scholarly journals Diabetes in Africa sub-Saharan Distribution Based on Social Status: The Case of Libreville (Gabon)

2015 ◽  
Vol 25 (4) ◽  
pp. 459
Author(s):  
Guy S. Padzys ◽  
Joseph P Ondo ◽  
Priscilla L Omouenze ◽  
Sylvie Zongo

<p class="Pa5"><strong>Objectives: </strong>Many researchers continue to believe that urbanization is a major contributor to diabetes. We seek to demon­strate that the social status associated with urbanization has an impact on the preva­lence of diabetes in Libreville, Gabon in sub-Saharan Africa.</p><p class="Pa5"><strong>Methods: </strong>Our study was conducted in Li­breville, the capital of Gabon; the city has a population of 397,000. Our study analyzed data from the registries of patients hospital­ized in 2013 in the main diabetes center in Libreville.</p><p class="Pa5"><strong>Result: </strong>The results revealed that, for 2013, 798 patients were hospitalized with diabetes at a prevalence of .2%. We found differences (<em>P</em>&lt;.05) between women (423) and men (375). Mean age for women was 52.02 years and 48.88 years for men. The number of existing cases hospitalized was significantly more than new cases. All levels of society were represented in our study: students (42); military (36); administratives (99); technicians (180); unemployed (295); and retired (146). The results showed that the unemployed (36%), particularly women (29.40%) are most affected by diabetes.</p><p><strong>Conclusion: </strong>Our results show the impact of social status on the increase of diabetes in Libreville. We found that urbanization, associated with insecurity especially in women, had an effect on the prevalence of diabetes in Libreville. These results indicate that, apart from the non-modifiable fac­tors (age, race, ethnicity), insecurity is a modifiable factor that should be taken into account. <em>Ethn Dis. </em>2015;25(4):459-462; doi:10.18865/ed.25.4.459</p>

2016 ◽  
Vol 17 (2) ◽  
pp. 20-40
Author(s):  
Akem Forkusam

Sub-Saharan Africa (SSA) has become the top priority for international funders and they are now increasing their cross-border funding to microfinance institutions (MFIs) in the region. This foreign funding is considered an additional source of capital for MFIs in the region who are facing difficulties in meeting the demand of the poor. However, these funds are provided by public and private funders who each have different motives. The paper examines the impact of these different sources of funding on microfinance performance and mission drift in SSA, which is the world’s poorest region. The study utilizes data from 212 MFIs in 30 SSA countries accessed over a three-year period (i.e. 2007, 2009, and 2011). The findings show that cross-border funding does not affect either the social or financial performance of MFIs when time and country effects are accounted for.


2018 ◽  
Author(s):  
Margaret Frye ◽  
Sara Lopus

In Africa and elsewhere, educated women tend to marry later than their less educated peers. Beyond being an attribute of individual women, education is also an aggregate phenomenon: the social meaning of a woman’s educational attainment depends on the educational attainments of her agemates. Using data from 30 countries and 246 birth cohorts across sub-Saharan Africa, we investigate the impact of educational context (the percent of women in a country cohort who ever attended school) on the relationship between a woman’s own educational attainment and her marital timing. In contexts where access to education is prevalent, the marital timing of uneducated and highly-educated women is more similar than it is in contexts where attending school is limited to a privileged minority. This across-country convergence is driven by no-education women marrying later in high-education contexts, especially through lower rates of very early marriages. However, within countries over time, the marital ages of women from different educational groups tend to diverge as educational access expands. This within-country divergence is most often driven by later marriage among highly-educated women, although some countries’ divergence is driven by earlier marriage among women who never attended school.


2012 ◽  
Vol 5 (1) ◽  
pp. 27-50 ◽  
Author(s):  
Sylvie Bredeloup

Abstract In the early 2000s, nationals of Sub-Saharan Africa who had settled in the market places of Hong Kong, Bangkok, Jakarta, and Kuala Lumpur, moved to Guangzhou and opened offices in the upper floors of buildings in Baiyun and Yuexiu Districts. These were located in the northwest of the city, near the central railway station and one of the two fairs of Canton. Gradually these traders were able to create the necessary conditions of hospitality by opening community restaurants on upper floors, increasing the number of showrooms and offices as well as the services of freight and customs clearance in order to live up to an African itinerant customer’s expectations. From interviews carried out between 2006 and 2009 in the People’s Republic of China and in Hong Kong, Bangkok, Dubai, and West Africa, the article will first highlight the economic logics which have contributed to the constitution of African trading posts in China and describe their extension from the Middle East and from Asia. The second part will determine the respective roles of migrants and traveling Sub-Saharan entrepreneurs, before exploring their interactions with Chinese society in the setting up of these commercial networks. It will also look at the impact of toughening immigration policies. It is the principle of the African trading posts of anchoring of some traders in strategic places negotiated with the host society that allows the movement but also the temporary settlement of many visitors. The first established traders purchase products manufactured in the hinterland to fulfill the demand of the itinerant merchants who in turn supply customers located in other continents.


