The African Millennium Villages

Sanchez et al. 10.1073/pnas.0700423104.

Supporting Information

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SI Figure 2
SI Appendix




Fig. 2. Location of the Millennium Village clusters in the major agroecological zones and farming systems of tropical Africa. The 12 clusters are named after their Millennium Research Village and include 66 expansion Millennium Villages, each with a population of ≈5,000 people each.





SI Appendix

Other Interventions. Because data are not yet fully available on other interventions, this section gives brief examples of interventions regarding water, land reclamation, and school feeding and the fact that they have positive synergies with other sectors. In Sauri, the water committee received training on groundwater hydrology, spring protection, rainwater harvesting and safe water systems for human use. The committee built or repaired 15 protected springs and constructed roof-based rainwater harvesting systems. Villagers planted indigenous trees around selected springs to protect them from erosion and livestock. A pit latrine was constructed at Bar Sauri primary school for girls to enable improved hygiene, privacy and safety in school, boosting attendance (1).

In Koraro, the community undertook a major landscape restoration activity, rehabilitating a 50-hectare area by diverting an intermittent river that was forming gullies in cultivated fields. Paid for by a food-for-work scheme, Koraro villagers built by hand 25 km of trenches, 45 km of hillside terraces and 645 plastic-lined small reservoirs. They also plugged gullies with 45 m3 of gabions (stones wrapped in heavy wire mesh) and 1,790 m3 of loose check dams, as well as planted 45,000 fruit and native trees (2). Runoff water and soil loss on barren hills was visibly reduced, natural vegetation began to regenerate and some wells were recharged. People downstream are living with reduced flood risk due to the gully treatment. Although basically an environmental intervention, the landscape reshaping also benefits agriculture and water management.

In Ruhiira, Uganda, a school feeding program was established in October 2006 by the parents, teachers and MVP staff in the four primary schools (34). Community members noted that school feeding was particularly important to reduce tardiness, absenteeism, poor participation in classrooms, and lack of morale for teachers and pupils in the afternoons. The community contributed 9.5 tons of beans, the bulk of which came from the payback for agricultural inputs earlier received. The project contributed an additional 7 tons of beans and 10 tons of soya-enriched maize flour to ensure there is sufficient and nutritious food for 1,733 school pupils for 66 days of a school term. In addition parents contributed on a daily basis fresh green leafy vegetables to enrich the beans sauce. The meals are prepared by cooks who are paid by the parents. Enrollment in the four primary schools increased by 32% since the school feeding program started. Approximately 40% of new pupils had either dropped out or never been to school at all.

After the initial achievements regarding food security, access to clinical services, and the beginning of the economic transformation, villagers in Sauri and Koraro have demonstrated new community-based initiatives and innovations on several fronts, including some beyond the recommendations of the UN Millennium Project. As one example, a town with 172 houses was spontaneously built in Koraro. New houses have been built in Sauri and the population of this village has increased to about 6500, a reverse migration from urban areas. Elections for an executive committee were held in Sauri and a woman master farmer became chair. A welfare committee was established and rebuilt houses for 42 "destitute" households whose homes were falling apart. Art displays and the newsletter Sauri Times have been launched. Villagers in the cluster plan to upgrade a vocational high school in the cluster to empower those primary school graduates unable to attend secondary schools with skills useful for off-farm work. One aim is to dissuade young people from migrating to cities, where they risk falling prey to AIDS or descent into petty thievery and prostitution.

Table 4. List of surveys for determining baseline conditions in the Millennium Research Villages

Survey modules

Types of information gathered and purpose of survey module

Level of administration of survey

Sample size

Demographic census

Design to capture total number of households, primary occupation, population strata and characteristics of specific sites

Household (HH)

All HH (head of HH) ≈1,000

Socioeconomic comprehensive

Gathers information to describe basic household characteristics on:

HH/individual

300 HH (head of HH) population based on stratified sample; this subsample is used for all other surveys

Household composition

Land use and agriculture practices

Education

Earnings, expenses, employment, credit

Health, general assessment

Mortality rates

Nutrition

Risks and vulnerability

Status of orphans

Socioeconomic shortened

A lighter version of the previous one to capture baseline information on the MDG indicators from all HH

HH/individual

700 HH (Head of HH); the remaining HHs not included in the socioeconomic comprehensive survey

Water and sanitation

Access to water for domestic and potable use

HH

300 HH (head of HH) population based on stratified sample

Access to water for irrigation and other uses

Determine distance and use of water sources

Determine sufficiency of water supply

Energy, transport and communication

Condition of roads and distance to HHs

HH/individual

300 HH (head of HH) population based on stratified sample

Types and cost of various modes of transportation

Type, quality and costs of energy sources

Availability, access and distance to energy sources

Types and cost of different forms of communication

Gender related aspects of transport, energy, and communication

Agriculture and the environment

Production functions of common crops, including livestock and fisheries

HH/plot

300 HH (head of HH) population based on stratified sample

Types of soil and water conservation activities

Gender related aspects of agricultural production and income

Major agricultural problems (i.e. risks, lack of access to and management)

Malaria

Incidence and prevalence of malaria

HH

300 HH (head of HH/spouse) no breakdown by age, sex group needed

Number of deaths due to malaria

Malaria control and treatment

Malaria diagnosis

Household members' and community's level of knowledge regarding malaria

Forms of medication and/or control currently in use

Sexually transmitted infections (STI) and HIV/AIDS

Level of awareness and control of STI and HIV AIDS

Individual

380 adults (190 men and 190 women) selected randomly from the 300 HHs

Social stigma

Prevalence of high risk behaviors associated with HIV transmission

Number of people seeking testing, and treatment

Human nutrition

Food frequency patterns among household members

Individual

100 men (13-49 yrs) head of HH

Varieties of food consumed.

