Water, sanitation and depression in rural communities: evidence from nationally representative study data in South Africa.

Clean water and sanitation provisions are essential for good hygiene and health, with rural South Africa facing a simultaneous access crisis of both, the direct health effect of restricted access to both on mental health remaining scarce and largely overlooked. This study investigated the association between access to clean water and sanitation on depression in rural South Africa utilizing the most recent data (year 2017) from the South African National Income Dynamics Study. Our study outcome was depression, based on the 10-item abridged version of the Center for Epidemiologic Studies Depression Scale (data available in SA-NIDS), the main exposures being access to clean water and adequate sanitation facilities (i.e. flushing toilets). Two types of analyses were conducted: first, adjusted logistic regression models were fitted to assess the relationship between lack of access to clean water and adequate sanitation to depression. Second, we conducted mediation analysis to investigate whether access to clean water mediated the relationship between lack of access to toilets and depression. A high proportion of rural participants lacked access to clean water (n = 6,188, 47.6%) and adequate toilets (n = 9,797, 81.6%). The regression analyses indicated that lack of access to both clean water (OR = 1.21, 95% CI: 1.06-1.39) and adequate sanitation (OR = 1.36, 95% CI: 1.10-1.69) were significantly associated with greater odds of depression. The mediation analysis indicated that access to clean water partially mediated the relationship between lack of access to adequate sanitation and depression, the total mediated effect being 18.2% (95% CI: 11.0%-51.0%). Most rural communities in South Africa lack access to basic services that are essential for human dignity and a decent quality of life, leading to opportunities for poor mental health, with its various consequences for socio-economic development and personal wellbeing, including avoidable depression.

Social Disruption Impairs Predatory Threat Assessment in African Elephants.

The transmission of reliable information between individuals is crucial for group-living animals. This is particularly the case for cognitively advanced mammals with overlapping generations that acquire detailed social and ecological knowledge over long lifetimes. Here, we directly compare the ecological knowledge of elephants from two populations, with radically different developmental histories, to test whether profound social disruption affects their ability to assess predatory threat. Matriarchs (≤50 years of age) and their family groups received playbacks of three lions versus a single lion roaring. The family groups in the natural Amboseli population (Kenya) reliably assessed the greater predatory threat presented by three lions roaring versus one. However, in the socially disrupted Pilanesberg population (South Africa), no fine-scale distinctions were made between the numbers of roaring lions. Our results suggest that the removal of older and more experienced individuals in highly social species, such as elephants, is likely to impact the acquisition of ecological knowledge by younger group members, particularly through the lack of opportunity for social learning and cultural transmission of knowledge. This is likely to be exacerbated by the trauma experienced by juvenile elephants that witnessed the culling of family members and were translocated to new reserves. With increasing levels of anthropogenic disturbance, it is important that conservation practitioners consider the crucial role that population structure and knowledge transfer plays in the functioning and resilience of highly social and long-lived species.

The Dynamics of Youth Employment and Empowerment in Agriculture and Rural Development in South Africa: A Scoping Review.

Over the years, South Africa has made significant investments aimed at transforming the agricultural sector to deliver on rural economic development and job creation. These investments have had varying levels of success; still, what is worrying is the high youth unemployment rate which is amongst the highest globally. We conducted a scoping review using the PRISMA-P guidelines to identify the challenges youth face in accessing sustainable employment in the agriculture sector. Peer-reviewed studies were retrieved from online databases (Web of Science, Cab Direct, and Science Direct) for 1994-2021. The findings showed that youth are still facing significant challenges in the demand and supply side of the labour market and lack of inclusivity in policy formulation and implementation, limiting their involvement in agriculture and rural development initiatives. Policies and strategies responding to these challenges exist, and the spectrum of support services provided are primarily focused on entrepreneurship. Yet, the implementation of programs and initiatives has not been successful. This could be attributed to the obstacles persisting in the sociopolitical environment in SA, causing additional barriers to program implementation. Therefore, to enhance youth involvement in agriculture and rural development, there is a need to connect more rural youth to support services, local employment programmes, and youth inclusion in policy formulation processes. Additionally, the focus of policy and programs should be broadened to cater to different youth knowledge and skill profiles.

