Explore the vast range of titles available.

Ethnic favoritism is seen as antithetical to development. This paper provides credible quantification of the extent of ethnic favoritism using data on road building in Kenyan districts across the 1963-2011 period. Guided by a model, it then examines whether the transition in and out of democracy under the same president constrains or exacerbates ethnic favoritism. Across the post-independence period, we find strong evidence of ethnic favoritism: districts that share the ethnicity of the president receive twice as much expenditure on roads and have five times the length of paved roads built. This favoritism disappears during periods of democracy.

Background Despite significant progress in global malaria reduction since 2000, driven primarily by supply-side interventions including improvements in bed nets and medication availability, recent years have seen a stagnation in this decline. In certain regions, cases have even increased ([World Health Organization], [World Malaria Report], [2023]). This trend is particularly concerning in high-burden areas such as Suba South Sub-county in Homa Bay County, Kenya, where malaria remains a persistent public health challenge. However, demand-side barriers—such as lack of knowledge of the disease and perceived costs of prevention and treatment among residents—have been relatively overlooked in control efforts. To address this gap, we conducted a cluster-randomized controlled trial (cRCT) to investigate the impact of an educational intervention and financial incentives on malaria-related behaviors (Trials 25:165, 2024). This second-round cRCT aims to build upon the first-round findings, with modifications to the experimental design and educational content to further explore the potential of demand-side interventions and inform future malaria control strategies. Methods This second-round cRCT will re-randomize the original 92 clusters to either conditional cash transfer (CCT), lottery incentive scheme (LIS), or control arms. Each intervention arm will include updated malaria education and financial incentives linked to negative malaria test results, with reward amounts adjusted to reflect local inflation. We will re-assess malaria prevalence using RDT, microscopy, and PCR at 3 and 6 months post-intervention. The primary outcomes are changes in malaria prevalence, LLIN usage, and knowledge/perception of malaria. The analysis will combine data from both the first and second rounds to improve statistical power and provide a more comprehensive assessment of the intervention’s impact. Discussion This study addresses the limitations of the first-round trial by increasing statistical power and refining the educational component. By evaluating the effectiveness of demand-side interventions, we aim to inform policy and program design for malaria control in high-burden settings. The resulting evidence on the role of demand-side factors will complement traditional supply-side approaches, ultimately refining future malaria control policies and programs. This research, thereby, has the potential to contribute to the development of sustainable, community-based strategies for malaria elimination. Trial registration UMIN000053284. Registered on January 6, 2024.

For the pilot studies, vaccine manufacturer GlaxoSmithKline is providing up to 10 million doses of the vaccine, the countries' ministries of health will lead the vaccine introduction through their national immunisation programmes, and WHO will provide scientific and technical leadership. The vaccine will be given to young children starting at 5 and 6 months of age and up to 2 years, in areas where malaria is high burden and young children are at highest risk of dying from the disease, in four doses, Felicitas Zawaira, Director of Family and Reproductive Health in the WHO African Region, said at a press conference on April 23. The vaccine could also help to accelerate the realisation of the WHO Global Technical Strategy for Malaria 2016–2030, which aims to reduce the incidence of malaria by at least 90%, reduce malaria mortality rates by at least 90%, eliminate malaria in at least 35 countries, prevent a resurgence of malaria in all countries that are malaria-free, achieve near-term milestones for 2020 (including reductions in related incidence and mortalities of at least 40%) and the elimination of malaria in at least ten countries, and harness innovation and expand research.

Rural development is a political topic in which debate has been more focussed on externally identified needs than on demands or aspirations of the rural population and polarised between the attractions of urban income earning opportunities and the importance of rural farming communities for national food provision. The heterogeneity of local aspirations and their implications for development have barely been considered. We explore the aspirations of residents of three contrasting regions in Kenya that vary in their agricultural and off-farm potential. We argue that opportunities are a major framing influence on aspirations but there is important, and routinely overlooked, diversity within the communities which could inform future options for effective development. We outline how development initiatives could be redesigned to align more closely with aspirations. However, aspirations are a complex concept and, while our approach offered novel insights, these would be enriched when combined with household survey data.

