scholarly journals Motorized 2-3 Wheelers Death Rates Over a Decade: A Global Study

2021 ◽  
Author(s):  
Yasin J Yasin ◽  
Michal Grivna ◽  
Fikri Abu-Zidan
Keyword(s):  
Law Enforcement ◽  
Low Income ◽  
Road Safety ◽  
National Income ◽  
Mortality Rates ◽  
Low Income Countries ◽  
Friedman Test ◽  
Death Rates ◽  
Factors Affecting ◽  
Over Time

Abstract Background: Motorized 2-3 wheelers-related death are high due to the exposed body of the driver/passenger and the high speed. The United Nation (UN) Decade of Action for road safety aimed to reduce road traffic deaths by 50% by the year 2020. We aimed to study the factors affecting the death rates of motorized 2-3 wheelers injuried victims and whether the reduction of the death rates has met the UN target.Methods: Data were retrieved from the WHO Global Status Reports on Road Safety published over 2009 to 2018 which covered the years of 2007 to 2016. Studied variables included motorized 2-3 wheelers death rates, percentage of helmet-wearing rate, helmet law enforcement, speed law enforcement, gross national income per capita, vehicles/person ratio, motorized 2-3 wheelers/person ratio. A mixed linear model was used to define factors affecting the change of motorized 2-3 wheelers death rates over time.Results: Global mortality rates of motorized 2-3 wheelers increased by 6.5% over 10 years which was not statistically significant. Factors that affected mortality included GNI (p=0.025), motorized 2-3 wheelers per person ratio (p < 0.0001), percentage of helmet wearing rate (p=0.046), and the interaction between vehicle/person ratio and motorized 2-3 wheelers/person ratio (p=0.016). There was a significant increase in the death rates over time in the low-income countries (170.2 %, p=0.019, Friedman test), and middle-income countries (56.1 %, p < 0.0001, Friedman test), compared with a significant decrease in the high-income countries (17.8 %, p < 0.0001, Friedman test). Conclusions: Global mortality of motorized 2-3 wheelers has increased by 6.5% over a recent decade. The UN target of reducing death was not met. The increase was related to the increase of motorized 2-3 wheelers per person ratio and economic inequiety which has to be addressed globally. The economic global gap significantly impacts the mortality rates of motorized 2-3 wheelers.

Convergence or Divergence Patterns in Global Defence Spending: Further Evidence from a Nonlinear Single Factor Model

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Charles Shaaba Saba
Keyword(s):  
Low Income ◽  
Factor Model ◽  
National Income ◽  
Testing Procedure ◽  
Low Income Countries ◽  
Convergence Clubs ◽  
Defence Spending ◽  
Public Resources ◽  
World Income ◽  
International Convergence

AbstractThis study re-examines the international convergence in defence spending for 125 countries spanning 1985–2018. We employ the approach of Phillips and Sul, which tests for the existence of convergence clubs and the modelling of different transition paths to convergence. Our findings suggest no overall defence spending convergence at the world, income groups (except the low-income countries) and regional levels. However, we identify two convergence clubs using an iterative testing procedure and eventually (i) at world level, these two clubs exhibit convergence, and (ii) while taking into account Gross national income, geography and defence alliances/economic cooperation it is possible to make different number of convergence/divergence clubs. Contrary to previous findings, this study finds that the process of convergence in defence spending does not reflect the desirable emanations of defence policies sharing similar characteristics, at least in terms of the allocation of scarce public resources across the globe.

scholarly journals Stillbirth, newborn and infant mortality: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

2019 ◽  
Vol 48 (Supplement_1) ◽  
pp. i54-i62 ◽  
Author(s):  
Ana M B Menezes ◽  
Fernando C Barros ◽  
Bernardo L Horta ◽  
Alicia Matijasevich ◽  
Andréa Dâmaso Bertoldi ◽  
...  
Keyword(s):  
Black Women ◽  
Infant Mortality ◽  
Low Income ◽  
Causes Of Death ◽  
Mortality Rates ◽  
Population Based ◽  
Birth Cohorts ◽  
Mortality Trends ◽  
Death Rates ◽  
Economic Inequalities

