scholarly journals Effects of long-lasting insecticide net (LLINs) ownership/ utilisation indicators on annual household malaria episodes (AHMEs) in Bamenda, Santa and Tiko Health Districts in Cameroon

2018 ◽  
Author(s):  
Nchang Frederick Cho ◽  
Ngum Fru Paulette Cho-Azieh ◽  
Munguh Solange Fri ◽  
Cho Blessing Menyi ◽  
Jokwi Patrick Kofon ◽  
...  

Introduction Household residents in malaria endemic areas are at high risk of multiple malaria episodes per year. This study investigated the annual household malaria episodes (AHMEs) in three health districts in Cameroon. Methods A community-based cross-sectional household survey using a multi-stage cluster design was conducted 2 – 3 years post campaign to assess long-lasting insecticide net (LLINs) ownership, utilisation and maintenance as well as demographic characteristics. Multinomial regression analysis was used to identify factors associated with household LLIN ownership, utilization and AHME. Results Household LLINs ownership, de facto population with universal utilisation and AHME were respectively, 92.5%, 16.0% and 83.4%; thus, 4 out of 25 household residents effectively used LLINs the previous night. AHME was significantly (p < 0.05) associated with age and gender (OR; 1.6, 95% C.I; 1.1 – 2.3) of household head, health district (OR; 2.8, 95% C.I; 1.1 – 7.2) and tiredness (OR; 2.6, 95% C.I; 1.0 – 6.3). LLINs ownership and insufficiency also significantly contributed AHME. The overall average cost for the treatment of malaria was 6,399.4±4,892.8Fcfa (11.1±8.5US$). Conclusions The proportion of households with at least one LLIN and those with at least one AHME were high. Findings are of concern given that average cost for the treatment of malaria represents a potentially high economic burden. The results outlined in this paper provide an important tool for the examination of the deficiencies in LLINs regular and universal utilisation.

2018 ◽  
Author(s):  
Cho Frederick Nchang ◽  
Ngum Fru Paulette Cho-Azieh ◽  
Munguh Solange Fri ◽  
Cho Blessing Menyi ◽  
Jokwi Patrick Kofon ◽  
...  

AbstractIntroductionThe Bamenda, Santa and Tiko Health Districts are in the highest malaria transmission strata of Cameroon. The purpose of this study was to explore the indicators of ownership and utilisation as well as maintenance of long-lasting insecticidal nets (LLINs) in three health districts in Cameroon.MethodsA cross-sectional household survey involving 1,251 households was conducted in the Tiko Health District (THD) in July and June 2017 and in Bamenda and Santa Health Districts in March to May 2018. A structured questionnaire was used to collect data on LLIN ownership, utilisation and maintenance as well as demographic characteristics.ResultsThe average number of LLINs per household was higher in the Bamenda Health District (BHD) compared to the Tiko Health District (THD) (2.5±1.2 vs. 2.4±1.6) as well as the household ownership at least one LLIN (93.30% vs. 89.00%). The proportion of the de-facto population with universal utilisation was higher in BHD compared to THD (13.1% vs 0.2%). In multinomial regression analysis, households in the SHD (p = 0.007, OR; 2.8, 95% C.I; 1.3 – 5.8), were more likely to own at least one LLIN compared to those in THD.ConclusionOwnership of LLINs was low in SHD and THD in comparison to the goal of one for every two household members. Overall LLINs coverage and accessibility was still low after the free MDCs, as only 14.6% of children 0 – 5 years and 16.1% of the entire population used LLIN the night before the survey.


2021 ◽  
Vol 4 ◽  
Author(s):  
George G. Mwaura ◽  
Milka N. Kiboi ◽  
Eric K. Bett ◽  
Jayne N. Mugwe ◽  
Anne Muriuki ◽  
...  

