Assessment of the Determinants of Health Services utilisation in Urban Areas: Case study of Mbale municipality, Uganda

Author(s):  
Ilukor Geresom
Author(s):  
Tue Nguyen Dang

This research examines the factors affecting the financial literacy of Vietnamese adults. Using a sample of 266 observations of adults in 2 big cities in Vietnam (Hanoi and Vinh in Nghe An Province), the author evaluates the literacy level of adults in these urban areas. The financial literacy of the interviewed people is low. The multiple regression results show that lower financial literacy levels associate with higher age and married status and higher financial literacy levels associate with higher education, more family members, the person making financial decisions and the person attending a useful financial course. This research also explores the association between financial literacy and financial behaviors of individuals employing logistic models. It is found that higher financial literacy associates with less probability of overspending and higher probability of saving money and careful spending. Higher financial literacy is also found to associate with higher probability of opening a savings account and making various investments. 


Author(s):  
Ericka A. Albaugh

This chapter examines how civil war can influence the spread of language. Specifically, it takes Sierra Leone as a case study to demonstrate how Krio grew from being primarily a language of urban areas in the 1960s to one spoken by most of the population in the 2000s. While some of this was due to “normal” factors such as population movement and growing urbanization, the civil war from 1991 to 2002 certainly catalyzed the process of language spread in the 1990s. Using census documents and surveys, the chapter tests the hypothesis at the national, regional, and individual levels. The spread of a language has political consequences, as it allows for citizen participation in the political process. It is an example of political scientists’ approach to uncovering the mechanisms for and evidence of language movement in Africa.


2016 ◽  
Vol 10 (1) ◽  
pp. 99-117 ◽  
Author(s):  
Alberto De Marco ◽  
Giulio Mangano ◽  
Fania Valeria Michelucci ◽  
Giovanni Zenezini

Purpose – The purpose of this paper is to suggest the usage of the project finance (PF) scheme as a suitable mechanism to fund energy efficiency projects at the urban scale and present its advantages and adoption barriers. Design/methodology/approach – A case study is developed to renew the traffic lighting system of an Italian town via replacement of the old lamps with new light-emitting diode (LED) technology. Several partners are involved in the case project to construct a viable PF arrangement. Findings – The case study presents the viability of the proposed PF scheme that provides for acceptable financial returns and bankability. However, it also shows that the need for short concession periods may call for a public contribution to the initial funding to make the project more attractive to private investors. Practical implications – This case study is a useful guideline for governments and promoters to using the PF arrangement to fund energy efficiency investments in urban settings. It helps designing an appropriate PF scheme and understanding the advantages of PF to reduce risk and, consequently, increase the debt leverage and profitability of energy efficiency projects. Originality/value – This paper contributes to bridging the gap about the lack of works addressing the implementation of the PF mechanism in the energy efficiency sector in urban areas. The importance of this paper is also associated with the shortage of traditional public finance faced by many cities that forces to seek for alternate forms of financing.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eleanor Holding ◽  
Hannah Fairbrother ◽  
Naomi Griffin ◽  
Jonathan Wistow ◽  
Katie Powell ◽  
...  

Abstract Background Improving children and young people’s (CYP) health and addressing health inequalities are international priorities. Reducing inequalities is particularly pertinent in light of the Covid-19 outbreak which has exacerbated already widening inequalities in health. This study aimed to explore understandings of inequality, the anticipated pathways for reducing inequalities among CYP and key factors affecting the development and implementation of policy to reduce inequalities among CYP at a local level. Methods We carried out a qualitative case study of one local government region in the North of England (UK), comprising semi structured interviews (n = 16) with service providers with a responsibility for child health, non-participant observations of key meetings (n = 6 with 43 participants) where decisions around child health are made, and a local policy documentation review (n = 11). We employed a novel theoretical framework, drawing together different approaches to understanding policy, to guide our design and analysis. Results Participants in our study understood inequalities in CYP health almost exclusively as socioeconomically patterned inequalities in health practices and outcomes. Strategies which participants perceived to reduce inequalities included: preventive support and early intervention, an early years/whole family focus, targeted working in local areas of high deprivation, organisational integration and whole system/place-based approaches. Despite demonstrating a commitment to a social determinants of health approach, efforts to reduce inequalities were described as thwarted by the prevalence of poverty and budget cuts which hindered the ability of local organisations to work together. Participants critiqued national policy which aimed to reduce inequalities in CYP health for failing to recognise local economic disparities and the interrelated nature of the determinants of health. Conclusions Despite increased calls for a ‘whole systems’ approach to reducing inequalities in health, significant barriers to implementation remain. National governments need to work towards more joined up policy making, which takes into consideration regional disparities, allows for flexibility in interpretation and addresses the different and interrelated social determinants of health. Our findings have particular significance in light of Covid-19 and indicate the need for systems level policy responses and a health in all policies approach.


