scholarly journals The Trend of HIV/AIDS Incidence and Risks Associated with Age, Period, and Birth Cohort in Four Central African Countries

2021 ◽  
Vol 18 (5) ◽  
pp. 2564
Author(s):  
Nodjimadji Tamlengar Martial ◽  
Sumaira Mubarik ◽  
Chuanhua Yu
Keyword(s):  
Incidence Rates ◽  
Sub Saharan Africa ◽  
African Countries ◽  
The Sustainable Development ◽  
Relative Risks ◽  
Republic Of The Congo ◽  
Sub Saharan ◽  
Using Data ◽  
Global Burden Of Diseases ◽  
Hiv Aids

The HIV/AIDS incidence rates have decreased in African countries although the rates are still high in Sub-Saharan Africa. Our study aimed to examine the long-term trend of the overall HIV/AIDS incidence rates in four countries of the central region of Africa, using data from the Global Burden of Diseases (GBD) 2019 study. The Age–Period–Cohort statistical model analysis was used to measure the trends of HIV/AIDS incidence rates in each of the four countries. HIV/AIDS incidence rates decreased slowly in Cameroon (CAM), Chad, and Central African Republic (CAR), but considerably in the Democratic Republic of the Congo (DRC) from 1990–2019. HIV/AIDS incidence rates in the four countries were at their peaks in the age group of 25–29 years. According to the age relative risks, individuals aged between 15 and 49 years old are at high risk of HIV/AIDS incidence in the four countries. The period and cohort relative risks have decreased in all four countries. Although CAM recorded an increase of 59.6% in the period relative risks (RRs) between 1990 and 1999, HIV/AIDS incidence has decreased dramatically in all four countries, especially after 2000. The decrease of the period RRs (relative risk) by nearly 20.6-folds and the decrease of the cohort RRs from 147.65 to almost 0.0034 in the DRC made it the country with the most significant decrease of the period and cohort RRs compared to the rest. HIV/AIDS incidence rates are decreasing in each of the four countries. Our study findings could provide solid ground for policymakers to promptly decrease HIV/AIDS incidence by strengthening the prevention policies to eliminate the public health threat of HIV/AIDS by 2030 as one of the targets of the Sustainable Development Goals (SDGs).

scholarly journals Health indicators on adolescents reveal disparity and inequality on regional and national levels

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mengqiao Wang
Keyword(s):  
Wide Spectrum ◽  
Health Indicators ◽  
Sub Saharan Africa ◽  
Early Marriage ◽  
African Countries ◽  
The Sustainable Development ◽  
Genital Mutilation ◽  
Incidence And Mortality ◽  
Sub Saharan ◽  
Hiv Aids

Abstract Background Health status in adolescents is difficult to evaluate and compare horizontally, vertically and longitudinally among different regions and nations of the world. Methods With repeated surveys conducted with relatively uniformed standards, the UNICEF Data warehouse compiles and publishes a wide spectrum of health indicators, of which data analysis and visualization would reveal the underlying statuses and trends on global, regional and national levels. Results Apparent geographic disparity is present in that sub-Saharan African countries lag far behind their counterparts in other regions with regard to most health indicators on adolescents. Education attendance rates sequentially drop from primary to secondary school levels, and display correlation with youth literacy. Harmful practices of early marriage, early childbearing and female genital mutilation have decreased but the presences of peer violence and sexual violence are worthy of attentions. Although incidence and mortality rates of HIV/AIDS have dropped (most notably in sub-Saharan Africa), adolescents’ HIV/AIDS awareness remains suboptimal in selected countries. Cumulative COVID-19 cases and deaths in the adolescents are comparable to the children but relatively lower than the adult and senior groups. Conclusions Findings on the health indicators of adolescents until 2019 reveal the most recent status quo for reference right before the hit of ongoing COVID-19 pandemic. Progresses made on the various health indicators as well as the associated disparity and inequality underlie the remaining gaps to fill for the achievement of the Sustainable Development Goals by 2030.

scholarly journals Incidence of HIV in Sub-Saharan Africa, 2000–2015: The Interplay Between Social Determinants and Behavioral Risk Factors

