scholarly journals Determining the lx and estimating the force of mortality for children under five in Bangladesh

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 2045
Author(s):  
Md. Rafiqul Islam ◽  
Md. Sohel Rana ◽  
Md. Mosharaf Hossain ◽  
Aziza Sultana Rosy Sarkar ◽  
Ruhani Mat Min

Background: Under-five mortality is a health indicator in population health and the health sciences. Force of death is a more accurate measure of mortality than others, which indicates the situation of mortality when time tends to zero. The purpose of this research is to construct a simulation for lx (the number of people living at exact age x) for under-five mortality in Bangladesh as a whole, and separately for rural and urban areas, and then estimating the mortality rate in regard to these matched models. Methods: Secondary data were collected from Bangladesh Demographic and Health Survey 2007. A polynomial model was selected to match the lx values. To prove the accuracy of the model, the rule of cross-validity was applied. Results: It has been shown that fourth degree polynomial models can be adjusted to lx values ​​with explanation of more than 94% variation. It was noted that the mortality rate shows a rapidly decreasing pattern for people aged 0-20 months, a monotonically increasing pattern for those aged 20-53.5 months and then it begins to decrease. It is found that the mortality rate in rural areas is higher than in urban areas of all ages. Conclusions: It has been shown that the mortality rate in rural areas is higher than for urban areas of all ages, except for those aged 53.5 months. The health situation should therefore be improved to reduce mortality in rural Bangladesh.

Author(s):  
Younes MOHAMMADI ◽  
Manoochehr KARAMI ◽  
Nasrin DERAKHSHANZADEH

Background: To estimate under-five mortality rate (U5MR), as one of the sustainable development goals, in rural and urban areas of Iran from 1990 to 2015. Methods: We used the data collected through two censuses and one Demographic and Health Surveys (DHS). We analyzed the Summary Birth History (SBH) data via 2 approaches including Maternal Age Cohort (MAC) and Maternal Age Period (MAP) methods, and then, Gaussian Process Regression (GPR) was used to combine the three trends and with 95% uncertainty. Finally, Ratio of U5MR in rural to urban was calculated. Results: At the national level and in urban areas, U5MR in 1990, 2000, 2010, and 2015 was 66, 34, 18, and 13 per 1000 live births, respectively. Corresponding values in rural areas in 1990, 2000, 2010, and 2015 was 129, 64, 31, and 21 per 1000 live births, respectively. Accordingly, the ratio of U5MR in rural to urban at the national level was 1.93, 1.86, 1.72 and 1.63 in the same years. At the sub-national level, U5MR in urban areas ranged from 11.2 per 1000 live births in Isfahan to 18.2 per 1000 live births in Hormuzagn. U5MR in rural areas ranged from 14.1 per 1000 live births in Isfahan to 29.5 per 1000 live births in Sistan and Baluchistan Conclusion: There is still a gap between rural and urban areas, although it has decreased during the 25 years of the study. To alleviate this gap, health system authorities are advised to plan appropriate actions using multisectoral capacities


2016 ◽  
Vol 7 (3) ◽  
pp. 325 ◽  
Author(s):  
Wargono Adisoewignyo

The population of the small and medium scale businesses (SMSB) are amounted about more 500 thousand, while their role in GNP are about 50%. More 90% of the SMSB are small scales and carry out their activities in many sectors which are spead out in rural and urban areas as well. The power of the SMSB has been proved through the crises since 1998, they are still exsits, while the conglomerate had been col/aped. The development programme of small businesses in Indonesia has been intorduced for more than 3 decades, but the results are still queationable. In the beginning of 90's, such programmes were introduced in a line of the poverty eradication (PPE). The PPE programes such as PHBK, P4K, KUKESRA and IDT are in a line to the programes of developing real sectors in rural areas. Poverty is a crucial problem and consists of multidimensional aspects, not only economic but also social, cultural, structural and institutional as well.The previous programes never touch the core problem, operate separately, and rarely include the group targets (poor society) to actively participate in the programs. Another new programs such as P-IK, PHBK, KUKESRA and IDT have also been carried out, but at the present the results were still questionably. Some programes are introduced to develop small scales business, such as PHBK dan KUKESRAAims of the study are to indentify: the successes and the .fails of varoius programs for eradicating poverty, terms as 'Program for Poverty Eradication· or shortly PPE; how the fund has been allocated, managed, and coordinated; how jar the society, LSM, and poors themselves do involve; and how jar the programs could reduce poverty and sustainable develop the rural economy. The study has been carried out in three kabupatens: Bima. Sumbawa, dan West Lombok Resource persons are the GO and the NGO officers who close relate with the PPE. The respondents are members POKMAS who receive fund of the PPE. The Sarasehan procedure with resource applies to collect secondary data of the PPE's program from resource persons, while the participatory and emphatic procedures are used to invite responses and attitudes of respondents.The results indicate the models of the PPH, such as P-IK, PHBK. KUKESRA and IDT could not be generalized. Some were more rigid, while some others were accommodative. Some were effective, the others were stagnant, evermore fails. They need solid commitment of all: the government institutions from the top to the lowest. The involvement of the TOGA, the TOMA, and the NGO, and the poor themselves. The more rigid the programs were managed and directed (by the government), the higher the probability of programs are stagnant and even morefruitlessly.


