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PubMed1984

Women, labour and fertility: population growth in nineteenth century Java.

The sharp increase in Java's population after 1830 is usually explained in terms of higher living standards and consequent lower mortality resulting from Dutch colonization, but there is little historical evidence supporting such an interpretation and much to refute it. An alternative view is that Java's population growth after 1830 was due to increasing fertility. The major constraint to Javanese fertility prior to this period has been extended periods of postpartum abstinence, the length of which was determined by the duration of breastfeeding, because people believed semen had deleterious effects on breast milk. In 1830 a system of forced cultivation of export crops was imposed by the Dutch rulers and greatly increased the amount of labor which Javanese households required to reproduce themselves. The arduous work women began to undertake made it increasingly difficult to breastfeed their children. As the average period of breastfeeding fell, the average period of postpartum abstinence declined and fertility increased.

Agriculture↗
PubMed1984

Ethiopia.

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Africa↗
PubMed1987

Malaria, agriculture, and development: lessons from past campaigns.

The author presents in this article a historical-epidemiological evaluation of several anti-malaria campaigns and of the relative contribution of various direct measures employed and indirect factors operating during these campaigns. Approaches and factors that may be essential or at least useful for successful malaria control are identified. The malaria story in Palestine/Israel and the experience of the Tennessee Valley Authority are analyzed in some detail. In both cases, direct anti-malaria measures were versatile and based mostly on reduction of mosquito breeding and elimination of Anopheles larvae. Efficient organization and coordination of anti-malaria efforts, strenuous research and understanding of the vector biology, and accompanying socioeconomic and agricultural development contributed to successful campaigns. Malaria control in other parts of the United States and in Italy is also considered. The World Health Organization global anti-malaria campaign is discussed in the light of these earlier experiences. The study concludes that no single measure is sufficient to control malaria and that future anti-malaria campaigns need to adopt strategies that are flexible, incorporated into local health services, and interrelated with agricultural practices. Moreover, a certain threshold of socioeconomic development, health services infrastructure, and educational level may have to be reached for the successful application and maintenance of direct anti-malaria measures.

Agriculture↗
PubMed1985

Togo.

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Abortion, Induced↗
PubMed1999

A scale to assess activities of daily living in persons affected by leprosy.

The aim of this study was to develop a scale for identifying disability among people in the rural areas of developing countries. The studies were carried out in the Green Pastures Hospital and the leprosy field programme of the Western Region of Nepal. With the help of staff experienced in working with people with disability, a 68-question questionnaire was made, based on the International Classification of Impairments, Activities and Participation (ICIDH-2). A survey was carried out of 269 people affected by leprosy who had impairments, as well as a sample of those who were unimpaired. The survey results were used to develop the questionnaire into a scale, using standard scale development methods. This included checking of criterion validity, discrimination and reliability and stability using weighted kappa statistics. Of the 68 questions, 38 were included in the second draft of the instrument. Eight questions were added to identify difficulty in relationships, about the use of aids and about occupation and employment. The sum score of the scale against the expert score gave a Spearman correlation coefficient of 0.72. Intra- and inter-interviewer reliability coefficients were 0.77 (95% CI 0.73-0.81) and 0.61 (95% CI 0.56-0.67), respectively. The stability test gave an overall kappa of 0.76 (95% CI 0.70-0.82). Four questions with particularly poor results were omitted from the final draft of the instrument. An interview-based instrument was developed for identifying limitations in activities of daily living (disability) in people living in a rural setting in a developing country--the Green Pastures Activity Scale (GPAS). The scale performed well during validity and reliability testing. It consists of 34 activity questions, five relationship questions, and three questions on the use of aids, occupation and employment.

Activities of Daily Living↗
PubMed1995

Older people's responses to education about advance directives.

As advances in medical technology increase the life span, social workers committed to quality of life for elderly people are faced with practice challenges. Preserving the autonomy and civil rights of elderly people in guiding their own health care even if they are unable to articulate preferences has become an important area of social work intervention. This article evaluates a social work program in a rural New England community designed to promote autonomous decision making by educating elderly people about advance directives. Results revealed a continuum of willingness among elderly people to address future decision making. Interventions to promote autonomy in health care decision making need to address the diversity of elderly people. The primacy of the family emerged throughout the study, suggesting that advance directives may be a family issue rather than solely an individual one. Further needs assessment research is needed to guide program development in this essential area of social work practice.

Advance Directives↗
PubMedDate not supplied

[Health education for triatomine control in an area under epidemiological surveillance in Paraná State, Brazil].

This paper describes a health education project targeting a rural community and health professionals from counties undergoing epidemiological surveillance for Chagas disease vectors in the State of Paraná, Brazil. A group of technicians from the Brazilian National Health Foundation (FUNASA) was trained, together with teachers, workers, and students from the State University of Maringá, who prepared an instructions manual and drew up guidelines for reporting presence of triatomines or suspected cases of Trypanosoma cruziinfection. From June 1996 through February 2000, the activities reached 742 families, 2,300 schoolchildren, and 27 teachers from 18 elementary schools, and included a meeting between FUNASA members and 40 participants, 21 meetings in health centers, and provision of a set of preserved triatomine specimens for use in vector surveillance and identification. After three years of health education activities and insecticide treatment (cipermetrina 125 mg i.a./m2), there was a reduction of 80.6% in households infested with triatomines and increased awareness among rural residents and health workers. The authors discuss the need to train professionals committed to changing Brazil's prevailing health model.

Animals↗
PubMed1988

Law No. 109/88, 26 September 1988.

This Law establishes agrarian reform policy in Portugal. Its main goals are the improvement of the conditions of exploitation of the land; the economic, social, and cultural promotion of farmers and agricultural workers; the protection of their rights; the use of resources to increase agricultural production and productivity; and the protection of the environment, including the fertility of land. Special emphasis is given to consideration of regional ecological characteristics in efforts to maximize agricultural productivity. The Law also has as a goal the promotion of associational agricultural practices. To attain these goals, the Law provides for the expropriation and redistribution of land and introduces incentives designed to provide wide-ranging material support of agricultural activity and integrative measures, which deal with infrastructural development. Expropriation and redistribution of land are to be carried out according to procedures set forth in the Code of Expropriation. The Law, however, introduces the landowner's "right of reserve." Under this right, landowners may apply for the devolution of expropriated land, subject to the limit of 60 hectares per "right of reserve" or, alternately, to the limit of 91,000 productivity points, measured according to criteria of a land productivity schedule, regardless of the physical size of the area subject to expropriation. The "right of reserve" shall be apportioned among co-owners and legal successors of expropriated land. Procedures to be followed in determining the "right of reserve" are set forth in Regulating Decree No. 44/88, 14 December 1988 (Diario da Republica, Series I, No. 287, 14 December 1988, pp. 4915-6).

Agriculture↗