Abstract: A teeming set of doctors that graduated from various
universities within and outside Nigeria with the hope of practicing in
the country, has their hope shattered because of poor financing, lack
of medical equipments and a very weak healthcare systems. Such
hydra headed challenges, allows room for quackery which
increasingly contributes to the cause of mortality in Nigeria. With a
view of reversing the challenges of healthcare delivery and financing
in Nigeria, African Health Market for Equity (AHME), a project
funded by the Bill and Melinda Gates foundation [With contribution
from Department For International Development (DFID)] and
currently implemented in three African Countries (Nigeria, Kenya
and Ghana) over a Five (5) year period supports the healthcare sector
via Medical credit fund (MCF). The study examines the impact of
credit policy and medical credit funding on Nigerian health market.
Ordinary least square analysis, correlation and granger causality tests
were employed to measure the extent to which the Nigerian
healthcare market has been influenced. Medical credit fund
significantly and positively influenced average monthly turnover of
private healthcare providers and Commercial bank’s lending rate had
a weak relationship with access to credit/approved loans (13.46%).
The programme has so far made 13.91% progress, which is very
poor, considering the minimum targeted private health care providers
(437.6) and expected number of loan approvals (180.4) for the two
years. Medical credit policy in Nigeria should be revised to include
private healthcare providers in rural area for more positive impact
and increased returns. Good brand advert and sensitization of the
programme to stakeholders and health pressure group, and an
extension of the programme beyond five years is necessary to better
address the issues raised in the study.
Abstract: In the years followed independence, an economic
crisis and some conflicts led to the displacement of many people
inside Georgia. The growing poverty, unemployment, low income
and its unequal distribution limited access to basic social service have
had a clear direct impact on Georgian population dynamics and its
age-sex structure. Factors influencing the changing population age
structure and urbanization include mortality, fertility, migration and
expansion of urban. In this paper presents the main factors of
changing the distribution by urban and rural areas. How different are
the urban and rural age and sex structures? Does Georgia have the
same age-sex structure among their urban and rural populations since
1950s?
Abstract: Introduction: There are multiple social, individual and
cultural factors that influence an individual’s decision to adopt family
planning methods especially among non-users in patriarchal societies
like Pakistan. Non-users, if targeted efficiently, can contribute
significantly to country’s CPR. A research study showed that nonusers
if convinced to adopt lactational amenorrhea method can shift
to long term methods in future. Research shows that if non users are
targeted efficiently a 59% reduction in unintended pregnancies in
Saharan Africa and South-Central and South-East Asia is anticipated.
Methods: We did secondary data analysis on Pakistan
Demographic Heath Survey (2012-13) dataset. Use of contraception
(never-use/ever-use) was the outcome variable. At univariate level
Chi-square/Fisher Exact test was used to assess relationship of
baseline covariates with contraception use. Then variables to be
incorporated in the model were checked for multicollinearity,
confounding and interaction. Then binary logistic regression (with an
urban-rural stratification) was done to find relationship between
contraception use and baseline demographic and social variables.
Results: The multivariate analyses of the study showed that
younger women (≤ 29 years)were more prone to be never users as
compared to those who were >30 years and this trend was seen in
urban areas (AOR 1.92, CI 1.453-2.536) as well as rural areas (AOR
1.809, CI 1.421-2.303). While looking at regional variation, women
from urban Sindh (AOR 1.548, CI 1.142-2.099) and urban
Balochistan (AOR 2.403, CI 1.504-3.839) had more never users as
compared to other urban regions. Women in the rich wealth quintile
were more never users and this was seen both in urban and rural
localities (urban (AOR 1.106 CI .753-1.624); rural areas (AOR 1.162,
CI .887-1.524)) even though these were not statistically significant.
Women idealizing more children (>4) are more never users as
compared to those idealizing less children in both urban (AOR 1.854,
CI 1.275-2.697) and rural areas (AOR 2.101, CI 1.514-2.916).
Women who never lost a pregnancy were more inclined to be nonusers
in rural areas (AOR 1.394, CI 1.127-1.723) .Women familiar
with only traditional or no method had more never users in rural areas
(AOR 1.717, CI 1.127-1.723) but in urban areas it wasn’t significant.
