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Supply-side barriers and health system concerns in five high maternal mortality settings in Africa 非洲5个高孕产妇死亡率环境中的供给侧障碍和卫生系统问题
Q3 Social Sciences Pub Date : 2021-05-04 DOI: 10.11564/35-1-1536
P. Lalthapersad-Pillay
Background: Chad, Central African Republic (CAR), Sierra Leone, Liberia and Nigeria are among the seven African countries with the highest rates of maternal mortality globally due in the main limited facility deliveries and basic emergency obstetric care. Data Source and Methods: The study sought to contextualize supply-side barriers that encroach on maternal mortality by examining some health system concerns confronting selected African countries. The study makes use of data from the World Bank and adopts a descriptive-analytic approach. Current Health Expenditure of less than 10% in four countries and Domestic General Government Health Expenditure of less than 2% in all five countries evinced underfunding of health. Results: In all five countries, the proportion of skilled health workers fell well short of the WHO requirements for density of doctors and nurses. Conclusion: The onus on individuals to pay for health care was formidable in Nigeria. CAR had the lowest proportion of births attended by skilled health personnel. CAR and Sierra Leone relied heavily on External resources for funding health.
背景:乍得、中非共和国、塞拉利昂、利比里亚和尼日利亚是全球孕产妇死亡率最高的七个非洲国家之一,原因是主要的设施分娩和基本产科急诊服务有限。数据来源和方法:该研究试图通过研究选定的非洲国家面临的一些卫生系统问题,将影响孕产妇死亡率的供应方障碍纳入背景。该研究利用了世界银行的数据,并采用了描述性分析方法。四个国家目前的卫生支出低于10%,所有五个国家的国内一般政府卫生支出低于2%,这表明卫生资金不足。结果:在所有五个国家,熟练卫生工作者的比例远远低于世界卫生组织对医生和护士密度的要求。结论:在尼日利亚,个人支付医疗费用的责任是巨大的。CAR由熟练的卫生人员接生的比例最低。中非共和国和塞拉利昂严重依赖外部资源为卫生提供资金。
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引用次数: 0
Context of abuse against men: Perspectives on causes, consequences and coping mechanisms 虐待男性的背景:对原因、后果和应对机制的看法
Q3 Social Sciences Pub Date : 2021-05-03 DOI: 10.11564/35-1-1535
Oladele Opeyemi Aboderin, Adefolake Olusola Ademuson, O. Adegoke, O. Akanle
Background: Opinions on gender abuse have been largely skewed towards females. However, the rising number of cases of abuses against the male gender has brought the need to seek better understanding on the different background contexts and conditions surrounding the abuses against men in Nigeria. Data Source and Methods: This article was based on a cross-sectional study on abuse against men through quantitative and qualitative methods. It examined perspectives on causes, consequences and coping mechanisms relative to abuse against men in urban Ibadan, Oyo State, Nigeria. Results: Findings suggest that various forces at individual, familial, cultural, urbanization, westernization and globalization levels drive abuse against men and men cope with the abuse through avoidance, divorce, resignation, adjustment and religion. Conclusion: Findings suggest that various forces at individual, familial, cultural, urbanization, westernization and globalization levels drive abuse against men and men cope with the abuse through avoidance, divorce, resignation, adjustment and religion.
背景:关于性别虐待的观点在很大程度上倾向于女性。然而,由于对男性的虐待案件越来越多,因此有必要更好地了解尼日利亚对男子的虐待的不同背景和条件。数据来源和方法:本文采用定量和定性相结合的方法对男性受虐行为进行横断面研究。它审查了有关尼日利亚奥约州伊巴丹城市虐待男子的原因、后果和应对机制的观点。结果:个体、家庭、文化、城市化、西方化和全球化等不同层面的力量驱动了对男性的虐待,男性通过回避、离婚、辞职、适应和宗教来应对虐待。结论:个体、家庭、文化、城市化、西方化和全球化等不同层面的力量驱动了对男性的虐待,男性通过回避、离婚、辞职、适应和宗教来应对虐待。
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引用次数: 1
Assessment of demographic factors in Africa’s development. 评估非洲发展中的人口因素。
Q3 Social Sciences Pub Date : 2021-04-30 DOI: 10.11564/35-1-1534
S. Nisha, E. Udjo
Background: An enabling environment is an important element for economic development. African countries rank low on indices of development. The low level of development is rhetorically partly attributed to demographic factors, but quantitative assessment of the relationship is hardly produced to back up the rhetoric. Data Source and Methods: Data sourced from the United Nations, UNAIDS, the World Bank, Health and Nutrition and Population Statistics of the World Bank were utilized in the study.  The analysis consisted of bi-variate and multivariate regression. Results: The results suggest that the level of child dependency is significantly negatively associated with the level of development in African countries controlling for other demographic factors. Conclusion: The study found no evidence that total fertility rate and population growth have significant effect on gross national income per capita.
