The Promise of Double Living. Understanding Young People with Same-Sex Desires in Contemporary Kampala

Ugandan urban same-sex desiring individuals frequently encounter and navigate competing understandings of sexuality and sexual identity. Western essentialist understanding of sexual identity introduced by international development partners and transnational LGBT+ (Lesbian, Gay, Bi- and Transsexual) activism, as well as media, offer an alternative to Ugandan non-essentialist and fluid subject positions. This article seeks to understand how young individuals with same-sex -desires in Kampala navigate tensions between Western and local understandings concerning sexuality. We have interviewed 24 young individuals with same-sex desires (unaffiliated and individuals working in LGBT+ organizations) and asked how they approach their sexuality and experiences living with same-sex desires in contemporary Kampala. The results reveal how interview participants engaged in a complex navigation between local community expectations, their own same-sex desires, and embeddedness in a global LGBT+ culture. Although the participants engaged in what Westerners would label as a "double life," the article problematizes the prescriptive norms of authenticity and "coming out." The conclusion is that the fluid vs essentialist dichotomy is too simplistic to be helpful when trying to understand the lives and aspirations of young people with same-sex desires.

Institutional Context of Pest Management Science in the Global South

The natural sciences are receiving increasing attention in the Global South. This timely development may help mitigate global change and quicken an envisioned food system transformation. Yet in order to resolve complex issues such as agrochemical pollution, science ideally proceeds along suitable trajectories within appropriate institutional contexts. Here, we employ a systematic literature review to map the nature of inquiry and institutional context of pest management science in 65 low- and middle-income countries published from 2010 to 2020. Despite large inter-country variability, any given country generates an average of 5.9 publications per annum (range 0-45.9) and individual nations such as Brazil, Kenya, Benin, Vietnam, and Turkey engage extensively in regional cooperation. International development partners are prominent scientific actors in West Africa but are commonly outpaced by national institutions and foreign academia in other regions. Transnational institutions such as the CGIAR represent a 1.4-fold higher share of studies on host plant resistance but lag in public interest science disciplines such as biological control. Despite high levels of scientific abstraction, research conducted jointly with development partners shows real yet marginal improvements in incorporating the multiple (social-ecological) layers of the farming system. Added emphasis on integrative system-level approaches and agroecological or biodiversity-driven measures can extend the reach of science to unlock transformative change.

How is aid used to exert power? Gender equality promotion and migration control in Senegal

This article describes how aid-influence mechanisms previously identified by academic literature (aid conditionality, tied aid, consultants, people-to-people exchanges and the support of like-minded donors) are triggered in a selection of six aid projects implemented by Spain and Germany and involving the EU in Senegal, in the domains of gender equity and migration control. Aid-influence nexuses might prove ineffective if there is a lack of political will on the part of the partner, an insufficient involvement of its Administration or local actors, a mis-selection of people involved in the aid-influence link, or if the scale of the project is too small.

Establishment of a Pediatric Surgical Unit at a University Hospital in Eastern Africa

Introduction: Ethiopia is a rapidly developing country in Eastern Africa. In total, 43.2% of the population are younger than 15. In contrast, until a few years ago, pediatric surgery was only available in Addis Ababa. Now, Ethiopia is making great efforts to improve the care of children who require surgery. JimmaChild was established to set up a pediatric surgery in Jimma. Material and methods: JimmaChild developed from a scientific collaboration between Jimma University (JU) and Ludwig-Maximilians-University. The project was developed and realized by Ethiopian and German colleagues. A curriculum was written for this purpose. The pediatric surgical training of the fellows was carried out on-site by German pediatric surgeons. Results: A new pediatric surgery was established at JU with its own operating room, ward, and staff. After two and a half years, two fellows completed their final examinations as pediatric surgeons. Among others, 850 elective surgeries were performed, 82% assisted by the German colleagues. The German colleagues rated the preparation for the trip, the on-site support, and the professional progress of the fellows mostly as good to very good. Reported problems in the program flow were also recognized and solved in part. Conclusions: The best possible integration of the project into existing structures was achieved by close cooperation of Ethiopian and German colleagues during the project development. Problems were identified and addressed early on by external monitoring. As the project responsibility was mainly with the Ethiopian colleagues, a department was created that now exists independently of external funding and trains its own fellows.