Soil fertility decline continues to be a major challenge limiting agricultural productivity globally. Despite the novelty of organic-based technologies in enhancing agricultural production in Kenya's central highlands, adoption is low. Therefore, we carried out a cross-sectional household survey of 300 randomly selected smallholder farmers to determine the specific organic-based practices by farmers; and the socioeconomic factors that influence the adoption intensity of selected organic-based technologies. We used descriptive statistics to summarize the data and the Tobit regression model to evaluate the socioeconomic determinants of adoption intensity of selected organic-based technologies. We identified nine organic-based technologies that had different adoption rates among the farmers. The majority of the farmers had adopted manure (97%) and manure combined with fertilizer (92%) in Murang'a and Tharaka-Nithi, respectively. Manure was applied to the largest land in Murang'a with 31% of the cultivated land. In comparison, manure combined with fertilizer had the highest adoption intensity in Tharaka-Nithi applied to about 25% of the cultivated land. Gender, age of the household head, level of education, household size, access to external labor, training, Tropical Livestock Unit, agriculture group membership, access to credit, land cultivated, and farming experience influenced the adoption intensity of organic-based technologies among smallholder farmers. Based on the smallholder farmers' adoption behavior, this study can be used to disaggregate the farming households better in order to tailor specific organic-based soil fertility technologies solutions that meet their unique needs. One group would be those households that face specific constraints, as reflected in their low adoption rates, women-headed households and older farmers, and thus require more targeted / intensive efforts to overcome these barriers. The other group would be those households that require less focus because, when confronted with the technologies, they are more likely to adopt them easily, for example, the male-headed households. Hence, the smallholder farmers' adoption behavior, can enable policymakers to form a base for designing appropriate policies that encourage the adoption of organic-based soil fertility technology by smallholder farmers.


2011 ◽  
Vol 32 (6) ◽  
pp. 1008-1029 ◽  
Author(s):  
NASRA SHAH ◽  
HANAN BADR ◽  
MAKHDOOM SHAH

ABSTRACTAgeing of the population is posing new challenges for caretakers. This paper aims to examine: (a) age and gender differences in care provided by a domestic worker versus a family member in the performance of activities of daily living (ADL); (b) socio-demographic correlates of care during illness; and (c) self-reported physical, functional, and psychological health status in relation to care-giver. A cross-sectional household survey was conducted among 2,487 Kuwaiti nationals aged 50 years or older. This paper focuses on persons aged 70 or more. We found that domestic workers provided care to 28 per cent of men and 58 per cent of women who needed assistance with ADL; and to 14 per cent men and 51 per cent women during illness. These respondents ranked poorer on several health indicators and reported higher depressive symptoms score than those looked after by a family member. Logistic regression indicated that care by a domestic worker was approximately seven times more likely for women than men, about 10.8 times more likely for those without co-resident children compared with those who had three or more co-resident children, and 44 per cent less likely for the poorest compared with the richest persons. It appears that reliance on domestic workers is increasing and such reliance will remain necessary in the absence of culturally acceptable alternative institutional arrangements.


2018 ◽  
Vol 10 (6) ◽  
pp. 79
Author(s):  
Zandile Masela ◽  
Abbyssinia Mushunje ◽  
Saul Ngarava ◽  
Amon Taruvinga ◽  
Simbarashe Tatsvarei

The objective of the study was to identify the extent of benefits and their determinants to communities surrounding the Qamata Irrigation Scheme (QIS) in the Eastern Cape Province, South Africa. The study used a quantitative based cross-sectional survey of 197 households within a radius of 20 km from the QIS. Multiple sampling methods were utilized where the villages were randomly and the households conveniently selected. A semi-structured pre-coded questionnaire was utilized to collect the data which was analyzed using descriptive statistics and multinomial logit regression. The study identified 14 discriminant benefits ranging from job opportunities, income increment food diversification to share cropping. Sixty-two percent of the households identified less than 5 benefits, whilst 27% and 11% identified 6-10 and 11-14 benefits respectively. Determinants of a surrounding household to attain benefits were significantly influenced by the distance from the scheme, the main source of income and gender of household head (P<0.01); marital and employment status (P<0.05); and access to farm land (P<0.1). The study concludes that the level of benefit diffused to surrounding households is based on socio-economic factors. The study recommends conscientization of surrounding communities on the peripheral benefits accrued from the proximity to the QIS, achievable through awareness initiatives.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1738
Author(s):  
Jaime Pajuelo-Ramírez ◽  
Harold Torres-Aparcana ◽  
Rosa Agüero-Zamora ◽  
Antonio M. Quispe

