Entrenching Community (Participatory) Governance Through Street Committees at Cato Crest, eThekwini Municipality

This chapter explores the role of street committees in retrenching and grounding community participatory governance at Cato Crest. The chapter is purposed to revitalise street committees as street/area democratically elected and managed structures aimed at restoring inclusive local democracy, peace, and order, especially in the prevalence of domestic violence, crime, community disunity and divisions, disobedient youth, and other anti-social behaviours. The author argues that the current configuration of street committees as partisan structures compromises their fundamental purpose of uniting people regardless of race, culture, gender, and socio-economic class. The chapter found that without clear developmental roles, street committees are often highjacked to serve a party political agenda. The chapter is qualitative in nature when data were collected through observation and face-to-face interviews with street committees at Cato Crest. The empirical data was also enriched by secondary sources in the form of journal papers, books, and government reports.

Competency Development Salt Farmers Skills in Pademawu Sub-District Pamekasan Regency

Many salt-farmers in Pademawu lived in the middle to lower economic class because they still produced bad raw-salt. This study aimed to arrange a new model of developing salt-farmers skill to produce a high amount of salt in better quality. Qualitative method was used in this study. The data presented were the result of interview and observation. The researher acted as a research intrument that went directly to the fielt to obtain accurate data. The data analysis technique used was domain analysis, which sought to analyze general descriptions of research object at surface level but relatively intact about the object of research. The result analysis of this study was targetted to obtain complete description of the object without mentioned detail elements of the object research. This research only discusses the development of salt farmer skills competency. This research was expected to give valuable contribution of model of developing salt-farmers skills.

Membaca Ekspresi Kontestasi Gerakan Perempuan Melawan Industrialisasi di Kawasan Pegunungan Utara Jawa, Indonesia

This study examines the intertwining of the attributive elements of feminine narrative on social movement in relation to the narration of Gegeran (riot) Samin in the context of industrialization in Kendeng, Central Java. Recent studies accentuated the narration of Saminisme as the history of resistance to colonialism becomes a study of the description of an unpretentious culture that is to be relevant for cultural conservation. Meanwhile, during this tumultuous era of industrialization, the reconstruction of the narrative of Saminism as a resistance movement was again in the spotlight, especially why women seemed dominant in this struggle. This research was conducted in April-May 2016 based on a narrative ethnography approach that is to be more sensitive to the emergence of a story, between textual and contextual data. The question was why there are differences in the articulation of narratives between elements of Sedulur Sikep values in responding to the establishment of cement factory reflected in the different attitudes and expressions. The research concludes that this social movement is intertwined with struggle efforts based on awareness of cultural diversity and socio-economic class movements by elaborating narrative elements from the specific historical narrative as the cyclical mobilization and are constituted using the performative elements of the activities or actions they held

Organ Donation’- Awareness, Perspective and Practices among Adults – A Cross Sectional Study in Rural Tamil Nadu

Introduction: Organ transplantation is the most opted treatment for the most of the end stage organ diseases since it increases the quality of life and long-term survival benefits. The rate of organ donation is less in India. This leads to organ deficit which is the major obstacle in transplantation. The main reason behind this less rate of organ donation is lack of knowledge and awareness. Methodology: A Cross sectional descriptive study done among 203 study participants residing in rural field practicing area of a tertiary care centre by using two stage random sampling method. Results: 47.3% of the participants were in the age group of 31-60 years. Most of them were female and married. 78.7% of the participants were completed at least primary education and 28.3% of the participants were belong socio economic class V according to modified BG prasad’s scale 2019. 84.2% of the study participants were aware about the organ donation and Television acted as a main source of information about organ donation. Majority of the participants doesn’t know about the organ donation card and the place of enrolment for organ donation. Conclusion: Measures to be taken to create awareness about the need of organ donation. Campaign should be conducted for the enrolment for organ donation.