Megaprojects are returning to play a key role in the transformation of rural Africa, despite controversies over their outcome. While some view them as promising tools for a ‘big push’ of modernization, others criticize their multiple adverse effects and risk of failure. Against this backdrop, the paper revisits earlier concepts that have explained megaproject failures by referring to problems of managerial complexity and the logics of state-led development. Taking recent examples from Kenya, the paper argues for a more differentiated approach, considering the symbolic role infrastructure megaprojects play in future-oriented development politics as objects of imagination, vision, and hope. We propose to explain the outcomes of megaprojects by focusing on the ‘politics of aspiration’, which unfold at the intersection between different actors and scales. The paper gives an overview of large infrastructure projects in Kenya and places them in the context of the country´s national development agenda ‘Vision 2030′. It identifies the relevant actors and investigates how controversial aspirations, interests and foreign influences play out on the ground. The paper concludes by describing megaproject development as future making, driven by the mobilizing power of the ‘politics of aspiration’. The analysis of megaprojects should consider not only material outcomes but also their symbolic dimension for desirable futures.

As climate change adaptation is becoming a recognized policy issue, the need is growing for quantitative economic evaluation of adaptation-related public investment, particularly in the context of climate finance. Funds are meant to be allocated not to any types of beneficial investments with or without climate change but to projects regarded as effective for climate change adaptation based on some metrics. But attempts at such project-specific evaluation of adaptation effects are few, in part because such assessments require an integration of various types of simulation analyses. Against this background, we conduct a case study of a Kenyan irrigation development project using a combination of downscaled climate data, runoff simulations, yield forecasting, and local socioeconomic projections to examine the effects of interventions specifically attributable to climate change adaptation, i.e., how much irrigation development can reduce the negative effects of climate change in the future. The results show that despite the uncertainties in precipitation trends, increased temperatures due to climate change have a general tendency to reduce rice yields, and that irrigation development will mitigate income impacts from the yield loss–for example, for the median scenario, the household income loss of 6% in 2050 due to climate change without irrigation development is flipped to become positive with the project. This means that the irrigation development project will likely be effective as a means for climate change adaptation.

Value chain–based approaches offer tremendous scope for market-based improvements in production, productivity, rural economy diversification, and household incomes, but are often covered by literature that is too conceptual or heavily focused on analysis. This has created a gap in the information available to planners, practitioners, and value chain participants. Furthermore, few references are available on how these approaches can be applied specifically to developing agriculture in Africa. 'Building Competitiveness in Africa's Agriculture: A Guide to Value Chain Concepts and Applications' describes practical implementation approaches and illustrates them with scores of real African agribusiness case studies. Using these examples, the 'Guide' presents a range of concepts, analytical tools, and methodologies centered on the value chain that can be used to design, implement, and evaluate agricultural and agribusiness development initiatives. It stresses principles of market focus, collaboration, information sharing, and innovation. The 'Guide' begins by examining core concepts and issues related to value chains. A brief literature review then focuses on five topics of particular relevance to African agricultural value chains. These topics address challenges faced by value chain participants and practitioners that resonate through the many cases described in the book. The core of the book presents methodological tools and approaches that blend important value chain concepts with the topics and with sound business principles. The tools and case studies have been selected for their usefulness in supporting market-driven, private-sector initiatives to improve value chains. The 'Guide' offers 13 implementation approaches, presented within the implementation cycle of a value chain program, followed by descriptions of actual cases. Roughly 60 percent of the examples are from Africa, while the rest come from Europe, Latin America, and Asia. The 'Guide' offers useful guidance to businesspeople, policy makers, representatives of farmer or trade organizations, and others who are engaged in agro-enterprise and agribusiness development. These readers will learn how to use value chain approaches in ways that can contribute to sound operational decisions, improved market linkage, and better results for enterprise and industry development.