2021 ◽  
Vol 14 ◽  
pp. 117863882110470
Author(s):  
Quraish Sserwanja ◽  
Kassim Kamara ◽  
Linet M Mutisya ◽  
Milton W Musaba ◽  
Shirin Ziaei

Background: Undernutrition accounts for at least 50% of the annual global under-five mortality burden. Although disparities in the childhood stunting between urban and rural areas in Sierra Leone have been documented, information on factors associated with these differences is lacking. We aimed to determine rural-urban correlates of stunting among children under the age of 5 in Sierra Leone. Methods: We analyzed data from 2019 Sierra Leone demographic and health survey (SLDHS) focusing on under-five children. We conducted multivariable logistic regression to examine rural-urban factors associated with childhood stunting. Results: Prevalence of stunting was 31.6% (95% CI 29.8-33.2) in rural areas and 24.0% (95% CI 21.6-26.1) in urban areas. Within the rural areas, children of stunted mothers (aOR = 2.37; 95% CI 1.07-5.24, P < .05), younger mothers aged 15 to 19 years (aOR = 2.08; 95% CI 1.17-3.69, P < .05), uneducated mothers (aOR = 1.87; 95% CI 1.28-2.71, P < .01), as well as older children (24-59 months) (aOR = 1.83; 95% CI 1.48-2.27, P < .001), and boys (aOR = 1.37; 95% CI 1.12-1.66, P < .01) were more likely to be stunted compared to those of non-stunted, older, post-primary education mothers and those who were less than 24 months and girls respectively. While urban children whose fathers had lower education (aOR = 1.94; 95% CI 1.10-3.42, P < .05), whose mothers were more parous (para 2-4) (aOR = 1.74; 95% CI 1.03-2.95, P < .05), and boys (aOR = 1.48; 95% CI 1.06-2.08, P < .05) were more likely to be stunted compared to their counterparts with fathers that had tertiary education, mothers of low parity and girls, respectively. Conclusions: Stunting is more prevalent in the rural areas compared to the urban areas. Sex of the child was the only significant factor in both rural and urban areas. Our study findings suggest that programs designed to reduce stunting should aim for integrated yet context specific interventions in rural and urban areas.


2021 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Ratna Istriyani

This article elaborates on the issue of using leisure time, mainly connected with the tourism concept. The tourism agenda has shaped the trend of using leisure time, which at the same time has changed the appearance of particular places to attract consumers. The village area is a new tourist spot that discussed in this article. Again becomes crucial to see; the new economic features have changed social relations in rural areas. The changes also happened in Yogyakarta, especially villages in the Sleman area. Therefore, this paper aims to explore how the village experienced economic changes after it formed into a tourist area, how was the process. The approach used in this research is qualitative by collecting observational data and secondary data. Based on the research, the villages in Yogyakarta, especially Sleman, the changes in the economic pattern cannot separate from the tourist trend, which emphasizes the reformation of the classic pastoral nuances. The establishment of a restaurant or cafe that offers authentic characters imagined being a remedy for longing for memories. Without intending to confront rural and urban areas, this study argues that the tourism trend in rural areas has not only changed the economic complexion but has also emphasized the character of the village as a space for urban community consumption. It is undeniable that the economic turnover that arises from the tourism sector is assumed to be able to contribute to the new face of rural areas; however, it is not necessarily possible to realize sustainable regional development without being followed by creativity to compete with the emergence of new entertainment venues. Keywords: Tourism Transformation, Village, Leisure, Space Consumption.


