scholarly journals Analysis of neonatal deaths in Maharashtra: policy implications

2017 ◽  
Vol 4 (12) ◽  
pp. 4513 ◽  
Author(s):  
S. Saunik ◽  
C. Jaiswal ◽  
R. Nair ◽  
A. Radkar ◽  
A. Patil ◽  
...  
Keyword(s):  
Health Facility ◽  
Causes Of Death ◽  
Child Survival ◽  
The State ◽  
Policy Implications ◽  
Health Programs ◽  
Neonatal Deaths ◽  
Home Based ◽  
Major Factors ◽  
Child Health Programs

Background: As per statistics on infant mortality, the State of Maharashtra has done well in bringing down IMR from 33 to 21 per 1000 live births. However a lot needs to be achieved still. Various child health programs like home based new born care and others have improved child survival. But the analysis of cases will throw light on actionable points for policy change. Methods: Keeping in mind mortality statistics of the State, an analysis was done on causes of neonatal deaths and social determinants. A retrospective study was done on causes of death from birth to 28 days during 2015-2016 in the State of Maharashtra. 6 deaths per block were reviewed by a committee that included a pediatrician. Verbal autopsy was done and all factors like social, cultural, behavioral as well as factors that resulted in delay in deciding to take the baby to health facility, delay in transport and delay at health facility were studied in details. Results: Latur circle had the highest deaths i.e. 70%, Nashik and Gadchiroli had 62 and 63% respectively. Males were more than females (55.7%). ^0.6% of deaths occurred in babies weighing less than 2500 gms. Delay in deciding to take the baby to the health facility and getting treatment was important (41.4% cases). In 40.8% cases delay in receiving treatment at health facility was observed. Major causes were infections, prematurity and asphyxia. Conclusions: Various causes of neonatal deaths are studied. Delay in deciding to take the baby to the health facility was one of the major factors. Majority of deaths were due to infection prematurity and asphyxia. 

Current Situation of the Efficiency of the National Budget Allocation in Vietnam

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Nguyen Trong Vinh ◽  
Nguyen Cam Nhung
Keyword(s):  
Budget Allocation ◽  
Current Situation ◽  
Econometric Models ◽  
The State ◽  
Policy Implications ◽  
State Budget ◽  
National Budget ◽  
Near Future ◽  
Positive Results

This research evaluates the efficiency of the state budget allocation in Vietnam in the period 2007-2016 by using econometric models of OLS, FEM, REM and FGLS. The estimated results from the model, together with the evaluation of the state budget allocation show that the budget allocation has achieved positive results, but the efficiency of budget allocation is still not high. Following this, the article gives some policy implications for Vietnam to effectively allocate the state budget in the near future.

scholarly journals Assessing the Economic and Environmental Impacts of Alternative Renewable Portfolio Standards: Winners and Losers

Energies ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 3319
Author(s):  
Jamal Mamkhezri ◽  
Leonard A. Malczynski ◽  
Janie M. Chermak
Keyword(s):  
New Mexico ◽  
Environmental Impacts ◽  
The State ◽  
Policy Implications ◽  
Renewable Portfolio Standard ◽  
County Level ◽  
Renewable Portfolio Standards ◽  
Energy Potential ◽  
Output Analysis ◽  
The Impact

State-mandated renewable portfolio standards affect substantial portions of the total U.S. electricity supply. Renewable portfolio standards are environmentally motivated policies, yet they have the potential to greatly impact economy. There is not an agreement in the literature on the impact of renewable portfolio standards policies on regional economies, especially on job creation. By integrating various methodologies including econometrics, geographic information system, and input–output analysis into a unique system dynamics model, this paper estimates the economic and environmental impacts of various renewable portfolio standards scenarios in the state of New Mexico, located in Southwestern U.S. The state is endowed with traditional fossil fuel resources and substantial renewable energy potential. In this work we estimated and compared the economic and environmental tradeoffs at the county level under three renewable portfolio standards: New Mexico’s original standard of 20% renewables, the recently adopted 100% renewables standard, and a reduced renewable standard of 10%. The final one would be a return to a more traditional generation profile. We found that while the 20% standard has the highest market-based economic impact on the state as a whole, it is not significantly different from other scenarios. However, when environmental impacts are included, the 100% standard yields the highest value. In addition, while the state level economic impacts across the three scenarios are not significantly different, the county-level impacts are substantial. This is especially important for a state like New Mexico, which has a high reliance on energy for economic development. A higher renewable portfolio standard appears to be an economic tool to stimulate targeted areas’ economic growth. These results have policy implications.

