United Nations Organization

Treating children with acute malnutrition can be challenging, particularly regarding access to healthcare facilities during treatment. Task shifting, a strategy of transferring specific tasks to health workers with shorter training and fewer qualifications, is being considered as an effective approach to enhancing health outcomes in primary healthcare. This study aimed to assess the effectiveness of integrating the treatment of acute malnutrition by community health volunteers into integrated community case management in two sub-counties in northern Kenya (Loima and Isiolo). We conducted a two-arm non-inferiority cluster-randomized controlled trial across 20 community health units. Participants were children aged 6-59 months with uncomplicated acute malnutrition. In the intervention group, community health volunteers used simplified tools and protocols to identify and treat eligible children at home and provided the usual integrated community case management package. In the control group, community health volunteers provided the usual integrated community case management package only (screening and referral of the malnourished children to the health facilities). The primary outcome was recovery (MUAC ≥12.5 cm for two consecutive weeks). Results show that children in the intervention group were more likely to recover than those in the control group [73 vs. 50; risk difference (RD)=26% (95% CI 12 to 40) and risk ratio (RR)=2 (95% CI 1.2 to 1.9)]. The probability of defaulting was lower in the intervention group than in the control group: RD=-21% (95% CI -31 to -10) and RR=0.3 (95% CI 0.2 to 0.5). The intervention reduced the length of stay by about 13 days, although this was not statistically significant and varied substantially by sub-county. Integrating the treatment of acute malnutrition by community health volunteers into the integrated community case management program led to better malnutrition treatment outcomes. There is a need to integrate acute malnutrition treatment into integrated community case management and review policies to allow community health volunteers to treat uncomplicated acute malnutrition.

Non-typhoidal Salmonella (NTS) is a food-borne zoonotic pathogen with important implications for human health. Despite its importance, the burden of NTS infections in Vietnam is unknown. We conducted a systematic review and a meta-analysis to describe the prevalence and phenotypic antimicrobial resistance (AMR) for NTS over time in Vietnam. Following PRISMA guidelines, we identified 72 studies from PubMed and Google Scholar containing data relevant to 'Salmonella', 'Salmonellosis', and 'Vietnam', or 'Viet Nam'. Of those, forty-two papers reporting prevalence of NTS, and twenty-six including data on phenotypic resistance were selected for meta-analysis. The prevalence of NTS ranged from 2% to 5% in humans and from 30% to 41% in samples from animals and the farm/slaughterhouse environment. Between 2000 and 2020 we observed a 27.3% (p = 0.044) increase in absolute terms in prevalence among individuals with enteric diseases and a 12.0% (p = 0.047) increase in aquaculture/seafood samples. The most commonly serovars identified across studies included S.5],12:i:-(3.0%). Over the same period, there was an increasing trend in the pooled AMR prevalence for quinolones (15.6% relative increase), 3rd-, 4th-, and 5th-generation cephalosporins (23.7%), penicillins (16.1%), tetracyclines (12.9%), sulfonamides (8.8%), amphenicol (17.8%), and multidrug resistance (11.4%) (all p ≤ 0.014). A broad range of AMR genes (ARGs) were detected in both human and animal populations. The observed prevalence and AMR trends in Vietnam underscore the need of adopting a One Health strategy encompassing surveillance systems, research initiatives, and awareness campaigns to effectively address the challenges posed by NTS.

