scholarly journals Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono ◽  
Nikmatur Rohmah
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Areas ◽  
Binary Logistic Regression ◽  
The Philippines ◽  
Wealth Status ◽  
Urban Rural ◽  
The Government ◽  
Urban And Rural Areas

Abstract Background The government is obliged to guarantee equal access to antenatal care (ANC) between urban and rural areas. This study aimed to analyze urban-rural disparities in ≥4 ANC visits during pregnancy in the Philippines and Indonesia. Methods The study processed data from the 2017 PDHS and the 2017 IDHS. The analysis unit was women aged 15–49 years old who had given birth in the last 5 years. The weighted sample size was 7992 respondents in the Philippines and 14,568 respondents in Indonesia. Apart from ANC as the dependent variable, other variables analyzed were residence, age, husband/partner, education, parity, and wealth. Determination of urban-rural disparities using binary logistic regression. Results The results show that women in the urban Philippines are 0.932 times more likely than women in the rural Philippines to make ≥4 ANC visits. On the other side, women in urban Indonesia are more likely 1.255 times than women in rural Indonesia to make ≥4 ANC visits. Apart from the type of residence place (urban-rural), five other tested multivariate variables also proved significant contributions to ANC’s use in both countries, i.e., age, have a husband/partner, education, parity, and wealth status. Conclusions The study concluded that disparities exist between urban and rural areas utilizing ANC in the Philippines and Indonesia. Pregnant women in the rural Philippines have a better chance of making ≥4 ANC visits. Meanwhile, pregnant women in urban Indonesia have a better chance of making ≥4 ANC visits.

scholarly journals Strengthening Urban-Rural Resource Flow through Regional Circular and Ecological Sphere (R-CES) Approach in Nagpur, India

2020 ◽  
Vol 12 (20) ◽  
pp. 8663
Author(s):  
Kamakshi Thapa ◽  
Vibhas Sukhwani ◽  
Sameer Deshkar ◽  
Rajib Shaw ◽  
Bijon Kumer Mitra
Keyword(s):  
Rural Areas ◽  
Maximum Flow ◽  
Low Carbon ◽  
Interview Method ◽  
Study Results ◽  
Urban Settlements ◽  
Home Interview ◽  
Urban Rural ◽  
The Government ◽  
Urban And Rural Areas

Urban and rural areas within a regional space are closely linked through a variety of linkages including the flow of people. The increasing pace of development transformations with discrete planning of urban and rural areas has raised serious concerns for achieving coordinated development at the regional level. In that regard, the concept of Regional Circular and Ecological Sphere (R-CES) has recently been introduced by the Government of Japan to localize the flow of resources between urban and rural areas. To understand the applicability of the R-CES approach, this study aims to visualize the flow of people within a defined cluster of Nagpur Metropolitan Area (NMA) in India. A “home interview method” Origin-Destination survey was adopted to analyze the flow patterns of people and their key purposes. Based on the collected information, flows of people were represented using a desire line diagram in ArcGIS 10.4.1. The study results revealed that the maximum flow of the rural and forest population is directed towards nearby or distant urban settlements to avail the higher-order urban services. Based on the key R-CES principles of a low-carbon society, circular economy, and harmony with nature, the authors suggest feasible directions for localizing the urban–rural flow of people in NMA.

scholarly journals A Study on the Factors Affecting China’s Direct Household Carbon Emission and Comparison of Regional Differences

2019 ◽  
Vol 11 (18) ◽  
pp. 4919 ◽  
Author(s):  
Jingbo Fan ◽  
Aobo Ran ◽  
Xiaomeng Li
Keyword(s):  
Carbon Emissions ◽  
Rural Areas ◽  
Carbon Emission ◽  
Low Carbon ◽  
Systematic Analysis ◽  
Factors Affecting ◽  
Man And Nature ◽  
Urban Rural ◽  
The Government ◽  
Urban And Rural Areas

As the world’s largest emitter of greenhouse gases, China has been attracting attention. In the global carbon emission structure, the proportion of household carbon emissions continues to increase, and it is necessary to focus on the issue of household emissions. Based on the perspective of the family sector and the comparison of urban–rural and interprovincial differences, this study makes a thorough and systematic analysis of the factors affecting direct household carbon emissions. The average carbon emission of urban households is higher than that of rural households. Both personal background and household energy consumption facility use have important impacts on household carbon emissions, and the degree of impact varies between urban and rural areas and between provinces. Reducing household carbon emissions and achieving a harmonious coexistence between man and nature are the common goals of the government and society. The government should explore the model of green sustainable development on the basis of ensuring the energy needs of residents. Residents should also further establish a low-carbon life concept and focus on the cultivation of low-carbon lifestyles.