RURAL–URBAN MIGRATION AND CHILD SURVIVAL IN URBAN BANGLADESH: ARE THE URBAN MIGRANTS AND POOR DISADVANTAGED?

2008 ◽  
Vol 40 (1) ◽  
pp. 83-96 ◽  
Author(s):  
M. MAZHARUL ISLAM ◽  
KAZI MD ABUL KALAM AZAD
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Urban Poor ◽  
Child Survival ◽  
Childhood Mortality ◽  
Policy Implications ◽  
Urban Migration ◽  
Under Five ◽  
Urban Migrants ◽  
Urban Rural

SummaryThis paper analyses the levels and trends of childhood mortality in urban Bangladesh, and examines whether children’s survival chances are poorer among the urban migrants and urban poor. It also examines the determinants of child survival in urban Bangladesh. Data come from the 1999–2000 Bangladesh Demographic and Health Survey. The results indicate that, although the indices of infant and child mortality are consistently better in urban areas, the urban–rural differentials in childhood mortality have diminished in recent years. The study identifies two distinct child morality regimes in urban Bangladesh: one for urban natives and one for rural–urban migrants. Under-five mortality is higher among children born to urban migrants compared with children born to life-long urban natives (102 and 62 per 1000 live births, respectively). The migrant–native mortality differentials more-or-less correspond with the differences in socioeconomic status. Like childhood mortality rates, rural–urban migrants seem to be moderately disadvantaged by economic status compared with their urban native counterparts. Within the urban areas, the child survival status is even worse among the migrant poor than among the average urban poor, especially recent migrants. This poor–non-poor differential in childhood mortality is higher in urban areas than in rural areas. The study findings indicate that rapid growth of the urban population in recent years due to rural-to-urban migration, coupled with higher risk of mortality among migrant’s children, may be considered as one of the major explanations for slower decline in under-five mortality in urban Bangladesh, thus diminishing urban–rural differentials in childhood mortality in Bangladesh. The study demonstrates that housing conditions and access to safe drinking water and hygienic toilet facilities are the most critical determinants of child survival in urban areas, even after controlling for migration status. The findings of the study may have important policy implications for urban planning, highlighting the need to target migrant groups and the urban poor within urban areas in the provision of health care services.

Factors that Impede or Facilitate Post-Conflict Justice Mechanisms?

2012 ◽  
Vol 12 (2) ◽  
pp. 193-217 ◽  
Author(s):  
Dawn L. Rothe ◽  
Scott Maggard
Keyword(s):  
Detailed Analysis ◽  
The State ◽  
Policy Implications ◽  
Empirical Testing ◽  
Power Politics ◽  
The Past ◽  
Post Conflict

This article provides an overview of post-conflict justice (PCJ) as well as a detailed analysis of factors that impede or facilitate the implementation of mechanisms to address the atrocities of a conflict. Grounded in an extensive new dataset, developed over the past three years, covering all conflicts in Africa between 1946 and 2009, we extend previous research by including empirical testing of previously untested assumptions and variables impacting PCJ, most notably, the role of power, politics, economics, and geo-strategic interests at the state and international political levels as well as combining previously tested variables amongst and between each other. Further, the aspects of PCJ, including conflicts where mechanisms were not deployed are included in the analysis along with those coded as symbolic in nature. We conclude by discussing the pragmatic issues associated with testing the concept of realpolitik and policy implications based on our analysis.