Marine recreational fishing, a globally popular outdoor activity, has deep cultural roots and ecological implications. This study, conducted between 2021-2022, explores marine recreational fishing practices along the Turkish Black Sea coast. It analyzes fisher numbers and demographics, fishing effort, fishing methods, and species caught and released. Furthermore, the research sheds light on the economic dimensions, emphasizing the substantial contributions of recreational fishing to local economies. Notably, responsible practices, such as catch-and-release initiatives, demonstrate anglers’ awareness of conservation efforts. Within the Turkish Black Sea region, an observed 18.5% participation rate among a population of 24.5 million implies the presence of approximately 4.5 million marine recreational fishers. Annually, this translates to nearly 30 million fishing days, accompanied by a total expenditure of 400 million Euros. However, it’s imperative to handle these figures cautiously as the timing of the screening survey during the COVID-19 pandemic may have influenced the high participation rate, introducing a potential bias. A detailed examination of a Turkish marine recreational fisher engaged in Black Sea fishing reveals an average annual catch of 16.5 kg of retained fish and 1.2 kg of released fish biomass. When extrapolated to the larger population of 4.5 million fishers, this culminates in a noteworthy landing biomass approaching 74,000 tons. The study unveils that marine recreational fishers in the Turkish Black Sea predominantly target commercially important species, resulting in a retained biomass surpassing commercial landings in 2021. This prompts concerns about potential impacts on crucial commercial fish stocks, underscoring the imperative inclusion of recreational fisheries in stock assessments. The research, providing essential insights into the intricate dynamics of recreational fishing, lays a foundation for well-informed policies and practices that concurrently promote environmental conservation and the continuation of this valued leisure activity.

Antimicrobial resistance (AMR) among Escherichia coli from food animals is a rising problem, and heavy antimicrobial use in poultry is a contributing factor. In Zambia, studies linking poultry-associated AMR and antibiotic use (AMU) are rare. This study aimed to investigate commercial and medium-/small-scale poultry farmers’ usage of antimicrobials based on a questionnaire survey in ten districts of Zambia. In addition, the study characterized extended-spectrum β-lactamase (ESBL)-producing E. coli isolates obtained from poultry in the same districts. Data regarding knowledge and usage of antimicrobials were collected from commercial and medium-/small-scale poultry farmers using a pre-tested structured questionnaire. At the same time, cloacal samples were collected and analyzed. One hundred and fifty E. coli isolates were tested for antimicrobial susceptibility using eight antibiotic classes. The isolates were further screened for ESBL production by streaking them on cefotaxime (CTX)-supplemented MacConkey agar, then subjecting them to sequencing on a NextSeq. The questionnaire survey showed that more medium-/small-scale than commercial poultry farmers used antimicrobials (OR = 7.70, 95% CI = 2.88–20.61) but less prescriptions (OR = 0.02, 95% CI = 0.00–0.08). Susceptibility testing revealed that resistance was highest to ampicillin (128/148, 86.5%) and tetracycline (101/136, 74.3%) and that the prevalence of multidrug resistance (MDR) (28/30, 93.3%) was high. Whole-genome sequencing (WGS) of eight (8/30, 26.7%) isolates with CTX Minimum Inhibitory Concentration (MIC) ≥ 4 µg/mL revealed the presence of ESBL-encoding genes blaCTX-M-14, blaCTX-M-55, and blaTEM. WGS also detected other AMR genes for quinolones, aminoglycosides, phenicols, tetracycline, macrolides, and folate-pathway antagonists. Altogether, the questionnaire survey results showed a higher proportion of AMU and lower prescription usage among medium-/small-scale farmers. In addition, our results emphasize the circulation of ESBL-producing E. coli strains with associated MDR. It is critical to educate farmers about AMR risks and to encourage responsible usage of antimicrobials. Furthermore, there is a need to strengthen regulations limiting access to antimicrobials. Finally, there is a need to establish a one health system to guide public health response.

Objective To assess the effect of different front-of-package (FOPL) schemes on the objective understanding of the nutritional content and intention to purchase products, in Panama. Design Single-blinded multi-arm parallel-group randomised controlled trial. Setting Supermarkets across Panama. Participants were exposed to two-dimensional images of 15 mock-up products presented at random and balanced orders. Participants assigned to the intervention groups were exposed to mock-ups featuring one FOPL scheme: black octagonal warning labels (OWL), traffic-light labelling (TFL), or guideline daily amounts (GDA). Control group was not exposed to any FOPL scheme. Participants Adult supermarket shoppers (n=1200). Participants were blinded to group assignment. Results Similar number of participants were randomised to and analysed in each group: OWL (n=300), TFL (n=300), GDA (n=300), and control (n=300). The odds for choosing to purchase the least harmful or none of the options more often was the highest in the OWL group. Compared to the control group, two times higher in the OWL group (OR 2·13, 95% confidence interval 1·60-2·84), and 57% higher in the TFL (1·57, 1·40-2·56), with no changes in the GDA (0·97, 0·73-1·29). OWL also resulted in the highest odds for correctly identifying the least harmful option, and for correctly identifying a product with excessive amounts of sugars, sodium and/or saturated fats. Conclusions OWL performed best in helping shoppers to correctly identify when a product contained excessive amounts of nutrients of concern, to correctly identify the least harmful option, and to decide to purchase the least harmful or none of the options, more often.

