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Trends and determinants of neonatal mortality in Uganda: Analysis of the Uganda demographic and health surveys 乌干达新生儿死亡率的趋势和决定因素:对乌干达人口和健康调查的分析
Q3 Social Sciences Pub Date : 2020-08-17 DOI: 10.11564/34-1-1505
John Bosco Asiime, W. Nyegenye, E. Muyingo
Background : Uganda’s neonatal mortality has stagnated at 27 deaths per 1,000 live births over the past decade. Studying consistent factors could inform policy to reduce it. Data Source and Methods : We used Uganda Demographic and Health Surveys (2001 to 2016) in analyses. Results : Children who were not put on breast milk immediately after birth and children of mothers with multiple maternal risk factors were associated with higher odds (3.1 and 2.0 respectively) of neonatal deaths in 2016. The maternal risk factors include: young mothers, too old, short birth intervals or many children. Neonatal deaths was also higher among male compared to female newborns. Conclusion: There is a need to raise awareness about the importance of breastfeeding newborns immediately after birth. Interventions to reduce maternal risk factors are critical to reducing neonatal mortality in Uganda. Programmes need measures that can reduce more neonatal deaths among male than female.
背景:在过去十年中,乌干达的新生儿死亡率一直停滞不前,为每1000名活产中有27人死亡。研究一致的因素可以为减少它的政策提供信息。数据来源和方法:我们在分析中使用了乌干达人口和健康调查(2001年至2016年)。结果:2016年,出生后未立即母乳喂养的儿童和具有多种母体危险因素的母亲的儿童新生儿死亡几率较高(分别为3.1和2.0)。产妇的危险因素包括:母亲年轻、年龄过大、生育间隔短或孩子多。男性新生儿的新生儿死亡率也高于女性新生儿。结论:有必要提高人们对新生儿出生后立即母乳喂养的重要性的认识。减少产妇风险因素的干预措施对于降低乌干达新生儿死亡率至关重要。方案需要采取措施,减少男性新生儿死亡人数多于女性。
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引用次数: 1
Modelling time-to-discontinuation of exclusive breastfeeding: Analysis of infants and under-2 survival in Nigeria 模拟停止纯母乳喂养的时间:尼日利亚婴儿和2岁以下儿童的生存分析
Q3 Social Sciences Pub Date : 2020-07-24 DOI: 10.11564/34-1-1500
O. Oyedele, A. Fagbamigbe, O. Ayeni
Background: Regardless of national and international strategies towards promoting exclusive breastfeeding, only 17% and 35% of infants were exclusively breastfed in 2015 in Nigeria and Worldwide respectively. Therefore, we aim to estimate average length of exclusive breastfeeding for infants and under-2, evaluate and predict maternal impact. Data Source and Methods: This retrospective cross-sectional study applied NARHS data collected via multistage-cluster random sampling. Count and proportion quantified maternal characteristics, Kaplan-Meier method estimated length of exclusive breastfeeding whereas Cox Proportional Hazard model and Wald-test determine and evaluate maternal effect. Results: Median duration of exclusive breastfeeding was 6.0 months. Locality {P < 0.05 (0.73 – 0.98)} and place-of-delivery {P < 0.01 (1.06 – 1.19)} were the determinant factors. Cox Proportional Hazard model fit the data and Wald-test identified main predictors. Conclusions: Average time at which exclusive breastfeeding was discontinued was six months, mothers’ locality and delivery-place of infants influence exclusive breastfeeding duration in Nigeria. Hence, exclusive breastfeeding interventions should target those factors.