The complex challenge of governing food systems: The case of South African food policy.

International experience reveals that food policy development often occurs in silos and offers few tangible mechanisms to address the interlinked, systemic issues underpinning food and nutrition insecurity. This paper investigated what South African government policies cover in terms of different aspects of the food system, who is responsible for them, and how coordinated they are. Policy objectives were categorized into seven policy domains relevant to food systems: agriculture, environment, social protection, health, land, education, economic development, and rural development. Of the ninety-one policies reviewed from 1947-2017, six were identified as being "overarching" with goals across all the domains. About half of the policies focused on agriculture and the environment, reflecting an emphasis on agricultural production. Policies were formulated and implemented in silos. As a result, learning from implementation, and adjusting to improve impact has been limited. Particularly important is that coordination during implementation, across these complex domains, has been partial. In order to achieve its stated food and nutrition outcomes, including Sustainable Development Goal (SDG) 2, South Africa needs to translate its policies into tangible, practical plans and processes guided by effective coordination and alignment. Key recommendations are practically to align policies to a higher-level "food goal", establish better coordination mechanisms, consolidate an effective monitoring and evaluation approach to address data gaps and encourage learning for adaptive implementation. Actively engaging the existing commitments to the SDGs would draw stated international commitments together to meet the constitutional commitment to food rights into an overarching food and nutrition security law.

An impact assessment tool to identify, quantify and select optimal social-economic, ecological and health outcomes of civic environmental management interventions, in Durban South Africa.

Using an environmental impact assessment (EIA) methodology, we provide a novel approach to identify and assess social-ecological outcomes from civic ecology interventions. We quantified the impact significance of six civic (community led) interventions implemented by the Wise Wayz Water Care (WWWC) local community programme (solid waste management, water quality monitoring, invasive alien plant control, crop production, recycling and community engagement), in two communities, situated in urban to peri-urban/rural environments in Durban, South Africa. Interventions resulted in 37 outcomes, of which 36 were positive and one negative. The resulting significance scores from the impact assessment allowed for interventions and their outcomes to be compared. The socio-economic outcomes were the greatest (21), followed by ecological (11) and health outcomes (6). Outcomes included access to education and training; improved quality of life; improved terrestrial and aquatic ecosystems; increase in recreation and cultural uses of natural areas; reduced health risks and increased nutrition. The most significant ecological outcomes resulted from invasive alien plant control, followed by solid waste removal and water quality monitoring. The greatest health outcomes resulted from solid waste removal and vegetable gardens, whereas the greatest social-economic outcomes resulted from the general operation of WWWC, solid waste removal, and invasive alien plant control. We demonstrate that investments in natural areas can deliver not only on enhancements in ecosystems and their services, but also for local community socio-economic and health benefits. This study provides an intervention quantifying tool for practitioners to select optimal local management interventions, that can be aligned with desired outcomes related to specific community challenges and policy requirements. In so doing, this work shows the critical role that civic interventions play to ensure sustainability, and emphasises how social-ecological systems and ecosystem services perspectives can be used in practice towards achieving sustainable outcomes.

A pan-African spatial assessment of human conflicts with lions and elephants.