African swine fever (ASF) has remained persistent in Tanzania since the early 2000s. Between 2020 and 2021, pig farms in twelve districts in Tanzania were infected with ASF, and ≥4,804 pigs reportedly died directly due to the disease with disruption to livelihoods. We conducted semiquantitative field investigations and rapid risk assessment (RRA) to understand the risk factors and drivers of ASF virus (ASFV) amplification and transmission in smallholder pig farms, and determine the gaps in biosecurity through hazard profiling, focus group discussions and expert opinion. Outbreaks were connected by road and aligned along the pig product value chain and reported in the northern, central, and southern parts of Tanzania. The patterns of outbreaks and impacts differed among districts, but cases of ASF appeared to be self-limiting following significant mortality of pigs in farms. Movement of infected pigs, movement of contaminated pig products, and fomites associated with service providers, vehicles, and equipment, as well as the inadvertent risks associated with movements of animal health practitioners, visitors, and scavengers were the riskiest pathways to introduce ASFV into smallholder pig farms. Identified drivers and facilitators of risk of ASFV infection in smallholder pig farms were traders in whole pigs, middlemen, pig farmers, transporters, unauthorized animal health service providers, and traders in pork. All identified pig groups were susceptible to ASFV, particularly shared adult boars, pregnant and lactating sows, and other adult females. The risk of ASF for smallholder pig farms in Tanzania remains very high based on a systematic risk classification. The majority of the farms had poor biosecurity and no single farm implemented all identified biosecurity measures. Risky practices and breaches of biosecurity in the pig value chain in Tanzania are profit driven and are extremely difficult to change. Behavioural change communication must target identified drivers of infections, attitudes, and practices.

The increase in remote hearings after the COVID‐19 pandemic presents an urgent need to examine how judges assess video‐mediated witness and party statements compared with live statements. There is currently a limited body of research on this subject. As for the assessment itself, professionals within the judicial system sometimes believe they can detect deception based on visible cues such as body language and emotional expression. Research has, however, shown that lies cannot be detected based on such cues. The Finnish Supreme Court has also given rulings in accordance with the scientific literature. In this study, we used a survey to investigate how much importance a Finnish sample of district judges ( N = 47) gave to several variables pertaining to the statement or the statement giver, such as body language and emotional expression. We also investigated the association between the judges' beliefs about the relevance of body language and emotional expression and their preference for live statements or statements via videoconference. The judges reported giving more importance to body language and emotional expression than legal psychology research and Finnish Supreme Court rulings would call for. Our results also indicated that there was a slight bias to assess live statements more favorably than statements given via videoconference, as well as a slight bias in favor of the injured party. More effort must be put into making judges and Supreme Courts aware of findings in legal psychology to avoid biases based on intuitive reasoning where it is contrary to scientific evidence.

