Browsing by Subject "Madagascar"

Now showing 1 - 8 of 8
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    Analysis of agency relationships in the design and implementation process of the equity fund in Madagascar
    (BioMed Central, 2015-02-04) Honda, Ayako
    Background: There are large gaps in the literature relating to the implementation of user fee policy and fee exemption measures for the poor, particularly on how such schemes are implemented and why many have not produced expected outcomes. In October 2003, Madagascar instituted a user fee exemption policy which established "equity funds" at public health centres, and used medicine sales revenue to subsidise the cost of medicine for the poor. This study examines the policy design and implementation process of the equity fund in Madagascar in an attempt to explore factors influencing the poor equity outcomes of the scheme. Methods: This study applied an agency-incentive framework to investigate the equity fund policy design and implementation practices. It analysed agency relationships established during implementation; examined incentive structures given to the agency relationships in the policy design; and considered how incentive structures were shaped and how agents responded in practice. The study employed a case-study approach with in-depth analysis of three equity fund cases in Madagascar's Boeny region. Results: Policy design problems, triggering implementation problems, caused poor equity performance. These problems were compounded by the re-direction of policy objectives by health administrators and strong involvement of the administrators in the implementation of policy. The source of the policy design and implementation failure was identified as a set of principal-agent problems concerning: monitoring mechanisms; facility-based fund management; and the nature and level of community participation. These factors all contributed to the financial performance of the fund receiving greater attention than its ability to financially protect the poor. Conclusion: The ability of exemption policies to protect the poor from user fees can be found in the details of the policy design and implementation; and implications of the policy design and implementation in a specific context determine whether a policy can realise its objectives. The equity fund experience in Madagascar, which illustrates the challenges of beneficiary identification, casts doubts on the application of the 'targeting' approach in health financing and raises issues to be considered in universal health policy formulation. The agency framework provides a useful lens through which to examine policy process issues.
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    The Competitive Dynamics of the Clothing Industry in Madagascar in the post-MFA Environment
    (2006) Morris, Mike; Sedowski, Leanne
    The last few years have witnessed two major shifts in global trading and industrialisation patterns. The first is the rise of China (with the South East Asian region in tow) as the dominant force reshaping the competitive dynamics between developing and developed countries as well as within the developing world itself. The second is exemplified in the rapid rise of a clothing industry sector, with a concomitant impact on wage employment, in some sub-Saharan African countries (amongst which Madagascar has been prominent), as a direct result of the African Growth and Opportunities Act (AGOA) of 2000. However, the end of the Multifibre Arrangement and the massive impact of China on the global dispersion of clothing production have threatened to substantially disrupt these processes. Despite the plethora of warnings, there is very little empirical analysis of the real changes taking place as a result of the changed global environment. Based on international trade data and field research undertaken in Madagascar, this article aims to analyze the clothing industry's current dynamics in Madagascar, given the impact of AGOA and the end of apparel quotas. The first section situates the clothing industry in Madagascar within the changing global environment. The second section provides an analysis of the competitiveness dynamics and global linkages operating in Madagascar based on primary research through firm level interviews undertaken in Madagascar in 2005. The article concludes by assessing the policy implications in the post-MFA world.
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    Divergent evolutionary and epidemiological dynamics of cassava mosaic geminiviruses in Madagascar
    (2016) De Bruyn, Alexandre; Harimalala, Mireille; Zinga, Innocent; Mabvakure, Batsirai M; Hoareau, Murielle; Ravigné, Virginie; Walters, Matthew; Reynaud, Bernard; Varsani, Arvind; Harkins, Gordon W; Martin, Darren P; Lett, Jean-Michel; Lefeuvre, Pierre
    Abstract Background Cassava mosaic disease (CMD) in Madagascar is caused by a complex of at least six African cassava mosaic geminivirus (CMG) species. This provides a rare opportunity for a comparative study of the evolutionary and epidemiological dynamics of distinct pathogenic crop-infecting viral species that coexist within the same environment. The genetic and spatial structure of CMG populations in Madagascar was studied and Bayesian phylogeographic modelling was applied to infer the origins of Madagascan CMG populations within the epidemiological context of related populations situated on mainland Africa and other south western Indian Ocean (SWIO) islands. Results The isolation and analysis of 279 DNA-A and 117 DNA-B sequences revealed the presence in Madagascar of four prevalent CMG species (South African cassava mosaic virus, SACMV; African cassava mosaic virus, ACMV; East African cassava mosaic Kenya virus, EACMKV; and East African cassava mosaic Cameroon virus, EACMCV), and of numerous CMG recombinants that have, to date, only ever been detected on this island. SACMV and ACMV, the two most prevalent viruses, displayed low degrees of genetic diversity and have most likely been introduced to the island only once. By contrast, EACMV-like CMG populations (consisting of East African cassava mosaic virus, EAMCKV, EACMCV and complex recombinants of these) were more diverse, more spatially structured, and displayed evidence of at least three independent introductions from mainland Africa. Although there were no statistically supported virus movement events between Madagascar and the other SWIO islands, at least one mainland African ACMV variant likely originated in Madagascar. Conclusions Our study highlights both the complexity of CMD in Madagascar, and the distinct evolutionary and spatial dynamics of the different viral species that collectively are associated with this disease. Given that more distinct CMG species and recombinants have been found in Madagascar than any other similarly sized region of the world, the risks of recombinant CMG variants emerging on this island are likely to be higher than elsewhere. Evidence of an epidemiological link between Madagascan and mainland African CMGs suggests that the consequences of such emergence events could reach far beyond the shores of this island.
