Search Results (539)

Achieving food and nutrition security remains a significant challenge for small-scale farmers in Sub-Saharan Africa (SSA). However, indigenous vegetables offer a promising solution to this challenge. This systematic review used four databases and retrieved 38 studies published over the past 20 years for synthesis. These studies highlight the growing importance of indigenous vegetables grown in home gardens as a sustainable solution to improve livelihoods and dietary diversity. Indigenous vegetables are well-suited to local conditions, nutritionally rich, and were associated with improved household food availability and income. However, farmers face various risks, including environmental, technological, economic, institutional, and social risks, which threaten their production. To overcome risks, farmers adopt strategies such as training, cooperatives, improved storage, and better seed varieties. Indigenous vegetable cultivation also empowers women and marginalised groups who play key roles in home gardening. Despite their benefits, indigenous vegetables remain overlooked in mainstream markets and policies. The review recommends that policymakers and stakeholders must provide support to promote indigenous vegetables through training and market integration, helping farmers commercialise their produce, while simultaneously enhancing food and nutrition security. Further research is needed to explore the profitability of indigenous vegetable production, analyse supply value chains, and investigate processing and manufacturing opportunities to support their market potential and sustainability. Full article

Background: Black transgender women experience high rates of intersectional discrimination contributing to post-traumatic stress disorder (PTSD) symptoms. While sleep typically buffers psychological distress among general populations, these relationships remain underexplored among Black transgender women, and existing protective sleep literature derives primarily from non-Hispanic White, cisgender, socioeconomically advantaged populations. Methods: This exploratory secondary cross-sectional analysis of 155 Black transgender women (aged 18+) examined whether sleep quality (Pittsburgh Sleep Quality Index) moderates associations between discrimination (Intersectional Discrimination Index) and PTSD symptoms (PTSD Symptom Checklist-DSM-5) using moderated multiple linear regression models, controlling for age (n = 139–149). Results: Contrary to expectations, better sleep quality strengthened associations between day-to-day (p = 0.0126) and major discrimination (p = 0.0235) and the PTSD symptom severity. Conclusions: These exploratory findings reveal paradoxical sleep-distress relationships among Black transgender women that contradict patterns documented among general populations, highlighting critical limitations in applying existing psychological frameworks to multiple marginalized communities. Results underscore urgent needs for culturally validated assessment instruments and comprehensive measurement of structural determinants (housing stability, economic security, and neighborhood safety) before concluding psychology in populations experiencing intersectional oppressions. Full article

Pacific Island communities have long navigated the challenges of climate change. Supporting adaptation options is critical for protecting livelihoods, especially given that these countries will continue to unfairly bear the brunt of global climate change impacts. Understanding and strengthening the capacity of individuals and communities to adapt is vital to ensure effective options are available. However, adaptive capacity is highly context-specific and explicit examples, particularly from the Pacific, remain limited. This study focuses on the experiences of women market vendors, for whom marketplaces are integral to food security, income generation, and cultural and social life. Building on existing global and regional frameworks, we assess the adaptive capacity of market vendors across Vanuatu through interviews with women market vendors (n = 69) and key informants (n = 18). The findings informed the development of a new, tailored adaptive capacity framework that identifies six key drivers: access to tangible resources, human assets, social assets, livelihood diversity and flexibility, systems of influence and mindsets, and decision-making capacity. This study presents a context-specific framework grounded in empirical evidence, offering insights for development and adaptation initiatives that aim to strengthen adaptive capacity. We encourage further research to apply and refine this framework across diverse Pacific contexts and sectors to deepen understanding of adaptive capacity and inform effective adaptation strategies. Full article

While the legal framework in Mozambique in principle provides equal rights to land for women and men, its underlying assumptions imply that customary tenure is patrilineal, that women get access to land through their relationships with men, while men in practice own and control land. This article focuses on matrilineal land institutions in Makhuwa communities in northern Mozambique. It argues that local matrilineal institutions have provided women with transferable rights to land, while men get access to land in various ways within the matrilineal institutional framework. Based on the Land Law of 1997, the Mozambican government in 2015 launched a large-scale land tenure formalisation programme, Terra Segura (“Secure Land”), with World Bank funding. The Mozambican Land Law recognises local community rights to customary land, while Land Law Regulations define the requirements for both community and individual formalisation of such rights. Field data collected in Makhuwa communities, where individual titling was carried out in the period 2019–2023, indicate that both women and men received titles. But what is secured through these individual titles? The article discusses to what extent formalised “secure land tenure” for individuals can weaken women’s land rights and traditional rights to subsistence—provided by matrilineal land institutions over time, across generations. Full article

