scholarly journals Neonatal Mortality and Maternal/Child Health Care in Nigeria: An Impact Analysis

2020 ◽  
Vol 24 (7) ◽  
pp. 1299-1306
Author(s):  
F. Ewere ◽  
D.O. Eke

Reducing the rate of mortality in neonates to as low as 12 per 1,000 live births is one of the clearly spelt out aims of the third tenet of the Sustainable Development Goals (SDG) because of its importance to the dynamics of population. While there have been various studies focused majorly on the causes, rates and determinants of neonatal mortality in Nigeria, studies on the impact of maternal/child care characteristics on neonatal mortalityand the potential implication of failing to attain the SDG target for neonatal mortality have seemingly been neglected. In this study, we undertake an analysis of the impact of maternal / child care characteristics on neonatal mortality using the logistic regression model. Results from the study showed that antenatal care (P-value = 0.000, odds ratio = 0.546 for women who visited the hospital during pregnancy on more than 5 occasions), post natal care (P-value = 0.004, odds ratio = 0.402 for women who received early neonatal care from skilled medical personnel), place ofdelivery (P-value = 0.000, odds ratio = 0.592 for babies that were delivered in a government hospital) and skill of birth attendant (P-value = 0.000, odds ratio = 0.706 for babies who were delivered by trained doctors/nurses/midwives) had significant impact on neonatal mortality at the 95% confidence level implying that improved maternal health care: before, during and immediately after delivery as well as the quality of care to motherand child are both important and necessary to the reduction of neonatal mortality in Nigeria. To achieve the sustainable development target for neonatal mortality, it is therefore recommended that stake holders in the public health sector improve the quality of existing health care facilities and access to quality services. Keywords: Neonatal mortality, logistic regression, maternal care, child health care, Nigeria

Author(s):  
Vladimir V. Okrepilov ◽  
Alexander V. Babkin ◽  
Natalia V. Zlobina ◽  
Svetlana N. Kuzmina ◽  
Tatiana A. Salimova

The article examines the objectively existing in modern conditions of economic agents' activity the need to introduce and apply approaches based on the use of quality management methods in internal corporate management. The authors noted that one of the global trends of the XXI century. Is the structural transformation of the world economy associated with the active development and implementation of information and telecommunication (digital) technologies in the real economic processes of both society and business. The authors assess the approach widespread in Russia based on quality management methods in the formation of control systems for the activities of economic agents of the national economy in the context of digital transformation in order to ensure their sustainable development; the analysis of the formation of promising directions for the development of communities, declared by UNESCO, in conditions of instability, complexity and uncertainty was carried out; the toolkit for digitalization of quality management of the education system is considered, in particular, the use of project-based learning to improve the quality of knowledge obtained and assess the impact on the sustainable development of universities, the education sector in general and economic agents of the national economy, taking into account digitalization and global risks. The authors see further areas of research in modeling risks and assessing their impact on ensuring sustainable development of economic agents, socio-economic processes of the national economy and society as a whole by quality management methods in the context of digitalization of the economy.


2020 ◽  
Author(s):  
Bénédicte Razafinjato ◽  
Luc Rakotonirina ◽  
Jafeta Benony Andriantahina ◽  
Laura F. Cordier ◽  
Randrianambinina Andriamihaja ◽  
...  

AbstractDespite the widespread global adoption of community health (CH) systems, there are evidence gaps in how to best deliver community-based care aligned with global best practice in remote settings where access to health care is limited and community health workers (CHWs) may be the only available providers. PIVOT partnered with the Ministry of Public Health to pilot a new two-pronged approach for care delivery in rural Madagascar: one CHW provided care at a stationary CH site while 2-5 additional CHWs provided care via proactive household visits. The pilot included professionalization of the CHW workforce (i.e. recruitment, training, financial incentive) and twice monthly supervision of CHWs. We evaluated the impact of the CH pilot on utilization and quality of integrated community case management (iCCM) in the first six months of implementation (October 2019-March 2020).We compared utilization and proxy measures of quality of care (defined as adherence to the iCCM protocol for diagnosis, classification of disease severity, treatment) in the intervention commune and five comparison communes, using a quasi-experimental study design and relying on routinely collected programmatic data. Average per capita monthly under-five visits were 0.28 in the intervention commune and 0.22 in the comparison communes. In the intervention commune, 40.0% of visits were completed at the household via proactive care. CHWs completed all steps of the iCCM protocol in 77.8% of observed visits in the intervention commune (vs 49.5% in the comparison communes, p-value=<0.001). A two-pronged approach to CH delivery and professionalization of the CHW workforce increased utilization and demonstrated satisfactory quality of care. National stakeholders and program managers should evaluate program re-design at a local level prior to national or district-wide scale-up.


