To What did They Consent? Understanding Consent Among Low Literacy Participants in a Microbicide Feasibility Study in Mazabuka,Zambia

We conducted a study to review the consenting process in a vaginal Microbicide feasibility study conducted in Mazabuka, Zambia. Participants were drawn from those participating in the microbicide study. A questionnaire and focus group discussion were used to collect information on participants understanding of study aims, risks and benefits. Altogether, 200 participants took part in this study. The results of the study showed that while all participants signed or endorsed their thumbprints to the consent forms, full informed consent was not attained from most of the participants since 77% (n = 154) of the participants had numerous questions about the study and 34% (n = 68) did not know who to get in touch with concerning the study. Study objectives were not fully understood by over 61% of the participants. Sixty four percent of the participants were not sure of the risks of taking part in the microbicide study. A significant number thought the study was all about determining their HIV status. Some participants were concerned that their partners were not on the trial as they were convinced that being on the study meant that that they had a lifetime protection from HIV infection. The process of obtaining consent was inadequate as various phases of the study were not fully understood. We recommend the need for researchers to reinforce the consenting process in all studies and more so when studies are conducted in low literacy populations.     

Perceptions of the Forestry and Wildlife Policy by the local communities living in the Maputo Elephant Reserve, Mozambique

A survey was undertaken in the Maputo Elephant Reserve to establish the level of people's dependence on wildlife, and their perceptions of the extant Forest and Wildlife Policy and the associated legislation, including the new Land law. The underlying assumption was that the local communities residing in the Reserve may not have been involved, or consulted in the process of formulating the policy and legislation. Results overwhelmingly confirmed this hypothesis – as 65% of the community members interviewed were unaware of the approved Forest and Wildlife Policy, and associated Legislation. 74% had never even heard of the new Land Law, 88% indicated they were not involved in any management of natural resources in the Reserve, and the majority, 53% had never even heard of any community-based natural resource management programme. The widespread unawareness of the various enabling mechanisms established by the Mozambican Government to ensure that rural people actively participate in, and sustainably and tangibly benefit from the management of natural resources is of great concern. More particularly so, as the frameworks, and strategies for achieving this have been developed under the Transfrontier Conservation Areas Project (TFCA). This study recommends, inter alia: (i) that the Directorate for Forestry and Wildlife establishes a Community Education and Public Relations Unit (CEPRU) in the Maputo TFCA in order to improve community awareness of the opportunities, and various enabling policies and legislation, especially with respect to communities' rights vis-à-vis ownership of land and the associated natural resources; (ii) the introduction of community-based tourism as a means of diversifying communities' income base. Currently nearly 82% of community members in the Reserve depend on consumptive use of wildlife, and as the human population grows the pressure may overwhelm the resource base. Generation of revenues through community-based tourism may be an incentive for communities to adopt biodiversity conservation based market economy as an alternative to their subsistence livelihood styles.     

Travelling Companions: Emerging Diseases of People, Animals and Plants Along the Malawi-Mozambique Border

Humans, animals and plants suffer from similar types of diseases (e.g., fungal, viral etc.). These can “emerge” as new diseases by expanding their geographical range or by jumping species (from plants to plants, or from animals to humans). Emerging diseases place an additional burden on developing countries which are often struggling to manage the diseases they already have. New diseases spread through weather, insects or other vectors, or by the movement of people, animals or goods. This study examines the role of cross-border travel in the spread of diseases. A survey of travelers and of residents along the Malawi-Mozambique border found that most cross it frequently and that they rarely travel empty-handed, often taking plants and animals with them. People also cross borders seeking medical attention. Attempting to limit travel would hamper an already struggling economy, where many people make a living by producing, processing or transporting plants and animals for food. Cross border travel per se may pose slight danger for the spread of diseases, if governments can collaborate on sharing information about the status of diseases within their border.