Abstract Background Infant-mortality rates have been declining in many low- and middle-income countries, including Brazil. Information on causes of death and on socio-economic inequalities is scarce. Methods Four birth cohorts were carried out in the city of Pelotas in 1982, 1993, 2004 and 2015, each including all hospital births in the calendar year. Surveillance in hospitals and vital registries, accompanied by interviews with doctors and families, detected fetal and infant deaths and ascertained their causes. Late-fetal (stillbirth)-, neonatal- and post-neonatal-death rates were calculated. Results All-cause and cause-specific death rates were reduced. During the study period, stillbirths fell by 47.8% (from 16.1 to 8.4 per 1000), neonatal mortality by 57.0% (from 20.1 to 8.7) and infant mortality by 62.0% (from 36.4 to 13.8). Perinatal causes were the leading causes of death in the four cohorts; deaths due to infectious diseases showed the largest reductions, with diarrhoea causing 25 deaths in 1982 and none in 2015. Late-fetal-, neonatal- and infant-mortality rates were higher for children born to Brown or Black women and to low-income women. Absolute socio-economic inequalities based on income—expressed in deaths per 1000 births—were reduced over time but relative inequalities—expressed as ratios of mortality rates—tended to remain stable. Conclusion The observed improvements are likely due to progress in social determinants of health and expansion of health care. In spite of progress, current levels remain substantially greater than those observed in high-income countries, and social and ethnic inequalities persist.

scholarly journals Integrating complex systems science into road safety research and practice, part 1: review of formative concepts

2019 ◽  
Vol 26 (2) ◽  
pp. 177-183
Author(s):  
Rebecca B Naumann ◽  
Jill Kuhlberg ◽  
Laura Sandt ◽  
Stephen Heiny ◽  
Yorghos Apostolopoulos ◽  
...  
Keyword(s):  
Public Health ◽  
Complex Systems ◽  
Injury Prevention ◽  
Road Safety ◽  
Systems Science ◽  
Death Rates ◽  
Research And Practice ◽  
Safety Research ◽  
Complex Systems Science ◽  
Over Time

Many of our most persistent public health problems are complex problems. They arise from a web of factors that interact and change over time and may exhibit resistance to intervention efforts. The domain of systems science provides several tools to help injury prevention researchers and practitioners examine deep, complex and persistent problems and identify opportunities to intervene. Using the increase in pedestrian death rates as an example, we provide (1) an accessible overview of how complex systems science approaches can augment established injury prevention frameworks and (2) a straightforward example of how specific systems science tools can deepen understanding, with a goal of ultimately informing action.

scholarly journals Road Safety in Low-Income Countries: State of Knowledge and Future Directions

2019 ◽  
Vol 11 (22) ◽  
pp. 6249 ◽  
Author(s):  
Shahram Heydari ◽  
Adrian Hickford ◽  
Rich McIlroy ◽  
Jeff Turner ◽  
Abdulgafoor M. Bachani
Keyword(s):  
Low Income ◽  
Traffic Engineering ◽  
Road Safety ◽  
Scale Up ◽  
Safety Data ◽  
Low Income Countries ◽  
Future Research ◽  
Improvement Programs ◽  
Behavioural Aspects ◽  
The Impact

Road safety in low-income countries (LICs) remains a major concern. Given the expected increase in traffic exposure due to the relatively rapid motorisation of transport in LICs, it is imperative to better understand the underlying mechanisms of road safety. This in turn will allow for planning cost-effective road safety improvement programs in a timely manner. With the general aim of improving road safety in LICs, this paper discusses the state of knowledge and proposes a number of future research directions developed from literature reviews and expert elicitation. Our study takes a holistic approach based on the Safe Systems framework and the framework for the UN Decade of Action for Road Safety. We focused mostly on examining the problem from traffic engineering and safety policy standpoints, but also touched upon other sectors, including public health and social sciences. We identified ten focus areas relating to (i) under-reporting; (ii) global best practices; (iii) vulnerable groups; (iv) disabilities; (v) road crash costing; (vi) vehicle safety; (vii) proactive approaches; (viii) data challenges; (ix) social/behavioural aspects; and (x) capacity building. Based on our findings, future research ought to focus on improvement of data systems, understanding the impact of and addressing non-fatal injuries, improving estimates on the economic burden, implementation research to scale up programs and transfer learnings, as well as capacity development. Our recommendations, which relate to both empirical and methodological frontiers, would lead to noteworthy improvements in the way road safety data collection and research is conducted in the context of LICs.

scholarly journals Distributing development assistance for health: simulating the implications of 11 criteria

