99 research outputs found
SUPPORTING THE IMPLEMENTATION OF GUIDELINES TO PREVENT MOTHER-TO-CHILD-TRANSMISSION OF HIV IN MALAWI: A QUALITATIVE DESCRIPTIVE CASE STUDY
No full textChifundo Colleta Zimba: Supporting the implementation of guidelines to prevent mother-to-child transmission of HIV in Malawi: A qualitative descriptive case study (Under the direction of Jennifer Leeman) The burden of human immunodeficiency virus (HIV) on women aged 15–49 years is high in Malawi (13%), resulting in HIV transmission to 12,000 children in 2011. Malawi has adopted the Option B+ guidelines which, if fully implemented, could prevent over 95% of HIV cases in children born to HIV-infected women. Because adoption of guidelines is not enough to move science into practice, the UNC Project—a partner organization to the Malawi government—provided prevention support (e.g., training and technical assistance [TA]), to 134 Malawian clinics between 2011 and 2014 to enhance implementation of the Option B+ guidelines. This qualitative, descriptive multiple-case study aimed to describe the types of prevention support the UNC Project provided to 4 clinics, how support varied across low- and high-performing clinics, and factors that may explain variations in Option B+ implementation across clinics (N=4). Data were gathered through 21 in-depth interviews with 18 key stakeholders (n=6 TA providers and n=12 care providers). Observation supplemented data from in-depth-interviews. Directed content, thematic, and cross-case analyses were used to analyze data. The study found that the UNC Project used the following prevention support strategies: off-site trainings of the service providers; ongoing, onsite TA that employed collaborative and audit and feedback approaches; tools such as standard operating procedures (SOPs); and resources such as HIV testing kits. Variations occurred in TA dose (i.e., time TA providers spent on guidelines activities in the clinic and community) and on TA focus (i.e., the unit where TA providers spent more hours). All four clinics reported full implementation of most of the Option B+ guideline core components. Implementation gaps were found on community mobilization, documentation, and components done during the post-delivery period. Staffing and transportation emerged as the most salient contextual factors influencing TA delivery while size of the clinic staff, service space/infrastructure, stocks of the HIV testing kits, and magnitude of the served population explained differences in guideline implementation between low- and high-performing clinics. Results of this study can help advance understanding of the way prevention support enhances implementation of new evidence-based interventions and contextual factors that may need to be addressed.Doctor of Philosoph
Chifundo chamanga (I long for my mother)
No full textSung by a lad of about 12 years old who sang this song in a quiet voice and was much applauded by everyone, whether for the singing or the sentiment, was not clear. Self delectative song with board zither
Perceived implementation of guidelines to prevent mother-to-child transmission of HIV in Malawi: A qualitative multiple case study
No full textSession presented on Thursday, July 21, 2016 and Friday, July 22, 2016:
Purpose: To describe the extent to which four rural Malawi clinics implemented the core components of the 2011 Malawian Option B+ guidelines following three years of an extensive implementation support program.
Methods: This study used a descriptive multiple case-study design. N=4 clinics were purposefully sampled from a total population of 134 health facilities. Of the 4, n=2 fell into the highest while n=2 into the lowest quartile of the proportion of eligible women who were tested for HIV in Fiscal Year 2012-2013. In-depth interviews were done with 18 informants who were actively involved in either implementing (n=12) or providing support for implementation (e.g., technical assistance, tools; n=6) of the guidelines at the study clinics. To assess perceived implementation of the guidelines at clinic level, all informants were asked to what extent the study clinics were carrying out each of the core components of the Option B+ guidelines. Responses were ranked from 0 to 3, with 0 assigned when the interviewee reported that the component was never implemented and 3 when always implemented as specified by the guidelines. Each clinic\u27s responses were then averaged for each item to create a final score. Clinics were coded as HP-1, HP-2, LP-1 and LP-2.
Results: All four clinics reported full implementation of most of the core components. Self-rating of implementation ranged from 2.3 to 2.8 on a scale of 3.0. An outstanding performance was reported to have occurred at HP-2 clinic with an overall score of 2.8 while both LP clinics reported scores of 2.3. A critical assessment of each of the core components across all the four study sites showed that all but HP-2 clinic minimally conducted community sensitization and mobilization activities; both LP clinics failed to fully identify and ascertain HIV status of the HIV exposed children at 6 weeks, 12, and 24 months; and all but the LP-1 clinic reported documentation problems.
