scholarly journals Impact of Healthcare Expenditures on Healthcare Outcomes in the Middle East and North Africa (MENA) Region: A Cross-Country Comparison, 1995–2015

2021 ◽  
Vol 8 ◽  
Author(s):  
Bander Balkhi ◽  
Dhfer Alshayban ◽  
Nawaf M. Alotaibi
Keyword(s):  
Middle East ◽  
Life Expectancy ◽  
Health Outcomes ◽  
North Africa ◽  
Health Expenditures ◽  
Healthcare Spending ◽  
Series Data ◽  
Mena Region ◽  
Healthcare Expenditures ◽  
The Impact

The association between healthcare expenditures and outcomes, mainly mortality and life expectancy, is complex. The real explanation for this association is not clear, especially in the Middle East and North Africa (MENA) region. This study assesses the impact of health expenditures on improving healthcare systems and health status and finds a relationship between health expenditures and health outcomes across different region. Annual time series data on healthcare spending and outcomes from 1995 to 2015 were used for MENA region in comparison to developed and developing countries. Health expenditure was adjusted by the consumer price index equation to the 2015 US dollar eliminate the impact of inflation on our results. For many countries, spending on healthcare continues to rise, Among MENA countries, we found that the United Arab Emirates and Kuwait spent more per capita on health, $1,711 and $1,420, respectively, than any other countries in the region. Although this study demonstrated a relationship between total healthcare expenditure and outcomes, some countries spend more on healthcare but have shorter life expectancy. In most countries, efficient and effective utilization of healthcare resources is the key strategy for improving health outcomes in any country. The lack of a positive correlation between healthcare spending and life expectancy may indicate that health resources are not allocated effectively. In those cases, increasing health spending does not guarantee that there is any kind of improvement in healthcare.

scholarly journals Influence of COVID-19 on lifestyle behaviors in the Middle East and North Africa Region: a survey of 5896 individuals

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Mohamed Abouzid ◽  
◽  
Dina M. El-Sherif ◽  
Nael Kamel Eltewacy ◽  
Nesrine Ben Hadj Dahman ◽  
...  
Keyword(s):  
Social Media ◽  
Middle East ◽  
Food Consumption ◽  
North Africa ◽  
Fast Food ◽  
Online Survey ◽  
Eating Habits ◽  
Lifestyle Behaviors ◽  
Mena Region ◽  
The Impact

Abstract Background Coronavirus disease (COVID-19) pandemic has affected health and lifestyle behaviors of people globally. This project aims to identify the impact of COVID-19 on lifestyle behavior of individuals in the Middle East and North Africa (MENA) region during confinement. Methods We conducted an online survey in 17 countries (Egypt, Jordan, United Arab Emirates, Kuwait, Bahrain, Saudi Arabia, Oman, Qatar, Yemen, Syria, Palestine, Algeria, Morocco, Libya, Tunisia, Iraq, and Sudan) from the MENA region on August and September 2020. The questionnaire included self-reported information on lifestyle behaviors, including physical activity, eating habits, smoking, watching television, social media use and sleep before and during the pandemic. Logistic regression was performed to analyze the impact of COVID-19 on lifestyle behaviors. Results A total of 5896 participants were included in the final analysis and 62.8% were females. The BMI of the participants was 25.4 ± 5.8 kg/m2. Around 38.4% of the participants stopped practicing any physical activities during the confinement (P < 0.001), and 57.1% reported spending more than 2 h on social media (P < 0.001). There were no significant changes in smoking habits. Also, 30.9% reported an improvement in their eating habits compared with 24.8% reported worsening of their eating habits. Fast-food consumption decreased significantly in 48.8% of the study population. This direct/indirect exposure to COVID-19 was associated with an increased consumption of carbohydrates (OR = 1.09; 95% CI = 1.02–1.17; P = 0.01), egg (OR = 1.08; 95% CI = 1.02–1.16; P = 0.01), sugar (OR = 1.09; 95% CI = 1.02–1.16; P = 0.02), meat, and poultry (OR = 1.13; 95% CI = 1.06–1.20; P < 0.01). There was also associated increase in hours spent on watching television (OR = 1.07; 95% CI = 1.02–1.12; P < 0.01) and social media (OR = 1.09; 95% CI = 1.01–1.18; P = 0.03). However, our results showed a reduction in sleeping hours among those exposed to COVID-19 infection (OR = 0.85; 95% CI = 0.77–0.94; P < 0.01). Conclusions The COVID-19 pandemic was associated with an increase in food consumption and sedentary life. Being exposed to COVID-19 by direct infection or through an infected household is a significant predictor of amplifying these changes. Public health interventions are needed to address healthy lifestyle behaviors during and after the COVID-19 pandemic.

