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Antenatal care service availability and utilization in rural viet nam 越南农村产前保健服务的提供和利用情况
Pub Date : 2009-01-15 DOI: 10.18356/E0802306-EN
M. Do
Studies of reproductive health service utilization in developing countries have traditionally focused on individual-level determinants. In Viet Nam evidence of the associations between service environment and utilization is almost non-existent. This study examines the relationships between antenatal care (ANC) service availability in public and private sectors in rural areas and ANC-seeking behaviours. Data come from the Viet Nam 2002 Demographic and Health Survey which collected information on individual health behaviours community characteristics and service availability. Just over half of recently pregnant women in rural Viet Nam received ANC during the first three months of their pregnancies; a similar proportion received three or more such visits. Three in five rural women did not obtain appropriate ANC which means receiving ANC both within the first trimester and three or more of such visits. Service availability in the public sector was related to rural women receiving at least three such visits but not to initiating ANC within the first trimester. ANC service availability in the private sector was not significantly related to utilization. Household wealth and women’s education were associated with increased probability of receiving appropriate ANC. The findings indicate the importance of service availability in the public sector. They also suggest that any interventions aimed at improving access to ANC services should include efforts to target rural women of lower wealth status and educational achievements.
对发展中国家生殖健康服务利用情况的研究传统上侧重于个人层面的决定因素。在越南,几乎没有证据表明服务环境与利用之间存在关联。本研究考察了农村地区公共和私营部门的产前保健(ANC)服务可得性与寻求ANC行为之间的关系。数据来自2002年越南人口与健康调查,该调查收集了关于个人健康行为、社区特征和服务提供情况的信息。在越南农村,刚刚怀孕的妇女中有一半以上在怀孕的头三个月接受了ANC;同样比例的人接受了三次或更多次此类访问。五分之三的农村妇女没有得到适当的产前检查,这意味着在妊娠头三个月和三次或三次以上的产前检查中都没有得到产前检查。公共部门提供的服务与农村妇女至少接受三次这样的检查有关,但与在妊娠头三个月开始产前检查无关。私营部门提供的非国大服务与利用没有显著关系。家庭财富和妇女受教育程度与接受适当非分娩分娩的可能性增加有关。调查结果表明公共部门提供服务的重要性。他们还建议,任何旨在改善获得非国大服务机会的干预措施都应包括针对财富地位和教育成就较低的农村妇女的努力。
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引用次数: 6
Reproductive health, including adolescent reproductive health: progress and challenges in Asia-Pacific. 生殖健康,包括青少年生殖健康:亚太地区的进展和挑战。
Pub Date : 2009-01-08 DOI: 10.18356/A0F5C70E-EN
R. Karim
The Asian and Pacific region has made significant progress in expanding access to sexual and reproductive health with more effective collaboration between Governments international agencies and civil society organizations. Most countries have in place policies and strategies for reproductive and sexual health information and services but their translation into programmes remains a challenge especially in reaching out to the poor and marginalized. Assessing the progress of the region as a whole and within countries is difficult owing to their huge diversity and disparity the complexities of the broad sexual and reproductive health agenda and difficulties in obtaining a reliable set of quantifiable indicators. Challenges faced during this period with competing funding for HIV and AIDS opposing voices of conservative and religious forces and the reinstating of the Mexico City Policy (through rescinded by President Obama in January 2009) have affected resources critical to achieving the International Conference on Population and Development goals. However with the additional target under Millennium Development Goal 5 to provide universal access to reproductive and sexual health there is renewed hope to move ahead to achieve both sets of goals. This paper traces the various components of sexual and reproductive health (SRH) emphasizing the areas where progress has been made as in contraceptive prevalence and usage of modern contraception methods and addresses some of the challenges faced. The paper also calls for countries to take affirmative action to address issues which are contentious and/or neglected but that are important public health concerns. Strengthening of health infrastructure and ensuring that health-care systems are fully functioning are vital for effective implementation of comprehensive quality SRH services. Finally it is the political will and allocation of adequate national resources that will make a difference to saving womens lives and improving their sexual and reproductive health.