Non-Communicable Diseases (NCDs) constitute the most notable single killer of the population of Pacific Small Island Developing States (SIDS). It is therefore not surprising that the leaders of Pacific SIDS recognize NCDs as a crisis(1). But just as it is in many parts of the world, addressing NCDs in the Pacific is a complex challenge for many reasons. For example, and in the midst of recurrent climate change disasters, it would be fair to wonder if Pacific SIDs and development stakeholders – and academia included - have not become overwhelmed in obtaining more clarity about the main causes of NCDs, and tackling them with the relevant prioritization, policy environments that address economic and market forces, coordinated interventions, good examples from leaders, actions driven leadership, not blaming the victims, and a lot more. Maybe it is too uncritical and simplistic to continue to make the historical argument that the population of Pacific SIDS are obese, overweight, suffer from micronutrient deficiencies, stunting, and so forth because they choose poor diets and physical inactivity, or simply because all of this is cultural. The foregoing context demands more criticality and contributes to the rise of several philosopher kings who so easily describe NCDs as a disease that requires a health approach in absolutism. But if we were to invest more into obtaining deeper insights about the causes of NCDs in the Pacific, there could be a possibility for stakeholders to increasingly advocate for a systems approach to addressing NCDs in the Pacific. A systems approach would for example, recognize that as economic development receives more investments, people will conversely reduce walking in favor of vehicle transportation, children will spend less time playing outside in favor of watching television, more highly processed food of high salt, sugar and fat contents will be marketed and affordable than locally grown food, people will work in the service sector to the detriment of traditional gardening. A systems approach would account for a combination of biomedical, food systems, educational, religious, socio-cultural, recreational, etc… approaches. As one of the development stakeholders, the Food And Agriculture Organization of the United Nations (FAO) joins efforts with others to address NCDs in the Pacific(2). The entry point for FAO is through promoting the production and consumption fresh, safe, nutritious and healthy foods. My intervention at the 2023 Joint Conference of the Nutrition Societies of New Zealand will provide insights into FAO’s work from this vantage point.

Schools provide a unique opportunity to educate and motivate Pacific Island students and the wider Pacific Island community about food systems, food production activities (e.g., gardening and cooking) and to focus on the knowledge and skills needed to make healthy and sustainable food choices. Recent work(1) has identified limited access to appropriate and credible learning and teaching resources and varying integration of food and nutrition in the curriculum across the Pacific Islands (P.I) region. Teachers reported an ardent desire to incorporate nutrition into the curriculum, but were not sure how to do this, or where to source assistance, including credible learning materials. Stakeholders also reported requiring assistance to develop contextualised learning materials, and that there were limited options for upskilling in food, nutrition and agriculture. Recommendations from this work included the development of a tool to assist teachers to bridge the gap between understanding the benchmark or learning outcomes provided in curriculum and designing engaging and authentic activities and assessment to meet these. Therefore, this project aimed to identify food and nutrition curriculum materials available for Pacific Island educators, to inform the development of a web-based resource. In 2022, a systematic desk-based scoping activity was undertaken to identify any resources available to teach food and nutrition in Pacific Island schools (primary and secondary level) and professional development opportunities relevant for educators. The mapping identified over 70 resources, with resources from almost all countries identified. Some are available for specific countries, but few that are designed for use regionally. Some of these resources are directly aligned to food-based dietary guidelines, while others appear to be developed for specific activities by non-governmental organisations. Very few professional development activities were identified. Once a resource was identified, the project team used the CRAAP test(2) to evaluate the credibility of this. If deemed credible, the resource was tagged with key words (e.g., Tonga, gardening) and added for inclusion. The key resource categories (for tagging) were cooking, ocean and waterway foods, food in schools, food safety, healthy eating, sustainability, pacific research, teaching practice, gardening and WASH. A web designer developed the web-based resource through collaboration with the project team. Users can search for resources by country and/or topic. Based on the mapping of professional development activities, a professional development activity based on assessing the credibility of information was developed and added to the L&T toolkit. Users of the hub can share resources (their own) or identify other resources that could be added to the hub. There are limited resources and opportunities for Pacific Island food and nutrition teachers to upskill in food and nutrition education. School educators may benefit from more food and nutrition resources and professional development activities to complement those that are currently available.

Recent use of least-cost diets as a measure of global food security revealed that over 3 billion people are unable to afford sufficient nutritious food for an active and healthy life, driving demand for policy changes to improve access and affordability. This study quantifies the role of imports in consumer prices, matching retail prices in 144 countries to imports by origin of the item or its main ingredient, resulting in a total of 13,846 pairs of a retail price and its import cost in 2017. We find that 55% of retail items had some active imports supplementing domestic production, and of those around 48% have nonzero tariffs whose average effective rate is around 6.7% of the imported commodity price. Over all countries for which data are available, the share of consumer prices for least-cost healthy diets that is attributable to tariffs and non-tariff measures averages 0.67% and 2.45% globally. The highest restrictions are on nutrient-rich vegetables, fruits and animal-sourced foods. Access to bulk commodities from diverse origins is essential for food and nutrition security, providing a greater diversity of foods and food ingredients at lower and more stable prices than can be grown at any one location. On average over all food products that are imported, 83% of the retail price is domestic value added after arrival. We conclude that food imports are best understood as inputs to the domestic production and distribution of retail items, with consumer prices and growth of the food sector dependent on the cost levels, infrastructure and institutions underlying each product’s entire value chain.

