scholarly journals Estimation of the prevalence of diabetes and study of some socio-demographic determinants among the diabetic population in Salé, Morocco-2021

2021 ◽  
Vol 319 ◽  
pp. 01049
Author(s):  
Abdelghani Asraoui ◽  
Abdelmajid Soulaymani ◽  
Chems Eddouha Khassouani
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
World Health ◽  
P Value ◽  
Middle Income ◽  
Probabilistic Sampling ◽  
Middle Income Countries ◽  
Average Household Income ◽  
Diabetic Population ◽  
Health Organization

According to the World Health Organization, diabetes is the cause of 1.5 million deaths each year, 80% of which occur in low- and middle-income countries. It will become the principal cause of death by 2030. In Morocco, the situation is as alarming as at the global level. However, the prevalence of diabetes at the provincial level is unknown. This paper aims to present partial results obtained from a statistical study, carried out in February 2021, where we estimated the prevalence of diabetes and studied some socio-demographic determinants among the diabetic population living in Salé, Morocco. The investigation included a sample of 488 households selected according to a two-stage stratified probabilistic sampling plan (466 of which were surveyed (i.e. 1868 individuals) with a response rate of 466/488 =95.5%). The results showed that, in 2021, diabetes was affecting 5.5% (95% CI 4.5%, 6.6%) of the studied population (5.8% of women and 5.1% of men, 5.6% in urban areas and 4.5% in rural areas). The proportion of diabetics increases significantly with age (p-value=0.0001<0.05). It was 0.1% among young people (<18 years), 3.9% among individuals aged 18-59, and 26.9% among those aged 60 and above. A logistic model, making it possible to predict, with an accuracy of 91.7%, the risk of contracting diabetes among the population aged 18 and above (1,308 subjects, 7.8% of which were diabetic), was performed. The model included several socio-demographic determinants. Age, educational level, economic activity, average household income and smoking were significantly associated with diabetes.

scholarly journals Collaboration between traditional healers and psychiatrists in Sudan

2010 ◽  
Vol 7 (3) ◽  
pp. 71-74 ◽  
Author(s):  
E. A. Sorketti ◽  
N. Z. Zuraida ◽  
M. H. Habil
Keyword(s):  
World Health Organization ◽  
Rural Areas ◽  
Belief System ◽  
Psychosocial Problems ◽  
Traditional Healers ◽  
World Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Organization ◽  
Low And Middle Income

The importance of traditional healing in low- and middle-income countries cannot be under estimated. It is generally perceived as part of the prevailing belief system and traditional healers are often seen as the primary agents for psychosocial problems in these countries; estimates of their service share range from 45% to 60% (World Health Organization, 1992). The World Health Organization (2000) estimated that 80% of people living in rural areas in low- and middle-income countries depend on traditional medicine for their health needs.

Defining Preterm Birth and Stillbirth in the Western Pacific: A Systematic Review

2021 ◽  
pp. 101053952110260
Author(s):  
Mairead Connolly ◽  
Laura Phung ◽  
Elise Farrington ◽  
Michelle J. L. Scoullar ◽  
Alyce N. Wilson ◽  
...  
Keyword(s):  
Preterm Birth ◽  
National Level ◽  
Health Indicators ◽  
Western Pacific ◽  
World Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Definition Of ◽  
Health Organization ◽  
The Impact

Preterm birth and stillbirth are important global perinatal health indicators. Definitions of these indicators can differ between countries, affecting comparability of preterm birth and stillbirth rates across countries. This study aimed to document national-level adherence to World Health Organization (WHO) definitions of preterm birth and stillbirth in the WHO Western Pacific region. A systematic search of government health websites and 4 electronic databases was conducted. Any official report or published study describing the national definition of preterm birth or stillbirth published between 2000 and 2020 was eligible for inclusion. A total of 58 data sources from 21 countries were identified. There was considerable variation in how preterm birth and stillbirth was defined across the region. The most frequently used lower gestational age threshold for viability of preterm birth was 28 weeks gestation (range 20-28 weeks), and stillbirth was most frequently classified from 20 weeks gestation (range 12-28 weeks). High-income countries more frequently used earlier gestational ages for preterm birth and stillbirth compared with low- to middle-income countries. The findings highlight the importance of clear, standardized, internationally comparable definitions for perinatal indicators. Further research is needed to determine the impact on regional preterm birth and stillbirth rates.

