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Effects of a refugee-assistance programme on host population in Guinea as measured by obstetric interventions.

BACKGROUND: Since 1990, 500000 people have fled from Liberia and Sierra Leone to Guinea, west Africa, where the government allowed them to settle freely, and provided medical assistance. We assessed whether the host population gained better access to hospital care during 1988-96. METHODS: In Guéckédou prefecture, we used data on major obstetric interventions performed in the district hospital between January, 1988, and August, 1996, and estimated the expected number of births to calculate the rate of major obstetric interventions for the host population. We calculated rates for 1988-90, 1991-93, and 1994-96 for three rural areas with different numbers of refugees. FINDINGS: Rates of major obstetric interventions for the host population increased from 0.03% (95% CI 0-0.09) to 1.06% (0.74-1.38) in the area with high numbers of refugees, from 0.34% (0.22-0.45) to 0.92% (0.74-1.11) in the area with medium numbers, and from 0.07% (0-0.17) to 0.27% (0.08-0.46) in the area with low numbers. The rate ratio over time was 4.35 (2.64-7.15), 1.70 (1.40-2.07), and 1.94 (0.97-3.87) for these areas, respectively. The rates of major obstetric interventions increased significantly more in the area with high numbers of refugees than in the other two areas. INTERPRETATION: In areas with high numbers of refugees, the refugee-assistance programme improved the health system and transport infrastructure. The presence of refugees also led to economic changes and a "refugee-induced demand". The non-directive refugee policy in Guinea made such changes possible and may be a cost-effective alternative to camps.

Adult↗

Migration decisions and site-specific attributes of public policy: microeconomic evidence from the NLSY.

The authors examine the linkage between household location decisions in the United States and county-level public sector attributes. "This paper demonstrates a relationship between migration and public policy and suggests a role for migration in regional development.... We link migration to public policy by treating tax and expenditure variables as site attributes in a utility maximization model. We find that public sector attributes, through their effect on migration, are among the determinants of regional development.... An additional contribution of this paper is to suggest that if taxes and public expenditures influence migration, then a general theory of local or regional policy aimed at economic development must include explicit consideration of migration." Microdata from the 1984-1985 U.S. National Longitudinal Survey of Youth (NLSY) are analyzed.

Adolescent↗

Agricultural colonization and malaria on the Amazon frontier.

The purpose of this paper is to characterize the interrelationships between macropolitical, social and economic policies, human migration, agricultural development, and malaria transmission on the Amazon frontier. We focus our analysis on a recent colonization project, POLONOROESTE, in the state of Rondonia. Employing data from field surveys in 1985-1987 and 1995, we use spatial statistical methodologies linked to a geographical information system (GIS) to describe the patterns of human settlement in the area, the ecological transformations induced by forest clearance practices, and the manner in which these factors determine gradations of malaria risk. Our findings show that land use patterns, linked to social organization of the community and the structure of the physical environment, played a key role in promoting malaria transmission. In addition, the location of each occupied area is itself an important determinant of the pattern of malaria risk. Based on lessons learned from our spatial and temporal characterization of malaria risk, we propose policies for malaria mitigation in the Brazilian Amazon.

Adult↗

Governments' perceptions and policies of population redistribution in East and South East Asia.

"This paper is based on the results of the Third Inquiry among Governments on Population and Development carried out in 1977 by the UN Secretariat. It reports on perceptions and policies concerning international migrations, spatial distribution of the national population, internal migration and settlement patterns in fourteen South East and East Asian countries. "It appears that nearly all countries under consideration were concerned with the spatial distribution of population both as a factor related to problems caused by excessive natural increase and as a problem on its own right. The majority of countries were prepared to pursue policies affecting basic trends in internal migration. Most governments declared their willingness to alter patterns of rural or both rural and urban settlement. Only two countries were interested in increasing emigration; the remaining ones were satisfied with the existing levels of international migration."

Asia↗

Migration and AIDS.

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Acquired Immunodeficiency Syndrome↗

AIDS--legal issues.

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Acquired Immunodeficiency Syndrome↗

The impact of origin community characteristics on rural-urban out-migration in a developing country.

It is widely believed that structural variables such as inequitable land distribution, lack of rural employment opportunities, and rural-urban wage and amenity gaps influence population movements in developing countries. Yet quantitative evidence is scant. In this paper a multilevel model is used to investigate the effects of individual-, household-, and areal-level factors on rural-urban out-migration in the Ecuadorian Sierra. Data from a detailed survey carried out in 1977-1978 and from government macro-areal statistics are used to investigate factors affecting the out-migration of youths aged 12-25. Preliminary conclusions are presented on the usefulness of multilevel models in studying migration and policy implications for Ecuador.

Adolescent↗

Successes and failures in the field of population policies since 1984.

During the 2nd half of the 20th century, there has been a marked growth in awareness of the problems associated with population growth. The compromise consensus reached at Bucharest and reaffirmed at Mexico City set limited goals against which progress can be partially measured. Acceptance of the need to formulate population goals and policies grew, especially in the less developed countries. Progress was made in reducing mortality, but the goals set by the international community were not fully met. Results in the area of fertility were markedly heterogenous between regions. Rather more was accomplished in restraining the rapid growth of the urban agglomerations, and in some countries there is greater freedom of internal migration, although coercive resettlement policies are still found in a few countries. For policies to succeed, it is essential to reach a national consensus on population issues. Research and debate on population issues in international forums such as the conferences at Bucharest and Mexico City can contribute to the attainment of a national consensus.

Congresses as Topic↗

The Philippine national recording systems on international migration.

The author reviews migration data sources and government collection agencies in the Philippines. He finds that "despite the importance of international migration for national policy, efforts to correct the serious data limitations in the area of migration statistics have been limited and uncoordinated. In fact, most estimates of emigration levels from the Philippines still rely heavily on the data gathered by receiving countries."

Asia↗

[International migration and health. A challenge to research and health policies in Denmark!].

The field of international migration and health is a growing research area. International discussions have underlined the need for theoretical discussions relating to the use of the terminology of race, ethnicity, culture, socio-economics and other factors related to a person's place of birth. This article argues for further studies and discussions in a Danish context, where the research is still scarce.

Cultural Characteristics↗