Reproductive health in Afghanistan: results of a knowledge, attitudes and practices survey among Afghan women in Kabul

A reproductive-health knowledge, attitudes and practices (KAP) survey was carried out among 468 Afghan women of reproductive age. A convenience sample of women was selected from attendees in the outpatient departments of four health facilities in Kabul. Seventy-nine per cent of respondents had attended at least one antenatal consultation during their last pregnancy. Two-thirds (67 per cent) delivered their first child between 13 and 19 years. The Caesarean-section rate was low (1.6 per cent). Two-thirds (67 per cent) of deliveries occurred in the home. The contraceptive prevalence rate was 23 per cent (16 per cent modern and 7 per cent natural methods). Twenty-four per cent had knowledge of any STIs, although most of these women did not know correctly how to prevent them. Most of the women (93 per cent) needed authorization from their husband or a male relative before seeking professional health-care. In multivariate analysis, women's schooling was significantly associated with antenatal-care attendance (AOR 4.78), institutional delivery (AOR 2.29), skilled attendance at birth (AOR 2.07) and use of family planning (AOR 4.59). Reproductive-health indicators were noted to be poor even among these women living in Kabul, a group often considered to be the most privileged. To meet the reproductive-health needs of Afghan women, the socio-cultural aspects of their situation--especially their decision-making abilities -- will need to be addressed. A long-standing commitment from agencies and donors is required, in which the education of women should be placed as a cornerstone of the reconstruction process of Afghanistan.     

Sustainability indicator system and policy processes in Malaysia: a framework for utilisation and learning

Formulation of effective sustainability indicators for national assessment demands a comprehensive understanding of the utilisation, diffusion and dissemination of information in policy processes. To illustrate the dynamic of sustainability assessment within the context of policy processes, this paper uses a case study of national sustainability indicators development in Malaysia. Subsequently, this paper ascribes the limited achievement of national sustainability assessment in Malaysia to four types of constraints: meta-policy issues; technical capacities; communication concerns; and the inherent knowledge gaps within the indicator developer community vis-a-vis their theoretical limitations. It is proposed that such constraints will be encountered in many countries. Drawing from the literature on public policy, this paper outlines a framework for investigating indicator behaviour within policy processes based on well-established concepts such as knowledge utilisation and policy learning. I conclude this paper by elaborating on the corresponding future challenges that must be addressed before effective integration of sustainability indicators within policy systems can occur.     

A participatory approach to ecosystem conservation: fuzzy cognitive maps and stakeholder group analysis in Uluabat Lake,Turkey

Fuzzy cognitive mapping was used to develop a participatory ecosystem management plan for Uluabat Lake, Turkey. Interviews were conducted with stakeholders belonging to six different groups. Lake pollution was the most central and most mentioned variable for stakeholders. Stakeholder groups agree that lake pollution is negatively affecting ecosystem health and thereby local economies. Thus, reducing lake pollution was chosen as the overall goal for the management plan. Possible ways to reduce lake pollution and increase ecosystem health were seen differently by the different groups. Hunters, factory managers, NGO personnel, and local people thought industry was the main cause of lake pollution, while officials from the government and local municipalities thought roads and urban development contributed the most to lake pollution. Generally the stakeholder groups did not perceive their own actions as affecting the lake as strongly as other groups thought. For example, factory managers viewed factory pollution as negatively affecting the lake but less strongly than the other groups did. According to policy option simulations, reducing lake pollution had positive effects on all variables, especially fish, birds, animal husbandry, irrigation, agriculture, and the ecological balance of the lake. Results of this analysis were used to facilitate meetings among stakeholder groups and to develop a participatory ecosystem management plan. The analysis was useful for pointing out the similarities as well as the differences among the groups. It also helped the facilitators understand the focus of each stakeholder group and enabled them to suggest activities in which each group would want to participate.     

Spatial Pattern of Ecosystem Function and Ecosystem Conservation

The spatial pattern of ecosystem function can affect ecosystem conservation. Ecosystem functions are often heterogeneous spatially due to physical and biological factors. We can influence ecosystem functions by changing the spatial patterns of the physical and biological elements of an ecosystem and regulating their combinations. The variation–position effect highlights a phenomenon resulting from the spatial pattern of ecosystem function. The effect shows that the identical variation of a factor may produce different effects on the overall situation when this variation occurs in a different spatial position. In a watershed of the Yangtze River, water retention is a primary ecosystem function. The variation–position effect for water retention capacity occurs in the watershed because of the spatial heterogeneity in vegetation, soil, and slope. The change of vegetation that occurs in a complex can affect the overall situation of water retention, and the effect can be different due to the change occurring in the position holding different vegetation-soil-slope complex. To improve the ecosystem in the watershed and to meet the social needs for the ecosystem function of water retention, a strategy called ecosystem function and spatial pattern-based forest extension was proposed to conserve forests. The implementation of the strategy enables the watershed to attain the maximum effective increase in water retention capacity.     

