This study tracks the impact of early marriage and low level of education on agricultural development in SSA. Pitching itself within two Nigerian agrarian communities： The study worked with 50 randomly selected farmi...This study tracks the impact of early marriage and low level of education on agricultural development in SSA. Pitching itself within two Nigerian agrarian communities： The study worked with 50 randomly selected farming households from each site. Data was collected through in-depth one-on-one and follow-up interviews, questionnaires, and direct observation. Extensive multivariate and descriptive statistical analysis, tables and charts were used for data interpretation. Combining data-sets from the two sites and between families the study found that early marriage inhibits farmers＇ chances for education which in turn compounds their situation; those who married early with little or no education tend to have large families and suffer higher poverty incidence; children from such families often repeat the same cycles and so trapped in poverty; farmers who did not fall into this twin situation fared far much better on all counts in addition to exhibiting higher motivation to better their social capital and family socioeconomics; those in the first group are discouraged especially by the responsibility of fending for their many children. The study concludes that these two factors stand in the way to realizing the MDGs among SSA rural farmers; accordingly, some policy recommendations are put forward to address the situation.展开更多
The access to safe drinking-water is a global priority for sustainable development, as it has been recognized within the MDGs （Millennium Development Goals）. Although the MDG’s target of halving the proportion of p...The access to safe drinking-water is a global priority for sustainable development, as it has been recognized within the MDGs （Millennium Development Goals）. Although the MDG’s target of halving the proportion of people without sustainable access to safe drinking-water was met in 2010, the measurement method of the monitoring and evaluation indicator used ignored certain elements including the quality of water that should be underlined. Starting with a review of drinking-water and improved water source concepts, this study examines the limitations of measuring access to safe drinking-water in the context of the MDGs, and learns from the lessons to ensure a better performance in achieving the SDGs （Sustainable Development Goals）.展开更多
Introduction: According to WHO, globally an estimated 585,000 women die each year from complications of pregnancy and childbirth. One of the targets of Millennium Development Goal 5 (MDG 5) is to reduce maternal morta...Introduction: According to WHO, globally an estimated 585,000 women die each year from complications of pregnancy and childbirth. One of the targets of Millennium Development Goal 5 (MDG 5) is to reduce maternal mortality by three quarters of the 1999 value by the year 2015. However, three years to 2015, very little is known on the trends in maternal mortality ratio, causes of maternal deaths and their associated factors in the Tiko Cottage Hospital (TCH) and Limbe Regional Hospital (LRH) in the South-West Region, Cameroon. Methods: This was a retrospective, analytical cross-sectional study that was carried out from 1st January 2000 to December 2012. After obtaining ethical clearance, the records of cases of maternal deaths and a reference group of women who survived after a pregnancy during the same period were carefully reviewed. The data were analyzed with SPSS 10 and EPI 3.5.1. Results: There were 14,480 live births and 132 maternal deaths during the study period, giving an adjusted Maternal Mortality Ratio (MMR) of 892/100,000 live births. Patients’ age ranged from 15 - 40 years (SD 2.3). We observed a downwards trend of Maternal Mortality Ratio (MMR). Seventy-eight percent of the maternal deaths were due to direct causes. The triad of hemorrhage (54.5%), abortions (17.4%), and eclampsia (10.6%) was the leading cause of death. HIV-related complications and hepatitis constituted the main indirect causes of maternal death. In 85.4% of cases, maternal deaths were avoidable. Lack of blood for transfusion and late referral of cases were the main avoidable factors. Patients less than 35 years (p = 0.01), no antenatal care (ANC) (p = 0.001), unemployment [OR = 1.52;95% CI: (1.38 - 48.28);p = 0.02] were significantly associated with maternal deaths while grand multiparity [OR = 1.20;95% CI (0.30 - 4.86);p = 0.79], marital status [OR = 1.20;95% CI: (0.70 - 2.07);p = 0.51] and education level were not significantly associated with maternal deaths. Conclusion: The trend shows that there was no appreciable decline in maternal mortality, implying that attaining the objectives of MDG 5 is very unlikely. Therefore, to meet the MDG 5 target, we recommend that, there should be amelioration towards obstetric emergencies care and health education by health care providers.展开更多