背景:无论国家和国际促进纯母乳喂养的战略如何,2015年尼日利亚和全球分别只有17%和35%的婴儿纯母乳喂养。因此,我们旨在估计婴儿和2岁以下儿童纯母乳喂养的平均时间,评估和预测母亲的影响。数据来源和方法:这项回顾性横断面研究应用了通过多级整群随机抽样收集的NARHS数据。计数和比例量化了母亲的特征,Kaplan-Meier方法估计了纯母乳喂养的时间,而Cox比例风险模型和Wald检验确定并评估了母亲的影响。结果:纯母乳喂养的中位持续时间为6.0个月。地点{P<0.05(0.73–0.98)}和分娩地点{P<0.01(1.06–1.19)}是决定因素。Cox比例风险模型符合数据,Wald检验确定了主要预测因素。结论:在尼日利亚,停止纯母乳喂养的平均时间为6个月,母亲所在地和婴儿出生地影响纯母乳喂养持续时间。因此,纯母乳喂养干预措施应针对这些因素。
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引用次数: 4
Evaluation of Doctor-patient communication outcomes in two public hospitals in Enugu and Ebonyi States, Nigeria 尼日利亚埃努古州和埃博尼州两家公立医院的医患沟通结果评估
Q3 Social Sciences Pub Date : 2020-07-23 DOI: 10.11564/34-1-1498
Michael O. Ukonu, Chidiebere A. Nwachukwu, O. A. Mgboji
Background: Patient-doctor communication is a critical success factor in ensuring accurate diagnosis and treatment. A patient’s satisfaction with such interaction can have positive impact on health outcomes. This study evaluated patient-doctor communication in two tertiary hospitals in two states in southeast Nigeria. Data Source & Methods: Data were collected with a structured questionnaire from 300 patients in two teaching hospitals. Data were analysed using simple percentages, chi-square test of independence, binary logistic regression and factor analysis. Results: Results indicated low level of satisfaction of patients with the quality of communication with their doctors, the main contributor to their dissatisfaction being ‘doctors’ authoritarian communication style’. Factors that positively predicted patients’ satisfaction were ‘doctors’ communication skills’ (p=.000), ‘patients’ religious, cultural and language anxiety influence on communication’ (p=.000), and ‘democratic communication’ (p=.009). Doctors adopted the paternalistic approach in interacting with patients. Conclusion: Patients reported low level of satisfaction with their doctors’ communicative behaviour. This would necessitate a shift from the paternalistic to the patient-centred communication approach in the two hospitals.
背景:医患沟通是确保准确诊断和治疗的关键成功因素。患者对这种互动的满意度可以对健康结果产生积极影响。本研究评估了尼日利亚东南部两个州的两家三级医院的医患沟通。资料来源与方法:采用结构化问卷对两所教学医院的300名患者进行调查。数据分析采用简单百分比、卡方独立性检验、二元logistic回归和因子分析。结果:患者对与医生沟通质量的满意度较低,导致患者不满意的主要因素是“医生专制的沟通方式”。正向预测患者满意度的因素是“医生的沟通技巧”(p=.000)、“患者的宗教、文化和语言焦虑对沟通的影响”(p=.000)和“民主沟通”(p=.009)。医生在与病人交往时采取了家长式的方式。结论:患者对医生交流行为的满意度较低。这就需要两家医院从家长式的沟通方式转变为以病人为中心的沟通方式。
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引用次数: 1
Mapping maternal healthcare access in selected West African Countries 绘制选定西非国家的孕产妇保健服务
Q3 Social Sciences Pub Date : 2020-07-08 DOI: 10.11564/34-1-1495
D. Ononokpono, Bernard Baffour, A. Richardson
Background: The Sustainable Development Goal (SDG) three emphasizes the need to improve maternal and new-born health and reduce the global maternal mortality rate to less than 70 per 100 000 live births by 2030. Achieving the SDG goal 3.1 target will require evidence-based data on the distribution of maternal health outcomes and their linkage to healthcare access. Data and Methods: This study used WorldPop data derived from an integration of satellite, census and household survey. Exploratory spatial analysis techniques were used to examine and visualize the spatial distribution of women of reproductive age (15-19 and 40- 44), live births and pregnancies at the subnational level in three “poor resource” West African countries:  Mali, Guinea and Liberia. Buffer analysis was used to quantify the number of pregnancies within user-defined distances of a health facility. Findings: Results showed wide variations in the distribution of maternal health outcomes across the countries of interest and districts of each of the countries. There was also clustering of maternal health outcomes and health facilities at the urban capital cities of Bamako, Conakry, and Greater Monrovia. A considerable number of pregnancies in most districts of northern Mali, northern and forest