Background: Abdominal obesity represents an accurate predictor of overall morbidity and mortality, which is worrisome because it is also continuously increasing across Andean countries. However, its relationship with altitude remains unclear. The objective of this study was to assess the association between altitude and abdominal obesity in Peru, and how sociodemographic variables impact this association. Methods: We estimated the prevalence of abdominal obesity in Peru and analyzed its association with altitude using the data from the 2012-2013 National Household Survey (ENAHO). During this survey, a representative sample of Peruvians was screened for abdominal obesity, using waist circumference as a proxy, and the Adult Treatment Panel III guidelines cutoffs. Results: Data were analyzed from a sample of 20,489 Peruvians (51% male). The prevalence of abdominal obesity was estimated at 33.6% (95% CI: 32.5 to 34.6%). In Peru, altitude was significantly and inversely associated with abdominal obesity, decreasing with higher altitudes: 1500-2999 meters above mean sea level (MAMSL) vs <1500 MAMSL, adjusted prevalence rate [aPR]= 0.86 (95% CI: 0.75 to 0.97); ≥3000 MAMSL vs <1500 MAMSL, aPR= 0.98 (95% CI: 0.87 to 1.11), when adjusting by age, gender and residence area (rural/urban). However, this association was significantly modified by age and gender (p< 0.001). Conclusion: Abdominal obesity is highly prevalent in Peru and decreases significantly with altitude, but age and gender modify this association. Thus, abdominal obesity appears to affect older women from low altitudes more than younger men from high altitudes.


2016 ◽  
Vol 50 (suppl 2) ◽  
Author(s):  
Sotero Serrate Mengue ◽  
Andréa Dâmaso Bertoldi ◽  
Alexandra Crispim Boing ◽  
Noemia Urruth Leão Tavares ◽  
Tatiane da Silva Dal Pizzol ◽  
...  

ABSTRACT OBJECTIVE To describe methodological aspects of the household survey National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM) related to sampling design and implementation, the actual obtained sample, instruments and fieldwork. METHODS A cross-sectional, population-based study with probability sampling in three stages of the population living in households located in Brazilian urban areas. Fieldwork was carried out between September 2013 and February 2014. The data collection instrument included questions related to: information about households, residents and respondents; chronic diseases and medicines used; use of health services; acute diseases and events treated with drugs; use of contraceptives; use of pharmacy services; behaviors that may affect drug use; package inserts and packaging; lifestyle and health insurance. RESULTS In total, 41,433 interviews were carried out in 20,404 households and 576 urban clusters corresponding to 586 census tracts distributed in the five Brazilian regions, according to eight domains defined by age and gender. CONCLUSIONS The results of the survey may be used as a baseline for future studies aiming to assess the impact of government action on drug access and use. For local studies using a compatible method, PNAUM may serve as a reference point to evaluate variations in space and population. With a comprehensive evaluation of drug-related aspects, PNAUM is a major source of data for a variety of analyses to be carried out both at academic and government level.


