scholarly journals Understanding How Socioeconomic Inequalities Drive Inequalities In COVID-19 Infections

2021 ◽  
Author(s):  
Rachid Laajaj ◽  
Duncan Webb ◽  
Danilo Aristizabal ◽  
Eduardo Behrentz ◽  
Raquel Bernal ◽  
...  
Keyword(s):  
Process Model ◽  
Adult Population ◽  
Policy Implications ◽  
Primary Data ◽  
Socioeconomically Disadvantaged ◽  
Infection Rates ◽  
Middle Income ◽  
Individual Level ◽  
Disadvantaged Groups ◽  
The Poor

Abstract Background: Across the world, the COVID-19 pandemic has disproportionately affected economically disadvantaged groups. This differential impact has numerous possible explanations, each with significantly different policy implications. We examine, for the first time in a low- or middle-income country, which mechanisms best explain the disproportionate impact of the virus on the poor. Methods: We use primary data from the CoVIDA project, including the results of 59,770 RT-PCR tests in Bogotá, targeted on a mostly asymptomatic adult population June 2020 to March 3rd, 2021. This is combined with administrative data that covers all reported cases in Bogotá. We estimate a number of parameters that are likely to drive inequality in COVID-19 infection rates across socioeconomic groups, then use these estimates in an individual-level branching process model of the epidemic. We use counterfactual scenarios to estimate the relative importance of different channels for explaining inequality in infection rates. Findings: Total infections and inequalities in infections are largely driven by inequalities in the ability to work remotely and in within-home secondary attack rates. Inequalities in isolation behavior are less important but non-negligible, while access to testing and contract-tracing plays practically no role. Interventions that mitigate transmission are found to be more effective when targeted on socioeconomically disadvantaged groups.Interpretation: Socioeconomically disadvantaged groups are particularly vulnerable to COVID-19 infections, and this appears to be primarily driven by the need to work out of home, higher transmission within home, and to some extent, the ability to isolate when needed. Policies that can successfully reduce these channels of transmission among the poor are likely to have large benefits.

‘They Take Our Houses’: Benefit Competition and the Erosion of Support for Immigrants' Social Rights

2020 ◽  
pp. 1-21
Author(s):  
Gerda Hooijer
Keyword(s):  
Panel Data ◽  
Social Housing ◽  
Electoral Politics ◽  
Institutional Context ◽  
Social Rights ◽  
Lower Income ◽  
Middle Income ◽  
Individual Level ◽  
The Poor ◽  
The Rich

Abstract Does benefit competition affect voters' support for immigrants' social rights? While scholars in political economy expect that benefit competition lowers support among the poor, the evidence is limited. This seems to be largely due to the reliance on highly aggregated analyses and the neglect of the institutional context in which individuals form their preferences. This article argues that lower-income voters are more likely to reduce their support due to competition when benefit eligibility depends on income. Using individual-level panel data from the Netherlands and a novel way to measure benefit competition, the study shows that lower-middle-income voters become less supportive of immigrants' social rights when more social housing in their municipality is allocated to refugees. By contrast, competition does not reduce support among the rich or the very poor. The findings suggest that benefit competition can erode support for immigrants' social rights and influence electoral politics.

Vulnerable employment in Mauritius: experience of an upper-middle-income country

2018 ◽  
Vol 17 (2) ◽  
pp. 187-204
Author(s):  
Suneila Gokhool ◽  
Harshana Kasseeah ◽  
Verena Tandrayen-Ragoobur
Keyword(s):  
Social Protection ◽  
Household Survey ◽  
Policy Implications ◽  
Small Island ◽  
Lower Probability ◽  
Education Policies ◽  
Data Set ◽  
Middle Income ◽  
Content Type ◽  
Individual Level

Purpose The purpose of this paper is to shed light on the socio-economic characteristics of workers engaged in vulnerable jobs in Mauritius. The study has a particular focus on the gender and youth dimensions of vulnerable employment. The study also provides a pre-crisis and post-crisis analysis of vulnerable employment. Design/methodology/approach The paper uses several waves of the continuous multi-purpose household survey, which is a high-quality individual-level data set, to study vulnerable employment. Several definitions of vulnerable employment are used to identify the workers employed in vulnerable jobs. These include “own-account” workers and “contributing family workers”. Findings The results obtained suggest that women and young workers have a lower probability of being in vulnerable employment. Marital status, age and education are also important variables influencing the probability of being in vulnerable employment. Research limitations/implications The paper has important policy implications regarding welfare and education policies. Appropriate mechanisms need to be put in place for the social protection and training of workers so that they do not end up in vulnerable jobs. Originality/value This paper studies Mauritius as it is a small island economy vulnerable to external shocks. Vulnerable unemployment has often been understudied as the focus of many studies has been solely on employment, and the quality of employment has often not been considered.