regions of Guinea and counties in south-eastern Liberia were not within 50km distance of a health facility, indicating inadequate access to maternal healthcare. Conclusion: To bridge the gap in inequity in healthcare access, and improve maternal and newborn health in the study countries, there is need for equitable distribution of health resources and infrastructure within and across the disadvantaged districts. Background: The Sustainable Development Goal (SDG) three emphasizes the need to improve maternal and new-born health and reduce the global maternal mortality rate to less than 70 per 100 000 live births by 2030. Achieving the SDG goal 3.1 target will require evidence-based data on the distribution of maternal health outcomes and their linkage to healthcare access. Data and Methods: This study used WorldPop data derived from an integration of satellite, census and household survey. Exploratory spatial analysis techniques were used to examine and visualize the spatial distribution of women of reproductive age (15-19 and 40- 44), live births and pregnancies at the subnational level in three “poor resource” West African countries:  Mali, Guinea and Liberia. Buffer analysis was used to quantify the number of pregnancies within user-defined distances of a health facility. Findings: Results showed wide variations in the distribution of maternal health outcomes across the countries of interest and districts of each of the countries. There was also clustering of maternal health outcomes and health facilities at the urban capital cities of Bamako, Conakry, and Greater Monrovia. A considerable number of pregnancies in most districts of northern Mali, northern and forest regions of Guinea and co
背景:可持续发展目标三强调需要改善孕产妇和新生儿健康,并在2030年前将全球孕产妇死亡率降至每10万活产70人以下。实现可持续发展目标3.1的具体目标将需要关于孕产妇健康结果的分布及其与医疗保健的联系的循证数据。数据和方法:本研究使用了来自卫星、人口普查和家庭调查的WorldPop数据。探索性空间分析技术被用于检查和可视化三个“资源贫乏”西非国家(马里、几内亚和利比里亚)的育龄妇女(15-19岁和40-44岁)、活产妇女和怀孕妇女在国家以下一级的空间分布。缓冲区分析用于量化卫生设施用户定义距离内的妊娠数量。调查结果:结果显示,在感兴趣的国家和每个国家的地区,孕产妇健康结果的分布差异很大。首都巴马科、科纳克里和大蒙罗维亚的产妇保健成果和保健设施也集中在一起。在马里北部的大多数地区、几内亚北部和森林地区以及利比里亚东南部的县,有相当多的孕妇不在距离卫生设施50公里的范围内,这表明获得孕产妇保健的机会不足。结论:为了弥补研究国家在获得医疗保健方面的不平等差距,改善孕产妇和新生儿健康,需要在贫困地区内部和之间公平分配卫生资源和基础设施。背景:可持续发展目标三强调需要改善孕产妇和新生儿健康,并在2030年前将全球孕产妇死亡率降至每10万活产70人以下。实现可持续发展目标3.1的具体目标将需要关于孕产妇健康结果的分布及其与医疗保健的联系的循证数据。数据和方法:本研究使用了来自卫星、人口普查和家庭调查的WorldPop数据。探索性空间分析技术被用于检查和可视化三个“资源贫乏”西非国家(马里、几内亚和利比里亚)的育龄妇女(15-19岁和40-44岁)、活产妇女和怀孕妇女在国家以下一级的空间分布。缓冲区分析用于量化卫生设施用户定义距离内的妊娠数量。调查结果:结果显示,在感兴趣的国家和每个国家的地区,孕产妇健康结果的分布差异很大。首都巴马科、科纳克里和大蒙罗维亚的产妇保健成果和保健设施也集中在一起。在马里北部的大多数地区、几内亚北部和森林地区以及利比里亚东南部的县,有相当多的孕妇不在距离卫生设施50公里的范围内,这表明获得孕产妇保健的机会不足。结论:为了弥补研究国家在获得医疗保健方面的不平等差距,改善孕产妇和新生儿健康,需要在贫困地区内部和之间公平分配卫生资源和基础设施。
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引用次数: 4
Nigeria demographic report: the effect of overpopulation on life expectancy 尼日利亚人口报告:人口过剩对预期寿命的影响
Q3 Social Sciences Pub Date : 2020-07-08 DOI: 10.11564/34-1-1496
P. Ekoh, Elizabeth Onyedikachi George, Chukwuemeka Ejimkaraonye
Background: Nigeria is considered the most populous country in Africa with an estimated population of 181 million and a median age of 17.9. Nigeria’s young population indicates that fertility rate may keep increasing with the total population increasing exponentially. However, life expectancy in Nigeria is very low accompanied by high mortality rate. Data Source and methods: This study aimed at analysing Nigeria’s demographic data and presenting how Nigeria’s overpopulation is contributing to its low life expectancy. Secondary quantitative data from United Nations Population Division was analysed for the study. Results: Findings showed increasing population growth from 108,011,465 recorded in 1995 to 200,963,599 recorded in 2020, high fertility, high mortality rate and low life expectancy at 53 years. Conclusion: The study made recommendations on policies to regulate Nigeria’s population growth and increase life expectancy of the country.