Women unaware of Lady Health Worker’s presence in their area
were more never users especially in rural areas (AOR 1.276, CI
1.014-1.607). Women who did not visit any care provider were more
never users (urban (AOR 11.738, CI 9.112-15.121) rural areas (AOR
7.832, CI 6.243-9.826)).
Discussion/Conclusion: This study concluded that government,
policy makers and private sector family planning programs should
focus on the untapped pool of never users (younger women from underserved provinces, in higher wealth quintiles, who desire more
children.). We need to make sure to cover catchment areas where
there are less LHWs and less providers as ignorance to modern
methods and never been visited by an LHW are important
determinants of never use. This all is in sync with previous literate
from similar developing countries.
Abstract: This study attempts to identify the factors influencing
on women empowerment of rural area in Sri Lanka through micro
finance services. Data were collected from one hundred (100) rural
women involving self-employment activities through a questionnaire
using direct personal interviews. Judgment and Convenience Random
sampling technique was used to select the sample size from three
Divisional Secretariat divisions of Kandawalai, Poonakari and
Karachchi in Kilinochchi District. The factor analysis was performed
on fourteen (14) variables for screening and reducing the variables to
identify the influencing factors on empowerment. Multiple regression
analysis was used to identify the relationship between the three
empowerment factors and the impact of micro finance on overall
empowerment of rural women. The result of this study summarized
the variables into three factors namely decision making, freedom to
mobility and family support and which are positively associated with
empowerment. In addition to this the value of adjusted R2 is 0.248
indicates that all the variables extracted can be explained 24.8% of
the variation in the women empowerment through microfinance.
Independent variables of these three factors have positive correlation
with women empowerment as well as significant values at 5 percent
level.
Abstract: An innovative concept called “Flexy-Energy” is developing at 2iE. This concept aims to produce electricity at lower cost by smartly mix different available energy sources in accordance to the load profile of the region. With a higher solar irradiation and due to the fact that Diesel generator are massively used in sub-Saharan rural areas, PV/Diesel hybrid systems could be a good application of this concept and a good solution to electrify this region, provided they are reliable, cost effective and economically attractive to investors. Presentation of the developed approach is the aims of this paper. The PV/Diesel hybrid system designed consists to produce electricity and/or heat from a coupling between Diesel Diesel generators and PV panels without batteries storage, while ensuring the substitution of gasoil by bio-fuels available in the area where the system will be installed. The optimal design of this system is based on his technical performances; the Life Cycle Cost (LCC) and Levelized Cost of Energy are developed and use as economic criteria. The Net Present Value (NPV), the internal rate of return (IRR) and the discounted payback (DPB) are also evaluated according to dual electricity pricing (in sunny and unsunny hours). The PV/Diesel hybrid system obtained is compared to the standalone Diesel Diesel generators. The approach carried out in this paper has been applied to Siby village in Mali (Latitude 12 ° 23'N 8 ° 20'W) with 295 kWh as daily demand.This approach provides optimal physical characteristics (size of the components, number of component) and dynamical characteristics in real time (number of Diesel generator on, their load rate, fuel specific consumptions, and PV penetration rate) of the system. The system obtained is slightly cost effective; but could be improved with optimized tariffing strategies.
Abstract: In this paper, we propose an intelligent system that is
used for monitoring the health conditions of patients. Monitoring the
health condition of patients is a complex problem that involves
different medical units and requires continuous monitoring especially
in rural areas because of inadequate number of available specialized
physicians. The proposed system will improve patient care and drive
costs down comparing to the existing system in Jordan. The proposed
system will be the start point to faster and improve the
communication between different units in the health system in
Jordan. Connecting patients and their physicians beyond hospital
doors regarding their geographical area is an important issue in
developing the health system in Jordan. The ability of making
medical decisions, the quality of medical is expected to be improved.