African lions (Panthera leo) and African savanna (Loxodonta africana) and forest (L. cyclotis) elephants pose threats to people, crops, and livestock, and are themselves threatened with extinction. Here, we map these human-wildlife conflicts across Africa. Eighty-two percent of sites containing lions and elephants are adjacent to areas with considerable human pressure. Areas at severe risk of conflict (defined as high densities of humans, crops, and cattle) comprise 9% of the perimeter of these species' ranges and are found in 18 countries hosting, respectively, ~ 74% and 41% of African lion and elephant populations. Although a variety of alternative conflict-mitigation strategies could be deployed, we focus on assessing the potential of high-quality mitigation fences. Our spatial and economic assessments suggest that investments in the construction and maintenance of strategically located mitigation fences would be a cost-effective strategy to support local communities, protect people from dangerous wildlife, and prevent further declines in lion and elephant populations.

Operationalising the water-energy-food nexus through the theory of change.

The water-energy-food (WEF) nexus facilitates understanding of the intricate and dynamic interlinkages among the three resources. Its implementation can enhance resource securities and sustainable development. Despite its potential, full adoption of the approach has been hindered by a lack of actionable strategies to guide its practical application. This is attributed to (i) poor data (ii) lack of empirical evidence, (iii) inadequate analytical tools, and (iv) lack of clarity on applicable spatial scale. This study undertook a literature review, coupled with systemic analyses of a WEF nexus analytical model, whose outputs were used as a basis to develop a Theory of Change, an iterative outline for operationalising the approach in the context of southern Africa. The consultative and iterative Theory of Change culminated with the formulation of pathways to (i) overcome the barriers impeding WEF nexus operationalisation, (ii) mitigation of trade-offs while enhancing synergies towards attaining simultaneous resource securities, (iii) poverty alleviation and reduction of inequalities, and (iv) reconciling policy with implementation scale. The WEF nexus operationalisation outcomes are linked to Sustainable Development Goals 2 (zero hunger), 6 (clean water and sanitation), and 7 (affordable and clean energy), with synergies to SDGs 1 (no poverty), 5 (gender equality), 8 (decent work and economic growth), 12 (responsible consumption and production), 13 (climate action), 14 (life below water), and 15 (life on land). Operationalising the WEF nexus through an interactive process can inform sustainable pathways towards resource security, job and wealth creation, improved livelihoods and well-being, and regional integration.

Youth Participation in Agriculture: A Scoping Review.

Providing economic opportunities for youth in agriculture is essential to securing the future of agriculture in Africa, addressing poverty, unemployment, and inequality. However, barriers limit youth participation in agriculture and the broader food system. This scoping review aimed to investigate the opportunities and challenges for youth in participating in agriculture and the food system in Africa. This review conducted a scoping review using the PRISMA guideline. Published studies were retrieved from online databases (Web of Science, Cab Direct, and Science Direct) for 2009 to 2019. The findings showed that existing agricultural interventions are production-centric and provide low-income earnings and inadequate social protection. We also found that the youth have pessimistic perceptions about agriculture's capability of improving their living standards. This could be ascribed to the minimal youth involvement in agricultural activities and the youth's shared understanding of the agricultural sector's contribution to general economic growth. From a policy perspective, the literature revealed that current agricultural development programs do not adequately address structural issues underpinning youth participation in the economy. Therefore, to enhance the involvement of youths in agriculture, there is a need for policy implementation in the area of integrated agricultural-based interventions that are context-specific and promote meaningful youth participation in shaping future food systems.

The Role of Edible Insects in Rural Livelihoods, and Identified Challenges in Vhembe District, Limpopo, South Africa.