亚洲及太平洋区域通过各国政府、国际机构和民间社会组织之间更有效的合作,在扩大获得性健康和生殖健康的机会方面取得了重大进展。大多数国家都制定了生殖健康和性健康信息和服务的政策和战略,但将其转化为方案仍然是一项挑战,特别是在向穷人和边缘化群体伸出援助之手方面。评估整个区域和各国内部的进展是困难的,因为它们的巨大多样性和差异、广泛的性健康和生殖健康议程的复杂性以及难以获得一套可靠的可量化指标。在此期间面临的挑战是,为艾滋病病毒和艾滋病提供资金的竞争,保守派和宗教力量的反对声音,以及墨西哥城政策的恢复(奥巴马总统于2009年1月废除了这一政策)影响了实现国际人口与发展会议目标的关键资源。然而,随着千年发展目标5下提供普遍获得生殖健康和性健康服务的额外目标,人们重新燃起了向前推进实现这两套目标的希望。本文追溯了性健康和生殖健康的各个组成部分,强调了在避孕普及和现代避孕方法的使用等方面取得进展的领域,并解决了面临的一些挑战。该文件还呼吁各国采取平权行动,解决有争议和/或被忽视但却是重要的公共卫生问题。加强卫生基础设施和确保保健系统充分发挥作用对于有效实施全面优质的性健康和生殖健康服务至关重要。最后,政治意愿和分配充足的国家资源将在拯救妇女生命和改善其性健康和生殖健康方面发挥作用。
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引用次数: 6
Population and poverty: the situation in Asia and the Pacific. 人口与贫穷:亚洲及太平洋地区的情况。
Pub Date : 2009-01-08 DOI: 10.18356/FA7684EF-EN
Gavin W. Jones
Although the concept of absolute poverty is well accepted a broader understanding of poverty requires the consideration of factors such as "poverty of access" and "social exclusion". Poverty in the ESCAP region is heavily concentrated in South Asia. Economic growth is key to the alleviation of poverty although distributional aspects are also important. There are clear correlations between lower fertility and lower rates of population growth on the one hand and a lower incidence of poverty although causal relationships can go both ways. Recent analysis of economic-demographic relationships has emphasized the "window of opportunity" represented by age structure changes consequent on declines in fertility. Some of the specific sectoral relationships between population trends and poverty are outlined briefly in this paper. Education is particularly crucial to poverty alleviation and the decline in fertility throughout the region has facilitated the meeting of educational goals. However public expenditure on education has in many cases served to widen the gap between the rich and the poor. Similar arguments can be made about the health sector. There are gender elements in these problems. In countries where female access to education is not on a par with that of males where female employment is restricted and where unmet need for family planning is high economic growth is held back and prospects for lifting people out of poverty are poorer. The paper recommends adoption of specifically pro-poor approaches in educational and health planning specifically pro-poor approaches for women and the need to focus on meeting unmet need for family planning.
虽然绝对贫穷的概念已被广泛接受,但对贫穷的更广泛理解需要考虑诸如“缺乏机会”和“社会排斥”等因素。亚太经社会区域的贫困主要集中在南亚。经济增长是减轻贫穷的关键,尽管分配方面也很重要。一方面,较低的生育率和较低的人口增长率与较低的贫困发生率之间存在明显的相关性,尽管因果关系可能是双向的。最近对经济-人口关系的分析强调了由于生育率下降而引起的年龄结构变化所代表的“机会之窗”。本文简要概述了人口趋势与贫穷之间的一些具体部门关系。教育对减轻贫穷特别重要,整个区域生育率的下降促进了教育目标的实现。然而,在许多情况下,教育方面的公共开支扩大了贫富之间的差距。关于卫生部门也可以提出类似的论点。这些问题中有性别因素。在一些国家,女性受教育的机会不如男性,女性就业受到限制,计划生育需求未得到满足,经济高速增长受到阻碍,使人们摆脱贫困的前景更差。该文件建议在教育和保健规划中采取特别有利于穷人的办法,特别是有利于妇女的办法,并建议集中注意满足未得到满足的计划生育需要。
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引用次数: 5
Population and environment in Asia and the Pacific: trends, implications and prospects for sustainable development. 亚洲及太平洋的人口与环境:可持续发展的趋势、影响和前景。
Pub Date : 2009-01-08 DOI: 10.18356/720D3EB1-EN
K. Richter, A. E. Benjamin, S. Punpuing
Population growth in Asia and the Pacific has slowed but while the trend to lower fertility is expected to continue the region will experience positive growth increased density and urbanization for the foreseeable future. Increased consumption due to population growth and affluence has severe implications for sustainable development. Energy consumption is growing faster than any other region of the world and food consumption is increasing with a shift to more resource intensive protein sources. Land productivity decline deforestation declining fresh water supplies climate change and increased numbers of natural disasters are all evidence of the impact of population pressure on the environment in the region. The recent food-fuel-financial crisis has complex and interrelated impacts on sustainable development and the agricultural sector has been affected by economic forces in other areas. Yet there may be positive outcomes of the crisis as "green growth" initiatives are planned to stimulate the economy through investments in new energy technologies and natural infrastructure. Progress on the Millennium Development Goal indicators on environmental sustainability is mixed as economic development has taken place at the expense of forest loss and increased CO2 emissions. Many countries however have reached their goals in providing clean water and improved sanitation to a higher proportion of the population.