背景:尼日利亚被认为是非洲人口最多的国家,人口估计为1.81亿,平均年龄为17.9岁。尼日利亚的年轻人口表明,随着总人口呈指数增长,生育率可能会继续上升。然而,尼日利亚的预期寿命很低,死亡率很高。数据来源和方法:本研究旨在分析尼日利亚的人口数据,并介绍尼日利亚的人口过剩是如何导致其低预期寿命的。本研究分析了联合国人口司的二手定量数据。结果:调查结果显示,人口增长从1995年记录的108,011,465人增加到2020年记录的200,963,599人,生育率高,死亡率高,预期寿命低,为53岁。结论:该研究提出了政策建议,以调节尼日利亚的人口增长和提高该国的预期寿命。
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引用次数: 2
Dynamics of onset of fertile life among adolescent girls in Benin, 1996-2017 1996-2017年贝宁少女生育期开始动态
Q3 Social Sciences Pub Date : 2020-07-06 DOI: 10.11564/34-1-1491
Mahouli Mireille-Marie Mintogbé, M. A. Sanni, V. Dougnon, B. Gnoumou, C. Ahoussinou
Background: The issue of early onset of fertile life among adolescent girls remains very current. However, theoretical predictions predict event decline, particularly with the young generations. This study aims to analyse trends and explanatory factors of early onset of fertile life among adolescent girls aged 15 to 19 years in Benin. Data and methods: The study uses Demographic and Health Surveys (DHS). The Kaplan Meier method and the Cox proportional risk model were used . Findings: Early onset of fertile life has experienced saw tooth variations between 1996 and 2017. The main risk factors are: education level, age at first sexual intercourse, and socio-economic standard of living. Conclusion: Interventions need to be strengthened and/or reoriented to effectively contribute to reducing the incidence of early onset of fertile life. This will enhance adolescent girls knowledge and skills enabling them to live a healthy, responsible and timely sexual and reproductive life.
背景:青春期女孩生育年龄过早的问题仍然非常紧迫。然而,理论预测预测事件会减少,尤其是年轻一代。本研究旨在分析贝宁15至19岁少女早育的趋势和解释因素。数据和方法:本研究使用人口与健康调查(DHS)。采用Kaplan Meier法和Cox比例风险模型。研究结果:1996年至2017年间,早期生育生活经历了锯齿状变化。主要的危险因素是:教育水平、初次性行为年龄和社会经济生活水平。结论:干预措施需要加强和/或重新定位,以有效降低早发性生育的发生率。这将提高少女的知识和技能,使她们能够过上健康、负责任和及时的性生活和生殖生活。
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引用次数: 0
Traditional religious worldview as persistent driver of healthcare practices in Southeast Nigeria 传统宗教世界观是尼日利亚东南部医疗实践的持续驱动力
Q3 Social Sciences Pub Date : 2020-07-03 DOI: 10.11564/34-1-1489
Aloysius C. Obiwulu, J. Akah, A. Ajah
Background: Worldviews define reality and stipulate the specific attitudes towards each component of reality.This study assessed how traditional religious worldview in southeast Nigeria has persisted as a driver of healthcare practices in the region. The study was carried out in southeast Nigeria, particularly, Enugu and Anambra States. Data Source and Methods:  Data for the study were collected using a six-item questionnaire administered to 400 respondents, and analyzed using simple percentages. Results: Most of the respondents see ailments as curses from gods/deities, or malicious machinations from evil forces. The predominant initial healthcare practice for ailments such as leg ulcer is to go to a dibia (61%) or to a faith healing home (29%). Conclusion: For health-interventions to succeed in southeast Nigeria, there is need for pre-intervention campaigns. There is also urgent need to proscribe faith healing homes in the region.