The Millennium Development Goal (MDG) 5 advocated the reduction of maternal mortality rates significantly by 2015, however, maternal mortality rates continue to rise. Here, we modelled maternal mortality data for the ...The Millennium Development Goal (MDG) 5 advocated the reduction of maternal mortality rates significantly by 2015, however, maternal mortality rates continue to rise. Here, we modelled maternal mortality data for the years 2000 to 2013 obtained from a public hospital in Kumasi, Ghana. We applied the Box-Jenkins approach of univariate form of time series autoregressive integrated moving average (ARIMA). The output revealed that the ARIMA (1, 1, 1) model was most appropriate to model and predict monthly maternal cases with Akaike information criterion (AIC) value of 117.02 and Bayesian information criterion (BIC) value of 125.91. The Shapiro-Wilk normality test confirmed normality of the residuals. The Ljung-Box test on the residuals showed no serial correlation. The model was then validated based on the measures of accuracy. The results showed that the maternal mortality cases for the years 2000 to 2011 are high: minimum 3, median 11, mean 12 and maximum cases of 26 per month. The predicted mortality cases were 10 to 11 monthly for years 2012 to 2013, indicating that the target of MDG 5 could not be achieved by 2015. Fresh and perceptive strategies are urgently needed to arrest the unacceptably high death rates.展开更多
AT the turn of the century, world leaders gathered together at an extraordinary UN summit and put forward a bold vision for future development with a plan dubbed the Millennium Declaration. In the years since, the int...AT the turn of the century, world leaders gathered together at an extraordinary UN summit and put forward a bold vision for future development with a plan dubbed the Millennium Declaration. In the years since, the international community has made great strides in fulfilling the Millennium Development Goals （MDGs） - a series of objectives largely centered on poverty reduction - and have even reached some targets well ahead of the 2015 deadline.展开更多
Since the International Conference on Population and Development(ICPD)in 1994,global initiatives like the Millennium Development Goals(MDGs)and Sustain-able Development Goals(SDGs)have evolved from simple population c...Since the International Conference on Population and Development(ICPD)in 1994,global initiatives like the Millennium Development Goals(MDGs)and Sustain-able Development Goals(SDGs)have evolved from simple population control to a comprehensive focus on human rights,social justice,and sustainable development,emphasizing social equity,gender equality,sustainability,and global cooperation.This paper reviews China’s response to these initiatives,focusing on the ICPD Pro-gram of Action and SDGs,and assesses how its demographic transformation over the past 30 years has influenced global population trends and other development areas.We find that China has actively embraced these global principles,integrat-ing them into its national strategy through improved fertility policies,population structure optimization,and addressing population aging.These measures have sig-nificantly reshaped China’s demographic landscape and impacted global population dynamics.The paper also highlights China’s substantial progress in health and well-being,life expectancy,gender equality,social equity,and climate action.To address its rapid population aging,China has developed robust social security systems,par-ticularly in pensions and health insurance.China’s experience in urbanization and economic growth has provided valuable insights for global development.Addition-ally,China’s efforts have advanced education,improved women’s rights,and sup-ported disadvantaged groups,contributing to the undertaking of global sustainable development.We conclude that China’s efforts in implementing international action plans since the ICPD have laid a strong foundation for achieving global SDGs,that China has become a role model for the international community in the domain of population and development,and that China will continuously contribute signifi-cantly to global development agendas in the years to come.展开更多
Background:2015 was the target year for malaria goals set by the World Health Assembly and other international institutions to reduce malaria incidence and mortality.A review of progress indicates that malaria program...Background:2015 was the target year for malaria goals set by the World Health Assembly and other international institutions to reduce malaria incidence and mortality.A review of progress indicates that malaria programme financing and coverage have been transformed since the beginning of the millennium,and have contributed to substantial reductions in the burden of disease.Findings:Investments in malaria programmes increased by more than 2.5 times between 2005 and 2014 from US$960 million to US$2.5 billion,allowing an expansion in malaria prevention,diagnostic testing and treatment programmes.In 2015 more than half of the population of sub-Saharan Africa slept under insecticide-treated mosquito nets,compared to just 2%in 2000.Increased availability of rapid diagnostic tests and antimalarial medicines has allowed many more people to access timely and appropriate treatment.Malaria incidence rates have decreased by 37%globally and mortality rates by 60%since 2000.It is estimated that 70%of the reductions in numbers of cases in sub-Saharan Africa can be attributed to malaria interventions.Conclusions:Reductions in malaria incidence and mortality rates have been made in every WHO region and almost every country.However,decreases