Conclusion: After three years of implementation of the Option B+ guidelines with an aid of extensive supporting strategies, all four Malawian rural clinics reported full implementation of most of the core components of the implemented guidelines. On a scale of 0 to 3, self-rating of implementation ranged from 2.3 to 2.8. Documentation of rendered activities; failure to fully sensitize and mobilize the served communities; and failure to identify and ascertain HIV status of the HIV exposed children are gaps that exist in implementation of the Option B+ guidelines. If communities are not well informed, fewer women in need of ART will benefit from the implemented guidelines which could lead to many babies contacting HIV infection from their mothers. Failure to properly document the rendered activities and identify and test the HIV-exposed children as per guidelines hindered clinics\u27 ability to assess the impact of the Option B+ guidelines on Maternal transmission of HIV. Further research is required to test implementation support strategies that may enhance community awareness, quality documentation and early identification of HIV exposed children in order to prevent mother-to-child transmission of HIV in Malawi
Evaporation of the miombo woodland of southern Africa: A phenophase-based comparison of field observations to satellite-based evaporation estimates
No full textThrough precipitation retention and evaporation (by both interception and transpiration), woodlands play a significant role in the global moisture cycle. Evaporation is the largest, but at the same time, the most difficult flux to observe in a woodland. Accounting for woodland evaporation is important for hydrological modelling for the efficient development and management of water resources. Assessing evaporation is a challenging undertaking that involves the use of a wide range of equipment and requires skilled personnel. Much work has been conducted on assessing evaporation in agricultural crops. Even satellite data-based models are largely structured to assess evaporation in agricultural crops to the exclusion of understanding evaporation dynamics in natural woodlands, especially in African ecosystems. However, evaporation in woodland surfaces accounts for a significant portion of the water cycle over the terrestrial land mass. Understanding the characteristics of woodland ecosystem evaporation like interception and transpiration, is key to monitoring climate impact on woodland ecosystems, which is important for hydrological modelling and the management of water resources at various scales. One of the key aspects to enable this understanding is the knowledge of woodland phenological interaction with climate variables and the seasonal environmental regimes. “Vegetation phenology” refers to the periodic biological life cycle events of plants, such as leaf flushing and senescence, and corresponding temporal changes in vegetation canopy cover. Solar radiation, temperature and water availability (i.e., rainfall and soil moisture) are some of the key environmental variables that influence plant phenology. The attributes of woodland phenology, solar radiation, temperature and water availability differ across the diverse ecosystems globally, therefore, requires better understanding at a more local or regional level. Yet, evaporation of natural woodlands, especially in African ecosystems, with respect to phenological phases, are poorly characterised. This is largely because phenological studies have mainly focused on northern mid-latitude regions to the exclusion of other regions like the miombo of southern Africa. For increasing the predictive power of hydrological models, it is important to account for the interaction of woodland phenology with climate variables over the seasons and to characterise evaporation. This thesis aims at understanding the miombo woodland evaporation as a consequence of the vegetation phenological interaction with environmental and hydrological variables across seasons. Based on information in public domain, this study is the first independent field observation data-based characterisation of actual evaporation of the miombo woodland. The miombo is a heterogeneous woodland of the genus Brachystegia with the dominant species in the study location being Bauhinia petersenia, Brachystegia longifolia, Brachystegia boehmii, Brachystegia speciformis, Jubenerdia paninculata, Pericopsis angolensis, Uapaca kirkiana and Uapaca sansibarica. Unique phenological attributes are the simultaneous leaf fall, leaf flush and leaf colour changes that normally occur in the dry season between May and October. Most miombo woodland species are broad leaved and have developed dry season coping mechanisms such as deep rooting (capacity to access deep soil moisture and ground water) and vegetation water storage. The canopy closure is varied across the miombo woodland strata and is influenced by several factors including rainfall, soil type, soil moisture and nutrients, species diversity and temperature. These phenological attributes are species dependent, with varied response to phenological stimuli. This study sought to answer the question on the role of the phenology of the miombo woodland in the evaporation dynamics. The thesis also endeavoured to show how phenology, potentially, affects satellite-based evaporation estimates of the miombo woodland. The Luangwa Basin in southern Africa, a largely miombo