Author(s):  
Gabriella Carolini ◽  
Sara Lynn Hess

National authorities across Latin America and Sub-Saharan Africa have implemented various forms of fiscal decentralization over the past three decades with equivocal results. The design of such reforms has long rested on theories based on the experiences of high-income countries’ efforts at increasing local autonomy, accountability, and basic service efficiencies. Critics of the global advocacy for fiscal decentralization, however, point to several challenges with its implementation across diverse political economies that differ significantly from those in high-income environments. Nonetheless, these critiques often obscure the impact that colonial regimes and their legacies have on current efforts to fiscally decentralize. In two post-colonial environments where fiscal decentralization projects have unrolled, namely Mozambique and Mexico, we show how colonial imprints remain critical to understanding efforts at fiscal decentralization. Our focus in these cases is on how race-based caste systems introduced under colonial administrations fed the development and evolution of dual governance systems across spaces and peoples that bred mistrust between residents, local authorities and central authorities. We argue that the conflicting rationales in evidence between stakeholders involved in fiscal decentralization projects today are rooted in the social mistrust and power struggles born from these colonial experiences. In conclusion, we contend that fiscal decentralization reforms must explicitly grapple with these spatialized and racialized legacies of mistrust and the diverse rationalities guiding stakeholders in both the design and evaluation of public policies meant to strengthen local autonomy, transparency, and efficiencies.


2019 ◽  
Vol 32 (1) ◽  
pp. 213-232 ◽  
Author(s):  
Ibidun O Adelekan

Many cities in sub-Saharan Africa lack official records of deaths and of serious illnesses and injuries from everyday hazards and disaster events at all scales. This is a major limitation to effective planning for risk reduction. This paper seeks to fill some of these data gaps for the city of Ibadan, drawing on newspaper reports, hospital records, and databases or records of government departments for the period 2000–2015. It presents what can be learned about risks from these sources and discusses how the social, economic and political structures at the national, city and locality levels contribute to the most serious urban risks, as well as how these drive the process of risk accumulation, especially for vulnerable groups. Excluding public health risks for which data are scarce and incomplete, road traffic accidents, crime, violence and flooding constitute the most serious hazards in the city of Ibadan.


Author(s):  
YAMBEN Michel Freddy Harry

The article is an empirical analysis of the relationship between social divide, the occurrence of conflict and economic growth. By examining the impact of the social divide and conflict on the economic growth of six countries in sub-Saharan Africa as well as the effects of predicted variables conflict and economic growth on the social divide, we use ARDL models from the econometric perspective to study the link between conflicts and growth then the Generalized Moments Method (GMM) to solve the endogeneity problem of our main variables and, this from dynamic panel data relating to the period 1980- 2008. The results reveal that conflict destroys economic growth and conversely, economic growth creates new social divides that increase the opportunity for conflict and depress activity. The intensity of the conflicts in these countries seems to be able to project fragile economies more quickly on trajectories which lead them less towards their level of long-term equilibrium growth. Indeed, conflict assessment should be a central concern of development economists for the sake of economic recovery. Finally, the poor performance in terms of growth cannot be blamed on the conflicts whose exacerbation is the cause, but must lead decision-makers to reflect on the structural causes.


Author(s):  
Sloane Speakman

In examining the strikingly high prevalence rates of HIV in many parts of Africa, reaching as high as 5% in some areas, how does the discourse promoted by the predominant religions across the continent, Islam and Christianity, affect the outlook of their followers on the epidemic? This question becomes even more intriguing after discovering the dramatic difference in rate of HIV prevalence between Muslims and Christians in Africa, confirmed by studies that have found a negative relationship to exist between HIV prevalence and being Muslim in Africa, even in Sub-Saharan African nations. Why does this gap in prevalence rates exist? Does Islam advocate participating in less risky behavior more so than Christianity? By comparing the social construction, epidemiological understanding and public responses among Muslim populations in Africa with Christian ones, it becomes apparent that many similarities exist between the two regarding discourse and that, rather than religious discourse itself, other social factors, such as circumcision practices, contribute more to the disparity in HIV prevalence than originally thought.


2020 ◽  
Vol 2020 (10-3) ◽  
pp. 238-246
Author(s):  
Olga Dzhenchakova

The article considers the impact of the colonial past of some countries in sub-Saharan Africa and its effect on their development during the post-colonial period. The negative consequences of the geopolitical legacy of colonialism are shown on the example of three countries: Nigeria, the Democratic Republic of the Congo and the Republic of Angola, expressed in the emergence of conflicts in these countries based on ethno-cultural, religious and socio-economic contradictions. At the same time, the focus is made on the economic factor and the consequences of the consumer policy of the former metropolises pursuing their mercantile interests were mixed.


Sign in / Sign up

Export Citation Format

Share Document