The study of epidemiological correlates of hypertension among the rural population of Mehsana district of North Gujarat region, India

Background: The changing lifestyle factors in rural population are associated with increase in hypertension. Objective was to find out the epidemiological correlates of hypertension among the rural population.Methods: This was cross sectional study and conducted in rural areas of Mehsana district of Gujarat during January 2019 to June 2019. People living rural areas were selected by stratified random sampling. They were screened for hypertension by JNC VII criteria using sphygmomanometer and detailed personal, past and family history was taken after written and informed consent. Data was entered in Microsoft excel and analysis was done using SPSS statistical package.Results: Out of total 602 subjects, 93 (15.4%) were hypertensive. Out of total 93 hypertensive subjects, 50 (53.8%) were females. A blood pressure category and gender difference were not statically significant (p=0.89). Out of 93 hypertensive subjects, 42 (45.2%) subjects were in the age group of ≥60 years. The difference between age groups and blood pressure category was significant (p<0.0001). Out of 93 hypertensive subjects’ majority 85 (91.4%) had negative tobacco history while only 8 (8.6%) consumed tobacco in any form. The tobacco history and blood pressure category were not significantly associated (p=0.211). Out of total 93 hypertensive subjects, 54 (58.1%) subjects were (≥25) body mass index (BMI). Categories of BMI and hypertension were extremely significantly associated (p<0.0001).Conclusions: Hypertension is significantly associated with age, socio economic class and BMI.

Implementation of the Curfew as a Policy of the Aceh Government on Handling COVID-19: A Social Responsibility

The world was shocked by an outbreak in East Asian countries, precisely in China, Wuhan, Hubei Province, last December 2019. This outbreak is known as Coronavirus 2019 (COVID-19), which attacks the respiratory tract and leads to death. This COVID-19 has hit worldwide, including Indonesia and has spread to all provinces, including the province of Aceh. The Aceh government has imposed restrictions on activities at night to break the chain of the spread of COVID-19. However, polemics have emerged from the community about this policy. The purpose of writing this article is to analyze the implementation of the Curfew as a policy of the Aceh government towards dealing with COVID-19 and the obstacles to its implementation. The research method uses a qualitative descriptive approach. The data sources are obtained from journals and the latest news about COVID-19—the data analysis technique used Nvivo plus 12 analysis. The results showed that the curfew policy in Aceh could not be fully implemented properly due to the pros and cons of the community, even though the government had taken its social responsibility in society. Thus, the policy must be thoroughly considered for the sake of the survival and welfare of the community, especially for those from the lower-middle economic class.

Income level and antibiotic misuse: a systematic review and dose–response meta-analysis

Objectives To quantify the association between income and antibiotic misuse including unprescribed use, storage of antibiotics and non-adherence. Methods We identified pertinent studies through database search, and manual examination of reference lists of selected articles and review reports. We performed a dose–response meta-analysis of income, both continuous and categorical, in relation to antibiotic misuse. Summary odds ratios (ORs) and their 95% confidence intervals (CIs) were estimated under a random-effects random effects model. Results Fifty-seven studies from 22 countries of different economic class were included. Overall, the data are in agreement with a flat linear association between income standardized to socio-economic indicators and antibiotic misuse (OR per 1 unit increment = 1.00, p-value = 0.954, p-value non-linearity = 0.429). Data were compatible with no association between medium and high income with general antibiotic misuse (OR 1.04; 95% CI 0.89, 1.20 and OR 1.03; 95% CI 0.82, 1.29). Medium income was associated with 19% higher odds of antibiotic storage (OR 1.19; 95% CI 1.07, 1.32) and 18% higher odds of any aspect of antibiotic misuse in African studies (OR 1.18; 95% CI 1.00, 1.39). High income was associated with 51% lower odds of non-adherence to antibiotic treatment (OR 0.49; 95% CI 0.34, 0.60). High income was also associated with 11% higher odds of any antibiotic misuse in upper-middle wealth countries (OR 1.11; 95% CI 1.00, 1.22). Conclusions The association between income and antibiotic misuse varies by type of misuse and country wellness. Understanding the socioeconomic properties of antibiotic misuse should prove useful in developing related intervention programs and health policies.

