MIL Submissions Engine

Source: – By Paa Kwesi Wolseley Prah, Postdoctoral Fellow, Dublin City University

Mali, a landlocked Sahelian nation of 25 million people, has faced significant instability since 2012, marked by terrorism, state neglect and armed conflicts.

That year a Tuareg rebellion started in northern Mali and President Amadou Toumani Touré was ousted in a military coup. Constitutional rule was suspended. Rebels in northern Mali went on to seize cities like Timbuktu, Gao and Kidal, declaring an independent Islamic State of Azawad and imposing sharia law.

They also destroyed cultural heritage sites, including 14 of Timbuktu’s 16 Unesco-listed mausoleums. The crisis prompted international intervention, including a UN authorised mission, which retook northern cities within weeks. Islamist rebels retreated into civilian populations and remote areas.

Despite these efforts, violence against civilians by extremist groups and community militias has continued. By 2023, 8.8 million Malians needed humanitarian assistance. Over 375,500 were internally displaced, primarily women and children.

Meanwhile, the former French colony had turned to China for military assistance. Between 2012 and 2013, China provided €5 million (about US$5.8 million) in logistical equipment to improve the Malian army’s mobility.

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In August 2013, the Chinese People’s Liberation Army gave the Malian army military supplies totalling 1.6 billion CFA francs (about US$2.8 million). China made similar donations between 2014 and 2023.

I am an international security and global governance researcher. My recent research explored the impact of China’s security sector assistance on Mali’s fragility.

China’s assistance to Mali aims to equip the country to address terrorism and insurgency. But I argue that it may have unintended consequences and cause further damage to the country.

The heavy reliance on Chinese supply exposes Mali to vulnerabilities, including supply disruptions, diminished bargaining power, and limited strategic flexibility. This could destabilise security even more should China face manufacturing issues or supply chain disruptions leading to delays or shortages in the production of weapons.

It also raises concerns about the potential influence of China on Mali’s defence policies and decision-making processes. In turn this could entrench the Malian military government’s position. China takes a hands-off approach to the governance structures of the countries it engages with. Hopes of democratisation in the country could be affected.

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Rich in resources

Mali has significant natural resources, including 800 tons of gold reserves (it’s Africa’s fourth-largest producer), iron ore, manganese, lithium, and potential uranium and hydrocarbon deposits.

In 2019, gold production generated US$734 million, or 9.7% of Mali’s GDP, supporting over 10% of the population.

Chinese firms, such as Ganfeng Lithium and China National Nuclear Corporation, have invested heavily in Mali’s mining sector. They are involved in a US$130 million lithium project and uranium exploration in the Kidal and Falea regions.

Despite security risks, including attacks on Chinese personnel in 2015 and 2021, China remains committed due to Mali’s resource potential.

Beyond mining, China has invested in Mali’s infrastructure. A US$2.7 billion railway modernisation project connects Bamako to Dakar, facilitating resource exports like iron ore and bauxite.

The total of Mali’s external debt to China is not explicitly stated. But the 2014 loan agreement of US$11 billion and the 2016 loan of US$2.7 billion alone suggest Mali’s debt to China could be at least US$13 billion. This is without including loans for projects like the Bamako-Ségou expressway, and bridges in Bamako.

This has often been criticised as “debt trap diplomacy”, increasing recipient countries’ dependence on Beijing. In Mali, I believe this risks entrenching economic vulnerability and giving China geopolitical leverage.

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China’s security sector assistance to Mali

Historically, Mali relied on France. More recently, it’s used Russia’s expeditionary corps, formerly known as Wagner Group, for security support.

In 2011, China provided US$11.4 million in grants, US$8.1 million in zero-interest loans, and a US$100.8 million concessional loan to foster bilateral cooperation.

China’s participation in the United Nations Multidimensional Integrated Stabilisation Mission in Mali, starting in 2013 with 395 personnel, marked a shift in its security engagement.

Chinese peacekeepers, including engineers, medical personnel and security guards, repaired infrastructure, provided medical aid and supported Mali’s 2013 elections.

Their professionalism earned praise from the UN special envoy Albert Gerard Koenders for helping to ensure a smooth election.

China’s involvement in Mali challenged traditional European approaches to peacekeeping, particularly France’s military-heavy strategy.

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How China’s assistance contributes to Mali’s fragility

In spite of the positives, China’s security sector assistance contributes to Mali’s fragility in several ways.

First, its no-strings-attached nature allows Mali’s military junta to consolidate power without making democratic or governance reforms.

This lack of accountability enables corrupt military factions to operate unchecked. Governance weaknesses and authoritarianism can continue.

Second, the heavy reliance on Chinese supply raises concerns about the potential influence of China on Mali’s defence decisions.

This over-reliance on military solutions risks escalating conflicts and could lead to human rights abuses by security forces, as seen in increased violence against civilians. It doesn’t address root causes of conflict like social cohesion or local governance.

Third, Mali’s growing dependence on Chinese aid — both military and economic — makes it vulnerable to disruptions from geopolitical tensions, supply chain issues, or changes in China’s foreign policy. This limits Mali’s ability to diversify its military capabilities or respond to evolving threats.