Abstract: As the current status and growth of Indian automobile
industry is remarkable, transportation sectors are the main concern in
terms of energy security and climate change. Due to rising demand of
fuel and its dependency on foreign countries that affects the GDP of
nation, suggests that penetration of electrical vehicle will increase in
near future. So in this context analysis is done if the 10 percent of
conventional vehicles including cars, three wheelers and two
wheelers becomes electrical vehicles in near future which is also a
part of Nations Electric Mobility Mission Plan then the saving which
improves the nation’s economy is analyzed in detail. Whether the
Indian electricity grid is capable of taking this load with current
generation and demand all over the country is also analyzed in detail.
Current situation of Indian grid is analyzed and how the gap between
generation and demand can be reduced is discussed in terms of
increasing generation capacity and energy conservation measures.
Electrical energy conservation measures in Industry and especially in
rural areas have been analyzed to improve performance of Indian
electricity grid in context of electrical vehicle penetration in near
future. Author was a part of Vishvakarma yojna in which energy
losses were measured in 255 villages of Gujarat and solutions were
suggested to mitigate them and corresponding reports was submitted
to the authorities of Gujarat government.
Abstract: The IEEE 802.22 working group aims to drive the
Digital Video Broadcasting-Terrestrial (DVB-T) bands for data
communication to the rural area without interfering the TV broadcast.
In this paper, we arrive at a closed-form expression for average
detection probability of Fusion center (FC) with multiple antenna
over the κ − μ fading channel model. We consider a centralized
cooperative multiple antenna network for reporting. The DVB-T
samples forwarded by the secondary user (SU) were combined using
Maximum ratio combiner at FC, an energy detection is performed
to make the decision. The fading effects of the channel degrades
the detection probability of the FC, a generalized independent and
identically distributed (IID) κ − μ and an additive white Gaussian
noise (AWGN) channel is considered for reporting and sensing
respectively. The proposed system performance is verified through
simulation results.
Abstract: Lead being a toxic heavy metal that mankind is
exposed to the highest levels of this metal from environmental
pollutants. A total of 180 Male scalp hair samples were collected
from different environments in Greater Cairo (GC), i.e. industrial,
heavy traffic and rural areas (60 samples from each) having different
activities during the period of, 1/5/2010 to 1/11/2012. Hair samples
were collected during five stages. Data proved that the concentration
of lead in male industrial areas of Cairo ranged between 6.2847 to
19.0432 μg/g, with mean value of 12.3288 μg/g. On the other hand,
lead content of hair samples of residential-traffic areas ranged
between 2.8634 to 16.3311 μg/g with mean value of 9.7552 μg/g.
While lead concentration on the hair of the male residents living in
rural area ranged between 1.0499-9.0402μg/g with mean value of
4.7327 μg/g. The Pb concentration in scalp hair of Cairo residents of
residential-traffic and rural traffic areas was observed to follow the
same pattern. The pattern was that of decrease concentration of
summer and its increase in winter. Then, there was a marked increase
in Pb concentration of summer 2012, and this increase was
significant. These were obviously seen for the residential-traffic and
rural areas residents. Pb pollution in residents of industrial areas
showed the same seasonal pattern, but there was marked to decrease
in Pb concentration of summer 2012, and this decrease was
significant. Lead pollution in residents of GC was serious. It is worth
noting that the atmosphere is still contaminated by lead despite a
decade of using unleaded gasoline. Strong seasonal variation in
higher Pb concentration on winter than in summer was found. Major
contributions to the pollution with Pb could include industry
emissions, motor vehicle emissions and long transported dust from
outside Cairo. More attention should be paid to the reduction of Pb
content of the urban aerosol and to the Pb pollution health.
Abstract: The mathematical analysis on radiation obtained and
the development of the solar photovoltaic (PV) array groundwater
pumping is needed in the rural areas of Thohoyandou for sizing and
power performance subject to the climate conditions within the area.
A simple methodology approach is developed for the directed
coupled solar, controller and submersible ground water pump system.
The system consists of a PV array, pump controller and submerged
pump, battery backup and charger controller. For this reason, the
theoretical solar radiation is obtained for optimal predictions and
system performance in order to achieve different design and
operating parameters. Here the examination of the PV schematic
module in a Direct Current (DC) application is used for obtainable
maximum solar power energy for water pumping. In this paper, a
simple efficient photovoltaic water pumping system is presented with
its theoretical studies and mathematical modeling of photovoltaics
(PV) system.