Coastal small-scale fishing (SSF) communities increasingly face an untenable competition for ocean space, while it is recognized securing SSF access to marine resources is key for their sustainable development. Can preferential access areas (PAAs)—a relatively understudied policy tool—address this tension? We provide the first global review of the status and importance of PAAs and offer a research agenda for the future. While 44 countries have established a total of 63 PAAs worldwide they only cover an aggregate 3% of continental shelf area. Yet, if appropriately enforced through shared governance with SSFs, these small coastal areas could provide millions of people with a sustainable future. This would require a shift in perception of PAAs as a “line of defense” against large-scale fishers and instead as “preferential stewardship areas,” where small-scale fishers have increased user rights, and can find incentives to fish responsibly for nutrition security, economic, and social development.

Tropical forests cover large areas of equatorial Africa and play a substantial role in the global carbon cycle. However, there has been a lack of biometric measurements to understand the forests’ gross and net primary productivity (GPP, NPP) and their allocation. Here we present a detailed field assessment of the carbon budget of multiple forest sites in Africa, by monitoring 14 one-hectare plots along an aridity gradient in Ghana, West Africa. When compared with an equivalent aridity gradient in Amazonia, the studied West African forests generally had higher productivity and lower carbon use efficiency (CUE). The West African aridity gradient consistently shows the highest NPP, CUE, GPP, and autotrophic respiration at a medium-aridity site, Bobiri. Notably, NPP and GPP of the site are the highest yet reported anywhere for intact forests. Widely used data products substantially underestimate productivity when compared to biometric measurements in Amazonia and Africa. Our analysis suggests that the high productivity of the African forests is linked to their large GPP allocation to canopy and semi-deciduous characteristics.

Schistosoma japonicum is endemic in the Philippines. The Kato-Katz (KK) method was used to diagnose S. japonicum. This is impractical, particularly when the sample size is limited. Knowledge on point-of-care circulating cathodic antigen (CCA) test performance for S. japonicum is limited. Determining the sensitivity and specificity of new diagnostics is difficult when the gold standard test is less effective or absent. Latent class analysis (LCA) can address some limitations. A total of 484 children and 572 adults from the Philippines were screened for S. japonicum. We performed Bayesian LCA to estimate the infection prevalence, sensitivity and specificity of each test by stratifying them into two age groups. Observed prevalence assessed by KK was 50.2% and 31.8%, and by CCA was 89.9% and 66.8%, respectively. Using Bayesian LCA, among children, the sensitivity and specificity of CCA were 94.8% (88.7–99.4) and 21.5% (10.5–36.1) while those of KK were 66.0% (54.2–83.3) and 78.1% (61.1–91.3). Among adults, the sensitivity and specificity of CCA were 86.4% (76.6–96.9) and 62.8% (49.1–81.1) while those of KK were 43.6% (35.1–53.9) and 85.5% (75.8–94.6). Overall, CCA was more sensitive than KK, regardless of the age group at diagnosis, as KK was more specific. KK and CCA have different diagnostic performance, which should inform their use in the planning and implementation of S. japonicum control programs.

