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Varietal selection is particularly difficult for very heterogeneous environments where farmers have a range of preferences. To address these issues in Rwanda, local bean experts, generally women, are invited to the research station to assess cultivars and to select those they prefer for their plots. Farmers use observed yield as only one of several criteria to predict varietal performance in their more stressed home environments. The varieties they choose are often higher yielding on-farm and are retained longer by farmers than those selected by the breeders. The results of early farmer involvement also compare favourably with those of the standard breeding programme in terms of enhanced genetic diversity and reduced research costs. There are few pre-conditions for developing such a client-driven breeding programme.Papel del agricultor en la selection de variedades para una estation investigation RESUMEN La selection de variedades resulta particularmente dificil para los ambientes muy heterogeneos en los que los agricultores cuentan con una diversidad de preferencias. En Rwanda, para solucionar este inconveniente, los expertos en porotos locales, generalmente las mujeres, son invitadas a la estacion de investigacion para evaluar las variedades de cultivo y seleccionar las de su preferencia para sus propias parcelas. Los agricultores utilizan el rendimiento observado como uno de los muchos criterios para pronosticar el rendimiento de las variedades en las condiciones mas adversas de sus propias parcelas. Las variedades escogidas generalmente son las de mayor rendimiento en finca, y son retenidas por los agricultores durante mucho mas tiempo que las variedades seleccionadas por los reproductores de semillas. Los resultados de esta temprana participation de los agricultores tambien se compararon favorablemente con los de los programas de reproduction estandar en lo que se refiere a la mejora de la diversidad genetica y la reduction de los costos de investigacion. Existen pocas condiciones previas para el dessarrollo de un programa de reproduction dirigido por sus propios clientes tal como el que aqui se presenta.

Background: In many parts of the world, livestock production is undergoing a process of rapid intensification. The health implications of this development are uncertain. Intensification creates cheaper products, allowing more people to access animal-based foods. However, some practices associated with intensification may contribute to zoonotic disease emergence and spread: for example, the sustained use of antibiotics, concentration of animals in confined units, and long distances and frequent movement of livestock.Objectives: Here we present the diverse range of ecological, biological, and socioeconomic factors likely to enhance or reduce zoonotic risk, and identify ways in which a comprehensive risk analysis may be conducted by using an interdisciplinary approach. We also offer a conceptual framework to guide systematic research on this problem.Discussion: We recommend that interdisciplinary work on zoonotic risk should take into account the complexity of risk environments, rather than limiting studies to simple linear causal relations between risk drivers and disease emergence and/or spread. In addition, interdisciplinary integration is needed at different levels of analysis, from the study of risk environments to the identification of policy options for risk management.Conclusion: Given rapid changes in livestock production systems and their potential health implications at the local and global level, the problem we analyze here is of great importance for environmental health and development. Although we offer a systematic interdisciplinary approach to understand and address these implications, we recognize that further research is needed to clarify methodological and practical questions arising from the integration of the natural and social sciences.

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Climate change and variability present new challenges for agriculture, particularly for smallholder farmers who continue to be the mainstay of food production in developing countries. Recent global food crises have exposed the structural vulnerability of globalized agri-food systems, highlighting climate change as just one of a complex set of environmental, demographic, social and economic drivers generating instability and food insecurity, the impacts of which disproportionately effect poorer groups in marginal environments. Rather than search for single causes, there is a need to understand these changes at a systemic level. Improved understanding of and engagement with the adaptive strategies and innovations of communities living in conditions of rapid change provides an appropriate starting point for those seeking to shape agricultural innovation systems responsive to food insecurity and climate change. This paper draws lessons from selected country experiences of adaptation and innovation in pursuit of food security goals. It reviews three cases of systems of innovation operating in contrasting regional, socio-economic and agro-ecological contexts, in terms of four features of innovation systems more likely to build, sustain or enhance food security in situations of rapid change: (i) recognition of the multifunctionality of agriculture and opportunities to realize multiple benefits; (ii) access to diversity as the basis for flexibility and resilience; (iii) concern for enhancing capacity of decision makers at all levels; and (iv) continuity of effort aimed at securing the well-being of those who depend on agriculture. Finally, implications for policymakers and other stakeholders in agricultural innovation systems are presented.