Author(s):  
Ina Kusrini ◽  
Donny Kristanto Mulyantoro ◽  
Dwi Hapsari Tjandrarini ◽  
Hadi Ashar

BACKGROUND: Anemia is the most common type of malnutrition in pregnant women, and when combined with another nutritional problem, it would increase the risk of adverse pregnancy outcomes. AIM: This study aims to analyze the risk of double undernutrition in pregnant women with anemia. MATERIALS AND METHODS: We used secondary data from the 2018 National Basic Health Survey as well as biomedical anemia samples. Anthropometric measurements were maternal body height, middle–upper circumference (MUAC) for chronic energy malnutrition (CEM); anemia was predicted using hemoglobin levels. The number of samples is 484, considering the minimum sample size for each undernutrition proportion. RESULTS: Anemia in pregnant women is not a single malnutrition issue. Almost one–third of pregnant women with anemia also had another form of undenutrition. In this study, the prevalence of anemia among pregnant women (%) is 35.7; stunted is 35.9, and CEM is 16.7. The malnutrition was identified as double nutritional problems coexistence to anemia, such as prevalence stunted–anemia (%) 12.5; anemia–CEM 9.2; and anemia–stunted–CEM 4.4. Overall, CEM is associated with anemia with p < 0.05 and AOR 2.25 (CI; 1.38–3.66), adjusted to height and type of residence, education, and occupation. Urban areas have a similar risk to rural areas with AOR for CEM to anemia, 2.29 (CI; 1.12–4.69); rural areas 2.23 (CI; 1.14–4.33), respectively. Moreover, women with double of undernutrition stunted–CEM in rural areas have a risk of anemia with AOR 2.75 (1.14–6.65). CONCLUSION: The risk of anemia in pregnant women with chronic energy malnutrition has increased more than twice in rural and urban areas.


2001 ◽  
Vol 21 (5) ◽  
pp. 547-566 ◽  
Author(s):  
THOMAS SCHARF

This paper uses a range of secondary data sources to analyse key elements of intergenerational relationships in Germany. Within the context of a discussion of regional differences in Germany’s population structure and aspects of socio-economic conditions in rural areas, the paper focuses on the following aspects of intergenerational relationships: household structures, proximity of the generations, frequency and intensity of contacts between the generations, intergenerational transfers and non-kin relationships. Where appropriate, comparisons are made between East and West Germany and between rural and urban areas. The analysis of data on intergenerational relationships highlights several difficulties associated with research on older people living in rural areas. It is suggested that these difficulties contribute to the distorted and contradictory views that are often associated with rural ageing.


Author(s):  
Remus Runcan

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042762
Author(s):  
Shuai Yuan ◽  
Shao-Hua Xie

ObjectiveThe substantial differences in socioeconomic and lifestyle exposures between urban and rural areas in China may lead to urban–rural disparity in cancer risk. This study aimed to assess the urban–rural disparity in cancer incidence in China.MethodsUsing data from 36 regional cancer registries in China in 2008–2012, we compared the age-standardised incidence rates of cancer by sex and anatomic site between rural and urban areas. We calculated the rate difference and rate ratio comparing rates in rural versus urban areas by sex and cancer type.ResultsThe incidence rate of all cancers in women was slightly lower in rural areas than in urban areas, but the total cancer rate in men was higher in rural areas than in urban areas. The incidence rates in women were higher in rural areas than in urban areas for cancers of the oesophagus, stomach, and liver and biliary passages, but lower for cancers of thyroid and breast. Men residing in rural areas had higher incidence rates for cancers of the oesophagus, stomach, and liver and biliary passages, but lower rates for prostate cancer, lip, oral cavity and pharynx cancer, and colorectal cancer.ConclusionsOur findings suggest substantial urban–rural disparity in cancer incidence in China, which varies across cancer types and the sexes. Cancer prevention strategies should be tailored for common cancers in rural and urban areas.


Author(s):  
Ruchika Agarwala ◽  
Vinod Vasudevan

Research shows that traffic fatality risk is generally higher in rural areas than in urban areas. In developing countries, vehicle ownership and investments in public transportation typically increase with economic growth. These two factors together increase the vehicle population, which in turn affects traffic safety. This paper presents a study focused on the relationship of various factors—including household consumption expenditure data—with traffic fatality in rural and urban areas and thereby aims to fill some of the gaps in the literature. One such gap is the impacts of personal and non-personal modes of travel on traffic safety in rural versus urban areas in developing countries which remains unexplored. An exhaustive panel data modeling approach is adopted. One important finding of this study is that evidence exists of a contrasting relationship between household expenditure and traffic fatality in rural and urban areas. The relationship between household expenditure and traffic fatality is observed to be positive in rural areas and a negative in urban areas. Increases in most expenditure variables, such as fuel, non-personal modes of travel, and two-wheeler expenditures, are found to be associated with an increase in traffic fatality in rural areas.


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