WorldWideScience

Sample records for high-income developing country

  1. Emergency medicine clerkship curriculum in a high-income developing country: methods for development and application.

    Science.gov (United States)

    Cevik, Arif Alper; Cakal, Elif Dilek; Abu-Zidan, Fikri M

    2018-06-07

    The published recommendations for international emergency medicine curricula cover the content, but exclude teaching and learning methods, assessment, and evaluation. We aim to provide an overview on available emergency medicine clerkship curricula and report the development and application experience of our own curriculum. Our curriculum is an outcome-based education, enriched by e-learning and various up-to-date pedagogic principles. Teaching and learning methods, assessment, and evaluation are described. The theory behind our practice in the light of recent literature is discussed aiming to help other colleagues from developing countries to have a clear map for developing and tailoring their own curricula depending on their needs. The details of our emergency medicine clerkship will serve as an example for developing and developed countries having immature undergraduate emergency medicine clerkship curricula. However, these recommendations will differ in various settings depending on available resources. The main concept of curriculum development is to create a curriculum having learning outcomes and content relevant to the local context, and then align the teaching and learning activities, assessments, and evaluations to be in harmony. This may assure favorable educational outcome even in resource limited settings.

  2. and high-income countries

    African Journals Online (AJOL)

    opperwjj

    sociodemographic, health risk behaviour and social-legal correlates among university students ... no national seatbelt law or a law that does not apply to all occupants, poor attitudes towards ..... inconsistently used seatbelts than female students, while in some other countries (China, ..... and Exercise, 35, 1381–1395. Cunill ...

  3. Stillbirths : recall to action in high-income countries

    NARCIS (Netherlands)

    Flenady, Vicki; Wojcieszek, Aleena M.; Middleton, Philippa; Ellwood, David; Erwich, Jan Jaap; Coory, Michael; Khong, T. Yee; Silver, Robert M.; Smith, Gordon C. S.; Boyle, Frances M.; Lawn, Joy E.; Blencowe, Hannah; Leisher, Susannah Hopkins; Gross, Mechthild M.; Horey, Dell; Farrales, Lynn; Bloomfield, Frank; McCowan, Lesley; Brown, Stephanie J.; Joseph, K. S.; Zeitlin, Jennifer; Reinebrant, Hanna E.; Ravaldi, Claudia; Vannacci, Alfredo; Cassidy, Jillian; Cassidy, Paul; Farquhar, Cindy; Wallace, Euan; Siassakos, Dimitrios; Heazell, Alexander E. P.; Storey, Claire; Sadler, Lynn; Petersen, Scott; Froen, J. Frederik; Goldenberg, Robert L.

    2016-01-01

    Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation ( 28 weeks or more) stillbirths could have been avoided in 2015.

  4. Global Surgery 2030: a roadmap for high income country actors

    Science.gov (United States)

    Greenberg, Sarah L M; Abdullah, Fizan; Amado, Vanda; Anderson, Geoffrey A; Cossa, Matchecane; Costas-Chavarri, Ainhoa; Davies, Justine; Debas, Haile T; Dyer, George S M; Erdene, Sarnai; Farmer, Paul E; Gaumnitz, Amber; Hagander, Lars; Haider, Adil; Leather, Andrew J M; Lin, Yihan; Marten, Robert; Marvin, Jeffrey T; McClain, Craig D; Meara, John G; Meheš, Mira; Mock, Charles; Mukhopadhyay, Swagoto; Orgoi, Sergelen; Prestero, Timothy; Price, Raymond R; Raykar, Nakul P; Riesel, Johanna N; Riviello, Robert; Rudy, Stephen M; Saluja, Saurabh; Sullivan, Richard; Tarpley, John L; Taylor, Robert H; Telemaque, Louis-Franck; Toma, Gabriel; Varghese, Asha; Walker, Melanie; Yamey, Gavin; Shrime, Mark G

    2016-01-01

    The Millennium Development Goals have ended and the Sustainable Development Goals have begun, marking a shift in the global health landscape. The frame of reference has changed from a focus on 8 development priorities to an expansive set of 17 interrelated goals intended to improve the well-being of all people. In this time of change, several groups, including the Lancet Commission on Global Surgery, have brought a critical problem to the fore: 5 billion people lack access to safe, affordable surgical and anaesthesia care when needed. The magnitude of this problem and the world's new focus on strengthening health systems mandate reimagined roles for and renewed commitments from high income country actors in global surgery. To discuss the way forward, on 6 May 2015, the Commission held its North American launch event in Boston, Massachusetts. Panels of experts outlined the current state of knowledge and agreed on the roles of surgical colleges and academic medical centres; trainees and training programmes; academia; global health funders; the biomedical devices industry, and news media and advocacy organisations in building sustainable, resilient surgical systems. This paper summarises these discussions and serves as a consensus statement providing practical advice to these groups. It traces a common policy agenda between major actors and provides a roadmap for maximising benefit to surgical patients worldwide. To close the access gap by 2030, individuals and organisations must work collectively, interprofessionally and globally. High income country actors must abandon colonial narratives and work alongside low and middle income country partners to build the surgical systems of the future. PMID:28588908

  5. Essential Medicines in a High Income Country: Essential to Whom?

    Science.gov (United States)

    Duong, Mai; Moles, Rebekah J; Chaar, Betty; Chen, Timothy F

    2015-01-01

    To explore the perspectives of a diverse group of stakeholders engaged in medicines decision making around what constitutes an "essential" medicine, and how the Essential Medicines List (EML) concept functions in a high income country context. In-depth qualitative semi-structured interviews were conducted with 32 Australian stakeholders, recognised as decision makers, leaders or advisors in the area of medicines reimbursement or supply chain management. Participants were recruited from government, pharmaceutical industry, pharmaceutical wholesale/distribution companies, medicines non-profit organisations, academic health disciplines, hospitals, and consumer groups. Perspectives on the definition and application of the EML concept in a high income country context were thematically analysed using grounded theory approach. Stakeholders found it challenging to describe the EML concept in the Australian context because many perceived it was generally used in resource scarce settings. Stakeholders were unable to distinguish whether nationally reimbursed medicines were essential medicines in Australia. Despite frequent generic drug shortages and high prices paid by consumers, many struggled to describe how the EML concept applied to Australia. Instead, broad inclusion of consumer needs, such as rare and high cost medicines, and consumer involvement in the decision making process, has led to expansive lists of nationally subsidised medicines. Therefore, improved communication and coordination is needed around shared interests between stakeholders regarding how medicines are prioritised and guaranteed in the supply chain. This study showed that decision-making in Australia around reimbursement of medicines has strayed from the fundamental utilitarian concept of essential medicines. Many stakeholders involved in medicine reimbursement decisions and management of the supply chain did not consider the EML concept in their approach. The wide range of views of what stakeholders

  6. Essential Medicines in a High Income Country: Essential to Whom?

    Directory of Open Access Journals (Sweden)

    Mai Duong

    Full Text Available To explore the perspectives of a diverse group of stakeholders engaged in medicines decision making around what constitutes an "essential" medicine, and how the Essential Medicines List (EML concept functions in a high income country context.In-depth qualitative semi-structured interviews were conducted with 32 Australian stakeholders, recognised as decision makers, leaders or advisors in the area of medicines reimbursement or supply chain management. Participants were recruited from government, pharmaceutical industry, pharmaceutical wholesale/distribution companies, medicines non-profit organisations, academic health disciplines, hospitals, and consumer groups. Perspectives on the definition and application of the EML concept in a high income country context were thematically analysed using grounded theory approach.Stakeholders found it challenging to describe the EML concept in the Australian context because many perceived it was generally used in resource scarce settings. Stakeholders were unable to distinguish whether nationally reimbursed medicines were essential medicines in Australia. Despite frequent generic drug shortages and high prices paid by consumers, many struggled to describe how the EML concept applied to Australia. Instead, broad inclusion of consumer needs, such as rare and high cost medicines, and consumer involvement in the decision making process, has led to expansive lists of nationally subsidised medicines. Therefore, improved communication and coordination is needed around shared interests between stakeholders regarding how medicines are prioritised and guaranteed in the supply chain.This study showed that decision-making in Australia around reimbursement of medicines has strayed from the fundamental utilitarian concept of essential medicines. Many stakeholders involved in medicine reimbursement decisions and management of the supply chain did not consider the EML concept in their approach. The wide range of views of

  7. Interventions that enhance health services for parents and infants to improve child development and social and emotional well-being in high-income countries: a systematic review.

    Science.gov (United States)

    Hurt, Lisa; Paranjothy, Shantini; Lucas, Patricia Jane; Watson, Debbie; Mann, Mala; Griffiths, Lucy J; Ginja, Samuel; Paljarvi, Tapio; Williams, Jo; Bellis, Mark A; Lingam, Raghu

    2018-02-08

    Experiences in the first 1000 days of life have a critical influence on child development and health. Health services that provide support for families need evidence about how best to improve their provision. We systematically reviewed the evidence for interventions in high-income countries to improve child development by enhancing health service contact with parents from the antenatal period to 24 months postpartum. We searched 15 databases and trial registers for studies published in any language between 01 January 1996 and 01 April 2016. We also searched 58 programme or organisation websites and the electronic table of contents of eight journals. Primary outcomes were motor, cognitive and language development, and social-emotional well-being measured to 39 months of age (to allow the interventions time to produce demonstrable effects). Results were reported using narrative synthesis due to the variation in study populations, intervention design and outcome measurement. 22 of the 12 986 studies identified met eligibility criteria. Using Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group criteria, the quality of evidence overall was moderate to low. There was limited evidence for intervention effectiveness: positive effects were seen in 1/6 studies for motor development, 4/11 for language development, 4/8 for cognitive development and 3/19 for social-emotional well-being. However, most studies showing positive effects were at high/unclear risk of bias, within-study effects were inconsistent and negative effects were also seen. Intervention content and intensity varied greatly, but this was not associated with effectiveness. There is insufficient evidence that interventions currently available to enhance health service contacts up to 24 months postpartum are effective for improving child development. There is an urgent need for robust evaluation of existing interventions and to develop and evaluate novel interventions to enhance

  8. Stillbirths 5. Stillbirths : the way forward in high-income countries

    NARCIS (Netherlands)

    Flenady, Vicki; Middleton, Philippa; Smith, Gordon C.; Duke, Wes; Erwich, Jan Jaap; Khong, T. Yee; Neilson, Jim; Ezzati, Majid; Koopmans, Laura; Ellwood, David; Fretts, Ruth; Froen, J. Frederik

    2011-01-01

    Stillbirth rates in high-income countries declined dramatically from about 1940, but this decline has slowed or stalled over recent times. The present variation in stillbirth rates across and within high-income countries indicates that further reduction in stillbirth is possible. Large disparities

  9. Delivering affordable cancer care in high-income countries.

    Science.gov (United States)

    Sullivan, Richard; Peppercorn, Jeffrey; Sikora, Karol; Zalcberg, John; Meropol, Neal J; Amir, Eitan; Khayat, David; Boyle, Peter; Autier, Philippe; Tannock, Ian F; Fojo, Tito; Siderov, Jim; Williamson, Steve; Camporesi, Silvia; McVie, J Gordon; Purushotham, Arnie D; Naredi, Peter; Eggermont, Alexander; Brennan, Murray F; Steinberg, Michael L; De Ridder, Mark; McCloskey, Susan A; Verellen, Dirk; Roberts, Terence; Storme, Guy; Hicks, Rodney J; Ell, Peter J; Hirsch, Bradford R; Carbone, David P; Schulman, Kevin A; Catchpole, Paul; Taylor, David; Geissler, Jan; Brinker, Nancy G; Meltzer, David; Kerr, David; Aapro, Matti

    2011-09-01

    The burden of cancer is growing, and the disease is becoming a major economic expenditure for all developed countries. In 2008, the worldwide cost of cancer due to premature death and disability (not including direct medical costs) was estimated to be US$895 billion. This is not simply due to an increase in absolute numbers, but also the rate of increase of expenditure on cancer. What are the drivers and solutions to the so-called cancer-cost curve in developed countries? How are we going to afford to deliver high quality and equitable care? Here, expert opinion from health-care professionals, policy makers, and cancer survivors has been gathered to address the barriers and solutions to delivering affordable cancer care. Although many of the drivers and themes are specific to a particular field-eg, the huge development costs for cancer medicines-there is strong concordance running through each contribution. Several drivers of cost, such as over-use, rapid expansion, and shortening life cycles of cancer technologies (such as medicines and imaging modalities), and the lack of suitable clinical research and integrated health economic studies, have converged with more defensive medical practice, a less informed regulatory system, a lack of evidence-based sociopolitical debate, and a declining degree of fairness for all patients with cancer. Urgent solutions range from re-engineering of the macroeconomic basis of cancer costs (eg, value-based approaches to bend the cost curve and allow cost-saving technologies), greater education of policy makers, and an informed and transparent regulatory system. A radical shift in cancer policy is also required. Political toleration of unfairness in access to affordable cancer treatment is unacceptable. The cancer profession and industry should take responsibility and not accept a substandard evidence base and an ethos of very small benefit at whatever cost; rather, we need delivery of fair prices and real value from new technologies

  10. Psychological and psychosocial interventions for refugee children resettled in high-income countries.

    Science.gov (United States)

    Fazel, M

    2018-04-01

    Large numbers of refugee children are arriving in high-income countries. The evidence to date suggests that they have mental health needs that are higher than for the general population and that these are exacerbated by the numbers of traumatic events they have experienced and the post-migration stressors they continue to be exposed to. The importance of a thorough and thoughtful assessment is discussed. Treatments of note are described for post-traumatic stress disorder, family functioning, general mental health problems and school environments. Future opportunities to operationalise outcome measures, develop multimodal interventions and utilise implementation science methodology are considered.