2021 ◽  
Author(s):  
Deepa Jahagirdar ◽  
Magdalene Walters ◽  
Avina Vongpradith ◽  
Xiaochen Dai ◽  
Amanda Novotney ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Incidence Rates ◽  
Sub Saharan Africa ◽  
Behavioral Risk ◽  
Hiv Incidence ◽  
Hiv Knowledge ◽  
African Countries ◽  
Final Model ◽  
Sub Saharan ◽  
Disease Study

AbstractHIV incidence in sub-Saharan Africa declined substantially between 2000 and 2015. In this analysis, we consider the relative associations of nine structural and individual determinants with this decline. A linear mixed effects model of logged HIV incidence rates versus determinants was used. The data were from mathematical modelling as part of the 2019 Global Burden of Disease Study in 43 sub-Saharan African countries. We used forwards selection to determine a single final model of HIV incidence rate. The association of economic variables and HIV knowledge with incidence was found to be driven by education, while ART coverage had the largest impact on other determinants’ coefficients. In the final model, education years per capita contributed the most to explaining variation in HIV incidence rates; a 1-year increase in mean education years was associated with a 0.39 (− 0.56; − 0.2, t = − 4.48 p < 0.01) % decline in incidence rate while a unit increase in ART coverage was associated with a 0.81 (− 1.34; − 0.28, t = − 3.01, p < 0.01) % decline in incidence rate.

scholarly journals The recent evolution of the HIV rates in Sub-Saharan Africa: Do differences still persist?

2019 ◽  
Author(s):  
antonio montañés bernal ◽  
Cristina Martínez
Keyword(s):  
Null Hypothesis ◽  
Incidence Rates ◽  
Sub Saharan Africa ◽  
Female Education ◽  
Prevalence Rates ◽  
African Countries ◽  
Total Incidence ◽  
Immunodeficiency Virus ◽  
Patterns Of Behavior ◽  
Sub Saharan

Abstract Background This paper studies the evolution of the human immunodeficiency virus (HIV) prevalence and incidence rates in Sub-Saharan African countries, paying special attention to the possible presence of a unique pattern of behavior of these variables across the mentioned countries during the 1990-2016 period. Methods We employ time series methods designed to analyze the hypothesis of convergence. We apply these tests to prevalence and incidence rates of the Sub-Saharan African countries for the 1990-2016 period. Results We cannot reject the null hypothesis of convergence for male prevalence rates and total incidence rates. By contrast, we can observe divergence in female prevalence rates, Conclusion The evolution of the male prevalence rates and incidence rates is quite similar for the Sub-Saharan countries. But, we can still find different patterns of behavior for female prevalence rates. Therefore, the recent HIV-oriented policies have not been able to control its transmission yet. We can also appreciate that some socioeconomic variables play a crucial role to explain the different behaviors of female prevalence rates, especially the level of female education. So, focusing on this variable is crucial to control this pandemia.

Financing the Sustainable Development Goals in Sub-Saharan African Countries

2022 ◽  
pp. 32-51
Author(s):  
Alex Nester Jiya ◽  
Ernest Roderick Falinya
Keyword(s):  
Sustainable Development ◽  
Regional Integration ◽  
Industrial Development ◽  
Sustainable Development Goals ◽  
Sub Saharan Africa ◽  
African Countries ◽  
The Sustainable Development ◽  
High Population Growth ◽  
Development Goals ◽  
Sub Saharan

The chapter seeks to provide insights on the alternatives for financing sustainable development in the Sub- Saharan Africa (SSA). It has been highlighted in the chapter that the region faces the danger of not attaining the SDGs due to poor political systems, climate change, high population growth and restricted economic growth and development. This comes in the midst of declining and unpredictable Official Development Assistance (ODA) plus other domestic and foreign financing instruments. Despite the constraints, the chapter has explored the potential for the region to attain and maintain the Sustainable Development Goals (SDGs) way beyond 2030. Sub-Saharan Africa has a lot of natural resources and a favorable demographic structure. Furthermore, the region has shown some signs of industrial development of late and increasing regional integration which are key to economic transformation. Finally, the chapter has highlighted some policy recommendations in order for the region to realise its potential and attain the SDGs.

scholarly journals Willingness to Pay for Condoms among Men in Sub-Saharan Africa