亚洲和太平洋地区的人口增长已经放缓,但虽然生育率下降的趋势预计将继续下去,但在可预见的未来,该地区将经历人口密度增加和城市化的正增长。人口增长和富裕造成的消费增加对可持续发展产生了严重影响。能源消费的增长速度比世界上任何其他地区都要快,粮食消费也随着向资源密集型蛋白质来源的转变而增加。土地生产力下降、森林砍伐、淡水供应减少、气候变化和自然灾害数量增加都是人口压力对该地区环境影响的证据。最近的粮食-燃料-财政危机对可持续发展产生了复杂和相互关联的影响,农业部门也受到其他领域经济力量的影响。然而,随着“绿色增长”倡议计划通过投资新能源技术和自然基础设施来刺激经济,这场危机可能会产生积极的结果。关于环境可持续性的千年发展目标指标的进展喜忧参半,因为经济发展是以森林损失和二氧化碳排放增加为代价的。然而,许多国家已经实现了向更高比例的人口提供清洁水和改善卫生设施的目标。
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引用次数: 1
Some new insights into the demographic transition and changing age structures in the ESCAP region. 对亚太经社会区域人口结构转型和年龄结构变化的一些新见解。
Pub Date : 2009-01-08 DOI: 10.18356/9A5048CC-EN
N. Ogawa, Amonthep Chawla, R. Matsukura
In this paper the authors have analysed some of the important impacts of Asias age structural changes on the first and second demographic dividends by heavily drawing upon the computed results of the National Transfer Accounts collaborative project. The computed results on the demographic dividends for the developing countries in Asia indicate that the size of these two dividends is quite substantial in most of the countries. Although the awareness of these two demographic dividends is still fairly limited in Asia their effective use particularly that of the accumulated second demographic dividend which is likely to remain enormous for the next few decades appears to be an attractive policy option for some Governments of developing countries in Asia that wish to place their future economic growth on a steady path. One crucial question arises: how should Asians make use of their accumulated assets and wealth in the years to come? Depending upon how in what and where they invest their future financial resources Asias future economic growth performance is likely to differ considerably. It seems to be particularly important to observe that the timing of the first demographic dividend for selected Asian countries varies considerably as extensively discussed in present paper. In an era of globalization Asian countries where the first demographic dividend disappear will have the opportunity to invest their assets in dynamically growing economies in other parts of Asia and bring financial gains back to their home countries. Obviously to facilitate such international transactions proper institutional and legal arrangements need to be developed to protect the investors.