woodland covered basin, was used as the study area. This basin was chosen because it is located in both the dry miombo woodland and wet miombo woodland in the Zambezian miombo woodland which is the largest strata of the miombo woodland. Furthermore, the Luangwa Basin is located in Zambia which is described as the country possibly with the highest diversity of trees and is said to be the centre of endemism for Brachystegia, with 17 species. To answer the questions on the importance of the phenology of the miombo woodland on the evaporation dynamics, the study used a coupled approach by applying both satellite data and field observations. Phenological changes of the miombo woodland across seasons were assessed using satellite-based data, the normalised difference vegetation index (NDVI) and leaf area index (LAI). Satellite-based data, land surface temperature (LST) and normalised difference infrared index (NDII), were used as proxies for climate variables canopy temperature and canopy vegetation water content. Point scale field estimates of evaporation across three different phenophases of the miombo woodland were obtained using the Bowen ratio distributed temperature sensing (BR-DTS) system. By measuring profiles of air temperature and wet bulb temperature, the evaporation could be estimated via the Bowen ratio method (BR-DTS). Six satellite-based evaporation estimates were compared across different phenophases of the miombo woodland. This was meant to observe the phenophases in which significant diferences in the trend and magnitude of satellite-based evaporation estimates occured. The general water balance approach was used to assess annual actual evaporation at basin scale. Consequently, satellite-based evaporation estimates were compared to the BR-DTS-based evaporation estimates at point scale and the water balance-based evaporation at basin scale. Results, based on satellite data, show that the phenology of the miombo woodland, i.e., changes in woodland canopy cover and photosynthetic activities, have a season-dependent correlation with climate variables. Woodland canopy cover, across phenophases and seasons, appear to be more influenced rather by water than temperature. This may explain the particular species-dependent buffering mechanisms during water limited conditions i.e., leaf shedding, deep rooting systems with access to ground water, and the vegetation water storage mechanisms. In agreement with available literature in public domain it appears there is little variation in canopy cover/closure (i.e., proxied by LAI) in wet miombo woodland in the dry season. At the wet miombo woodland site in Mpika, Zambia, the BR-DTS observations showed that, across the different phenophases, the actual evaporation trend and magnitude appeared to be more associated with the available energy than the changes in the woodland canopy cover. Further analysis showed that the net radiation has a greater influence on actual evaporation as it accounted for more variations in the actual evaporation compared to the changes in the woodland canopy cover (i.e., NDVI). The energy partitioning showed that available energy expenditure varied with phenological season. In the green down phenophase during the cool dry season the available energy was largely partitioned as sensible heat flux. As the temperature and net radiation begun to increase in the early dormant phenophase during the late cool dry season (July August) the available energy appeared to be equally partitioned between sensible and latent heat flux. In the late dormant phenophase during the early warm pre-rainy season (i.e., September) available energy was largely partitioned as latent heat flux. In the green-up phenophase during the late pre-warm rainy season (i.e., October) and early rainy season (i.e., November to December) the avialable energy was largely partitioned as latent heat flux. During the rain days the available energy appeard to be equally partition between latent and sensible heat flux. It appears that as the net radiation and canopy cover increased the available energy was largely partitioned as latent heat flux during the dry season. A remarkable observation was the continued rising trend of actual evaporation even during the lowest woodland canopy cover period in August and September. The rising trend in actual evaporation during the dry season may be due to the developed dry season water stress buffering mechanism such as deep rooting with access to moisture in deep soils and possibly access to ground water. The trend of the BR-DTS-based actual evaporation of the miombo woodland in the dry season points to the interaction between hydro-climate variables (i.e., precipitation linked soil moisture and net radiation) and the plant phenology. When compared to field observations, at point scale, all satellite-based evaporation estimates underestimated actual evaporation of a wet miombo woodland in the dry season and part of the early rainy season. Substantial underestimations were in the dormant and the green-up phenophases. Additionally, except for the WaPOR, the trends of all other satellite-based evaporation estimates differed from that of field observations. Plausible explanations for the behaviour (trend and magnitude) of satellite-based evaporation estimates in the dry season include the non-integration of soil moisture directly into the modelling of transpiration and the optimisation of the rooting