  11. Exploring Variation in Glycemic Control Across and Within Eight High-Income Countries

    DEFF Research Database (Denmark)

    Charalampopoulos, Dimitrios; Hermann, Julia M; Svensson, Jannet

    2018-01-01

    OBJECTIVE: International studies on childhood type 1 diabetes (T1D) have focused on whole-country mean HbA1c levels, thereby concealing potential variations within countries. We aimed to explore the variations in HbA1c across and within eight high-income countries to best inform international ben...

  12. Acculturation and obesity among migrant populations in high income countries – a systematic review

    Science.gov (United States)

    2013-01-01

    Background There is evidence to suggest that immigrant populations from low or medium-income countries to high income countries show a significant change in obesogenic behaviors in the host society, and that these changes are associated with acculturation. However, the results of studies vary depending on how acculturation is measured. The objective of this study is to systematically review the evidence on the relationship between acculturation - as measured with a standardized acculturation scale - and overweight/obesity among adult migrants from low/middle countries to high income countries. Methods A systematic review of relevant studies was undertaken using six EBSCOhost databases and following the Centre for Reviews and Dissemination’s Guidance for Undertaking Reviews in Health Care. Results The initial search identified 1135 potentially relevant publications, of which only nine studies met the selection criteria. All of the studies were from the US with migrant populations from eight different countries. Six studies employed bi-directional acculturation scales and three used uni-directional scales. Six studies indicated positive general associations between higher acculturation and body mass index (BMI), and three studies reported that higher acculturation was associated with lower BMI, as mainly among women. Conclusion Despite the small number of studies, a number of potential explanatory hypotheses were developed for these emerging patterns. The ‘Healthy Migrant Effect’ may diminish with greater acculturation as the host culture potentially promotes more unhealthy weight gain than heritage cultures. This appears particularly so for men and a rapid form of nutrition transition represents a likely contributor. The inconsistent results observed for women may be due to the interplay of cultural influences on body image, food choices and physical activity. That is, the Western ideal of a slim female body and higher values placed on physical activity and

  13. Oral Health Behaviour and Social and Health Factors in University Students from 26 Low, Middle and High Income Countries

    OpenAIRE

    Peltzer, Karl; Pengpid, Supa

    2014-01-01

    Poor oral health is still a major burden for populations throughout the world, particularly in developing countries. The aim of this study was investigate oral health behaviour (tooth brushing and dental attendance) and associated factors in low, middle and high income countries. Using anonymous questionnaires, data were collected from 19,560 undergraduate university students (mean age 20.8, SD = 2.8) from 27 universities in 26 countries across Asia, Africa and the Americas. Results indicate...

  14. Multivitamin use and adverse birth outcomes in high-income countries

    DEFF Research Database (Denmark)

    Wolf, Hanne T.; Hegaard, Hanne K.; Huusom, Lene D.

    2017-01-01

    of the studies compared the use of folic acid and iron vs the use of multivitamins. The use of multivitamin did not change the risk of the primary outcome, preterm birth (relative risk, 0.84 [95% confidence interval, 0.69–1.03]). However, the risk of small for gestational age (relative risk, 0.77 [95% confidence......Background In high-income countries, a healthy diet is widely accessible. However, a change toward a poor-quality diet with a low nutritional value in high-income countries has led to an inadequate vitamin intake during pregnancy. Objective We conducted a systematic review and meta......). Study Design We searched electronic databases (MEDLINE, Embase, Cochrane, Scopus, and CINAHL) from inception to June 17, 2016, using synonyms of pregnancy, study/trial type, and multivitamins. Eligible studies were all studies in high-income countries investigating the association between multivitamin...

  15. Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

    OpenAIRE

    Clarke, Nicholas; Crowe, Sophie; Humphries, Niamh; Conroy, Ronan; O'Hare, Simon; Kavanagh, Paul; Brugha, Ruairi F

    2017-01-01

    BACKGROUND: The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland. METHODS: Using a partially mixed ...

  16. Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

    LENUS (Irish Health Repository)

    Clarke, Nicholas

    2017-09-25

    The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland.

  17. Health Care Spending in the United States and Other High-Income Countries.

    Science.gov (United States)

    Papanicolas, Irene; Woskie, Liana R; Jha, Ashish K

    2018-03-13

    Health care spending in the United States is a major concern and is higher than in other high-income countries, but there is little evidence that efforts to reform US health care delivery have had a meaningful influence on controlling health care spending and costs. To compare potential drivers of spending, such as structural capacity and utilization, in the United States with those of 10 of the highest-income countries (United Kingdom, Canada, Germany, Australia, Japan, Sweden, France, the Netherlands, Switzerland, and Denmark) to gain insight into what the United States can learn from these nations. Analysis of data primarily from 2013-2016 from key international organizations including the Organisation for Economic Co-operation and Development (OECD), comparing underlying differences in structural features, types of health care and social spending, and performance between the United States and 10 high-income countries. When data were not available for a given country or more accurate country-level estimates were available from sources other than the OECD, country-specific data sources were used. In 2016, the US spent 17.8% of its gross domestic product on health care, and spending in the other countries ranged from 9.6% (Australia) to 12.4% (Switzerland). The proportion of the population with health insurance was 90% in the US, lower than the other countries (range, 99%-100%), and the US had the highest proportion of private health insurance (55.3%). For some determinants of health such as smoking, the US ranked second lowest of the countries (11.4% of the US population ≥15 years smokes daily; mean of all 11 countries, 16.6%), but the US had the highest percentage of adults who were overweight or obese at 70.1% (range for other countries, 23.8%-63.4%; mean of all 11 countries, 55.6%). Life expectancy in the US was the lowest of the 11 countries at 78.8 years (range for other countries, 80.7-83.9 years; mean of all 11 countries, 81.7 years), and infant

  18. Childhood immunization, vaccine hesitancy, and provaccination policy in high-income countries

    DEFF Research Database (Denmark)

    Thomsen, Frej Klem

    2017-01-01

    Increasing vaccine hesitancy among parents in high-income countries and the resulting drop in early childhood immunization constitute an important public health problem, and raise the issue of what policies might be taken to promote higher rates of vaccination. This article first outlines the bac...

  19. Incidence of neonatal necrotising enterocolitis in high-income countries: a systematic review.

    Science.gov (United States)

    Battersby, Cheryl; Santhalingam, Tharsika; Costeloe, Kate; Modi, Neena

    2018-03-01

    To conduct a systematic review of neonatal necrotising enterocolitis (NEC) rates in high-income countries published in peer-reviewed journals. We searched MEDLINE, Embase and PubMed databases for observational studies published in peer-reviewed journals. We selected studies reporting national, regional or multicentre rates of NEC in 34 Organisation for Economic Co-operation and Development countries. Two investigators independently screened studies against predetermined criteria. For included studies, we extracted country, year of publication in peer-reviewed journal, study time period, study population inclusion and exclusion criteria, case definition, gestation or birth weight-specific NEC and mortality rates. Of the 1888 references identified, 120 full manuscripts were reviewed, 33 studies met inclusion criteria, 14 studies with the most recent data from 12 countries were included in the final analysis. We identified an almost fourfold difference, from 2% to 7%, in the rate of NEC among babies born REVIEWS REGISTRATION NUMBER: CRD42015030046. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  20. Explicit Bias Toward High-Income-Country Research: A Randomized, Blinded, Crossover Experiment Of English Clinicians.

    Science.gov (United States)

    Harris, Matthew; Marti, Joachim; Watt, Hillary; Bhatti, Yasser; Macinko, James; Darzi, Ara W

    2017-11-01

    Unconscious bias may interfere with the interpretation of research from some settings, particularly from lower-income countries. Most studies of this phenomenon have relied on indirect outcomes such as article citation counts and publication rates; few have addressed or proven the effect of unconscious bias in evidence interpretation. In this randomized, blinded crossover experiment in a sample of 347 English clinicians, we demonstrate that changing the source of a research abstract from a low- to a high-income country significantly improves how it is viewed, all else being equal. Using fixed-effects models, we measured differences in ratings for strength of evidence, relevance, and likelihood of referral to a peer. Having a high-income-country source had a significant overall impact on respondents' ratings of relevance and recommendation to a peer. Unconscious bias can have far-reaching implications for the diffusion of knowledge and innovations from low-income countries.

  1. Authorship ethics in global health research partnerships between researchers from low or middle income countries and high income countries.

    Science.gov (United States)

    Smith, Elise; Hunt, Matthew; Master, Zubin

    2014-05-28

    Over the past two decades, the promotion of collaborative partnerships involving researchers from low and middle income countries with those from high income countries has been a major development in global health research. Ideally, these partnerships would lead to more equitable collaboration including the sharing of research responsibilities and rewards. While collaborative partnership initiatives have shown promise and attracted growing interest, there has been little scholarly debate regarding the fair distribution of authorship credit within these partnerships. In this paper, we identify four key authorship issues relevant to global health research and discuss their ethical and practical implications. First, we argue that authorship guidance may not adequately apply to global health research because it requires authors to write or substantially revise the manuscript. Since most journals of international reputation in global health are written in English, this would systematically and unjustly exclude non-English speaking researchers even if they have substantially contributed to the research project. Second, current guidance on authorship order does not address or mitigate unfair practices which can occur in global health research due to power differences between researchers from high and low-middle income countries. It also provides insufficient recognition of "technical tasks" such as local participant recruitment. Third, we consider the potential for real or perceived editorial bias in medical science journals in favour of prominent western researchers, and the risk of promoting misplaced credit and/or prestige authorship. Finally, we explore how diverse cultural practices and expectations regarding authorship may create conflict between researchers from low-middle and high income countries and contribute to unethical authorship practices. To effectively deal with these issues, we suggest: 1) undertaking further empirical and conceptual research regarding

  2. Cigarette Design Features in Low-, Middle-, and High-Income Countries

    Directory of Open Access Journals (Sweden)

    Rosalie V. Caruso

    2012-01-01

    Full Text Available Previous studies have shown that country income grouping is correlated with cigarette engineering. Cigarettes (=111 brands were purchased during 2008–2010 from 11 low-, middle-, and high-income countries to assess physical dimensions and an array of cigarette design features. Mean ventilation varied significantly across low- (7.5%, middle- (15.3%, and high-income (26.2% countries (≤0.001. Differences across income groups were also seen in cigarette length (=0.001, length of the tipping paper (=0.01, filter weight (=0.017, number of vent rows (=0.003, per-cigarette tobacco weight (=0.04, and paper porosity (=0.008. Stepwise linear regression showed ventilation and tobacco length as major predictors of ISO tar yields in low-income countries (=0.909, 0.047, while tipping paper (<0.001, filter length (<0.001, number of vent rows (=0.014, and per-cigarette weight (=0.015 were predictors of tar yields in middle-income countries. Ventilation (<0.001, number of vent rows (=0.009, per-cigarette weight (<0.001, and filter diameter (=0.004 predicted tar yields in high-income countries. Health officials must be cognizant of cigarette design issues to provide effective regulation of tobacco products.

  3. Reciprocity in Labor Market Relationships: Evidence from an Experiment across High-Income OECD Countries

    Directory of Open Access Journals (Sweden)

    Israel Waichman

    2015-10-01

    Full Text Available We study differences in behavior across countries in a labor market context. To this end, we conducted a bilateral gift-exchange experiment comparing the behavior of subjects from five high-income OECD countries: Germany, Spain, Israel, Japan and the USA. We observe that in all countries, effort levels are increasing while rejection rates are decreasing in wage offers. However, we also find considerable differences in behavior across countries in both one-shot and repeated relationships, the most striking between Germany and Spain. We also discuss the influence of socio-economic indicators and the implications of our findings.

  4. Cardiovascular Risk and Events in 17 Low-, Middle-, and High-Income Countries.

    OpenAIRE

    Yusuf, S; Rangarajan, S; Teo, K; Islam, S; Li, W; Liu, L; Bo, J; Lou, Q; Lu, F; Liu, T; Yu, L; Zhang, S; Mony, P; Swaminathan, S; Mohan, V

    2014-01-01

    : More than 80% of deaths from cardiovascular disease are estimated to occur in low-income and middle-income countries, but the reasons are unknown. : We enrolled 156,424 persons from 628 urban and rural communities in 17 countries (3 high-income, 10 middle-income, and 4 low-income countries) and assessed their cardiovascular risk using the INTERHEART Risk Score, a validated score for quantifying risk-factor burden without the use of laboratory testing (with higher scores indicating greater r...

  5. Convergence in Food Demand and Delivery: Do Middle-Income Countries Follow High-Income Trends?

    OpenAIRE

    Regmi, Anita; Takeshima, Hiroyuki; Unnevehr, Laurian J.