scholarly journals Tobacco Control in Low- and Middle-Income Countries: Changing the Present to Help the Future

2018 ◽  
Vol 13 (4) ◽  
pp. 187-188 ◽  
Author(s):  
Bethany Hipple Walters ◽  
Ionela Petrea ◽  
Harry Lando
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Second Hand Smoke ◽  
Vulnerable Children ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Past ◽  
Second Hand Smoke Exposure ◽  
Health Organization ◽  
Low And Middle Income

While the global smoking rate has dropped in the past 30 years (from 41.2% of men in 1980 to 31.1% in 2012 and from 10.6% of women in 1980 to 6.2% in 2012), the number of tobacco smokers has increased due to population growth (Ng et al., 2014). This tobacco use and second-hand smoke exposure continue to harm people worldwide. Those harmed are often vulnerable: children, those living in low- and middle-income countries (LMICs), those with existing diseases, etc. As noted by the World Health Organization (WHO), nearly 80% of those who smoke live in a LMIC (World Health Organization, 2017). Furthermore, it is often those who are more socio-economically disadvantaged or less educated in LMICs that are exposed to second-hand smoke at home and work (Nazar, Lee, Arora, & Millett, 2015).

scholarly journals EXPLORING COVID-19 VACCINE ACCEPTANCE AND HESITANCY DETERMINANTS

2021 ◽  
Vol 03 (01) ◽  
pp. 80-91
Author(s):  
Tauheed Zahra ◽  
◽  
Farhan Ahmad Faiz ◽  
Farrah Ahmed ◽  
◽  
...  
Keyword(s):  
Educational Background ◽  
Vital Role ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Social Worlds ◽  
Vaccine Acceptance ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
Health Organization

The World Health Organization recognizes vaccine related myths and conspiracies as the world's top threat to public health safety, particularly in low middle-income countries. The current study aims to explore the beliefs of the general public towards the vaccine acceptance and the hesitancy. The study explicates the COVID 19 vaccine acceptance and hesitancy determinants through an in-depth qualitative approach. A total of 30 male and female millennials from different education backgrounds were interviewed through an interview guide. This study reveals that people have different beliefs related to the vaccine authenticity which plays a vital role in the reluctance towards it. Findings from paper is similar to literature that people from good educational background have similar thoughts towards COVID 19 vaccination. Disregard for the vaccine was caused by various factors, such as misinformation, safety concerns, and personal knowledge. This level of distrust was associated with the social worlds that participants experienced during the pandemic. COVID-19 vaccine hesitancy is a complex relationship that involves the spread of misinformation. Vaccine programs should provide a focused, localized, and empathetic response to counter misinformation. Keywords: COVID-19, vaccines, myths, hesitancy, vaccines awareness, pandemic, conspiracy, corona virus

scholarly journals Carbon Monoxide and Hydrocarbon Contains of Motorcycles: Metro Dumaguete, Philippines

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Narcisa T. Morallo
Keyword(s):  
Carbon Monoxide ◽  
World Health ◽  
Average Amount ◽  
Middle Income ◽  
Middle Income Countries ◽  
Safe Level ◽  
Emission Testing ◽  
Metro Manila ◽  
Standard Value ◽  
Health Organization

According to the World Health Organization (WHO), almost 98% of low and middle-income countries’ air fail to meet the United Nations (UN) body’s standards. Data from the Department of Environment and Natural Resources’ Environmental Management Bureau (DENR-EMB) revealed the Total Suspended Particles (TSP) in Metro Manila during the first quarter of 2015 reached 130 micrograms per normal cubic meter (ug/Ncm). The maximum safe level is 90 ug/Ncm. Since 80% of pollution load is contributed by vehicles, the study determined the amount of carbon monoxide (CO) and hydrocarbons (HC) during the smoke emission testing of motorcycles in Metro Dumaguete, Negros Oriental, Philippines. Random sampling and simple average formula were utilized in the study. Using the smoke test results from January to February 2015, it was found out that the average amount of CO is 1.45 µg/cm which is very low compared to DENR standard exposure value of 35 ug/cm for one hour and 10 µg/cm for 8-hour exposure. Also, the average amount of HC is 600.26 ppm which is low compared to DENR’s maximum set value of 4500ppm to 6500 ppm. Current findings indicate that the amount of CO of motorcycle emissions is insignificant while HC is low as compared to the standard value. 