Chickens are the primary reservoirs of Campylobacter spp., mainly C. jejuni and C. coli, that cause human bacterial gastrointestinal infections. However, genomic characteristics and antimicrobial resistance of Campylobacter spp. in low- to middle-income countries need more comprehensive exploration. This study aimed to characterize 21 C. jejuni and 5 C. coli isolates from commercial broilers and native chickens using whole genome sequencing and compare them to 28 reference Campylobacter sequences. Among the 26 isolates, 13 sequence types (ST) were identified in C. jejuni and 5 ST in C. coli. The prominent ST was ST 2274 (5 isolates, 19.2%), followed by ST 51, 460, 2409, and 6455 (2 isolates in each ST, 7.7%), while all remaining ST (464, 536, 595, 2083, 6736, 6964, 8096, 10437, 828, 872, 900, 8237, and 13540) had 1 isolate per ST (3.8%). Six types of antimicrobial resistance genes (ant(6)-Ia, aph(3’)-III, blaOXA, cat, erm(B), and tet(O)) and one point mutations in the gyrA gene (Threonine-86-Isoleucine) and another in the rpsL gene (Lysine-43-Arginine) were detected. The blaOXA resistance gene was present in all isolates, the gyrA mutations was in 95.2% of C. jejuni and 80.0% of C. coli, and the tet(O) resistance gene in 76.2% of C. jejuni and 80.0% of C. coli. Additionally, 203 virulence-associated genes linked to 16 virulence factors were identified. In terms of phenotypic resistance, the C. jejuni isolates were all resistant to ciprofloxacin, enrofloxacin, and nalidixic acid, with lower levels of resistance to tetracycline (76.2%), tylosin (52.3%), erythromycin (23.8%), azithromycin (22.2%), and gentamicin (11.1%). Most C. coli isolates were resistant to all tested antimicrobials, while 1 C. coli was pan-susceptible except for tylosin. Single-nucleotide polymorphisms concordance varied widely, with differences of up to 13,375 single-nucleotide polymorphisms compared to the reference Campylobacter isolates, highlighting genetic divergence among comparative genomes. This study contributes to a deeper understanding of the molecular epidemiology of Campylobacter spp. in Thai chicken production systems.

Some researchers have argued that organic agriculture does not yield intended benefits in African smallholder settings because of degraded soils and lack of organic resources. A multidisciplinary case study analysis of selected organic farming gardens in Makoni, Zimbabwe was done to explore farmer resources, perceptions, market access, preferences, and soil fertility status using survey and interview tools and soil analysis. Lack of agricultural water was identified as a major production challenge by 75% of respondents. Unavailable and unreliable transport and low income from sales were identified as the two main challenges (84 % of respondents) in selling organic produce. Roughly 95% of interviewed farmers currently sell their organic produce not marked as organic in the local district. We also reveal that 14-year organic management of soil fertility at MOFA has resulted in increased on average pH (range 0.6 – 2.1 units), and available P (range x6 – x26) compared to adjacent uncultivated areas. Soil organic matter either stayed the same or increased at 5 out of 6 sites and exchangeable Ca, Mg, and K increased by at least 157%, 21%, and 10%, respectively, all compared to uncultivated land. These improvements are likely the reason why 64% of farmers said they had observed yield increases. We conclude that 14 years of organic agriculture has led to the improvement of soil fertility in the initially low-fertility gardens as measured by pH, organic matter, and nutrient content. However, we recommend strengthening the market access to organic produce to sustain organic farming for smallholder farmers in Zimbabwe.

In this paper, we take stock of recent debates in scholarly work and actual policymaking practice on industrial policy. Moreover, the paper identifies how developing countries are responding to structural trends such as digitalization, decarbonization and recalibration of global production, which are shaping the future of industrial development, and the scope of industrial policy. These trends are compounded with short-term effects from post-pandemic recovery, international conflict, and macroeconomic instability. Furthermore, the paper examines trends in industrialized countries towards the explicit use of industrial policies to promote and safeguard strategic national interests. All these factors result in an increasingly complex environment around industrial development which should open opportunities and challenges for developing countries. We offer some recommendations for industrial policy in developing countries, in ways that balance between national interests, the scope for regional coordination and collaboration, the international governance around industrialization, and the commitments of the global community towards the UN 2030 Development Agenda and its associated Sustainable Development Goals (SDGs).