2017 ◽  
Vol 12 (2) ◽  
pp. 245-263
Author(s):  
Trygve Ottersen ◽  
Suerie Moon ◽  
John-Arne Røttingen
Keyword(s):  
Low Income ◽  
Economic Transition ◽  
Development Assistance ◽  
National Income ◽  
Low Income Countries ◽  
Economic Downturn ◽  
Middle Income ◽  
Development Assistance For Health ◽  
Middle Income Countries ◽  
Almost All

AbstractAfter years of unprecedented growth in development assistance for health (DAH), the DAH system is challenged on several fronts: by the economic downturn and stagnation of DAH, by the epidemiological transition and increase in non-communicable diseases and by the economic transition and rise of the middle-income countries. Central to any potent response is a fair and effective allocation of DAH across countries. A myriad of criteria has been proposed or is currently used, but there have been no comprehensive assessment of their distributional implications. We simulated the implications of 11 quantitative allocation criteria across countries and country categories. We found that the distributions varied profoundly. The group of low-income countries received most DAH from needs-based criteria linked to domestic capacity, while the group of upper-middle-income countries was most favoured by an income-inequality criterion. Compared to a baseline distribution guided by gross national income per capita, low-income countries received less DAH by almost all criteria. The findings can inform funders when examining and revising the criteria they use, and provide input to the broader debate about what criteria should be used.

Modification of Access Policies for the Poverty Reduction and Growth Facility and the Exogenous Shocks Facility

Policy Papers ◽  
2009 ◽  
Vol 09 ◽  
Author(s):  
Keyword(s):  
Low Income ◽  
Poverty Reduction ◽  
Low Income Countries ◽  
Economic Downturn ◽  
Medium Term ◽  
Exogenous Shocks ◽  
World Economic ◽  
Access Policies ◽  
Over Time

The paper proposes a doubling of access limits on concessional lending to ensure that the Fund can respond effectively to the needs of low-income countries (LICs) severely affected by the current world economic downturn. Pending adoption of broader reforms to the LIC facilities architecture, higher access limits under the Poverty Reduction and Growth Facility (PRGF) and Exogenous Shocks Facility-High-Access Component (ESF-HAC) would give the Fund greater flexibility in assisting LICs, which have become more exposed to global volatility over time. A doubling of access limits would restore them to their 1998 levels in percent of GDP and would be consistent with the approach taken in determining new access limits for General Resources Account (GRA) resources. It would also be in line with the projected doubling of medium-term demand for concessional resources.

scholarly journals Health spending and vaccination coverage in low-income countries

2020 ◽  
Author(s):  
Francisco Castillo-Zunino ◽  
Pinar Keskinocak ◽  
Dima Nazzal ◽  
Matthew C Freeman
Keyword(s):  
Vaccination Coverage ◽  
Low Income ◽  
National Income ◽  
Health Spending ◽  
Gross National Income ◽  
Low Income Countries ◽  
Childhood Immunization ◽  
Government Health ◽  
Per Capita ◽  
The Impact

SummaryBackgroundRoutine childhood immunization is a cost-effective way to save lives and protect people from disease. Some low-income countries (LIC) have achieved remarkable success in childhood immunization, despite lower levels of gross national income or health spending compared to other countries. We investigated the impact of financing and health spending on vaccination coverage across LIC and lower-middle income countries (LMIC).MethodsAmong LIC, we identified countries with high-performing vaccination coverage (LIC+) and compared their economic and health spending trends with other LIC (LIC-) and LMIC. We used cross-country multi-year linear regressions with mixed-effects to test financial indicators over time. We conducted three different statistical tests to verify if financial trends of LIC+ were significantly different from LIC- and LMIC; p-values were calculated with an asymptotic χ2 test, a Kenward-Roger approximation for F tests, and a parametric bootstrap method.FindingsDuring 2014–18, LIC+ had a mean vaccination coverage between 91–96% in routine vaccines, outperforming LIC- (67–80%) and LMIC (83–89%). During 2000–18, gross national income and development assistance for health (DAH) per capita were not significantly different between LIC+ and LIC- (p > 0·13, p > 0·65) while LIC+ had a significant lower total health spending per capita than LIC- (p < 0·0001). Government health spending per capita per year increased by US$0·42 for LIC+ and decreased by US$0·24 for LIC- (p < 0·0001). LIC+ had a significantly lower private health spending per capita than LIC- (p < 0·012).InterpretationLIC+ had a difference in vaccination coverage compared to LIC- and LMIC that could not be explained by economic development, total health spending, nor aggregated DAH. The vaccination coverage success of LIC+ was associated with higher government health spending and lower private health spending, with the support of DAH on vaccines.