Homegardens are traditional agroforestry systems that harbor genetic resources and ancestral knowledge, as well as contributing to food security and self-sufficiency in many rural communities. In this study, we analyze homegardens in a Mixtec community in coastal Oaxaca, Mexico, to document their arrangement and components, the useful flora and fauna they contain, and the social, cultural and economic aspects associated with their management. We used snowball sampling to perform semistructured interviews with 36 women in charge of homegardens, which represented 10% of the total homes in the community. During guided tours, we diagrammed the homegardens and collected and identified plant specimens to compile a full floristic listing. Plant specimens were deposited in the CHAP herbarium. We also calculated the Jacknife alpha diversity index and Sorensen’s beta diversity index to quantify the diversity of the garden flora. We summarized the interview data using descriptive statistics and performed a multiple regression analysis to evaluate the effects of the size of the homegarden and the homegarden owner’s age, years of school attendance, and language use on the number of useful plant species in the garden. Additionally, we conducted a multiple correspondence analysis on the homegardens, the sociodemographic variables, and the plant species contained. The components of the homegardens were the main dwelling, patio, kitchen, bathroom, chicken coop, and pigpen. We documented 15 animal species from 15 genera and 13 families and 236 plant species from 197 genera and 84 families. The most represented plant families were Araceae, Fabaceae and Apocynaceae. The main plant uses were ornamental, edible, and medicinal. The multiple correspondence analysis and multiple regression both showed sociodemographic variables to make a very low contribution to homegarden species richness (evidenced by low percentage variance explained and no statistically significant effects, respectively). The first-order Jacknife diversity index estimated a total of 309 plant species present in the homegardens, indicating high agrobiodiversity. The Sorensen index value ranged from 0.400 to 0.513. Similarity among the gardens was mostly due to high similarity among edible plants. There was community-level resilience in family food self-sufficiency, as 80.56% of the interviewees use harvest from their homegardens to cover their families’ food needs. Women play a central role in the establishment and management of the gardens. Overall, our findings demonstrate that homegardens in this community are sustainable; have high agrobiodiversity; provide food, medicine, and well-being to residents; contribute to food self-sufficiency; and conserve agrobiodiversity as well as traditional culture and knowledge. Full article

Introduction: The informal food sector in Kisumu City, largely run by women informal food vendors, plays a crucial role in the urban food system. However, these female-led businesses faced disproportionate risks stemming from COVID-19-related policies, exacerbating gendered vulnerabilities. This paper explores the gender gaps of post-pandemic recovery strategies and their implications for resilience, recovery, and sustainability of women-led informal food businesses. Methods: This cross-sectional study was guided by the Intersectionality-Based Policy Analysis (IBPA) framework. In collaboration with the Pamoja Community-Based Organization, we employed qualitative methods grounded in community-based participatory approaches. Data were collected through key informant interviews (n = 20), depth interviews (n = 20), focus group discussions (n = 40), and a review of policy documents (n = 2). Data was analyzed guided by the eight principles of the IBPA framework alongside Braun and Clarke’s six-phased thematic analysis approach. Results: Findings indicated that power dynamics in the formulation of post-pandemic policies and top-down implementation approaches excluded women informal food vendors from meaningfully participating in policy processes. For example, female vendors were excluded from the recovery priorities as the strategies adopted had limited to no targeted gender-responsive interventions. As such, women informal food vendors faced several challenges during recovery, including limited government support, barriers to accessing credit facilities, heightened household and unpaid care work, gender-based violence, sexual exploitation, and insecurity. The female vendors employed both individual agency and collective action to facilitate recovery. Discussion: Gender-responsive COVID-19 policies were critical to addressing the disproportionate impact of the pandemic on women-led informal food businesses. Moving forward, a comprehensive understanding of existing sociocultural inequalities is crucial for designing post-pandemic strategies that are gender-inclusive and promote equitable recovery. Such an approach would enhance women informal food vendors’ resilience to emergencies and their contribution to urban household food security and livelihood. Full article

