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Health impacts of social transistion: A study of female temporary migration and its impact on child mortality in rural South AfricaCollinson, Mark Andrew 15 May 2008 (has links)
ABSTRACT:
Temporary migration, especially men moving to their place of work, was an
intrinsic feature of the former Apartheid system in South Africa. Since the
demise of Apartheid an increasing proportion of women have also been migrating
to their place of work, and oscillating between work place and home. Temporary
migration can be defined as oscillating migration between a home base and at
least one other place, usually for work, but also for other reasons like education.
This study demonstrates that in the Agincourt study population, in the rural
northeast of South Africa, adult female temporary migration is an increasing
trend. By conducting a survival analysis, the study evaluates the mortality
outcomes, specifically infant and child mortality rates, of children born to female
temporary migrants compared with children of non-migrant women. Based on the
findings presented we accept the null hypothesis that there is presently no
discernable impact (positive or negative) of maternal temporary migration on
infant and child mortality. There seems to be a slight protective factor associated
with mother’s migration when tested at a univariate level. However, through
multivariate analysis, it is shown that this advantage relates to the higher
education status of migrating mothers. When women become tertiary educated there is a survival advantage to their children and these women are also more
likely to migrate. The study highlights greater child mortality risks associated
with settled Mozambicans (former refugees) and unmarried mothers. Both of
these risk factors reflect the impact of high levels of social deprivation.
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Factors associated with mortality from childhood malaria in Navrongo DSS Site, Ghana, 1995-2000Chalwe, Victor F. 15 May 2008 (has links)
ABSTRACT: Background: Malaria is endemic throughout Ghana and continues to be a major public
health concern especially among pregnant women and children under the age of five. The
Ministry of Health (MoH) estimates that over the past ten years, there have been 2-3
million cases of malaria each year, representing 40 percent of outpatient cases, while
severe malaria accounts for 33-36 percent of in-patients. Malaria also accounts for 25
percent of the deaths in children under the age of five (GHS, 2001).
Correct identification of risk factors could focus interventions at reducing malaria
mortality in children. Demographic Surveillance System (DSS) sites have been
established and they generate high quality population based longitudinal health and
demographic data. The DSS conduct Verbal Autopsies to determine probable causes of
death.
Objective: This study examines factors affecting childhood malaria mortality in Northern
Ghana, using longitudinal data collected by the Navrongo DSS during the period 1995-
2000. It deals especially with the role of socioeconomic factors (mother’s education,
family wealth index based on the possessions and housing characteristics and residence, and possession of bed net) and the demographic characteristics (child’s sex and age, and
mother’s age).
Design: Secondary data analysis of longitudinal data collected by the Navrongo Health
Research Centre. Multinomial logistic regression was used to compare the relative risk in
three groups of children i.e. those who died of Malaria and those who died of other
causes to those who survived as base. Results: Overall, for the deaths due to malaria, older children (1-5years) had a higher risk
(RRR 1.4, 95%CI 1.25-1.57 P <0.0001) of dying compared to the infants. Equally,
children born of older mothers (maternal age at birth of child >30 years) had a higher risk
(RRR 1.28, 95%CI 1.15-1.42 P <0.0001).
However, maternal education and residence had a protective effect, with children born of
mothers who had some education (RRR 0.79, 95%CI 0.67-0.93 P=0.004) and residing in
urban area (RRR 0.61, 95%CI 0.46-0.82 P=0.001) having a lower risk. Similarly, those
children whose families are in the highest wealth index had a lower risk (RRR 0.76,
95%CI 0.63-0.91 P=0.003).
Interestingly, the same factors were associated with deaths occurring due to other causes,
but with varying degree of association. Whereas sex of child was not associated with
malaria deaths, being female offered a lower risk of dying from other causes (RRR 0.9, 95%CI 0.84-0.98 P=0.017). It was observed that children in the older age group (1-5
years) were at higher risk of dying (RRR 1.14, 95%CI 1.05-1.25 P=0.002) just as those
born of older mothers (RRR 1.16, 95%CI 1.07-1.26 P <0.0001). Even in this group, maternal education (RRR 0.87, 95%CI 0.76-0.98 P=0.023), a higher wealth index (RR
0.87, 95%CI 0.77-0.99 P=0.032 and RRR 0.63 95%CI 0.54-0.73 P <0.0001 for the two
highest categories of wealth indices respectively), and area of residence (RRR 0.67,
95%CI 0.55-0.83 P <0.0001) offered a reduction in the risk of dying.
Conclusion: The study identified the risk factors (age and sex of the child and mother’s
age, maternal education, wealth and residence of the family) associated with malaria
mortality and other causes of death in childhood in northern Ghana and this should help
formulate cost effective interventions such as health education.
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Levels and patterns of contraceptive knowledge and use among married women in upland of Kanchanaburi DSS /Kotambuluwe Ralalage, Jinesha Rupasinghe. Varachai Thongthai, January 2003 (has links) (PDF)
Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2003.
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The exploration of factors influencing on health seeking behavior : a case study in Kanchanaburi DSS /Zhang, Fan. Sirinan Kittisuksathit, January 2003 (has links) (PDF)
Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2003.
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Land and migration : a case study of Kanchanaburi DSS /Tith Lim. Sureeporn Punpuing, January 2003 (has links) (PDF)
Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2003.
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Patterns of in-and out-migration in Kanchanaburi DSS areas /Hovhannisyan, Anna. Sevilla, Ramon C. January 2003 (has links) (PDF)
Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2003.
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Morbidity differentials among the adult population in rural Kanchanaburi DSS /Gu, He, Chanya Sethaput, January 2004 (has links) (PDF)
Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2004.
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Social capital and cardiovascular disease mobidity in Kanchanaburi, Thailand /Zhang, Liying, Wassana Im-em, January 2005 (has links) (PDF)
Thesis (Ph.D. (Demography))--Mahidol University, 2005.
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Determinants of use of maternal care services : evidence from Kanchanaburi province, Thailand /Arif, Muhammad Shafique, Panee Vong-ek, January 2005 (has links) (PDF)
Thesis (M.A.(Population and Reproductive Health Research))--Mahidol University, 2005. / LICL has E-Thesis 0004 ; please contact computer services.
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Factors affecting the timing of first migration : a case study of Kanchanaburi DSS /Soe, Khaing Khaing, Sureeporn Punpuing, January 2005 (has links) (PDF)
Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2005. / LICL has E-Thesis 0005 ; please contact computer services.
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