Kenya has experienced a decade of relative prosperity with consistent economic growth and minimal political tension. GDP is growing by 3% annually and poverty rates are declining. Despite these gains, Kenya still has a lot of ground to cover to achieve the Sustainable Development Goals (SDGs) by 2030. SDG7, which aims to 'Ensure access to affordable, reliable, sustainable and modern energy for all', exemplifies both Kenya's achievements and the challenges that remain. Access to grid-based electricity and LPG have grown rapidly. However, over 90% of Kenyans still rely on polluting fuels like wood, charcoal and/or kerosene for some or all of their cooking needs. Substantial effort is needed to ensure all Kenyans have access to clean cooking options by 2030. We present the results of a pilot study in which gasifier-based pellet stoves were introduced in 150 peri-urban households. The stoves include an internal fan that improves combustion efficiency and reduces emissions by 90%-99% relative to charcoal and fuelwood in traditional devices. A subset of participants received stoves with 'Pay-as-You-Cook' (PAYC) hardware, which relies on pre-paid RFID card to activate the stove's internal fan, allowing vendors to sell the stove below cost and recoup losses through pellet sales. We find that people were willing to include pellet stoves in their cooking routines and, in many cases, pellets displaced polluting fuels. We also find that PAYC hardware did not negatively impact adoption: PAYC users had higher daily rates of fuel consumption and reported higher willingness to pay for the stove than non-PAYC users. However, stoves were not used exclusively. Instead, people stacked pellets in combination with other cooking options, with pellets contributing to 12%-40% of their cooking needs (inter-quartile range). Though the project did not successfully overcome all of the barriers necessary to achieve long-term adoption of advanced pellet stoves, the results demonstrate that pellets could contribute to a portfolio of cleaner options. Social media abstract: In a pilot project, clean-burning 'pay-as-you-cook' pellet stoves were stacked with LPG and polluting fuels.

Background Effective public financial management (PFM) is a foundational enabler of sustainable progress toward Universal Health Coverage (UHC). Achieving UHC requires not only increased funding for the health sector but also the efficient, equitable, and accountable use of resources. In 2019, Kenya piloted a UHC initiative across four counties to generate evidence to inform national scale-up. This study examines the PFM processes underpinning the pilot implementation, with a focus on how financial planning, budget execution, and accountability mechanisms influenced the delivery of UHC interventions at the county level. Methods This study employed a qualitative research design to explore PFM processes during the implementation of Kenya’s UHC pilot in four counties. Data were collected through 51 in-depth interviews and five focus group discussions with key stakeholders, including healthcare workers, patient representatives, and senior members of the County Health Management Teams (CHMTs). An inductive thematic analysis approach was employed to identify patterns and themes that emerged from the data. The analysis was facilitated using Dedoose software (Version 9.0.17), which enabled systematic coding and organization of the qualitative data. Results The UHC pilot program in Kenya featured a hybrid planning model, combining top-down directives from the national government with bottom-up inputs from county stakeholders. Despite this collaborative approach, county budgeting processes remained governed by the stipulations of the PFM Act. While counties welcomed additional UHC funds, the removal of user fees led to reduced facility-level revenue, increased service demand, and strain on human and material resources. Delays in fund disbursement, rigid budget structures, and limited financial autonomy further constrained implementation. These experiences underscore the need for a more coherent integration of PFM and health financing policies at the subnational level to ensure sustainable and equitable health service delivery. Conclusion The UHC pilot offers critical lessons for future health financing reforms. Addressing PFM bottlenecks—particularly those related to timely disbursement, budget flexibility, and local revenue generation—is essential to ensure the sustainability of UHC in Kenya and similar contexts. The study’s limitations necessitate further research before scaling up nationwide.