in malaria case incidence and mortality rates were slowest in countries that had the largest numbers of malaria cases and deaths in 2000;reductions in incidence need to be greatly accelerated in these countries to achieve future malaria targets.Progress is made challenging because malaria is concentrated in countries and areas with the least resourced health systems and the least ability to pay for system improvements.Malaria interventions are nevertheless highly cost-effective and have not only led to significant reductions in the incidence of the disease but are estimated to have saved about US$900 million in malaria case management costs to public providers in sub-Saharan Africa between 2000 and 2014.Investments in malaria programmes can not only reduce malaria morbidity and mortality,thereby contributing to the health targets of the Sustainable Development Goals,but they can also transform the well-being and livelihood of some of the poorest communities across the globe.展开更多
文摘This study tracks the impact of early marriage and low level of education on agricultural development in SSA. Pitching itself within two Nigerian agrarian communities： The study worked with 50 randomly selected farming households from each site. Data was collected through in-depth one-on-one and follow-up interviews, questionnaires, and direct observation. Extensive multivariate and descriptive statistical analysis, tables and charts were used for data interpretation. Combining data-sets from the two sites and between families the study found that early marriage inhibits farmers＇ chances for education which in turn compounds their situation; those who married early with little or no education tend to have large families and suffer higher poverty incidence; children from such families often repeat the same cycles and so trapped in poverty; farmers who did not fall into this twin situation fared far much better on all counts in addition to exhibiting higher motivation to better their social capital and family socioeconomics; those in the first group are discouraged especially by the responsibility of fending for their many children. The study concludes that these two factors stand in the way to realizing the MDGs among SSA rural farmers; accordingly, some policy recommendations are put forward to address the situation.
文摘The access to safe drinking-water is a global priority for sustainable development, as it has been recognized within the MDGs （Millennium Development Goals）. Although the MDG’s target of halving the proportion of people without sustainable access to safe drinking-water was met in 2010, the measurement method of the monitoring and evaluation indicator used ignored certain elements including the quality of water that should be underlined. Starting with a review of drinking-water and improved water source concepts, this study examines the limitations of measuring access to safe drinking-water in the context of the MDGs, and learns from the lessons to ensure a better performance in achieving the SDGs （Sustainable Development Goals）.
文摘Introduction: According to WHO, globally an estimated 585,000 women die each year from complications of pregnancy and childbirth. One of the targets of Millennium Development Goal 5 (MDG 5) is to reduce maternal mortality by three quarters of the 1999 value by the year 2015. However, three years to 2015, very little is known on the trends in maternal mortality ratio, causes of maternal deaths and their associated factors in the Tiko Cottage Hospital (TCH) and Limbe Regional Hospital (LRH) in the South-West Region, Cameroon. Methods: This was a retrospective, analytical cross-sectional study that was carried out from 1st January 2000 to December 2012. After obtaining ethical clearance, the records of cases of maternal deaths and a reference group of women who survived after a pregnancy during the same period were carefully reviewed. The data were analyzed with SPSS 10 and EPI 3.5.1. Results: There were 14,480 live births and 132 maternal deaths during the study period, giving an adjusted Maternal Mortality Ratio (MMR) of 892/100,000 live births. Patients’ age ranged from 15 - 40 years (SD 2.3). We observed a downwards trend of Maternal Mortality Ratio (MMR). Seventy-eight percent of the maternal deaths were due to direct causes. The triad of hemorrhage (54.5%), abortions (17.4%), and eclampsia (10.6%) was the leading cause of death. HIV-related complications and hepatitis constituted the main indirect causes of maternal death. In 85.4% of cases, maternal deaths were avoidable. Lack of blood for transfusion and late referral of cases were the main avoidable factors. Patients less than 35 years (p = 0.01), no antenatal care (ANC) (p = 0.001), unemployment [OR = 1.52;95% CI: (1.38 - 48.28);p = 0.02] were significantly associated with maternal deaths while grand multiparity [OR = 1.20;95% CI (0.30 - 4.86);p = 0.79], marital status [OR = 1.20;95% CI: (0.70 - 2.07);p = 0.51] and education level were not significantly associated with maternal deaths. Conclusion: The trend shows that there was no appreciable decline in maternal mortality, implying that attaining the objectives of MDG 5 is very unlikely. Therefore, to meet the MDG 5 target, we recommend that, there should be amelioration towards obstetric emergencies care and health education by health care providers.
