scholarly journals Economic violence among women of economically backward Muslim minority community: the case of rural North India

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ramphul Ohlan
Keyword(s):  
Rural Areas ◽  
North India ◽  
Special Focus ◽  
Access To Health Services ◽  
Minority Community ◽  
Economic Exploitation ◽  
Muslim Minority ◽  
Economic Violence ◽  
Individual Capacity ◽  
Economic Assets

AbstractEconomic violence represents a state of control over an individual capacity to obtain, utilize and keep up economic assets. The current study investigates the prevalence of economic violence among women of the socioeconomically backward Muslim minority community by taking a sample of 387 women from rural areas of North India within a framework of domestic violence. It is shown that economic violence against Muslim women perpetrated by their husbands exists in India. Economic violence adversely affects Muslim women’s access to health services, educational attainment, social mobility, and employment opportunities. Our findings indicate that among the components of economic violence experienced by women, the tendency of employment sabotage is higher compared to economic control and economic exploitation. Clearly, there is a need for a special focus on improving minority community women’s access to developmental opportunities.

scholarly journals The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramadhani Kigume ◽  
Stephen Maluka
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Rural Areas ◽  
Health Coverage ◽  
Access To Health Services ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Urban Districts ◽  
Health Fund ◽  
The Government

Abstract Background Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. Methods A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. Results While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. Conclusions Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.

scholarly journals Awareness, treatment, control, and determinants of dyslipidemia among adults in China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sampson Opoku ◽  
Yong Gan ◽  
Emmanuel Addo Yobo ◽  
David Tenkorang-Twum ◽  
Wei Yue ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Blood Cholesterol ◽  
Special Focus ◽  
Final Report ◽  
General Obesity ◽  
Middle Aged ◽  
Chinese Adults ◽  
Treatment Control ◽  
Multivariable Logistic Regression

AbstractEffective management of dyslipidemia is important. This study aimed to determine the awareness, treatment, control, and determinants of dyslipidemia in middle-aged and older Chinese adults in China. Using data from the 2015 China National Stroke Screening and Prevention Project (CNSSPP), a nationally representative sample of 135,403 Chinese adults aged 40 years or more were included in this analysis. Dyslipidemia was defined by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults final report (NCEP-ATP III) and the 2016 Chinese guidelines for the management of dyslipidemia in adults. Models were constructed to adjust for subjects’ characteristics with bivariate and multivariable logistic regression analyses. Overall, 51.1% of the subjects were women. Sixty-four percent were aware of their condition, of whom 18.9% received treatment, and of whom 7.2% had adequately controlled dyslipidemia. Dyslipidemia treatment was higher in men from rural areas than their urban counterparts. The multivariable logistic regression models revealed that women, urban residents, and general obesity were positively related to awareness. Women, married respondents, and current drinkers had higher odds of treatment. Age group, overweight, general obesity, urban residence, and women were independent determinants of control. Dyslipidemia awareness rate was moderately high, but treatment and control rates were low. Results can be used to develop policies and health promotion strategies with special focus on middle-aged and older adults.

scholarly journals Muslim Personal Laws and the Accommodation of Minorities: The Need to Better Balance Individual Rights and Group Autonomy in Singapore

2019 ◽  
Vol 20 (7) ◽  
pp. 1079-1095
Author(s):  
Noor Aisha Abdul Rahman
Keyword(s):  
Legal System ◽  
Well Being ◽  
The State ◽  
Political Issues ◽  
Minority Community ◽  
Muslim Minority ◽  
The Right ◽  
Personal Law ◽  
Muslim Minorities ◽  
Direct Incorporation

