scholarly journals Copula geoadditive modelling of anaemia and malaria in young children in Kenya, Malawi, Tanzania and Uganda

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Danielle J. Roberts ◽  
Temesgen Zewotir

Abstract Background Anaemia and malaria are the leading causes of sub-Saharan African childhood morbidity and mortality. This study aimed to explore the complex relationship between anaemia and malaria in young children across the districts or counties of four contiguous sub-Saharan African countries, namely Kenya, Malawi, Tanzania and Uganda, while accounting for the effects of socio-economic, demographic and environmental factors. Geospatial maps were constructed to visualise the relationship between the two responses across the districts of the countries. Methods A joint bivariate copula regression model was used, which estimates the correlation between the two responses conditional on the linear, non-linear and spatial effects of the explanatory variables considered. The copula framework allows the dependency structure between the responses to be isolated from their marginal distributions. The association between the two responses was set to vary according to the district of residence across the four countries. Results The study revealed a positive association between anaemia and malaria throughout the districts, the strength of which varied across the districts of the four countries. Due to this heterogeneous association between anaemia and malaria, we further considered the joint probability of each combination of outcome of anaemia and malaria to further reveal more about the relationship between the responses. A considerable number of districts had a high joint probability of a child being anaemic but not having malaria. This might suggest the existence of other significant drivers of childhood anaemia in these districts. Conclusions This study presents an alternative technique to joint modelling of anaemia and malaria in young children which assists in understanding more about their relationship compared to techniques of multivariate modelling. The approach used in this study can aid in visualising the relationship through mapping of their correlation and joint probabilities. These maps produced can then help policy makers target the correct set of interventions, or prevent the use of incorrect interventions, particularly for childhood anaemia, the causes of which are multiple and complex.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ese Urhie ◽  
Ogechi Chiagozie Amonu ◽  
Chiderah Mbah ◽  
Olabanji Olukayode Ewetan ◽  
Oluwatoyin Augustina Matthew ◽  
...  

Purpose This study aims to analyze the effect of banking technology [automated teller machine (ATM) and mobile cellular devices (MOBs)] and other traditional factors on the level of currency in circulation for a sample of 21 selected sub-Saharan African (SSA) countries. It also assessed the mitigating effect of education on the relationship between banking technology and the cashless economy. Design/methodology/approach The study used a panel data approach to design a cashless economy model with banking technology – ATM and MOBs – as well as their interaction with education as regressors. Findings This study finds that MOB is significant for promoting a cashless economy, whereas ATM is insignificant in sample SSA countries. The level of education and the number of bank branches were also found to be significant in promoting a cashless economy. The interaction between education and ATM was insignificant but negatively signed, whereas that between education and MOB was significant but had a positive sign. Research limitations/implications Non-availability of data restricted this work to a panel study of selected SSA countries. Subsequent studies should consider single-country case studies. Practical implications Findings from the study imply that for banking technology to drive a cashless economy effectively, education has to be improved. Originality/value The ratio of cash in circulation to total money supply was used as a measure of the cashless economy. The study also evaluated the moderating effect of education on banking technology.


2021 ◽  
Author(s):  
Eva-Maria Egger ◽  
Cecilia Poggi ◽  
Héctor Rufrancos

This study explores the relationship between household poverty and depth of informality by proposing a new measure of informality at the household level. It is defined as the share of activities (hours worked or income earned) without social insurance for wage workers in the household. We apply cross-sectional regressions to five urban sub-Saharan African countries, showing that a household head informality dummy obscures a non-linear relationship between the depth of household informality and welfare outcomes. In some countries, a small share of income from formal jobs is associated with at least the same welfare as a fully formal portfolio. By assessing transitions between household portfolios with panel data for urban Nigeria, we also show that most welfare differences are explained by selection and that movements in and out of formality cannot sufficiently change welfare trajectories. The results call for better inclusion of informal profiles to social insurance programmes.


2019 ◽  
Vol 35 (5) ◽  
pp. 907-915
Author(s):  
Heather F McClintock ◽  
Julia M Alber ◽  
Sarah J Schrauben ◽  
Carmella M Mazzola ◽  
Douglas J Wiebe

Abstract We sought to develop and evaluate a health literacy measure in a multi-national study and to examine demographic characteristics associated with health literacy. Data were obtained from Demographic Health Surveys conducted between 2006–15 in 14 countries in Sub-Saharan Africa. Surveys were the same in all countries but translated to local languages as appropriate. We identified eight questions that corresponded to the National Academy of Medicine (NAM) definition of health literacy. Factor analysis was used to extract one measure of health literacy. Logistic regression was employed to examine the relationship between demographic characteristics and health literacy. A total of 224 751 individuals between the ages of 15 and 49 years were included. The derived health literacy measure demonstrated good internal consistency (Cronbach’s α = 0.72) and good content validity. The prevalence of high health literacy overall was 35.77%; females 34.08% and males 39.17%; less than or equal to primary education 8.93%, some secondary education 69.40% and ≥complete secondary 84.35%. High health literacy varied across nations, from 8.51% in Niger to 63.89% in Namibia. This is the first known study to evaluate a measure of health literacy relying on the NAM definition utilizing a large sample from 14 countries in Sub-Saharan Africa. Our study derived a robust indicator of NAM-defined health literacy. This indicator could be used to examine determinants and outcomes of health literacy in additional countries.