Edible insects are an important natural commodity in rural areas that is used for household consumption and to generate income through trade. As a result, edible-insect trading is a profitable business that provides employment and improves the livelihoods of impoverished rural people. This study aimed at determining the socioeconomic benefits of and reasons for trading insects, and to assess if edible insects are included in economic development strategies in the Vhembe district of Limpopo province, South Africa. We conducted 72 questionnaire interviews targeting traders in 5 towns across the district. Five insect groups belonging to four insect orders are traded in informal markets of the district. Mopane worms (Gonimbrasia belina) were the most traded (42%) edible insects. Unemployment (45%) and the demand for edible insects (34%) were the major reasons for trading insects. Insect trading has numerous benefits; however, the provision of income (60%) and financial support (35%) were stated as the primary benefits. Despite several benefits associated with trading in insects, there are many challenges such as insect spoilage and a decline in the availability of edible insects in the wild. Edible insects play an important role in food security and the rural economy by generating employment opportunities for unemployed traders. Trading in insects is a traditional practice based on indigenous knowledge, which has persisted as an economic practice that improves rural livelihoods by reducing poverty and increases the human dignity of rural citizens. Only four governmental organisations in Limpopo included edible insects in economic development strategies. Trading insects is primarily an informal activity. The government could stimulate the activity and broaden and deepen the community benefits by providing infrastructure, access to harvest areas, financial support, and business training as part of a rural empowerment strategy to end hunger and poverty while creating employment opportunities in rural areas.

Spatial clustering of food insecurity and its association with depression: a geospatial analysis of nationally representative South African data, 2008-2015.

While food insecurity is a persistent public health challenge, its long-term association with depression at a national level is unknown. We investigated the spatial heterogeneity of food insecurity and its association with depression in South Africa (SA), using nationally-representative panel data from the South African National Income Dynamics Study (years 2008-2015). Geographical clusters ("hotpots") of food insecurity were identified using Kulldorff spatial scan statistic in SaTScan. Regression models were fitted to assess association between residing in food insecure hotspot communities and depression. Surprisingly, we found food insecurity hotspots (p < 0.001) in high-suitability agricultural crop and livestock production areas with reliable rainfall and fertile soils. At baseline (N = 15,630), we found greater likelihood of depression in individuals residing in food insecure hotspot communities [adjusted relative risk (aRR) = 1.13, 95% CI:1.01-1.27] using a generalized linear regression model. When the panel analysis was limited to 8,801 participants who were depression free at baseline, residing in a food insecure hotspot community was significantly associated with higher subsequent incidence of depression (aRR = 1.11, 95% CI:1.01-1.22) using a generalized estimating equation regression model. The association persisted even after controlling for multiple socioeconomic factors and household food insecurity. We identified spatial heterogeneity of food insecurity at a national scale in SA, with a demonstrated greater risk of incident depression in hotspots. More importantly, our finding points to the "Food Security Paradox", food insecurity in areas with high food-producing potential. There is a need for place-based policy interventions that target communities vulnerable to food insecurity, to reduce the burden of depression.

Exposure to waste sites and their impact on health: a panel and geospatial analysis of nationally representative data from South Africa, 2008-2015.

BACKGROUND: Rapid population growth, urbanisation, and economic development have led to an unprecedented number of waste sites in developing countries. This challenge has become a contentious international relations issue, with an unsustainable amount of waste and its health consequences often being borne by developing countries. However, little national-level evidence is available in sub-Saharan Africa to quantify the association between exposure to waste sites and health. METHODS: We used panel data from the South African National Income Dynamics Study (SA-NIDS) to investigate the association between exposure to waste sites and asthma, tuberculosis, diabetes, and depression. The SA-NIDS is a panel survey of a nationally representative sample in South Africa, which includes data reporting the health status of 32 255 individuals between 2008 and 2015. The study exposure was distance of households, in km, to the nearest waste site, derived from waste site geospatial locations from the South Africa Waste Information System. FINDINGS: We observed a substantial increase in exposure of households to waste sites between 2008 and 2015. The median distance between study households and waste sites decreased from 68·3 km (IQR 31·1-111·7) to 8·5 km (3·0-23·7). Residing within 5 km of a waste site was significantly associated with asthma (adjusted relative risk 1·41; 95% CI 1·20-1·64), tuberculosis (1·18; 1·02-1·36), diabetes (1·25; 1·05-1·49), and depression (1·08; 1·03-1·14). The association persisted even after controlling for multiple socioeconomic factors. INTERPRETATION: We identified multiple adverse health outcomes in individuals living close to waste sites at a national level in South Africa, suggesting the need to reduce the number and size of waste sites to diminish harmful effects on health and wellbeing for communities living in close proximity to such sites. FUNDING: South African Medical Research Council, South African National Treasury, and Wellcome Trust.