2021 ◽  
Vol 937 (4) ◽  
pp. 042031
Author(s):  
A Kopyrin ◽  
E Vidishcheva

Abstract The development of the economy’s tourism sector is one of the priority tasks set by the leadership of the Krasnodar Territory and Russian Federation. Thus, the construction of a model of the impact of tourist flows on the sustainability of the destination is very relevant. The authors developed a simulation model of the impact of tourist flows on the sustainable development of destination. The weighted net savings indicator was used as a measure of sustainability. This model can be further used in predicting the development of the studied sector of the economy. Using the developed tool for medium- and long-term planning will provide additional data to decision makers, reducing uncertainty, and thus improving the quality of management. The accuracy of the model is based entirely on publicly available statistics and expert assessments.


2021 ◽  
Vol 101 ◽  
pp. 02026
Author(s):  
Irina Terentieva ◽  
Andrey Svistunov

This article presents an overview of modern scientific research on budget risks as a factor influencing the sustainable development of territories. Certain aspects of the budget risk category were clarified based on an analysis of the existing conceptual framework of budget risk theory. The main types of budget risks are highlighted and the relationship between them is reflected. The main risk factors of the municipal budget corresponding to each type of risk were also identified. Also, recommendations on the methodology for assessing budget risks are provided. They are based on the use of correlation and regression analysis methods, as well as the simulation modeling of budget risk indicators. This methodological approach will allow for scenario analysis, stress testing of key budget indicators, and improvement of the quality of financial management. This will increase the resilience of budgets to the impact of uncertainty and risk factors.


2021 ◽  
Vol 26 ◽  
pp. 65-79
Author(s):  
Mari-Isabella Stan

In Romania, territorial/spatial development is understood as the process of transforming the geography of inhabited territories, taking into consideration: territorial planning, urban planning and development, public works, habitat and housing, construction. It is governed by the regulatory framework in force, aligning its policies and strategies with the main reference documents at the European level. The construction sector is a key sector for investment and economic development, playing an important role in achieving the sustainable development objectives through the impact that the quality of construction has on the quality of life and by ensuring the necessary environment for most human activities. The building permit is the final authority act of the local public administration on the basis of which the execution of construction works is allowed in accordance with the measures provided by law regarding the placement, design, construction, operation and post-use of buildings. Starting from comparative structural analyses on the number of building permits issued by the local public administrations in the South-East Region, the objective of this research has been to obtain a dynamic image, through a quantitative assessment, of the number of building permits issued for residential buildings, highlighting the way in which they directly influence the sustainable development of urban and rural localities in the South-East Region of Romania.


2020 ◽  
Vol 208 ◽  
pp. 04010
Author(s):  
Yuriy Egorov ◽  
Natalia Zhuravleva ◽  
Miloš Poliak

This article attempts to assess the impact of the level of railway rates on the sustainable development of territories (on the example of Russia, freight and passenger rates, 2000-2018) using econometric modeling with an autoregressive model. As follows from the results obtained, in general, the statistically significant effect of the level of railway rates on the sustainable development of territories can be identified only for some indicators that assess certain aspects of sustainable development. Evaluation of the influence of the level of railway rates on integral indicators of sustainable development (on the example of the human development index) leads either to the identification of autocorrelation of the model residuals or does not give an unambiguous answer about the presence/absence of autocorrelation, which casts doubt on the conclusions on assessing the quality of the model and its coefficients.


2021 ◽  
Vol 19 (162) ◽  
pp. 337-350
Author(s):  
Laura-Eugenia-Lavinia BARNA ◽  
◽  
Bogdan-Stefan IONESCU ◽  
Dumitru-Florin MOISE ◽  
◽  
...  

In this paper, the authors investigated the evolution of ERP-type integrated information systems and analysed the presentation of their main concepts and features, limited to the performance and sustainable development of the enterprise. Integrated ERP systems play an important role in managing and conducting the day-to-day business of an organization (irrespective of being small, medium or large companies). The research method used to justify the impact of ERP systems on the performance and sustainability of the organization was the archive analysis (review of the literature), doubled by a quantitative empirical research based on a questionnaire. The analysed information was collected from over 20 papers by Romanian and foreign authors, published in various scientific journals, specialized books and conference proceedings, as well as based on the answers received based on a questionnaire intended to prove that the integrated ERP systems contribute to improving the sustainable development and performance of the organization, by reducing costs and protecting the environment, increasing the quality of decision-making, productivity and data volume management. Following the study, the authors concluded that the evaluation of the processing of the volume of data generated by ERP systems, as well as the consistency, quality and clarity of information are representative factors on the impact of ERP systems on the sustainable development of organizations, in order to ensure the performance of the organization in the short, medium and long term.


2008 ◽  
Vol 42 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Débora G Amorim ◽  
Taghreed Adam ◽  
João J F Amaral ◽  
Eleanor Gouws ◽  
Jennifer Bryce ◽  
...  

