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At least 325 records · Page 18Linked to original sources
PubMed1994

Blood pressure, hypertension and other cardiovascular risk factors in six communities in Papua New Guinea, 1985-1986.

Surveys of noncommunicable diseases were performed in six communities in Papua New Guinea during 1985-1986. Results are reported here with respect to blood pressure and associated factors in adults. Mean systolic and diastolic blood pressures were lowest, and hypertension was rarest (less than 2%), in three rural/semirural villages on Karkar Island, Madang Province. Intermediate values for blood pressure and moderate prevalence of hypertension (3-6%) were observed in rural and urban Tolai communities in East New Britain Province. A periurban village in the Eastern Highlands Province displayed the highest mean blood pressures and prevalence of hypertension (12% in men and 5% in women). There was a modest rise in mean systolic blood pressure with age in most groups, but the age-related rise in diastolic pressure was much less pronounced. Other cardiovascular risk factors--body mass index (BMI), and plasma cholesterol, glucose and insulin concentrations--were lowest in the least developed rural villages on Karkar Island and highest in the urban Tolai and periurban highland communities. Both systolic and diastolic blood pressures were significantly (and positively) related to age, male sex, BMI and speaking a non-Austronesian language. It is concluded that there is now a considerable variation in the prevalence of hypertension, and the levels of blood pressure and other cardiovascular risk factors, in different communities in Papua New Guinea.

Adult↗
PubMed2004

Seeking quality: some experiences in South Africa.

Although definitions of quality in healthcare may vary, it is accepted that there are standards towards which we should be aiming. Thus quality improvement is an important part of developing rural health services. At the same time rural settings provide unique challenges to this process. The quality improvement cycle provides a tool to assist rural practitioners wishing to work towards better quality health care. The cycle starts with identifying the problems that need to be addressed and thereafter forming a team to deal with the issues identified. The team together sets standards, which provide targets appropriate to the context and towards which the service should aim. They then gather data to assess how the healthcare service is currently performing in terms of those standards. On the basis of this information, an analysis is made of the problems and their causes, which then allows the team to develop a specific plan to address the important limiting factors in the context. Implementation of the plan continues on an ongoing basis, repeating the steps as needed, with evaluation occurring as part of each cycle to assess whether quality is indeed improving. The process is described as a cycle because it needs to be ongoing, in various ways, as part of continuous quality improvement. Examples of each of the stages of the cycle are given from the South African context as illustrations of the tasks inherent in quality improvement.

Journal Article↗
PubMed1990

Community health in a rural area of Sudan.

A community survey was conducted in Al awayda village, one of eight villages selected for study in the rural Gezira province of Sudan. The objective of the survey was to identify the main health, social and economic problems of people in rural areas and to set priorities as a first phase in a rural development program. The results showed a high illiteracy rate and poor socioeconomic status aggravated by the drought and famine which affected this area of Africa in the years 1983-85. There was an inadequate safe water supply, poor environmental sanitation and inadequate primary health care services. The major disease problems were malaria, diarrheal diseases and schistosomiasis. The implementation of primary health care services with special emphasis on maternal and child health and health education is a clear need. The impact of Sennar Sugar Agricultural Scheme on this village is also discussed.

Community Health Services↗
PubMed1994

China's agenda for an old-age insurance program in rural areas.

Based on a field study conducted in August 1993 by the author, this article discusses the experimental program of old-age insurance in rural areas of China. The achievements made so far, the feasibility of old-age insurance in rural areas, and the problems encountered by the program are discussed. Policy recommendations regarding maintenance of the value of the premium, legislation, management of the program, and continuation of the family support system are proposed. It is emphasized that China urgently needs to establish a universal old-age insurance program and other social support services for the elderly. This would be akin to building a new Great Wall to help solve the serious problems of aging, reverse the trend of a high male-to-female sex ratio at birth, and further reduce fertility levels in less developed rural areas.

