Community Caregivers’ Experiences and Programmatic Strategies to Improve Active Case Finding in Community Tuberculosis Care in Botswana 2016-2021

Background: The community tuberculosis care program was started to reduce the impact of TB and increase successful treatment outcomes, thus contributing to meeting WHO targets on TB. According to the Botswana Ministry of Health, community tuberculosis care was introduced with the main goal of reducing tuberculosis-related morbidity and mortality among communities through the expansion of direct observed therapy and community involvement to community settings. The community caregivers were to support tuberculosis patients throughout their treatment period until they were cured or had completed their treatment. Settings: Two major cities of Botswana, Francistown and Gaborone, with more than twenty-two health clinics offering tuberculosis care. Objective: To investigate community caregivers’ experiences and identify programmatic strategies to improve active TB case findings under the community TB care (CTBC) program in Botswana during 2016-2021. Methods: We adopted a descriptive qualitative research design, followed by convenience purposive sampling. We obtained consent and interviewed 40 participants who met the inclusion criteria, 16 out of 73 in Gaborone and 24 out of 38 from Francistown. Results: We interviewed 40 caregivers with a mean age of 43.4 years. Accepting the caregiving role was identified as the main experience by more than two thirds of the caregivers. While at least more than two-fifth felt obligated to care for the patient at home due to personal relations. More than half of the respondents found caregiving difficult or frustrating due to some challenges encountered during the caregiving role. Behavioral modifications were suggested under different subthemes as strategies to improve active case finding. [-rId13-]Conclusion: Acceptance was the major experience in CTBC. Intensification of known programmatic strategies was suggested by caregivers to improve tuberculosis active case finding in CTBC.

Experimental evidence for root competition effects on community evenness in one of two phytometer species

Aims Plant-plant interactions,being positive or negative,are rec-ognized to be key factors in structuring plant communities.However,it is thought that root competition may be less impor-tant than shoot competition due to greater size symmetry below-ground.Because direct experimental tests on the importance of root competition are scarce,we aim at elucidating whether root competition may have direct or indirect effects on commu-nity structure.Indirect effects may occur by altering the overall size asymmetry of competition through root-shoot competitive interactions.Methods We used a phytometer approach to examine the effects of root,shoot and total competition intensity and importance on evenness of experimental plant communities.Thereby two different phytom-eter species,Festuca brevipila and Dianthus carthusianorum,were grown in small communities of six grassland species over three levels of light and water availability,interacting with neighbouring shoots,roots,both or not at all.Important Findings We found variation in community evenness to be best explained if root and shoot(but not total)competition were considered.However,the effects were species specific:in Dianthus communities increasing root competition increased plant community evenness,while in Festuca communities shoot competition was the driving force of this evenness response.Competition intensities were influenced by environmental conditions in Dianthus,but not in Festuca phytometer plants.While we found no evidence for root-shoot interactions for neither phytom-eter species root competition in Dianthus communities led to increased allocation to shoots,thereby increasing the potential ability to perform in size-asymmetric competition for light.Our experiment demonstrates the potential role of root competition in structuring plant communities.

Designing a SCAR molecular marker for monitoring Trichoderma cf. harzianum in experimental communities

Several species of the fungal genus Trichoderma establish biological interactions with various micro- and macro-organisms. Some of these interactions are relevant in ecological terms and in biotechnological applications, such as biocontrol, where Trichoderma could be considered as an invasive species that colonizes a recipient community. The success of this invasion depends on multiple factors, which can be assayed using experimental communities as study models. Therefore, the aim of this work is to develop a species-specific sequence-characterized amplified region （SCAR） marker to monitor the colonization and growth of T. cf. harzianum when it invades experi- mental communities. For this study, 16 randomly amplified polymorphic DNA （RAPD） primers of 10-mer were used to generate polymorphic patterns, one of which generated a band present only in strains of T. cf. harzianum. This band was cloned, sequenced, and five primers of 20-23 mer were designed. Primer pairs 2F2/2R2 and 2F2/2R3 successfully and specifically amplified fragments of 278 and 448 bp from the T. cf. harzianum BpT10a strain DNA, respectively. Both primer pairs were also tested against the DNA from 14 strains of T. cf. harzianum and several strains of different fungal genera as specificity controls. Only the DNA from the strains of T. cf. hat-zianum was successfully amplified. Moreover, primer pair 2F2/2R2 was assessed by quantitative real-time polymerase chain reaction （PCR） using fungal DNA mixtures and DNA extracted from fungal experimental communities as templates. T. cf. harzianum was detectable even when as few as 100 copies of the SCAR marker were available or even when its population represented only 0.1% of the whole community.

Does hydrological fluctuation alter impacts of species richness on biomass in wetland plant communities?

Aims The diversity-productivity relationship is one of the most critical questions in ecology and can be altered by environmental factors.Hydrological fluctuation affects growth of wetland plants,and such effects vary with plant species.Therefore,we hypothesized that hydrological fluctuation changes effects of species richness on productivity of wetland plant communities.Methods We constructed wetland plant communities consisting of three or six wetland plant species and subjected them to hydrological fluctuation(i.e.gradually changing water level)of two frequencies and two ranges,with unchanged water level as the control.We measured height,root and shoot dry mass of each plant at harvest.Important Findings Hydrological fluctuation significantly decreased biomass of wetland plant communities,which was due to impacts of fluctuation range,but not those of fluctuation frequency.Community biomass was significantly higher when species richness was higher,and such an effect did not depend on hydrological fluctuation.Therefore,hydrological fluctuation can decrease the productivity of wetland plant communities but may not alter the diversity-productivity relationship.

Spatial heterogeneity in soil particle size:does it affect the yield of plant communities with different species richness?

Aims Soil heterogeneity is ubiquitous in many ecosystems.We hypothesized that plant communities with higher species richness might be better adapted to soil heterogeneity and produce more biomass than those with lower richness.This is because there is niche differentiation among species and different species can complement each other and occupy a broader range of niches when plant species richness is high.However,no study has tested how soil particle heterogeneity affects the yield of plant communities,and whether such effects depend on the spatial scale of the heterogeneity and the species richness within the communities.Methods In a greenhouse experiment,we sowed seeds of four-species or eight-species mixtures in three heterogeneous treatments consisting of 32,8 or 2 patches of both small(1.5 mm)and large quartz(3.0 mm)particles arranged in a chessboard manner and one homogeneous treatment with an even mixture of small and large quartz particles.Important Findings Biomass production was significantly greater in the communities with high species richness than those with low species richness.However,soil particle heterogeneity or its interactions with patch scale or species richness did not significantly affect biomass production of the experimental communities.This work indicates that plant species richness may have a bigger impact on plant productivity than soil particle heterogeneity.Further studies should consider multiple sets of plant species during longer time periods to unravel the potential mechanisms of soil heterogeneity and its interactions with the impacts of species richness on community yield and species coexistence.