OBJECTIVE: The Integrated Management of Childhood Illness is a strategy designed to address major causes of child mortality. The aim of this study was to assess the impact of the strategy on the quality of child health care provided at primary facilities. METHODS: Child health quality of care and costs were compared in four states in Northeastern Brazil, in 2001. There were studied 48 health facilities considered to have had stable strategy implementation at least two years before the start of study, with 48 matched comparison facilities in the same states. A single measure of correct management of sick children was used to assess care provided to all sick children. Costs included all resources at the national, state, local and facility levels associated with child health care. RESULTS: Facilities providing strategy-based care had significantly better management of sick children at no additional cost to municipalities relative to the comparison municipalities. At strategy facilities 72% of children were correctly managed compared with 56% in comparison facilities (p=0.001). The cost per child managed correctly was US$13.20 versus US$21.05 in the strategy and comparison municipalities, respectively, after standardization for population size. CONCLUSIONS: The strategy improves the efficiency of primary facilities in Northeastern Brazil. It leads to better health outcomes at no extra cost.


2011 ◽  
Vol 15 (3) ◽  
pp. 295-311 ◽  
Author(s):  
Marija Burinskienė ◽  
Vitalija Rudzkienė ◽  
Jūratė Venckauskaitė

The urban development covers the consensus of a wide range of activities and is aimed at equivalent coordination of the impact of economic, social and environmental factors on planning. Due to different attitudes and interests planners and scientists find it rather complicated to come to a common and widely acceptable attitude towards urban development patterns through harmonization of forms and development principles. The paper includes the theoretical attitudes, related to future insights, into the urban development conceptions. Moreover, assessing the impact of the economic paradigms on urban visions, the paper analyses the influence of development concepts on the qualities of development forms as well as on the creation of future urban alternative visions, compatibility with the principles of sustainable development and proper quality of life. The price of real estate is addressed as one of the key social indicators and the ones that reflect the quality of life. The theoretical provisions, with the help of expert evaluation, are verified taking the districts of Vilnius as an example and considering qualities and forms, population, jobs, area, noise level and pollution of individual districts on the basis of different components. Conceptual modelling principles are applied to determine critical values of the indicators that characterize the sustainable development. Based on them, a system is created that helps to define features of individual urban districts,potential development alternatives and achievable allowed marginal values of the quality of life. Santrauka Subalansuota miestų plėtra apima įvairių veiklos sričių konsensusą, siekiant lygiavertiškaiderinti ekonominių, socialinių, ekologinių veiksnių įtaką planavimui. Dėl skirtingų požiūrių ir interesų planuotojams bei mokslininkams nelengva rasti bendrą, visiems priimtiną požiūrį į miestų plėtros šablonus, derinant formas ir plėtros principus. Straipsnyje analizuojama plėtros konceptų įtaka plėtros formų savybėms, ateities miesto alternatyvių vizijų kūrimui, atitikčiai darnios plėtros principams ir tinkamai gyvenimo kokybei. Kaip vienas pagrindinių socialinių ir gyvenimo kokybę atspindinčių rodiklių nagrinėjama nekilnojamojo turto kaina. Teorinės nuostatos, pasitelkiant ekspertinį vertinimą, tikrinamos Vilniaus miesto rajonų pavyzdžiu (Lietuvos Respublikos sostinė – 560 tūkst.gyv.), atsižvelgiant į atskirų 40 transportinių rajonų savybes ir formas, gyventojų,darbo vietų skaičių, teritorijos plotą, triukšmo lygį, užterštumą pagal skirtingus komponentus. Darnią plėtrą charakterizuojančių rodiklių kritinėms reikšmėms nustatytitaikomi konceptualaus modeliavimo principai. Jais remiantis sudaroma sistema, padedanti nustatyti atskirų miesto rajonų plėtros savybes, galimas vystymosi alternatyvas, pasiekiamas leistinas ribines gyvenimo kokybės reikšmes.


2015 ◽  
Vol 11 (4) ◽  
pp. 484
Author(s):  
Safrida Fatmawati ◽  
Joesron Alie Syahbana

City is highly vulnerable to the impacts of climate change because of the large population, the intensive usage of infrastructure and a lot of economic activities. In addition, lifestyle and activity of urban communities, which neglect the impact of energy consumption, tend to increase the concentration of greenhouse gas involved in global warming. Improving the environment and the quality of life become the responsibility of all stakeholders, including the higher education institutions. They are the ones who have the contribution to conserve the environment. Sustainable Campus is a concept that began to develop in the world as a response to the environmental degradation which is integrated into the campus policy. This study proposes to compare the sustainable development policy within the Tertre campus, University of Nantes-France and Tembalang campus, Diponegoro University-Semarang, Indonesia. The material of this study was constituted through the interviews with the main stakeholders, as the key personnel in the field of sustainable development. In summary, we can conclude that the best sustainable development policy in the campus must be integrated into the environmental management, the improvement of the quality of life of the university community, and the strengthening of the economy, as well as engage in partnerships with all the stakeholders.


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