Modeling of Poverty Rate in Indonesian Using Geographically Weighted Logistic Regression for Supporting the Sustainable Development Goals Program in 2030

Both child mortality and water stress are included into the Sustainable Development Goals (SDGs). Existing studies have explored the relationship between child mortality and water stress with different perspectives, however, the results vary due to differences in methods and context. There is still insufficient cross-country comparative research on the association between child mortality and water stress under the framework of SDGs. This article uses data of 20 developing countries to explore the association between child mortality and water stress, based on the path analysis methodology. The results show that in term of statistics, the level of water stress is negatively but insignificantly associated with child mortality in developing countries. This unconventional result is explained by a number of possible reasons such as high reliance on food importation in some developing countries, and also the indirect link between water stress and child mortality via a country’s socioeconomic development (measured by national poverty rate). The results enrich scientific knowledge of and provide practical implications to the interactions between SDGs.

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Barriers to accessing healthcare among women in Ghana: a multilevel modelling

BMC Public Health ◽

10.1186/s12889-020-10017-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Abdul-Aziz Seidu ◽

Eugene Kofuor Maafo Darteh ◽

Ebenezer Agbaglo ◽

Louis Kobina Dadzie ◽

Bright Opoku Ahinkorah ◽

...

Keyword(s):

Sustainable Development ◽

Logistic Regression ◽

Health Insurance ◽

Sustainable Development Goals ◽

Contextual Factors ◽

Multilevel Logistic Regression ◽

Regression Analyses ◽

The Sustainable Development ◽

Lower Odds ◽

Development Goals

Abstract Background Women’s health remains a global public health concern, as enshrined in the Sustainable Development Goals. This study, therefore, sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Ghana. Methods The study was conducted among 9370 women aged 15–49, using data from the 2014 Ghana Demographic and Health Survey. Barrier to healthcare, derived from four questions— whether a woman faced problems in getting money, distance, companionship, and permission to see a doctor—was the outcome variable. Descriptive and multilevel logistic regression analyses were carried out. The fixed effect results of the multilevel logistic regression analyses were reported using adjusted odds ratios at a 95% confidence interval. Results More than half (51%) of the women reported to have at least one form of barrier to accessing healthcare. Women aged 45–49 (AOR = 0.65, CI: 0.49–0.86), married women (AOR = 0.71, CI:0.58–0.87), those with a higher level of education (AOR = 0.51, CI: 0.37–0.69), those engaged in clerical or sales occupation (AOR = 0.855, CI: 0.74–0.99), and those who were covered by health insurance (AOR = 0.59, CI: 0.53–0.66) had lower odds of facing barriers in accessing healthcare. Similarly, those who listened to radio at least once in a week (AOR =0.77, CI: 0.66–0.90), those who watched television at least once a week (AOR = 0.75, CI: 0.64–0.87), and women in the richest wealth quintile (AOR = 0.47, CI: 0.35–0.63) had lower odds of facing barriers in accessing healthcare. However, women who were widowed (AOR = 1.47, CI: 1.03–2.10), those in the Volta Region (AOR 2.20, CI: I.38–3.53), and those in the Upper West Region (AOR =2.22, CI: 1.32–3.74) had the highest odds of facing barriers to healthcare accessibility. Conclusion This study shows that individual and contextual factors are significant in predicting barriers in healthcare access in Ghana. The factors identified include age, marital status, employment, health insurance coverage, frequency of listening to radio, frequency of watching television, wealth status, and region of residence. These findings highlight the need to pay critical attention to these factors in order to achieve the Sustainable Development Goals 3.1, 3.7, and 3.8. It is equally important to strengthen existing strategies to mitigate barriers to accessing healthcare among women in Ghana.

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