    2008-01-01

    This study uses food expenditures and food-sales data from 1990 to 2004 to examine whether food-consumption patterns and food-delivery-mechanism trends are converging across 47 high- and middle-income countries. Results point to a high degree of convergence in global food systems. Middle-income countries appear to be following trends in high-income countries. Convergence is apparent in most important food-expenditure categories and in indicators of food-system modernization such as supermarke...

  6. Public reporting on quality, waiting times and patient experience in 11 high-income countries

    OpenAIRE

    Rechel, Bernd; McKee, Martin; Haas, Marion; Marchildon, Gregory P; Bousquet, Frederic; Blümel, Miriam; Geissler, Alexander; van Ginneken, Ewout; Ashton, Toni; Saunes, Ingrid Sperre; Anell, Anders; Quentin, Wilm; Saltman, Richard; Culler, Steven; Barnes, Andrew

    2016-01-01

    : This article maps current approaches to public reporting on waiting times, patient experience and aggregate measures of quality and safety in 11 high-income countries (Australia, Canada, England, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and the United States). Using a questionnaire-based survey of key national informants, we found that the data most commonly made available to the public are on waiting times for hospital treatment, being reported for major hospi...

  7. Impacts of urbanization on national transport and road energy use: Evidence from low, middle and high income countries

    International Nuclear Information System (INIS)

    Poumanyvong, Phetkeo; Kaneko, Shinji; Dhakal, Shobhakar

    2012-01-01

    Few attempts have been made to investigate quantitatively and systematically the impact of urbanization on transport energy use for countries of different stages of economic development. This paper examines the influence of urbanization on national transport and road energy use for low, middle and high income countries during 1975–2005, using the Stochastic Impacts by Regression on Population, Affluence and Technology (STIRPAT) model. After controlling for population size, income per capita and the share of services in the economy, the main results suggest that urbanization influences national transport and road energy use positively. However, the magnitude of its influence varies among the three income groups. Changes in urbanization appear to have a greater impact on transport and road energy use in the high income group than in the other groups. Surprisingly, the urbanization elasticities of transport and road energy use in the middle income group are smaller than those of the low income group. This study not only sheds further light on the existing literature, but also provides policy makers with insightful information on the link between urbanization and transport energy use at the three different stages of development. - Highlights: ► Overall, urbanization increases national transport and road energy use. ► Urbanization elasticities of transport energy use differ across development stages. ► Urbanization elasticities in high-income group are higher than in other groups.

  8. Dietary health behaviour and beliefs among university students from 26 low, middle and high income countries.

    Science.gov (United States)

    Pengpid, Supa; Peltzer, Karl

    2015-01-01

    The aim of this study was to assess the prevalence of six healthy dietary behaviours and associated factors in university students from 26 low, middle and high income countries. In a cross-sectional survey, we used a self-administered questionnaire (largely based on the European Health and Behaviour Survey) among 19503 undergraduate university students (mean age 20.8, Standard deviation=2.8, age range of 16-30 years) from 27 universities in 26 countries. Results indicated that for a total of six healthy dietary behaviours, overall, students scored a mean of 2.8 healthy dietary behaviours. More female than male students indicated healthy dietary behaviours. In multivariate linear regression among men and women, living in an upper middle income or high income country, dieting to lose weight, the high importance of dietary health benefits, high non-organized religious activity, high physical activity and currently a non-tobacco user were associated with the healthy dietary behaviour index. The study found a high prevalence of relatively poor dietary healthy behaviours.

  9. The global burden of visual difficulty in low, middle, and high income countries.

    Directory of Open Access Journals (Sweden)

    Ellen E Freeman

    Full Text Available Using a world-wide, population-based dataset of adults, we sought to determine the frequency of far visual difficulty and its associated risk factors.The World Health Survey (WHS was conducted in 70 countries throughout the world in 2003 using a random, multi-stage, stratified, cluster sampling design of adults ages 18 years and older. Far vision was assessed by asking "In the last 30 days, how much difficulty did you have in seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters?". Responses included none, mild, moderate, severe, or extreme/unable. The income status of countries was estimated using gross national income per capita data from 2003 from the World Bank. Prevalence and regression estimates were adjusted to account for the complex sample design.21% of adults reported any visual difficulty. The rate varied by the income status of the country with the percentage who had any visual difficulty being 24%, 23%, and 13% in low, middle, and high income countries, respectively. Five percent of people reported severe or extreme visual difficulty with rates in low, middle, and high income countries of 6%, 5%, and 2% respectively. Risk factors for visual difficulty included older age, female sex, poorer socioeconomic status, little to no formal education, and diabetes (P<0.05.One out of five adults in the WHS reported some degree of far visual difficulty. Given the importance of vision to living an independent life, better access to quality eye care services and life course factors affecting vision health (e.g. repeated eye infections, diet lacking vitamin A must receive adequate attention and resources, especially in low and middle income countries.

  10. Cost-effectiveness of national health insurance programs in high-income countries: A systematic review.

    Directory of Open Access Journals (Sweden)

    Son Nghiem

    Full Text Available National health insurance is now common in most developed countries. This study reviews the evidence and synthesizes the cost-effectiveness information for national health insurance or disability insurance programs across high-income countries.A literature search using health, economics and systematic review electronic databases (PubMed, Embase, Medline, Econlit, RepEc, Cochrane library and Campbell library, was conducted from April to October 2015.Two reviewers independently selected relevant studies by applying screening criteria to the title and keywords fields, followed by a detailed examination of abstracts.Studies were selected for data extraction using a quality assessment form consisting of five questions. Only studies with positive answers to all five screening questions were selected for data extraction. Data were entered into a data extraction form by one reviewer and verified by another.Data on costs and quality of life in control and treatment groups were used to draw distributions for synthesis. We chose the log-normal distribution for both cost and quality-of-life data to reflect non-negative value and high skew. The results were synthesized using a Monte Carlo simulation, with 10,000 repetitions, to estimate the overall cost-effectiveness of national health insurance programs.Four studies from the United States that examined the cost-effectiveness of national health insurance were included in the review. One study examined the effects of medical expenditure, and the remaining studies examined the cost-effectiveness of health insurance reforms. The incremental cost-effectiveness ratio (ICER ranged from US$23,000 to US$64,000 per QALY. The combined results showed that national health insurance is associated with an average incremental cost-effectiveness ratio of US$51,300 per quality-adjusted life year (QALY. Based on the standard threshold for cost-effectiveness, national insurance programs are cost-effective interventions

  11. Global Pediatric Oncology: Lessons From Partnerships Between High-Income Countries and Low- to Mid-Income Countries

    Science.gov (United States)

    Antillon, Federico; Pedrosa, Francisco; Pui, Ching-Hon

    2016-01-01

    Partnerships between medical institutions in high-income countries (HICs) and low- to mid-income countries (LMICs) have succeeded in initiating and expanding pediatric cancer control efforts. The long-term goal is consistently a sustainable national pediatric cancer program. Here, we review the elements required for successful implementation, development, and long-term sustainability of pediatric cancer programs in LMICs that first arise as partnerships with institutions in HICs. Although plans must be adapted to each country's resources, certain components are unfailingly necessary. First, an essential step is provision of treatment regardless of ability to pay. Second, financial support for program development and long-term sustainability must be sought from sources both international and local, public and private. A local leader, typically a well-trained pediatric oncologist who devotes full-time effort to the project, should direct medical care and collaborate with hospital, governmental, and community leadership and international agencies. Third, nurses must be trained in pediatric cancer care and allowed to practice this specialty full-time. It is also essential to develop a grassroots organization, such as a foundation, dedicated solely to pediatric oncology. Its members must be trained and educated to provide pediatric cancer advocacy, fundraising, and (in concert with government) program sustainability. Finally, a project mentor in the HIC is crucial and should explore the possibility of collaborative research in the LMIC, which may offer significant opportunities. Relationships between the partnership's leaders and influential individuals in the community, hospital, grassroots foundation, and government will lay the foundation for productive collaboration and a sustainable pediatric oncology program. PMID:26578620

  12. The variation of acute treatment costs of trauma in high-income countries

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    Willenberg Lynsey

    2012-08-01

    Full Text Available Abstract Background In order to assist health service planning, understanding factors that influence higher trauma treatment costs is essential. The majority of trauma costing research reports the cost of trauma from the perspective of the receiving hospital. There has been no comprehensive synthesis and little assessment of the drivers of cost variation, such as country, trauma, subgroups and methods. The aim of this review is to provide a synthesis of research reporting the trauma treatment costs and factors associated with higher treatment costs in high income countries. Methods A systematic search for articles relating to the cost of acute trauma care was performed and included studies reporting injury severity scores (ISS, per patient cost/charge estimates; and costing methods. Cost and charge values were indexed to 2011 cost equivalents and converted to US dollars using purchasing power parities. Results A total of twenty-seven studies were reviewed. Eighty-one percent of these studies were conducted in high income countries including USA, Australia, Europe and UK. Studies either reported a cost (74.1% or charge estimate (25.9% for the acute treatment of trauma. Across studies, the median per patient cost of acute trauma treatment was $22,448 (IQR: $11,819-$33,701. However, there was variability in costing methods used with 18% of studies providing comprehensive cost methods. Sixty-three percent of studies reported cost or charge items incorporated in their cost analysis and 52% reported items excluded in their analysis. In all publications reviewed, predictors of cost included Injury Severity Score (ISS, surgical intervention, hospital and intensive care, length of stay, polytrauma and age. Conclusion The acute treatment cost of trauma is higher than other disease groups. Research has been largely conducted in high income countries and variability exists in reporting costing methods as well as the actual costs. Patient populations studied

  13. The variation of acute treatment costs of trauma in high-income countries.

    Science.gov (United States)

    Willenberg, Lynsey; Curtis, Kate; Taylor, Colman; Jan, Stephen; Glass, Parisa; Myburgh, John

    2012-08-21

    In order to assist health service planning, understanding factors that influence higher trauma treatment costs is essential. The majority of trauma costing research reports the cost of trauma from the perspective of the receiving hospital. There has been no comprehensive synthesis and little assessment of the drivers of cost variation, such as country, trauma, subgroups and methods. The aim of this review is to provide a synthesis of research reporting the trauma treatment costs and factors associated with higher treatment costs in high income countries. A systematic search for articles relating to the cost of acute trauma care was performed and included studies reporting injury severity scores (ISS), per patient cost/charge estimates; and costing methods. Cost and charge values were indexed to 2011 cost equivalents and converted to US dollars using purchasing power parities. A total of twenty-seven studies were reviewed. Eighty-one percent of these studies were conducted in high income countries including USA, Australia, Europe and UK. Studies either reported a cost (74.1%) or charge estimate (25.9%) for the acute treatment of trauma. Across studies, the median per patient cost of acute trauma treatment was $22,448 (IQR: $11,819-$33,701). However, there was variability in costing methods used with 18% of studies providing comprehensive cost methods. Sixty-three percent of studies reported cost or charge items incorporated in their cost analysis and 52% reported items excluded in their analysis. In all publications reviewed, predictors of cost included Injury Severity Score (ISS), surgical intervention, hospital and intensive care, length of stay, polytrauma and age. The acute treatment cost of trauma is higher than other disease groups. Research has been largely conducted in high income countries and variability exists in reporting costing methods as well as the actual costs. Patient populations studied and the cost methods employed are the primary drivers for the

  14. Asylum seekers, violence and health: a systematic review of research in high-income host countries.

    Science.gov (United States)

    Kalt, Anne; Hossain, Mazeda; Kiss, Ligia; Zimmerman, Cathy

    2013-03-01

    We performed a systematic review of literature on violence and related health concerns among asylum seekers in high-income host countries. We extracted data from 23 peer-reviewed studies. Prevalence of torture, variably defined, was above 30% across all studies. Torture history in clinic populations correlated with hunger and posttraumatic stress disorder, although in small, nonrepresentative samples. One study observed that previous exposure to interpersonal violence interacted with longer immigration detention periods, resulting in higher depression scores. Limited evidence suggests that asylum seekers frequently experience violence and health problems, but large-scale studies are needed to inform policies and services for this vulnerable group often at the center of political debate.