scholarly journals Well-being in urban and rural areas, challenges, general policies, and their monitoring. Some evidence for Germany before and during the COVID-19 pandemic1

2021 ◽  
pp. 1-21
Author(s):  
Susanne Schnorr-Baecker
Keyword(s):  
Rural Areas ◽  
Well Being ◽  
Current Data ◽  
Point Of View ◽  
Negative Effects ◽  
New Information ◽  
Urban Rural ◽  
Information And Communication ◽  
The Government ◽  
Urban And Rural Areas

Major changes in society, the economy, the natural environment and the government haven taken place. The current pandemic demonstrates even more their social importance and positive or negative effects worldwide. In particular, an increasingly cross-generational awareness of sustainability, new information and communication channels and growing international interdependencies as well as comprehensive policies fostering well-being are gaining worldwide importance and pervade all activities. Germany has – as many nations worldwide – besides its national strategies committed to implement major strategies at United Nations’ and European Union’s levels. In the following, it will be examined which differences exist in the living conditions from a spatial point of view. Using selected indicators and current data mainly from the Federal Statistical Office of Germany, an urban-rural comparison is made for Germany at the lowest federal level ‘Kreise’ (NUTS 3 of the European spatial classification). Even if it is still unclear what the long-term consequences of the drastic measures of the current global COVID-19 pandemic will be, current trends will be briefly presented. Furthermore, this study presents the latest data mainly before the worldwide outbreak of the pandemic and thus will offer starting points for later analysis of opportunities and risks for urban or rural areas post COVID-19.

scholarly journals The urban–rural differential in the association between household wealth index and anemia among women in reproductive age in Ethiopia, 2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Teshager Weldegiorgis Abate ◽  
Biruk Getahun ◽  
Mekuriaw Mesfin Birhan ◽  
Getasew Mulatu Aknaw ◽  
Sefealem Assefa Belay ◽  
...  
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Rural Areas ◽  
Wealth Index ◽  
Household Wealth ◽  
Reproductive Age ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Wealth Status ◽  
Urban Rural

Abstract Background Anemia is more prevalent among women, and it is a moderate public health problem in Ethiopia. The wealth status and place of residence of a woman have implications on the intervention of anemia. Studies that examined the relationship between women’s wealth index status and residency in Ethiopia are scarce. We aimed to identify the urban–rural differential in the association between household wealth index and anemia among women of childbearing age in Ethiopia. Method A cross-sectional design was employed with a nationally representative sample of 14,100 women aged 15–49-year-old from the Ethiopian demographic and health survey conducted in 2016. We used the two-stage sampling method to select the sample size. The primary outcome was anemia in women of childbearing age. A hemoglobin level of below 11 g/dl for pregnant women and 12 g/dl for non-pregnant women was the indicator of anemia. Using a three-level random intercept model to explore associated factors at the individual and household levels quantified the observed and unobserved variations between household wealth index and residence on anemia. Results Women belonging to a lower household wealth index category were more anemic (29.6%) than those middle and above wealth index categories. Women who lived in rural areas (25.5%) were prone to anemia than those who lived in urban areas (17.5%). The odds of anemia were significantly higher in women of the low household wealth category who living in rural compared to women of the middle and above household wealth category who living in urban (AOR = 1.37, 95% CI 1.14–1.65, P < 0.001). Conclusion In this study, anemia is more common among women who live in rural with the low house wealth category. Therefore, novel public health interventions should target women who live in rural areas with the lowest household wealth status.

scholarly journals Dog Ecology and Demographics in Several Areas in the Philippines and Its Application to Anti-Rabies Vaccination Programs

Animals ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 105
Author(s):  
Amit Chaudhari ◽  
Tamara Kartal ◽  
George Brill ◽  
Kazami Joanne Amano ◽  
Maria Glofezita Lagayan ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Fold Increase ◽  
The Philippines ◽  
Vital Role ◽  
Vaccination Programs ◽  
Management Interventions ◽  
Urban Rural ◽  
Urban And Rural Areas ◽  
Rabies Vaccination