scholarly journals Environmental Performance and Economic Growth in Middle East and North Africa Countries

2019 ◽  
Vol 9 (24) ◽  
Author(s):  
Hichem Dkhili
Keyword(s):  
Economic Growth ◽  
Middle East ◽  
North Africa ◽  
Environmental Performance ◽  
Middle Eastern ◽  
Smooth Transition ◽  
African Countries ◽  
Mena Region ◽  
Mena Countries ◽  
The Impact

Background. Studies on environmental performance/quality and economic growth show inconclusive results. Objective. The aim of the present study is to assess the non-linear relationship between environmental performance and economic growth in the Middle East and North Africa (MENA) region from 2002–2018. Methods. A sample of fourteen (14) MENA countries was used in the present analysis. However, due to important differences between countries in this region, the whole sample was divided into two sub-samples; nine Middle Eastern countries (MEAS) and five North African countries (NAF). We performed the panel smooth transition regression model as an econometric approach. Discussion. Empirical results indicate a threshold effect in the environmental performance and economic growth relationship. The threshold value differs from one group of countries to another. More specifically, we found that the impact of environmental performance and economic growth is positive and significant only if a certain threshold level has been attained. Until then, the effect remains negative. Conclusions. The findings of the present study are of great importance for policymakers since they determine the optimal level of environmental performance required to act positively on the level of economic growth. MENA countries should seek to improve their environmental performance index in order to grow output. Competing Interests. The authors declare no competing financial interests.

scholarly journals Social Trust in the Middle East and North Africa: The Context-Dependent Impact of Citizens’ Socio-Economic and Religious Characteristics

2019 ◽  
Vol 35 (6) ◽  
pp. 894-911 ◽  
Author(s):  
Niels Spierings
Keyword(s):  
Middle East ◽  
North Africa ◽  
Social Trust ◽  
Context Dependency ◽  
Comparative Approach ◽  
Mena Region ◽  
Mena Countries ◽  
Systematic Assessment ◽  
Context Sensitive ◽  
The Impact

Abstract Our knowledge of social trust's drivers in the MENA region is limited and there are good reasons to expect that theories based on Western countries cannot be copied to the MENA one-to-one. Arguing for a broader and at the same time context-sensitive comparative approach, I translate the ‘societal winners’, social capital, and religious beliefs mechanisms explaining trust to the MENA context. Moreover, I acknowledge intraregional diversity and test how the impact of these factors also differs among MENA countries. Empirically, I synchronize 47 surveys from 15 MENA countries, which provides the broadest and most systematic assessment of trust in the MENA to date. The results show that the societal-winner mechanism does not hold: employed, higher education and wealthier citizens are not more trusting. However, higher-educated citizens distrust other citizens more, particularly in the strongest autocracies. Religiosity seems pivotal too. Among others, service-attending citizens are more trusting, mainly where regimes regulate religious affairs. Overall, this study provides insight into what shapes generalized social trust in the Middle East and North Africa and it underscores that at a comparative level we need to consider inter-regional and intra-regional forms of context-dependency were we to formulate a broadly applicable theoretical framework of trust's drivers.

scholarly journals Exploring the Impact of Climate Change on the Outbreak of Early Twenty-First-Century Violence in the Middle East and North Africa and the Potential of Permaculture as an Effective Adaptation

2018 ◽  
Vol 10 (1) ◽  
pp. 179-186
Author(s):  
M. Elyas Karim
Keyword(s):  
Climate Change ◽  
Middle East ◽  
North Africa ◽  
Secondary Data ◽  
Environmental Crisis ◽  
Adaptation To Climate Change ◽  
Mena Region ◽  
Early Twenty ◽  
Underlying Causes ◽  
The Impact