2018 ◽  
Vol 16 (1) ◽  
pp. 34 ◽  
Author(s):  
William Evans ◽  
Kuyosh Kadirov ◽  
Ibou Thior ◽  
Ramakrishnan Ganesan ◽  
Alec Ulasevich ◽  
...  
Keyword(s):  
Public Health ◽  
Willingness To Pay ◽  
Condom Use ◽  
Sub Saharan Africa ◽  
Linear Regression Models ◽  
African Countries ◽  
Donor Funding ◽  
Sub Saharan ◽  
Tool Building ◽  
Hiv Aids

HIV/AIDS and other sexually transmitted infections (STIs) continue to be among the greatest public health threats worldwide, especially in sub-Saharan Africa (SSA). Condom use remains an essential intervention to eradicate AIDS, and condom use is now higher than ever. However, free and subsidized condom funding is declining. Research on how to create healthy markets based on willingness to pay for condoms is critically important. This research has three primary aims: (1) willingness of free condom users in five African countries to pay for socially marketed condoms; (2) the relationship between specific population variables and condom brand marketing efforts and willingness to pay; and (3) potential opportunities to improve condom uptake. Nationally representative samples of at least 1200 respondents were collected in Kenya, Nigeria, South Africa, Zambia, and Zimbabwe. We collected data on a range of demographic factors, including condom use, sexual behavior, awareness of condom brands, and willingness to pay. We estimated multivariate linear regression models and found that free condom users are overwhelmingly willing to pay for condoms overall (over 90% in Nigeria) with variability by country. Free users were consistently less willing to pay for condoms if they had a positive identification with their free brand in Kenya and Zimbabwe, suggesting that condom branding is a critical strategy. Ability to pay was negatively correlated with willingness, but users who could not obtain free condoms were willing to pay for them in Kenya and Zimbabwe. In a landscape of declining donor funding, this research suggests opportunities to use scarce funds for important efforts such as campaigns to increase demand, branding of condoms, and coordination with commercial condom manufacturers to build a healthy total market approach for the product. Free condoms remain an important HIV/AIDS prevention tool. Building a robust market for paid condoms in SSA is a public health priority.

scholarly journals Sub-Saharan Women Affected by HIV/AIDS: The Perfect Storm of Risk Factors

2013 ◽  
Vol 3 (2) ◽  
pp. 8
Author(s):  
Isabel Arroyo ◽  
Sanni Yaya
Keyword(s):  
Risk Factors ◽  
Partner Violence ◽  
Incidence Rates ◽  
Sub Saharan Africa ◽  
African Women ◽  
Lower Socioeconomic Status ◽  
Lower Socioeconomic ◽  
Sub Saharan ◽  
Perfect Storm ◽  
Hiv Aids

<div class="page" title="Page 8"><div class="layoutArea"><div class="column"><p><span>This paper explores women’s health in the prevalence and incidence rates of </span><span>HIV/AIDS in sub-Saharan Africa. The risk factors presented in the literature that are hypothesized to be responsible for the increasing rates of HIV/AIDS in sub-Saharan African women are identified. Risk factors discussed include biological factors, parasites, malnutrition, lower socioeconomic status, inti- mate partner violence, war, gender inequality and lack of education. These risk factors relate to multiple determinants of health: income and social sta- tus, education and literacy, employment, physical environment, gender and culture. The authors present their perspectives on mediating this epidemic, which involves reducing the ramifications of poverty on sub-Saharan women. </span></p></div></div></div>

Natural Disasters and International Migration from Sub-Saharan Africa

2009 ◽  
Vol 6 (2) ◽  
pp. 165-176 ◽  
Author(s):  
Wim Naudé
Keyword(s):  
Natural Disasters ◽  
Direct Evidence ◽  
Global Climate ◽  
Sub Saharan Africa ◽  
Extreme Weather Events ◽  
African Countries ◽  
Subsequent Period ◽  
Weather Events ◽  
Sub Saharan ◽  
Using Data

This paper employs a systems GMM model using data on 43 Sub-Saharan African countries from 1960 to 2005 to find that natural disasters have a significant impact on migration from SSA, raising the net out-migration by around 0.37 persons per 1,000. No direct evidence was found that natural disasters lead to further migration through impacting on GDP growth. It is however established that natural disasters is associated with a slightly increased probability that a country will be in conflict in a subsequent period. The frequency of natural disasters will not influence the duration of the conflict. It is concluded that natural disasters is an important determinant of migration from SSA. The findings in this paper imply that global climate change, through leading to more extreme weather events, will contribute to further migration from the continent.