背景:有利的环境是经济发展的一个重要因素。非洲国家在发展指数上排名较低。从修辞上讲,低发展水平部分归因于人口因素,但几乎没有对这种关系进行定量评估来支持这种修辞。数据来源和方法:本研究使用了来自联合国、艾滋病规划署、世界银行、卫生和营养以及世界银行人口统计的数据。分析包括双变量和多变量回归。结果:研究结果表明,在控制其他人口因素的情况下,儿童依赖程度与非洲国家的发展水平呈显著负相关。结论:本研究未发现总生育率和人口增长对人均国民总收入有显著影响的证据。
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引用次数: 0
Exploring the perception of and attitude towards preconception care service provision and utilisation in a South Western Nigerian community – A qualitative study 探索尼日利亚西南部社区对提供和利用先入为主的护理服务的看法和态度——一项定性研究
Q3 Social Sciences Pub Date : 2021-03-22 DOI: 10.11564/35-1-1529
O. Ojifinni, P. Munyewende, L. Ibisomi
Background: Hospital-based, quantitative studies in Nigeria show low levels of knowledge and use of preconception care (PCC) services. This study explored the perception of and attitude towards PCC in a southwestern Nigerian community qualitatively. Data Source and Methods: Focus group discussions (FGDs) were held with 57 purposively selected adult women and men and key informant interviews (KIIs) with one female and one male community leader in Ibadan North Local Government Area, Oyo State, Nigeria in 2018. The FGDs and KIIs held within the community were digitally recorded, transcribed verbatim and analysed thematically. Results: Participants placed PCC in the context of marriage, describing its importance for addressing effects of adverse exposures on pregnancy and ensuring positive pregnancy outcomes. Conclusion : Barriers to PCC uptake mentioned included lack of awareness and prohibitive service costs. Expressing their willingness to use and promote PCC use, they stated the need to ensure PCC uptake through improved awareness at the community level.
背景:尼日利亚以医院为基础的定量研究表明,对孕前护理(PCC)服务的了解和使用水平较低。本研究定性地探讨了尼日利亚西南部社区对PCC的认知和态度。数据来源和方法:2018年,在尼日利亚奥约州伊巴丹北部地方政府区,对57名有意选择的成年男女进行了焦点小组讨论,并对一名女性和一名男性社区领袖进行了关键线人访谈。对社区内举行的FGD和KII进行了数字记录、逐字转录和主题分析。结果:参与者将PCC置于婚姻背景下,描述其对解决不良暴露对妊娠的影响和确保积极妊娠结果的重要性。结论:上述接受PCC的障碍包括缺乏意识和高昂的服务成本。他们表示愿意使用和促进PCC的使用,并表示需要通过提高社区层面的意识来确保PCC的使用。
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引用次数: 1
Impact of interventional documentary on knowledge of cervical cancer risk factors among rural women in North-Central Nigeria 干预性纪录片对尼日利亚中北部农村妇女宫颈癌危险因素知识的影响
Q3 Social Sciences Pub Date : 2021-02-15 DOI: 10.11564/35-1-1525
O. Agbana, N. Okoro, Michael O. Ukonu, B. Agbana
Background: In view of the growing concern about cervical cancer prevalence and mortality rates, this study assessed the impact of interventional documentary on knowledge of cervical cancer risk factors among women in North-central Nigeria. Data Source and Methods: The study adopted a quasi-experimental design and survey to study 522 reproductive-age women. The stratified sampling technique was used to select six local government areas. Descriptive statistics, chi-square and binary logistic regression were used in data analysis. Results: There was no significant difference in pre-interventional knowledge of risk factors in the study and control groups p>0.05. There was significant difference in pre- and post-interventional knowledge in the study group p<0.05. ‘Number of children’ ‘marital status’, and ‘number of times married’ predicted aggregate knowledge at post-intervention. Conclusion: The intervention documentary was effective in knowledge increases, but there was no indication that knowledge increases lead to less risky behaviour. Documentaries should harp on self-efficacy and collective monitoring of adherence to non-risky behaviour.
