Land Tenure and Common Pool Resources in Rural Ethiopia: A Study Based on Fifteen Sites

The evolution of land tenure in Ethiopia during the Imperial period directed towards private and individualized property is discussed both in general terms and by examining conditions at specific localities. This evolution was brought to an abrupt end by the land reform of 1975 with nationalization. The same logic of subsistence agriculture as in traditional tenures seems to be the basis for the reform. With the abandonment of the socialist transformation of agriculture no vision about future developments in land tenure seems to exist. Privatization is suggested to improve the security of land holding, to increase agricultural investment, to assist the development of other markets as well as preserve common pool resources. L’article étudie l’évolution du régime foncier éthiopien sous l’empire, d’un point de vue général et examinant la situation spécifique de certaines localités. Cette évolution, vers une propriété privée et individualisée des terres, a été brutalement interrompue par les nationalisations conduites dans le cadre de la réforme agraire de 1975. Celle‐ci semble s’être appuyée sur la même logique d’agriculture de subsistance que celle qui sous‐tendait les régimes fonciers traditionnels. Aujourd’hui, la transformation socialiste de l’agriculture ayant été abandonnée, il ne semble exister aucune vision pour l’évolution future du régime foncier. Un programme de privatisation est suggéré pour améliorer la sécurité du régime de possession des terres, accroître l’investissement agricole, faciliter le développement d’autres marchés et préserver les ressources communes.     

On the measurement of risk aversion from experimental data

Attitudes towards risk are measured for households in Northern Zambia using an experimental gambling approach with real payoffs that at maximum were equal to 30% of average total annual income per capita. The results of the experiment show decreasing absolute risk aversion and increasing partial risk aversion. Determinants of risk aversion are investigated using random effects interval regression model exploiting the panel data structure of the repeated experiments. Wealth indicator variables are found to be significant, and partial relative risk aversion decreases as wealth increases. Females are found to be more risk averse than males.     

Human security and sexuality in the IPPF Africa Region

The influence of human security components on Sexual Reproductive Health and Rights （SRHR） of individuals was explored in four sub-Saharan Africa countries of Angola, the Democratic Republic of Congo, Liberia and Uganda from November 2008 to April 2009. The present results suggest that the major threat to human security is the competing economic demands that make it difficult for the population to prioritize reproductive health services in their household budgets. This study concludes that there are potential benefits of human security approaches for furthering the goals of SRHR initiatives, in line with the principles and guidelines expressed in the Maputo Plan of Action and the Millennium Development Goals （MDGs）. The results of this study suggest that IPPF Africa Region can start to prioritize economic security, community security and health security which have greatest impact on the reproductive health of the sub-Saharan African population. The key lesson learnt is that the effective use of family planning services mitigates the effects of other human insecurities, including economic, food, and health insecurities as its application in the families will reduce family size and demand on available resources.     

Technology adoption under seed access constraints and the economic impacts of improved pigeonpea varieties in Tanzania

Dry‐land legumes, well adapted to drought‐prone areas, have largely been neglected in the past despite the good opportunities they offer for income growth and food (and nutritional) security for the poor. This study evaluated the adoption and impact of two farmer and market‐preferred and disease‐resistant pigeonpea varieties that were developed and promoted in semi‐arid Tanzania. The new varieties were resistant to fusarium wilt, a fungal disease devastating the crop. However, farmers wanting to adopt new varieties did not adopt due to seed access constraints and under‐developed seed delivery systems. Adoption of new varieties is therefore analyzed using an augmented double hurdle model that allows estimating variety adoption conditional on seed access thresholds accounting for the additional information on sample separation. The study identifies the crucial role of seed access (local supply), extension, education, participatory decision making, capital, and household assets in determining adoption. The social economic benefits of the technology and policies for improved seed access were further analyzed using the extended economic surplus method (DREAM model). Even under restrictive assumptions, overall discounted benefits were found to be quite attractive, indicating the need for additional efforts to scale‐up the success story. Analysis of changes in research benefits from relaxing the seed access constraint showed that net gains would increase by up to 30% if farmer access to improved seeds can be assured. Smallholder farmers are the major beneficiaries along with consumers and rural net‐buyers who gain from productivity‐induced lower market prices.     

GENETIC ENDOWMENTS, PARENTAL AND CHILD HEALTH IN RURAL ETHIOPIA

The determinants of long‐term child health in Ethiopia – as measured by height‐for‐age z‐scores – are examined controlling for community, household and individual level heterogeneity. The influence of parental health and the role of genetics are analysed. The height of parents is highly significant but no significant correlation with per capita expenditures is found. Food prices, birth order, sex and age of children, number of siblings of the mother, years of marriage and altitude are important determinants. Deprivations in later years are more important than during pre‐ or neo‐natal periods. Genetic inheritance seems to explain the correlations between child and parental health.     