Background Mentorship is recognized as a crucial element in students' education and career development, especially in health-related courses. However, there is a lack of structured mentorship programs in Sub-Saharan African universities. In response, the MedXMentor program was established at Mbarara University of Science and Technology to provide structured mentorship to undergraduate health sciences students in Uganda. This paper describes what we learned from implementing the MedXMentor program: a hybrid mentorship program. Methods The study utilized a mixed-methods approach, integrating quantitative and qualitative data collection techniques. It adopted the Kirkpatrick Model of Evaluation to gauge the program's influence on mentees' reactions, learning, behavior, and achievement of set participation targets. Data were gathered through Google Form surveys, feedback forms, mentoring logs, and session attendance records. The results, summarized through descriptive statistics and thematic analysis, provided a comprehensive understanding of the program's impact and effectiveness. This approach yielded insights into both the quantitative metrics and the qualitative aspects, offering a rich perspective on the program's outcomes and implications. Results The program catered to 80 mentees, with 48 engaging in one-on-one mentorship and 32 in group sessions. The mentorship initiative enlisted 24 mentors, primarily from the medical field. From April to September 2022, eight online group sessions were conducted, boasting an average attendance rate of 52%. These sessions emphasized project planning, grant writing, and the development of soft skills, with noticeable enhancements observed in mentees' comprehension and skill acquisition. Specifically, mentees demonstrated an improved understanding of project planning, grant writing, and various soft skills, such as communication, leadership, and teamwork. Furthermore, the mentees' experiences were categorized into four distinct themes: Mentor Engagement, Goal-Oriented Study, Skills and Professional Development, and High-Yield Mentor-Mentee Engagements. These themes provide a structured framework for analyzing the outcomes and impacts of the mentorship program. Conclusion & Recommendations Through implementing the MedXMentor program, valuable lessons have been gleaned. The structured mentorship it offers to health sciences students has proven effective, meeting the critical need for mentorship and arming students with indispensable academic and professional development skills and knowledge. Moreover, this experience has illuminated the potential of the program to bridge the mentorship gap in low-resource settings. By empowering the next generation of healthcare professionals in Africa, MedXMentor stands as a beacon of possibility, showcasing how mentorship initiatives can catalyze significant advancements within healthcare education and practice.

The global movement for ecosystem restoration has gained momentum in response to the Bonn Challenge (2010) and the UN Decade on Ecosystem Restoration (UNDER, 2021–2030). While several science‐based guidelines exist to aid in achieving successful restoration outcomes, significant variation remains in the outcomes of restoration projects. Some of this disparity can be attributed to unexpected responses of ecosystem components to planned interventions. Given the complex nature of ecosystems, we propose that concepts from Complex Systems Science (CSS) that are linked to non‐linearity, such as regime shifts, ecological resilience and ecological feedbacks, should be employed to help explain this variation in restoration outcomes from an ecological perspective. Our framework, Explore Before You Restore, illustrates how these concepts impact restoration outcomes by influencing degradation and recovery trajectories. Additionally, we propose incorporating CSS concepts into the typical restoration project cycle through a CSS assessment phase and suggest that the need for such assessment is explicitly included in the guidelines to improve restoration outcomes. To facilitate this inclusion and make it workable by practitioners, we describe indicators and methods available for restoration teams to answer key questions that should make up such CSS assessment. In doing so, we identify key outstanding science and policy tasks that are needed to further operationalize CSS assessment in restoration. Synthesis and applications. By illustrating how key Complex Systems Science (CSS) concepts linked to non‐linear threshold behaviour can impact restoration outcomes through influencing recovery trajectories, our framework Explore Before You Restore demonstrates the need to incorporate Complex Systems thinking in ecosystem restoration. We argue that inclusion of CSS assessment into restoration project cycles, and more broadly, into international restoration guidelines, may significantly improve restoration outcomes.

Energy transition comes off as a double-edged sword with consequences for several developing countries. Among these is the choice between patronage of local content in respect of production technologies required for the transition and the importation of the same technologies. This paper discusses the choice between imported equipment and locally manufactured ones in the clean cooking sub-sector and how this affects economic dynamics such as employment and productivity. The paper engaged 196 retailers and 35 manufacturers of ICS in a survey across Ghana. The findings revealed that ICS technologies are far advanced in developed countries whereas the technology transfer mostly reaches Ghana via the distribution chain hence making the technology transfer slow. Eventually, there is no real transfer of technical knowledge and skills to the local operators. Government and development partners as major stakeholders are encouraged to take pragmatic steps to plan or sponsor the training of local manufacturers in industrial centers with new technology. This has the potential to accelerate technology transfer and grow the local industry faster than the current situation. Additionally, Technical and Vocational institutions should be encouraged and supported to set up ICS technology incubation centers.