  15. Sustaining innovation and improvement in the treatment of childhood cancer: lessons from high-income countries.

    Science.gov (United States)

    Pritchard-Jones, Kathy; Pieters, Rob; Reaman, Gregory H; Hjorth, Lars; Downie, Peter; Calaminus, Gabriele; Naafs-Wilstra, Marianne C; Steliarova-Foucher, Eva

    2013-03-01

    Cancer in children and adolescents is rare and biologically very different from cancer in adults. It accounts for 1·4% of all cancers worldwide, although this proportion ranges from 0·5% in Europe to 4·8% in Africa, largely because of differences in age composition and life expectancy. In high-income countries, survival from childhood cancer has reached 80% through a continuous focus on the integration of clinical research into front-line care for nearly all children affected by malignant disease. However, further improvement must entail new biology-driven approaches, since optimisation of conventional treatments has in many cases reached its limits. In many instances, such approaches can only be achieved through international collaborative research, since rare cancers are being subdivided into increasingly smaller subgroups on the basis of their molecular characteristics. The long-term effect of anticancer treatment on quality of life must also be taken into account because more than one in 1000 adults in high-income countries are thought to be survivors of cancer in childhood or adolescence. The introduction of drugs that are less toxic and more targeted than those currently used necessitates a partnership between clinical and translational researchers, the pharmaceutical industry, drug regulators, and patients and their families. This therapeutic alliance will ensure that efforts are focused on the unmet clinical needs of young people with cancer. Most children with cancer live in low-income and middle-income countries, and these countries account for 94% of all deaths from cancer in people aged 0-14 years. The immediate priority for these children is to improve access to an affordable, best standard of care in each country. Every country should have a national cancer plan that recognises the unique demographic characteristics and care needs of young people with cancer. Centralisation of the complex components of treatment of these rare diseases is essential

  16. Public reporting on quality, waiting times and patient experience in 11 high-income countries.

    Science.gov (United States)

    Rechel, Bernd; McKee, Martin; Haas, Marion; Marchildon, Gregory P; Bousquet, Frederic; Blümel, Miriam; Geissler, Alexander; van Ginneken, Ewout; Ashton, Toni; Saunes, Ingrid Sperre; Anell, Anders; Quentin, Wilm; Saltman, Richard; Culler, Steven; Barnes, Andrew; Palm, Willy; Nolte, Ellen

    2016-04-01

    This article maps current approaches to public reporting on waiting times, patient experience and aggregate measures of quality and safety in 11 high-income countries (Australia, Canada, England, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and the United States). Using a questionnaire-based survey of key national informants, we found that the data most commonly made available to the public are on waiting times for hospital treatment, being reported for major hospitals in seven countries. Information on patient experience at hospital level is also made available in many countries, but it is not generally available in respect of primary care services. Only one of the 11 countries (England) publishes composite measures of overall quality and safety of care that allow the ranking of providers of hospital care. Similarly, the publication of information on outcomes of individual physicians remains rare. We conclude that public reporting of aggregate measures of quality and safety, as well as of outcomes of individual physicians, remain relatively uncommon. This is likely to be due to both unresolved methodological and ethical problems and concerns that public reporting may lead to unintended consequences. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  17. Iatrogenic Dysnatremias in Children with Acute Gastroenteritis in High-Income Countries: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Silviu Grisaru

    2017-10-01

    Full Text Available BackgroundAcute gastroenteritis (AGE causing dehydration with or without dysnatremias is a common childhood health challenge. While it is accepted that oral rehydration therapy is preferred, clinical factors or parent and healthcare provider preferences may lead to intravenous rehydration (IVR. Isotonic solutions are increasingly recommended in most scenarios requiring IVR. Nevertheless, children with AGE, having ongoing losses of water and electrolytes, represent a unique population.ObjectivesTo evaluate the association between acquired dysnatremias and IVR in children with AGE.MethodsA systematic search of MEDLINE database was conducted through September 14, 2016. Observational studies and clinical trials conducted in high-income countries were included. The Grades of Recommendation, Assessment, Development, and Evaluation approach was used to evaluate the overall quality of evidence for each outcome.Results603 papers were identified of which 6 were included (3 randomized controlled trials and 3 observational studies. Pooling of patient data was not possible due to significantly different interventions or exposures. Single studies results demonstrated that within 24 h, administration of isotonic saline was not associated with a significant decline in serum sodium while hypotonic solutions (0.2–0.45% saline were associated, in one study, with mean serum sodium declines from 1.3 mEq/L (139.2, SD 2.9–137.9, SD 2.5 in 133 young infants (aged 1–28 months, to 5.7 (SD 3.1 mEq/L in a subgroup of 18 older children (age mean 5.8, SD 2.7 years. Both isotonic and hypotonic saline were shown to be associated with improvement of baseline hyponatremia in different studies. Baseline hypernatremia was corrected within 4–24 h in 81/83 (99.6% children using hypotonic saline IVR.ConclusionThere is a paucity of publications assessing the risk for acquired dysnatremias associated with IVR in children with AGE. Current high-quality evidence

  18. Community Hospitals in Selected High Income Countries: A Scoping Review of Approaches and Models

    Directory of Open Access Journals (Sweden)

    Eleanor M Winpenny

    2016-11-01

    Full Text Available Background: There is no single definition of a community hospital in the UK, despite its long history. We sought to understand the nature and scope of service provision in community hospitals, within the UK and other high-income countries. Methods: We undertook a scoping review of literature on community hospitals published from 2005 to 2014. Data were extracted on features of the hospital model and the services provided, with results presented as a narrative synthesis. Results: 75 studies were included from ten countries. Community hospitals provide a wide range of services, with wide diversity of provision appearing to reflect local needs. Community hospitals are staffed by a mixture of general practitioners (GPs, nurses, allied health professionals and healthcare assistants. We found many examples of collaborative working arrangements between community hospitals and other health care organisations, including colocation of services, shared workforce with primary care and close collaboration with acute specialists. Conclusions: Community hospitals are able to provide a diverse range of services, responding to geographical and health system contexts. Their collaborative nature may be particularly important in the design of future models of care delivery, where emphasis is placed on integration of care with a key focus on patient-centred care.

  19. Social cost of heavy drinking and alcohol dependence in high-income countries.

    Science.gov (United States)

    Mohapatra, Satya; Patra, Jayadeep; Popova, Svetlana; Duhig, Amy; Rehm, Jürgen

    2010-06-01

    A comprehensive review of cost drivers associated with alcohol abuse, heavy drinking, and alcohol dependence for high-income countries was conducted. The data from 14 identified cost studies were tabulated according to the potential direct and indirect cost drivers. The costs associated with alcohol abuse, alcohol dependence, and heavy drinking were calculated. The weighted average of the total societal cost due to alcohol abuse as percent gross domestic product (GDP)--purchasing power parity (PPP)--was 1.58%. The cost due to heavy drinking and/or alcohol dependence as percent GDP (PPP) was estimated to be 0.96%. On average, the alcohol-attributable indirect cost due to loss of productivity is more than the alcohol-attributable direct cost. Most of the countries seem to incur 1% or more of their GDP (PPP) as alcohol-attributable costs, which is a high toll for a single factor and an enormous burden on public health. The majority of alcohol-attributable costs incurred as a consequence of heavy drinking and/or alcohol dependence. Effective prevention and treatment measures should be implemented to reduce these costs.

  20. Religiosity and Health Risk Behaviour Among University Students in 26 Low, Middle and High Income Countries.

    Science.gov (United States)

    Peltzer, Karl; Pengpid, Supa; Amuleru-Marshall, Omowale; Mufune, Pempelani; Zeid, Alaa Abou

    2016-12-01

    The aim of this study was to assess religiosity and health risk behaviours among university students from 26 low, middle and high income countries. Using anonymous questionnaires, data were collected from 20,222 undergraduate university students (mean age 20.8, SD = 2. 8) from 27 universities in 26 countries across Asia, Africa and the Americas. Among all students, 41.1 % engaged at least once a week in organized religious activity, 35.8 % practised a non-organized religious activity daily or more than once daily, and more or less two-thirds of the students agreed to the three different statements on intrinsic of subjective religiosity. In multivariate logistic regression analysis, higher reported involvement in organized religious activity was associated with addictive, injury, sexual and oral health risk behaviour, while lower reported involvement in organized religious activity was associated with physical inactivity and oral health risk behaviour. Lower reported involvement in non-organized religious activity was associated with addictive, nutrition risk, injury, sexual and oral health risk behaviour, while higher reported involvement in non-organized religious activity was associated with physical inactivity. Finally, lower reported intrinsic religiosity was associated with addictive and sexual risk behaviour, while higher reported intrinsic religiosity was associated with nutrition risk behaviour, physical inactivity and oral health risk behaviour.

  1. Higher Education R&D and Productivity Growth: An Empirical Study on High-Income OECD Countries

    Science.gov (United States)

    Eid, Ashraf

    2012-01-01

    This paper is a macro study on higher education R&D and its impact on productivity growth. I measure the social rate of return on higher education R&D in 17 high-income OECD countries using country level data on the percentage of gross expenditure on R&D performed by higher education, business, and government sectors over the period…

  2. Eye care utilization by older adults in low, middle, and high income countries

    Directory of Open Access Journals (Sweden)

    Vela Claudia

    2012-04-01

    Full Text Available Abstract Background The risk of visual impairment increases dramatically with age and therefore older adults should have their eyes examined at least every 1 to 2 years. Using a world-wide, population-based dataset, we sought to determine the frequency that older people had their eyes examined. We also examined factors associated with having a recent eye exam. Methods The World Health Surveys were conducted in 70 countries throughout the world in 2002-2003 using a random, multi-stage, stratified, cluster sampling design. Participants 60 years and older from 52 countries (n = 35,839 were asked "When was the last time you had your eyes examined by a medical professional?". The income status of countries was estimated using gross national income per capita data from 2003 from the World Bank website. Prevalence estimates were adjusted to account for the complex sample design. Results Overall, only 18% (95% CI 17, 19 of older adults had an eye exam in the last year. The rate of an eye exam in the last year in low, lower middle, upper middle, and high income countries was 10%, 24%, 22%, and 37% respectively. Factors associated with having an eye exam in the last year included older age, female gender, more education, urban residence, greater wealth, worse self-reported health, having diabetes, and wearing glasses or contact lenses (p Conclusions Given that older adults often suffer from age-related but treatable conditions, they should be seen on a regular basis to prevent visual impairment and its disabling consequences.

  3. Socioeconomic status and response to antiretroviral therapy in high-income countries: a literature review.

    Science.gov (United States)

    Burch, Lisa S; Smith, Colette J; Phillips, Andrew N; Johnson, Margaret A; Lampe, Fiona C

    2016-05-15

    It has been shown that socioeconomic factors are associated with the prognosis of several chronic diseases; however, there is no recent systematic review of their effect on HIV treatment outcomes. We aimed to review the evidence regarding the existence of an association of socioeconomic status with virological and immunological response to antiretroviral therapy (ART). We systematically searched the current literature using the database PubMed. We identified and summarized original research studies in high-income countries that assessed the association between socioeconomic factors (education, employment, income/financial status, housing, health insurance, and neighbourhood-level socioeconomic factors) and virological response, immunological response, and ART nonadherence among people with HIV-prescribed ART. A total of 48 studies met the inclusion criteria (26 from the United States, six Canadian, 13 European, and one Australian), of which 14, six, and 35 analysed virological, immunological, and ART nonadherence outcomes, respectively. Ten (71%), four (67%), and 23 (66%) of these studies found a significant association between lower socioeconomic status and poorer response, and none found a significant association with improved response. Several studies showed that adjustment for nonadherence attenuated the association between socioeconomic status and ART response. Our review provides strong support that socioeconomic disadvantage is associated with poorer response to ART. However, most studies have been conducted in settings such as the United States without universal free healthcare access. Further study in settings with free access to ART could help assess the impact of socioeconomic status on ART outcomes and the mechanisms by which it operates.

  4. Failing to retain a new generation of doctors: qualitative insights from a high-income country.

    Science.gov (United States)

    Humphries, Niamh; Crowe, Sophie; Brugha, Ruairí

    2018-02-27

    The failure of high-income countries, such as Ireland, to achieve a self-sufficient medical workforce has global implications, particularly for low-income, source countries. In the past decade, Ireland has doubled the number of doctors it trains annually, but because of its failure to retain doctors, it remains heavily reliant on internationally trained doctors to staff its health system. To halve its dependence on internationally trained doctors by 2030, in line with World Health Organisation (WHO) recommendations, Ireland must become more adept at retaining doctors. This paper presents findings from in-depth interviews conducted with 50 early career doctors between May and July 2015. The paper explores the generational component of Ireland's failure to retain doctors and makes recommendations for retention policy and practice. Interviews revealed that a new generation of doctors differ from previous generations in several distinct ways. Their early experiences of training and practice have been in an over-stretched, under-staffed health system and this shapes their decision to remain in Ireland, or to leave. Perhaps as a result of the distinct challenges they have faced in an austerity-constrained health system and their awareness of the working conditions available globally, they challenge the traditional view of medicine as a vocation that should be prioritised before family and other commitments. A new generation of doctors have career options that are also strongly shaped by globalisation and by the opportunities presented by emigration. Understanding the medical workforce from a generational perspective requires that the health system address the issues of concern to a new generation of doctors, in terms of working conditions and training structures and also in terms of their desire for a more acceptable balance between work and life. This will be an important step towards future-proofing the medical workforce and is essential to achieving medical workforce

  5. A comparative analysis of avoidable causes of childhood blindness in Malaysia with low income, middle income and high income countries.

    Science.gov (United States)

    Koay, C L; Patel, D K; Tajunisah, I; Subrayan, V; Lansingh, V C

    2015-04-01

    To determine the avoidable causes of childhood blindness in Malaysia and to compare this to other middle income countries, low income countries and high income countries. Data were obtained from a school of the blind study by Patel et al. and analysed for avoidable causes of childhood blindness. Six other studies with previously published data on childhood blindness in Bangladesh, Ethiopia, Nigeria, Indonesia, China and the United Kingdom were reviewed for avoidable causes. Comparisons of data and limitations of the studies are described. Prevalence of avoidable causes of childhood blindness in Malaysia is 50.5 % of all the cases of childhood blindness, whilst in the poor income countries such as Bangladesh, Ethiopia, Nigeria and Indonesia, the prevalence was in excess of 60 %. China had a low prevalence, but this is largely due to the fact that most schools were urban, and thus did not represent the situation of the country. High income countries had the lowest prevalence of avoidable childhood blindness. In middle income countries, such as Malaysia, cataract and retinopathy of prematurity are the main causes of avoidable childhood blindness. Low income countries continue to struggle with infections such as measles and nutritional deficiencies, such as vitamin A, both of which are the main contributors to childhood blindness. In high income countries, such as the United Kingdom, these problems are almost non-existent.