100 women (13-49 yr of age) female partner)

Caloric and nutrient intake and deficiencies by age and gender

100 children (1-5 yr of age) interview main caretaker

Women's and child's health

Child care practices.

Individual

All women >13 yr of age within the 300 HH

Diarrhea, incidence, prevention, and treatment

Level of vaccination of the under fives

Child mortality rates

Domestic violence

Diseases such as TB, malaria, pneumonia

Vulnerability of pregnant women to poor antenatal and postnatal care

Breast feeding practices

 

 

Men's health

Men's fertility perceptions

Individual

All men >13 yr of age within the 300 HH

Preferences in terms of the number and sex of children to be born

Capacity to adopt new methods of contraception

Men and women's health

Level of knowledge of how various infectious diseases are transmitted

Individual

Same sample used for STI and HIV/AIDS module

Sanitation and hygiene practices

Orphans vulnerability

Social status

Individual

Based on number of orphans in population

Access to security (both physical and psychological), food, education

Access to health care

Capture the psychological and financial effects of HIV AIDS deaths

Table 5. Selected results of the Sauri baseline survey (4)

Goal 1: eradicate extreme hunger and poverty

Proportion of population below $1 per day

79% live below $1 per day (PPP)

Prevalence of underweight children under 5

17%

Goal 2: achieve universal primary education

Net enrollment ratio in primary education

84.6%

Proportion of pupils starting grade 1 who reach grade 5

63.6% by age 12-14 years 89% by age 18 years

Goal 3: promote gender equality and empower women

Ratio of girls to boys in primary, secondary, and tertiary education

102% primary 86% secondary and tertiary

Goal 4: reduce child mortality

Under five child mortality

Proxy: 30 of 225 live births since 2000

Percentage of 1 year olds immunized against measles

50

Goal 5: improve maternal health

Maternal mortality ratio

Not measured; see proxies below

Proportion of women reporting pregnancy complications

49%

Proportion of women with access to emergency obstetric care

0%

Goal 6: combat HIV/AIDS, malaria, and other diseases

HIV prevalence among pregnant women aged 15-24 yr

Proxy: 30% of women receiving ante-natal care at Yala Sub District Hospital tested positive

Prevalence of malaria

55%

Prevalence and death rates associated with TB

Prevalence is ≈943 per 100,000; mortality is 171 per 100,000

Percentage of TB cases detected and cured under recommended TB control strategy DOTS

35

Prevalence of soil-transmitted helminths

48% age 2-4; 80% age 9-10; 75% women 15-49

Prevalence of anemia

64% overall; 76% in children under 5 years

Goal 7: ensure environmental sustainability

Percentage of land area covered by forest

5

Percentage of area protected to maintain biodiversity

0

Percentage of population with sustainable access to an improved water source

74 with basic access to a water source

Percentage of population with access to improved sanitation

56 within the homestead; 19 within the household

Supporting Methods

Site Selection. Five criteria were used for village selection: (i) be located in a country that is at peace, reasonably well governed and committed to meeting the MDGs; (ii) located in a hunger hotspot, defined as having more that 20% underweight children under the age of five (2), and typically an area of extreme poverty and infectious disease as well; (iii) representative of a major agro-ecological zone/farming system, (iv) an administrative unit with appointed or elected leaders, and (v) having a population of »5,000 people, often corresponding to administrative units. In 10 of the 12 sites expansion villages have been added to the research villages to form clusters of 3 to 11 villages encompassing ≈390,000 people.

Process. At each site, the process is initiated as follows. After meeting with the Head of State and senior government officials, MVP team and government officials held "town meetings" where the villagers described their situation, learned about the MDGs, and became familiar with the conceptual basis, including cost sharing by all partners, the villagers contributing in kind, and that there is a time limit for project funding.

Activities start with a comprehensive baseline assessment, participatory analysis, planning and developing community action plans that outline the responsibilities of the various partners. Village activities are carried out by committees, usually organized along sector lines where the decisions are made together with the MVP staff to assure that they are science-based.

Project Staff. In each site, the local MVP team is led by a Ph.D.-level science coordinator and typically includes professionals in community development, health, agriculture/environment, water/sanitation, energy/infrastructure, education, business enterprise development and a database manager. Often these professionals are seconded from local governments and considered as part of the government cost-sharing contribution. In the larger clusters there is also an operations manager. All are nationals of the country.

Funding for the 66 expansion villages was provided by the Open Society Institute and individual donations to the Millennium Promise Alliance. The authors gratefully acknowledge these contribution as well as those of African governments and the 390,000 villagers involved.

1. Mutuo P, Okoth H, Makomere C, Oule J, Oduong G, Ombai W, Wariero J, Akinyi B (2006) Annual Report for Sauri, Kenya Millennium Research Village July 2005--June 2006 (Earth Institute, Columbia University, New York).

2. Kiflemariam T, Gebretsadik A, Kebede G, Mehari G, Habtetsion T, Ye-ebiyo Y, Said A, Desta H (2006) Annual Report for Koraro, Ethiopia Millennium Research Village July 2005--June 2006. (Earth Institute, Columbia University, New York).

3. Siriri D (2006) The Ruhiira Millennium Research Village Project. Report to the Government of Japan in Uganda (UNDP, Kampala, Uganda).

4. United Nations (July 6, 2004) Secretary-General Calls for 'Uniquely African Green Revolution' in 21st Century, to End Continent's Plague of Hunger, in Addis Ababa Remarks, press release, www.un.org/News/Press/docs/2004/sgsm9405.doc.htm.

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  1. PNAS October 23, 2007 vol. 104 no. 43 16775-16780
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