ANALYSIS OF FETAL AND NEONATAL DEATHS IN 4117 CONSECUTIVE BIRTHS

PEDIATRICS ◽  
1950 ◽  
Vol 5 (2) ◽  
pp. 184-192
Author(s):  
HERBERT C. MILLER
Keyword(s):  
Cause Of Death ◽  
Premature Infants ◽  
Neonatal Death ◽  
Causes Of Death ◽  
Neonatal Period ◽  
Full Term ◽  
Maternal Complications ◽  
Term Infants ◽  
Neonatal Deaths ◽  
Postmortem Examinations

An analysis of the significant causes of death in 4117 consecutive births was made; there were 66 fetal deaths and 85 neonatal deaths. A significant cause of death was determined in 51 fetuses and 56 live-born infants. Eighty-five per cent of the live-born infants who weighed over 1000 gm. at birth and had postmortem examinations had causes of death which were considered to be significant. Almost half of the live-born premature infants with birth weights between 1000 and 2500 gm. were considered to have had more than one significant cause of death. The so-called significant causes of death among live-born infants differed from those determined for fetuses dying before birth. Among the former, pathologic conditions in the infants were determined four times more frequently than in those dying before birth and, in the latter, maternal complications of pregnancy and labor were diagnosed as significant causes of death five times more frequently than in infants dying in the neonatal period. Hyaline-like material in the lung was considered to be the most frequent significant cause of death in live-born premature infants; congenital malformation and anoxia resulting from complications of labor were the most frequently determined significant causes of death in live-born full term infants. No differences were found in the significant causes of death in premature and full term fetuses. Anoxia resulting from accidental and unexpected interruption of the blood flow in the placenta and umbilical cord and from dystocia was the most frequently determined significant cause of death in both groups. A plea has been made for the adoption by obstetricians, pathologists and pediatricians of a formal uniform plan of classifying the causes of fetal and neonatal death which would divest current efforts to determine the cause of death of as much vague terminology and arbitrary opinion as possible.

scholarly journals Gubernatorial Rhetoric and the Purpose of Education in the United States

2011 ◽  
Vol 6 (6) ◽  
Author(s):  
Dick M. Carpenter
Keyword(s):  
United States ◽  
Economic Efficiency ◽  
General Public ◽  
The United States ◽  
The State ◽  
Policy Implications ◽  
Education Policies ◽  
Education Experience ◽  
Purpose Of Education

For decades, scholars have debated the purpose of U.S. education, but too often ignored how non-education-related power brokers define education or the requisite consequences.[Qu: Is there a different way of phrasing this? I'm not sure, in reading it, what you intend "the requisite consequences" to mean. Does this mean the results of education, or the consequences of inaccurate definitions of it? Also, may we rephrase "non-education-related power brokers" to something like "power brokers without education experience"?]This study examines how one of the most prominent categories of U.S. leaders, state governors, defines education and discusses the policy implications. We examine gubernatorial rhetoric—that is, public speeches—about education, collected from State of the State speeches from 2001 to 2008. In all, one purpose gains overwhelmingly more attention—economic efficiency. As long as governors and the general public, seen enthymematically through gubernatorial rhetoric, define education in economic terms, other purposes will likely remain marginalized, leading to education policies designed disproportionately to advance economic ends.

scholarly journals Population vulnerability and disaster risk reduction: A situation analysis among the landslide affected communities in Kerala, India

2010 ◽  
Vol 3 (1) ◽  
Author(s):  
Sunil Damodaran Santha ◽  
Ratheeshkumar Kanjirathmkuzhiyil Sreedharan
Keyword(s):  
Risk Reduction ◽  
Disaster Risk Reduction ◽  
Social Systems ◽  
Disaster Risk ◽  
The State ◽  
Primary Data ◽  
Health Authorities ◽  
Major Factors ◽  
Elected Representatives ◽  
Depth Interviews