Mortality by socio-economic class and its impact on the retirement schemes: how to render the systems fairer?

Many OECD countries have addressed the issue of increased longevity by mainly increasing the retirement age. However, this kind of reforms may lead to substantial transfers from those with shorter lifespans to those that will live longer than the average, as they do not necessarily take into account the socio-economic differences in mortality. The contribution of our paper is therefore twofold. Firstly, we illustrate how both a Defined Benefit and a Notional Defined Contribution pay-as-you-go scheme can put the lower social economic classes at a disadvantage, when compared to the actuarially fair pensions. In contrast to that, higher classes experience a gain. This is due to the fact that mortality rates per socio-economic class are not considered by either scheme. Consequently, we propose a model that determines the parameters for each scheme and class which would render the pensions fairer even when no socio-economic mortality differences are considered.

Mental health and nutritional issues: a dual burden among adolescent school going girls of urban and rural Jodhpur

Background: Adolescents constitute 21% of the total population in India. Untreated mental disorders affect a person’s potential to live a fulfilling life and raises the possibility of conduct disorders. Moreover, malnutrition leads to growth retardation and sexual maturation in later life. Thus, this study was undertaken to understand the role of family size, socio-economic status, marital status on mental and nutritional health of adolescent girls in urban and rural Jodhpur.Methods: A descriptive cross-sectional study in three schools each from rural and urban Jodhpur was conducted to include adolescent girls aged 10-19 years. Semi-structured questionnaire was administered to collect demographic and socio-economic data along with DASS-21 and SMFQ for mental health assessment and BMI, waist-hip ratio collected for nutritional health.Results: Depression score ≥10 was observed in 34.3% girls (significantly associated with monthly attendance), anxiety score ≥10 observed in 64.8% (associated with socio-economic class and monthly attendance) and stress score ≥10 observed in 26.2% (associated with monthly attendance). Th e17.4% were thin while 4.7% overweight, significantly associated with location, age group and socio-economic class. The 5% were at increased metabolic risk, associated with non-participation in extra-curricular activities.Conclusions: The study indicated high prevalence of depression, anxiety and stress, nutritional imbalance and risk of metabolic disorders at an early age, that were significantly associated with the low monthly attendance indicating negative impact of such factors on regular education and academic growth. The findings highlight a greater emphasis needed on mental health and nutritional components during the active growth years of adolescent females.

Socio-demographic Correlates of Diabetes Self-reporting Validity: An Adult’s Kurdish Population-based Study

Background: The aim was to assess the validity of self-reported according to the demographic and socio-economic feature in a the Dehgolan Prospective Cohort Study (DehPCS)Methods: We performed a cross-sectional analytical study on 4400 subjects aged 35-70 years of DehPCS. The reference for having diabetes was oral hypoglycemic drug consumption, insulin injection, or high FBS representing diabetes. Self-reported diabetes status was investigated by well-trained interviewers before the identification of diabetes status based on reference criteria. The validity criteria of self-reported diabetes were assessed using sensitivity, specificity, positive and negative predictive values. Socio-demographic correlates of self-reported agreement were examined by multinomial logistic regression. Results: 3996 agreed to participate in this study (participation=90.8%). The diabetes prevalence among the study population was 13.1% based on self-report and 9.7% based on reference. Of the 523 people who reported diabetes, 213 (41.28%) did not have diabetes. We found a good agreement of 92.3% with an acceptable kappa value of 65.1% between self-reported diabetes and reference. Self-reported diabetes also guaranteed sensitivity of 78.5%, specificity of 93.9%, positive and negative predictive value of 58.7% and of 98.0% respectively. Female, higher economic class, higher BMI, and family history of diabetes were increased the chance of false positive. Being male and aging and moderate economic class increased the chance of false positive. Conclusion: Self-reported diabetes is identified as a relatively valid tool that could fairly determine the diabetes prevalence in epidemiological studies. It should be noted that its validity is influenced by some socio-demographic characteristics.