Aged↗
PubMed2004

Opportunities and limiting factors of intensive vegetable farming in malaria endemic Côte d'Ivoire.

Poverty reduction policies guide development strategies. In economies that depend heavily on agriculture, in the face of rapid population growth, innovative approaches are required to satisfy food needs, increase household welfare and alleviate poverty. Irrigated agriculture is an important strategy to enhance crop production, but it must be well tailored to specific socio-ecological settings, as otherwise, it might increase the burden of water-related parasitic diseases and delay economic advance. The purpose of this study is to assess and quantify the effect of ill health, particularly malaria, on the performance of farm activity, with an emphasis on drip-irrigated vegetable farming in rural Côte d'Ivoire. Vegetable yields and revenues were monitored among 12 farmers and linked with longitudinal medical and entomological surveys. Over the course of 10 months, farmers were classified as sick, on average, for 14-15 days, with malaria accounting for 8-9 days (58%), confirming that malaria is the most important disease in this setting. There was a large heterogeneity among farmers, with malaria-related work losses ranging between 0 and 26 days. Work absenteeism correlated with overall yields and revenues. During a single cabbage production cycle, those farmers who were prescribed sick because of malaria for more than 2 days (mean: 4.2 days) had 47% lower yields and 53% lower revenues than farmers who missed a maximum of 2 days (mean: 0.3 days). This is consequential in an intensive cropping system, where substitutes for qualified workers are not readily available. We conclude that mitigating the burden of malaria is an important step towards reducing the vulnerability of people engaged in intensive agricultural production. This calls for targeted interventions to facilitate agriculture-based rural development that might spur social and economic development and reduce inequities in sub-Saharan Africa.

Adult↗
PubMed1997

New approaches to the integrated control of trypanosomosis.

Trypanosomosis is one of the most devastating diseases of animals and man in Sub-Saharan Africa. Over the past century numerous methods of control have been developed yet the disease has proved very difficult to eradicate. Current methods to control the parasite, in the absence of a vaccine, have to rely on the use of trypanocidal drugs and trypanotolerant breeds of livestock. Vector control previously depended on ground and aerial spraying of insecticide but now depends on the use of traps, targets and bait technology. The application of insecticides to cattle is currently of particular interest. Unfortunately all of the current methods of control have disadvantages and none has proved to be sustainable. There is growing interest in integrated control which can be at three levels; integration with rural development, integration with other disease control measures and integration of various tsetse and trypanosomosis control measures. It is anticipated that distinct benefits can be achieved by an integrated approach which will improve the effectiveness of control and enhance the prospects of sustainability.

Africa South of the Sahara↗
PubMed1995

Decline of Glossina morsitans ugadensis in Gambella, Ethiopia.

Gambella is the only area where sleeping sickness is endemic in Ethiopia. Four species of Glossina had been reported from Gambella out of the five species found in the country in surveys made before 1985. These are Glossina morsitans ugadensis, G. pallidipes, G. fuscipes and G. tachinoides. A tsetse fly survey was carried out in parts of Gambella owing to the fact that the area is undergoing ecological changes due to massive deforestation (because of resettlement and development programmes), poaching, and introduction of domestic animals into tsetse infested parts of Gambella after 1985. Tsetse populations were sampled for one year, March 1993-April 1994, using biconical traps and hand catches. The survey has reported all Glossina spp which were previously reported except G. morsitans ugadensis. It seems that a combination of factors, such as, lack of host and increase in human population have forced G. morsitans ugadensis to decline. This study has consolidated the fact that tsetse flies of the morsitans group specially G. morsitans, are easily affected by human interference while the palpalis group is resistant to this factor. In addition, this study has also indicated, villagization and rural development could be practised where G. morsitans is the only species in a certain area to alleviate pressure on already impoverished land in parts of Africa.

Animals↗
PubMed2003

Food security in a world without borders.

