scholarly journals Proximate Determinants of Fertility in Ethiopia: Comparative Analysis of the 2005 and 2011 DHS

2017 ◽  
Vol 53 (5) ◽  
pp. 733-748 ◽  
Author(s):  
Yishak Abraham Lailulo ◽  
A. Sathiya Susuman
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Contraceptive Use ◽  
Governmental Organizations ◽  
Fertility Reduction ◽  
Non Governmental Organizations ◽  
Proximate Determinants ◽  
Ethiopian Government ◽  
Reduction Effect ◽  
Urban And Rural Areas

Fertility is one of the elements in population dynamics that makes a significant contribution towards changing population size and structure over time. In Ethiopia, for the last 10 years the total fertility rate (TFR) has declined slightly from 5.5 to 4.8 children in 2011. But, the TFR in urban areas has increased from 2.4 to 2.6 per 1000 live births. The Bongaarts model was applied to estimate the indices of the four main proximate determinants of fertility. Bongaarts defines the TFR of a population as a function of the total fecundity rate (TF), index of marriage (Cm), index of contraception (Cc), index of postpartum infecundability (Ci), and index of abortion (Ca); this can be written as TFR = Cm × Cc × Ci × Ca × TF. In 2005, the index of married women in urban areas was lower than rural, but it was unfortunately the same in urban and rural areas in 2011. For the last decade, the index of postpartum infecundability had a great fertility reduction effect compared with the contraception index and marriage index in rural Ethiopia. The lower the four indices of proximate determinants, the more fertility will be reduced. As such, the Ethiopian government, international non-governmental organizations and policy-makers must pay attention to increase the prevalence of contraceptive use and educate society to fight against child marriage. Permanent contraceptive use, such as female sterilization, should be promoted; moreover, legal organizations and the community must work together to raise the legal age of marriage to 18 years.

scholarly journals Influences of Proximate Determinates on Fertility Among Urban and Rural Women in Bangladesh

2018 ◽  
Vol 66 (1) ◽  
pp. 49-54
Author(s):  
Muhammad Mahmudul Hasan ◽  
Mirajul Islam ◽  
Md Saifullah Sakib ◽  
Md Iqramul Haq
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Contraceptive Use ◽  
Decomposition Analysis ◽  
Period Increase ◽  
Inhibiting Effect ◽  
Interaction Factor ◽  
Proximate Determinants ◽  
Urban And Rural Areas

Bangladesh has met a lot of challenges in recent decades. The remarkable decline in fertility is one of the major challenges faced by this country. The rate of fertility in rural areas is still higher than urban areas. The proximate determinants of fertility which influence fertility directly are analyzed in this study for urban and rural areas separately as well as the study quantify the decomposition of the differences in total fertility rate (TFR) in residence during 1993-94 to 2014. The effectiveness of contraceptive use is found to be the most important factor for declining fertility. The result revealed that the index of contraception shows a declining trend, indicating an increasingly inhibiting effect on fertility in both urban and rural areas of Bangladesh. The inhibition effect of postpartum infecundability decreases with increase in urbanization. The decomposition analysis shows that fertility decline has been occurred due to delay marriage, increase of contraception practice, shortening of postpartum infecundability period, increase proportion in induced abortion and the interaction factor. Dhaka Univ. J. Sci. 66(1): 49-54, 2018 (January)

scholarly journals SOCIETAL AWARENESS OF THE CHILD’S RIGHTS ACT AMONG RURAL AND URBAN DWELLERS OF OGUN STATE

2017 ◽  
Vol 11 (1) ◽  
pp. 16-27
Author(s):  
W. G. OJEBIYI ◽  
O. R., ASHIMOLOWO ◽  
T. O. A. BANMEKE ◽  
A. M. ARIYO
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Rural And Urban Areas ◽  
International Agencies ◽  
Awareness Campaigns ◽  
Governmental Organizations ◽  
Ogun State ◽  
Rights Of The Child ◽  
Non Governmental Organizations ◽  
Rural And Urban