Landslides affect at least 15% of the land area of India, exceeding 0.49 million km2. Taking the case of landslide affected communities in the state of Kerala in India, this paper demonstrates that the focus has seldom been placed on assessing and reducing vulnerability. From the perspective of political economy, this paper argues that vulnerability reduction has to be the main priority of any disaster risk reduction programme. This paper also demonstrates that the interactions between ecological and social systems are usually complex and non-linear in nature. In contrast, interventions to tackle landslide risks have followed a linear course, assuming that one hazard event acts independently of another. The key findings of the study show that lack of access to political power, decision making, and resources, insecure livelihoods,environmental degradation, and ine#ectiveness of the state approach to disaster risk reduction are some of the major factors that lead to increasing vulnerability. Qualitative in nature, the primary data were collected through in-depth interviews with people from different groups such as farmers affected by the landslides and secondary floods, men and women living in the temporary shelter, government representatives involved in relief activities, health authorities, and elected representatives.

The life cycle of a feature: modelling the transitions between feature states

2017 ◽  
Vol 34 (8) ◽  
pp. 1229-1251 ◽  
Author(s):  
Raaid Batarfi ◽  
Aziz Guergachi ◽  
M.I.M. Wahab
Keyword(s):  
Life Cycle ◽  
Design Methodology ◽  
Quality Attributes ◽  
The State ◽  
Detailed Model ◽  
Content Type ◽  
Dead State ◽  
Feature Modelling ◽  
Major Factors ◽  
A Current

Purpose Studies have suggested that attributes are dynamic and a life cycle of product and service attributes exists. When an innovative feature is introduced, the feature might attract and delight customers. However, with the passage of time the state of the attractiveness of this feature may change, for better or for worse. The purpose of this paper is to provide a detailed model that shows the factors and related sub-factors that affect the life cycle of a feature and thereby explain the changes that may happen to a feature over time. Design/methodology/approach This model provide detailed explanations of the direct and indirect factors that affect the states of a feature, the ones that affect the rate of adoption, and the ones that trigger the changes between states. The model uses a current-market product’s feature to discuss the effects of these factors on the life cycle of this feature in detail. Findings This paper extends the theory of attractive quality attributes by identified seven states of the feature in its life cycle. These states are as follows: unknown/unimportant state, honey pot state, racing state, required state, standard state, core state, and dead state. This paper also identified eight major factors that affect the transition of the feature from one state to another. These factors include demographic, socioeconomic, behavioural, psychological, geographical, environmental, organisational, and technological factors. Originality/value The findings of this paper provide additional evidence that product and service attributes are dynamic. This paper also increases the validity of the attractive quality attributes theory and the factors that affect the state of the feature in its life cycle. The understanding of the state of the feature in its life cycle, and the factors that influence this change, helps not only in the introduction of completely new features but also in knowing when to remove obsolescent ones.

scholarly journals The Contribution of Avoidable Mortality to the Life Expectancy Gains in Korea between 1998 and 2017

2020 ◽  
Vol 17 (18) ◽  
pp. 6499
Author(s):  
Jinwook Bahk ◽  
Kyunghee Jung-Choi
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Life Expectancy ◽  
Traffic Accidents ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Avoidable Mortality ◽  
Cross Sectional ◽  
Major Factors

This study evaluated the contribution of avoidable causes of death to gains in life expectancy between 1998 and 2017 in Korea. This is a multi-year, cross-sectional study using national data. Death certificate data from 1998 to 2017 were obtained from Statistics Korea. The difference in life expectancy between 1998 and 2017 by age and cause of death were decomposed using Arriaga’s method. Life expectancy rose 7.73 years over 20 years in Korea, which was largely (more than 50%) due to changes in avoidable causes of death. As age increased, the contribution to changes in life expectancy increased, and the gain in life expectancy due to avoidable causes also tended to increase. The major factors that drove that gain in life expectancy were avoidable causes such as cerebrovascular diseases and traffic accidents. The gain in life expectancy from preventable diseases was greater in men than in women. The results of this study indicate that active public health programs have been effective in improving life expectancy in Korea. Moreover, avoidable mortality could be further improved with good public health policy. Health policy aimed at reducing amenable and preventable deaths should be further implemented to promote population health.

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