The environmental burden of diarrhea in young children attributable to inadequate sanitation in Brazil

2014 ◽  
Vol 4 (3) ◽  
pp. 509-520
Author(s):  
T. C. M. Sousa ◽  
C. Barcellos ◽  
A. F. Oliveira ◽  
J. Schramm ◽  
L. Garbayo
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Population Attributable Fraction ◽  
World Health ◽  
Environmental Burden ◽  
Sanitation And Hygiene ◽  
Development Goals ◽  
Unsafe Water ◽  
Health Organization ◽  
Evidence Based Decision Making

The Global Burden of Disease is the official metrics of World Health Organization in use to support public health evidence-based decision-making. It has been systematically used to assess environmental risk factors such as unsafe Water, Sanitation and Hygiene (WASH), as part of the measurement of Environmental Burden (EB). This article reports on the first study in Brazil that estimates the EB attributable to unsafe WASH associated with diarrhea for children under five years old for the country and macro-regions for 1998. The EB of diarrhea for this subgroup was estimated using the population attributable fraction (PAF) method for four scenarios of exposition to unsafe WASH. Results of PAF were multiplied by the EB obtained from the 1998 Brazilian GDB Study. The regions with higher EB for children below five years old were north and northeast, both predominantly rural. The EB attributable to unsafe WASH was 15% in 1998. The estimation of the EB of diarrhea contributes to the re-assessment of Brazil's attainment of the Millennium Development Goals (MDG) in both health and environmental dimensions. Results obtained indicated that the country's precarious conditions of WASH in rural areas are below the goals of MDG, as well as in impoverished urban areas.

scholarly journals Self-supply as an alternative approach to water access in rural scattered regions: evidence from a rural microcatchment in Colombia

2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Wilmar Torres-López ◽  
Inés Restrepo-Tarquino ◽  
Charlotte Patterson ◽  
John Gowing ◽  
Isabel Dominguez Rivera
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Urban Areas ◽  
Water Sources ◽  
External Support ◽  
World Health ◽  
Unfinished Business ◽  
Development Agenda ◽  
Thermotolerant Coliforms ◽  
Health Organization

<p>Globally, access to improved water sources is lower in rural areas compared to urban areas. Furthermore, in rural areas many people use water from individual systems they have developed with their investments, often without external support. This phenomenon has been called Self-supply. Self-supply ranges from simple to complex systems and different water sources. Water quality varies, from achieving World Health Organization (WHO) standards (0 CFU/100 ml) to systems that provide water posing high risks to human health. While most studies in Self-supply have been developed in Africa, little is known in Latin America and the Caribbean (LAC). This research explores Self-supply in a rural microcatchment in Colombia (LAC). Data was collected through household and drinking water surveys and analysed. Results showed that 40% of households used Self-supply systems taking water from springs and brooks. Thermotolerant Coliforms were below 50 CFU/100 ml, both in dry and rainy season, and between 5 to 7% of samples achieved the WHO standard. These results suggest that Self-supply has potential to offer safe drinking water, provided improvements on source protection and institutional support. Therefore, Self-supply could contribute to address “unfinished business”, including ensuring access for the hardest-to-reach people, as stated in the post-2015 development agenda.</p>

scholarly journals New Health Care Reform and Impoverishment among Chronic Households in China: A Random-Intercept Approach

2019 ◽  
Vol 16 (6) ◽  
pp. 1074
Author(s):  
Yongjian Xu ◽  
Anupam Garrib ◽  
Zhongliang Zhou ◽  
Duolao Wang ◽  
Jianmin Gao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Chronic Diseases ◽  
Rural Areas ◽  
Urban Areas ◽  
Shaanxi Province ◽  
World Health ◽  
Before And After ◽  
Using Data ◽  
Health Organization

High out-of-pocket (OOP) payments for chronic disease care often contribute directly to household poverty. Although previous studies have explored the determinants of impoverishment in China, few published studies have compared levels of impoverishment before and after the New Health Care Reform (NHCR) in households with members with chronic diseases (hereafter referred to as chronic households). Our study explored this using data from the fourth and fifth National Health Service Surveys conducted in Shaanxi Province. In total, 1938 households in 2008 and 7700 households in 2013 were included in the analysis. Rates of impoverishment were measured using a method proposed by the World Health Organization. Multilevel logistic modeling was used to explore the influence of the NHCR on household impoverishment. Our study found that the influence of NHCR on impoverishment varied by residential location. After the reform, in rural areas, there was a significant decline in impoverishment, although the impoverishment rate remained high. There was little change in urban areas. In addition, impoverishment in the poorest households did not decline after the NHCR. Our findings are important for policy makers in particular for evaluating reform effectiveness, informing directions for health policy improvement, and highlighting achievements in the efforts to alleviate the economic burden of households that have members with chronic diseases.