Green environment and incident depression in South Africa: a geospatial analysis and mental health implications in a resource-limited setting.

BACKGROUND: Unprecedented levels of habitat transformation and rapid urbanisation are changing the way individuals interrelate with the natural environment in developing countries with high economic disparities. Although the potential benefit of green environments for mental health has been recognised, population-level evidence to this effect is scarce. We investigated the effect of green living environment in potentially countering incident depression in a nationally representative survey in South Africa. METHODS: We used panel data from the South African National Income Dynamics Study (SA-NIDS). Our study used SA-NIDS data from three waves: wave 1 (2008), wave 2 (2010), and wave 3 (2012). Households were sampled on the basis of a stratified two-stage cluster design. In the first stage, 400 primary sampling units were selected for inclusion. In the second stage, two clusters of 12 dwelling units each were drawn from within each primary sampling unit (or 24 dwelling units per unit). Household and individual adult questionnaires were administered to participants. The main outcome, incident depression (ie, incident cohort of 11 156 study participants without significant depression symptoms at their first entry into SA-NIDS), was assessed in the adult survey via a ten item version of the Center for Epidemiologic Studies Depression Scale; a total score of ten or higher was used as a cutoff to indicate significant depressive symptoms. Each participant was assigned a value for green living space via a satellite-derived normalised difference vegetation index (NDVI) based on the GPS coordinates of their household location. FINDINGS: Overall, we found uneven benefit of NDVI on incident depression among our study participants. Although the green living environment showed limited benefit across the study population as a whole, our final analysis based on logistic regression models showed that higher NDVI was a predictor of lower incident depression among middle-income compared with low-income participants (adjusted odds ratio [aOR] 0·98, 0·97-0·99, p<0·0001), although when this analysis was broken down by race, its positive effect was particularly evident amongst African individuals. Living in rural areas was linked to lower odds of incident depression (aOR 0·71, 0·55-0·92, p=0·011) compared with study participants residing in urban informal areas that often lack formal planning. INTERPRETATION: Our results imply the importance of green environments for mental wellbeing in sub-Saharan African settings experiencing rapid urbanisation, economic and epidemiological transition, reaffirming the need to incorporate environmental services and benefits for sustainable socioeconomic development. FUNDING: South African Medical Research Council, National Institutes of Health, and Academy of Finland.

The influence of socioeconomic factors on the densities of high-value cross-border species, the African elephant.

Unprecedented poaching levels triggered by demand for ivory in Far East Asia are threatening the persistence of African elephant Loxodonta africana. Southern African countries make an important contribution to elephant conservation and could soon become the last stronghold of elephant conservation in Africa. While the ecological factors affecting elephant distribution and densities have extensively been accounted for, there is a need to understand which socioeconomic factors affect elephant numbers in order to prevent conflict over limited space and resources with humans. We used elephant count data from aerial surveys for seven years in a generalized linear model, which accounted for temporal correlation, to investigate the effect of six socioeconomic and ecological variables on the number of elephant at the country level in the Greater Mapungubwe Transfrontier Conservation Area (GMTFCA). Important factors in predicting elephant numbers were the proportion of total land surface under cultivation, human population density and the number of tourists visiting the country. Specifically, elephant numbers were higher where the proportion of total land surface under cultivation was the lowest; where population density was the lowest and where tourist numbers had increased over the years. Our results confirm that human disturbance is affecting elephant numbers, but highlight that the benefits provided by ecotourism could help enhance elephant conservation. While future studies should include larger areas and more detailed data at the site level, we stress that the development of coordinated legislation and policies to improve land-use planning are needed to reduce the impact of increasing human populations and agriculture on elephant.

