The influence of economic development level, household wealth and maternal education on child health in the developing world

2006 ◽  
Vol 63 (8) ◽  
pp. 2242-2254 ◽  
Author(s):  
Michael H. Boyle ◽  
Yvonne Racine ◽  
Katholiki Georgiades ◽  
Dana Snelling ◽  
Sungjin Hong ◽  
...  
Keyword(s):  
Economic Development ◽  
Child Health ◽  
Maternal Education ◽  
Developing World ◽  
Household Wealth ◽  
Development Level

scholarly journals Two decades of regional trends in vaccination completion and coverage among children aged 12-23 months: an analysis of the Uganda Demographic Health Survey data from 1995 to 2016

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Gerald Okello ◽  
Jonathan Izudi ◽  
Immaculate Ampeire ◽  
Frehd Nghania ◽  
Carine Dochez ◽  
...  
Keyword(s):  
Child Health ◽  
Health Survey ◽  
Maternal Education ◽  
Statistical Significance ◽  
Public Health Intervention ◽  
Household Wealth ◽  
Childhood Vaccination ◽  
Demographic Health Survey ◽  
Health Card ◽  
Vaccination Completion

Abstract Background Childhood vaccination is an important public health intervention but there is limited information on coverage, trends, and determinants of vaccination completion in Uganda at the regional level. We examined trends in regional vaccination coverage and established the determinants of vaccination completion among children aged 12-23 months in Uganda. Methods We analyzed data from the women’s questionnaire for the 1995-2016 Uganda Demographic Health Survey (UDHS). Vaccine completion was defined as having received a dose of Bacillus-Calmette Guerin (BCG) vaccine; three doses of diphtheria, pertussis, and tetanus (DPT) vaccine; three doses of oral polio vaccine (OPV) (excluding OPV given at birth); and one dose of measles vaccine. We performed Chi-square tests to compare vaccination completion by socio-demographic factors stratified by 10 sub-regions: Eastern, East Central, Central 1, Central 2, Kampala, Karamoja, North, Western, West Nile, and Southwest. We performed logistic regression analysis for each of the regions to identify factors associated with vaccination completion at 5% level of statistical significance. Results Overall vaccination completion was 48.6% (95%CI, 47.2, 50.1) and ranged from 17.3% in Central 1 to 65.9% in Southwest. Vaccination completion rates declined significantly by 10.4% (95% confidence interval (CI), − 16.1, − 4.6) between 1995 and 2000, and increased significantly by 10.0% (95% CI, 4.6, 15.4) between 2000 and 2006, and by 5.4% (95% CI, 0.2, 10.6) between 2006 and 2011. Maternal education (secondary or higher level), receipt of tetanus toxoid (TT) during pregnancy, and possession of a child health card were associated with vaccination completion across all the sub-regions. Other factors like place of residence, religious affiliation, household wealth, maternal age, childbirth order, size of child at birth, and place of delivery were associated with vaccination completion but differed between the 10 sub-regions. Conclusion Besides considerable regional variations, the vaccination completion rate among children aged 12-23 months in Uganda remains suboptimal despite the availability of vaccines. Maternal education, receipt of TT, and possession of a child health card are associated with a higher likelihood of vaccination completion among children aged 12-23 months in all the regions of Uganda. Interventions to improve the utilization of vaccination services in Uganda should consider these factors.

scholarly journals SickKids Centre for Global Child Health - Chronic Child Malnutrition Project Placement

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Zahra Hussain
Keyword(s):  
Child Health ◽  
Motor Development ◽  
Maternal Education ◽  
Multivariable Analysis ◽  
Household Wealth ◽  
Acute Malnutrition ◽  
Child Malnutrition ◽  
Global Health Research ◽  
Access To Health Services ◽  
Mortality And Morbidity

I completed a 16-week practicum at the SickKids Centre for Global Child Health where I was a part of the stunting team led by Dr. Nadia Akseer under the research portfolio of Dr. Zulfiqar A. Bhutta. Linear growth stunting, or low height-for-age, is a visible and easily measurable physical manifestation of chronic malnutrition. Children who are stunted have higher rates of mortality and morbidity, as well as experience suboptimal cognitive and motor development. At the time of my placement, one of the team's main projects was a mixed-methods study involving an in-depth evaluation of policies, programs, and factors that have contributed to the decline of under-5 stunting in Ethiopia from 2000-2016. I worked on a variety of components of the manuscript for this study. These included narratives for country demographics, background statistics as well as migration and remittance trends. I also contributed to a literature review on factors that have contributed to a reduction in stunting in Ethiopia in relation to an adapted version of UNICEF's conceptual framework for malnutrition. In addition to the manuscript, I conducted a multivariable analysis of the 2016 determinants of under-5 wasting in Ethiopia. Wasting, or low weight for height, is a form of acute malnutrition and is also a risk factor for mortality. I applied a hierarchical analysis to wasting indicators such as disease, household wealth, maternal education and access to health services. I used Ethiopia's 2016 Demographic and Health Survey data and additional data sources provided through various Ethiopian government ministries. Overall my practicum was a rich interdisciplinary learning experience which allowed me to develop my quantitative and qualitative research skills. I also gained a deeper understanding of global health research processes and the multi-sectoral nature of combating child malnutrition.