scholarly journals Breastfeeding and diversification attitudes among Romanian mothers

2021 ◽  
Vol 67 (3) ◽  
pp. 167-169
Author(s):  
Anastasia Simion ◽  
Maria Simion ◽  
Geanina Moldovan
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Complementary Feeding ◽  
World Health ◽  
Statistical Software ◽  
Accessible Information ◽  
Children Health ◽  
The World ◽  
Health Organization ◽  
Breastfeeding Attitudes

Abstract Introduction: Recommended by the World Health Organization as the optimal way of infant feeding, maternal breast milk represents the best nourishment for the newborn baby during its first six months. The purpose of this study was to evaluate some of the Romanian mothers’ characteristics that can influence their attitude towards breastfeeding and food diversification. Methods: A questionnaire about 32 questions, including demographics items and breastfeeding attitudes, was sent online (socializing platforms) in 2020 to mothers from all Romania districts. Our sample included at the end 1768 subjects, who fully completed the questionnaire. Statistical analysis was carried out using the GraphPad statistical software. Results: The prevalence of breastfeeding for more than six months was only 32.18% in our group, and most of them were educated mothers who lives in urban areas (OR=2.76), were married (OR=1.98), had over 30 years old (OR=1.43) and have more than one child (OR=1.74). Conclusions: We underline the importance of tackling in our future community interventions some of the socio-demographic characteristics of pregnant women (like groups education, good and accessible information about breastfeeding, young age, first pregnancy, or mothers from rural areas as well) in developing good habits of breastfeeding or complementary feeding, in order to improve their children health status and proper development.

scholarly journals Comparing healthiness across urban, peri-urban, and rural communities in Mymensingh region of Bangladesh

GeoScape ◽  
2020 ◽  
Vol 14 (1) ◽  
pp. 11-23
Author(s):  
Ripan Debnath ◽  
Praghya Parmita Debnath
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Economic Status ◽  
Health Assessment ◽  
World Health ◽  
Health Determinants ◽  
Disease Manifestation ◽  
Income Opportunity ◽  
Health Organization

AbstractPeople in urban and peri-urban areas enjoy better physical access to health facilities compared to those living in rural area. However, healthier natural environment is commonly absent in urban and its adjoining peri-urban areas. Premising on the competitiveness of health determinants outlined by the World Health Organization (WHO), this study has embarked upon comparing healthiness of different communities in a region as well as to ascertain the factor(s) regulating their healthiness related outcome. Relying on presurveyed 1397 household data spreading over an urban, two peri-urban, and eight rural localities in Mymensingh region, Bangladesh, the study has evaluated the communities’ healthiness in views of both the conventional perspective and using a set of health determinants. Illness and disease manifestation as well as socio-economic status of the households were analyzed statistically to get communities’ overall healthiness scenario. Later, comparison among the communities and contribution of different indicators were sought using a combined score index. In this study’s context, it has been found that urban is healthier than rural followed by peri-urban community. Here, rural areas lack education the most that should be improved; peri-urban areas need better income opportunity; and urban area requires better water-supply and waste management facilities to improve their respective health status in a community sense. There is not a commonly accepted health metrics for community’s comprehensive health assessment toward which this study sets a pathway. Besides, using the combined health index developed here, specific interventions required to improve community’s healthiness and minimize the gap among them can easily be identified.

scholarly journals Estimation of the prevalence of diabetes and study of some socio-demographic determinants among the diabetic population in Salé, Morocco-2021

2021 ◽  
Vol 319 ◽  
pp. 01049
Author(s):  
Abdelghani Asraoui ◽  
Abdelmajid Soulaymani ◽  
Chems Eddouha Khassouani
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
World Health ◽  
P Value ◽  
Middle Income ◽  
Probabilistic Sampling ◽  
Middle Income Countries ◽  
Average Household Income ◽  
Diabetic Population ◽  
Health Organization

According to the World Health Organization, diabetes is the cause of 1.5 million deaths each year, 80% of which occur in low- and middle-income countries. It will become the principal cause of death by 2030. In Morocco, the situation is as alarming as at the global level. However, the prevalence of diabetes at the provincial level is unknown. This paper aims to present partial results obtained from a statistical study, carried out in February 2021, where we estimated the prevalence of diabetes and studied some socio-demographic determinants among the diabetic population living in Salé, Morocco. The investigation included a sample of 488 households selected according to a two-stage stratified probabilistic sampling plan (466 of which were surveyed (i.e. 1868 individuals) with a response rate of 466/488 =95.5%). The results showed that, in 2021, diabetes was affecting 5.5% (95% CI 4.5%, 6.6%) of the studied population (5.8% of women and 5.1% of men, 5.6% in urban areas and 4.5% in rural areas). The proportion of diabetics increases significantly with age (p-value=0.0001<0.05). It was 0.1% among young people (<18 years), 3.9% among individuals aged 18-59, and 26.9% among those aged 60 and above. A logistic model, making it possible to predict, with an accuracy of 91.7%, the risk of contracting diabetes among the population aged 18 and above (1,308 subjects, 7.8% of which were diabetic), was performed. The model included several socio-demographic determinants. Age, educational level, economic activity, average household income and smoking were significantly associated with diabetes.