Finally, China’s infrastructure investments, such as the US$1.48 billion (750 billion CFA francs) Bamako-Dakar railway loan, creates “debt trap diplomacy”.

This pattern deepens economic dependence and reduces policy autonomy, further weakening state resilience.

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The way forward

To mitigate the risks of Chinese security sector assistance and promote sustainable stability, Mali must adopt a multifaceted strategy.

First, it should collaborate with China to align security sector assistance with civilian-led security approaches.

Second, Mali should diversify security and economic partnerships with donors like the US, the UK, and the EU.

Third, transparent guidelines, developed through consultation with stakeholders, should assess the impacts of assistance to avoid deepening dependence.

Fourth, engaging civil society and publishing regular reports on security sector assistance use and outcomes will foster public trust.

Finally, promoting regional economic integration and ties with global powers will bolster Mali’s economic resilience.

Paa Kwesi Wolseley Prah does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. China’s support for Mali’s military carries risks: researcher outlines what they are – https://theconversation.com/chinas-support-for-malis-military-carries-risks-researcher-outlines-what-they-are-257738

Source: – By Leonor Oliveira Toscano, PhD Candidate in Political Science, University of Oslo

Kenya has been praised as a “model for the world” when it comes to peacebuilding efforts to manage outbreaks of violence within its borders. The country has systematically put in place a peacebuilding architecture rooted in a history of local peace initiatives. These date back to the early 1990s.

Over this period, the Wajir Peace and Development Committee emerged in the country’s north-eastern region. The committee successfully addressed decades of inter-clan violence in Wajir, an arid county bordering Somalia. It also inspired the emergence of numerous local peace committees across the country.

These committees have been set up in some other African countries – like Ghana, South Africa, Sierra Leone and Burundi – and continue to contribute informally to local peacebuilding in these states.

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In Kenya, the committees became institutionalised after post-election violence in 2007-08 and a mediation process led by former UN secretary general Kofi Annan. They now form part of the national peacebuilding architecture.

Violence triggered by the contested 2007 presidential election outcome resulted in the killing of more than 1,000 people. The mediation process led to a power-sharing agreement signed by the presidential contenders Mwai Kibaki and Raila Odinga.

The country’s peacebuilding architecture is now supported by several policies and frameworks. These include the constitution of 2010. The system that’s been built has the capacity to connect a wide variety of peacebuilding actors – both state and non-state, formal and informal – at all levels of society. This helps resolve conflict and build resilience.

The Kenyan government initiated a review of the peacebuilding architecture in 2023. It involved a lengthy consultation process and high levels of participation among Kenyans. The National Steering Committee on Peacebuilding and Conflict Management led the way, assisted by an independent panel of 13 peacebuilding experts.

Released at the end of 2024, the review looked at the strengths and weaknesses of the architecture.

It offers a vision for building a robust peacebuilding system, along with an actionable roadmap. One lesson is that Kenya can use the capacities and unique approaches of different peacebuilding actors. At the local level, peace committees showed that they made contributions to early warning systems and building confidence in communities.

However, insufficient resources and a consistent focus on electoral violence prevent the system from addressing other drivers of conflict.

The strengths

Local peace committees, with membership typically drawn from ordinary citizens, religious groups or local civil society organisations, play a crucial role. They support dialogue around conflict issues. They promote trust and understanding, and can build a constructive environment for conflict resolution.

Their information gathering feeds into the regional Intergovernmental Authority on Development’s Conflict Early Warning and Response System (CEWARN) to prevent election violence. Local peace committees have contributed to negotiating local disputes. They have also helped de-polarise ethnic identities and facilitated local peace agreements. One example was the Modogashe Declaration. It sets ground rules to solve conflict and local disputes over pasture, water access and cattle rustling.

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We are researchers in Norway on a project focusing on civilian agency, local peace and resilience building. Our own interviews with committee members in Nakuru – a county greatly affected by the violence in 2007-08 – found that peace committee members continued to work together and share conflict-sensitive information with local stakeholders. These include administration officers and religious leaders, and covered periods during and after the 2022 elections.

Further, local peace committees can offer women valuable opportunities for participation in conflict management. This contributes to their protection, for example from sexual violence.

The weaknesses

Despite these successes, Kenya’s peacebuilding architecture faces pressing challenges.

First, local peace committees aren’t perfect. They can be manipulated by politicians seeking to build local support. They can also compete with traditional actors such as elders in conflict resolution.

Kenya’s institutionalisation of local peacebuilding strengthened information flow across all levels. But it also threatens to undermine local peacebuilding agency and autonomy. Formalising local peace committees can spur an unhealthy monetisation of peacebuilding, with some members joining for financial gain. This threatens to erode the voluntary character of peacebuilding as a common good and undermine genuine priorities for peace.

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Second, elite-level politics in Kenya creates the persistent risk of electoral violence. This diverts attention and resources away from other long-standing causes of conflict. The drivers of violence in Kenya are varied and region specific. They include disputes over access to land, and marginalisation of ethnic and religious communities. Climate change threatens to worsen competition and conflict between pastoralists and farming communities.