背景:世界观定义了现实,并规定了对现实各个组成部分的具体态度。这项研究评估了尼日利亚东南部的传统宗教世界观是如何作为该地区医疗实践的驱动因素而持续存在的。这项研究是在尼日利亚东南部,特别是埃努古州和阿南布拉州进行的。数据来源和方法:该研究的数据是通过对400名受访者进行的六项问卷收集的,并使用简单的百分比进行分析。结果:大多数受访者认为疾病是来自神的诅咒,或是邪恶势力的恶意阴谋。对于腿部溃疡等疾病,最初的主要医疗保健做法是去迪比亚(61%)或信仰疗养院(29%)。结论:为了使尼日利亚东南部的卫生干预措施取得成功,需要开展干预前运动。还迫切需要禁止在该地区建立信仰疗养院。
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引用次数: 0
Addressing religious practices in Sub-Saharan Africa Insights from a longitudinal study in rural Mali 解决撒哈拉以南非洲的宗教习俗问题来自马里农村纵向研究的见解
Q3 Social Sciences Pub Date : 2020-03-20 DOI: 10.11564/34-1-1345
Aurélien Dasré, V. Hertrich
In censuses and demographic surveys, religion is recorded as a variable of state, assuming that individuals’ religious affiliation is unique and definitive. However, in sub-Saharan Africa, pluralism are commonplace. In this paper, w e discuss the relevance and feasibility of a statistical approach to religious practices, taking into consideration their complexity and variability over an individual’s lifetime.  We use longitudinal data collected since 25 years in the south-east of Mali, among a population where traditional and Christian religions coexist. We can compare the results of a classic cross-sectional approach with those obtained via a longitudinal approach that takes into consideration individuals’ religious trajectories.  Plurality and variability in religious practices are confirmed. Most individuals, at some point in their lives, become affiliated with different religions. Mobility and reversibility in religious affiliation are common. The relevance of cross-sectional data on religious affiliation for demographic analysis is questionable.
在人口普查和人口调查中,宗教被记录为国家的一个变量,假设个人的宗教信仰是独特和明确的。然而,在撒哈拉以南非洲,多元化是司空见惯的。在本文中,我们讨论了统计方法对宗教实践的相关性和可行性,考虑到宗教实践在个人一生中的复杂性和可变性。我们使用了自25年以来在马里东南部传统宗教和基督教共存的人口中收集的纵向数据。我们可以将经典横截面方法的结果与通过考虑个人宗教轨迹的纵向方法获得的结果进行比较。宗教实践的多样性和可变性得到了证实。大多数人在一生中的某个时刻都加入了不同的宗教。宗教信仰的流动性和可逆性很常见。关于宗教信仰的横断面数据与人口统计分析的相关性值得怀疑。
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引用次数: 1
Préférences de fécondité et perception de la planification familiale des migrants temporaires à Dakar 达喀尔临时移民的生育偏好和对计划生育的看法
Q3 Social Sciences Pub Date : 2020-03-20 DOI: 10.11564/34-1-1165
Yacine Boujija, Laetitia Douillot, V. Delaunay, S. Bignami, Jon Sandberg
Une vaste litterature s’est attardee sur la fecondite des migrants internationaux en les comparant aux non-migrants au lieu de destination. Peu de travaux ont considere les populations d’origine comme reference et encore moins l’ont fait pour des migrants internes. Une telle approche est pourtant pertinente dans un contexte africain ou les clivages demographiques entre regions rurales et urbaines sont encore importants et ou les migrations sont souvent circulaires. En nous attardant sur la zone rurale de Niakhar, nous utilisons les donnees d’une enquete sur les reseaux sociaux, pratiques et croyances individuelles afin d’observer si les normes et preferences de fecondite des migrants temporaires a Dakar different de celles de la population d’origine. Les resultats indiquent des differences legeres pour la connaissance et l’acceptabilite de la planification familiale. Toutefois, les migrants ont un nombre ideal d’enfants plus faible en moyenne que les non-migrants. Nos modeles multivaries suggerent que ces differences s’expliquent principalement par les hypotheses de selection et d’adaptation. *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  * A large literature has focused on the fertility of international migrants by comparing them to non-migrants at the destination. Few studies have considered the original populations as a reference and even less so for internal migrants. However, such an approach is relevant, especially in African contexts where demographic differences between rural and urban areas remain important and where migration is often circular. Focusing on the rural area of Niakhar, we use data from a survey on social networks, individual practices and beliefs to assess whether the fertility norms and preferences of temporary migrants to Dakar differ from those of the population at origin. The results indicate slight differences in the knowledge and acceptability of family planning. However, migrants have an ideal average number of children lower than non-migrants. Our multivariate models suggest that these differences are mainly explained by the selection and adaptation hypotheses.