AbstractThe accommodation of religious personal law systems is an issue that has arisen in many countries with significant Muslim minorities. The types of accommodations can range from direct incorporation into the state legal system to mere recognition of religious tribunals as private organs. Different forms of accommodation raise different types of legal, social, and political issues. Focusing on the case of Singapore, I examine one form of accommodation which entails the direct incorporation of this law regulating marriage, divorce, and inheritance for Muslims into the state system. Administered by the Administration of the Muslim Law Act, 1966, the Muslim law binds Muslims unless they abjure Islam. The resulting pluralistic legal system is deemed necessary to realize the aspirations of and give respect to the Muslim minority community, the majority of whom are constitutionally acknowledged as indigenous to the country. This Article examines the ramifications of this arrangement on the rights and well-being of members of this community in the context of change. It argues that, while giving autonomy to the community to determine its personal law and advancing group accommodation, the arrangement denies individuals the right to their choice of law, a problem exacerbated by traditionalism and the lack of democratic process in this domain. Consequently, the Muslim law pales in comparison to the civil law for non-Muslims. The rise of religious resurgence since the 1970s has but compounded the problem. How the system can accommodate the Muslim personal law without compromising the rights of individual Muslims is also discussed.

scholarly journals INCIDENCE AND PREVALENCE OF ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) IN KASHMIRI POPULACE (NORTH INDIA)

2021 ◽  
Vol 9 (5) ◽  
pp. 1349-1354
Author(s):  
Fozia Mohammad ◽  
◽  
Arshad A. Pandith ◽  
Mithilesh Kumar ◽  
Aabid Koul ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Rural Areas ◽  
Urban Areas ◽  
Bone Marrow Cells ◽  
Lymphoblastic Leukemia ◽  
White Blood Cells ◽  
North India ◽  
Cell Phenotype ◽  
Age Group ◽  
Mixed Phenotype

Background: The most frequent cancer of the childhood is acute lymphoblastic leukaemia (ALL). It is the blood and bone marrow cancer affecting white blood cells. It is caused by errors in the DNA in the bone marrow cells. Our goal was to evaluate the prevalence of ALL in Kashmiri populace. Methods: The study in the hindsight was initiated for ALL patients registered between early 2018up to late 2019 to investigate its frequency and prevalence. Results: Overall from 74 ALL patients, based on gender, 44 (59%) were males and 30 (41%) were females. Based on age, 53 (72%) were in the age group of ≤18 years while 21 (28%) were in the age group of >18. Based on immunophenotypes 69 (93%) were of Pre B-cell phenotype, 3 (4%) belonged to T-cell phenotype while 2 (3%) were of mixed phenotype. Based on demography, 10 (14%) were from urban areas while as 64 (86%) were from rural areas of Kashmir region. Conclusions: Although the prevalence of ALL in this region is very high, but gender has no significance while age and dwelling has significance on its overall frequency and significance.

scholarly journals ASSESSMENT OF NUTRITIONAL STATUS OF THE FARM FAMILIES WITH SPECIAL FOCUS ON PRIMARY SCHOOL CHILDREN IN PAKISTAN

2021 ◽  
Vol 9 (3) ◽  
pp. 553-563
Author(s):  
Hussain Sardar ◽  
Rana Muhammad Amir ◽  
Ayesha Khurshid ◽  
Hafiz Ali Raza ◽  
Adeela Manzoor
Keyword(s):  
Nutritional Status ◽  
Primary School ◽  
School Children ◽  
Rural Areas ◽  
Primary Schools ◽  
Poor Health ◽  
Primary School Children ◽  
Special Focus ◽  
Farm Families ◽  
Chi Square Analysis

Purpose of the study: The main purpose of this study was to assess the nutritional status of farm families with a special focus on primary school children in Punjab. Methodology: This study was conducted in tehsil Jaranwala, Faisalabad. Five villages and two primary schools were selected from each village randomly. From these schools, 323 children whose fathers were farmers were selected as samples. A cross-sectional research design was used for the present study. In this context, an interview schedule was prepared and face-to-face interviews were administered to collect the required data. Main Findings: The chi-square analysis confirmed that education, and income of parents associated factors had a statistically significant (P<0.05) and positive correlation with BMI. Descriptive statistics indicated poverty was ranked 1st among reasons for malnutrition followed by inappropriate dietary choices and unavailability of healthy foods with mean values of 4.25 and 4.11, respectively. Whereas, children don't want to come to school due to poor health" was ranked 1st in all effects of poor health with a mean value of 4.50. Applications of the study: This study has highlighted the importance of the nutritional status of primary school-going children and also investigates the different factors that inverse impact on their health. This study will be proved helpful among farm families by creating awareness about the nutrition of children. Based on the findings of this study, the urge to the government to take steps to improve the literacy level and build strategies to improve the awareness level of mothers about the nutrition of children, especially in rural areas.  The novelty of the Study: This is the first study that investigates the assessment of the nutritional status of school-going children of farm families in Punjab, Pakistan especially in tehsil Jaranwala, Faisalabad.