Protecting the rights of children has become important to local and international agencies of government and non-governmental organizations. This led to the formulation of laws that provided for and protected the rights of the child. Such laws include the United Nation’s Convention on the Rights of the Child, the African Charter on the Rights and Welfare of the Child, the Nigeria’s Child’s Rights Act (CRA) and the Child’s Rights Law of Ogun State. However, the provisions of these documents seem to be inefficient in curbing the violation of child’s rights due to the high prevalence of street hawking, raping, corporal punishment, etc among children in Nigeria and Ogun State in particular. Hence, this study sought the societal awareness of CRA in rural and urban areas of Ogun State. About 243 rural and urban residents were interviewed through multistage sampling techniques with the aid of questionnaires and interview schedules administered on the different groups of respondents. The result showed that 69.14% of Ogun State residents were aware of the CRA. It further revealed that awareness of CRA was higher in urban than rural areas. Awareness of CRA was primarily sourced through the radio (42.86%) and television (42.86%). Radio and awareness campaigns were the most common sources of awareness among rural (51.76%) and urban (65.06%) residents respectively. The study recommended that government agencies and non-governmental organizations should sponsor more programmes that will be specifically directed to raising residents’ awareness of CRA in rural areas of the state.  

scholarly journals Roles of proximate determinants of fertility in recent fertility decline in Ethiopia: Application of the Revised Bongaarts Model

2020 ◽  
Author(s):  
seifadin Shallo Ahmed
Keyword(s):  
Fertility Decline ◽  
Contraceptive Use ◽  
Important Determinant ◽  
Replacement Level ◽  
Inhibiting Effect ◽  
Fertility Reduction ◽  
Proximate Determinants ◽  
Contraceptive Prevalence ◽  
Reduction Effect ◽  
Half Decade

Abstract Objectives: Understanding factors contributing to the recent fertility decline and their level of fertility inhibiting effect has a paramount policy implication in a given country . So, in this paper, the 2015 revised Bongaarts model of proximate determinants of fertility was applied, and the contribution and trends of each of the determinants over one and half of the decade (from 2005 to 2016) was evaluated. This study utilized the publicly available data from the Ethiopian demographic and health survey of 2005, 2011 and 2016. The revised and fine-tuned Bongaart's model of proximate fertility determinants was used throughout for data analysis. Results: Postpartum insusceptibility contributed the highest fertility inhibiting effect in all the three EDHS and its level is more prominent among the poorest women. Contraceptive use was the second leading fertility inhibiter and its effect was significantly increased from 15% (inhibition effect by 2005) to 37% (fertility inhibiting effect by 2016). This is an increment in fertility reduction effect nearly 26%. In conclusion, over the last one and half-decade, contraceptive use was the single most important determinant responsible for fertility decline in Ethiopia. To achieve the fertility of replacement level, the country needs a contraceptive prevalence rate of 69%.

scholarly journals Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems

2021 ◽  
Vol 18 (8) ◽  
pp. 4185
Author(s):  
Katarzyna Zatońska ◽  
Piotr Psikus ◽  
Alicja Basiak-Rasała ◽  
Zuzanna Stępnicka ◽  
Maria Wołyniec ◽  
...  
Keyword(s):  
Cohort Study ◽  
Alcohol Consumption ◽  
Rural Areas ◽  
Urban Areas ◽  
Level Of Education ◽  
Adult Participants ◽  
Frequent Consumption ◽  
Urban And Rural Areas ◽  
Socio Demographic Factors ◽  
High Level

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007–2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64–10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03–2.17; OR 1.66, CI 1.27–2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05–2.85; OR 1.76, CI 1.22–2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.

The Rural-Urban Continuum of Polarization: Understanding the Geography of the 2018 Midterms

The Forum ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kenneth M. Johnson ◽  
Dante J. Scala
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Political Attitudes ◽  
The United States ◽  
Rural America ◽  
Rural Regions ◽  
Urban America ◽  
Urban And Rural Areas ◽  
The Continuum

Abstract This study of the 2018 congressional midterms demonstrates how voting patterns and political attitudes vary across a spectrum of urban and rural areas in the United States. Rural America is no more a monolith than is urban America. The rural-urban gradient is better represented by a continuum than a dichotomy. This is evident in the voting results in 2018, just as it was in 2016. We found that the political tipping point lies beyond major metropolitan areas, in the suburban counties of smaller metropolitan areas. Democrats enjoyed even greater success in densely populated urban areas in 2018 than in 2016. Residents of these urban areas display distinctive and consistent social and political attitudes across a range of scales. At the other end of the continuum in remote rural areas, Republican candidates continued to command voter support despite the challenging national political environment. Voters in these rural regions expressed social and political attitudes diametrically opposed to their counterparts in large urban cores.

