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The construction industry, integral to national infrastructure development, faces environmental challenges attributed to Portland cement’s high energy consumption and carbon dioxide emissions during production. To address this challenge, this study integrated waste fly ash and polystyrene into geopolymers to enhance environmental sustainability and economic feasibility. The objectives included developing low-density geopolymers using polystyrene inclusion, optimizing component mixing ratios, assessing activator concentration effects, determining the optimal curing conditions, and characterizing the resulting geopolymers. Through experimental investigation, low-density geopolymers were developed with optimized component ratios and curing conditions. The experimental procedure began with the classification of fly ash to determine its suitability for various applications, revealing it to be type F. Geopolymers were fabricated using a mixture of fly ash, water, sodium hydroxide activator, and polystyrene. Varied concentrations of sodium hydroxide and polystyrene were employed. Two curing temperatures, 60 °C and 100 °C, were explored. The results showed that greater sodium hydroxide concentrations improved the structure and compressive strength of the geopolymers. The results also demonstrated a significant correlation between the curing conditions and the mechanical properties of the produced geopolymers. The goal of reducing the density of the geopolymers for lightweight thermal-resistant applications was achieved through polystyrene incorporation. However, polystyrene incorporation negatively impacted the compressive strength. The optimum production conditions for the sodium hydroxide-varied samples were 8 g sodium hydroxide/g sample cured at 100 °C, while the optimum production conditions for polystyrene-varied samples were 1 g polystyrene/g sample cured at 60 °C. The findings confirmed the viability of utilizing fly ash and polystyrene wastes to produce sustainable, low-density, thermal-resistant construction materials. Overall, increasing activator concentration enhances the strength and durability of geopolymers, while polystyrene contributes to the development of lightweight geopolymers, provided the appropriate amount is utilized. To ensure replicability, the formulation procedure and input quantities must be tailored according to the intended geopolymer application. These insights offer practical guidance for optimizing geopolymer manufacturing processes towards enhanced sustainability and performance.

Introduction. Switching from polluting (e.g. wood, crop waste, coal) to clean (e.g. gas, electricity) cooking fuels can reduce household air pollution exposures and climate-forcing emissions. While studies have evaluated specific interventions and assessed fuel-switching in repeated cross-sectional surveys, the role of different multilevel factors in household fuel switching, outside of interventions and across diverse community settings, is not well understood. Methods. We examined longitudinal survey data from 24 172 households in 177 rural communities across nine countries within the Prospective Urban and Rural Epidemiology study. We assessed household-level primary cooking fuel switching during a median of 10 years of follow up (∼2005-2015). We used hierarchical logistic regression models to examine the relative importance of household, community, sub-national and national-level factors contributing to primary fuel switching. Results. One-half of study households (12 369) reported changing their primary cooking fuels between baseline and follow up surveys. Of these, 61% (7582) switched from polluting (wood, dung, agricultural waste, charcoal, coal, kerosene) to clean (gas, electricity) fuels, 26% (3109) switched between different polluting fuels, 10% (1164) switched from clean to polluting fuels and 3% (522) switched between different clean fuels. Among the 17 830 households using polluting cooking fuels at baseline, household-level factors (e.g. larger household size, higher wealth, higher education level) were most strongly associated with switching from polluting to clean fuels in India; in all other countries, community-level factors (e.g. larger population density in 2010, larger increase in population density between 2005 and 2015) were the strongest predictors of polluting-to-clean fuel switching. Conclusions. The importance of community and sub-national factors relative to household characteristics in determining polluting-to-clean fuel switching varied dramatically across the nine countries examined. This highlights the potential importance of national and other contextual factors in shaping large-scale clean cooking transitions among rural communities in low- and middle-income countries.

Environmental degradation and pollution continue to characterise the mining sector in South Africa despite a robust legislative framework which is aimed at enhancing sustainable mining practices. Of particular concern is the impact of mining on biodiversity. During 2013 the Departments of Environmental Affairs and Mineral Resources, together with the South African Mining and Biodiversity Forum, an alliance of stakeholders from industry, conservation organisations and government facilitated by the Chamber of Mines of South Africa, released the South African Mining and Biodiversity Guideline (SAMBG), which aim to mainstream biodiversity into the mining sector. The guideline seek to integrate biodiversity considerations into planning processes and manage biodiversity through the lifecycle of a mine, and so contribute to better outcomes. In addition to the guideline, mining companies that obtain funding from financial institutions that are signatory to the Equator Principles are required to implement IFC Performance Standard 6 (IFC PS6) which also deals with biodiversity conservation. There is a concern that the SAMBG adds further to the burgeoning pile of standards, guidelines and best practices that mining companies are required to meet, but without necessarily adding anything new. This research project deals with this concern through a review of the SAMBG to assess their potential contribution to biodiversity conservation and to determine, through a comparative analysis, whether any overlaps and gaps exist between the guideline and IFC PS6. A qualitative methodology was used to understand how the Aichi Biodiversity Targets are addressed by the SAMBG. Based on this review a conclusion as to the role of the SAMBG amongst the range of guidelines and standards was drawn. The research indicated that there is alignment between the SAMBG, the IFC PS6, the Aichi Biodiversity Targets and South African national environmental legislation. They all aim to achieve a similar outcome, the conservation and sustainable use of biodiversity, but provided different levels of detail and are targeted at slightly different audiences.