depth. For instance, the use of proxies such as the NDVI and LST for soil moisture in surface energy balance models, such as SSEBop, results in uncertainities as the proxies are unable to take into account other factors that influence the sensible heat flux. In MOD16 the use of relative humidity and vapour pressure difference as proxies for soil moisture may be a source of uncertainty in estimating transpiration. On the other hand it has been observed that direct integration of soil moisture in the MOD16 algorithm appeared to improve the accuracy of actual evaporation estimates. This may explain why the WaPOR which integrate soil moisture stress in the algorithm appeared to have a smilar trend to field observations and also had higher estimates of actual evaporation compared to the other satellite-based evaporation estimates. It has also been shown that optimising the rooting depth improves the accuracy of transpiration estimates in vegetation with a dry season. Most miombo woodland species are deep rooting with access to deep soil moisture and potentially groundwater. Therefore, direct integration of soil moisture into the algorithms for the satellite-based evaporation estimates and optimising the rooting depth is likely to improve the accuracy of actual evaporation estimates for the miombo woodland.The phenophase-based comparison at pixel scale in dry miombo woodland and wet miombo woodland and at the Luangwa Basin miombo woodland scale showed similar results. In all three scenarios substantially high coefficients of variation in actual evaporation estimates among satellite-based evaporation estimates were observed in the water limited, high temperature and low woodland canopy cover conditions in the dormant phenophase. The coefficients of variation in actual evaporation estimates were also substantially high in the green-up phenophase at the boundary between the dry season and the rainy season. The lowest coefficients of variation in actual evaporation estimates were observed in water abundant, high temperature, high leaf chlorophyll content and high woodland canopy cover during the maturity/peak phenophase. The high coefficients of variation in actual evaporation estimates, among satellite-based evaporation estimates, in the dormant and green-up phenophases, points to the challenge of estimating the actual evaporation of the miombo woodland in the dry season and early rainy season. The same scenario emerged as was observed at point scale, with reference to field observations, in which satellite-based evaporation estimates which directly integrate soil moisture in their algorithm appeared to have higher estimates of actual evaporation in the dormant phenophase in the dry season. For instance, the FLEX-Topo and WaPOR integrate soil moisture in their algorithms. Compared to each other the FLEX-Topo and WaPOR appeared to have no statistically significant (p-value > 0.5) differences in their trends and mean estimates of actual evaporation in the dormant phenophase in the dry season. Compared to the FLEX-Topo and WaPOR the other four satellite-based evaporation estimates, GLEAM, MOD16, SSEBop and TerraClimate showed statisticantly significant (p-value < 0.05) differences in the trend and mean estimates of actual evaporation in the dormant phenophase in the dry season. Considering the canopy phenology and the associated physiological adaptation of the miombo woodland plants in the dry season, it appears that the direct integration of the soil moisture in the algorithms and optimising the rooting depth is likely to improve the accuracy of the satellite-based evaporation estimates. In the maturity/peak phenophase(s) during the mid-rainy season, compared to other satellite-based evaporation estimates, the MOD16 appeared to have significantly (p-value < 0.05) higher estimates of actual evaporation. The plausible explanation for this observation could be that the interception module of MOD16 is more responsive to the miombo woodland phenology. The wet miombo woodland intercepts between 17-20 percent of rainfall annually. Compared to the general annual water balance-based actual evaporation all six satellite-based evaporation estimates underestimated actual evaporation of the Luangwa Basin. The implication of this observation is that satellite-based evaporation estimates likely underestimates evaporation even in non-miombo woodland such as the mopane woodland that are also part of the larger Luangwa Basin vegetation landscape. However, for a comprehensive overview of the performance of the satellite-based evaporation estimates there is need for vegetation type and land-cover type based assessments of actual evaporation for the Luangwa Basin. At both point and basin scale-based assessments, there was a negative linear relationship between the spatial resolution of satellite-based evaporation estimates and the estimated actual evaporation. Satellite-based evaporation estimates with fine spatial resolutions showed lower underestimates compared to those with coarser resolutions. The implication is that the finer the spatial resolution the lower the underestimation. However, at both assessment scales, the linear relationships between the spatial resolutions and the evaporation estimates were statistically insignificant (i.e., p-value > 0.05). The reason for this outcome is exhibited in that some satellite-based evaporation estimates with relatively coarser spatial resolutions, i.e., SSEBop