Our analysis of event data from Armed Conflict Location & Event Data shows that communal violence is the deadliest form of political violence in Kenya. For their part, fatalities related to election violence have decreased. This underscores the urgent need to consistently invest in prevention and local peacebuilding beyond narrow electoral periods.

Fatalities in Kenya by type of armed violence: 2010-2023

Electoral competition can escalate violence between pastoralists and farmers, but it’s the persistence of communal conflicts that represents a serious threat. Communal violence particularly affects Kenya’s arid and semi-arid areas in the Rift Valley, eastern and north-eastern regions.

What next

Our interviews with local peace committee members show that funding for their activities diminishes outside election years. This hampers their capacity to address conflict outside these periods.

Yet research has shown that local peacebuilding can build social resilience against recurrent communal violence. Peacebuilding interventions grounded in local realities are also vital for countering insurgent violence. This is especially important as counterterrorism operations by state forces often trigger cycles of violence rather than resolving underlying issues.

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Our research finds that Kenyans place significant trust in local peacebuilders, such as community leaders, elders and women. The review of the country’s peacebuilding architecture proposes a 40% quota for women, youth and people with disabilities in local peace committees.

However, quotas alone may not be sufficient to address the political and cultural challenges that entrench inequality.

Ultimately, political elites need to transform Kenya’s “win at all costs” politics. This way, the country’s mediators and peacebuilders can address the deep social and economic grievances that underpin cycles of violence.

Leonor Toscano’s doctoral research is supported by the grant from the European Research Council’s Horizon 2020 Research and Innovation Program (852816; PI: Jana Krause). Leonor Toscano conducted interviews with LPC members in Kenya.

Jana Krause received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant number 852816 (ResilienceBuilding).

Marika Miner’s post-doctoral research is also supported by the grant from the European Research Council’s Horizon 2020 Research and Innovation Program (852816; PI: Jana Krause).

– ref. Kenya’s peacebuilding efforts hold valuable lessons for the rest of the world, but gaps remain – https://theconversation.com/kenyas-peacebuilding-efforts-hold-valuable-lessons-for-the-rest-of-the-world-but-gaps-remain-257761

Source: – By Olivier Walther, Associate Professor in Geography, University of Florida

What’s the connection between roads and conflict in west Africa? This may seem like an odd question. But a study we conducted shows a close relationship between the two.

We are researchers of transnational political violence. We analysed 58,000 violent events in west Africa between 2000 to 2024. Our focus was on identifying patterns of violence in relation to transport infrastructure.

Anecdotal evidence suggests that roads, bridges, pipelines and other transport systems are increasingly attacked across west Africa, but little is known about the factors that explain when, where and by whom.

Violence in west Africa involves a complex mix of political, economic and social factors. Weak governance, corruption, urban-rural inequalities and marginalised populations have been exploited by numerous armed groups, including transnational criminal networks and religious extremists.

West Africa has been one of the world’s most violent regions since the mid 2010s. In 2024 alone, the Armed Conflict Location and Event Data initiative recorded over 10,600 events of political violence in the region. These ranged from battles between armed groups, explosions and other forms of remote violence, to attacks on unarmed civilians. An estimated 25,600 people were killed. This has been the status quo in the region for nearly a decade.

The results of our study show that 65% of all the attacks, explosions, and violence against civilians recorded between 2000 and 2024 were located within one kilometre of a road.

Only 4% of all events were located further than 10km from a road. This pattern was consistent across all road types but most pronounced near highways and primary roads.

We think the reason for this pattern is that there is fierce competition between state and non-state actors for access to and use of roads.

Governments need well-developed road networks for a host of reasons, including the ability to govern, enabling economic activity, and security. Roads enable military mobility and reduce potential safe havens for insurgents in remote regions.

Insurgent groups also see transport networks as prime targets. They create opportunities to blockade cities, ambush convoys, kidnap travellers, employ landmines, and destroy key infrastructure.

Our research is part of a long line of work that explored the role of infrastructure in relation to security in west Africa. Our latest research reinforces earlier findings linking the two. Transport networks have become battlegrounds for extremist groups seeking to destabilise states, isolate communities and expand their influence.

The network

The west African road network is vast, estimated at over 709,000km of roads by the Global Roads Inventory Project. It compares unfavourably with other African regions. For example, paved roads remain relatively scarce in west Africa (17% of the regional network) when compared with north Africa (83%).

Poorly maintained roads impose costs on west African countries. They increase transport time of perishable goods, shorten the operational life of trucks, cause more accidents, and reduce social interactions between communities.

Still, significant variations in road quality are found across the region. The percentage of paved roads ranges from a high of 37% in Senegal to just over 7% in Mali. Nigeria has the largest road network in west Africa with an estimated 195,000km, but much of it has deteriorated because of poor maintenance.

Road-related violence is on the rise

We found that road-related attacks have been on the rise since jihadist groups emerged in the mid-2010s. Only 31 ambushes against convoys were reported in Burkina Faso, Chad, Mali and Niger from 2000-2015, against 497 from 2016-2023.