背景:鉴于人们对宫颈癌患病率和死亡率的日益关注,本研究评估了介入性纪录片对尼日利亚中北部妇女了解宫颈癌危险因素的影响。数据来源与方法:采用准实验设计和问卷调查法,对522名育龄妇女进行调查。采用分层抽样方法选取6个地方政府辖区。资料分析采用描述性统计、卡方和二元逻辑回归。结果:实验组与对照组介入前危险因素认知差异无统计学意义(p < 0.05)。实验组干预前后知识差异有统计学意义(p<0.05)。“子女数量”、“婚姻状况”和“结婚次数”预测了干预后的总体知识。结论:干预纪录片对知识的增加是有效的,但没有迹象表明知识的增加导致风险行为的减少。纪录片应该反复强调自我效能感和对遵守非风险行为的集体监督。
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引用次数: 1
Exiles in their region: pastoralist-farmer conflict and population displacements in North Central, Nigeria 本地区的流亡者:尼日利亚中北部牧民冲突和人口流离失所
Q3 Social Sciences Pub Date : 2021-02-15 DOI: 10.11564/35-1-1526
P. Mbah, K. C. Iwuamadi, E. Udeoji, Marcel Onyema Eze, C. Ezeibe
Background: Over the past two decades, pastoralist-farmer conflicts have become a pressing security challenge in Nigeria, especially in the North Central region. This study analyzed how pastoralist-farmer conflicts fuel population displacements in the North Central, Nigeria. It also assessed the livelihood of the internally displaced persons in the region. Data Source and Methods: The study employed primary data comprising key informant interview of 37 stakeholders and field observations. It also utilized secondary data on pastoralist-farmer conflicts and population displacement largely sourced from Centre for Democracy and Development. We used simple percentage, frequency tables and content analysis of the qualitative data. Results: The failure of the Nigerian state to manage pastoralist – farmer conflicts escalated the attacks and the forceful displacement it engendered. The displacements have worsened the humanitarian crisis as it has increased the number of people in immediate need of food, security, health, school, livelihood, shelter, protection, non food items, water, sanitation and hygiene. Conclusion: The study concluded that building inclusive societies is relevant for de-escalating pastoralist-farmer conflicts, reducing population displacements, mitigating humanitarian crisis and achieving sustainable development goals in Nigeria and beyond.
