scholarly journals Assessing the risk factors of under-five deaths in rural parts of Ethiopia

2021 ◽  
Author(s):  
Yenew Alemu Mihret

Abstract Background of the study: Under-five mortality is the likelihood for a child born alive to die between birth and fifth birth day. Mortality under the age of five has been the main problem in public health policies especially in rural parts of Ethiopia.Objective: The objective of this study was to assess the risk factors of under-five mortality in Ethiopia using the 2011 EDHS data. Results: Information from 8,668 women included in the study show that 64.5% of the women never experienced under-five deaths of their children. Among four possible count models considered, the ZINB regression model was selected as the most appropriate model. Conclusion: The study revealed that mother’s age first birth, breastfeeding status, wealth index, whether the mother is currently working, region and mother’s level of education had statistically significant association with the number of under-five deaths in rural parts of Ethiopia.

2021 ◽  
Author(s):  
Yenew Alemu Mihret

Abstract Background of the study: Under-five mortality is the likelihood for a child born alive to die between birth and fifth birth day. Mortality under the age of five has been the main problem in public health policies especially in rural parts of Ethiopia.Objective: The objective of this study was to assess the risk factors of under-five mortality in Ethiopia using the 2011 EDHS data. Results: Information from 8,668 women included in the study show that 64.5% of the women never experienced under-five deaths of their children. Among four possible count models considered, the ZINB regression model was selected as the most appropriate model. Conclusion: The study revealed that mother’s age first birth, breastfeeding status, wealth index, whether the mother is currently working, region and mother’s level of education had statistically significant association with the number of under-five deaths in rural parts of Ethiopia.


2019 ◽  
Author(s):  
Yenew Alemu mihret

Abstract Under-five mortality is defined as the likelihood for a child born alive to die between birth and fifth birth day. Mortality of under the age of five has been the main target of public health policies and is a common indicator of mortality levels, especially in developing countries. It is also viewed as an indicator of the level of development, health and socioeconomic status of the population. The objective of this study was to identify determinants of under-five mortality in Ethiopia using the 2011 EDHS data. To achieve the objective of this study descriptive statistics and count regression models were used for data analysis using socio-economic, demographic and environmental related variables as explanatory variables and the number of under-five deaths per mother as the response variables. According to Ethiopian Demography health Survey, 2011 report the level of under-five mortality in rural parts of Ethiopia is 114 deaths per 1000 live births. Factors influencing the number of under-five deaths have been identified. The study revealed that mother’s age at the first birth, breastfeeding status, wealth index, current mother working, region and mother’s level of education had statistically significant on the number of under-five deaths in rural parts of Ethiopia.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Bakogianni

Abstract Issue/ problem Unhealthy diets, physical inactivity, alcohol and tobacco use are leading risk factors for non-communicable diseases. They are all modifiable and health promotion policies can support that. Description of the problem However, information overload, controversies and uncertainties, budget constraints and difficulties in balancing disparate interests are common challenges that can hamper action by policy makers in the field of public health. To support them, the European Commission has created the Health Promotion and Disease Prevention Knowledge Gateway. It is a reference point for independent and reliable information to assist policy making; it summarises both the data and knowledge needed to support prioritisation of public health policies and justify investments in health promotion. Results The Knowledge Gateway currently covers the areas of nutrition, physical activity, alcohol, marketing of foods and beverages, and related societal impacts such as disease burden and health inequalities. These topics have been prioritised by Member States representatives and policy makers. The content is organised into concise, well-structured briefs which include definition of each issue, health related effects, and examples of policy recommendations and implemented policies. The high-quality source documents are selected in a tiered approach and are mainly authored or endorsed by authoritative public health organisations. Lessons Judging by the positive feedback received, the Knowledge Gateway is being used widely across Member States and stakeholders. The content of the Knowledge Gateway will be further expanded to support other health priorities such as mental health promotion. Policy makers have a unique, trusted “one-stop-shop” with high quality information to support, justify and strengthen the development of public health policies and health promotion. Key messages The use of reliable authoritative information for the development of public health policies can support the prevention of major non-communicable disease risk factors. The EU Knowledge Gateway is a unique reference point of reliable, independent information to support policy making in the area of public health.