European aid and health system strengthening: an analysis of donor approaches in the DRC, Ethiopia, Uganda, Mozambique and the global fund

Background: In the field of international health assistance (IHA), there is a growing consensus on the limits of disease-specific interventions and the need for more health system strengthening (HSS). European donors are considered to be strong supporters of HSS. Nevertheless, little is known about how their support for HSS translates into concrete policies at partner country level. Furthermore, as development cooperation is a shared policy between the EU and its Member States, it remains unclear to what extent European donors share a similar approach.

Objective: This article reviews a PhD thesis on European aid and HSS. The thesis investigated (1) the approaches of European donors towards IHA, and (2) the extent to which there are similarities or differences between them. An original analytical framework was developed to make a fine-grained analysis of European donors’ approaches in the DRC, Ethiopia, Uganda and Mozambique. In addition, the relation of European donors with the Global Fund was investigated.

Methods: An abductive research approach was used during which literature review, data generation, analysis and research design mutually influenced each other. The research built on a wide range of empirical data, including semi-structured interviews with 123 respondents, policy documents and descriptive statistical analysis.

Results and conclusion: Four ‘types’ of European donors were identified, which vary in their focus (issue-specific versus comprehensive) and their level of support to and involvement of recipient states. Despite this heterogeneity at a specific level, there is still a general degree of ‘unity’ among European donors, especially compared with the US. Yet, there are signs that the ‘transatlantic’ divide on HSS may be converging, as European donors tend to focus more explicitly on result-oriented approaches traditionally associated with the US and Global Health Initiatives. Consequently, European donors play a limited role in bringing HSS more to the forefront in IHA.

Contributions of paraecologists and parataxonomists to research, conservation, and social development

Citizen science has been gaining momentum in the United States and Europe, where citizens are literate and often interested in science. However, in developing countries, which have a dire need for environmental data, such programs are slow to emerge, despite the large and untapped human resources in close proximity to areas of high biodiversity and poorly known floras and faunas. Thus, we propose that the parataxonomist and paraecologist approach, which originates from citizen-based science, is well suited to rural areas in developing countries. Being a paraecologist or a parataxonomist is a vocation and entails full-time employment underpinned by extensive training, whereas citizen science involves the temporary engagement of volunteers. Both approaches have their merits depending on the context and objectives of the research. We examined 4 ongoing paraecologist or parataxonomist programs in Costa Rica, India, Papua New Guinea, and southern Africa and compared their origins, long-term objectives, implementation strategies, activities, key challenges, achievements, and implications for resident communities. The programs supported ongoing research on biodiversity assessment, monitoring, and management, and participants engaged in non-academic capacity development in these fields. The programs in Southern Africa related to specific projects, whereas the programs in Costa Rica, India, and Papua New Guinea were designed for the long term, provided sufficient funding was available. The main focus of the paraecologists' and parataxonomists' activities ranged from collection and processing of specimens (Costa Rica and Papua New Guinea) or of socioeconomic and natural science data (India and Southern Africa) to communication between scientists and residents (India and Southern Africa). As members of both the local land user and research communities, paraecologists and parataxonomists can greatly improve the flow of biodiversity information to all users, from local stakeholders to international academia.

[Integrated Quality Management System (IQMS): a model for improving the quality of reproductive health care in rural Kenya]

OBJECTIVES

To develop a model aiming to improve the quality of services for reproductive health care in rural Kenya and designed to measure the quality of reproductive health services in such a way that allows these services to identify measures for improving their performance.

METHODS

The Integrated Quality Management System (IQMS) was developed on the basis of a pre-existing and validated model for quality promotion, namely the European Practice Assessment (EPA). The methodology for quality assessment and feedback of assessment results to the service teams was adopted from the EPA model. Quality assessment methodology included data assessment through staff, patient surveys and service visitation. Quality is assessed by indicators, and so indicators had to be developed that were appropriate for assessing reproductive health care in rural Kenya. A search of the Kenyan and international literature was conducted to identify potential indicators. These were then rated for their relevance and clarity by a panel of Kenyan experts.

RESULTS

260 indicators were rated as relevant and assigned to 29 quality dimensions and 5 domains. The implementation of IQMS in ten facilities showed that IQMS is a feasible model for assessing the quality of reproductive health services in rural Kenya. IQMS enables these services to identify quality improvement targets and necessary improvement measures. Both strengths and limitations of IQMS will be discussed.