背景:在过去的二十年里,牧民与农民的冲突已成为尼日利亚,特别是中北部地区的一个紧迫的安全挑战。这项研究分析了尼日利亚中北部牧民与农民之间的冲突如何加剧人口流离失所。它还评估了该地区境内流离失所者的生计。数据来源和方法:该研究采用了主要数据,包括对37名利益相关者的关键线人访谈和实地观察。它还利用了主要来自民主与发展中心的牧民与农民冲突和人口流离失所的二级数据。我们使用了简单的百分比、频率表和内容分析的定性数据。结果:尼日利亚政府未能管理牧民与农民之间的冲突,使袭击事件升级,并造成了严重的流离失所。流离失所加剧了人道主义危机,因为它增加了急需粮食、安全、保健、学校、生计、住所、保护、非粮食物品、水、环境卫生和个人卫生的人数。结论:该研究得出结论,在尼日利亚及其他地区,建设包容性社会有助于缓和牧民与农民之间的冲突,减少人口流离失所,缓解人道主义危机,实现可持续发展目标。
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引用次数: 8
Challenges and opportunities for effective contraceptive counselling in a low-resource setting: insights from a qualitative study in western Kenya 低资源环境下有效避孕咨询的挑战和机遇:来自肯尼亚西部定性研究的见解
Q3 Social Sciences Pub Date : 2020-11-24 DOI: 10.11564/34-2-1516
F. Obare, George Odwe, J. Cleland
Background: Evidence from parts of sub-Saharan Africa shows variations in contraceptive counselling by type of sector (public or private) and socio-economic background of clients. There is, however, limited understanding of the nature of interactions between family planning service providers and their clients that could ultimately influence the quality of counselling received by different sub-groups of clients. This paper explores the challenges and opportunities for effective contraceptive counselling in a low-resource setting in Kenya. Data Source and Methods: Data are from a qualitative study that was conducted in 2018 among 42 women of reproductive age who participated in a longitudinal research project in Homa Bay County. The data were analysed using an exploratory inductive content analysis approach. Results: The findings showed that challenges to effective contraceptive counselling were both provider- and client-related. Provider-related challenges included workload, lack of competence in contraceptive counselling in general and on side effects in particular, and negative attitudes towards specific methods. Client-related challenges entailed presenting with fixed minds, lack of awareness of what to expect during interactions with providers, passive involvement in consultation process, and familiarity with service providers. Conclusion: Some of the challenges could be addressed by information, education and communications interventions to empower clients to demand quality services as well as skills updates for providers to improve their capacity to respond to clients’ needs.
背景:来自撒哈拉以南非洲部分地区的证据显示,避孕咨询按部门类型(公共或私营)和客户的社会经济背景而有所不同。然而,人们对计划生育服务提供者与其客户之间互动的性质了解有限,这种互动可能最终影响不同客户群体接受咨询的质量。本文探讨了在肯尼亚资源匮乏的环境中进行有效避孕咨询的挑战和机遇。数据来源和方法:数据来自2018年对42名育龄妇女进行的一项定性研究,这些妇女参加了霍马湾县的一个纵向研究项目。使用探索性归纳内容分析方法对数据进行分析。结果:研究结果表明,有效避孕咨询的挑战既与提供者有关,也与客户有关。与提供者相关的挑战包括工作量、缺乏避孕咨询的能力,尤其是副作用方面的能力,以及对特定方法的负面态度。与客户相关的挑战包括表现出固定的心态,在与服务提供商的互动中缺乏对预期的认识,被动参与咨询过程,以及熟悉服务提供商。结论:一些挑战可以通过信息、教育和沟通干预措施来解决,使客户能够要求高质量的服务,并更新服务提供者的技能,以提高他们满足客户需求的能力。
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引用次数: 0
Determinants of non-participation in labour force among women of reproductive age in Nigeria 尼日利亚育龄妇女不参加劳动力的决定因素
Q3 Social Sciences Pub Date : 2020-11-10 DOI: 10.11564/34-2-1513
D. Okunlola, Obasanjo Afolabi Bolarinwa, O. Alawode, O. Adetutu
Background: Studies have examined the individual-level and household predictors of women’s labour force participation in Nigeria, this study went further to examine the community-level determinants of non-participation in labour force among women of reproductive age in Nigeria. Data Source and Methods: This study analysed the 2016-2017 Nigeria Multiple indicator Cluster Survey (MICS) data of women (aged 15-49; n= 32,742). Descriptive and multivariable analyses (using multilevel binary logistic regression) were performed. Results: Results showed that 73% of the women didn’t participate in the labour force. Community poverty (medium: OR = 0.95 and high: OR = 1.38), number of children living with a woman (medium: OR = 1.05 and high: OR = 1.19), proportion of contraceptive non-users (high: OR = 2.49 and medium: OR = 1.59) and region (north: OR = 5.42) were significant (P<0.05) determinants. Conclusion: Hence, women (of reproductive age) in the north, in communities with high: poverty, family size and contraceptive non-use should be economically empowered.