scholarly journals RESEARCH OF THE ECONOMIC FACTORS IMPACT ON THE AUTOMOBILIZATION LEVEL

2020 ◽  
Vol 6 (159) ◽  
pp. 161-168
Author(s):  
N. Semchenko
Keyword(s):  
Low Income ◽  
Road Safety ◽  
Life Quality ◽  
Well Being ◽  
Low Income Countries ◽  
Economic Factors ◽  
Road Accidents ◽  
Risk Of Death ◽  
Predicted Values

Mortality from road accidents continues to rise, amounting to 1.35 million deaths per year. It is emphasized that today injuries as a result of road accidents are the main cause of children death and young people aged 5-29 years and the three main causes of person’s death aged 5 to 44 years. Studies of road safety various aspects in different countries have shown that the world has long and steadily formed a global problem of irregular road accidents. First of all, the inverse dependence of the emergency risk on the material well-being of countries is clearly visible. The risk of death as a result of road accidents in low-income countries is three times higher than in high-income countries. The highest rates are in Africa (26.6 cases per 100,000 people) and the lowest in Europe (9.3 cases per 100,000 people). In addition, in recent years, experts are trying to link the actual accident rate in countries with the life quality of their populations. Quality of life as a concept includes not only the material level but also the satisfaction of spiritual needs, health, life expectancy, environmental conditions, moral and psychological climate, emotional comfort, etc., which ultimately determines the transport culture of the population. In this regard, it is of interest to identify links between the results of rating assessments of the people life quality in different countries and the level of these countries road safety typical. To do this, first of all it is necessary to assess the economic factors impact on the motorization level, which is insufficiently studied. The purpose is to determine the dependences of the economic factors impact, namely gross domestic product per capita and average wages, on the motorization level. The data for the study were taken from official statistical sources. The results were processed by methods of mathematical statistics and regression analysis. According to the results of the experiments, regression models were obtained for European countries; Asia and Oceania; The Middle East; Africa; North, Central America and the Caribbean; South America. The comparison of the simulated values and the initial data showed a high degree of correlation. The originality lies in the fact that the regularities of the economic factors influence on the motorization level are investigated, which makes it possible to obtain predicted values in the future. Improving the efficiency and safety of vehicles on the road network is possible based on the use of the motorization level predicted values in research. The obtained research results can be used to determine the feasibility of introducing certain measures to organize traffic.

The analysis of evolution in eradicating mortalities caused by infectious diseases in East and Central African Countries coinciding with gross national income

2019 ◽  
Author(s):  
Xiao Haijun ◽  
Jean Pierre Namahoro
Keyword(s):  
Infectious Diseases ◽  
Low Income ◽  
National Income ◽  
Gross National Income ◽  
Low Income Countries ◽  
East African ◽  
African Countries ◽  
National Budget ◽  
Study Results ◽  
The Government

Abstract Background: Infectious diseases are predominantly within poor population living in low-income countries, while are either treatable or preventable with existing medicines in the first occurring. The highlighted cause is some government choose to spend national budget on several projects do not coincide the basic needs and demands of the population. The objectives of this study were to 1) compare the performance between new cases and deaths caused by diseases; 2) show the effect of gross national income (GNI) in the mortalities reduction, and 3) assess potential evolution in eradicating mortalities in East African countries. Method: WHO database contains data on several responses (new cases of Malaria, Neonates protected at birth against neonatal tetanus, mortalities from tuberculosis among HIV-negative people and new cases of leprosy) recorded from 2004 to 2015. IMB SPSS modeler and Origin 8 were used especially, One-way ANOVA and Pearson’s correlation to achieve the objectives of the study. Results: The p-values for either Levene’ and Brown-Forsythe compared with 0.05 significant level for testing the performance between countries, correlation between GNI with leprosy is -0.5 to -1.0, in five countries, with TB is closer t0 -1.0 in four countries, with deaths from Malaria, is -0.5 to -1.0 in three countries, and new cases from Malaria and protected neonates is 0.5 to 1.0. Conclusion: The relationship between GNI and new cases and deaths indicate the weak effect of GNI in the process of eradicating mortalities, therefore, the government should prioritize the healthcare and use a national budget to monitoring the all complications related to infectious diseases. Key wards: infectious diseases, eradicating mortalities, gross national income

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