Attacks frequently occur along the same road segments, such as around Boni in the Gourma Mounts, where Jama’at Nusrat ul-Islam wa al-Muslimin (JNIM) conducted nine attacks against Malian forces and Wagner mercenaries between 2019 and 2024.

Violence was the most clustered near roads in 2011, with 87% of all violent events located within 1km of a road. Our analysis shows that, though still high, there’s been a decline post-2000: 59% in 2022 and 60% in 2024. This evolution reflects the ruralisation of conflict in west Africa. As jihadist insurgents target rural areas and small towns more and more, an increasing share of violent events also occurs far away from roads.

We’ve studied the root causes of west Africa’s violence for nearly a decade, documenting the ever-intensifying costs paid by its people. In the process, we’ve uncovered overlooked aspects of the turmoil, including the centrality of the road networks to an understanding of where the violence is happening.

The most dangerous roads of west Africa

Our findings show that violence against transport infrastructure is very unevenly distributed in west Africa and that specific road segments have been repeatedly targeted. This was particularly the case in the Central Sahel, Lake Chad basin, and western Cameroon.

For example, the 350km ring road linking Bamenda to Kumbo and Wum in Cameroon is the most violent road in west Africa, with 757 events since 2018, due to the conflict between the government and the Ambazonian separatists.

The longest segments of dangerous roads are in Nigeria, particularly those connecting Maiduguri in Borno State to Damaturu, Potiskum, Biu and Bama.

In the central Sahel, the road between Mopti/Sévaré and Gao is by far the most violent transport axis, with 433 events since the beginning of the civil war in Mali in 2012. South of Gao, National Road 17 leading to the Nigerien border, and National Road 20 heading east toward Ménaka have experienced 177 and 139 events respectively since the Islamic State – Sahel Province (ISSP) intensified its activities in the region in 2017.

In Burkina Faso, all the roads leading to Djibo near the border with Mali have experienced high levels of violence since the early 2020s.

Building transport infrastructure to promote peace

Roads are an important part of state counterinsurgency strategies and a strategic target for local militants. Yes, as our work highlights, transport infrastructure is largely ignored in debates that emphasise more state interventions as a means of combating insecurity. Sixty years after the independence of many west African countries, road accessibility remains elusive in the region.

Peripheral cities such as Bardaï, Bilma, Kidal and Timbuktu, where rebel movements have historically developed, are still not connected to the national network by tarmac roads.

The duality of the transport infrastructure, as both a facilitator and target of violence, has put government forces at a disadvantage. Regular forces are heavily constrained by the sparsity and poor conditions of the road network, which makes them vulnerable to attacks without necessarily allowing them to project their military power over long distances.

Rather than building transport infrastructure, states have focused on strengthening security by investing in military bases. The military coups in Burkina Faso, Mali and Niger have further reinforced this trend, with the creation of a joint force by the countries of the Alliance of Sahel States.

Strengthening security has taken precedence over developmental support for peripheral communities, who experience the worst of the violence.

Olivier Walther receives funding from the Organisation for Economic Co-operation and Development.

Alexander John Thurston receives funding from the Organisation for Economic Co-operation and Development.

Steven Radil receives funding from the Organisation for Economic Co-operation and Development.

– ref. Highways to hell: west Africa’s road networks are the preferred battleground for terror groups – https://theconversation.com/highways-to-hell-west-africas-road-networks-are-the-preferred-battleground-for-terror-groups-258517

Source: – By Oluwaseyi Dolapo Somefun, Research associate, University of the Western Cape

Vaccines have proved to be one of the most effective tools in fighting infectious diseases, but convincing people to get vaccinated can be tough. Especially young people.

During the global COVID-19 pandemic, declared by the World Health Organization on 11 March 2020, many countries reported high levels of vaccine hesitancy among younger population groups. Negative healthcare experiences and general distrust of government have cultivated vaccine hesitancy across Africa. Misleading information about vaccine side-effects on social media adds to this challenge.

This hesitancy continues today. A 2024 study on adolescents and young adults (aged 10 to 35) in sub-Saharan Africa found a vaccine acceptance rate of just 38.7%.

These concerns were echoed in a recent study we carried out among 165 young adults in Nigeria, South Africa and Zambia, looking at attitudes towards the COVID-19 vaccine. We wanted to know what could be done to help improve future vaccine acceptance, inform campaigns and prepare for future public health responses.

Participants were hesitant to be vaccinated, for various reasons, and suggested what policymakers could do to improve vaccine uptake.

Understanding young people’s perspectives on vaccine hesitancy and what can be done to address this is crucial for improving vaccine acceptance in the future.

What young adults told us

Our research gathered data through focus groups and interviews.

The participants described a fear of injections, uncertainty about side effects, distrust in healthcare systems and rude healthcare workers.

Some participants were worried about the safety of the COVID-19 vaccine, particularly how it might affect those with pre-existing health conditions.

Many believed that the vaccine was developed too quickly without sufficient testing and a lack of accessible information.