Access to drinking water in sub-Saharan Africa: does the developmental state doctrine matter?

2020 ◽  
pp. 002085232093006
Author(s):  
Bacha Kebede Debela ◽  
Geert Bouckaert ◽  
Steve Troupin
Keyword(s):  
Drinking Water ◽  
Developmental State ◽  
Water Sources ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Drinking Water Sources ◽  
Developmental States ◽  
Urban Rural ◽  
Sub Saharan ◽  
Using Data

Using data from 14 sub-Saharan African countries, this study investigates the relevance of the developmental state doctrine to enhancing access to improved drinking water sources and to reducing urban–rural inequalities in access to improved sources and piped-on premises. Although access to improved water sources and urban–rural inequality seems better in developmental states than in non-developmental states, we have not found sufficient support for the claim that the developmental state approach is the best alternative. The influence of corruption is, unexpectedly, higher in developmental states than in non-developmental states. Moreover, both developmental states and non-developmental states were not significantly investing in access to drinking water supply programs. We find that the total population growth rate is the strongest predictor, rather than regime type. Other factors that explain the variation between all samples of developmental states and non-developmental states are identified and discussed, and implications are outlined. Points for practitioners There is significant variation in access to improved drinking water sources and urban–rural inequalities in access to improved sources and piped-on premises between developmental states and non-developmental states. The relevance of the developmental state doctrine to improving access to drinking water, reducing socio-economic inequalities in access to drinking water, and realizing Sustainable Development Goal targets in sub-Saharan Africa is ambiguous. We advise strengthening a functional Weberian bureaucracy and promoting political decentralization.

ENDURING ECONOMIC HARDSHIP, WOMEN'S EDUCATION, MARRIAGE AND FERTILITY TRANSITION IN KINSHASA

2014 ◽  
Vol 47 (2) ◽  
pp. 258-274 ◽  
Author(s):  
DAVID SHAPIRO
Keyword(s):  
Women's Education ◽  
Fertility Transition ◽  
Economic Hardship ◽  
Sub Saharan Africa ◽  
Economic Conditions ◽  
Secondary Schooling ◽  
Republic Of The Congo ◽  
Sub Saharan ◽  
Using Data ◽  
The City

SummaryThis paper examines fertility transition in Kinshasa, capital of the Democratic Republic of the Congo (DRC) and second-largest city in sub-Saharan Africa. Shapiro (1996) documented the onset of fertility transition in the city, using data from 1990. Women's education was strongly inversely related to fertility, beginning with secondary schooling, and increases in women's education were important in initiating fertility transition in the city. The paper uses data from the 2007 Demographic and Health Survey in the DRC to examine fertility in Kinshasa and assess fertility transition since 1990, a period characterized by severe adverse economic conditions in the DRC. Fertility transition has continued at a strong pace. In part this reflects increased educational attainment of women, but it appears also to be largely a consequence of enduring economic hardship. The ongoing fertility decline has been accompanied by substantial delays in entry to marriage and childbearing, reflecting adverse economic conditions, which in turn have contributed to continuing declines in fertility.

Mobile Money Transfer

2020 ◽  
pp. 1-15
Author(s):  
Martin Kang'ethe Gachukia
Keyword(s):  
Financial Inclusion ◽  
Sub Saharan Africa ◽  
Economic Policies ◽  
African Countries ◽  
Middle Income ◽  
The Sustainable Development ◽  
Mobile Money ◽  
International Remittances ◽  
Money Transfer ◽  
Sub Saharan

The chapter reviews the growth of mobile money transactions (MMTs) and their effect on international remittances and financial inclusion. The novelty of MMTs is its widening adaptation beyond Sub-Saharan Africa with increased confidence in use of MMTs by international humanitarian agencies and governments in reaching out to citizenry through government-to-people (G2P) as well as people-to-government (P2G) payment platforms. The chapter is conceptualized on the emergent themes emanating from the World Bank data under the G20 financial inclusion indicators in 60 countries with remarkable MMTs per 100,000 adults. Emergent findings from the data indicates of MMT benefits to small countries such as the Pacific Island countries, benign economic policies under West African countries, increased uptake of cash and voucher transfers through humanitarian support, and the pursuit of cashless economy through mobile wallets. In essence, the growth of MMTs is currently viewed as leap-frog strategy to the low- and middle-income countries embracing MMTs in promoting the sustainable development goals.

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