在本文中,作者通过大量借鉴国民转移账户合作项目的计算结果,分析了亚洲年龄结构变化对第一和第二次人口红利的一些重要影响。对亚洲发展中国家人口红利的计算结果表明,这两种红利的规模在大多数国家都是相当可观的。虽然在亚洲对这两种人口红利的认识仍然相当有限,但对亚洲一些希望使其未来经济增长走上稳定道路的发展中国家政府来说,有效利用特别是积累起来的第二种人口红利似乎是一个有吸引力的政策选择,这种红利在今后几十年很可能仍然是巨大的。一个关键的问题出现了:亚洲人在未来几年应该如何利用他们积累的资产和财富?亚洲未来的经济增长表现可能会有很大差异,这取决于它们将未来的财政资源投资在什么领域和哪里。似乎特别重要的是,正如本文广泛讨论的那样,某些亚洲国家的第一次人口红利出现的时间差别很大。在全球化时代,第一次人口红利消失的亚洲国家将有机会将其资产投资于亚洲其他地区动态增长的经济体,并将金融收益带回本国。显然,为了促进这种国际交易,需要制定适当的体制和法律安排来保护投资者。
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引用次数: 21
Gender and Remittance Flows in Vietnam During Economic Transformation 经济转型期间越南的性别与汇款流动
Pub Date : 2008-08-01 DOI: 10.18356/0F925181-EN
W. Pfau, G. T. Long
Since the 1990s, Vietnam has experienced a dramatic growth in remittance flows. This paper uses the Vietnam Living Standard Surveys for 1992/93 and 1997/98 to study the role of gender in these remittance flows, both from the perspective of receiving and sending remittances. Knowing about gender differences will help to better explain the impact of remittances and to understand the nature of gender roles during a time of economic transformation. We find important distinctions, such as a responsibility among women for the intergenerational transfers of remittances (particularly between parents and children) while men tend to take more responsibility for intragenerational remittances. As well, after controlling for other factors and sharing remittances between spouses who live together, we find evidence that women have a higher likelihood to both send and receive remittances.
自20世纪90年代以来,越南的汇款流量急剧增长。本文利用1992/93年和1997/98年的越南生活水平调查,从接收和发送汇款的角度研究性别在这些汇款流动中的作用。了解性别差异将有助于更好地解释汇款的影响,并了解经济转型时期性别角色的性质。我们发现了重要的区别,例如妇女对代际汇款(特别是父母和子女之间)的责任,而男子往往对代际汇款承担更多的责任。此外,在控制了其他因素并在共同生活的配偶之间分担汇款后,我们发现有证据表明,女性汇款和收款的可能性更高。
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引用次数: 14
Current status of sexual and reproductive health: Prospects for achieving the Programme of Action of the International Conference on Population and Development and the Millennium Development Goals in the Pacific. 性健康和生殖健康的现状:在太平洋地区实现《国际人口与发展会议行动纲领》和千年发展目标的前景。
Pub Date : 2007-12-01 DOI: 10.18356/3EE6A581-EN
A. Robertson
The paradigm shift in population and development that occurred at the International Conference on Population and Development (ICPD) in Cairo in 1994 from reduction in population growth for socio-economic progress to ensuring sexual and reproductive health and rights as a fundamental human right and as a means for improving the quality of life has also become apparent in the Pacific. The Millennium Development Goals (MDGs) provide the current global framework for development efforts and were formally endorsed in 2000 by 189 countries including Pacific island countries. The importance of sexual and reproductive health was not fully articulated during the formulation of the MDGs as an explicit goal. However during the World Summit convened in 2005 world leaders endorsed the fundamental human right of "universal access to sexual and reproductive health services" _ an additional target to the MDG 5 as a result of intense lobbying by sexual and reproductive health advocates including the Prime Minister of Tuvalu. The full integration of the MDGs into national sustainable development strategies and plans outlining an allocation of a certain percentage of the national budgets to poverty reduction is requiring a lengthy internalization and implementation process for many Pacific island countries. Part of the challenge for many of those countries has been the relevance of the poverty definition and the prevailing perception by some country leaders that "poverty of opportunity" is the more fundamental issue. Repositioning family planning as an integral development strategy for poverty reduction and as a mechanism for achieving fundamental reproductive rights needs to be acknowledged at the highest political level. (excerpt)
1994年在开罗举行的国际人口与发展会议(人发会议)上出现的人口与发展的模式转变,从减少人口增长以促进社会经济进步,转变为确保性健康和生殖健康及权利作为一项基本人权和提高生活质量的手段,这种转变在太平洋地区也很明显。千年发展目标(MDGs)为发展努力提供了当前的全球框架,并于2000年得到包括太平洋岛屿国家在内的189个国家的正式批准。在制定千年发展目标作为一项明确目标时,性健康和生殖健康的重要性没有得到充分阐述。然而,在2005年召开的世界首脑会议上,世界各国领导人赞同"普遍获得性健康和生殖健康服务"这一基本人权,这是千年发展目标5的一项附加目标,这是包括图瓦卢总理在内的性健康和生殖健康倡导者大力游说的结果。对许多太平洋岛屿国家来说,将千年发展目标充分纳入国家可持续发展战略和计划,其中概述了拨出一定比例的国家预算用于减贫,需要一个漫长的内部化和执行过程。其中许多国家面临的部分挑战是贫穷定义的相关性以及一些国家领导人普遍认为“机会贫穷”是更根本的问题。必须在最高政治一级承认将计划生育重新定位为减少贫穷的整体发展战略和实现基本生殖权利的机制。(摘录)
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引用次数: 4
Differential mortality among Pacific island countries and territories 太平洋岛屿国家和领土之间的死亡率差异
Pub Date : 2007-12-01 DOI: 10.18356/AA45D7F2-EN
Richard J. K. Taylor, Alan D. Lopez
Pacific island countries show highly variable patterns of mortality. While high mortality populations are affected particularly by infectious diseases and under nutrition (especially children), adults in low mortality countries are afflicted with non-communicable disease and injuries.