Many expressed a strong fear of needles. A young South African woman aged 19 commented:

I am afraid of injections, so for me, it would be better if there was something that could be taken orally, something you can drink.

Getting over the hurdle

We found young people often felt left out of vaccine conversations. They wanted to be part of the solution and make informed choices but needed the right tools and support to do so.

Participants suggested practical ideas to help boost vaccine acceptance among their peers.

Several highlighted the importance of assessing individual health status before administering vaccines, to avoid adverse interactions with existing medical conditions and treatments. They believed that situations where vaccines were mistakenly blamed for pre-existing illnesses or ongoing treatments could be avoided.

Participants suggested innovative strategies to make vaccines more accessibile. Mobile vaccination sites and community-based outreach programmes were some of the suggestions.

They must introduce mobile clinics, so that people don’t find themselves having to travel long distances to vaccinate. – 18-year-old male, South Africa

Young people also suggested household visits to people who were immobile because of age, illness or disability.

Many advocated for non-injectable vaccine options, such as oral medications or microneedle patches, which could improve accessibility and reduce anxiety.

The oral polio vaccine, which has been widely used in global polio eradication efforts, is an example of a non-injectable vaccine.

COVID-19 microneedle patch prototypes are being explored for clinical testing.

The youth urged public figures, including politicians, celebrities and influencers, to publicly endorse the vaccine.

It would be nice if the president could be shown on television receiving a vaccine so that we can see for ourselves whether he is given the same thing that everyone else receives. – 20-year-old male, South Africa

More engaging videos, interactive interviews and testimonials from vaccinated individuals could be shared across social media platforms.

The young people also emphasised the importance of comprehensive training for healthcare providers. They highlighted the need for healthcare professionals to provide respectful and empathetic care. They suggested that, by fostering respectful communication, healthcare providers could create a more welcoming and comfortable environment for their clients.

In addition, providing vaccine education in schools could educate pupils so that they could make decisions on their own.

Way forward

Engaging young people as active participants in shaping public health strategies can help increase vaccine acceptance and ensure a healthier future for all.

We believe that our findings can be applied in two ways.

First, to inform the design of tailored interventions that better resonate with young people’s desires and needs, paving the way for increased vaccine uptake and acceptability.

Second, to highlight areas where young people may need further information and engagement, to better understand some of the broader issues and why some of their recommendations might not be feasible in the short or longer term.

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. Vaccines: why these young Africans are hesitant about them and what might change their minds – https://theconversation.com/vaccines-why-these-young-africans-are-hesitant-about-them-and-what-might-change-their-minds-249629

Source: – By Shukri F. Mohamed, Research Scientist, African Population and Health Research Center

Diet-related health conditions, such as diabetes, hypertension and obesity, are on the rise in Kenya, putting immense strain on already over-stretched public health systems. These conditions are often driven by high intake of sugars, salts and unhealthy fats. So it’s more critical than ever for consumers to understand what’s in the foods they’re buying.

But making sense of nutrition information isn’t always straightforward, especially with the small, complex labels on the back of most packages.

Our recent study examined whether front-of-pack food labels could help Kenyan consumers make better choices. We tested three types of label designs to see which one was most effective at helping people identify nutrients of concern and make healthier purchase decisions.

Front-of-pack labels are simplified labels on the front of food packaging, designed to help consumers quickly assess healthiness through symbols, colours, or ratings. Examples include providing a “high in sugar” warning. In contrast, back-of-pack labels provide mandatory, detailed information such as full ingredient lists, nutrition facts and expiry dates typically in a standardised, text-heavy format on the back or side. Front-of-pack labels aren’t mandatory in all countries but back-of-pack labels are.

Many countries, including Chile, Mexico and Israel, have already introduced mandatory warning labels. Research shows that there has been a positive impact on public health.

Kenya is planning to take a major step in promoting public health by introducing a front-of-label system that will rank packed foods and non-alcoholic beverages based on their nutritional quality. Currently, packaged foods in Kenya are required to list ingredients, but this information can be hard to interpret. Front-of-pack labels will simplify this by highlighting key nutritional facts at a glance.

The new system will also guide policies like restricting marketing of unhealthy foods to children and other measures to improve Kenya’s food environment. With rising obesity and diet-related diseases driven by a shift from traditional foods to processed options, changes are urgently needed.

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We have been involved in food environment policies research for the last five years. Our study emphasises the potential of front-of-pack food labels to affect consumers’ choices. Presenting clear information about a product’s nutritional content on the front of packaging could shift consumer behaviour towards healthier choices. In turn, this could lead to better public health outcomes.

Testing three label types

The study randomly assigned participants to different label types to compare the results fairly.

The study involved 2,198 adults from four counties: the capital, Nairobi; Mombasa, the second largest city; Kisumu, which is home to the third largest city; and Garissa in north-eastern Kenya. Participants were randomly assigned to one of three label types: red and green octagon label (RG), red and green octagon with icons (RGI), and black octagon warning label (WL).

Each label had a unique approach to highlighting sugars, fats and salts, which are the nutrients linked to diet-related diseases.