scholarly journals Disparities in accessibility to oncology care centers in France

2021 ◽  
Author(s):  
Eric Daoud ◽  
Anne-Sophie Hamy-Petit ◽  
Elise Dumas ◽  
Lidia Delrieu ◽  
Beatriz Grandal Rejo ◽  
...  
Keyword(s):  
Optimization Algorithm ◽  
Rural Areas ◽  
Web Application ◽  
Clustering Algorithm ◽  
Cancer Survival ◽  
Spatial Accessibility ◽  
Cancer Type ◽  
Access To Health Services ◽  
Ongoing Research ◽  
Oncology Care

Background: Cancer caused nearly 10 million deaths in 2020. While most of the ongoing research focuses on finding new treatments, accessibility to oncology care receives less attention. However, studies showed that access to health services plays a key role in cancer survival. Spatial accessibility methods have been successfully applied to measure accessibility to primary care. Yet, little research focused on oncology care specifically. Methods: We focused on care centers with medicine, surgery, or obstetric activity in metropolitan France. We ran a clustering algorithm to automatically label the hospitals in terms of oncology specialization. Then, we computed an accessibility score to these hospitals for every municipality in metropolitan France. Finally, we proposed an optimization algorithm to increase the oncology accessibility by identifying care centers to grow. Results: We labelled 1,662 care centers into 8 clusters. Half of them were eligible for oncology care and 118 centers were identified as experts. We computed the oncology accessibility score for 34,877 municipalities in metropolitan France. Half of the population lived in the top 20% accessibility areas, and 6.3% in the bottom 20% zones. Accessibility was higher near dense cities, where the experts care centers were located. By combining the care centers clusters and the accessibility distributions, our optimization algorithm could identify hospitals to grow, to reduce accessibility disparities. Conclusion: Most of the lowest accessibility zones were sparsely populated rural areas, with no oncology specialized care centers nearby. While such areas were hard to improve, accessibility in suburban areas with intermediate level care centers could be addressed more easily. This accessibility score was deliberately non-specific to cancer type nor to the kind of stays, but it could be adapted to more specific scenarios. We packaged our method into a web application allowing the users to run the algorithms with various parameters and visualize the results

scholarly journals Tolerance to Human Presence, a Comparison between Rural and Urban Birds in Southeastern Brazil

2021 ◽  
Vol 2 (3) ◽  
pp. 1-4
Author(s):  
Maria Cecília Barbosa de Toledo
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Bird Species ◽  
Urban Environments ◽  
Southeastern Brazil ◽  
Special Focus ◽  
Forest Fragments ◽  
Urban Birds ◽  
Human Presence ◽  
Individual Bird

Green urban areas such as parks, squares, gardens, and forest fragments present a large diversity of uses and conservation objectives. These spaces provide resources for many species of birds that are confronted with the necessity of living in proximity to humans. It is assumed that bird species that acquire resources in urban environments live in a constant state of fear to guarantee survival and reproduction. In this context, the objective of this study was to evaluate the tolerance of birds with respect to human presence in two distinct conditions, rural areas (low level of human presence) and urban areas (high level of human presence). The fieldwork was conducted in a city in the Southeast region of Brazil, and the methodology used the alert distance and flight initiation measurements based on the approach of an observer to the individual bird being focused. Our results suggest that individuals observed in urban areas rely on shorter alert and escape distances, especially males, adults, and birds that forage in interspecific flocks. We discuss the challenges and strategies with respect to escape characteristics of urban birds, with special focus on the economic escape theory. In general, our results support those from studies conducted in other urban areas in different biogeographic regions, and they will aid in comprehending the impacts caused by the increase in urban areas around the world.

scholarly journals Study of Profile, Pattern and Outcome of Oral Poisoning Cases admitted in Emergency Department of a Tertiary Care Teaching Hospital in North India.