Cancer is one of the biggest health burdens for women in the Middle East and North Africa (MENA), with the incidence of breast, cervical and colorectal cancer on the rise. Although preventive measures such as the HPV vaccination and population-based screening are available, access to them remains very unequal. Women in rural, low-income and refugee communities face additional barriers, cultural stigmatisation, low health literacy, gender norms and fragile health systems, leading to delayed diagnoses and poorer outcomes. This review summarises the results of 724 peer-reviewed publications to assess the current situation of cancer screening in MENA and Mediterranean countries. The studies were classified into four dimensions: cancer type (breast, cervical, colorectal), behavioural constructs (awareness, uptake, education), vulnerability factors (e.g., migrants, refugees, low-literacy groups), and geography (indigenous MENA populations versus diaspora and Mediterranean immigrant communities). The results show large inequalities in access and participation due to fragmented policies, socio-cultural resistance and infrastructure gaps. Nevertheless, promising approaches are emerging: community-led outreach, mobile screening programmes, AI-assisted triage and culturally appropriate digital health interventions. Comparisons between the local and diaspora populations make it clear that systemic and cultural barriers persist even in well-equipped facilities. Closing the screening gap requires a culturally sensitive, digitally enabled and policy aligned approach. Key priorities include engaging religious and community leaders, promoting men’s engagement in women’s health and securing sustainable funding. With coordinated action across all sectors, MENA countries can build inclusive screening programmes that reach vulnerable women and reduce preventable cancer mortality. Full article

Background: With ageing populations and increasing labour force participation among women over 50, their mental health and psychological well-being require attention. The multifactorial etiology of depression has been extensively studied at both the individual and societal levels. Longitudinal analyses exploring socioeconomic and political determinants and whether they influence depression severity across European countries are lacking. Objective: The objective of this study was to examine a possible correlation between socioeconomic and political factors with depression severity in women aged 50 and older in Europe and to what extent these possible correlations vary across countries. Methods: This longitudinal observational study was conducted using data from 47,426 women aged 50–89 years across 15 European countries, drawn from seven waves (2004–2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Depression symptoms were measured by the validated European Depression Scale (EURO-D). The Andersen Model of Health Service Utilization was applied to contextualize twelve macro-level predictors of depression. These were organized into four overarching domains—health, education/employment/finance, equality, and security. Mean EURO-D scores were calculated with respect to age group and country. Correlations between predictors and depressive symptoms were assessed using Pearson’s and Adjusted Pearson’s correlation coefficients to determine the strength and rank of associations. Results: Significant correlations between predictor variables and depression were identified in nine countries, especially among women aged 80–89 years. Spain and Estonia showed strong predictors across several age groups. Eastern European countries exhibited the broadest range of significant correlations. Italy and France, despite high depression levels, revealed few significant predictors. Sweden, the Netherlands, and Switzerland had lower depression scores and demonstrated clearer correlations. Factors related to LGBTQ+ rights, perceived corruption, and peace indices emerged as influential. Conclusions: Country-specific historical, cultural, and sociopolitical factors appear to shape severity of depression in older women, with the strongest effects in the oldest age groups. Predictors of EURO-D scores varied by country and age group, with differences in explanatory power. The importance of predictors varied across age groups; listing them without context misrepresents the findings. The interplay between objective indicators and public perception, especially concerning minority rights and governance, highlights the need for culturally sensitive interventions. Future prevention efforts should incorporate these determinants to improve mental health across Europe. Full article

Background/Objectives: Serum calcium concentrations have been associated with bone mineral density (BMD), but results seem to depend on sex. Genetic variants in the Ryanodine Receptor1 (RYR1) gene have been previously associated with low BMD in postmenopausal women. Serum RYR1 concentration was found to be higher in osteopenia and osteoporosis groups. The function and biological relevance of RYR1 in bone remodeling remains unknown. This cross-sectional study explored the relationship between serum calcium concentrations, BMD, and genetic variants in RYR1 in a Mexican-mestizo population. Methods: Serum samples from 966 participants were obtained from the third measurement of the Health Workers Cohort Study (HWCS) 2017–2019, conducted by the Mexican Social Security Institute (IMSS). All participants included in this study were of Mexican Mestizo origin and had data on BMD. We measured ionized calcium and genotyped the genetic variants rs2288888 (g.38455542G>A) and rs11083462 (g.38469040C>T) of the RYR1 gene. BMD of the total hip, lumbar spine, and femoral neck was measured using a Lunar DPX NT DEXA device. Results: Our results show that elevated serum calcium concentrations in females are associated with lower BMD at the hip and femoral neck. In contrast, higher calcium concentrations in males were associated with greater total hip BMD. In our study, the variants rs2288888 and rs11083462 were associated with higher serum calcium concentrations (under-adjusted and unadjusted data) in males but not females. Conclusions: Serum calcium levels are associated with BMD, depending on sex. The RYR1 gene variants rs2288888 and rs11083462 may have a protective effect in men. Full article