• The Red-Green (RG) label used the colours red and green to show if a product had high or within-threshold levels of salt, sugar, fat, or saturated fat. Red meant the nutrients were above the set threshold, making that food unhealthy, while green meant it was below the set threshold levels.

• The Red-Green with Icons (RGI) label worked like the RG label and it also included icons (like a spoon for sugar, a salt shaker for salt) and abbreviations (F for fat, SF for saturated fat) to make it easier to understand.

• The black octagon Warning Label (WL) only appeared on products high in salt, sugar or fats, with a clear “high in” warning message to alert consumers.

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Each participant was asked to evaluate a sample of food products based on the label type they were shown. They were also asked about their purchase intentions and perceptions of the products’ healthiness.

First, the study participants were shown images of packaged foods without any labels, and they were asked to answer questions about them. Then, study participants were shown the same images, but this time with a front-of-pack label added to the images. They were then asked the same questions again to see if the labels influenced their responses.

Our results showed that warning labels were the most effective in helping consumers identify foods high in sugars, salts and fats. Participants who saw the warning labels were more likely to recognise unhealthy packaged food products and less likely to choose them, compared to those who used the Red and Green labels.

In the same study we asked consumers about awareness and use of labels and we found that approximately two thirds (64.3%) reported being aware of food labels, while 55.0% reported reading nutrition information before purchasing products.

Next steps

Our research provides a strong evidence base to support policymakers in adopting mandatory front-of-pack labelling.

Moving forward, establishing a clear regulatory framework that mandates simple, effective and standardised labelling systems is essential in reducing diet-related diseases. Ensuring these labels are easily understandable and prominently displayed on all packaged foods will empower consumers to make healthier choices, particularly those in low- and middle-income communities, who are at higher risk of poor dietary outcomes.

Several law-making processes are in place that Kenya could use to implement mandatory labelling. But efforts are needed to identify and pursue the most effective route to effective legal change.

Shukri F. Mohamed receives funding from the International Development Research Center.

– ref. Is this bad for my health? Kenyan study tests three types of warning labels on food – https://theconversation.com/is-this-bad-for-my-health-kenyan-study-tests-three-types-of-warning-labels-on-food-253657

Source: – By Obasanjo Bolarinwa, Senior lecturer, York St John University

Imagine feeling invisible simply because of your body. Now imagine that invisibility extends into how society treats your desires, your safety, and your rights.

That is the everyday reality for many women with disabilities in developing countries, where 80% of people with disabilities live. And it’s an issue the policymakers must address to promote inclusive policies that reach the most marginalised.

We are global health researchers and authors of a recent qualitative study that explores the sexual experiences of women with disabilities in Lagos, Nigeria.

Despite growing global interest in sexual and reproductive health, the voices of women with disabilities have remained largely unheard, especially in low- and middle-income countries such as Nigeria.

Our research aims to break this silence.

The women in our study told us they had sexual needs and desires like any other women, but they faced particular challenges such as societal stigma, inadequate access to reproductive health services, widespread misconceptions about contraception and sexual harassment. They suggested how more accessible health services and better legal protection could help them.

How we did our study

We spoke to 24 women in Lagos between the ages of 20 and 45. Sixty-seven percent of participants had physical disabilities, while 33% had visual impairments.

Participants were recruited through local networks and came from a range of educational, employment and marital backgrounds. They were asked open-ended questions in interviews conducted in English, Yoruba or Pidgin.

We focused on how disability influenced their sexual activity, autonomy, contraceptive use, engagement in risky sexual behaviours, and experiences of sexual violence.

What we learnt

Our research found that the women were mostly sexually active and understood their sexual rights.

However, they faced major barriers:

• physical limitations

• poor access to affordable contraceptives

• misinformation

• vulnerability to sexual violence, with limited support available

• widespread stigma that made it difficult for them to express their sexuality freely and safely.

‘We are not asexual’

Many participants rejected the stereotype that they were “asexual” or uninterested in sex. They emphasised they had sexual needs and desires just like any other woman.

Some participants expressed that being disabled made certain sex positions painful or physically impossible.

A woman who was in her thirties told us that her husband complained that she couldn’t “do different styles”.

Other women expressed sadness, frustration, or even guilt for not being able to satisfy their partners, leading to feelings of rejection and abandonment.

Accessing modern contraceptives was another major issue.

Some of the women said they were afraid of using contraceptives because of health myths – like the fear that birth control might worsen their disability or cause infertility.

Others struggled to go to pharmacies because of their limited mobility and obstacles such as being unable to use stairs.

Several women said they had experienced harassment, assault or rape, often linked to their vulnerability and social isolation.

One woman described her sexual assault.

If I were not disabled and nothing was wrong with me, the one that happened to me would not happen. Because of my leg, I didn’t have any energy to shout, and the people that were supposed to assist me did not show up. If I had legs and was complete, the thing that happened to me will not happen.

A visually impaired woman said she couldn’t defend herself or even recognise her attacker when she was abused.

Another said:

If I had legs, that thing would not have happened to me.