背景:研究已经检查了尼日利亚妇女劳动力参与的个人水平和家庭预测因素,本研究进一步检查了尼日利亚育龄妇女不参与劳动力的社区水平决定因素。数据来源和方法:本研究分析了2016-2017年尼日利亚多指标类集调查(MICS)妇女(15-49岁;n = 32742)。进行了描述性和多变量分析(使用多水平二元逻辑回归)。结果:调查结果显示,73%的妇女没有参加劳动。社区贫困(中等:OR = 0.95,高:OR = 1.38)、与妇女同住的儿童数量(中等:OR = 1.05,高:OR = 1.19)、不使用避孕药具的比例(高:OR = 2.49,中:OR = 1.59)和地区(北部:OR = 5.42)是显著(P<0.05)的决定因素。结论:因此,北方、贫困程度高、家庭规模大和不使用避孕药具的社区的(育龄)妇女应在经济上获得权力。
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引用次数: 1
Forced eviction and rights-based approach to development in Nigeria: A case of Makoko community in Lagos State 尼日利亚的强迫驱逐和基于权利的发展方针:以拉各斯州马科科社区为例
Q3 Social Sciences Pub Date : 2020-11-01 DOI: 10.11564/34-2-1523
O. Ajayi, Peyi Soyinka-Airewele
Background : The problems created by forced evictions in Lagos State, Nigeria and other parts of the globe, are on the increase and have attracted the attention of United Nations development, environment and human rights agencies in recent years.   Data Source and Methods : A cross-sectional field survey was adopted in this study. 1000 copies of questionnaire were administered, and 963 copies were properly filled, collated and analysed using Statgraphics statistical software and Statistical Package for Social Sciences (SPSS 23). Results: The survey results show that rather than resolving the problem, the Lagos State government’s approach to development by eviction only worsens the social divides in the state. Conclusion: We argue that the Lagos State government needs to embrace a rights-based approach to development by ensuring the rights to occupancy of Makoko residents before renovating the settlement
背景:在拉各斯州、尼日利亚和全球其他地区,强迫驱逐造成的问题正在增加,近年来引起了联合国发展、环境和人权机构的注意。数据来源和方法:本研究采用横断面实地调查。使用Statgraphics统计软件和社会科学统计软件包(SPSS 23)对1000份问卷进行适当填写、整理和分析963份。结果:调查结果显示,拉各斯州政府通过驱逐来实现发展的做法非但没有解决问题,反而加剧了该州的社会分歧。结论:我们认为,拉各斯州政府需要采取基于权利的发展方法,在翻修定居点之前确保Makoko居民的居住权
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引用次数: 2
Estimating the median age at menarche with a Logit model: Application to African DHS surveys 用Logit模型估算初潮年龄中位数:在非洲国土安全部调查中的应用
Q3 Social Sciences Pub Date : 2020-08-20 DOI: 10.11564/34-1-1506
M. Garenne
Background: The study investigates the median age at menarche in African countries. Data Source and Methods: DHS surveys provided information on the proportion ever-menstruating among women age 15-19. A linear-logistic regression model was used to derive the median age at menarche (statu quo method). Some 139 DHS surveys were analysed, for a total of 304,826 women. Results: Results show a wide range of variations of the median age at menarche among the 35 countries investigated, from 13.1 to 15.2 years. Conclusion: Country variations were correlated with various variables indicating the level of development (Income per capita; Caloric intake; Urbanization; Child mortality; Fertility; Age at marriage). Two variables were particularly important: food intake and urbanization.
背景:这项研究调查了非洲国家月经初潮的中位年龄。数据来源和方法:国土安全部的调查提供了15-19岁女性月经来潮比例的信息。使用线性逻辑回归模型得出初潮时的中位年龄(现状法)。对国土安全部对总共304826名妇女进行的约139项调查进行了分析。结果:结果显示,在35个接受调查的国家中,月经初潮的中位年龄变化很大,从13.1岁到15.2岁不等。结论:国家差异与表明发展水平的各种变量(人均收入;热量摄入;城市化;儿童死亡率;生育率;结婚年龄)相关。有两个变量特别重要:食物摄入和城市化。
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引用次数: 1
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Etude de la Population Africaine
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