The alleviation of poverty and the eradication of hunger and malnutrition are within reach. Considerable progress has been made over the past thirty years in reducing the numbers of the hungry, and projections over the next thirty years suggest that this progress will continue. The majority of developing countries have participated in this progress and have improved nutrition but there are significant regional differences. The current challenge is to build upon and accelerate the progress already made. Everyone is involved in this struggle against hunger and malnutrition, and to achieve these goals, global partnerships to enhance co-operation and co-ordination are being strengthened. Successful country experiences for improving food security and nutrition have demonstrated the importance of peace, political stability, and stable economic growth. There is also the need for increased foreign investment and increased ODA, particularly for African agriculture, debt relief, the better integration of LDCs in the global economy, their more secure access to markets and more equitable terms of trade, enhanced South-South co-operation, training and research and new high-yield and drought-resistant crop varieties. While all these have been commented on and recognised before, we must close the credibility gap in our political will by honouring our existing commitments for providing tangible benefits at the local level. For globalisation, the key issue is how the aggregate benefits of globalisation will be distributed and how to translate this into better nutrition. The LDCs, which are the most vulnerable and disadvantaged members of the international community, should be at the centre of this drive towards food security and take genuine ownership of policies, initiatives and activities to improve development. At the same time we need to succeed in making the developed world more aware of and responsive to the conditions of the LDCs. The most effective way to improve nutrition is through community nutrition programmes that encourage the full participation and co-operation of the entire community, maximise the utilisation of local resources, grasp the benefits of new technologies for productivity gains, involve multiple sectors and engage strong political commitment. The international community will be judged by its treatment of its most vulnerable members. The international community has repeatedly declared that it is dedicated to the eradication of poverty. Eliminating hunger and malnutrition is a vital first step. The political will to fight hunger and a firm commitment to invest in agriculture' and rural development are critical elements in any effort to achieve sustainable alleviation of hunger and poverty. This meeting and the WFS:FYL provide the additional impetus to meet the challenge of achieving food and nutritional security in a world without borders and free from hunger and malnutrition.

Food Supply↗
PubMed1997

Malaria control, the cold war, and the postwar reorganization of international assistance.

This article explores the control of rural malaria shortly before and after World War II. During this period rural malaria moved from being an almost impossible problem to control to one which many believed could be eradicated. However, instead of rural development serving as an operational and economic framework for malaria control, as some had advocated before the war, malaria control moved toward independence in the form of a global eradication campaign. Whereas this transition is generally portrayed strictly in terms of the success of DDT, I document how various factors, the Cold War in particular, contributed to the "inevitability" of eradication.

Communicable Disease Control↗
PubMed2004

Estimation of plant diversity at landscape level: a methodological approach applied to three Spanish rural areas.

Approaches linking biodiversity assessment with landscape structure are necessary in the framework of sustainable rural development. The present paper describes a methodology to estimate plant diversity involving landscape structure as a proportional weight associated with different plant communities found in the landscape mosaic. The area occupied by a plant community, its patch number or its spatial distribution of patches are variables that could be expressed in gamma plant diversity of a territory. The methodology applies (1) remote sensing information, to identify land cover and land use types; (2) aspect, to discriminate composition of plant communities in each land cover type; (3) multi-scale field techniques, to asses plant diversity; (4) affinity analysis of plant community composition, to validate the stratified random sampling design and (5) the additive model that partitions gamma diversity into its alpha and beta components. The method was applied to three Spanish rural areas and was able to record 150-260 species per ha. Species richness, Shannon information index and Simpson concentration index were used to measure diversity in each area. The estimation using Shannon diversity index and the product of patch number and patch interspersion as weighting of plant community diversity was found to be the most appropriate method of measuring plant diversity at the landscape level.

Biodiversity↗
PubMedDate not supplied

Pathways of decision making among Yucatan Mayan traditional birth attendants.