scholarly journals Father Presence, Father Engagement, and Specific Health and Developmental Outcomes of Mongolian Pre-School Children

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 584
Author(s):  
Lesley A. Pablo ◽  
Ryenchindorj Erkhembayar ◽  
Colleen M. Davison
Keyword(s):  
Child Health ◽  
Maternal Education ◽  
Environmental Changes ◽  
Child Outcomes ◽  
Household Wealth ◽  
Cross Sectional ◽  
Father Engagement ◽  
Child Illness ◽  
Preschool Attendance ◽  
Father Presence

This study explored father involvement as a social determinant of child health within the context of macro-environmental changes in Mongolia. Using data for children aged 3–4 from UNICEF’s Multiple Indicator Cluster Surveys, this cross-sectional analysis examined the association between father presence and engagement with child health and educational outcomes. Multivariate regression modeling was employed to identify associations between father presence, engagement, and child outcomes including fever, respiratory illness, diarrhea and preschool attendance. In unadjusted analyses, father engagement was associated with higher odds of preschool attendance (Odds Ratio (OR) = 1.12; 95% Confidence Interval (CI) 1.04–1.20) but not with child illness (OR = 1.04; 95% CI 0.95–1.14). Father engagement was no longer associated with preschool attendance after controlling for potentially confounding variables (ORadj = 0.95; 95% CI 0.88–1.03). Unadjusted and adjusted analyses showed that father presence was not associated with acute illness or preschool attendance. Results also suggest that a larger proportion of children were engaged in activities by their mother compared to their father or other adults. Data indicate that father presence and engagement were not associated with child illness or preschool attendance. Factors such as maternal education, household wealth, and region of residence are stronger predictors of preschool attendance and should continue to be considered for promoting child health and development in Mongolia.

scholarly journals Political Economy, Capability Development, and Fundamental Cause: Integrating Perspectives on Child Health in Developing Countries

2017 ◽  
Vol 23 (1) ◽  
pp. 62-92 ◽  
Author(s):  
Rebekah Burroway
Keyword(s):  
Political Economy ◽  
Developing Countries ◽  
Child Health ◽  
Maternal Education ◽  
Well Being ◽  
Household Wealth ◽  
Child Malnutrition ◽  
Demographic And Health Surveys ◽  
Individual Level ◽  
Fundamental Cause

Several dominant theoretical perspectives attempt to account for health disparities in developing countries, including political economy, the capability approach, and fundamental cause. This study combines the perspectives in a multi-level analysis of child malnutrition and diarrhea in order to gain a more comprehensive understanding of who faces increased health risks and who is shielded from them. Using the Demographic and Health Surveys and World Bank data, I estimate a series of models that predict the likelihood of child malnutrition and diarrhea, based on a set of country- and individual-level explanatory variables. Results suggest that at the individual-level, household wealth and maternal education are the most robust predictors of child health. These social factors are even more important than more proximate factors like clean water or sanitation. At the country-level, gross domestic product (GDP) per capita reduces malnutrition, but does not significantly affect incidence of diarrhea. Contrary to the predominant economic development paradigm, health care and education are more important in accounting for the prevalence of diarrhea than GDP. Finally, trade in and of itself is not harmful to well-being in developing countries. It is when countries become too dependent on one or a few commodities that trade starts to have detrimental costs. Thus, a synthesis of theoretical frameworks best illustrates the complex web of social structural factors that manifest as unequal life chances for children.

scholarly journals Father Presence, Father Engagement, and Child Outcomes in Mongolia

2021 ◽  
Author(s):  
Lesley Pablo ◽  
Ryenchindorj Erkhembayar ◽  
Colleen M Davison
Keyword(s):  
Child Health ◽  
Maternal Education ◽  
Environmental Changes ◽  
School Attendance ◽  
Child Outcomes ◽  
Household Wealth ◽  
Father Engagement ◽  
Child Illness ◽  
Preschool Attendance ◽  
Father Presence

This study explored father involvement as a social determinant of child health within the context of macro-environmental changes in Mongolia. Using data for children aged 3-4 from UNICEF’s Multiple Indicator Cluster Surveys, this cross-sectional analysis examined the association between father presence and engagement with child health and educational outcomes. Multivariate regression modeling was employed to identify associations between father presence, engagement, and child outcomes including fever, respiratory illness, diarrhea and preschool attendance. In unadjusted analyses, father engagement was associated with higher odds of pre-school attendance (OR=1.12; 95% CI 1.04-1.20) but not with child illness (OR=1.04; 95% CI 0.95-1.14). Father engagement was no longer associated with pre-school attendance after controlling for potentially confounding variables (ORadj = 0.95; 95% CI 0.88-1.03). Unadjusted and adjusted analyses showed that father presence was not associated with acute illness or preschool attendance. Results also suggest that a larger proportion of children were engaged in activities by their mother compared to their father or other adults. Data indicate that father presence and engagement were not associated with child illness or pre-school attendance. Factors such as maternal education, household wealth, and region of residence are stronger predictors of preschool attendance and should continue to be considered for promoting child health and development in Mongolia.

