the vertical level. Findings indicate that the project triggers a number of processes: Cultural and linguistic differences between PAP and company, their diverse understanding of development and the stance of local elites led to misunderstandings concerning each other’s responsibilities and created a lot of frustration on both sides. Further, the loss of natural resources that comes along with the land lease affects mostly women and other vulnerable groups.

Ethnography of a Land-Deal. Local Perceptions and Vertical Perspectives of a Large Scale Land Acquisition Project in Northern Sierra Leone

Despite an increased scientific interest in the relatively new phenomenon of large-scale land acquisition (LSLA), data on processes on the local level remain sparse and superficial. However, knowledge about the concrete implementation of LSLA projects and the different impacts they have on the heterogeneous group of project affected people is indispensable for a deepened understanding of the phenomenon. In order to address this research gap, a team of two anthropologists and a human geographer conducted in-depth fieldwork on the LSLA project of Swiss based Addax Bioenergy in Sierra Leone. After the devastating civil war, the Sierra Leonean government created favourable conditions for foreign investors willing to lease large areas of land and to bring “development” to the country. Being one of the numerous investing companies, Addax Bioenergy has leased 57’000 hectares of land to develop a sugarcane plantation and an ethanol factory to produce biofuel for the export to the European market. Based on participatory observation, qualitative interview techniques and a network analysis, the research team aimed a) at identifying the different actors that were necessary for the implementation of this project on a vertical level and b) exploring various impacts of the project in the local context of two villages on a horizontal level. The network analysis reveals a complex pattern of companies, institutions, nongovernmental organisations and prominent personalities acting within a shifting technological and discursive framework linking global scales to a unique local context. Findings from the latter indicate that affected people initially welcomed the project but now remain frustrated since many promises and expectations have not been fulfilled. Although some local people are able to benefit from the project, the loss of natural resources that comes along with the land lease affects livelihoods of vulnerable groups – especially women and land users – considerably. However, this research doesn’t only disclose impacts on local people’s previous lives but also addresses strategies they adopt in the newly created situation that has opened up alternative spaces for renegotiations of power and legitimatisation. Therewith, this explorative study reveals new aspects of LSLA that have not been considered adequately by the investing company nor by the general academic discourse on LSLA.

Local Perceptions and Vertical Perspectives of a Large Scale Land Acquisition Project in Northern Sierra Leone

Despite increased scientific interest in the phenomenon of large-scale land acquisitions (LSLA), accurate data on implementation processes remain sparse. This paper aims at filling this gap by providing empirical in-depth knowledge on the case of the Swiss-based Addax Bioenergy Ltd. in Sierra Leone. Extensive fieldwork allowed the interdisciplinary research team 1) the identification of different actors that are necessary for the implementation on a vertical level and 2) the documentation of the heterogeneous group of project affected people’s perceptions and strategies on a horizontal level. Findings reveal that even a project labeled as best-practice example by UN agencies triggers a number of problematic processes for affected communities. The loss of natural resources that comes along with the land lease and the lack of employment possibilities mostly affects already vulnerable groups. On the other hand, strategies and resistance of local people also affect the project implementation. This shows that the horizontal and vertical levels are not separate entities. They are linked by social networks, social interactions, and means of communication and both levels take part in shaping the project’s impacts.

Ethnography of a Land Grab and Gendered Coping Strategies in Northern Sierra Leone

Despite an increased scientific interest in the relatively new phenomenon of large-scale land acquisition (LSLA), data on the implementation of such projects and their impacts on the heterogeneous group of project-affected people are still sparse and superficial. Our ethnographic in-depth research on a Swiss-based bioenergy project in Sierra Leone generates well-documented data and provides insights into gendered access to land and wage employment. In the area where the project is located, customary land tenure applies. Thereby, women are structurally discriminated since they are not entitled to own land. However, user rights grant women and non-landowning men access to land and associated resources. Following the investing development banks’ guidelines, the company considered the local customary law when implementing its project. Nevertheless, the company only consulted and compensated landowners although women and non-landowning men could previously benefit from acquired land as well. Moreover, the company’s policy to enhance employment possibilities for women is barely implemented, and only few local women are hired. In order to cope with the transformed situation some women and non-landowning men continue to engage in subsistence farming on a reduced area of land. Others are involved in informal petty-trade or cooking food for the labourers whereby they subsidize the capitalist production of the company. In one village, women resisted additional land takes of the company. Acting within the framework of a specific power constellation on community level and simultaneously accommodating their claims within policy paradigms on transnational level, they were able to force a landowner to refuse leasing land to the company.

