title: Vulnerability of traditional beef sector to drought and the challenges of climate change: The case of Kgatleng District, Botswana

authors: Masike, Sennye

subjects: cattle sector

abstract: Cattle’s rearing in Botswana is undertaken in two sectors: the communal and commercial. The communal sector is exclusively free range and therefore depends on biomass production. This makes the systems highly susceptible to drought. One strategy that has been devised by farmers to adapt to drought has been to overstock. However, this strategy may not be the best adaptation strategy as it leads to overgrazing and quick depletion of scarce biomass during the drought years. Climate change may increase the vulnerability of the communal cattle sector in the country mostly through changes and variability of rainfall. In the article, we determine the reliability of the rainfall in the Khurutshe area, Botswana. Vulnerability of the cattle sector to system severe failure is also determined. Lastly, the effects of climate change on return period of drought are investigated. Results indicate that the reliability index of rainfall in the Kgatleng District is 0.5. The vulnerability index of the cattle is estimated at 8000 per year. Lastly, using SimCLIM computer model climate change will shorten the return period of mild drought from 2 years to 1.6 years by 2050. These findings have serious implications on the recovery period of the cattle to withstand the next drought period.

text: Vulnerability of traditional beef sector to drought and the challenges of climate change: The case of Kgatleng District, Botswana Cattle’s rearing in Botswana is undertaken in two sectors: the communal and commercial. The communal sector is exclusively free range and therefore depends on biomass production. This makes the systems highly susceptible to drought. One strategy that has been devised by farmers to adapt to drought has been to overstock. However, this strategy may not be the best adaptation strategy as it leads to overgrazing and quick depletion of scarce biomass during the drought years. Climate change may increase the vulnerability of the communal cattle sector in the country mostly through changes and variability of rainfall. In the article, we determine the reliability of the rainfall in the Khurutshe area, Botswana. Vulnerability of the cattle sector to system severe failure is also determined. Lastly, the effects of climate change on return period of drought are investigated. Results indicate that the reliability index of rainfall in the Kgatleng District is 0.5. The vulnerability index of the cattle is estimated at 8000 per year. Lastly, using SimCLIM computer model climate change will shorten the return period of mild drought from 2 years to 1.6 years by 2050. These findings have serious implications on the recovery period of the cattle to withstand the next drought period.

year: 2008-03

title: Reflections on a region: New Zealand geographers and the study of Pacific peoples with special reference to the period 1945–1970

authors: Bedford, Richard

subjects: Cumberland

abstract: Since the late 1940s, the Pacific islands have had a special place in teaching and research in New Zealand's university geography departments. This paper recalls some dimensions of a ‘golden age’ in the study of Pacific peoples by New Zealand geographers between 1945 and 1970. Attention is focused on the ‘Cumberland’ school of regional geography and some of the debates this generated in the 1960s. The paper concludes with a plea for the revitalisation of Pacific regional geography, especially in the light of the very different challenges that are confronting the islands in the 21st century.

text: Reflections on a region: New Zealand geographers and the study of Pacific peoples with special reference to the period 1945–1970 Since the late 1940s, the Pacific islands have had a special place in teaching and research in New Zealand's university geography departments. This paper recalls some dimensions of a ‘golden age’ in the study of Pacific peoples by New Zealand geographers between 1945 and 1970. Attention is focused on the ‘Cumberland’ school of regional geography and some of the debates this generated in the 1960s. The paper concludes with a plea for the revitalisation of Pacific regional geography, especially in the light of the very different challenges that are confronting the islands in the 21st century.

year: 2011

title: Real world initiation of newly funded empagliflozin and dulaglutide under special authority for patients with type 2 diabetes in New Zealand

authors: Chepulis, Lynne Merran

subjects: GLP1RA

abstract: Background: Type 2 diabetes (T2D) is sub-optimally managed for many in Aotearoa New Zealand, and disproportionately affects Māori and Pacific peoples. In February 2021, SGLT2i/GLP1RA agents were funded for use for the first time with prioritisation for Māori, Pacific and those with cardiovascular and/or renal disease or risk (CVRD). This study evaluates the impact of health system factors on initiation of SGLT2i/GLP1RA therapy. 

Methods: Primary care data was collected for patients with T2D aged 18–75 years from four primary care organisations (302 general practices) in the Auckland / Waikato region of New Zealand (Feb 2021 – July 2022). Initiation of SGLT2i/GLP1RA therapy was reviewed by patient (age, gender, ethnicity, CVRD status) and health system variables (funding, provider type, staffing, patient numbers, rurality, after-hours access). Logistic regression was used to estimate the odds ratio of a patient being dispensed SGLT2i/GLP1RA. 

Results: Of 57,743 patients with T2D, 22,331 were eligible for funded SGLT2i/GLP1RA access and 10,272 of those (46.0%) were prescribed. Initiation of therapy was highest in Māori (50.8%) and Pacific (48.8%) patients (vs. 36·2–40·7% of other ethnic groups; P < 0.001), but was comparable in those with and without CVRD (47·1% vs. 48·9%; P = 0.2). Prescribing was highest in practices with higher doctor/patient numbers, low-cost fees, Māori health providers and clinics without after-hours access.

Conclusion: Prioritised access for SGLT2i/GLP1RA appears to be associated with a reduced health equity gap for Māori and Pacific patients with T2D in NZ, but work is required to improve prescribing for patients with CVRD.

text: Real world initiation of newly funded empagliflozin and dulaglutide under special authority for patients with type 2 diabetes in New Zealand Background: Type 2 diabetes (T2D) is sub-optimally managed for many in Aotearoa New Zealand, and disproportionately affects Māori and Pacific peoples. In February 2021, SGLT2i/GLP1RA agents were funded for use for the first time with prioritisation for Māori, Pacific and those with cardiovascular and/or renal disease or risk (CVRD). This study evaluates the impact of health system factors on initiation of SGLT2i/GLP1RA therapy. 

Methods: Primary care data was collected for patients with T2D aged 18–75 years from four primary care organisations (302 general practices) in the Auckland / Waikato region of New Zealand (Feb 2021 – July 2022). Initiation of SGLT2i/GLP1RA therapy was reviewed by patient (age, gender, ethnicity, CVRD status) and health system variables (funding, provider type, staffing, patient numbers, rurality, after-hours access). Logistic regression was used to estimate the odds ratio of a patient being dispensed SGLT2i/GLP1RA. 

Results: Of 57,743 patients with T2D, 22,331 were eligible for funded SGLT2i/GLP1RA access and 10,272 of those (46.0%) were prescribed. Initiation of therapy was highest in Māori (50.8%) and Pacific (48.8%) patients (vs. 36·2–40·7% of other ethnic groups; P < 0.001), but was comparable in those with and without CVRD (47·1% vs. 48·9%; P = 0.2). Prescribing was highest in practices with higher doctor/patient numbers, low-cost fees, Māori health providers and clinics without after-hours access.

Conclusion: Prioritised access for SGLT2i/GLP1RA appears to be associated with a reduced health equity gap for Māori and Pacific patients with T2D in NZ, but work is required to improve prescribing for patients with CVRD.

year: 2025