  6. Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review

    NARCIS (Netherlands)

    Feijen-de Jong, E.I.; Jansen, D.E.M.C.; Baarveld, F.; van der Schans, C.P.; Schellevis, F.G.; Reijneveld, S.A.

    2012-01-01

    Background: Prenatal healthcare is likely to prevent adverse outcomes, but an adequate review of utilization and its determinants is lacking. Objective: To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries. Method: Search of

  7. Genital Chlamydia Prevalence in Europe and Non-European High Income Countries: Systematic Review and Meta-Analysis

    DEFF Research Database (Denmark)

    Redmond, S; Woodhall, S; van den Broek, I

    2015-01-01

    /EEA) Member States and non-European high income countries from January 1990 to August 2012. We examined results in forest plots, explored heterogeneity using the I2 statistic, and conducted random effects meta-analysis if appropriate. Meta-regression was used to examine the relationship between study...

  8. Public Health Responses to and Challenges for the Control of Dengue Transmission in High-Income Countries: Four Case Studies.

    Directory of Open Access Journals (Sweden)

    Elvina Viennet

    2016-09-01

    Full Text Available Dengue has a negative impact in low- and lower middle-income countries, but also affects upper middle- and high-income countries. Despite the efforts at controlling this disease, it is unclear why dengue remains an issue in affluent countries. A better understanding of dengue epidemiology and its burden, and those of chikungunya virus and Zika virus which share vectors with dengue, is required to prevent the emergence of these diseases in high-income countries in the future. The purpose of this review was to assess the relative burden of dengue in four high-income countries and to appraise the similarities and differences in dengue transmission. We searched PubMed, ISI Web of Science, and Google Scholar using specific keywords for articles published up to 05 May 2016. We found that outbreaks rarely occur where only Aedes albopictus is present. The main similarities between countries uncovered by our review are the proximity to dengue-endemic countries, the presence of a competent mosquito vector, a largely nonimmune population, and a lack of citizens' engagement in control of mosquito breeding. We identified important epidemiological and environmental issues including the increase of local transmission despite control efforts, population growth, difficulty locating larval sites, and increased human mobility from neighboring endemic countries. Budget cuts in health and lack of practical vaccines contribute to an increased risk. To be successful, dengue-control programs for high-income countries must consider the epidemiology of dengue in other countries and use this information to minimize virus importation, improve the control of the cryptic larval habitat, and engage the community in reducing vector breeding. Finally, the presence of a communicable disease center is critical for managing and reducing future disease risks.

  9. Public Health Responses to and Challenges for the Control of Dengue Transmission in High-Income Countries: Four Case Studies.

    Science.gov (United States)

    Viennet, Elvina; Ritchie, Scott A; Williams, Craig R; Faddy, Helen M; Harley, David

    2016-09-01

    Dengue has a negative impact in low- and lower middle-income countries, but also affects upper middle- and high-income countries. Despite the efforts at controlling this disease, it is unclear why dengue remains an issue in affluent countries. A better understanding of dengue epidemiology and its burden, and those of chikungunya virus and Zika virus which share vectors with dengue, is required to prevent the emergence of these diseases in high-income countries in the future. The purpose of this review was to assess the relative burden of dengue in four high-income countries and to appraise the similarities and differences in dengue transmission. We searched PubMed, ISI Web of Science, and Google Scholar using specific keywords for articles published up to 05 May 2016. We found that outbreaks rarely occur where only Aedes albopictus is present. The main similarities between countries uncovered by our review are the proximity to dengue-endemic countries, the presence of a competent mosquito vector, a largely nonimmune population, and a lack of citizens' engagement in control of mosquito breeding. We identified important epidemiological and environmental issues including the increase of local transmission despite control efforts, population growth, difficulty locating larval sites, and increased human mobility from neighboring endemic countries. Budget cuts in health and lack of practical vaccines contribute to an increased risk. To be successful, dengue-control programs for high-income countries must consider the epidemiology of dengue in other countries and use this information to minimize virus importation, improve the control of the cryptic larval habitat, and engage the community in reducing vector breeding. Finally, the presence of a communicable disease center is critical for managing and reducing future disease risks.

  10. Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

    Science.gov (United States)

    Clarke, Nicholas; Crowe, Sophie; Humphries, Niamh; Conroy, Ronan; O'Hare, Simon; Kavanagh, Paul; Brugha, Ruairi

    2017-09-25

    The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland. Using a partially mixed sequential dominant (quantitative) study design, a nationally representative sample of 893 trainee doctors was invited to complete an online survey. Of the 523 who responded (58.6% response rate), 423 were still in Ireland and responded to questions on factors influencing intention to practice medicine abroad and are the subjects of this study. Explanatory factors for intention to practice medicine in Ireland in the foreseeable future, the primary outcome, included demographic variables and experiences of working within the Irish health system. Associations were examined using univariable and multivariable logistic regression to estimate odds ratios for factors influencing the primary outcome. Qualitative interviews were conducted with 50 trainee doctors and analysed thematically, exploring issues associated with intention to practice medicine abroad. There were high levels of dissatisfaction among trainee doctors around working conditions, training and career progression opportunities in Ireland. However, most factors did not discriminate between intention to leave or stay. Factors that did predict intention to leave included dissatisfaction with one's work-life balance (odds ratio (OR) 2.51; 95% confidence interval (CI) 1.53-4.10; P < 0.001); feeling that the quality of training in Ireland was poor (OR 1.82; 95% CI 1.09-3.05; P = 0.002) and leaving for family or personal reasons (OR 1.85; 95% CI 1.08-3.17; P = 0.027). Qualitative findings illustrated the stress of doing postgraduate

  11. Centre-based day care for children younger than five years of age in high-income countries.

    Science.gov (United States)

    van Urk, Felix C; Brown, Taylor W; Waller, Rebecca; Mayo-Wilson, Evan

    2014-09-23

    A large proportion of children younger than five years of age in high-income countries experience significant non-parental care. Centre-based day care services may influence the development of children and the economic situation of parents. To assess the effects of centre-based day care without additional interventions (e.g. psychological or medical services, parent training) on the development and well-being of children and families in high-income countries (as defined by the World Bank 2011). In April 2014, we searched CENTRAL, Ovid MEDLINE, EMBASE, PsycINFO, the Education Resources Information Center (ERIC) and eight other databases. We also searched two trials registers and the reference lists of relevant studies. We included randomised and quasi-randomised controlled trials of centre-based day care for children younger than five years of age. We excluded studies that involved co-interventions not directed toward children (e.g. parent programmes, home visits, teacher training). We included the following outcomes: child cognitive development (primary outcome), child psychosocial development, maternal and family outcomes and child long-term outcomes. Two review authors independently assessed the risk of bias and extracted data from the single included study. We contacted investigators to obtain missing information. We included in the review one trial, involving 120 families and 143 children. Risk of bias was high because of contamination between groups, as 63% of control group participants accessed day care services separate from those offered within the intervention. No evidence suggested that centre-based day care, rather than no treatment (care at home), improved or worsened children's cognitive ability (Griffiths Mental Development Scale, standardised mean difference (SMD) 0.34, 95% confidence interval (CI) -0.01 to 0.69, 127 participants, 1 study, very low-quality evidence) or psychosocial development (parental report of abnormal development, risk ratio (RR

  12. Epidemiological estimators' power of rating inequality in health in high-income OECD countries, 1998-2002.

    Science.gov (United States)

    Eslava-Schmalbach, Javier; Alfonso, Helman; Gaitán, Hernando; Agudelo, Carlos

    2008-12-01

    Examining the power (ability) of classical epidemiological estimators to rate inequality in health in univariate and composite ways. Ecological study. Ratio, excess risk, attributable risk (AR) and relative difference were the estimators used for showing disparities; all of them were weighted by population size. Kappa concordance coefficient was used between weighted estimators and weighted Gini coefficients for each health outcome used. Cumulative variance at first factor in principal component analysis was used for determining the estimators' suitability for use in a composite index. 24 high-income OECD (Organisation for Economical Cooperation and Development) countries' data for 1998-2002 were included. Such data was obtained from OECD health data for 2004 (3rd edition). Data concerning child mortality and gross domestic product (GDP) was obtained from World Development Indicators for 2005 on CD-ROM.The main outcomes compared amongst countries were: maternal mortality, child mortality, infant mortality, low birth-weight, life-expectancy, measles' immunisation and DTP immunisation. Ratio and AR ranked maternal mortality as being the condition having the most disparity; risk excess ranked vaccination programmes and relative difference ranked low birth-weight as being the worst conditions. There was concordance in the ranking of inequities amongst ratio, AR and Gini coefficients (p<0.05). Cumulative variance in the first factor was higher for ratio and AR when they were used for constructing a composite index. Ratio and AR were better than risk excess and relative difference for measuring disparities in health and constructing composite inequity in health indexes.

  13. Comparing the Income Elasticity of Health Spending in Middle-Income and High-Income Countries: The Role of Financial Protection.

    Science.gov (United States)

    Vargas Bustamante, Arturo; V Shimoga, Sandhya

    2017-07-19

    As middle-income countries become more affluent, economically sophisticated and productive, health expenditure patterns are likely to change. Other socio-demographic and political changes that accompany rapid economic growth are also likely to influence health spending and financial protection. This study investigates the relationship between growth on per-capita healthcare expenditure and gross domestic product (GDP) in a group of 27 large middle-income economies and compares findings with those of 24 high-income economies from the Organization for Economic Cooperation and Development (OECD) group. This comparison uses national accounts data from 1995-2014. We hypothesize that the aggregated income elasticity of health expenditure in middle-income countries would be less than one (meaning healthcare is a normal good). An initial exploratory analysis tests between fixed-effects and random-effects model specifications. A fixed-effects model with time-fixed effects is implemented to assess the relationship between the two measures. Unit root, Hausman and serial correlation tests are conducted to determine model fit. Additional explanatory variables are introduced in different model specifications to test the robustness of our regression results. We include the out-of-pocket (OOP) share of health spending in each model to study the potential role of financial protection in our sample of high- and middle-income countries. The first-difference of study variables is implemented to address non-stationarity and cointegration properties. The elasticity of per-capita health expenditure and GDP growth is positive and statistically significant among sampled middle-income countries (51 per unit-growth in GDP) and high-income countries (50 per unit-growth in GDP). In contrast with previous research that has found that income elasticity of health spending in middle-income countries is larger than in high-income countries, our findings show that elasticity estimates can change if

  14. Comparing the Income Elasticity of Health Spending in Middle-Income and High-Income Countries: The Role of Financial Protection

    Science.gov (United States)

    Vargas Bustamante, Arturo; Shimoga, Sandhya V.

    2018-01-01

    Background: As middle-income countries become more affluent, economically sophisticated and productive, health expenditure patterns are likely to change. Other socio-demographic and political changes that accompany rapid economic growth are also likely to influence health spending and financial protection. Methods: This study investigates the relationship between growth on per-capita healthcare expenditure and gross domestic product (GDP) in a group of 27 large middle-income economies and compares findings with those of 24 high-income economies from the Organization for Economic Cooperation and Development (OECD) group. This comparison uses national accounts data from 1995-2014. We hypothesize that the aggregated income elasticity of health expenditure in middle-income countries would be less than one (meaning healthcare is a normal good). An initial exploratory analysis tests between fixed-effects and random-effects model specifications. A fixed-effects model with time-fixed effects is implemented to assess the relationship between the two measures. Unit root, Hausman and serial correlation tests are conducted to determine model fit. Additional explanatory variables are introduced in different model specifications to test the robustness of our regression results. We include the out-of-pocket (OOP) share of health spending in each model to study the potential role of financial protection in our sample of high- and middle-income countries. The first-difference of study variables is implemented to address non-stationarity and cointegration properties. Results: The elasticity of per-capita health expenditure and GDP growth is positive and statistically significant among sampled middle-income countries (51 per unit-growth in GDP) and high-income countries (50 per unit-growth in GDP). In contrast with previous research that has found that income elasticity of health spending in middle-income countries is larger than in high-income countries, our findings show that

  15. The experiences and perceptions of food banks amongst users in high-income countries: An international scoping review.

    Science.gov (United States)

    Middleton, Georgia; Mehta, Kaye; McNaughton, Darlene; Booth, Sue

    2018-01-01

    Food banks have become the main response to food insecurity in many high-income countries, but it has been argued that they lack the capacity to respond consistently and fully to the food needs of the people who use them. This literature review set out to answer the question 'how do food bank recipients experience food relief services and how does this impact their lives and wellbeing?' A comprehensive search of electronic databases yielded twenty qualitative studies, conducted in developed countries, exploring user perspectives of food banks. From the studies reviewed, there emerged three main categories that represented the different aspects of the food bank process from the food bank user's perspective: the user's perceptions about the idea of being fed from food banks, the user's perceptions about food bank offerings and operations, and the socio-psychological impact of receiving food from food banks. While participants of these studies spoke positively of the volunteers and were thankful for the service, they also consistently report limited food choice, poor quality, shame, stigma and embarrassment associated with food bank use. The food bank industry continues to expand despite there being little evidence that food banks are an appropriate response for those facing food insecurity. This is worrying as the results of this review indicate that although participants value the service provided by the food bank, the experience can be largely negative. These findings raise questions about the food bank model as a long-term strategy. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. On the nature and scope of reported child maltreatment in high-income countries: opportunities for improving the evidence base.