Sustainable investment in land in the Global South: What would it require from a coherence perspective? The case of Sierra Leone

Large scale acquisitions of land in the Global South have signifi-cantly increased since the millennium. It is often the case that foreign investors are involved in such acquisitions, which are commonly aimed at facilitating the export of commodities. These investments in land tend to transform conventional, rather small scale agricultural systems into large scale, industrial agricultural systems. While investment in ag-riculture in the Global South is much needed, large-scale investments in land often goes hand-in-hand with environmental and human rights re-lated challenges. As a consequence, lawyers need to address questions of sovereignty over natural resources (this paper focuses in particular on land resources), to peoples’ right to self-determination, to the responsi-bilities of the home and host states of the investors, including public-private relationships, and the role of international institutions who are involved, as well as relevant jurisprudence. This paper approaches these questions from the perspective of a theory on policy coherence for sus-tainable development.

Potential Impact of Sexual Transmission on Ebola Virus Epidemiology: Sierra Leone as a Case Study.

BACKGROUND Sexual transmission of Ebola virus disease (EVD) 6 months after onset of symptoms has been recently documented, and Ebola virus RNA has been detected in semen of survivors up to 9 months after onset of symptoms. As countries affected by the 2013-2015 epidemic in West Africa, by far the largest to date, are declared free of Ebola virus disease (EVD), it remains unclear what threat is posed by rare sexual transmission events that could arise from survivors. METHODOLOGY/PRINCIPAL FINDINGS We devised a compartmental mathematical model that includes sexual transmission from convalescent survivors: a SEICR (susceptible-exposed-infectious-convalescent-recovered) transmission model. We fitted the model to weekly incidence of EVD cases from the 2014-2015 epidemic in Sierra Leone. Sensitivity analyses and Monte Carlo simulations showed that a 0.1% per sex act transmission probability and a 3-month convalescent period (the two key unknown parameters of sexual transmission) create very few additional cases, but would extend the epidemic by 83 days [95% CI: 68-98 days] (p < 0.0001) on average. Strikingly, a 6-month convalescent period extended the average epidemic by 540 days (95% CI: 508-572 days), doubling the current length, despite an insignificant rise in the number of new cases generated. CONCLUSIONS/SIGNIFICANCE Our results show that reductions in the per sex act transmission probability via abstinence and condom use should reduce the number of sporadic sexual transmission events, but will not significantly reduce the epidemic size and may only minimally shorten the length of time the public health community must maintain response preparedness. While the number of infectious survivors is expected to greatly decline over the coming months, our results show that transmission events may still be expected for quite some time as each event results in a new potential cluster of non-sexual transmission. Precise measurement of the convalescent period is thus important for planning ongoing surveillance efforts.

La representación multimedial de la transición de ‘Malaguistán’ a ‘Málaga Soho subversivo

Lagunillas es un barrio céntrico de Málaga, a espaldas de algunas atracciones turísticas y culturales como la Plaza de la Merced, la Casa Natal de Picasso y el Teatro Cervantes. Durante muchos años este barrio se ha catalogado como área de riesgo social y de índices altos de pobreza y marginación, aunque recientemente varias asociaciones de vecinos se han esforzado por mejorar la situación de la barriada. Los colectivos activos en Lagunillas procuran documentar y denunciar el abandono de la zona por parte del Ayuntamiento y hacer visible las iniciativas tomadas por el vecindario en los medios sociales (Facebook, Twitter, Youtube) y en periódicos de oposición. Por tanto, esta contribución se centra en la representación multimodal del barrio Lagunillas en dichos medios. El estudio se basa en un enfoque de la semiótica social multimodal y recurre a métodos cualitativos con la ayuda del programa TAMS Analyzer. Los objetivos de análisis son cómo los activistas emplean diferentes recursos semióticos multimodales para mostrar el estado del barrio y de qué manera los recursos semióticos interactúan. La multimodalidad subraya de este modo la acción situada, es decir, acentúa la importancia del contexto social y de la elección de los recursos disponibles para crear significado. En el caso de Lagunillas la relación intersemiótica, y en especial, el modo visual, se convierten en recursos sumamente impactantes para representar la transición de “Malaguistán” a “Málaga Soho subversivo”.