ABSTRACT
The increased movement of humans throughout the world allowed the transportation of several species, such as Moringa oleifera Lam. (moringa), into biomes far away from their native habitation. Native to India, moringa is a versatile, drought-tolerant, and fast-growing tree that is easily adaptable to wide-ranging tropical and sub-tropical conditions around the world. It is used in cosmetics, as food and medicine for humans, livestock feed, crop biostimulant, and green manure. Even though moringa is an alien species to South Africa, its production is increasing, and its numerous uses are recognised by communities. Moringa forms part of a highly complex (social, ecological, and economic) system. This is because it is on the Species Under Surveillance for Possible Eradication or Containment Targets (SUSPECT) list under the National Environmental Management Biodiversity Act (NEM:BA) of South Africa. Listing species that are regarded as beneficial to communities on national regulations can cause conflicts and uncertainties among various stakeholders (i.e., environmental policymakers, farmers, rural communities, and government bodies). In this paper, a systems thinking approach was applied to address complex and conflicting issues linked to the production and overall status (economic, ecological, legal, and social) of moringa in South Africa. The Causal Loop Diagram (CLD) was developed to present a broad insight into the complexity of moringa in South Africa and assist in underscoring the feedback mechanisms within the system. Moreover, the CLD indicated that the position of moringa within the country comprised a variety of interdependent variables of government policies, environment, and society, which are interconnected into a multifaceted system. The potential conflict dimensions and types associated with allocating moringa an impact category within the South African context were identified, and this may serve as a useful tool for facilitating engagements and decision-making processes among stakeholders in resolving the status of moringa in South Africa.
ABSTRACT
AIMS: To discuss nurses' contributions to global health through their participation in GAPFON®. DESIGN: Discussion paper that reviews literature related to global health, global nursing and midwifery based on the contributions of the GAPFON® report. DATA SOURCES: A literature search of electronic databases was conducted for published articles during 2014-2018 in English focusing on the main themes of the GAPFON® report. Manual searches of relevant journals and internet sites were also undertaken. RESULTS: Recommendations and strategies were discussed that could have an impact on the advancement of the nursing profession's contribution to global health based on the GAPFON® report outcomes. IMPLICATIONS FOR NURSING: GAPFON® provides a framework to synergize and converge our activities to address professional issues around the globe, through implementation of the suggested strategies identified in the GAPFON® report. GAPFON® has engaged with nursing and midwifery leaders around the globe to determine both the most pressing health issues and professional issues in regions and the report is a synthesis of all the data, reflecting regional and global challenges. This article explores ways of how the report can be used as a basis for engagement with decision makers in global health. CONCLUSION: Advances in the professional areas embedded in the GAPFON® Model are expected to lead to capacity building, evidence-based practice and ultimately improved quality of global health care. The strategies for implementation identified by regional stakeholders can have an impact on the global health agenda by focusing on nurses and midwives as the drivers of this change.