2020 ◽  
Vol 34 (5) ◽  
pp. 419-429 ◽  
Author(s):  
Sirinya Phulkerd ◽  
Sasinee Thapsuwan ◽  
Natjera Thongcharoenchupong ◽  
Rossarin Soottipong Gray ◽  
Aphichat Chamratrithirong

PurposeThe sociodemographic determinants of insufficient fruit and vegetable (FV) consumption in the general population in Thailand remain understudied. The purpose of this study was to investigate the association between sociodemographic characteristics and insufficient FV consumption in Thailand.Design/methodology/approachThis nationally representative survey employed a cross-sectional multi-stage sampling design. A total of 6,991 individuals aged 15 years or older participated in the study. Information on participants' FV consumption and sociodemographic characteristics were collected via questionnaire. The data were analyzed using binary logistic regression.FindingsThe overall prevalence of insufficient FV consumption in the study sample was 65.6%. Age of the participants, sex, marital status, place of residence, occupation, income and education were found to be significantly associated with insufficient FV consumption among this sample of the Thai population.Originality/valueFindings suggest the need for promotion of FV consumption and intervention policies aimed at increasing FV intake by taking into account sociodemographic characteristics of the population.


1987 ◽  
Vol 1 (4) ◽  
pp. 487-508 ◽  
Author(s):  
Gill Jones

The sociological study of youth has tended to focus on either age and generation, or class and gender. Attempts to integrate the two approaches have been largely unsuccessful. This paper explores the longitudinal and cross-sectional dimensions of stratification and produces a framework for examining class differences in youth. Analysis of the inter-generational and intra-generational mobility of young workers, using two large national data sets, the General Household Survey and the National Child Development Study, leads to the identification of a typology of `Youth Class'. This empirically-based typology incorporates the notions of process and structure in a longitudinal class schema appropriate to the study of young people.


Water Policy ◽  
2011 ◽  
Vol 13 (1) ◽  
pp. 125-142 ◽  
Author(s):  
Kinfe Gebreegziabher ◽  
Tewodros Tadesse

With population growth and urbanization, demand for improved water services has been growing. It is imperative therefore to examine different factors that influence demand for improved water services and the resultant welfare changes. Using cross-sectional household survey data collected through structured questionnaire from ten administrative units in Mekelle City, we estimate household willingness to pay models and identify major determinant factors of demand for improved water service. In order to help us do this, we considered selection issues and estimated models using the Heckman Two-Step Estimator. Our results show that the amount of bid (amount of money households would be willing to pay) that households (already connected to private taps) would be willing to pay is positively associated with household income, ownership of the house, price of vended water and the practice of water purification. For households who are not connected to private taps, the amount they would be willing to pay for (improved) private tap connection is positively associated with formal education, housing status and gender. We also investigate the welfare gains and losses as a result of improved water service. Analytical results show that, as the number of households who subscribe to improved water service increases, there is a gain in surplus for households and revenue (producer surplus) for the municipality.


Author(s):  
Vivek Baliram Waghachavare ◽  
Girish Bhimrao Dhumale ◽  
Jitesh Hanmantrao Kadam

Introduction: Gender stereotyping is the generalized and ambiguous impression of an individual's roles in society based on one's gender, remarkably difficult to abandon. These biases play an important role in vocational choices. The aim of the current research was to study attitudes towards women, gender stereotyping, and gender biases among adolescent boys and girls from a rural area. Methods: It was a cross-sectional study conducted from Sept. 2016 to Aug. 2017 among rural school-going adolescents. A total of 826 samples were included in the study with convenience multi-stage sampling. Statistical analysis was done using descriptive statistics, chi-square test, and Mann-Whitney U test. The data entry and analysis were performed using MS Excel and SPSS-22 with 5 % significant level. Results: The mean age of 826 participants was 13.99 years with 297 (36%) being males. A higher percentage of the participants had a positive attitude towards females (83.9%) as well as a positive attitude towards crime against women (79.1%). However, gender stereotyping (54.6%) and male bias (58.6%)were present in the majority among them. There was a significant  correlation between all the scales and gender (p<0.05); with better attitudes among females. Conclusion: Although the overall attitude towards females was better in adolescents, gender bias remains an important problem.


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