1994 ◽  
Vol 24 (1) ◽  
pp. 145-150 ◽  
Author(s):  
Samuel S. Epstein

For over three decades, evidence has accumulated relating avoidable exposures to environmental and occupational carcinogens to the escalating incidence of breast cancer in the United States and other major industrialized nations. This evidence has until very recently been totally ignored by the cancer establishment, the National Cancer Institute, and the American Cancer Society, despite expenditures of over $1 billion on breast cancer research. Recognition of these environmental and occupational risk factors should lead to the belated development of public health policies directed to the primary prevention of breast cancer. Their recognition should also lend urgency to the need for radical reforms in the priorities and leadership of the cancer establishment.


JAMIA Open ◽  
2021 ◽  
Author(s):  
Bo Peng ◽  
Rowland W Pettit ◽  
Christopher I Amos

Abstract Objectives We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations. Materials and methods Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations. Results The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and emergency response plans. Discussion Our simulator is powerful, flexible, and customizable, although successful applications require realistic estimation and robustness analysis of population-specific parameters. Conclusion Risk assessment and continuity planning for COVID-19 outbreaks are crucial for the continued operation of many organizations. Our simulator will be continuously expanded to meet this need.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Caló ◽  
B S N Souza ◽  
N D Galvão ◽  
R A G Souza ◽  
J C S Oliveira ◽  
...  

Abstract Background Colorectal cancer has been one of the cancers that most contributed to mortality, in both sexes in the world. In Brazil, cancer is among the top five causes of death and colorectal cancer is ranked on the fifth position. Of the Federative Units belonging to the Legal Amazon, Mato Grosso stands out for the higher adjusted incidence of colorectal cancer for both sexes. Thus, the objective is to characterize deaths from colorectal cancer, according to sociodemographic variables in Mato Grosso from 2000 to 2016. Methods A descriptive study was carried out, using data from the Mortality Information System, made available by the Department of Health of the Mato Grosso State. Deaths of all ages were selected, whose basic cause was identified by the codes from the International Classification of Diseases: (C.18) colon cancer, (C.19) rectosigmoid junction cancer, (C.20) rectal cancer or (C.21) anus cancer. Results Between 2000 and 2016, 31,607 deaths from cancer were registered. Of these, 1,750 (5.6%) were due to colorectal cancer. An increased number of deaths was observed at the end of the period, with a variation from 46 deaths in 2000 from 173 in 2016. Highest frequency was verified in men (51.3%), people aged 60 years or older (59.7%), black (54.6%), married (52.3%) and those with primary education (55.2%). According to Brazilian occupation classification options or those answers filled out on the death certificate, highest frequency were for “Retired” (26.2%), “Housewife” (23.1%), Agricultural/Forestry and Fisheries” (11.3%) and “Production of Industrial Goods and Services” (10.3%). Conclusions This study evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State, and identified priority groups for interventions through public health policies which should include screening and early diagnosis to cope with the disease. Key messages Evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State. Identified priority groups for interventions through public health policies.


2021 ◽  
Vol 17 (2) ◽  
pp. 186-203
Author(s):  
Nathan Genicot

AbstractThe COVID-19 pandemic has given rise to the massive development and use of health indicators. Drawing on the history of international public health and of the management of infectious disease, this paper attempts to show that the normative power acquired by metrics during the pandemic can be understood in light of two rationales: epidemiological surveillance and performance assessment. On the one hand, indicators are established to evaluate and rank countries’ responses to the outbreak; on the other, the evolution of indicators has a direct influence on the content of public health policies. Although quantitative data are an absolute necessity for coping with such disasters, it is critical to bear in mind the inherent partiality and precarity of the information provided by health indicators. Given the growing importance of normative quantitative devices during the pandemic, and assuming that their influence is unlikely to decrease in the future, they call for close scrutiny.


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