A number of women also spoke about the fear of being blamed or shamed about their sexual harassment experience. Others said people in their communities believed they had no right to complain.

It’s not all bad

Still, it wasn’t all despair. The women in the study had clear and actionable suggestions.

They called for accessible health facilities, better education for men about disability and sex, and more media campaigns to challenge stigma.

They wanted laws that specifically protected them against sexual harassment and health systems that included them in terms of physical accessibility and financial subsidy.

Some called for free or subsidised contraceptives or door-to-door services for those unable to travel.

One participant simply asked for a walking aid so she could visit the hospital when she needed to.

We are not invisible

The findings highlight the need for accessible, affordable sexual and reproductive health services tailored to women with disabilities.

This includes disability-friendly healthcare, public education to challenge stereotypes, stronger legal protections, and initiatives that empower women to assert their rights.

Society needs to stop pretending that women with disabilities are invisible.
They are here. They are sexually active. And they have a right to love, pleasure, safety and choice.

Obasanjo Bolarinwa works for York St. John University, United Kingdom.

Blessing Babalola works for Federal University Oye-Ekiti.

CLIFFORD O ODIMEGWU works for the University of the Witwatersrand.

Aliu Mohammed does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Sex and disability: Nigerian women share their stories – https://theconversation.com/sex-and-disability-nigerian-women-share-their-stories-254405

Source: – By Glenda Gray, Distinguished Professor, Infectious Disease and Oncology Research Institute, Faculty of Heath Sciences, University of the Witwatersrand, Executive Director Perinatal HIV Research Unit, Chief Scientific Officer, South African Medical Research Council

The Trump administration’s cuts to funding for scientific research have left many scientists reeling and very worried. At the National Institutes of Health in the US, which has an annual budget of US$47 billion to support medical research both in the US and around the world, nearly 800 grants have been terminated. The administration is considering cutting the overall budget of the National Institutes of Health by 40%.

In South Africa, where tensions are running high with the new Trump administration over land reform and other diplomatic fault lines, scientists have had research grants from the National Institutes of Health suspended. Glenda Gray, who has been at the forefront of HIV/Aids scientific research for decades, assesses the impact of these cuts.

How have the cuts affected your research? When did you start worrying?

There was subliminal fear that started to percolate at the end of January. I said to my team, we need to start looking at our grants. We need to start looking at our exposure.

The first institute to go under the Trump administration’s cuts was USAID. The multibillion-dollar agency that fought poverty and hunger around the world was the first to face the chop.

As a result, a USAID-funded US$46 million consortium on HIV vaccine discovery and experimental medicine to evaluate first in Africa or first in human HIV vaccines was terminated.

Then in mid-April, funding for a clinical trial in Soweto near Johannesburg in South Africa was marked as “pending”. The unit was involved in trials for HIV vaccines. On top of that,  four global research networks on HIV/Aids prevention and treatment strategies were told by the National Institutes of Health in the US that they could no longer spend any money in South Africa. The Soweto unit was affiliated with those networks.

So basically you can’t start new studies in South Africa?

There is a great deal of uncertainty. I’m sitting on many calls, working out how we survive in the next couple of months.

I’m going from bankrupt to absolutely bankrupt in terms of our ability to do work.

We’ve been doing scenario planning, looking at all our contingencies, but it’s very hard to know exactly what you’re doing until you have the relevant documentation in front of you.

To all intents and purposes for the next period, South Africa is eliminated from the National Institutes of Health networks and its scientific agenda.

How is the South African government responding?

The government doesn’t have the kind of money to replace the substantial amount of finances that we got through the National Institutes of Health competitive processes. However scientists have been working together with the Medical Research Council, Treasury and various government departments to plot the best way forward.

Everyone’s been writing grant proposals, speaking to the Gates Foundation, speaking to the Wellcome Trust, looking at public-private partnerships, talking to other philanthropists. But the bottom line is that funding is never going to be at the kind of level that will replace the research infrastructure that we’ve got.

To get money from the National Institutes of Health we had to compete with all scientists all over the world. This wasn’t just aid being doled out to us.

Where does this leave the future of research in South Africa for HIV vaccine trials?

South Africa has been able to contribute to global guidelines to improve care. The loss of research capability means that you lose the knowledge or the value of understanding HIV prevention, HIV vaccines or therapeutics.

We in South Africa have the infrastructure, we have the burden of disease, the sciences, the regulator and ethical environment and the ability to answer these questions. And so it’s going to take the world a lot longer to answer these questions without South Africa.

If we slow down research, we slow down HIV vaccine research, we slow down cures and we slow down other HIV prevention methodologies.

And so basically you slow down the process of knowledge generation.

What does it feel like to be a scientist right now in South Africa?

South African scientists are resilient. We’ve had to weather many storms, from the explosion of HIV to Aids denialism … watching people die, getting people onto treatment, having vaccine trials that have failed.

You have to be resilient to be a scientist in this field.

It’s going to be very hard to bring the fight against HIV/Aids back to the current level again.

It feels now like we are deer in the headlights because we don’t know how to pivot.