at both point and basin scale and TerraClimate at basin scale, underestimated less compared to MOD16 which had a finer spatial resolution. Furthermore, at basin scale a coarser spatial resolution estimate FLEX-Topo and a finer spatial resolution estimate WaPOR showed similar magnitude of actual evaporation in the dormant phenophase in the dry season. The implication of this observation is that other factors (i.e., heterogeneity in the landscape, model structure, processes and inputs) influence more the estimated actual evaporation rather than the spatial resolutions of the satellite-based evaporation estimates. Consequently, it appears that satellite-based estimates at finer spatial resolution with the structure, processes and inputs that couple canopy transpiration with the root zone storage, taking into account the vertical upward (beyond 2.5 m) and horizontal moisture flux as well as the canopy phenological changes, are likely to provide actual evaporation estimates that reflect actual conditions of the miombo woodland. This is demonstrated by the WaPOR estimates which appears to include these aspects in simulating actual evaporation. The field-based actual evaporation assessments were conducted in the wet miombo woodland. It is possible that the phenological response to changes in hydrological and climate regimes in the drier miombo woodland are different from the observations at the Mpika site. Therefore, there is need for similar observations to be performed in the drier miombo woodland and to compare the results. However, this thesis has demonstrated the importance of understanding and incorporating the canopy phenology and dry season physiological adaptation (i.e., deep rooting) of the miombo woodland in modelling actual evaporation. Additionally, for basins with heterogenous woodland types like the Luangwa, it is important to conduct actual evaporation assessments in the different vegetation types. This is likely to give a more representative understanding of basin scale evaporation dynamics. Nevertheless, this study has provided a foundation on which other studies can build towards a more comprehensive understanding of the actual evaporation dynamics in this unique woodland. <br/
Why liberalization alone has not improved agricultural productivity in Zambia : the role of asset ownership and working capital constraints
No full textThe authors use a large panel data set from Zambia to examine factors that could explain the relatively lackluster performance of the country's agricultural sector after liberalization. Zambia's liberalization significantly opened the economy but failed to alter the structure of productionor help realize efficiency gains. They reach two main conclusions. First, not owning productive assets (in Zambia, draft animals and implements) limits improvements in agricultural productivity and household welfare. Owning oxen increases income directly, allows farmers to till their fields efficiently when rain is delayed, increases the area cultivated, and improves access to credit and fertilizer markets. Second, the authors reject the hypothesis that the application of fertilizer is unprofitable because of high input prices. Rather, fertilizer use appears to have declined because of constraints on supplies, which government intervention exacerbated instead of alleviating. (Extending the use of fertilizer to the many producers not currently using it would be profitable, but increasing the amount applied by the few producers who now have access to it would not be.) Policies to foster accumulation of the assets needed for agricultural production (including draft animals and implements) and to provide complementary public goods (education, credit, and good agricultural extension services) could greatly help reduce poverty and improve productivity.Economic Theory&Research,Environmental Economics&Policies,Labor Policies,Banks&Banking Reform,Agricultural Knowledge&Information Systems,Environmental Economics&Policies,Economic Theory&Research,Banks&Banking Reform,Agricultural Knowledge&Information Systems,Agricultural Research
Supporting the implementation of guidelines to prevent mother-to-child-transmission of HIV in Malawi: a multi-case study
No full textBackgroundHigh HIV infection and fertility rates contributed to over 12,000 children acquiring HIV from their mothers in 2011 in Malawi. To prevent mother-to-child transmission of HIV, Malawi adopted the Option B+ guidelines, and for three years, the University of North Carolina (UNC) Project provided support to strengthen guideline implementation in 134 health centres. Little is known about how implementation support strategies are delivered in low resource countries or contextual factors that may influence their delivery. The limited descriptions of support strategies and salient contextual factors limits efforts to replicate, target, and further refine strategies. Guided by the Interactive Systems Framework for Dissemination and Implementation, this study describes factors influencing implementation of support strategies and how they impacted health center staff capacity to implement Option B+ in Malawi. MethodsA qualitative multi-case study design was applied. Data were collected through site visits to 4 heath centres (2 low- and 2-high performing centres). We interviewed 18 support providers and recipients between October 2014 and October 2015. Data were analysed using