Understanding dog population dynamics plays a vital role in planning both rabies and dog management interventions. Establishing a human to dog ratio and an understanding how the urban/rural nature of the community might affect the overall dog population estimate provides an easy-to-use reference to estimate approximate dog populations in a range of communities. A total of 10,664 households were interviewed in 10 locations in the Philippines (2017 and 2018) to understand the dog population variations among the urban, semi-urban and rural areas. Epicollect5 and OSM tracker applications were used to conduct household interviews using a predesigned fixed set of questions. All answers were recorded directly using mobile phone applications. The survey results showed that for every 1000 humans, there are 256.3 dogs in rural areas, 213.8 dogs in semi-rural areas, 208.7 dogs in urban areas and 170.0 dogs on small islands of the Philippines. We estimate a total dog population in the Philippines of 23.29 million dogs (CI 95%, 22.51–24.07 million). Based on the survey findings from Quezon City and Cebu City, targets, resources allocations and vaccination approach were adjusted for the anti-rabies vaccination program at two locations in 2018, which lead to a 3- to 4-fold increase in the total number of dogs vaccinated in each city compared to previous years.

scholarly journals The Determinant of Health Insurance Ownership Among Pregnant Women in Indonesia

2020 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari ◽  
Ratu Matahari
Keyword(s):  
Health Insurance ◽  
Pregnant Women ◽  
Employment Status ◽  
Binary Logistic Regression ◽  
Education Level ◽  
Determinants Of Health ◽  
Age Group ◽  
Wealth Status ◽  
Danger Signs

Abstract Background: Health insurance is one indicator of the readiness of pregnant women for the delivery process. The study was aimed at analyzing the determinants of health insurance ownership among pregnant women in Indonesia.Methods: The study involved 2,542 pregnant women in Indonesia. The variables analyzed included type of place of residence, age group, education level, employment status, marital status, parity, wealth status, and know the danger signs of pregnancy. Determination of determinant by binary logistic regression.Results: The results show that pregnant women with higher education were 3.349 times more likely than no education pregnant women to have health insurance. Pregnant women with wealth status in the middle category were 0.679 times more likely than the poorest pregnant women to have health insurance. Meanwhile, the richest pregnant women had 1.358 times more chances than the poorest pregnant women to have health insurance. Grande multiparous pregnant women were 1.544 times more likely than primiparous pregnant women to have health insurance. Pregnant women who know the danger signs of pregnancy were 1.416 times more likely than pregnant women who don't know the danger signs of pregnancy. Conclusions: It concluded that 4 variables were proven as determinants of health insurance ownership in Indonesia. The four variables were education level, wealth status, parity, and know the danger signs of pregnancy.

scholarly journals Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

2020 ◽  
Vol 17 (16) ◽  
pp. 5665 ◽  
Author(s):  
Yuhang Wu ◽  
Huilie Zheng ◽  
Zhitao Liu ◽  
Shengwei Wang ◽  
Yong Liu ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
The Elderly ◽  
Jiangxi Province ◽  
Urban Men ◽  
Urban Rural ◽  
The Government ◽  
Urban And Rural Areas

Objective: To estimate and compare the dementia-free life expectancy (DemFLE) and age trends of the population over 60 in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: Based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. DemFLE and its ratio to life expectancy (LE) were calculated using the Sullivan method. Results: In 2018, the DemFLE at age 60 was 18.48 years for men and 21.31 years for women, accounting for 96.62% and 96.67% of their LE. LE and DemFLE were higher for those in urban areas than in rural areas, except for men aged 90 and above; higher in women than in men, except for people in rural areas aged 90 and above. In urban areas, DemFLE/LE was higher for women than for men; the opposite was observed in rural areas. Urban women had a higher DemFLE/LE than rural women did, urban men had a lower DemFLE/LE than rural men did. Conclusions: With increased LE, DemFLE also increases, but with older age and over time, DemFLE/LE gradually decreases. The effect of dementia on elderly adults becomes more serious. It is necessary for the government to implement a series of prevention strategies to improve the quality of life and health awareness of the elderly. Elderly urban men and elderly rural women need more attention and health care.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

An Analysis of Consumption Pattern in Pakistan

1982 ◽  
Vol 21 (4) ◽  
pp. 275-296 ◽  
Author(s):  
Rehana Siddiqui
Keyword(s):  
Growth Rates ◽  
Rural Areas ◽  
Household Size ◽  
Consumption Pattern ◽  
Total Expenditure ◽  
Demand Growth ◽  
Food Items ◽  
Urban Rural ◽  
Urban And Rural Areas

The paper aims at testing the validity of Engel's law with data on Pakistan. Consumption functions for urban and rural areas have been estimated separately. These functions are shown to be determined by total expenditure and household size. Engel's law is confirmed for some commodity groups but not for all. Following tests of urban-rural homogeneity and of stability of urban and rural consumption functions, demand growth rates for different food and non-food items have been calculated, assuming different growth rates of total expenditure and household size.

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