Market imperfections,access to information and technology adoption in Uganda: challenges of overcoming multiple constraints

Limited empirical evidence exists on how multiple binding constraints influence the adoption of improved technologies by smallholder farmers. This article uses the case of groundnut variety adoption in Uganda to investigate the role of information, seed supply, and credit constraints in conditioning technology uptake. New data from a household survey in seven groundnut growing districts (n = 945) indicate that 8% of farmers lack information on new varieties, while 18% and 6% of farmers, respectively, cannot adopt mainly due to seed supply and capital constraints. A tobit‐type specification that considers all nonadopters as being uninterested in the technology (i.e., corner solutions) would lead to inconsistent parameter estimates and incorrect conclusions in this context. We therefore estimate a modified multi‐hurdle specification of demand for new varieties, taking into account how information, seed supply, and capital constraints jointly determine adoption probability and intensity. The study reveals new empirical insights on why agricultural technology adoption in Africa has lagged behind: slow uptake is not mainly due to a lack of economic incentives, but rather a reflection of information, seed supply, and credit constraints that prevent farmers from translating their desired demand into adoption of modern varieties. Policy implications are discussed.     

Adoption of New Technologies in Ethiopian Agriculture: The Case of Tegulet-Bulga District,Shoa Province

Adoption of agricultural production technologies in developing countries is influenced by a wide range of economic and social factors as well as physical and technical aspects of farming and the risk attitude of farmers. It is important to understand the role of these factors to ensure the development of appropriate technologies and the design of successful development projects. This study examines the impact of such factors on the adoption of single-ox, fertilizer and pesticide technologies as part of a post-drought recovery project in Tegulet-Bulga district in Ethiopia. Models to evaluate the probability of adoption are specified for the respective technologies and are estimated using a logit maximum likelihood procedure, results indicate that the most significant variable affecting the probability of adoption of all three technologies is farm size; the impact is negative for single-ox technology and positive for fertilizer and pesticide use. Economic factors such as income, wealth and debt generally exhibit statistically significant influence on the adoption of single-ox and pesticide technologies as do family size, access to outside information, education and experience. The effect of socio-economic factors on adoption of fertilizer and pesticide technologies is greater in the area which has more access to outside information and off-farm activities (Ankober) than in more ‘self-contained’ area (Seladengay). The impact of the degree of risk aversion of farmers is found to be significant and negative for single-ox technology in both areas, and for fertilizer and pesticide technologies in only one area. The predicted probabilities of technology adoption by an average farmer are found to increase dramatically with the level of education and access or exposure to outside information.     

Real-world incidence and burden of adverse events among non-metastatic prostate cancer patients treated with secondary hormonal therapies following androgen deprivation therapy

Abstract

Aims: To describe the incidence and identify prognostic factors of central nervous system (CNS) adverse events (AEs) and any AEs (CNS, skin rash, or fracture) and evaluate the healthcare resource utilization (HCRU), direct medical costs, and therapy discontinuation associated with these AEs among non-metastatic prostate cancer (nmPC) patients who received secondary hormone therapies.

Methods and results: nmPC patients who had initiated secondary hormonal therapy with enzalutamide, bicalutamide, or abiraterone ≥1?year after androgen deprivation therapy (ADT) were identified in the MarketScan database. Survival analyses were used to describe the incidence of CNS or any AEs. Annual HCRU and costs were compared across patient groups (CNS AE vs no CNS AE; any AE vs no AE) using propensity score weighted generalized linear models. Multivariate Cox proportional hazards models were used to identify AE predictors and compare risks of discontinuation.

Results: The analysis included 532 patients who initiated secondary hormonal therapies, among whom 201 (38%) and 244 (46%) experienced a CNS AE and any AE, respectively. Median times to CNS AE and any AE from therapy initiation were 17.90 and 11.00?months, respectively. Predictors of any AE were any AE in the baseline period (≤6?months before starting therapy), Charlson Comorbidity Index (CCI) score (1 vs 0), surgical castration, and older age. Predictors of CNS AEs were CNS AE in the baseline period and CCI score (1 vs 0). CNS and any AEs were associated with significantly higher HCRU. CNS AEs were associated with significantly higher incremental total medical costs ($18,522). CNS AEs and any AEs significantly increased therapy discontinuation risk by 48% and 38%, respectively.

Conclusions: AEs increase the economic burden and therapy discontinuation among nmPC patients receiving secondary hormonal therapies subsequent to ADTs. These patients should be carefully evaluated for AEs to reduce therapy discontinuation, HCRU, and direct medical costs.