content, thematic, and cross-case analysis.ResultsFour categories of strategies were used to support Option B+ guidelines implementation: training, technical assistance (TA), tools, and resources. All heath-centres implemented Option B+ guidelines for care provided between the antenatal and labor and delivery periods. Gaps in Option B+ implementation occurred during community activities and during post-delivery care, including gaps in testing of children to ascertain their HIV status at 6 weeks, 12 months, and 24 months. Salient contextual factors included staffing shortages, transportation challenges, limited space and infrastructure, limited stocks of HIV testing kits, and large patient populations.ConclusionsUnderstanding factors that influence implementation support strategies and delivery of the Option B+ guidelines, such as availability of staff and other materials/drug resources, is critical to designing effective implementation support for low resource settings
SOME ASPECTS OF THE CIRCULAR DICHROISM MEASUREMENTS ON FOURIER TRANSFORM INFRARED (FTIR) SPECTROMETERS
No full textAuthor Institution: Department of Chemistry, Vanderbilt University NashvilleVibrational circular dichroism (VCD) measurements using FTIR techniques were reported recently. In these measurements, the VCD spectra are obtained by subtracting the VCD measured for the two enantiomers of a chiral molecule. This is necessary to eliminate the base line artifacts and to determine the zero line of VCD spectra. This procedure however cannot be used when for a given optically active sample, (a). both enantiomers are not resolved (b). the enantiomers are not of same optical purity. Carbohydrates are one series of molecules for which both enantiomers are not available. We present a procedure to determine the zero line in such cases and discuss the experimental results. We also present the first VCD measurements below . E. D Lipp, C. Zimba and L. A. Nafic, Chem. Phys. Lett., 90. 1(1982)
Evaluating the benefits of incorporating traditional birth attendants in HIV Prevention of Mother to Child Transmission service delivery in Lilongwe, Malawi
No full textThe objective of our intervention was to examine the benefits of incorporating traditional birth attendants (TBA) in HIV Prevention of Mother to Child Transmission (PMTCT) service delivery. We developed a training curriculum for TBAs related to PMTCT and current TBA roles in Malawi. Fourteen TBAs and seven TBA assistants serving 4 urban health centre catchment areas were assessed, trained and supervised. Focus group discussions with the TBAs were conducted after implementation of the program. From March 2008 to August 2009, a total of 4017 pregnant women visited TBAs, out of which 2133 (53.1%) were directly referred to health facilities and 1,884 (46.9%) women delivered at TBAs and subsequently referred. 168 HIV positive women were identified by TBAs. Of these, 86/168 (51.2%) women received nevirapine and 46/168 (27.4%) HIV exposed infants received nevirapine. The challenges in providing PMTCT services included lack of transportation for referrals and absence of a reporting system to confirm the woman’s arrival at the health center. Non-disclosure of HIV status by patients to the TBAs resulted in inability to assist nevirapine uptake. TBAs, when trained and well-supervised, can supplement efforts to provide PMTCT services in communities
Variations in canopy cover and its relationship with canopy water and temperature in the miombo woodland based on satellite data
No full textUnderstanding the canopy cover relationship with canopy water content and canopy temperature in the Miombo ecosystem is important for studying the consequences of climate change. To better understand these relationships, we studied the satellite data-based land surface temperature (LST) as proxy for canopy temperature, leaf area index (LAI), and the normalized difference vegetation index (NDVI) as proxies for canopy cover. Meanwhile, the normalized difference infrared index (NDII) was used as a proxy for canopy water content. We used several statistical approaches including the correlated component regression linear model (CCR.LM) to understand the relationships. Our results showed that the most determinant factor of variations in the canopy cover was the interaction between canopy water content (i.e., NDII) and canopy temperature (i.e., LST) with coefficients of determination (R2) ranging between 0.67 and 0.96. However, the coefficients of estimates showed the canopy water content (i.e., NDII) to have had the largest percentage of the interactive effect on the variations in canopy cover regardless of the proxy used i.e., LAI or NDVI. From 2009-2018, the NDII (proxy for canopy water content) showed no significant (at alpha level 0.05) trend. However, there was a-n significant upward trend in LST (proxy for canopy temperature) with a magnitude of 0.17 °C/year. Yet, the upward trend in LST did not result in significant (at alpha level 0.05) downward changes in canopy cover (i.e., proxied by LAI and NDVI). This result augments the observed least determinant factor characterization of temperature (i.e., LST) on the variations in canopy cover as compared to the vegetation water content (i.e., NDII).Water Resource
Factors influencing utilization of postpartum CD4 count testing by HIV-positive women not yet eligible for antiretroviral treatment
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