Abstract Considering the ongoing violence taking place in the Middle East and North Africa (MENA) region, especially within Syria and Iraq, it is essential to provide an accurate explanation of causes in order to develop an adaptation model. In addition to discussing the climate-related concerns associated with the emergence of violence, this paper considers how tackling the environmental crisis in MENA will improve living standards and lead toward sustainable development. As a supplement to a range of secondary data, a small selection of individuals who have escaped the recent conflicts have been interviewed. Because this potential sample pool is small, and the ongoing violence precludes fieldwork in the MENA region, this study provides only a preliminary exploration of the topic. A more detailed study is desirable, if and when it is feasible to conduct such research. As a potential adaptation to climate change in the region, permaculture is presented through illustrations of its capabilities for redressing some of the underlying causes of violence in the MENA region.

How reward systems affect team performance in banks: evidence from the Middle East and North Africa (MENA) region

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Carole Serhan ◽  
Wissam Salloum ◽  
Nader Abdo
Keyword(s):  
Middle East ◽  
Team Performance ◽  
North Africa ◽  
Profit Sharing ◽  
Reward Systems ◽  
Mena Region ◽  
Content Type ◽  
Positive Effects ◽  
Research Stream ◽  
The Impact

Purpose The purpose of this study is to investigate the impact of reward systems on team performance and analyze how satisfaction with rewards can result in better working performance and cohesiveness in the job environment. Design/methodology/approach Data was collected from 32 single members of different teams working in 10 selected banks from the Middle East and North Africa region. Findings The analysis from empirical findings reveals that there is a positive link between reward systems and team performance. More particularly, profit sharing has positive effects on team performance and collective bargaining reward systems affect significantly team cohesiveness. These links create an opportunity for employers to use reward systems as a motivating factor to direct team behavior toward more employee retention. Originality/value This study contributes to the teamwork performance research stream by empirically studying how rewards improve team performance and cohesiveness in Eastern contexts. Studies in such contexts are relatively rare.

scholarly journals Exploring the Impact of Healthcare on Economic Growth in Africa

2019 ◽  
Vol 6 (3) ◽  
pp. 45
Author(s):  
Juste Somé ◽  
Selsah Pasali ◽  
Martin Kaboine
Keyword(s):  
Economic Growth ◽  
Life Expectancy ◽  
Health Outcomes ◽  
Health Expenditures ◽  
Gdp Per Capita ◽  
Real Gdp ◽  
Cent Increase ◽  
Real Gdp Per Capita ◽  
Per Capita ◽  
The Impact

This paper empirically investigates the relationship between health expenditures, health outcomes and economic growth in Africa using data from 48 African countries over the period 2000-2015 in a panel data regression framework. In line with wider literature on economic growth as well as health economics, the paper first finds that maternal, infant and child mortality rates are all negatively and significantly associated with economic growth in Africa. In addition, life expectancy at birth is positively associated with economic growth. A 9.4-year increase in life expectancy leads to 1 per cent increase in real GDP per capita. Second, the paper finds that health expenditures have direct and indirect effects on economic growth that are positive and economically meaningful. In particular, a 10 per cent increase in health expenditures leads to an increase in annual average real GDP per capita by 0.24 per cent. Third, education emerges as a strong determinant of both economic growth and health outcomes in Africa, particularly when female education is considered. The main policy implication of this paper is that governments should aim at spending more and efficiently on the overall health system to progress over health outcomes and benefit from the positive externalities leading to economic growth. In addition, it is crucial that governments partner with private sector for resource mobilization and effective service delivery.

scholarly journals The Fragility-Grievances-Conflict Triangle in the Middle East and North Africa (MENA): An Exploration of the Correlative Associations

2021 ◽  
Vol 10 (4) ◽  
pp. 120
Author(s):  
Timo Kivimäki
Keyword(s):  
Middle East ◽  
North Africa ◽  
Political Legitimacy ◽  
Mena Region ◽  
Conceptual Foundation ◽  
Post Cold War ◽  
State Fragility ◽  
The World ◽  
The Impact