大量文献通过将国际移民与目的地的非移民进行比较,探讨了国际移民的生育率。很少有工作将原籍人口视为参考,更不用说国内移民了。然而,这种方法在非洲的背景下是相关的,在非洲,农村和城市地区之间的人口差距仍然很大,移徙往往是循环的。在尼亚哈尔农村地区,我们利用社会网络、实践和个人信仰调查的数据,观察达喀尔临时移民的性别规范和偏好是否与原籍人口不同。结果表明,计划生育的知识和可接受性存在微小差异。然而,移民的理想子女数量平均低于非移民。我们的多元模型表明,这些差异主要由选择和适应的假设来解释****************大量文献通过将国际移民与目的地的非移民进行比较,重点关注国际移民的生育率。少数研究将原始人口视为国内移民的参考,甚至更少。然而,这种方法是相关的,特别是在非洲,农村和城市地区之间的人口差异仍然很大,移徙经常循环。我们以尼亚哈尔农村地区为重点,利用社会网络、个人做法和信仰调查的数据,评估达喀尔临时移民的生育标准和偏好是否与原籍人口不同。结果表明,计划生育的知识和可接受性差异不大。然而,移民的儿童平均人数低于非移民。我们的多元模型表明,这些差异主要由选择和适应假设来解释。
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引用次数: 0
Education for inclusion: numeracy intervention in second chance education of market women in rural Nigeria 包容教育:尼日利亚农村市场妇女第二次机会教育中的算术干预
Q3 Social Sciences Pub Date : 2020-03-20 DOI: 10.11564/34-1-1458
J. N. Igwe, A. C. Nzeadibe, C. Ugwuanyi
Background: A second chance education intervention was initiated for market women in rural Nigeria, who previously missed opportunity for formal education in their younger ages, with the aim of acquiring and improving basic numeracy skills for inclusion of the women. Data source and methods: Thirty (30) questionnaires on hands-on activity were administered on 30 women purposively selected from the membership list of the association of market women, while 15 other women were similarly sampled to form the control group, giving a total of 45 questionnaires. In-depth interviews, and two focus group discussions (FGDs) comprising 12 volunteer women each were also conducted.  The qualitative data were content analysed while mean, standard deviation, Chi-square and Analysis of covariance (ANCOVA) were used to analyse the quantitative data. Results: Participants have similar socio-demographic characteristics. Over 70% of the respondents were aged less than 40 years while over 50% of the respondents attained primary education. Similarly, 64.4% of the rural women had no opportunity for formal education as adults. Results showed that there were significant effects of hands-on activities on mean ability of rural women in giving balance and stock taking. Conclusions: The second chance education initiative provided an avenue for peer learning and more inclusive and equitable numerical skill development of market women, thus enhancing the prospect of contributing to AU Agenda 2063 and the 4th goal of the post-2015 development agenda.
背景:为尼日利亚农村的市场妇女发起了第二次机会教育干预,这些妇女以前在年轻时错过了接受正规教育的机会,目的是获得和提高基本的算术技能,使妇女融入其中。数据来源和方法:对30名妇女进行了三十(30)份关于实践活动的问卷调查,这些妇女是从市场妇女协会的成员名单中选出的,而其他15名妇女也被类似地抽样组成对照组,共提供了45份问卷。还进行了深入访谈和两次焦点小组讨论,各有12名志愿妇女参加。定性数据进行内容分析,定量数据采用均值、标准差、卡方和协方差分析(ANCOVA)进行分析。结果:参与者具有相似的社会人口学特征。超过70%的受访者年龄在40岁以下,而超过50%的受访者受过小学教育。同样,64.4%的农村妇女成年后没有机会接受正规教育。结果表明,实践活动对农村妇女平衡和评估的平均能力有显著影响。结论:第二次机会教育倡议为市场女性的同伴学习和更具包容性和公平的数字技能发展提供了一条途径,从而增强了为《非盟2063年议程》和2015年后发展议程第四个目标做出贡献的前景。
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引用次数: 1
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Etude de la Population Africaine
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