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Divisions between communities, disciplinary and practice, impede understanding of how complex interventions in health and other sectors actually work and slow the development and spread of more effective ones. We test this hypothesis by re-reviewing a Cochrane-standard systematic review (SR) of water, sanitation and hygiene (WASH) interventions’ impact on child diarrhoea morbidity: can greater understanding of impacts and how they are achieved be gained when the same papers are reviewed jointly from health and development perspectives? Using realist review methods, researchers examined the 27 papers for evidence of other impact pathways operating than assumed in the papers and SR. Evidence relating to four questions was judged on a scale of likelihood. At the ‘more than possible’ or ‘likely’ level, 22% of interventions were judged to involve substantially more actions than the SR’s label indicated; 37% resulted in substantial additional impacts, beyond reduced diarrhoea morbidity; and unforeseen actions by individuals, households or communities substantially contributed to the impacts in 48% of studies. In 44%, it was judged that these additional impacts and actions would have substantially affected the intervention’s effect on diarrhoea morbidity. The prevalence of these impacts and actions might well be found greater in studies not so narrowly selected. We identify six impact pathways suggested by these studies that were not considered by the SR: these are tentative, given the limitations of the literature we reviewed, but may help stimulate wider review and primary evaluation efforts. This re-review offers a fuller understanding of the impacts of these interventions and how they are produced, pointing to several ways in which investments might enhance health and wellbeing. It suggests that some conclusions of the SR and earlier reviews should be reconsidered. Moreover, it contributes important experience to the continuing debate on appropriate methods to evaluate and synthesize evidence on complex interventions.

BackgroundFood security has deteriorated for many people in developing regions facing high and volatile food prices. Without effective and equitable responses, the situation is likely to worsen due to diminishing access to land and water, competition from non-food uses of agricultural products, and the effects of climate change and variability. Understanding how this will affect the burden and distribution of major diseases such as HIV is critical. This study makes use of the near-experimental conditions created by the Malawi famine to shed new light on this issue.MethodsMultilevel, random intercept models were used to relate the change in HIV prevalence at antenatal surveillance sites over the course of the famine to the proportion of rural households requiring food aid in the surrounding district at the famine’s peak. Similar models were used to relate this indicator of rural hunger to changes in the composition of the antenatal population. The extent and direction of migration were estimated from a household survey conducted 1–2 years after the famine.FindingsAt rural sites, the change in HIV prevalence was positively and non-linearly related to the extent of rural hunger (P = 0.016), consistent with contemporary accounts of increased transactional sex and with hunger compromising immune function. At non-rural sites, prevalence declined as rural hunger increased (P = 0.006), concentrated in women who self-identified as farmers (P = 0.010). This finding is consistent with contemporary accounts of migration in search of food and work from villages where HIV risk was lower to towns and cities where it was higher. Corroborating this interpretation, the proportion of farmers in the antenatal population was found to rise at non-rural sites as rural hunger increased in the surrounding district (P = 0.015) whereas the proportion fell with increasing rural hunger at rural sites (P<0.001). The models suggest migrants were predominantly farming women under 25 years (P = 0.010). The household survey confirmed that there was a surge of rural-to-urban migration during the famine, particularly by women under 25 years. Migration to less affected rural areas also increased.ConclusionThe Malawi famine appears to have had a substantial effect on HIV’s dynamics and demography. Poverty and inequality, commonly considered structural determinants of HIV epidemics, can change rapidly, apparently transmitting their effects with little lag. Epidemic patterns risk being misread if such social and economic change is ignored. Many studies examining HIV prevalence declines have implicated sexual behaviour change but do not appear to have adequately considered the contribution of rural-urban migration. The evidence from Malawi, which links actions that undermined people’s food security to changes in the prevalence and distribution of HIV infections, suggests new opportunities for prevention.