Long-term trend analysis at local scale for rainfall and temperature is critical for detecting climate change patterns. This study analysed historical (1980–2009), near future (2010–2039), mid- (1940–2069) and end-century (2070–2099) rainfall and temperature over Karamoja sub-region. The Modern Era-Retrospective Analysis for Research and Applications (MERRA) daily climate data provided by the Agricultural Model Inter-comparison and Improvement Project (AgMIP) was used. The AgMIP delta method analysis protocol was used for an ensemble of 20 models under two representative concentration pathways (RCPs 4.5 and 8.5). Historical mean rainfall was 920.1 ± 118.9 mm and minimum, maximum and mean temperature were 16.8 ± 0.5 °C, 30.6 ± 0.4 °C and 32.0 ± 0.7 °C, respectively. Minimum temperature over the historical period significantly rose between 2000 and 2008. Near future rainfall varied by scenario with 1012.9 ± 146.3 mm and 997.5 ± 144.7 mm for RCP4.5 and RCP8.5 respectively; with a sharp rise predicted in 2017. In the mid-century, mean annual rainfall will be 1084.7 ± 137.4 mm and 1205.5 ± 164.9 mm under RCP4.5 and RCP8.5 respectively. The districts of Kaabong and Kotido are projected to experience low rainfall total under RCP4.5 (mid-century) and RCP8.5 (end-century). The minimum temperature is projected to increase by 1.8 °C (RCP4.5) and 2.1 °C (RCP8.5) in mid-century, and by 2.2 °C (RCP4.5) and 4.0 °C (RCP8.5) in end-century.
Background Malaria remains a major tropical vector-borne disease of immense public health concern owing to its debilitating effects in sub-Saharan Africa. Over the past 30 years, the high altitude areas in Eastern Africa have been reported to experience increased cases of malaria. Governments including that of the Republic of Uganda have responded through intensifying programs that can potentially minimize malaria transmission while reducing associated fatalities. However, malaria patterns following these intensified control and prevention interventions in the changing climate remains widely unexplored in East African highland regions. This study thus analyzed malaria patterns across altitudinal zones of Mount Elgon, Uganda. Methods Times-series data on malaria cases (2011–2017) from five level III local health centers occurring across three altitudinal zones; low, mid and high altitude was utilized. Inverse Distance Weighted (IDW) interpolation regression and Mann Kendall trend test were used to analyze malaria patterns. Vegetation attributes from the three altitudinal zones were analyzed using Normalized Difference Vegetation Index (NDVI) was used to determine the Autoregressive Integrated Moving Average (ARIMA) model was used to project malaria patterns for a 7 year period. Results Malaria across the three zones declined over the study period. The hotspots for malaria were highly variable over time in all the three zones. Rainfall played a significant role in influencing malaria burdens across the three zones. Vegetation had a significant influence on malaria in the higher altitudes. Meanwhile, in the lower altitude, human population had a significant positive correlation with malaria cases. Conclusions Despite observed decline in malaria cases across the three altitudinal zones, the high altitude zone became a malaria hotspot as cases variably occurred in the zone. Rainfall played the biggest role in malaria trends. Human population appeared to influence malaria incidences in the low altitude areas partly due to population concentration in this zone. Malaria control interventions ought to be strengthened and strategically designed to achieve no malaria cases across all the altitudinal zones. Integration of climate information within malaria interventions can also strengthen eradication strategies of malaria in such differentiated altitudinal zones.
Background: Food insecurity and malnutrition in children are pervasive public health concerns in Zimbabwe. Previous studies only identified determinants of food insecurity and malnutrition with very little efforts done in assessing related inequalities and decomposing the inequalities across household characteristics in Zimbabwe. This study explored socioeconomic inequalities trend in child health using regression decomposition approach to compare within and between group inequalities. Methods: The study used Demographic Health Survey (DHS) data sets of 2010\11 and 2015. Food insecurity in under-five children was determined based on the WHO dietary diversity score. Minimum dietary diversity was defined by a cutoff point of > 4 therefore, children with at least 3 of the 13 food groups were defined as food insecure. Malnutrition was assessed using weight for age (both acute and chronic under-nutrition) Z-scores. Children whose weight-forage Z-score below minus two standard deviations (− 2 SD) from the median were considered malnourished. Concentration curves and indices were computed to understand if malnutrition was dominant among the poor or rich. The study used the Theil index and decomposed the index by population subgroups (place of residence and socioeconomic status). Results: Over the study period, malnutrition prevalence increased by 1.03 percentage points, while food insecurity prevalence decreased by 4.35 percentage points. Prevalence of malnutrition and food insecurity increased among poor rural children. Theil indices for nutrition status showed socioeconomic inequality gaps to have widened, while food security status socioeconomic inequality gaps contracted for the period under review. Conclusion: The study concluded that unequal distribution of household wealth and residence status play critical roles in driving socioeconomic inequalities in child food insecurity and malnutrition. Therefore, child food insecurity and malnutrition are greatly influenced by where a child lives (rural/urban) and parental wealth.
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