2003 ◽  
Vol 80 (1) ◽  
pp. 145-165 ◽  
Author(s):  
Kristen Alley Swain

This content analysis explores the relationship between proximity/power status factors and news coverage of AIDS in sub-Saharan Africa in the elite press of the United States and Britain. Coverage from six publications— Time, Newsweek, U.S. News & World Report, The Economist, New York Times, and London Times—was compared with reported AIDS incidence in the hardest-hit African countries over two decades. AIDS coverage was related to year of publication, country of origin, and former colony status. Strongest predictors of coverage included military spending, scientific research, GDP, GNP, population, government type, and number of highways. Proximity and power status factors may mediate the flow of capital (information, money, and goods) between dominant and dependent nations.


Author(s):  
Rusmawati Said ◽  
Abdullahi Sani Morai

The historically lower level of public health expenditure of sub-Saharan African (SSA) countries could be partly explained by the mounting debt burden of this region. This consumes a sizable proportion of their domestic resources to debt servicing and potentially decreases their overall budgetary allocations to various sectors in the economy and health expenditure in particular. Using the Generalized Method of Moments (GMM) approach on a sample of 43 sub-Saharan African countries, we examined the relationship between the public debt burden and health expenditure highlighting the role of institutional quality for the period 2000 – 2014. The empirical result confirms that the relationship between public debt burden and health expenditure in sub-Saharan Africa is negative. Interestingly, however, the marginal effect of the relationship between the public debt burden and health expenditure has shown that such a negative relationship turns out to be positive when the quality of the institutions is at maximum. This suggests that the relationship between the public debt burden and health expenditure in sub-Saharan Africa is a function of institutional quality.  Therefore, to minimize the negative impact of public debt on health expenditure in sub-Saharan Africa, governments should take determine stand to minimize its debt accumulation and intensify efforts toward the improvement of institutional quality in the region comprehensively.


2020 ◽  
Vol 740 ◽  
pp. 139867 ◽  
Author(s):  
Muhammad Awais Baloch ◽  
Danish ◽  
Salah Ud-Din Khan ◽  
Zübeyde Şentürk Ulucak ◽  
Ashfaq Ahmad

2021 ◽  
pp. 002087282110342
Author(s):  
Guido Veronese ◽  
Diego Romaioli ◽  
Rachel Pancake ◽  
Marzia Vigliaroni

Our explorative work aimed to qualitatively analyze the factors affecting human security and psychological well-being in a group of migrants temporarily hosted in a Nigerian transit center. The study involved 250 migrants from different Western and sub-Saharan African countries who were interviewed during their stay in International Organization for Migration – supported transit centers. Thematic content analysis was performed on the texts of the interviews. Motivations for departure from the home country, resources available for migrants’ sense of security, expectations for their future, experience in the host country, and the relationship between human insecurity and life satisfaction were the main emerging themes.


2018 ◽  
Vol 39 (11) ◽  
pp. 2958-2981 ◽  
Author(s):  
Sitawa Kimuna ◽  
Eric Y. Tenkorang ◽  
Yanyi Djamba

Anecdotal evidence in several sub-Saharan African countries, including Kenya, suggests a complex relationship between ethnicity and intimate partner violence (IPV). Yet very few studies examine the relationship between these two important variables. We use a sample of 4,512 ever-married women from the Kenya Demographic and Health Survey (KDHS) to explore the relationship between ethnicity and three dimensions of IPV (physical, sexual, and emotional) among Kenyan women. Results show significant relationships between ethnicity and physical, sexual, and emotional violence. Compared with Kikuyu women, Luo and Luhya women were significantly more likely to report having experienced all three types of violence. The addition of socioeconomic variables reduced the risks of experiencing IPV among Luo and Luhya women significantly, but not completely. These findings suggest that beyond their socioeconomic vulnerabilities, there may be some intrinsic cultural characteristics that expose Luo and Luhya women to IPV in Kenya.


2001 ◽  
Vol 39 (3) ◽  
pp. 411-436 ◽  
Author(s):  
Arthur A. Goldsmith

African countries are among those receiving the most foreign aid per capita. Many detractors blame that aid for encouraging dictatorship and undermining democracy. This article takes a contrary view. It analyses the relationship between the amount of development assistance given to sub-Saharan countries in the 1990s, and changes in their political systems. There is empirical evidence that arbitrary, unrepresentative government diminished in Africa. The data also suggest a positive, though small, correlation between development assistance and democratisation in the 1990s. The issue now facing many African countries is how to consolidate and extend these reforms on their own, with less external support.


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