Abstract: ICT services are a key element of communications and important for socio-economic development. In recognition of the importance of this, the Tanzanian Government started to implement a National ICT Broadband Infrastructure Fibre Optic Backbone (NICTBB) in 2009; this development was planned to be implemented in four phases using an optical dense wavelength division multiplexing (DWDM) network technology in collaboration with the Chinese Government through the Chinese International Telecommunications Construction Corporation (CITCC) under a bilateral agreement. This paper briefly explores the NICTBB network technologies implementation, operations and Internet bandwidth costs. It also provides an in depth assessment of the delivery of ICT services such as e-services and m-services in both urban and rural areas following commissioning of the NICTBB system. Following quantitative and qualitative approaches, the study shows that there have been significant improvements in utilization efficiency, effectiveness and the reliability of the ICT service such as e-services and m-services the NICTCBB was commissioned.
Abstract: The importance of MSMEs in India became crucial in rural areas because it promoted economic growth. MSMEs play a significant role in the economic growth of the country owing to production, exports and employment. Technology development reflect a critical way in which organization respond to either technological or market challenges. The present survey examines the characteristics of technology development in MSMEs. The results show that Indian MSMEs do not co-operate with universities and R&D institutes. Government policies also affect the technology development activities. The awareness about the R&D infrastructure is very low as shown by the results in the study. There is a need to understand and assess the real needs of the MSMEs and accordingly devise approaches that ensure their sustainable growth.
Abstract: Population in rural areas are scattered in the form of different villages or settlements. The proper selection of land to launch any educational or health activities to equally facilitate both the genders is the sticky situation, both for Govt. and Private organizations. Govt. spends substantial funds for the establishment of education institution/health centre at the place which is feasible and accessible to general public. However for specific gender, the gender population is also considered so that both the gender may be benefited equally. In this research, efforts have been made to illustrate how one can choose or locate the best central place/ area in Taluka Kunri of district Umerkot Sindh Pakistan where the Educational or Health activity is to be initiated. For the purpose the concept of centre of mass theorem is used as a tool to develop mathematical model, subsequently utilize in achieving the objectives.
Abstract: Public health informatics (PHI) which has seen successful implementation in the developed world, become the buzzword in the developing countries in providing improved healthcare with enhanced access. In rural areas especially, where a huge gap exists between demand and supply of healthcare facilities, PHI is being seen as a major solution. There are factors such as growing network infrastructure and the technological adoption by the health fraternity which provide support to these claims. Public health informatics has opportunities in healthcare by providing opportunities to diagnose patients, provide intra-operative assistance and consultation from a remote site. It also has certain barriers in the awareness, adaptation, network infrastructure, funding and policy related areas. There are certain medico-legal aspects involving all the stakeholders which need to be standardized to enable a working system. This paper aims to analyze the potential and challenges of Public health informatics services in rural communities.
Abstract: The reproductive aging of women is a biological process which is expressed by the loss of ovarian function and therefore the loss of the possibility of procreation. The present work aims to evaluate the effect of menopause on sexual health of rural women and to examine the determinants of female sexuality after menopause. A survey was conducted among 527 women in the rural area of Marrakech. The average age of women was 51.92 ± 7.24 years. It appears from this study that sexual activity in menopausal women decreases with age, 20% of women had no sexual activity after menopause. 72% of respondents reported having sex by obligation, 71% of women say they are not satisfied with their sexuality, while 29 % are very satisfied. The most common sexual complaints are represented by the decreased libido (81%), vaginal dryness (54%), and pain (22,7%). Of the 511 women with sexual dysfunction, only 34 (6, 4%) consulted for this disorder. Many factors may influence sex include menopause and all the biological changes but also the roles of culture, social constructions and perception of sexuality after menopause are complicated.
Abstract: Post-disaster reconstruction projects offer
opportunities to facilitate physical, social and economic development
and to reduce future hazard vulnerability long after the disasters.