Conflicts between crop farmers and herdsmen in Nigeria have intensified in recent decades, posing a danger to agricultural sustainability, rural livelihoods, and food security. This study investigated coping strategies that arable crop farmers have adopted in Enugu State, Nigeria, against herders’ incursions. Data were collected through the use of a structured questionnaire. According to the result, herders’ activities, including crop destruction, assaults on women, and intimidation, have severely affected livelihoods, which has resulted in reduced income and declining productivity. In response, most farmers applied some measures such as fencing, group farming, and cultivating small plots near homesteads to avoid clashing with the marauding Fulani pastoralists. Among all the measures adopted by the farmers, results reveal that only collective strategies, such as group farming and cultivating small plots close to homesteads, were sustainable. The study pointed out the limited capacity of rural households to cope alone and suggested the need for government assistance, such as the provision of less expensive protective infrastructure and stronger community security arrangements. The study recommends that the government should ensure and employ conflict management strategies through empowering traditional institutions with delegated legislation to ameliorate further occurrences. The research contributes to the body of literature by revealing the farmers’ viewpoints and strategies within the broader discourse on farmer–herder conflicts in Nigeria. Full article

Bangladesh is at the forefront of climate change impacts because of its geographical location, high population density, and constrained socio-economic infrastructure. Our objective is to explore the impacts of climate change on human security components and conflict constellation, and identify adaptation actors through the lens of experts in Bangladesh. We conducted 12 semi-structured qualitative interviews with lead experts using the Problem-centred Interview (PCI) methodology and inductively applied content analysis to analyse the data, complemented with descriptive statistics. Experts see a shift in baseline risk due to the increase in frequency and severity of natural hazards. It exacerbates existing vulnerabilities by declining agricultural productivity, undermining water security and increasing migration. Food, economic, and water security are predominantly impacted, where women and the poor suffer disproportionately. Impacts on urban areas, energy and community security are under-researched. Experts agreed that climate change is a “threat multiplier” and could aggravate political insecurity, leading to conflicts. Individuals and households are primary adaptation actors, followed by governmental and non-governmental organisations. This research contributes to the broader understanding of the complex nexus of climate change impacts, human security, and conflict constellation, complements climate models and provides policy-relevant insights for inclusive, long-term adaptation grounded in local realities in Bangladesh. Full article

Financial literacy plays a crucial role in promoting social and economic resilience, particularly in vulnerable contexts where access to education and financial services is limited. This study provides the first empirical analysis of the determinants of financial literacy among women horticulturists in Guinea Bissau in West Africa, a group that sustains household income and local markets through informal work. A survey with face-to-face data collection was employed, using a structured questionnaire to assess financial literacy across three dimensions: financial attitude, financial behavior, and financial knowledge. All 978 women horticulturists at the Pessubé Farm were invited to participate in the survey, and 200 valid questionnaires were returned and used as the final sample. Data were analyzed using descriptive statistics and multiple linear regression. Results revealed prudent and consistent financial behaviors, mid to low financial attitudes marked by concern about expenses and short-term planning, and limited conceptual financial knowledge, with frequent uncertainty on basic topics such as inflation, interest, and diversification. Regression analysis showed that financial satisfaction and food sufficiency are positively associated with higher levels of financial literacy, while overdue debts exert a negative effect. These findings highlight that strengthening financial literacy in low income and informal settings requires context sensitive strategies integrating financial education, debt management, and food security initiatives, emphasizing the multidimensional nature of financial literacy and its role in inclusive and sustainable development. Full article