Epidemiology and burden

Depression ◽  
2018 ◽  
pp. 3-10
Author(s):  
Raymond W. Lam
Keyword(s):  
Psychosocial Functioning ◽  
Indirect Costs ◽  
World Health ◽  
Medical Illness ◽  
Middle Income ◽  
Middle Income Countries ◽  
Increased Risk ◽  
Significant Impairment ◽  
Health Organization ◽  
Years Lived With Disability

Depression is a common condition with a lifetime prevalence of about 15%. People with depression experience significant impairment in psychosocial functioning, particularly in those with a recurrent or chronic course. Depression is now the leading cause of years lived with disability worldwide. Depression is also associated with increased risk of developing a medical illness and an increased risk of overall mortality, even when deaths from suicide are excluded. The economic costs of depression are staggering, largely owing to indirect costs associated with occupational impairment leading to work absence and reduced productivity. Depression remains undertreated, particularly in lower- and middle-income countries, but the World Health Organization has estimated that scaling up of depression treatment returns US$5 for every US$1 spent.

Strategies used to establish palliative care in rural low- and middle-income countries: an integrative review

2020 ◽  
Vol 35 (8) ◽  
pp. 1110-1129
Author(s):  
Atsede Aregay ◽  
Margaret O’Connor ◽  
Jill Stow ◽  
Nicola Ayers ◽  
Susan Lee
Keyword(s):  
Palliative Care ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Care Home ◽  
Sub Saharan Africa ◽  
Integrative Review ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Globally, 40 million people need palliative care; about 69% are people over 60 years of age. The highest proportion (78%) of adults are from low- and middle-income countries (LMICs), where palliative care still developing and is primarily limited to urban areas. This integrative review describes strategies used by LMICs to establish palliative care in rural areas. A rigorous integrative review methodology was utilized using four electronic databases (Ovid MEDLINE, Ovid Emcare, Embase classic+Embase and CINAHL). The search terms were: ‘palliative care’, ‘hospice care’, ‘end of life care’, ‘home-based care’, ‘volunteer’, ‘rural’, ‘regional’, ‘remote’ and ‘developing countries’ identified by the United Nations (UN) as ‘Africa’, ‘Sub-Saharan Africa’, ‘low-income’ and ‘middle- income countries’. Thirty papers published in English from 1990 to 2019 were included. Papers were appraised for quality and extracted data subjected to analysis using a public health model (policy, drug availability, education and implementation) as a framework to describe strategies for establishing palliative care in rural areas. The methodological quality of the reviewed papers was low, with 7 of the 30 being simple programme descriptions. Despite the inclusion of palliative care in national health policy in some countries, implementation in the community was often reliant on advocacy and financial support from non-government organizations. Networking to coordinate care and medication availability near-patient homes were essential features of implementation. Training, role play, education and mentorship were strategies used to support health providers and volunteers. Home- and community-based palliative care services for rural LMICs communities may best be delivered using a networked service among health professionals, community volunteers, religious leaders and technology.

scholarly journals Chemical and Biological Components of Urban Aerosols in Africa: Current Status and Knowledge Gaps

2019 ◽  
Vol 16 (6) ◽  
pp. 941 ◽  
Author(s):  
Egide Kalisa ◽  
Stephen Archer ◽  
Edward Nagato ◽  
Elias Bizuru ◽  
Kevin Lee ◽  
...  
Keyword(s):  
Management Strategies ◽  
Complex Mixture ◽  
Ambient Air ◽  
World Health ◽  
Current Status ◽  
Middle Income ◽  
Middle Income Countries ◽  
Polycyclic Aromatic ◽  
Nitro Derivatives ◽  
Health Organization

Aerosolized particulate matter (PM) is a complex mixture that has been recognized as the greatest cause of premature human mortality in low- and middle-income countries. Its toxicity arises largely from its chemical and biological components. These include polycyclic aromatic hydrocarbons (PAHs) and their nitro-derivatives (NPAHs) as well as microorganisms. In Africa, fossil fuel combustion and biomass burning in urban settings are the major sources of human exposure to PM, yet data on the role of aerosols in disease association in Africa remains scarce. This review is the first to examine studies conducted in Africa on both PAHs/NPAHs and airborne microorganisms associated with PM. These studies demonstrate that PM exposure in Africa exceeds World Health Organization (WHO) safety limits and carcinogenic PAHs/NPAHs and pathogenic microorganisms are the major components of PM aerosols. The health impacts of PAHs/NPAHs and airborne microbial loadings in PM are reviewed. This will be important for future epidemiological evaluations and may contribute to the development of effective management strategies to improve ambient air quality in the African continent.