Poverty alleviation through CSR in the Indian construction industry

2014 ◽  
Vol 33 (2) ◽  
pp. 119-130 ◽  
Author(s):  
Martina Wuttke ◽  
Arnis Vilks
Keyword(s):  
Construction Industry ◽  
Poverty Alleviation ◽  
Business Models ◽  
Social Needs ◽  
Policy Implications ◽  
Primary Data ◽  
Content Type ◽  
Core Business ◽  
Csr Strategies ◽  
The Poor

Purpose – Against the background of still insufficient achievements of particular millennium development goals (MDGs), contributions of private business to the alleviation of poverty have been increasingly called for. The purpose of this paper is to address this issue and explore the CSR strategies of transnational corporations (TNCs) regarding their impact on poverty alleviation within the construction industry in India, in order to gain an insight on how business is engaged in the improvement of the situation of the poor, and to derive recommendations on how pertinent CSR strategies can be further developed. Design/methodology/approach – The paper collects primary data for monitoring the CSR activities of the largest TNCs within the construction industry in India to conduct a CSR ranking of the sample TNCs in terms of CSR engagement with particular focus on poverty alleviation with respect to the MDGs. Findings – The findings show that the core business-oriented focus of the CSR activities of the construction industry is mainly on MDG 1 and 7. Nevertheless, the construction industry still needs to gear its core business towards business models that enhance the housing conditions of the poor and to improve the general social conditions within this industry. Based on the findings the paper suggests a selected industry-specific governmental CSR guidance to propel the implementation of CSR as business case. Practical implications – This work provides policy implications for the government and outlines the areas for business practitioners where CSR strategies should be enhanced to meet social needs and contribute to the alleviation of poverty. Originality/value – First of its kind study in scrutinizing the contribution of CSR to the alleviation of poverty, particularly regarding TNCs of the construction industry in India.

An Empirical Study of the Financial Mismanagement of Internally Generated Revenue in Ife South Local Government of Osun State, Nigeria

Think India ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 29-38
Author(s):  
Adeola Ajayi
Keyword(s):  
Local Government ◽  
Financial Management ◽  
Town Planning ◽  
Primary Data ◽  
Revenue Generation ◽  
Secondary Sources ◽  
The Poor ◽  
Local Government Level ◽  
Government Level ◽  
Descriptive Statistical Analysis

This study focused on financial mismanagement of Internally Generated Revenue (IGR) in Ife South Local Government. It also identified viable sources of revenue in the local government and examined problems militating against effective collection of revenue. This study was necessitated by the need to ensure increased revenue generation in Ife South local government of Osun State, Nigeria. Primary and secondary sources of data were utilized for the study. The primary data were collected through structured questionnaires. Respondents were selected from career officers in GL. 03-16 in departments and units of finance and supplies, administration, primary healthcare, agriculture, town planning and estate valuation of the local government, thus 180 respondents were sampled representing 29.31% of 614 staff strength of these departments and units of the local government. The questionnaires were administered using descriptive statistical analysis such as frequency and percentage value. The study revealed that there are many viable and non-viable sources of revenue in Ife South local government, the myriad of problems militating against effective collection of the revenue and the poor financial management of internally generated revenue which aptly explains why the local government could not be developed. The study concluded that the share of local government from the statutory allocation be increased, routine auditing and post-auditing from the supervising ministry should be encouraged at the local government level and that the local government should also intensify her effort on increase revenue generation in order to withstand the challenges posed by the current global economic crisis.