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    Industrialization Trajectories in Madagascar’s Export Apparel Industry: Ownership, Embeddedness, Markets, and Upgrading
    (2014) Morris, Mike; Staritz, Cornelia
    The paper shows the importance of ownership as a conceptual category within global value chain (GVC) analysis through analyzing firm types based on their GVC linkage, market access, and ownership profile in Madagascar’s apparel export industry. The central argument is that ownership leading to variances in embeddedness matters. Ownership characteristics of supplier firms shape the ability to shift between different end markets, respond to lead firm requirements, and pursue upgrading. With Madagascar’s exclusion from AGOA benefits this has enabled locally embedded European/French diaspora-owned firms and regionally embedded Mauritian-owned firms to shift market channels and upgrade while Asian-owned firms largely exited the industry.
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    Key informants for peadiatric eye disease case finding in Madagascar
    (2019) Chimeziri, Anderson; Courtright, Paul; Cook, Colin
    As at 2014, 19 million children aged < 16 years were visually impaired, 1.4 million of these children were blind and needed visual rehabilitation interventions. Surveys, mostly utilizing key informants (KI), have suggested that the prevalence of blindness in children in Sub Saharan Africa ranges between 2 -8 per 10,000 children. Childhood eye disease is rare and conditions are difficult to detect; thus, surveys to estimate the prevalence of blindness requires rigorous, costly and difficult methods to obtain reasonable estimates among children. Key informant programs, which engage the community in case finding, have been shown to be a reasonable alternative to large scale surveys and were used in Madagascar in 2014 by four regional eye care programmes. I propose to analyse the data generated from the programmes to quantify the prevalence of eye conditions among children and how the KIs performed. Method: The analysis will use data collected in a cross sectional approach. Statistical analysis will be conducted using Stata (15.0) statistical software. Data from all of the KI registers will be pooled and overall magnitude estimates calculated. KI productivity and sub-group analyses will include assessment of demographic characteristics of the children and the KI by age and sex. Ethical approval will be provided by the UCT Health Research and Ethics Committee and the Madagascar Ministry of Health. Discussion: The results from this study will help child eye health programmes to determine how best to use KI to better serve children with vision loss, and guide in the provision of eye services for children care.
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    Madagascar: A pacemaker for the Agulhas Current system?
    (2006) Penven, P; Lutjeharms, J R E; Florenchie, P
    [1] Western boundary currents are driven by zonally integrated wind-stress curl over the width of subtropical basins. This cross-basin integration is interrupted in the South Indian Ocean where Madagascar presents a formidable barrier. Nevertheless, a western boundary current has been thought to exist in the Mozambique Channel, the Mozambique Current. Recent observations have however shown that no such current exists and that the flow in the channel instead consists of a train of eddies. Is this western boundary anomaly due to the presence of Madagascar? We have used a primitive equations model to investigate the flow in the South West Indian Ocean as if there were no Madagascar. We show that a normal, continuous western boundary current is then formed that constitutes a continuum with the Agulhas Current. The presence of Madagascar is shown to affect the frequency of inter-ocean exchange events south of Africa.
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    The ocean environment off southeastern Africa: A review
    (2006) Lutjeharms, J R E
    The ocean environment off southeastern Africa consists of a continental shelf region of diverse widths and an off-shelf circulation that is similarly multifaceted. These factors lead to a complex and as yet imperfectly understood coastal and shelf habitat for living organisms. To complicate this further, the coverage of the region by hydrographic and other investigations differs markedly. Some regions have been relatively thoroughly studied whereas in others no hydrographic or current observations of any kind have been made to date. The only attribute that connects the coastal oceans of this region is that they all belong to what may be considered to be the greater Agulhas Current system. This consists of the East Madagascar Current, the Mozambique Channel eddies and the Agulhas Current proper. In this paper I review current knowledge on the region from both a physical as well as a biological oceanographic point of view. Some of the most glaring gaps in our knowledge of the region are identified.
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    Were Malagasy Uncarina fruits dispersed by the extinct elephant bird?
    (2009) Midgley, J J; Illing, N
    We hypothesise that the spiny fruits of the endemic Madagascar genus Uncarina (Pedaliaceae) are trample burrs that evolved to be dispersed on the feet of the extinct elephant bird (Aepyornis). Our evidence is : i) the morphology of the fruit with its large grapple hooks is more likely to attach to a foot than to adhere to fur and ii) the presentation of mature fruits on the ground rather than in the canopy. These differences to adhesive burrs make lemurs unlikely dispersers. We argue, given the absence of other large terrestrial mammals in Madagascar, that the most likely dispersers of Uncarina fruits were the extinct large birds. If correct, our hypothesis has implications for conservation of Uncarina, the biogeography of the elephant birds and dispersal biology. For example, we predict that the demography of Uncarina will be skewed towards adult plants, and that the dispersal mutualism could possibly be rescued by domestic animals.