scholarly journals Self-supply as an alternative approach to water access in rural scattered regions: evidence from a rural microcatchment in Colombia

2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Wilmar Torres-López ◽  
Inés Restrepo-Tarquino ◽  
Charlotte Patterson ◽  
John Gowing ◽  
Isabel Dominguez Rivera
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Urban Areas ◽  
Water Sources ◽  
External Support ◽  
World Health ◽  
Unfinished Business ◽  
Development Agenda ◽  
Thermotolerant Coliforms ◽  
Health Organization

<p>Globally, access to improved water sources is lower in rural areas compared to urban areas. Furthermore, in rural areas many people use water from individual systems they have developed with their investments, often without external support. This phenomenon has been called Self-supply. Self-supply ranges from simple to complex systems and different water sources. Water quality varies, from achieving World Health Organization (WHO) standards (0 CFU/100 ml) to systems that provide water posing high risks to human health. While most studies in Self-supply have been developed in Africa, little is known in Latin America and the Caribbean (LAC). This research explores Self-supply in a rural microcatchment in Colombia (LAC). Data was collected through household and drinking water surveys and analysed. Results showed that 40% of households used Self-supply systems taking water from springs and brooks. Thermotolerant Coliforms were below 50 CFU/100 ml, both in dry and rainy season, and between 5 to 7% of samples achieved the WHO standard. These results suggest that Self-supply has potential to offer safe drinking water, provided improvements on source protection and institutional support. Therefore, Self-supply could contribute to address “unfinished business”, including ensuring access for the hardest-to-reach people, as stated in the post-2015 development agenda.</p>

scholarly journals Changing Incidence of Uterine Cancer in Rural Egypt: Possible Impact of Nutritional and Epidemiologic Transitions

2019 ◽  
pp. 1-7
Author(s):  
Saad Alshahrani ◽  
Ahmed Hablas ◽  
Robert M. Chamberlain ◽  
Jane Meza ◽  
Steven Remmenga ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Uterine Cancer ◽  
Population Based ◽  
Urban Residence ◽  
Middle Income ◽  
Rural And Urban Areas ◽  
Middle Income Countries ◽  
Rural And Urban ◽  
Low Incidence

PURPOSE Uterine cancer is a top-ranking women’s cancer worldwide, with wide incidence variations across countries and by rural and urban areas. Hormonal exposures and access to health care vary between rural and urban areas, globally. Egypt has an overall low incidence of uterine cancer but variable rural and urban lifestyles. Are there changes in the incidence of uterine cancer in rural and urban areas in middle-income countries such as Egypt? No previous studies have addressed this question from a well-characterized and validated population-based cancer registry resource in middle-income countries. The aim of this study was to explore the differences in clinical and demographic characteristics of uterine cancer over the period of 1999 to 2010 in rural and urban Gharbiah province, Egypt. METHODS Data were abstracted for all 660 patients with uterine cancer included in the Gharbiah Population-based Cancer Registry. Clinical variables included tumor location, histopathologic diagnosis, stage, grade, and treatment. Demographic variables included age, rural or urban residence, parity, and occupation. Crude and age-adjusted incidence rates (IRs) and rate ratios by rural or urban residence were calculated. RESULTS No significant differences were observed in most clinical and demographic characteristics between rural and urban patients. The age standardized IR (ASR) was 2.5 times higher in urban than in rural areas (6.9 and 2.8 per 100,000 in urban and rural areas, respectively). The rate ratio showed that the IR in urban areas was 2.46 times the rate in rural areas. CONCLUSION This study showed that the disease IR in rural areas has increased in the past decade but is still low compared with the incidence in urban areas in Egypt, which did not show a significant increase in incidence. Nutritional transitions, obesity, and epidemiologic and lifestyle changes toward Westernization may have led to IRs increasing more in rural than in urban areas in Egypt. This pattern of increasing incidence in Egypt, which used to have a low incidence of uterine cancer, may appear in other middle-income countries that experience emerging nutritional and epidemiologic transitions. The rate of uterine cancer in urban areas in Gharbiah is almost similar to the corresponding rates globally. However, the rate in rural areas in this population has increased over the past decade but is still lower than the corresponding global rates. Future studies should examine the etiologic factors related to increasing rates in rural areas and quantify the improvement in rural case finding.

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