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 24-30
Author(s):  
Susan Jalali ◽  
Shahnawaz Hamid Khan ◽  
Farooq A Jan ◽  
Illahay Jalali
Keyword(s):  
Emergency Department ◽  
Rural Areas ◽  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Medical Sciences ◽  
Medicine Department ◽  
Health Practitioners ◽  
Public Health Practitioners ◽  
And Training

Introduction: Poisoning is a common medico-social problem. It is a significant contributor to morbidity and mortality. Knowledge of the epidemiology of poisoning and its changes is important to both emergency physicians and public health practitioners. Our study was to determine the socio-demographic profile, pattern and outcome of the poisoning cases reported to the Emergency Department of a tertiary care hospital. Methods: The study was a Retrospective observational type of study conducted at Sheri-Kashmir Institute of medical sciences, Srinagar J&K.  The patients with acute poisonings presenting to and managed in the Emergency Medicine department between February 2016 to February 2018 were reviewed for inclusion. Data was collected by reviewing records . Using a pre-structured format, case records of poisoning cases were reviewed for gender, age, residence, type of poison, route of poison and outcome of treatment. The collected data was analyzed using descriptive statistical analysis. Results: In the present study the Female: male ratio was 1.9:1 (131 Females and 68 Males).Females outnumbered the males. Highest cases of Poisoning were reported in the age group of 10-20 years. The poisoning in extreme of ages was less observed. Maximum cases of Poisoning belongs to rural areas (60.8%). The most common implicating agents were Pesticides (75.3%). The second common cause of poisoning was drug overdose (20.52%) Maximum cases recovered after treatment (94%). Conclusion: Pattern and magnitude of poisoning are multidimensional and demand multi-sectorial approach for facing this problem. There is a need for stringent pesticide regulation laws and counseling and training programs to reduce the incidence of poisonings. JMS 2018;21(1):24-30

scholarly journals Why Women Choose to Delivery at Home in India: A Study of Prevalence, Factors, and Socio-Economic Inequality

2021 ◽  
Author(s):  
Ratna Patel ◽  
Strong P Marbaniang ◽  
Shobhit Srivast ◽  
Pradeep Kumar ◽  
Shekhar Chauhan
Keyword(s):  
Rural Women ◽  
Family Health ◽  
Central India ◽  
Home Delivery ◽  
North India ◽  
Special Focus ◽  
Neonatal Deaths ◽  
Factors Influencing ◽  
The Government ◽  
At Home

Abstract Background: Most of childbirth complications usually arise during the time of delivery and are difficult to predict, but can be effectively managed through delivery at the health facility equipped with skilled birth attendants placed in an enabling environment. Despite many efforts put by the Government to reduce maternal and neonatal deaths through institutional birth deliveries, statistics suggest that these deaths are still very high in India. This study sought to determine the prevalence of home births and identifying the factors influencing women choice.Methods: Data from the National Family Health Survey (NFHS) conducted during 2005-06 and 2015-16 was used in the study. The respondents were women 15-49 years, a sample of 36,850 and 1, 90,898 women from two time period were included in the study. Multivariate logistic regression was used to determine the factors influencing home delivery. Results: Women’s who give birth at home has reduced by 39.6% from 58.5%. As compared to women below 18 years, those who were above 25 years were less likely to give birth at home [OR: 0.57; CI: 0.49-0.68] and [OR: 0.76; CI:0.70-0.82]. Women with full ANC visit were less likely to give birth at home as compare to women with no ANC visit [OR: 0.34; CI: 0.28-0.41] and [OR: 0.41; CI: 0.38-0.45]. In central India the odds of delivering babies at home was high in 2005-06 [OR: 1.15; CI: 1.01-1.32] whereas in 2015-16 the situation was opposite [OR: 0.92; CI: 0.87 -0.98] in reference to women from north India. Conclusion: There is a need to promote institutional deliveries, special focus to be given to poor women, women with higher parity, uneducated women, and rural women. Much work needs to be done in the rural parts of the country as rural women were more likely to opt for home delivery than their counterparts.

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