2021 ◽  
Vol 12 (1) ◽  
pp. 18
Author(s):  
Lennart Adenaw ◽  
Markus Lienkamp

In order to electrify the transport sector, scores of charging stations are needed to incentivize people to buy electric vehicles. In urban areas with a high charging demand and little space, decision-makers are in need of planning tools that enable them to efficiently allocate financial and organizational resources to the promotion of electromobility. As with many other city planning tasks, simulations foster successful decision-making. This article presents a novel agent-based simulation framework for urban electromobility aimed at the analysis of charging station utilization and user behavior. The approach presented here employs a novel co-evolutionary learning model for adaptive charging behavior. The simulation framework is tested and verified by means of a case study conducted in the city of Munich. The case study shows that the presented approach realistically reproduces charging behavior and spatio-temporal charger utilization.


Buildings ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 78
Author(s):  
Daria Uspenskaia ◽  
Karl Specht ◽  
Hendrik Kondziella ◽  
Thomas Bruckner

Without decarbonizing cities energy and climate objectives cannot be achieved as cities account for approximately two thirds of energy consumption and emissions. This goal of decarbonizing cities has to be facilitated by promoting net-zero/positive energy buildings and districts and replicating them, driving cities towards sustainability goals. Many projects in smart cities demonstrate novel and groundbreaking low-carbon solutions in demonstration and lighthouse projects. However, as the historical, geographic, political, social and economic context of urban areas vary greatly, it is not always easy to repeat the solution in another city or even district. It is therefore important to look for the opportunities to scale up or repeat successful pilots. The purpose of this paper is to explore common trends in technologies and replication strategies for positive energy buildings or districts in smart city projects, based on the practical experience from a case study in Leipzig—one of the lighthouse cities in the project SPARCS. One of the key findings the paper has proven is the necessity of a profound replication modelling to deepen the understanding of upscaling processes. Three models analyzed in this article are able to provide a multidimensional representation of the solution to be replicated.


Land ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 703
Author(s):  
Astrid Vannoppen ◽  
Jeroen Degerickx ◽  
Anne Gobin

Attractive landscapes are diverse and resilient landscapes that provide a multitude of essential ecosystem services. The development of landscape policy to protect and improve landscape attractiveness, thereby ensuring the provision of ecosystem services, is ideally adapted to region specific landscape characteristics. In addition, trends in landscape attractiveness may be linked to certain policies, or the absence of policies over time. A spatial and temporal evaluation of landscape attractiveness is thus desirable for landscape policy development. In this paper, landscape attractiveness was spatially evaluated for Flanders (Belgium) using landscape indicators derived from geospatial data as a case study. Large local differences in landscape quality in (i) rural versus urban areas and (ii) between the seven agricultural regions in Flanders were found. This observed spatial variability in landscape attractiveness demonstrated that a localized approach, considering the geophysical characteristics of each individual region, would be required in the development of landscape policy to improve landscape quality in Flanders. Some trends in landscape attractiveness were related to agriculture in Flanders, e.g., a slight decrease in total agricultural area, decrease in dominance of grassland, maize and cereals, a decrease in crop diversity, sharp increase in the adoption of agri-environmental agreements (AEA) and a decrease in bare soil conditions in winter. The observed trends and spatial variation in landscape attractiveness can be used as a tool to support policy analysis, assess the potential effects of future policy plans, identify policy gaps and evaluate past landscape policy.


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