Background: To evaluate women’s satisfaction with gynecological services at a public referral facility, recognizing the importance of patient satisfaction in assessing healthcare quality. Methods: Patient satisfaction was assessed with a 52-item questionnaire, targeting women undergoing laparoscopy/laparotomy, operative and office hysteroscopy, hormonal diagnostics, and others. The impact of patient-specific and hospitalization-related variables on satisfaction indicators and the relationships between provider-specific factors, expectation fulfillment, and readmission willingness were analyzed. Additionally, the institution’s organizational culture was evaluated. Results: Analysis of 790 questionnaires revealed a median satisfaction score of 88.48% and scores of 92.31%, 89.42%, 88.18%, 88.33%, and 85% across groups, with the highest satisfaction for laparoscopy/laparotomy (p = 0.003). Expectation fulfillment and total satisfaction relied on devoted time and alternatives discussion (both p = 0.001 and <0.001, respectively), positively correlating with comprehension, sense of security, and information quality (all p < 0.001). Readmission willingness was affected by devoted time (p = 0.016) and alternatives discussion (p = 0.028), and positively correlated with sense of security (p = 0.01). Expectation fulfillment and total satisfaction for office hysteroscopy depended on ongoing information (both p < 0.001) and pain aspects, positively correlating with comprehension, communication, and security, but negatively with pain (all p < 0.001), without affecting readmission willingness. Significant correlations existed between patient-specific and hospitalization-related variables and satisfaction, expectation fulfillment, and readmission willingness. A hierarchical culture with clan orientation was identified. Conclusions: Women’s high satisfaction was primarily linked to information quality. Readmission willingness correlated with a sense of security. Communication was crucial during office hysteroscopy. Public healthcare setting did not affect staff attitudes. Clan-oriented hierarchical culture favored a sense of security. Full article

Background: The 2022 Pakistan floods devastated healthcare access for pregnant women in already impoverished areas in Sindh province. This study examines how Cash for Health assistance (CH) of USD 112 alleviated financial burdens and improved maternal health outcomes and resilience, bridging a critical literature gap on cash effectiveness in humanitarian crises. Methodology: This study used a mixed-methods approach to assess the CH assistance intervention for families of pregnant/lactating women in flood-affected rural Sindh, Pakistan. A pre-post quantitative analysis of baseline (May–June 2024) and endline (August–November 2024) survey data in ~100 villages (Jamshoro/Sehwan) examined changes in healthcare access, expenditure, and preferences using t-tests, proportion tests, and multivariable regression. Concurrently, five qualitative case studies from key informant interviews provided thematic content analysis, triangulating findings on economic, health, and social impacts. Results: Respondents predominantly had low literacy rates and were from households of daily wage laborers in vulnerable, flood-affected areas. While income and education remained low, instances of forgone care due to financial barriers increased (68% to 97%, p < 0.001). CH significantly improved healthcare access (58% to 98%, p < 0.001). Access to regular physicians (20% to 69%) and private facilities (10% to 41%) notably expanded. Healthcare expenditure significantly increased from USD 9.3 to USD 25, with a shift in spending preference towards medication, consultations, and diagnostics. CH also significantly improved food security (21% to 97%), meal frequency, and overall household stability, including reducing domestic violence. Qualitative data emphasized pre-existing vulnerabilities and CH’s role in addressing health, nutrition, and psychosocial needs. Conclusions: CH significantly improved healthcare access and reduced financial burdens for vulnerable pregnant women post-disaster. However, a sustainable impact requires integrated “cash plus” models, combining financial aid with stronger health systems, psychosocial support, and literacy for long-term resilience. Full article

In Kazakhstan’s Akmola Region, rural households face heightened vulnerability from climate change, driven by reliance on weather-dependent resources and amplified risks of extreme precipitation events, prolonged dry spells, and progressive soil degradation—further intensified by limited adaptive capacity and inequities affecting women-led or ethnic minority families. This study conducted stratified household surveys across four agricultural districts, developed a tailored Livelihood Vulnerability Index (LVI) incorporating shelterbelt presence, condition, and perceived effects, alongside readiness for hydrological surface recovery (contour–strip organisation, swales/valokany, and tree–shrub planting). Results revealed an average LVI of 0.45–0.55, which was higher (+10–15%) in marginalized groups; testing pathways showed correlations (r = 0.65, p < 0.05) with water security, soil condition, income stability, and hazard reduction, with potential LVI reductions of 15–25% through integrated measures. District-specific recommendations include implementing the Potapenko–Lukin method on slopes <5% with valokany (width 80 cm, depth 1.5 m, spacing 100–500 m), endemic plantings, and biomaterial, supported by subsidies (488,028 tenge/ha/year) and GIS monitoring, to enhance resilience and equity in steppe and forest–steppe farming. Full article