Data quality issues at advanced old age, such as incompleteness of registration of vital events and age misreporting, compromise estimates of the death rates and remaining life expectancy at those ages. Following up on Horiuchi and Coale (Population Studies 36: 317-326, 1982), Mitra (Population Studies 38: 313-319, 1984, Population Studies 39: 511-512, 1985), and Coale (Population Studies 39: 507-509, 1985), we examine the conventional approaches to constructing life tables from data deficient at advanced ages and the two adjustment methods by the mentioned authors. Contrary to earlier reports by Horiuchi, Coale, and Mitra, we show that the two methods are consistent and useful in drastically reducing the estimation errors in life expectancy as compared to the conventional approaches, i.e., the classical open age interval model and extrapolation of the death rates. Our results suggest complementing the classical estimates of life expectancy by adjustments using Horiuchi- Coale, Mitra, or other appropriate methods and avoiding the extrapolation method as a tool for estimating the life expectancy.

Studies of the adverse impacts of high temperature on human health have primarily focused on urban areas, due in part to urban centers generally having higher population density and often being warmer than surrounding rural areas (the “urban heat island” effect). As a result, urban areas are often considered to be more vulnerable to summer heat. However, heat vulnerability may not only be determined by heat exposure, but also by other population characteristics such as age, education, income, baseline health status, and social isolation. These factors are likely to increase vulnerability among rural populations compared to urban populations. In this exploratory study, we compare the vulnerability to heat-related mortality between rural and urban communities through a systematic review and meta-analysis of existing epidemiological studies, based on the idea that urbanicity can be considered as a “combined” indicator of climate variables and socioeconomic variables. We searched studies that examined the association between high ambient temperature and mortality in both rural and urban settings published between 2000 and 2017. A random-effects meta-analysis of Ratios of Relative Risks (RRR) of heat-related mortality in rural compared to urban areas (RRrural/RRurban) was performed. The pooled RRR was 1.033 (95% CI = 0.969, 1.103), which indicates that the rural relative risk is about 3.3% larger than the urban relative risk. Heterogeneity measures show considerable heterogeneity across studies. Our findings suggest that vulnerability to heat-related mortality in rural areas is likely to be similar to or even greater than urban areas. More studies, particularly studies in developing nations, are needed to understand rural vulnerability to heat hazards as a basis for providing better guidance for heat action plans.

A deductive, descriptive, quanitative study was undertaken at Nyangabgwe Hospital, Francistown, Botswana, situated in the north east of the country. Its focus was on the use of partogram by midwives. The population consisted of 395 obstetric records for the period of one month. A sample of 303 obstetrics records was drawn. Data were collected through auditing the bed letters of delivered mothers and interviews with and observation of midwives using the partogram in practice. The Statistical Package for Social Sciences (SPSS) program was used to analyse the data. The findings indicate that there are problems regarding, and factors that can have a negative influence on the use of the partogram by midwives. It is suggested that a supportive teaching programme for the midwives should be designed, that will support the system of supervision in the labour ward that already exists, in the use of the partogram throughout the labour process. / Health Studies / M.A. (Advanced Nursing Sciences)

A deductive, descriptive, quanitative study was undertaken at Nyangabgwe Hospital, Francistown, Botswana, situated in the north east of the country. Its focus was on the use of partogram by midwives. The population consisted of 395 obstetric records for the period of one month. A sample of 303 obstetrics records was drawn. Data were collected through auditing the bed letters of delivered mothers and interviews with and observation of midwives using the partogram in practice. The Statistical Package for Social Sciences (SPSS) program was used to analyse the data. The findings indicate that there are problems regarding, and factors that can have a negative influence on the use of the partogram by midwives. It is suggested that a supportive teaching programme for the midwives should be designed, that will support the system of supervision in the labour ward that already exists, in the use of the partogram throughout the labour process. / Health Studies / M.A. (Advanced Nursing Sciences)