Background While most Performance Based Financing (PBF) programs perform community verifications to confirm patients received reported services, many focus analysis and payment calculations on facility record verification due to their lower cost. Risk-based sampling can reduce the cost of community verifications by targeting areas with the highest risk of overreporting but there is little research on the factors associated with risk to guide sampling decisions. Objective This study explores facility-level and district-level factors associated with overreporting within a PBF setting. Methods Using community verification data from a Voluntary Medical Male Circumcision (VMMC) program in Zimbabwe, we estimated two binary outcomes with generalized mixed effects models. Our primary outcome is a measure of overreporting, defined as when interviewed patients did not plausibly confirm receipt of the VMMC. Additionally, we assessed factors associated with patients who were selected but ultimately not interviewed. We employed inverse probability of treatment weighting to address non-response and bootstrapping-based multiple imputation to address missingness. Results We found that patients in the target age range, which were compensated at a higher price point, were less likely to be interviewed and over two times more likely to be classified as overreported compared to patients outside this age range (OR: 2.92, 95% CI: 2.38–3.59). Patients from outside the fixed health facility were more likely to be interviewed and less likely to be classified as overreported. In-person interviews as opposed to phone interviews appeared to be a worthwhile investment (OR: 1.61, 95% CI: 1.20–2.16). Conclusion We identified various factors that were associated with unsubstantiated VMMCs to inform risk-based sampling; however, our findings also suggest potential data fabrication. Programs should consider employing similar methods to reduce costs and increase the use of community verification data.

Male circumcision devices have the potential to accelerate adolescent voluntary medical male circumcision roll-out. Here, we present findings on safety, acceptability and satisfaction from active surveillance of PrePex implementation among 618 adolescent males (13-17 years) circumcised in Zimbabwe. The first 618 adolescents consecutively circumcised from October 2015 to October 2016 using PrePex during routine service delivery were actively followed up. Outcome measures included PrePex uptake, attendance for post-circumcision visits and adverse events (AEs). A survey was conducted amongst 500 consecutive active surveillance clients to assess acceptability and satisfaction with PrePex. A total of 1,811 adolescent males were circumcised across the three PrePex active surveillance sites. Of these, 870 (48%) opted for PrePex but only 618/870 (71%) were eligible. Among the 618, two (0.3%) self-removals requiring surgery (severe AEs), were observed. Four (0.6%) removals by providers (moderate AEs) did not require surgery. Another 6 (1%) mild AEs were due to: bleeding (n = 2), swelling (n = 2), and infection (n = 2). All AEs resolved without sequelae. Adherence to follow-up appointments was high (97.7% attended 7 day visit). A high proportion (71.6%) of survey respondents said they heard about PrePex from a mobilizer; 49.8% said they chose PrePex because they wanted to avoid the pain associated with the surgical procedure/surgery on their penis. Acceptability and satisfaction with PrePex was high; 95.4% indicated willingness to recommend PrePex to peers. A majority (92%) reported experiencing pain when PrePex was being removed. Active surveillance of the first 618 adolescent males circumcised using PrePex suggests that the device is both safe and acceptable when used in routine service delivery among 13-17 year-olds. There is need to intensify specific demand generation activities for PrePex male circumcision among this group of males.

Past research has demonstrated both the nature as well as the constructive and destructive effects of social networks on heterosexual partners’ relationships. Research has shown that the majority and more damaging forms of social network interference emerge from wives’ rather than from husbands’ social networks. We go further to postulate that endorsement of benevolent sexism may be an underlying feature that explains why women tend to interfere in other women’s marriages. Hence, we hypothesized that benevolent sexism would predict their interference tendency on behalf of a female target who follows conventional gender roles. We tested the hypothesis with a sample of 507 female students. Results showed that participants were likely to endorse interference on behalf of a female target who follows conventional rather than unconventional roles. Furthermore, we found that benevolent sexism predicted this effect.

Staff working in healthcare settings face risk from bloodborne viruses through occupational injuries. Nurses and healthcare assistants (HCAs) represent the biggest group of healthcare workers reporting exposure to bloodborne viruses, with more than half of injuries among this group between 2004 and 2013 involving a needlestick injury. Action is needed to reduce these risks, such as the procurement and use of safety-engineered devices and the provision of safe working conditions. Raising awareness of needlestick injuries among all healthcare staff may also help.