Sustainability of post-disaster reconstruction project conducted in the
villages of Dinar following the 1995 earthquake was investigated in
this paper. Officials of the Government who were involved in the
project were interviewed. Besides, two field surveys were done in 12
villages of Dinar in winter months of 2008. Beneficiaries were
interviewed and physical, socio-cultural and economic impacts of the
reconstruction were examined. The research revealed that the postdisaster
reconstruction project has negative aspects from the point
view of sustainability. The physical, socio-cultural and economic
factors were not considered during decision making process of the
project.
Abstract: This study aims to assess the potential of solar energy technology for improving access to water and hence the livelihood strategies of rural communities in Baja California Sur, Mexico. It focuses on livestock ranches and photovoltaic water-pumptechnology as well as other water extraction methods. The methodology used are the Sustainable Livelihoods and the Appropriate Technology approaches. A household survey was applied in June of 2006 to 32 ranches in the municipality, of which 22 used PV pumps; and semi-structured interviews were conducted. Findings indicate that solar pumps have in fact helped people improve their quality of life by allowing them to pursue a different livelihood strategy and that improved access to water -not necessarily as more water but as less effort to extract and collect it- does not automatically imply overexploitation of the resource; consumption is based on basic needs as well as on storage and pumping capacity. Justification for such systems lies in the avoidance of logistical problems associated to fossil fuels, PV pumps proved to be the most beneficial when substituting gasoline or diesel equipment but of dubious advantage if intended to replace wind or gravity systems. Solar water pumping technology-s main obstacle to dissemination are high investment and repairs costs and it is therefore not suitable for all cases even when insolation rates and water availability are adequate. In cases where affordability is not an obstacle it has become an important asset that contributes –by means of reduced expenses, less effort and saved time- to the improvement of livestock, the main livelihood provider for these ranches.
Abstract: The Application of e-health solutions has brought superb advancements in the health care industry. E-health solutions have already been embraced in the industrialized countries. In an effort to catch up with the growth, the developing countries have strived to revolutionize the healthcare industry by use of Information technology in different ways. Based on a technology assessment carried out in Kenya – one of the developing countries – and using multiple case studies in Nyanza Province, this work focuses on an investigation on how five rural hospitals are adapting to the technology shift. The issues examined include the ICT infrastructure and e-health technologies in place, the knowledge of participants in terms of benefits gained through the use of ICT and the challenges posing barriers to the use of ICT technologies in these hospitals. The results reveal that the ICT infrastructure in place is inadequate for e-health implementations as a result to various challenges that exist. Consequently, suggestions on how to tackle the various challenges have been addressed in this paper.
Abstract: Due to its geographical location, Iran is considered one of the earthquake-prone areas where the best way to decrease earthquake effects is supposed to be strengthening the buildings. Even though, one idea suggests that the use of adobe in constructing buildings be prohibited for its weak function especially in earthquake-prone areas, however, regarding ecological considerations, sustainability and other local skills, another idea pays special attention to adobe as one of the construction technologies which is popular among people. From the architectural and technological point of view, as strong sustainable building construction materials, compressed adobe construction materials make most of the construction in urban or rural areas ranging from small to big industrial buildings used to replace common earth blocks in traditional systems and strengthen traditional adobe buildings especially against earthquake. Mentioning efficient construction using compressed adobe system as a reliable replacement for traditional soil construction materials , this article focuses on the experiences of India in the fields of sustainable development of compressed adobe systems in the form of system in which the compressed soil is combined with cement, load bearing building with brick/solid concrete block system, brick system using rat trap bond, metal system with adobe infill and finally emphasizes on the use of these systems in the earthquake-struck city of Bam in Iran.
Abstract: This work provides a practical method for the
development of rural road networks in rural areas of developing
countries. The proposed methodology enables to determine
obligatory points in the rural road network maximizing the number of
settlements that have access to basic services within a given
maximum distance. The proposed methodology is simple and
practical, hence, highly applicable to real-world scenarios, as
demonstrated in the definition of the road network for the rural areas
of Nepal.