In rural, developing world communities, women are often isolated from biomedical services. Frequently, traditional birth attendants (TBAs) are the only caregivers during childbirth, both normal and complicated. Women trust their TBAs to manage their births. Globally, government and non-governmental organizations (NGOs) have sought to upgrade TBAs' skills and to encourage them to refer complications. However, most training programs have failed to change TBAs' practice substantially. Logistical barriers in reaching biomedical services in a timely manner are a key issue. Another is the difference between biomedical and traditional practitioners in the cognitive frameworks that shape decision making and management behaviors. The purpose of this study, conducted in Quintana Roo State, Mexico, was to listen to the voices of practicing Yucatec Maya TBAs (parteras) as they described decision making and management of complicated births. In-depth interviews with six practicing parteras in rural, isolated communities revealed that the parteras used traditional Maya ethnomedicine while valuing biomedical approaches. We isolated themes in decision making and mapped management of birth complications. Integrating TBAs' traditional knowledge into biomedical training programs is one way to honor their knowledge and make training relevant.

Adult↗
PubMed2002

A Tanzanian perspective on the nutrition transition and its implications for health.

OBJECTIVE: The purpose of this paper is to describe social and economic changes related to shifts in diet and activity and to present prevalences for chronic diseases associated with the nutrition transition. DESIGN: Observations about social changes are descriptive, based on published reports and personal observations. Prevalence and trends data are based on a Ministry of Health published report and, for infants and toddlers, on primary data. SETTING: Disease prevalences for diabetes mellitus and hypertension are taken from four sites, representing underdeveloped, semi-developed and well-developed rural communities and Dar es Salaam, the largest city in Tanzania. The prevalences of underweight and overweight for infants and toddlers are taken from a small periurban clinic in Tanzania. SUBJECTS: Adults over 15 years of age are included in the prevalence data for chronic disease. The urban sample is stratified by occupation and ethnicity. The data for infants and toddlers include newborns to those aged 23 months. RESULTS: An increase in the prevalence of diabetes and hypertension was observed. Simultaneously, there have been rapid changes in diet and physical activity related to urbanisation and modernisation. The highest prevalences for diabetes and hypertension were among high-ranking executives. CONCLUSION: The increase in chronic disease could be related to the rise in the number of high-ranking executives. Simultaneously, per capita income has gone down, and malnutrition prevalence has risen. Programmes are being developed to simultaneously monitor trends in overweight while preventing protein-energy malnutrition and micronutrient deficiency.

Adolescent↗
PubMed1983

Observations on rheumatic disease in Polynesia and the Philippines.

Two different types of study of rheumatic disease in the southwest Pacific are outlined. The Philippines study of a rural developing population is primarily oriented to intervention rather than causation, but before intervention can be effectively planned, information on the frequency and causes of rheumatic complaints is necessary. The Tokelauan investigation is a comprehensive prospective study of the total population with full medical examination of each subject allowing hypotheses to be tested concerning genetic and environmental variables.

Adolescent↗
PubMed1986

Malnutrition and basic needs surveys in Thailand.

Data on various socio-economic characteristics and the nutritional status of the population of the Province of Nakhon Rachasima had been collected in a basic human needs survey for the purpose of integrated rural development planning. The collected data represent the conditions of an entire province. An assessment of the correlations between various agricultural, socio-economic and sanitation parameters is made. Malnutrition of children under 5 years of age is correlated with some of the assessed parameters. But, the usefulness of general basic needs surveys for designing nutrition intervention projects is limited due to a lack of specific information on the points of leverage to bring about change in the nutritional status.

Child, Preschool↗
PubMed2000

Locus of control and attitudes toward large carnivores.

It has been hypothesized tha the negative attitudes toward carnivores found among rural groups is only one element embedded in a larger sociopolitical complex of disputes over resource use and rural development. Negative attitudes may reflect a protest against increased control of land use by central political authorities. In a survey among sheep farmers, wildlife managers, and research biologists in Norway we found that the sheep farmers expressed an external locus of control, indicating a belief that external forces control events, relative to the two other groups. Among sheep farmers and research biologists a positive association was found between an external locus of control and negative attitudes toward large carnivores.

Adult↗