This is an edited transcript of an interview with Professor Gray aired in a podcast produced by The Conversation UK. You can listen to the full podcast here.

Glenda Gray receives funding from US-NIH which is currently being evaluated. .

– ref. US funding cuts have crippled our HIV work – what’s being lost – https://theconversation.com/us-funding-cuts-have-crippled-our-hiv-work-whats-being-lost-255645

Source: – By Aisosa Jennifer Omoruyi, Research fellow, University of the Western Cape

Childhood overweight and obesity are a growing public health challenge in South Africa. In 2016, 13% of the country’s children were reported to be obese. This is predicted to double by 2030.

This problem has been linked to the regular consumption of calorie-dense foods high in sugar, salt and fat.
South African children are growing up in a food environment that tends to cause obesity.

One of its key features is intense marketing of unhealthy food and beverages, using various channels and appealing strategies. Misleading health and nutrition claims are sometimes made.

Children are considered lucrative consumers because they can sometimes buy food themselves, influence their parents’ food purchases (they have “pester power”, for one thing), and are future consumers.

Marketers use several strategies that children find appealing, such as cartoon characters, brand mascots, bright colours, colourful packages, catchy songs and slogans.

Although there is no specific regulation of marketing to children in South Africa, the Consumer Protection Act 58 of 2008 has important provisions that guide the marketing of goods and services. The law prohibits false, deceptive marketing.

As a researcher into children’s rights and nutrition I coauthored a recent paper examining how the Consumer Protection Act could be used to address the misleading marketing of unhealthy foods and beverages to children.

In our view, the South African consumer protection legal framework has the necessary scope to address misleading forms of marketing of unhealthy foods to children. But there needs to be better enforcement.

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Read more:
Profit versus health: 4 ways big global industries make people sick

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Health claims: not always the full package

A common strategy in food marketing is the use of misleading health or nutrition claims. These are often written (“contains vitamin C”, “high fibre”, “boosts immunity”, “supports brain health”), or implied by images of fruits and vegetables on the packaging of products.

Some studies in South Africa have demonstrated the misleading use of these claims in television and magazine
advertisements and food packages, including products meant for children.

For instance, fruit juices often claim to be rich in vitamin C, but they have a high sugar content. Dairy products typically boast a high calcium content, but are also high in added sugar. Breakfast cereals frequently highlight their fibre content, despite being ultra-processed and containing a high amount of total carbohydrates and added sugar.

Packaged foods often contain nutrition labels, but the printed words are small and usually obscured by the “healthy” claims. Those are positioned more prominently to capture the attention of the consumer.

Health and nutrition claims can strongly influence purchasing decisions, especially in the South African context. Research has shown that many South African consumers do not read nutrition labels on packaged foods.

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Read more:
Half of all South Africans are overweight or obese. Warning labels on unhealthy foods help change that

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What the law says

Firstly, the Consumer Protection Act recognises children as vulnerable or disadvantaged consumers who deserve special protection (section 3(1)(b)(iii). This is because they have limited capacity to understand marketing strategies or defend themselves against their persuasive effects.

Secondly, the Consumer Protection Act, in sections 29 and 41, prohibits the marketing of goods in a way that is reasonably likely to imply a false or misleading representation of facts such as their ingredients, benefits and qualities.

Thirdly, the Consumer Protection Act provisions do not require a consumer to show that they were actually misled by the claim or that children’s health was negatively affected by consuming the food product. It is enough that it has been marketed in a manner that is reasonably likely to mislead children or their parents or caregivers into buying the product.

Consumers have various ways to seek redress for misleading marketing. These include the Consumer Goods and Services Ombud and the Advertising Regulatory Board, the National Consumer Commission, the National Consumer Tribunal and the courts.

However, delays and poor compliance with decisions can put consumers off.

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Read more:
South Africa must ban sugary drinks sales in schools. Self regulation is failing

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Food for thought: the way forward

Mandatory front-of-pack labels are needed in South Africa. They should be easy to understand and highlight nutrients of concern – salt, fat, sugar and artificial sweeteners – to reflect the overall nutritional profile of food products. They can also override the misleading “health halo” effect generated by health or nutrition claims.

The public should support the Draft Regulation R3337 Relating to the Labelling and Advertising of Foodstuffs made under the Foodstuffs, Cosmetic, and Disinfectant Act 54 of 1972. It specifically prohibits marketing unhealthy food to children.

The act needs to be used more and this requires much greater consumer activism.

Dispute mechanisms could be stronger and the processes could be streamlined to encourage consumer participation.

The government and public interest organisations need to create greater public awareness of consumer rights.

Aisosa Jennifer Omoruyi is a Research Fellow at the Dullah Omar Institute, University of the Western Cape, which receives funding from the Global Center for Legal Innovation on Food Environments at the O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC.

– ref. Marketing unhealthy food as good for kids is fuelling obesity in South Africa: how to curb it – https://theconversation.com/marketing-unhealthy-food-as-good-for-kids-is-fuelling-obesity-in-south-africa-how-to-curb-it-253994