    Science.gov (United States)

    Jud, Andreas; Fluke, John; Alink, Lenneke R A; Allan, Kate; Fallon, Barbara; Kindler, Heinz; Lee, Bong Joo; Mansell, James; van Puyenbroek, Hubert

    2013-11-01

    Although high-income countries share and value the goal of protecting children from harm, national data on child maltreatment and the involvement of social services, the judiciary and health services remain relatively scarce. To explore potential reasons for this, a number of high-income countries across the world (Belgium, Canada, Germany, the Netherlands, New Zealand, South Korea, Switzerland and the United States) were compared. Amongst other aspects, the impact of service orientation (child protection-vs-family-services-orientated), the complexity of systems, and the role of social work as a lead profession in child welfare are discussed. Special consideration is given to indigenous and minority populations. The call for high-income countries to collect national data on child maltreatment is to promote research to better understand the risks to children. Its remit ranges well beyond these issues and reflects a major gap in a critical resource to increase prevention and intervention in these complex social situations. Fortunately, initiatives to close this gap are increasing.

  17. On the nature and scope of reported child maltreatment in high-income countries: Opportunities for improving the evidence-base.

    NARCIS (Netherlands)

    Jud, A.; Fluke, J.; Alink, L.R.A.; Allan, K.; Fallon, B.; Kindler, H.; Lee, B.J.; Mansell, J.; van Puyenbroek, H.

    2013-01-01

    Although high-income countries share and value the goal of protecting children from harm, national data on child maltreatment and the involvement of social services, the judiciary and health services remain relatively scarce. To explore potential reasons for this, a number of high-income countries

  18. International outsourcing of medical research by high-income countries: changes from 1995 to 2005.

    Science.gov (United States)

    Belforti, Raquel K; Wall, Michal Sarah; Lindenauer, Peter K; Pekow, Penelope S; Rothberg, Michael B

    2010-02-01

    Medical research outsourcing provides a financial benefit to those conducting research and financial incentives to the developing countries hosting the research. Little is known about how frequently outsourcing occurs or the type of research that is outsourced. To document changes in medical research outsourcing over a 10-year period, we conducted a cross-sectional comparison of 3 medical journals: Lancet, The New England Journal of Medicine, and JAMA: The Journal of the American Medical Association in the last 6 months of 1995 and 2005. The main outcome measure was the 10-year change in proportion of studies including patients from low-income countries. We reviewed 598 articles. During the 10-year period, the proportion of first authors from low-income countries increased from 3% to 6% (P = 0.21), whereas studies with participants from low-income countries increased from 8% to 22% (P = Outsourcing of medical research seems to be increasing. Additional studies are required to know if subjects from low-income countries are being adequately protected.

  19. Oral health behaviour and social and health factors in university students from 26 low, middle and high income countries.

    Science.gov (United States)

    Peltzer, Karl; Pengpid, Supa

    2014-11-26

    Poor oral health is still a major burden for populations throughout the world, particularly in developing countries. The aim of this study was investigate oral health behaviour (tooth brushing and dental attendance) and associated factors in low, middle and high income countries. Using anonymous questionnaires, data were collected from 19,560 undergraduate university students (mean age 20.8, SD = 2.8) from 27 universities in 26 countries across Asia, Africa and the Americas. Results indicate that 67.2% of students reported to brush their teeth twice or more times a day, 28.8% about once a day and 4.0% never. Regarding dental check-up visit, 16.3% reported twice a year, 25.6% once a year, 33.9% rarely and 24.3% never. In a multivariate logistic regression analysis, being a male, coming from a wealthy or quite well off family background, living in low income or lower middle income, weak beliefs in the importance of regular tooth brushing, depression and PTSD symptoms, tobacco use and frequent gambling, low physical activity, and low daily meal and snacks frequency were associated with inadequate tooth brushing (importance of regular tooth brushing, PTSD symptoms, illicit drug use, low physical activity, and low daily snacks frequency, skipping breakfast and inadequate fruit and vegetables consumption were associated with less than one annual dental care visit. Oral health behaviour among the students was found to be low. Various risk factors identified can be used to guide interventions to improve oral health behaviour among university students.

  20. Oral Health Behaviour and Social and Health Factors in University Students from 26 Low, Middle and High Income Countries

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2014-11-01

    Full Text Available Poor oral health is still a major burden for populations throughout the world, particularly in developing countries. The aim of this study was investigate oral health behaviour (tooth brushing and dental attendance and associated factors in low, middle and high income countries. Using anonymous questionnaires, data were collected from 19,560 undergraduate university students (mean age 20.8, SD = 2.8 from 27 universities in 26 countries across Asia, Africa and the Americas. Results indicate that 67.2% of students reported to brush their teeth twice or more times a day, 28.8% about once a day and 4.0% never. Regarding dental check-up visit, 16.3% reported twice a year, 25.6% once a year, 33.9% rarely and 24.3% never. In a multivariate logistic regression analysis, being a male, coming from a wealthy or quite well off family background, living in low income or lower middle income, weak beliefs in the importance of regular tooth brushing, depression and PTSD symptoms, tobacco use and frequent gambling, low physical activity, and low daily meal and snacks frequency were associated with inadequate tooth brushing (

  1. Farmers and Climate Change: A Cross-National Comparison of Beliefs and Risk Perceptions in High-Income Countries.

    Science.gov (United States)

    Prokopy, Linda S; Arbuckle, J G; Barnes, Andrew P; Haden, V R; Hogan, Anthony; Niles, Meredith T; Tyndall, John

    2015-08-01

    Climate change has serious implications for the agricultural industry-both in terms of the need to adapt to a changing climate and to modify practices to mitigate for the impacts of climate change. In high-income countries where farming tends to be very intensive and large scale, it is important to understand farmers' beliefs and concerns about climate change in order to develop appropriate policies and communication strategies. Looking across six study sites-Scotland, Midwestern United States, California, Australia, and two locations in New Zealand-this paper finds that over half of farmers in each location believe that climate change is occurring. However, there is a wide range of beliefs regarding the anthropogenic nature of climate change; only in Australia do a majority of farmers believe that climate change is anthropogenic. In all locations, a majority of farmers believe that climate change is not a threat to local agriculture. The different policy contexts and existing impacts from climate change are discussed as possible reasons for the variation in beliefs. This study compared varying surveys from the different locations and concludes that survey research on farmers and climate change in diverse locations should strive to include common questions to facilitate comparisons.

  2. Welfare state regimes, gender, and depression: a multilevel analysis of middle and high income countries.

    Science.gov (United States)

    Chung, Haejoo; Ng, Edwin; Ibrahim, Selahadin; Karlsson, Björn; Benach, Joan; Espelt, Albert; Muntaner, Carles

    2013-03-28

    Using the 2002 World Health Survey, we examine the association between welfare state regimes, gender and mental health among 26 countries classified into seven distinct regimes: Conservative, Southeast Asian, Eastern European, Latin American, Liberal, Southern/Ex-dictatorship, and Social Democratic. A two-level hierarchical model found that the odds of experiencing a brief depressive episode in the last 12 months was significantly higher for Southern/Ex- dictatorship countries than for Southeast Asian (odds ratio (OR) = 0.12, 95% confidence interval (CI) 0.05-0.27) and Eastern European (OR = 0.36, 95% CI 0.22-0.58) regimes after controlling for gender, age, education, marital status, and economic development. In adjusted interaction models, compared to Southern/Ex-dictatorship males (reference category), the odds ratios of depression were significantly lower among Southeast Asian males (OR = 0.16, 95% CI 0.08-0.34) and females (OR = 0.23, 95% CI 0.10-0.53) and Eastern European males (OR = 0.41, 95% CI 0.26-0.63) and significantly higher among females in Liberal (OR = 2.00, 95% CI 1.14-3.49) and Southern (OR = 2.42, 95% CI 1.86-3.15) regimes. Our results highlight the importance of incorporating middle-income countries into comparative welfare regime research and testing for interactions between welfare regimes and gender on mental health.

  3. Effects of the Global Financial Crisis on Health in High-Income Oecd Countries: A Narrative Review.

    Science.gov (United States)

    Karanikolos, Marina; Heino, Pia; McKee, Martin; Stuckler, David; Legido-Quigley, Helena

    2016-01-01

    A growing body of evidence documents how economic crises impact aspects of health across countries and over time. We performed a systematic narrative review of the health effects of the latest economic crisis based on studies of high-income countries. Papers published between January 2009 and July 2015 were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. Ultimately, 122 studies were selected and their findings summarized. The review finds that the 2008 financial crisis had negative effects on mental health, including suicide, and to a varying extent on some non-communicable and communicable diseases and access to care. Although unhealthy behaviors such as hazardous drinking and tobacco use appeared to decline during the crisis, there have been increases in some groups, typically those already at greatest risk. The health impact was greatest in countries that suffered the largest economic impact of the crisis or prolonged austerity. The Great Recessions in high-income countries have had mixed impacts on health. They tend to be worse when economic impacts are more severe, prolonged austerity measures are implemented, and there are pre-existing problems of substance use among vulnerable groups. © The Author(s) 2016.

  4. Food subsidy programs and the health and nutritional status of disadvantaged families in high income countries: a systematic review.

    Science.gov (United States)

    Black, Andrew P; Brimblecombe, Julie; Eyles, Helen; Morris, Peter; Vally, Hassan; O Dea, Kerin

    2012-12-21

    Less healthy diets are common in high income countries, although proportionally higher in those of low socio-economic status. Food subsidy programs are one strategy to promote healthy nutrition and to reduce socio-economic inequalities in health. This review summarises the evidence for the health and nutritional impacts of food subsidy programs among disadvantaged families from high income countries. Relevant studies reporting dietary intake or health outcomes were identified through systematic searching of electronic databases. Cochrane Public Health Group guidelines informed study selection and interpretation. A narrative synthesis was undertaken due to the limited number of studies and heterogeneity of study design and outcomes. Fourteen studies were included, with most reporting on the Special Supplemental Nutrition Program for Women, Infants and Children in the USA. Food subsidy program participants, mostly pregnant or postnatal women, were shown to have 10-20% increased intake of targeted foods or nutrients. Evidence for the effectiveness of these programs for men or children was lacking. The main health outcome observed was a small but clinically relevant increase in mean birthweight (23-29g) in the two higher quality WIC studies. Limited high quality evidence of the impacts of food subsidy programs on the health and nutrition of adults and children in high income countries was identified. The improved intake of targeted nutrients and foods, such as fruit and vegetables, could potentially reduce the rate of non-communicable diseases in adults, if the changes in diet are sustained. Associated improvements in perinatal outcomes were limited and most evident in women who smoked during pregnancy. Thus, food subsidy programs for pregnant women and children should aim to focus on improving nutritional status in the longer term. Further prospective studies and economic analyses are needed to confirm the health benefits and justify the investment in food subsidy

  5. Drivers of maternity care in high-income countries: can health systems support woman-centred care?

    Science.gov (United States)

    Shaw, Dorothy; Guise, Jeanne-Marie; Shah, Neel; Gemzell-Danielsson, Kristina; Joseph, K S; Levy, Barbara; Wong, Fontayne; Woodd, Susannah; Main, Elliott K

    2016-11-05

    In high-income countries, medical interventions to address the known risks associated with pregnancy and birth have been largely successful and have resulted in very low levels of maternal and neonatal mortality. In this Series paper, we present the main care delivery models, with case studies of the USA and Sweden, and examine the main drivers of these models. Although nearly all births are attended by a skilled birth attendant and are in an institution, practice, cadre, facility size, and place of birth vary widely; for example, births occur in homes, birth centres, midwifery-led birthing units in hospitals, and in high intervention hospital birthing facilities. Not all care is evidenced-based, and some care provision may be harmful. Fear prevails among subsets of women and providers. In some settings, medical liability costs are enormous, human resource shortages are common, and costs of providing care can be very high. New challenges linked to alteration of epidemiology, such as obesity and older age during pregnancy, are also present. Data are often not readily available to inform policy and practice in a timely way and surveillance requires greater attention and investment. Outcomes are not equitable, and disadvantaged segments of the population face access issues and substantially elevated risks. At the same time, examples of excellence and progress exist, from clinical interventions to models of care and practice. Labourists (who provide care for all the facility's women for labour and delivery) are discussed as a potential solution. Quality and safety factors are informed by women's experiences, as well as medical evidence. Progress requires the ability to normalise birth for most women, with integrated services available if complications develop. We also discuss mechanisms to improve quality of care and highlight areas where research can address knowledge gaps with potential for impact. Evaluation of models that provide woman-centred care and the best

  6. Access to HIV/AIDS care: a systematic review of socio-cultural determinants in low and high income countries.

    Science.gov (United States)

    Gari, Sara; Doig-Acuña, Camilo; Smail, Tino; Malungo, Jacob R S; Martin-Hilber, Adriane; Merten, Sonja