Improving Child Health With Maternal Education

2011 ◽  
Vol 45 (8) ◽  
pp. 29
Author(s):  
GHULAM MUSTAFA
Keyword(s):  
Child Health ◽  
Maternal Education

scholarly journals Spatio-Temporal Coupling Characteristics and the Driving Mechanism of Population-Land-Industry Urbanization in the Yangtze River Economic Belt

Land ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 400
Author(s):  
Liejia Huang ◽  
Peng Yang ◽  
Boqing Zhang ◽  
Weiyan Hu
Keyword(s):  
Economic Development ◽  
Spatial Correlation ◽  
Yangtze River ◽  
Three Dimensional ◽  
Driving Mechanism ◽  
The Yangtze River ◽  
Central Cities ◽  
Urban Agglomerations ◽  
Development Level ◽  
Coordination Degree

The purpose of this paper is to probe into the coupled coordination of urbanization in population, land, and industry to improve urbanization quality. A coupled coordination degree model, spatial analysis method and spatial metering model are employed. The study area is 110 prefecture-level cities in the Yangtze River Economic Belt. The study shows that: (1) the coupling degree of the population-land-industry urbanization grew very slowly between 2006 and 2016. On the whole, the three-dimensional urbanization is in a running-in period, and land-based urbanization dominates, while population-based urbanization and industry-based urbanization are relatively lagging behind. (2) The three major urban agglomerations, the Chengdu-Chongqing, the middle reaches of the Yangtze River and the Yangtze River Delta, are parallel to the whole area in terms of the coupling degree of the three dimensional urbanization with a well-ordered structure, especially in the central cities of the three major urban agglomerations. (3) There is significant spatial correlation in the coupling degree and coordination degree of the three-dimensional urbanization. The high value of coupling degree and coordination degree are clustered continuously in developed cities, provincial capitals, and central cities of the downstream reaches of the Yangtze River. (4) The coordinated degree has significant positive spatial autocorrelation, showing obvious spatial agglomeration characteristics: H-H agglomeration areas are concentrated in the downstream developed areas such as Jiangsu, Zhejiang, and Shanghai. L-L agglomeration areas are mainly concentrated in upstream undeveloped areas, but the number of their cities shows a decreasing trend. (5) The coordination degree of the three-dimensional urbanization is the result of the comprehensive effect of economic development level, the government’s decision-making behavior, and urban location. Among them, the economic development level, urbanization investment, traffic condition, and urban geographical location play a decisive role. This paper contributes to the existing literatures by exploring urbanization quality, spatial correlation and influencing factors from the perspectives of the three-dimensional urbanization in the Yangtze River Economic Belt. The conclusion might be helpful to promote the coupling and coordinated development of urbanization in population-land-industry, and ultimately to improve urbanization quality in the Yangtze River Economic Belt.

Impact of marine industrial structure on environmental efficiency

2020 ◽  
Vol 31 (1) ◽  
pp. 111-129 ◽  
Author(s):  
Shuhong Wang ◽  
Lu Xing ◽  
Hanxue Chen
Keyword(s):  
Human Capital ◽  
Economic Development ◽  
Ownership Structure ◽  
Industrial Structure ◽  
Environmental Efficiency ◽  
Content Type ◽  
Development Level ◽  
Marine Economy ◽  
Marine Environmental ◽  
Land Economic

Purpose Recently, China has been paying increasing attention to how to improve the efficiency of the marine environment and realize a green and sustainable development of the marine economy. Consequently, the industrial structure is crucial to improving efficiency. The purpose of this paper is to introduce environmental factors into the efficiency analysis framework and explore the relationship between marine industrial structure and marine environmental efficiency. Design/methodology/approach This paper uses marine economic data under the DEA-BBC model to measure the marine environmental efficiency of provinces and cities and classifies them by cluster analysis. Then, the marine industrial structure and marine environmental efficiency are studied by an econometric model with human capital, ownership structure, land economic development level, scientific research input and government intervention degree as control variables. Findings The overall level of marine environmental efficiency is relatively low in China, increasing and then decreasing over the research period. The rationalization of industrial structure and scientific research input have significant promoting effects on marine environmental efficiency, while the degree of government intervention has a significant inhibiting effect. The positive effect of human capital on efficiency depends on whether it can be successfully converted into productivity. The effects of industrial structure advancement, ownership structure and land economic development level of on the marine environmental efficiency are mixed. Originality/value The results provide a theoretical and decision-making basis for China to transform and upgrade its marine industrial structure and sustainably develop the marine economy.

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