文摘The Millennium Development Goal (MDG) 5 advocated the reduction of maternal mortality rates significantly by 2015, however, maternal mortality rates continue to rise. Here, we modelled maternal mortality data for the years 2000 to 2013 obtained from a public hospital in Kumasi, Ghana. We applied the Box-Jenkins approach of univariate form of time series autoregressive integrated moving average (ARIMA). The output revealed that the ARIMA (1, 1, 1) model was most appropriate to model and predict monthly maternal cases with Akaike information criterion (AIC) value of 117.02 and Bayesian information criterion (BIC) value of 125.91. The Shapiro-Wilk normality test confirmed normality of the residuals. The Ljung-Box test on the residuals showed no serial correlation. The model was then validated based on the measures of accuracy. The results showed that the maternal mortality cases for the years 2000 to 2011 are high: minimum 3, median 11, mean 12 and maximum cases of 26 per month. The predicted mortality cases were 10 to 11 monthly for years 2012 to 2013, indicating that the target of MDG 5 could not be achieved by 2015. Fresh and perceptive strategies are urgently needed to arrest the unacceptably high death rates.
文摘AT the turn of the century, world leaders gathered together at an extraordinary UN summit and put forward a bold vision for future development with a plan dubbed the Millennium Declaration. In the years since, the international community has made great strides in fulfilling the Millennium Development Goals （MDGs） - a series of objectives largely centered on poverty reduction - and have even reached some targets well ahead of the 2015 deadline.
文摘Since the International Conference on Population and Development(ICPD)in 1994,global initiatives like the Millennium Development Goals(MDGs)and Sustain-able Development Goals(SDGs)have evolved from simple population control to a comprehensive focus on human rights,social justice,and sustainable development,emphasizing social equity,gender equality,sustainability,and global cooperation.This paper reviews China’s response to these initiatives,focusing on the ICPD Pro-gram of Action and SDGs,and assesses how its demographic transformation over the past 30 years has influenced global population trends and other development areas.We find that China has actively embraced these global principles,integrat-ing them into its national strategy through improved fertility policies,population structure optimization,and addressing population aging.These measures have sig-nificantly reshaped China’s demographic landscape and impacted global population dynamics.The paper also highlights China’s substantial progress in health and well-being,life expectancy,gender equality,social equity,and climate action.To address its rapid population aging,China has developed robust social security systems,par-ticularly in pensions and health insurance.China’s experience in urbanization and economic growth has provided valuable insights for global development.Addition-ally,China’s efforts have advanced education,improved women’s rights,and sup-ported disadvantaged groups,contributing to the undertaking of global sustainable development.We conclude that China’s efforts in implementing international action plans since the ICPD have laid a strong foundation for achieving global SDGs,that China has become a role model for the international community in the domain of population and development,and that China will continuously contribute signifi-cantly to global development agendas in the years to come.
基金Funding for the World malaria report 2015 was received from the United Kingdom Department for International Developmentthe United States Agency for International Development and the Swiss Agency for Development and Cooperation,through a grant to the Swiss Tropical and Public Health Institute.Collection of malaria programme data was also supported by the“Accelerated Malaria Control towards Pre-elimination in East and Southern Africa by 2015”sponsored by the Government of Monaco.
文摘Background:2015 was the target year for malaria goals set by the World Health Assembly and other international institutions to reduce malaria incidence and mortality.A review of progress indicates that malaria programme financing and coverage have been transformed since the beginning of the millennium,and have contributed to substantial reductions in the burden of disease.Findings:Investments in malaria programmes increased by more than 2.5 times between 2005 and 2014 from US$960 million to US$2.5 billion,allowing an expansion in malaria prevention,diagnostic testing and treatment programmes.In 2015 more than half of the population of sub-Saharan Africa slept under insecticide-treated mosquito nets,compared to just 2%in 2000.Increased availability of rapid diagnostic tests and antimalarial medicines has allowed many more people to access timely and appropriate treatment.Malaria incidence rates have decreased by 37%globally and mortality rates by 60%since 2000.It is estimated that 70%of the reductions in numbers of cases in sub-Saharan Africa can be attributed to malaria interventions.Conclusions:Reductions in malaria incidence and mortality rates have been made in every WHO region and almost every country.However,decreases in malaria case incidence and mortality rates were slowest in countries that had the largest numbers of malaria cases and deaths in 2000;reductions in incidence need to be greatly accelerated in these countries to achieve future malaria targets.Progress is made challenging because malaria is concentrated in countries and areas with the least resourced health systems and the least ability to pay for system improvements.Malaria interventions are nevertheless highly cost-effective and have not only led to significant reductions in the incidence of the disease but are estimated to have saved about US$900 million in malaria case management costs to public providers in sub-Saharan Africa between 2000 and 2014.Investments in malaria programmes can not only reduce malaria morbidity and mortality,thereby contributing to the health targets of the Sustainable Development Goals,but they can also transform the well-being and livelihood of some of the poorest communities across the globe.