The intention of this special issue of Social Sciences is to study state fragility and its relationship with conflict and grievances in the post-Cold War Middle East and North Africa (MENA). This article will lay the foundation for such a study by offering a conceptual foundation, data and the identification of the correlative associations that are specific to the MENA region. This article suggests that the relationship between political legitimacy, factionalism of the state, and conflict needs special, MENA-specific emphasis, as this relationship seems more prominently different in the MENA region, compared to the rest of the world. While in the rest of the world, different aspects of state fragility all relate to grievances and conflict dynamics, in the MENA region political factionalism has a disproportionate role in the explanation of conflict grievances and violence. Moreover, the role of oil dependence, and the impact of external intervention requires attention of specialists of the region.

scholarly journals Addition of rituximab to hyper-CVAD improves overall survival in newly diagnosed Burkitt leukemia/lymphoma from the Middle East and North Africa region

2019 ◽  
Vol 6 (10) ◽  
pp. 4199
Author(s):  
Najla S. Bin Sabbar ◽  
Fatimah S. Alowirdi ◽  
Fatimah A. Basakran ◽  
Lujain A. Al-Badr ◽  
Rawan A. Assiri ◽  
...  
Keyword(s):  
Overall Survival ◽  
Middle East ◽  
North Africa ◽  
Newly Diagnosed ◽  
Mena Region ◽  
Entire Cohort ◽  
Therapy Regimen ◽  
Significant Difference ◽  
The Impact

Background: Burkitt leukemia/lymphoma (BL) is a highly aggressive malignancy treated with intensive combinational chemotherapy. However, there is paucity in the literature with regards to outcome in patients with BL from the Middle East and North Africa Region (MENA).Methods: We examined the impact of incorporation of the monoclonal antibody rituximab within a chemotherapy backbone of hyper-fractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone, cytarabine and methotrexate (hyper-CVAD). Between 2007 to 2016, a total of 21 patients were identified and data retrospectively collected with median follow up was 32 months (1.1-120). The cohort was stratified based on exposure to rituximab and there was no significant difference regarding gender, age, stage, presence of constitutional symptoms, baseline presenting blood counts and proportion of patients completing prescribed therapy regimen between the strata.Results: Estimated overall survival (OS) of the entire cohort at 2 years was 71.1%; however, patients who received rituximab in conjunction with hyper-CVAD had a statistically significant improvement in 2-year OS at 81.2% vs 40% (p=0.048).Conclusions: In conclusion, we observed that incorporation of rituximab within a hyper-CVAD backbone improved OS in BL patients from the MENA region. These results warrant further evaluation.

scholarly journals Public Health Expenditures, Environmental Pollution and Health Outcomes: Evidence from Nigeria

2018 ◽  
pp. 1-15 ◽  
Author(s):  
Nwani, Stanley Emife ◽  
Kelani, Fatai Adeshina ◽  
Ozegbe, Azuka Elvis ◽  
Oluleye H. Babatunde
Keyword(s):  
Public Health ◽  
Health Outcome ◽  
Health Status ◽  
Health Outcomes ◽  
Environmental Pollution ◽  
Health Expenditures ◽  
Series Data ◽  
The Impact ◽  
Public Health Expenditures

The role of health in the development of a nation cannot be overemphasized. While the concept of health status and the impact of public health expenditure have continued to generate scholarly debates, this study contributes to the debate with the incorporation of the role of the environment as a determinant of health status in Nigeria. With the objective of examining the impact of Public Health Expenditures and Pollution on Nigerians Health Status, annual secondary time series data spanning 37 years (1981-2017) collected from Central Bank of Nigeria statistical bulletin and World Development Indicator were analyzed using the ARDL technique. The result shows that Public Expenditures on Health has a positive and significant impact on health outcomes in Nigeria. Again, environmental pollution as proxied by per capita CO2 emission has a negative and significant effect on health outcome in the country. Economic growth rate was found to have positive impact but insignificant in enhancing life expectancy (proxy for health outcome) in Nigeria. On the basis of the empirical findings, it is recommended that the government should sustain the flow of resources to the health sector and improve on environmental practices through the formulation of new national environmental policies and better awareness campaign through the deployment of community health extension workers (CHEW).

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