Recounting the Empowerment of Women in Rural Areas of KwaZulu-Natal from Information and Knowledge in the Fourth Industrial Revolution Era

Libri ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Glenrose Jiyane
Keyword(s):  
South Africa ◽  
Rural Areas ◽  
Industrial Revolution ◽  
The Body ◽  
Non Profit ◽  
Fourth Industrial Revolution ◽  
Governmental Organizations ◽  
Body Of Knowledge ◽  
Non Governmental Organizations ◽  
Critical Resource

Abstract The fourth industrial revolution (4IR) marks the new, advanced era of development in humankind, and globally countries are in the process of ensuring their citizenry’s readiness. In South Africa, various governmental departments, organizations, non-governmental organizations (NGOs) and non-profit organisations (NPOs) are making efforts, through their plans, talks and actions, to attain this status for all her people, particularly women in rural areas. However, the development of women in the rural areas for empowerment remains a concern in developing countries. Consequently, there is a dire need to ensure the developmental status for women in rural areas in the advent of the 4IR, and this paper seeks to demonstrate that information and knowledge may be instrumental in empowering women in rural areas to strive in the 4IR. Accordingly, information and knowledge are a critical resource contributing to the empowerment of women in rural areas for their development. An exploratory question is raised to determine whether South Africa is ready for Fourth Industrial Revolution. The outcome of this paper will contribute to the body of knowledge advocating the importance of information and knowledge in the empowerment of women in rural areas. Significantly, it will generate insights for policymakers on the important role of information and knowledge for women’s development.

scholarly journals Breastfeeding practice in China from 2013 to 2018: a study from a national dynamic follow-up surveillance

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leni Kang ◽  
Juan Liang ◽  
Chunhua He ◽  
Lei Miao ◽  
Xiaohong Li ◽  
...  
Keyword(s):  
Psychological Health ◽  
Rural Areas ◽  
Urban Areas ◽  
Child Nutrition ◽  
Central Area ◽  
Mother And Child ◽  
Physical And Psychological Health ◽  
Urban And Rural Areas ◽  
Log Linear ◽  
Breastfeeding Practice

Abstract Background Breastfeeding is important for the physical and psychological health of the mother and child. Basic data on breastfeeding practice in China are out-of-date and vary widely. This study aimed to evaluate the progress of breastfeeding practice in China, as well as to explore the bottlenecks in driving better practice. Methods This was an observational study. We used data from the Under-5 Child Nutrition and Health Surveillance System in China for the period 2013–2018. The prevalence of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) were calculated for each year for subgroups of China. The Cochran-Armitage test was used to explore the time trends. The annual percent of change (APC) were calculated by log-linear regression followed by exp transformation. Results The prevalence of EIBF increased significantly from 44.57% (95% CI: 44.07, 45.07) in 2013 to 55.84% (95% CI: 55.29, 56.38) in 2018 (Ptrend < 0.001), with an APC of 4.67% (95% CI: 3.51, 5.85). And the prevalence of EBF increased rapidly from 16.14% (95% CI: 15.10, 17.18) to 34.90% (95% CI: 33.54, 36.26) (Ptrend < 0.001), with an APC of 14.90% (95% CI: 9.97, 20.04). Increases were observed in both urban and rural areas, with urban areas showing greater APCs for EIBF (6.05%; 95% CI: 4.22, 7.92 v.s. 2.26%; 95% CI: 1.40, 3.12) and EBF (18.21%; 95% CI: 11.53, 25.29 v.s. 9.43%; 95% CI: 5.52, 13.49). The highest EBF prevalence was observed in the East, but the Central area showed the highest APC. The prevalence of EBF decreased with increasing age within the first 6 months, especially after 3 months. Conclusion The prevalence of both EIBF and EBF in China are improving in recent years. The rural and West China could be the key areas in the future actions. More efforts should be made to protect and promote breastfeeding to achieve near- and long-term goals for child health.

scholarly journals Green and Blue Space Availability and Self-Rated Health among Seniors in China: Evidence from a National Survey

2021 ◽  
Vol 18 (2) ◽  
pp. 545
Author(s):  
Chensong Lin ◽  
Longfeng Wu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Empirical Studies ◽  
National Level ◽  
The Elderly ◽  
Coverage Ratio ◽  
Self Rated Health ◽  
Health Promoting ◽  
Major River ◽  
Urban And Rural Areas

