South-South humanitarianism: The case of Covid-organics in Tanzania.

Tanzania's President sent a plane to Madagascar in May 2020 to bring a shipment of Covid-Organics, a purported cure and prevention for COVID-19. The herbal remedy was described as a gift to help African countries in need. Drawing on preliminary data in English and Kiswahili from unstructured participant observation, social and legacy media available online and shared through contact channels, and ongoing conversations, we explore the Tanzanian policy response to COVID-19. What can the exemplary case of Covid-Organics in Tanzania help us to understand about South-South humanitarian assistance (SSHA) in times of crisis? We suggest that Covid-Organics has enabled the government to project a link to latent debates about Pan-Africanism and Julius Nyerere's legacy and Madagascar's SSHA has provided an opportunity for a public reflection on Africa's place in the world. For some, the remedy's 'Africanness' is its comparative advantage, even promising a continental renaissance. For others, the lack of scientific evidence or approval by global health authorities like WHO is delegitimizing. These findings suggest that receivers of SSHA make sense of it in both a broad, post-colonial discursive context and in a specific context of local contestation. If the promise of this particular form of aid is its ability to transcend deep divisions between North and South, the case of Covid-Organics suggests that SSHA draws on deep ideologies of Pan-Africanism; is increasingly important in crises that are global; and like other forms of humanitarianism, reflects elite politics and priorities rather than prioritizing the distribution of humanitarian goods and decreasing inequality.

Politics, economics, how about our health? Impacts of large-scale land acquisitions on therapeutic spaces and wellbeing in coastal Tanzania.

One question that has remained unexplored in the global land rush debate is how large-scale land acquisitions affect health and wellbeing of local populations. As part of a larger study, this study advances our understanding in this area by applying the concept of therapeutic landscapes to analyze interviews conducted in two coastal communities in Tanzania where land investments have been prevalent. Our analysis found that local populations perceived traditional lands with sacred sites as therapeutic spaces, which embodied cultural values, and promoted health and wellbeing when protected. Intrusion into these spaces through large-scale land investment is believed to remove their therapeutic attributes, thereby turning them into unhealthy landscapes. Dispossession of these spaces is perceived to heighten community distress resulting in poor psychosocial health. Based on our findings, we suggest that health consequences of land investments should move to the center of the large-scale land acquisition discourse. Health policy should refocus on the psychosocial health impacts of global land investments in Tanzania and other low-income countries. Ultimately local participation in land governance should be strengthened through land reforms in Tanzania and similar contexts, as this may provide a buffer to poor psychosocial health.

Historical Perspective and Risk of Multiple Neglected Tropical Diseases in Coastal Tanzania: Compositional and Contextual Determinants of Disease Risk.

BACKGROUND: In the past decade, research on neglected tropical diseases (NTDs) has intensified in response to the need to enhance community participation in health delivery, establish monitoring and surveillance systems, and integrate existing disease-specific treatment programs to control overlapping NTD burdens and detrimental effects. In this paper, we evaluated the geographical distribution of NTDs in coastal Tanzania. METHODS AND FINDINGS: We also assessed the collective (compositional and contextual) factors that currently determine risks to multiple NTDs using a cross sectional survey of 1253 individuals in coastal Tanzania. The results show that the effect size in decreasing order of magnitude for non-binary predictors of NTD risks is as follows: NTD comorbidities > poverty > educational attainment > self-reported household quality of life > ethnicity. The multivariate analysis explained 95% of the variance in the relationship between NTD risks and the theoretically-relevant covariates. Compositional (biosocial and sociocultural) factors explained more variance at the neighbourhood level than at the regional level, whereas contextual factors, such as access to health services and household quality, in districts explained a large proportion of variance at the regional level but individually had modest statistical significance, demonstrating the complex interactions between compositional and contextual factors in generating NTD risks. CONCLUSIONS: NTD risks were inequitably distributed over geographic space, which has several important policy implications. First, it suggests that localities of high burden of NTDs are likely to diminish within statistical averages at higher (regional or national) levels. Second, it indicates that curative or preventive interventions will become more efficient provided they can be focused on the localities, particularly as populations in these localities are likely to be burdened by several NTDs simultaneously, further increasing the imperative of multi-disease interventions.