    2013-05-28

    The role of socio-cultural factors in influencing access to HIV/AIDS treatment, care and support is increasingly recognized by researchers, international donors and policy makers. Although many of them have been identified through qualitative studies, the evidence gathered by quantitative studies has not been systematically analysed. To fill this knowledge gap, we did a systematic review of quantitative studies comparing surveys done in high and low income countries to assess the extent to which socio-cultural determinants of access, identified through qualitative studies, have been addressed in epidemiological survey studies. Ten electronic databases were searched (Cinahl, EMBASE, ISI Web of Science, IBSS, JSTOR, MedLine, Psyinfo, Psyindex and Cochrane). Two independent reviewers selected eligible publications based on the inclusion/exclusion criteria. Meta-analysis was used to synthesize data comparing studies between low and high income countries. Thirty-four studies were included in the final review, 21 (62%) done in high income countries and 13 (38%) in low income countries. In low income settings, epidemiological research on access to HIV/AIDS services focused on socio-economic and health system factors while in high income countries the focus was on medical and psychosocial factors. These differences depict the perceived different barriers in the two regions. Common factors between the two regions were also found to affect HIV testing, including stigma, high risk sexual behaviours such as multiple sexual partners and not using condoms, and alcohol abuse. On the other hand, having experienced previous illness or other health conditions and good family communication was associated with adherence to ART uptake. Due to insufficient consistent data, a meta-analysis was only possible on adherence to treatment. This review offers evidence of the current challenges for interdisciplinary work in epidemiology and public health. Quantitative studies did not

  7. Should all suspected tuberculosis cases in high income countries be tested with GeneXpert?

    Science.gov (United States)

    Vella, Venanzio; Broda, Agnieszka; Drobniewski, Francis

    2018-05-01

    In countries with a low incidence of multidrug-resistant tuberculosis (MDR-TB), universal testing with GeneXpert might not be always cost-effective. This study provides hospital managers in low MDR-TB incidence countries with criteria on when decentralised universal GeneXpert testing would make sense. The alternatives taken into consideration include: universal microbiological culture and drug susceptibility testing (DST) only (comparator); as above but with concurrent centralized GeneXpert in a referral laboratory vs a decentralized GeneXpert system in every hospital to test smear-positive cases only; as above but testing all samples with GeneXpert regardless of smear status. The parameters were from the national TB statistics for England and from a systematic review. Decentralised GeneXpert to test any suspected TB case was the most cost-effective option when 6% or more TB patients belonged to the high-risk group, defined as previous TB diagnosis and or being born in countries with a high MDR-TB incidence. Hospital managers in England and other low MDR-TB incidence countries could use these findings to decide when to invest in GeneXpert or other molecular diagnostics with similar performance criteria for TB diagnostics. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. The cost of entry: An analysis of pharmaceutical registration fees in low-, middle-, and high-income countries.

    Directory of Open Access Journals (Sweden)

    Steven G Morgan

    Full Text Available Advances in pharmaceuticals offer improved health outcomes for a wide range of illnesses, yet medicines are often inaccessible for many patients worldwide. One potential barrier to making medicines available to all is the cost of product registration, the fees for regulatory review and licensing for the sale of medicines beyond the cost of clinical trials, if needed.We performed a cross-sectional analysis of pharmaceutical registration fees in low-, middle-, and high-income countries. We collected data on market authorization fees for new chemical entities and for generic drugs in 95 countries. We calculated measures of registration fee size relative to population, gross domestic product (GDP, and total health spending in each country. Each of the 95 countries had a fee for registering new chemical entities. On average, the ratio of registration fees to GDP was highest in Europe and North America and lowest in South and Central America. Across individual countries, the level of registration fees was positively correlated with GDP and total health spending, with relatively few outliers.We find that, generally speaking, the regulatory fees charged by medicines regulatory authorities are roughly proportional to the market size in their jurisdictions. The data therefore do not support the hypothesis that regulatory fees are a barrier to market entry in most countries.

  9. School-based vaccination programmes: a systematic review of the evidence on organisation and delivery in high income countries

    Directory of Open Access Journals (Sweden)

    Sarah Perman

    2017-03-01

    Full Text Available Abstract Background Many countries have recently expanded their childhood immunisation programmes. Schools are an increasingly attractive setting for delivery of these new immunisations because of their ability to reach large numbers of children in a short period of time. However, there are organisational challenges to delivery of large-scale vaccination programmes in schools. Understanding the facilitators and barriers is important for improving the delivery of future school-based vaccination programmes. Methods We undertook a systematic review of evidence on school-based vaccination programmes in order to understand the influence of organisational factors on the delivery of programmes. Our eligibility criteria were studies that (1 focused on childhood or adolescent vaccination programmes delivered in schools; (2 considered organisational factors that influenced the preparation or delivery of programmes; (3 were conducted in a developed or high-income country; and (4 had been peer reviewed. We searched for articles published in English between 2000 and 2015 using MEDLINE and HMIC electronic databases. Additional studies were identified by searching the Cochrane Library and bibliographies. We extracted data from the studies, assessed quality and the risk of bias, and categorised findings using a thematic framework of eight organisational factors. Results We found that most of the recent published literature is from the United States and is concerned with the delivery of pandemic or seasonal flu vaccination programmes at a regional (state or local level. We found that the literature is largely descriptive and not informed by the use of theory. Despite this, we identified common factors that influence the implementation of programmes. These factors included programme leadership and governance, organisational models and institutional relationships, workforce capacity and roles particularly concerning the school nurse, communication with parents and

  10. A review of early influences on physical activity and sedentary behaviors of preschool-age children in high-income countries.

    Science.gov (United States)

    Lindsay, Ana Cristina; Greaney, Mary L; Wallington, Sherrie F; Mesa, Tatiana; Salas, Carlos F

    2017-07-01

    Promoting physical activity (PA) is a key component of preventing and controlling childhood obesity. Despite well-documented benefits of PA, globally, rates of PA among young children have declined over the past decades, and most children are not accruing sufficient PA daily. Helping children develop the foundation for PA habits early in life is critical for the promotion of health in childhood and prevention of chronic diseases later in life, and will ultimately promote longer and healthier lives for individuals and the general population. The purpose of this review is to provide a synthesis of current evidence on influences on PA and sedentary behaviors of preschool-age children in high-income countries. A systematic review of three databases was performed. Studies conducted in high-income countries and published from 2000 onward that addressed influences on PA and sedentary behaviors of preschool-age children were identified and reviewed. Additionally, reference lists of identified articles and relevant published reviews were reviewed. Studies that met the following inclusion criteria were considered: (a) sample included preschoolers (age ≤5 years); (b) PA and/or sedentary behaviors or factors associated with PA and/or sedentary behaviors was assessed; (c) published in English; (d) used either quantitative or qualitative methods; and (e) conducted in a high-income country. Data were extracted from selected studies to identify influences on PA and sedentary behaviors of preschool-age children and organized using the social-ecological model according to multiple levels of influence. Results from included studies identify multiple factors that influence PA and sedentary behaviors of young children in high-income countries at the various levels of the social-ecological model including intrapersonal, interpersonal, environmental, organizational, and policy. Given pediatric nurses' role as primary care providers, and their frequent and continued contact with parents

  11. Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries

    DEFF Research Database (Denmark)

    Aldridge, Robert W.; Story, Alistair; Hwang, Stephen W.

    2018-01-01

    , and observational studies that had morbidity and mortality outcomes, were published in English, from high-income countries, and were done in populations with a history of homelessness, imprisonment, sex work, or substance use disorder (excluding cannabis and alcohol use). Studies with only perinatal outcomes...... use disorders, sex workers, and imprisoned individuals. Methods: For this systematic review and meta-analysis, we searched MEDLINE, Embase, and the Cochrane Library for studies published between Jan 1, 2005, and Oct 1, 2015. We included only systematic reviews, meta-analyses, interventional studies...... and studies of individuals with a specific health condition or those recruited from intensive care or high dependency hospital units were excluded. We screened studies using systematic review software and extracted data from published reports. Primary outcomes were measures of morbidity (prevalence...

  12. Impact of high ambient temperature on unintentional injuries in high-income countries: a narrative systematic literature review

    Science.gov (United States)

    Otte im Kampe, Eveline; Kovats, Sari; Hajat, Shakoor

    2016-01-01

    Objectives Given the likelihood of increased hot weather due to climate change, it is crucial to have prevention measures in place to reduce the health burden of high temperatures and heat waves. The aim of this review is to summarise and evaluate the evidence on the effects of summertime weather on unintentional injuries in high-income countries. Design 3 databases (Global Public Health, EMBASE and MEDLINE) were searched by using related keywords and their truncations in the title and abstract, and reference lists of key studies were scanned. Studies reporting heatstroke and intentional injuries were excluded. Results 13 studies met our inclusion criteria. 11 out of 13 studies showed that the risk of unintentional injuries increases with increasing ambient temperatures. On days with moderate temperatures, the increased risk varied between 0.4% and 5.3% for each 1°C increase in ambient temperature. On extreme temperature days, the risk of injuries decreased. 2 out of 3 studies on occupational accidents found an increase in work-related accidents during high temperatures. For trauma hospital admissions, 6 studies reported an increase during hot weather, whereas 1 study found no association. The evidence for impacts on injuries by subgroups such as children, the elderly and drug users was limited and inconsistent. Conclusions The present review describes a broader range of types of unintentional fatal and non-fatal injuries (occupational, trauma hospital admissions, traffic, fire entrapments, poisoning and drug overdose) than has previously been reported. Our review confirms that hot weather can increase the risk of unintentional injuries and accidents in high-income countries. The results are useful for injury prevention strategies. PMID:26868947

  13. The global cancer divide: Relationships between national healthcare resources and cancer outcomes in high-income vs. middle- and low-income countries

    Directory of Open Access Journals (Sweden)

    Ali Batouli

    2014-06-01

    Conclusions: The analysis of this study suggested that cancer MIR is greater in middle/low-income countries. Furthermore, the WHO healthcare score was associated with improved cancer outcomes in middle/low-income countries while absolute levels of financial resources and infrastructure played a more important role in high-income countries.

  14. Towards comprehensive early abortion service delivery in high income countries: insights for improving universal access to abortion in Australia

    Directory of Open Access Journals (Sweden)

    Angela Dawson

    2016-10-01

    Full Text Available Abstract Background Improving access to safe abortion is an essential strategy in the provision of universal access to reproductive health care. Australians are largely supportive of the provision of abortion and its decriminalization. However, the lack of data and the complex legal and service delivery situation impacts upon access for women seeking an early termination of pregnancy. There are no systematic reviews from a health services perspective to help direct health planners and policy makers to improve access comprehensive medical and early surgical abortion in high income countries. This review therefore aims to identify quality studies of abortion services to provide insight into how access to services can be improved in Australia. Methods We undertook a structured search of six bibliographic databases and hand-searching to ascertain peer reviewed primary research in English between 2005 and 2015. Qualitative and quantitative study designs were deemed suitable for inclusion. A deductive content analysis methodology was employed to analyse selected manuscripts based upon a framework we developed to examine access to early abortion services. Results This review identified the dimensions of access to surgical and medical abortion at clinic or hospital-outpatient based abortion services, as well as new service delivery approaches utilising a remote telemedicine approach. A range of factors, mostly from studies in the United Kingdom and United States of America were found to facilitate improved access to abortion, in particular, flexible service delivery approaches that provide women with cost effective options and technology based services. Standards, recommendations and targets were also identified that provided services and providers with guidance regarding the quality of abortion care. Conclusions Key insights for service delivery in Australia include the: establishment of standards, provision of choice of procedure, improved provider

  15. International variations in the gestational age distribution of births: an ecological study in 34 high-income countries.

    Science.gov (United States)

    Delnord, Marie; Mortensen, Laust; Hindori-Mohangoo, Ashna D; Blondel, Béatrice; Gissler, Mika; Kramer, Michael R; Richards, Jennifer L; Deb-Rinker, Paromita; Rouleau, Jocelyn; Morisaki, Naho; Nassar, Natasha; Bolumar, Francisco; Berrut, Sylvie; Nybo Andersen, Anne-Marie; Kramer, Michael S; Zeitlin, Jennifer

    2018-04-01

    Few studies have investigated international variations in the gestational age (GA) distribution of births. While preterm births (22-36 weeks GA) and early term births (37-38 weeks) are at greater risk of adverse health outcomes compared to full term births (39-40 weeks), it is not known if countries with high preterm birth rates also have high early term birth rates. We examined rate associations between preterm and early term births and mean term GA by mode of delivery onset. We used routine aggregate data on the GA distribution of singleton live births from up to 34 high-income countries/regions in 1996, 2000, 2004, 2008 and 2010 to study preterm and early term births overall and by spontaneous or indicated onset. Pearson correlation coefficients were adjusted for clustering in time trend analyses. Preterm and early term births ranged from 4.1% to 8.2% (median 5.5%) and 15.6% to 30.8% (median 22.2%) of live births in 2010, respectively. Countries with higher preterm birth rates in 2004-2010 had higher early term birth rates (r > 0.50, P birth rates suggest that common risk factors could underpin shifts in the GA distribution. Targeting modifiable population risk factors for delivery before 39 weeks GA may provide a useful preterm birth prevention paradigm.