Many empirical studies have shown evidence of multiple health benefits provided by green and blue spaces. Despite the importance of these spaces, investigations are scarce in details for blue spaces rather than green. Moreover, most research has focused on developed regions. A limited number of studies on blue spaces can be found in China with a focus on the city level. Outcomes have been mixed due to varying research scales, methodologies, and definitions. This study relies on a national-level social survey to explore how the self-rated health (SRH) of senior individuals is associated with local green and blue space availability in urban and rural areas. Results indicate that the coverage ratio of overall green spaces and waterbodies around a resident’s home have marginal effects on SRH status in both urban and rural areas. In urban areas, living close to a park can is marginally beneficial for older people’s health. Regarding different types of blue spaces, the presence of a major river (within 0.3–0.5 km) or coastline (within 1 km and 1–5 km) in the vicinity of home negatively affects SRH among the elderly in urban areas. Close proximity to lakes and other types of waterbodies with a water surface larger than 6.25 ha did not significantly influence SRH. These findings not only evaluate general health impacts of green/blue space development on senior populations across the county but inform decision makers concerning the health-promoting qualities and features of different green/blue spaces to better accommodate an aging population in the era of urbanization.

scholarly journals A long-lasting emerging epidemic of anthroponotic cutaneous leishmaniasis in southeastern Iran: population movement and peri-urban settlements as a major risk factor

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Taiebeh Karimi ◽  
Iraj Sharifi ◽  
Mohammad Reza Aflatoonian ◽  
Behnaz Aflatoonian ◽  
Mohammad Ali Mohammadi ◽  
...  
Keyword(s):  
Cutaneous Leishmaniasis ◽  
Urban Areas ◽  
Phylogenetic Analyses ◽  
Smear Microscopy ◽  
Case Report Form ◽  
Average Risk ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Kerman City ◽  
New Settlements

Abstract Background Epidemics of cutaneous leishmaniasis (CL) are occurring more frequently and spreading faster and farther than before in many areas of the world. The present study aimed to assess a long-lasting emerging epidemic (2005–2019) of 5532 cases with anthroponotic CL (ACL) in peri-urban areas of Kerman city in southeastern Iran. Methods This descriptive-analytical study was carried out for 15 years in Kerman province, southeastern Iran. The data were passively obtained through the health surveillance system and the Kerman Leishmaniasis Research Center. Every subject was diagnosed using direct smear microscopy. The representative causative agent was further examined by ITS1-PCR, PCR-RFLP, 7SL RNA gene sequencing and phylogenetic analyses. For each subject, a case report form designating demographic and clinical data was recorded. Results A different pattern of ACL incidence was found in peri-urban areas compared to that in the city of Kerman. The incidence rate of ACL cases has significantly increased (P < 0.001) from 2005 to 2016 in new settlements with a gradual decline after that. The overall average risk of contracting the disease was 7.6 times higher in peri-urban areas compared to Kerman city, an old endemic focus. All isolates consisting of six variants were confirmed to be Leishmania tropica. The overall pattern of the ACL infection indicates that the etiological agent of ACL is propagated and transmitted by the bite of female Phlebotomus sergenti sandflies from person to person from dissimilar clones as reflected by the complexity of the migrants’ backgrounds in the province. Conclusions The movement of populations and establishment of new settlements in peri-urban areas close to endemic areas are major risk factors for and are directly linked to CL. The underlying factors of this emerging ACL epidemic caused by L. tropica were disasters and droughts, among others. A robust commitment to a multilateral approach is crucial to make improvements in this area. This will require decisive coordinated actions through all governmental factions and non-governmental organizations. Furthermore, active and passive case detection strategies, early diagnosis, and effective treatment could help control the disease.

Influence of community satisfaction with individual happiness: comparative study in semi-urban and rural areas of Tikapur, Nepal

2017 ◽  
Vol 25 (3) ◽  
pp. 22-32 ◽  
Author(s):  
Myung-Bae Park ◽  
Chun-Bae Kim ◽  
Chhabi Ranabhat ◽  
Chang-Soo Kim ◽  
Sei-Jin Chang ◽  
...  
Keyword(s):  
Rural Areas ◽  
Physical Environment ◽  
Urban Areas ◽  
Positive Relationship ◽  
National Level ◽  
Medical Services ◽  
Community Satisfaction ◽  
Critical Factors ◽  
Urban And Rural Areas

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.

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