scholarly journals The Relationship between External and Internal Risk Factors with Pulmonary Tuberculosis in Children Aged 0-59 Months in Slums in Indonesia, 2013

2020 ◽  
Vol 12 (11) ◽  
pp. 116
Author(s):  
Made Agus Nurjana ◽  
Gunawan Gunawan ◽  
Dwi Hapsari Tjandrarini ◽  
Olwin Nainggolan
Keyword(s):  
Risk Factors ◽  
Pulmonary Tuberculosis ◽  
Rural Areas ◽  
Urban Areas ◽  
World Health ◽  
Rural And Urban ◽  
The Status ◽  
And Gender ◽  
One Year ◽  
Health Organization

BACKGROUND: Tuberculosis (Tb) remains a health problem throughout the world. World Health Organization (WHO) has set it as a &ldquo;Global Emergency&rdquo; disease. The difficulty of confirming the diagnosis of it in children, different from it in adults, causes the treatment of it in children often neglected. This problem is exacerbated by the supporting environmental conditions, namely living in slums, which makes the risk of transmission even higher. OBJECTIVE: To identify internal and external factors related to Tb in children aged 0-59 months living in slums in Indonesia. MATERIAL &amp; METHOD: The data source used was the 2013 Basic Health Research (Riskesdas) using a sample of children less than five years old who lived in slums in 34 provinces in Indonesia. RESULTS: Logistic regression analysis found three risk factors, namely BCG immunization status (age-based), at-risk home environment, and gender (residential area-based). Vaccinated children under one year of age have the best probability of not suffering from pulmonary tuberculosis. Those who live in a house inhabited by less than five people, or in that occupied by more than four with no one of which smokes or does not suffer from pulmonary tuberculosis has a probability of not being exposed to it. Likewise, women who live in rural areas have almost two times less probability of suffering from it, compared to men in urban areas. CONCLUSION: Factors contributing to the prevalence of pulmonary tuberculosis in infants in slums are the status of BCG immunization, air cleanliness in the neighborhood, which can be seen from the differences of risks in rural and urban, and the number of inhabitants per house and their behavior.

scholarly journals OVERWEIGHT, OBESITY AND GLYCEMIC CONTROL IN DIABETICS AT THE PROVINCIAL REFERENCE CENTER FOR DIABETES

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Khaled Hassan
Keyword(s):  
Glycemic Control ◽  
Rural Areas ◽  
Urban Areas ◽  
Glycosylated Hemoglobin ◽  
Fasting Blood Glucose ◽  
Overweight And Obesity ◽  
The Body ◽  
Blood Analysis ◽  
World Health ◽  
Health Organization

Introduction: Diabetes is defined as a disorder in the assimilation, use and storage of sugars provided by food, its management is ensured by monitoring overweight and obesity and regular glycemic control.  Methods: The study took place over a period of one year from January to December 2015.The evaluation of overweight and obesity was carried out by calculating the Body Mass Index, weight and height were measured according to the recommendations of the World Health Organization (WHO), Glycemic control was performed by blood analysis of glycosylated hemoglobin and fasting blood glucose.  Results: The age range of patients is between 8 months and 80 years, with a dominance of diabetics from urban areas (74%) compared to those from rural areas (26%). Overweight affects all of this population. The average BMI of women tends towards obesity (IMC?30): (29.21 Kg / m 2 ± 3.1) for gestational diabetes and (29.15 Kg / m 2± 3.2) for type 2 diabetes. The glycemic control values are above the norms. The difference between the values of glycosylated hemoglobin between men (8.5 7% ± 2.6) and women (8.1% ± 2.3) is not significant (P> 0.05) Conclusion:All diabetics have BMI and glycemic control values above the norms. In-depth research is needed on these diabetics in order to establish an urgent program of remediation. Keywords: Diabetes, prevalence, BMI, overweight, Glycosylated hemoglobin, fasting blood sugar

Health Crisis in Rural Nepal due to the Shortage of Health Professionals: Challenges, Solutions, and the Role of the International Community