Global Perspectives on Brief Cognitive Assessments for Dementia Diagnosis

2021 ◽  
pp. 1-13
Author(s):  
Elena Tsoy ◽  
Alissa Bernstein Sideman ◽  
Stefanie D. Piña Escudero ◽  
Maritza Pintado-Caipa ◽  
Suchanan Kanjanapong ◽  
...  
Keyword(s):  
Older Adult ◽  
Adult Population ◽  
Dementia Diagnosis ◽  
Cognitive Assessments ◽  
Middle Income ◽  
Global Perspectives ◽  
Dementia Patients ◽  
Diagnosis Of Dementia ◽  
Theme Identification ◽  
Diagnostic Decision Making

Background: Timely diagnosis of dementia is a global healthcare priority, particularly in low to middle income countries where rapid increases in older adult populations are expected. Objective: To investigate global perspectives on the role of brief cognitive assessments (BCAs) in dementia diagnosis, strengths and limitations of existing measures, and future directions and needs. Methods: This is a qualitative study of 18 dementia experts from different areas of the world. Participants were selected using purposeful sampling based on the following criteria: 1) practicing in countries with projected growth of older adult population of over 100%by 2050; 2) expertise in dementia diagnosis and treatment; 3) involvement in clinical practice and training; and 4) recognition as a national dementia expert based on leadership positions within healthcare system, research, and/or policy work. Participants were individually interviewed in their language of choice over secure videoconference sessions. Interviews were analyzed by a multidisciplinary team using theme identification approach. Results: Four domains with subthemes emerged illustrating participants’ perspectives: 1) strengths of BCAs; 2) limitations of BCAs; 3) needs related to the use of BCAs; and 4) characteristics of an ideal BCA. While most experts agreed that BCAs were important and useful for dementia diagnosis, the themes emphasized the need for development and validation of novel measures that are sensitive, psychometrically sound, and culturally appropriate. Conclusion: BCAs are important for guiding diagnosis and care for dementia patients. Findings provide a roadmap for novel BCA development to assist in diagnostic decision making for clinicians serving a rapidly growing and diverse dementia population.

scholarly journals Exploring Inner-City Residents’ and Foreigners’ Commitment to Improving Air Pollution: Evidence from a Field Survey in Hanoi, Vietnam

Data ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 39
Author(s):  
Quan-Hoang Vuong ◽  
Tri Vu Phu ◽  
Tuyet-Anh T. Le ◽  
Quy Van Khuc
Keyword(s):  
Air Pollution ◽  
Inner City ◽  
Field Survey ◽  
Preventive Measures ◽  
Contingent Valuation Method ◽  
Sampling Technique ◽  
Policy Implications ◽  
Demographic Information ◽  
Middle Income ◽  
Valuation Method

Solutions for mitigating and reducing environmental pollution are important priorities for many developed and developing countries. This study was conducted to better understand the degree to which inner-city citizens and foreigners perceive air pollution and respond to it, particularly how much they willingly contribute to improving air quality in Vietnam, a lower-middle-income nation in Southeast Asia. During mid-December 2019, a stratified random sampling technique and a contingent valuation method (CVM) were employed to survey 199 inhabitants and 75 foreigners who reside and travel within the inner-city of Hanoi. The data comprises four major groups of information on: (1) perception of air pollution and its impacts, (2) preventive measures used to mitigate polluted air, (3) commitments on willingness-to-pay (WTP) for reducing air pollution alongside reasons for the yes-or-no-WTP decision, and (4) demographic information of interviewees. The findings and data of this study could offer many policy implications for better environmental management in the study area and beyond.

scholarly journals Preventing ethics dumping: the challenges for Kenyan research ethics committees

2020 ◽  
pp. 174701612092506
Author(s):  
Kate Chatfield ◽  
Doris Schroeder ◽  
Anastasia Guantai ◽  
Kirana Bhatt ◽  
Elizabeth Bukusi ◽  
...  
Keyword(s):  
Research Ethics ◽  
Resource Constraints ◽  
Ethics Committees ◽  
Shared Responsibility ◽  
Standards Of Care ◽  
Primary Data ◽  
Research Ethics Committees ◽  
Governance System ◽  
Middle Income ◽  
System Resource

Ethics dumping is the practice of undertaking research in a low- or middle-income setting which would not be permitted, or would be severely restricted, in a high-income setting. Whilst Kenya operates a sophisticated research governance system, resource constraints and the relatively low number of accredited research ethics committees limit the capacity for ensuring ethical compliance. As a result, Kenya has been experiencing cases of ethics dumping. This article presents 11 challenges in the context of preventing ethics dumping in Kenya, namely variations in governance standards, resistance to double ethics review, resource constraints, unresolved issues in the management of biological samples, unresolved issues in the management of primary data, unsuitable informed consent procedures, cultural insensitivity, differing standards of care, reluctance to provide feedback to research communities, power differentials which facilitate the exploitation of local researchers and lack of local relevance and/or affordability of the resultant products. A reflective approach for researchers, built around the values of fairness, respect, care and honesty, is presented as a means of taking shared responsibility for preventing ethics dumping.