太平洋岛屿国家的死亡率模式变化很大。虽然高死亡率人口特别受到传染病和营养不足的影响(特别是儿童),但低死亡率国家的成年人却深受非传染性疾病和伤害的折磨。
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引用次数: 3
Poverty and pro-poor policies for Pacific Island countries. 太平洋岛国的贫困和扶贫政策。
Pub Date : 2007-12-01 DOI: 10.18356/0243DE52-EN
D. Abbott
Although generalizations can be misleading given the diversity of Pacific island countries situation the overall trend is that the Polynesian countries have been performing relatively well the Micronesian countries of the north Pacific have been struggling to maintain gains already made while Melanesian countries notably those that have been impacted by natural disasters or where there has been conflict or civil/political tension a reversal of earlier development progress is being witnessed. The result is that many countries in the Pacific are off-track to achieve at least five or more of the eight Millennium Development Goals. Weak fiscal situations the impact of global externalities concern over the future impact of climate change and high levels of domestic rural/urban migration are all factors which are adversely affecting the ability and commitment of Governments in the Pacific to implement the policy initiatives necessary to realize significant achievements towards the Millennium Development Goals. Indeed the impact of oil price rises climate change and demography including the consequences of labour mobility and the growing threat of HIV/AIDS are having profound affects on the likely long-term sustainability of some small island States. These issues therefore set very challenging policy agendas for human development in the Pacific islands. (excerpt)
鉴于太平洋岛屿国家情况的多样性,这种概括可能具有误导性,但总的趋势是,波利尼西亚国家的表现相对较好,北太平洋密克罗尼西亚国家一直在努力维持已经取得的成果,而美拉尼西亚国家,特别是那些受到自然灾害影响或发生冲突或国内/政治紧张局势的国家,正在目睹早先发展进展的逆转。其结果是,太平洋地区的许多国家偏离了实现八项千年发展目标中至少五项或更多目标的轨道。疲软的财政状况、全球外部性的影响、对气候变化未来影响的关切以及国内农村/城市移民的高水平都是不利影响太平洋各国政府执行必要的政策倡议以实现千年发展目标取得重大成就的能力和承诺的因素。的确,石油价格上涨、气候变化和人口结构的影响,包括劳动力流动的后果以及艾滋病毒/艾滋病日益严重的威胁,正在对一些小岛屿国家可能的长期可持续性产生深远影响。因此,这些问题为太平洋岛屿的人类发展制定了极具挑战性的政策议程。(摘录)
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引用次数: 4
Availability accessibility and utilization of Pacific Island demographic data -- issues of data quality and user relevance. 太平洋岛屿人口数据的可得性、可及性和利用——数据质量和用户相关性问题。
Pub Date : 2007-12-01 DOI: 10.18356/C091ADA2-EN
G. Haberkorn, A. Jorari
While ensuring that data are available and available on time it is imperative to en sure also that they are of good quality - reliable (of sound quality) and valid (meaning that they do measure what they are meant to). This requires skilled and experienced staff in place right through out Pacific island countries and territories national statistical systems and not merely at the level of section or agency head. (authors)
在确保数据可用和及时可用的同时,还必须确保数据质量良好——可靠(声音质量)和有效(意味着它们确实测量了它们的目的)。这需要在整个太平洋岛屿国家和领土的国家统计系统中配备熟练和经验丰富的工作人员,而不仅仅是在科或机构首长一级。(作者)
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引用次数: 3
期刊
Asia-Pacific population journal
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