River systems as providers of goods and services: a basis for comparing desired and undesired effects of large dam projects

In developing countries, large dam projects continue to be launched, primarily to secure a time-stable freshwater supply and to generate hydropower. Meanwhile, calls for environmentally sustainable development put pressure on the dam-building industry to integrate ecological concerns in project planning and decision-making. Such integration requires environmental impact statements (EISs) that can communicate the societal implications of the ecological effects in terms that are understandable and useful to planners and decision-makers. The purpose of this study is to develop a basic framework for assessing the societal implications of the river ecological effects expected of a proposed large dam project. The aim is to facilitate a comparison of desired and potential undesired effects on-site and downstream. The study involves two main tasks: to identify key river goods and services that a river system may provide, and to analyze how the implementation of a large dam project may alter the on-site capacity and downstream potentials to derive river goods and services from the river system. Three river goods and six river services are identified. River goods are defined as extractable partly man-made products and river services as naturally sustained processes. By four main types of flow manipulations, a large dam project improves the on-site capacity to derive desired river goods, but simultaneously threatens the provision of desirable river goods and services downstream. However, by adjusting the site, design, and operational schedule of the proposed dam project, undesirable effects on river goods and services can be minimized.     

Using Decision Analysis to Choose Phosphorus Targets for Lake Erie

Lake Erie water quality has improved dramatically since the degraded conditions of the 1960s. Additional gains could be made, but at the expense of further investment and reductions in fishery productivity. In facing such cross-jurisdictional issues, natural resource managers in Canada and the United States must grapple with conflicting objectives and important uncertainties, while considering the priorities of the public that live in the basin. The techniques and tools of decision analysis have been used successfully to deal with such decision problems in a range of environmental settings, but infrequently in the Great Lakes. The objective of this paper is to illustrate how such techniques might be brought to bear on an important, real decision currently facing Lake Erie resource managers and stakeholders: the choice of new phosphorus loading targets for the lake. The heart of our approach is a systematic elicitation of stakeholder preferences and an investigation of the degree to which different phosphorus-loading policies might satisfy ecosystem objectives. Results show that there are potential benefits to changing the historical policy of reducing phosphorus loads in Lake Erie.     

Development of a Methodology for Selecting Criteria and Indicators of Sustainable Forest Management: A Case Study on Participatory Assessment

This paper describes an application of multiple criteria analysis (MCA) in assessing criteria and indicators adapted for a particular forest management unit. The methods include: ranking, rating, and pairwise comparisons. These methods were used in a participatory decision-making environment where a team representing various stakeholders and professionals used their expert opinions and judgements in assessing different criteria and indicators (C&I) on the one hand, and how suitable and applicable they are to a forest management unit on the other. A forest concession located in Kalimantan, Indonesia, was used as the site for the case study. Results from the study show that the multicriteria methods are effective tools that can be used as structured decision aids to evaluate, prioritize, and select sets of C&I for a particular forest management unit. Ranking and rating approaches can be used as a screening tool to develop an initial list of C&I. Pairwise comparison, on the other hand, can be used as a finer filter to further reduce the list. In addition to using these three MCA methods, the study also examines two commonly used group decision-making techniques, the Delphi method and the nominal group technique. Feedback received from the participants indicates that the methods are transparent, easy to implement, and provide a convenient environment for participatory decision-making.     

Morphophysiological Rearrangements in Fish in Response to Pollution (in the Light of S.S. Shvarts' Theory)

The results of a study on morphophysiological variation in fish inhabiting a subarctic lake exposed to chronic industrial pollution are described using an example of cisco, Coregonus lavaretus. It is shown that indices of the heart, liver, kidneys, gills, and fatness in these fish are increased significantly and have retained increased values for the past 20 years. The observed changes are analyzed on the basis of biochemical data. The results of studies on the dynamics of hematological parameters in fish are used for characterizing the development of toxicosis. Adaptive rearrangements associated with an increase in the metabolic rate and the activation of protective systems in the fish are explained in the context of S.S. Schvarts' concept. The idea is proposed that the additional energy cost of detoxification may be responsible for morphophysiological variation in fish under conditions of water pollution.