scholarly journals Childlessness, Individual Socioeconomic Resources, and Health: Exploring Variation in 20 Countries

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 515-516
Author(s):  
Nekehia Quashie ◽  
Christine Mair ◽  
Radoslaw Antczak ◽  
Bruno Arpino
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Health Indicators ◽  
Data Repository ◽  
Middle Income ◽  
Individual Level ◽  
Socioeconomic Resources ◽  
Middle Income Countries ◽  
Using Data ◽  
The Impact

Abstract Childless older adults may be at risk for poorer health cross-nationally, yet most studies on this topic analyze only a small number of countries and only 1 or 2 health outcomes. To our knowledge, two papers exist that explore associations between childlessness and multiple indicators of health using data from a large number of regionally diverse countries (e.g., 20 countries from North America, Asia, and Europe), but neither study includes an examination of socioeconomic resources. The level of health risk faced by childless older adults is likely to be distinctly shaped by older adults’ socioeconomic resources (e.g., education, income, wealth). Associations between childlessness, socioeconomic resources, and health may also differ by country context. Using harmonized, cross-national data for adults aged 50 and older across 20 high- and middle-income countries (United States (HRS), European Union (SHARE), Mexico (MHAS), and China (CHARLS) from the Gateway to Global Aging data repository), we explore if and how individual-level socioeconomic resources (income, education, wealth) moderate associations between childlessness and five health indicators (self-rated health, ADL limitations, IADL limitations, chronic conditions, and depression). Results suggest that associations between childlessness and health outcomes vary by individual socioeconomic resources in some country contexts, but not in others. We discuss these findings in light of the impact of individual-level socioeconomic resources on older adults’ support options and health outcomes cross-nationally.

scholarly journals Understanding cause of stillbirth: a prospective observational multi-country study from sub-Saharan Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mamuda Aminu ◽  
Sarah Bar-Zeev ◽  
Sarah White ◽  
Matthews Mathai ◽  
Nynke van den Broek
Keyword(s):  
Sierra Leone ◽  
Cause Of Death ◽  
Expert Panel ◽  
Healthcare Providers ◽  
Sub Saharan Africa ◽  
Primary Data ◽  
Middle Income ◽  
Computer Based ◽  
Sub Saharan ◽  
Low And Middle Income

Abstract Background Every year, an estimated 2.6 million stillbirths occur worldwide, with up to 98% occurring in low- and middle-income countries (LMIC). There is a paucity of primary data on cause of stillbirth from LMIC, and particularly from sub-Saharan Africa to inform effective interventions. This study aimed to identify the cause of stillbirths in low- and middle-income settings and compare methods of assessment. Methods This was a prospective, observational study in 12 hospitals in Kenya, Malawi, Sierra Leone and Zimbabwe. Stillbirths (28 weeks or more) were reviewed to assign the cause of death by healthcare providers, an expert panel and by using computer-based algorithms. Agreement between the three methods was compared using Kappa (κ) analysis. Cause of stillbirth and level of agreement between the methods used to assign cause of death. Results One thousand five hundred sixty-three stillbirths were studied. The stillbirth rate (per 1000 births) was 20.3 in Malawi, 34.7 in Zimbabwe, 38.8 in Kenya and 118.1 in Sierra Leone. Half (50.7%) of all stillbirths occurred during the intrapartum period. Cause of death (range) overall varied by method of assessment and included: asphyxia (18.5–37.4%), placental disorders (8.4–15.1%), maternal hypertensive disorders (5.1–13.6%), infections (4.3–9.0%), cord problems (3.3–6.5%), and ruptured uterus due to obstructed labour (2.6–6.1%). Cause of stillbirth was unknown in 17.9–26.0% of cases. Moderate agreement was observed for cause of stillbirth as assigned by the expert panel and by hospital-based healthcare providers who conducted perinatal death review (κ = 0.69; p < 0.0005). There was only minimal agreement between expert panel review or healthcare provider review and computer-based algorithms (κ = 0.34; 0.31 respectively p < 0.0005). Conclusions For the majority of stillbirths, an underlying likely cause of death could be determined despite limited diagnostic capacity. In these settings, more diagnostic information is, however, needed to establish a more specific cause of death for the majority of stillbirths. Existing computer-based algorithms used to assign cause of death require revision.

Sign in / Sign up

Export Citation Format

Share Document