Costs and benefits of the presence of leopards to the sport-hunting industry and local communities in Niassa National Reserve, Mozambique.

Sport hunting is often proposed as a tool to support the conservation of large carnivores. However, it is challenging to provide tangible economic benefits from this activity as an incentive for local people to conserve carnivores. We assessed economic gains from sport hunting and poaching of leopards (Panthera pardus), costs of leopard depredation of livestock, and attitudes of people toward leopards in Niassa National Reserve, Mozambique. We sent questionnaires to hunting concessionaires (n = 8) to investigate the economic value of and the relative importance of leopards relative to other key trophy-hunted species. We asked villagers (n = 158) the number of and prices for leopards poached in the reserve and the number of goats depredated by leopard. Leopards were the mainstay of the hunting industry; a single animal was worth approximately U.S.$24,000. Most safari revenues are retained at national and international levels, but poached leopard are illegally traded locally for small amounts ($83). Leopards depredated 11 goats over 2 years in 2 of 4 surveyed villages resulting in losses of $440 to 6 households. People in these households had negative attitudes toward leopards. Although leopard sport hunting generates larger gross revenues than poaching, illegal hunting provides higher economic benefits for households involved in the activity. Sport-hunting revenues did not compensate for the economic losses of livestock at the household level. On the basis of our results, we propose that poaching be reduced by increasing the costs of apprehension and that the economic benefits from leopard sport hunting be used to improve community livelihoods and provide incentives not to poach.

Conservation businesses and conservation planning in a biological diversity hotspot.

The allocation of land to biological diversity conservation competes with other land uses and the needs of society for development, food, and extraction of natural resources. Trade-offs between biological diversity conservation and alternative land uses are unavoidable, given the realities of limited conservation resources and the competing demands of society. We developed a conservation-planning assessment for the South African province of KwaZulu-Natal, which forms the central component of the Maputaland-Pondoland-Albany biological diversity hotspot. Our objective was to enhance biological diversity protection while promoting sustainable development and providing spatial guidance in the resolution of potential policy conflicts over priority areas for conservation at risk of transformation. The conservation-planning assessment combined spatial-distribution models for 646 conservation features, spatial economic-return models for 28 alternative land uses, and spatial maps for 4 threats. Nature-based tourism businesses were competitive with other land uses and could provide revenues of >US$60 million/year to local stakeholders and simultaneously help meeting conservation goals for almost half the conservation features in the planning region. Accounting for opportunity costs substantially decreased conflicts between biological diversity, agricultural use, commercial forestry, and mining. Accounting for economic benefits arising from conservation and reducing potential policy conflicts with alternative plans for development can provide opportunities for successful strategies that combine conservation and sustainable development and facilitate conservation action.

Optimization of wildlife management in a large game reserve through waterpoints manipulation: a bio-economic analysis.

Surface water is one of the constraining resources for herbivore populations in semi-arid regions. Artificial waterpoints are constructed by wildlife managers to supplement natural water supplies, to support herbivore populations. The aim of this paper is to analyse how a landowner may realize his ecological and economic goals by manipulating waterpoints for the management of an elephant population, a water-dependent species in the presence of water-independent species. We develop a theoretical bio-economic framework to analyse the optimization of wildlife management objectives (in this case revenue generation from both consumptive and non-consumptive use and biodiversity conservation), using waterpoint construction as a control variable. The model provides a bio-economic framework for analysing optimization problems where a control has direct effects on one herbivore species but indirect effects on the other. A landowner may be interested only in maximization of profits either from elephant offtake and/or tourism revenue, ignoring the negative effects that could be brought about by elephants to biodiversity. If the landowner does not take the indirect effects of waterpoints into consideration, then the game reserve management, as the authority entrusted with the sustainable management of the game reserve, might use economic instruments such as subsidies or taxes to the landowners to enforce sound waterpoint management.