2019 ◽  
Author(s):  
Biswas Shrestha ◽  
Binita Shrestha
Keyword(s):  
Health Professionals ◽  
Rural Areas ◽  
Urban Areas ◽  
Developing Nations ◽  
World Health ◽  
Health Crisis ◽  
Economic Output ◽  
The World ◽  
Health Organization ◽  
Developed Nations

Nepal, considered one of the poorest and underdeveloped nations in the world, has a particularly pronounced health crisis in its rural areas due to extreme shortages of health professionals. Home to 80% of the total population, the rural parts of Nepal are estimated to have a physician ratio of 2.4 physicians per 100 000 people (1), about 100 times lower than the minimum acceptable ratio provided by the World Health Organization (6, WHO 2006). The challenges of the mountainous topography of this Himalayan nation are further compounded by the disastrous scarcity of health professionals, viz. doctors, nurses, public health and biomedical researchers, etc. Consequently, simple and easily treatable diseases such as diarrhea, cholera, etc. take the lives of thousands of Nepali villagers every year. The health status and quality of life along with other grave problems such as poverty, illiteracy, and lack of infrastructures of development are worse in rural areas around the world, especially in developing nations such as Nepal compared to urban areas in developed nations (13, 18). Health crisis, underdevelopment, and poverty entangle rural areas in developing nations in a vicious circle, each contributing to the other, in which ill-health of rural residents negatively affects their productivity, economic output, socio-cultural contributions, and participation in the competitive world of globalization. The health crisis in rural parts of Nepal exists due to the extreme shortage of health professionals resulting from their preferences for working in urban cities in Nepal and in other developed nations, is caused by an intricate fabric of domestic push factors and international pull factors and can only be addressed through sustained cooperation between the national and international bodies.

scholarly journals Surface Water and Groundwater Quality in South Africa and Mozambique—Analysis of the Most Critical Pollutants for Drinking Purposes and Challenges in Water Treatment Selection

Water ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 305 ◽  
Author(s):  
Paola Verlicchi ◽  
Vittoria Grillini
Keyword(s):  
South Africa ◽  
Surface Water ◽  
Rural Areas ◽  
Urban Areas ◽  
World Health ◽  
Critical Parameters ◽  
Drinking Purposes ◽  
Surface Water And Groundwater ◽  
Sub Saharan ◽  
Health Organization

According to a recent report by the World Health Organization (WHO), the countries which still have limited access to water for drinking purposes are mainly those in the Sub-Saharan region. In this context, the current study provides an overview of the quality of surface water and groundwater in rural and peri-urban areas of the Republic of South Africa (RSA) and Mozambique (MZ) in terms of concentrations of conventional pollutants, inorganic chemicals, microorganisms, and micropollutants. Their values were compared with the drinking water standards available for the two countries. Regarding surface water, it was found that microorganisms occur at high concentrations; nickel (RSA) and boron (MZ) are other critical parameters. Regarding groundwater, arsenic and lead (RSA) and boron, sodium, and chloride (MZ) are the main critical substances. With regard to micropollutants, their surface water concentrations are much higher than those in European rivers. The highest values were for ibuprofen, acetylsalicylic acid, clozapine, and estriol. Suitable treatment is necessary to produce safe water depending on the main critical pollutants but, at the same time, action should be taken to improve wastewater treatment in rural areas to improve and safeguard surface water bodies and groundwater which are sources for drinking needs.

scholarly journals Risk Factor Analysis of Hypertension Occurrence Based on Urban-Rural Location in Indonesia (IFLS Data Study 5)

2020 ◽  
Vol 9 (2) ◽  
pp. 494-502
Author(s):  
Bara Bangun Ningharto ◽  
Ayik Mirayanti Mandagi ◽  
Rochmad Ardiansyah Pratama ◽  
Iswana Zahraa Hidayati
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Smoking Status ◽  
Secondary Data ◽  
Total Sample ◽  
Influential Factor ◽  
World Health ◽  
Urban Rural ◽  
Urban And Rural Areas ◽  
Health Organization

The World Health Organization (WHO) defines hypertension as a "silent killer" disease because the most of hypertension has not signs or symptoms. Nationally, Indonesia in 2016, the prevalence of hypertension is also higher in urban areas by 31.7% than in rural areas by 30.2%, the prevalence of hypertension is increasing with the increasing of ages. This study aims to analyze the factors that influence the incidence of hypertension and to determine the most influential factor at risk in the incidence of hypertension based on differences in the location of urban-rural respondents. The research design used in this study was observational analytics based on secondary data from the Indonesia Life Survey 5. The population study is the Indonesian community while the total sample as a whole amounted to 14,824. Conclusion: factors that influence the incidence of hypertension in urban and rural areas are BMI, age, education, marital status and smoking status.

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