  16. Physical inactivity and associated factors among university students in 23 low-, middle- and high-income countries.

    Science.gov (United States)

    Pengpid, Supa; Peltzer, Karl; Kassean, Hemant Kumar; Tsala Tsala, Jacques Philippe; Sychareun, Vanphanom; Müller-Riemenschneider, Falk

    2015-07-01

    The aim of this study was to determine estimates of the prevalence and social correlates of physical inactivity among university students in 23 low-, middle- and high-income countries. The International Physical Activity Questionnaire was used to collect data from 17,928 undergraduate university students (mean age 20.8, SD = 2.8) from 24 universities in 23 countries. The prevalence of physical inactivity was 41.4 %, ranging from 21.9 % in Kyrgyzstan to 80.6 % in Pakistan. In multivariate logistic regression, older age (22-30 years), studying in a low- or lower middle-income country, skipping breakfast and lack of social support were associated with physical inactivity. In men, being underweight, being overweight or obese, not avoiding fat and cholesterol, not having severe depression symptoms, low beliefs in the health benefits of physical activity, low personal control and knowledge of exercise-heart link, and in women, not trying to eat fibre, low personal mastery and medium personal control were additionally associated with physical inactivity. Four in each ten students are physically inactive, calling for strategic interventions by relevant professionals in higher educational institutions.

  17. Variations in childbirth interventions in high-income countries: protocol for a multinational cross-sectional study.

    Science.gov (United States)

    Seijmonsbergen-Schermers, Anna; van den Akker, Thomas; Beeckman, Katrien; Bogaerts, Annick; Barros, Monalisa; Janssen, Patricia; Binfa, Lorena; Rydahl, Eva; Frith, Lucy; Gross, Mechthild M; Hálfdánsdóttir, Berglind; Daly, Deirdre; Calleja-Agius, Jean; Gillen, Patricia; Vika Nilsen, Anne Britt; Declercq, Eugene; de Jonge, Ank

    2018-01-10

    There are growing concerns about the increase in rates of commonly used childbirth interventions. When indicated, childbirth interventions are crucial for preventing maternal and perinatal morbidity and mortality, but their routine use in healthy women and children leads to avoidable maternal and neonatal harm. Establishing ideal rates of interventions can be challenging. This study aims to describe the range of variations in the use of commonly used childbirth interventions in high-income countries around the world, and in outcomes in nulliparous and multiparous women. This multinational cross-sectional study will use data from births in 2013 with national population data or representative samples of the population of pregnant women in high-income countries. Data from women who gave birth to a single child from 37 weeks gestation onwards will be included and the results will be presented for nulliparous and multiparous women separately. Anonymised individual level data will be analysed. Primary outcomes are rates of commonly used childbirth interventions, including induction and/or augmentation of labour, intrapartum antibiotics, epidural and pharmacological pain relief, episiotomy in vaginal births, instrument-assisted birth (vacuum or forceps), caesarean section and use of oxytocin postpartum. Secondary outcomes are maternal and perinatal mortality, Apgar score below 7 at 5 min, postpartum haemorrhage and obstetric anal sphincter injury. Univariable and multivariable logistic regression analyses will be conducted to investigate variations among countries, adjusted for maternal age, body mass index, gestational weight gain, ethnic background, socioeconomic status and infant birth weight. The overall mean rates will be considered as a reference category, weighted for the size of the study population per country. The Medical Ethics Review Committee of VU University Medical Center Amsterdam confirmed that an official approval of this study was not required

  18. HIV among immigrants living in high-income countries: a realist review of evidence to guide targeted approaches to behavioural HIV prevention

    Directory of Open Access Journals (Sweden)

    McMahon Tadgh

    2012-11-01

    Full Text Available Abstract Background Immigrants from developing and middle-income countries are an emerging priority in HIV prevention in high-income countries. This may be explained in part by accelerating international migration and population mobility. However, it may also be due to the vulnerabilities of immigrants including social exclusion along with socioeconomic, cultural and language barriers to HIV prevention. Contemporary thinking on effective HIV prevention stresses the need for targeted approaches that adapt HIV prevention interventions according to the cultural context and population being addressed. This review of evidence sought to generate insights into targeted approaches in this emerging area of HIV prevention. Methods We undertook a realist review to answer the research question: ‘How are HIV prevention interventions in high-income countries adapted to suit immigrants’ needs?’ A key goal was to uncover underlying theories or mechanisms operating in behavioural HIV prevention interventions with immigrants, to uncover explanations as how and why they work (or not for particular groups in particular contexts, and thus to refine the underlying theories. The realist review mapped seven initial mechanisms underlying culturally appropriate HIV prevention with immigrants. Evidence from intervention studies and qualitative studies found in systematic searches was then used to test and refine these seven mechanisms. Results Thirty-four intervention studies and 40 qualitative studies contributed to the analysis and synthesis of evidence. The strongest evidence supported the role of ‘consonance’ mechanisms, indicating the pivotal need to incorporate cultural values into the intervention content. Moderate evidence was found to support the role of three other mechanisms – ‘understanding’, ‘specificity’ and ‘embeddedness’ – which indicated that using the language of immigrants, usually the ‘mother tongue’, targeting (in terms

  19. HIV among immigrants living in high-income countries: a realist review of evidence to guide targeted approaches to behavioural HIV prevention

    Science.gov (United States)

    2012-01-01

    Background Immigrants from developing and middle-income countries are an emerging priority in HIV prevention in high-income countries. This may be explained in part by accelerating international migration and population mobility. However, it may also be due to the vulnerabilities of immigrants including social exclusion along with socioeconomic, cultural and language barriers to HIV prevention. Contemporary thinking on effective HIV prevention stresses the need for targeted approaches that adapt HIV prevention interventions according to the cultural context and population being addressed. This review of evidence sought to generate insights into targeted approaches in this emerging area of HIV prevention. Methods We undertook a realist review to answer the research question: ‘How are HIV prevention interventions in high-income countries adapted to suit immigrants’ needs?’ A key goal was to uncover underlying theories or mechanisms operating in behavioural HIV prevention interventions with immigrants, to uncover explanations as how and why they work (or not) for particular groups in particular contexts, and thus to refine the underlying theories. The realist review mapped seven initial mechanisms underlying culturally appropriate HIV prevention with immigrants. Evidence from intervention studies and qualitative studies found in systematic searches was then used to test and refine these seven mechanisms. Results Thirty-four intervention studies and 40 qualitative studies contributed to the analysis and synthesis of evidence. The strongest evidence supported the role of ‘consonance’ mechanisms, indicating the pivotal need to incorporate cultural values into the intervention content. Moderate evidence was found to support the role of three other mechanisms – ‘understanding’, ‘specificity’ and ‘embeddedness’ – which indicated that using the language of immigrants, usually the ‘mother tongue’, targeting (in terms of ethnicity) and the use of

  20. The health benefits of secondary education in adolescents and young adults: An international analysis in 186 low-, middle- and high-income countries from 1990 to 2013

    OpenAIRE

    Russell M. Viner; Dougal S. Hargreaves; Joseph Ward; Chris Bonell; Ali H. Mokdad; George Patton

    2017-01-01

    Background: The health benefits of secondary education have been little studied. We undertook country-level longitudinal analyses of the impact of lengthening secondary education on health outcomes amongst 15-24 year olds. Methods: Exposures: average length of secondary and primary education from 1980 to 2013. Data/Outcomes: Country level adolescent fertility rate (AFR), HIV prevalence and mortality rate from 1989/90 to 2013 across 186 low-, middle- and high-income countries. Analysi...

  1. Comparative effectiveness of immediate antiretroviral therapy versus CD4-based initiation in HIV-positive individuals in high-income countries: observational cohort study

    NARCIS (Netherlands)

    Lodi, Sara; Phillips, Andrew; Logan, Roger; Olson, Ashley; Costagliola, Dominique; Abgrall, Sophie; van Sighem, Ard; Reiss, Peter; Miró, José M.; Ferrer, Elena; Justice, Amy; Gandhi, Neel; Bucher, Heiner C.; Furrer, Hansjakob; Moreno, Santiago; Monge, Susana; Touloumi, Giota; Pantazis, Nikos; Sterne, Jonathan; Young, Jessica G.; Meyer, Laurence; Seng, Rémonie; Dabis, Francois; Vandehende, Marie-Anne; Pérez-Hoyos, Santiago; Jarrín, Inma; Jose, Sophie; Sabin, Caroline; Hernán, Miguel A.; Ainsworth, J.; Anderson, J.; Babiker, A.; Delpech, V.; Dunn, D.; Easterbrook, P.; Fisher, M.; Gazzard, B.; Gilson, R.; Gompels, M.; Hill, T.; Johnson, M.; Leen, C.; Orkin, C.; Phillips, A.; Pillay, D.; Porter, K.; Sabin, C.; Walsh, J.; Glabay, A.; Thomas, R.; Jones, K.; Perry, N.; Pullin, A.; Churchill, D.; Bulbeck, S.; Mandalia, S.; Clarke, J.; Munshi, S.; Post, F.; Khan, Y.; Patel, P.; Karim, F.; Duffell, S.; Williams, I.; Dooley, D.; Schwenk, A.; Youle, M.; Lampe, F.; Chaloner, C.; Puradiredja, D. Ismajani; Bansi, L.; Weber, J.; Kemble, C.; Mackie, N.; Winston, A.; Wilson, A.; Bezemer, D. O.; Kesselring, A. M.; van Sighem, A. I.; Smit, C.; Zaheri, S.; Kortmann, W.; Prins, J. M.; Kuijpers, T. W.; Godfried, M. H.; Pajkrt, D.; Bos, J. C.; van der Valk, M.; Grijsen, M. L.; Wiersinga, W. J.; Vrouwe, Lieve; Brinkman, K.; Blok, W. L.; Ziekenhuis, Andreas; Veenstra, J.; Lettinga, K. D.; Mulder, J. W.; Lauw, F. N.; van Agtmael, M. A.; Perenboom, R. M.; Bomers, M.; Richter, C.; van der Berg, J. P.; Gisolf, E. H.; Schippers, E. F.; van Elzakker, E. P.; Bravenboer, B.; Kootstra, G. J.; Sprenger, H. G.; Doedens, R.; van Assen, S.; Gasthuis, Kennemer; Soetekouw, R.; Kroon, F. P.; van Dissel, J. T.; Arend, S. M.; Jolink, H.; Bauer, M. P.; Weijer, S.; Lowe, S.; Lashof, A. Oude; Posthouwer, D.; Koopmans, P. P.; Warris, A.; van Crevel, R.; Nouwen, J. L.; Nispen, M. H.; Verbon, A.; Hassing, R. J.; Hartwig, N. G.; Ziekenhuis, Maasstad; Pogany, K.; Ziekenhuis, Sint Elisabeth; Juttmann, J. R.; van Kasteren, M. E. E.; Mudrikova, T.; Ellerbroek, P. M.; Oosterheert, J. J.; Barth, R. E.; Kinderziekenhuis, Wilhelmina; Bont, L. J.; de Ruyter Ziekenhuis, Admiraal; Stegeman, A.; Alleman, M. A.; Bouwhuis, J. W.; Abgrall, S.; Barin, F.; Bentata, M.; Billaud, E.; Boué, F.; Burty, C.; Cabié, A.; de Truchis, P.; Duval, X.; Duvivier, C.; Enel, P.; Fredouille-Heripret, L.; Gasnault, J.; Gaud, C.; Katlama, C.; Khuong, M. A.; Lang, J. M.; Lascaux, A. S.; Launay, O.; Mahamat, A.; Mary-Krause, M.; Meynard, J. L.; Pavie, J.; Pialoux, G.; Pilorgé, F.; Poizot-Martin, I.; Pradier, C.; Reynes, J.; Rouveix, E.; Simon, A.; Tissot-Dupont, H.; Viard, J. P.; Viget, N.; Jacquemet, N.; Costagliola, D.; Grabar, S.; Guiguet, M.; Lanoy, E.; Lièvre, L.; Lacombe, J. M.; Potard, V.; Pitié, G. H.; Bricaire, F.; Herson, S.; Desplanque, N.; Meyohas, M. C.; Picard, O.; Cadranel, J.; Mayaud, C.; Clauvel, J. P.; Decazes, J. M.; Gerard, L.; Molina, J. M.; Lariboisière-Fernand, G. H.; Honoré, P.; Jeantils, V.; Tassi, S.; Mechali, D.; Taverne, B.; Bouvet, E.; Ecobichon, J. L.; Matheron, S.; Picard-Dahan, C.; Yeni, P.; Dupont, C.; Chandemerle, C.; Mortier, E.; Tisne-Dessus, D.; Weiss, L.; Tarnier-Cochin, G. H.; Auperin, I.; Gilquin, J.; Roudière, L.; Fior, R.; Delfraissy, J. F.; Goujard, C.; Jung, C.; Vittecoq, D.; Fraisse, P.; Beck-Wirth, G.; Stahl, J. P.; Lecercq, P.; Gourdon, F.; Laurichesse, H.; Fresard, A.; Basse-Normandie, Corevih; Bazin, C.; Verdon, R.; Bourgogne, Corevih; Bretagne, Corevih; Arvieux, C.; Michelet, C.; Goudeau, A.; Maître, M. F.; Hoen, B.; Faller, J. P.; Haute-Normandie, Corevih; Borsa-Lebas, F.; Caron, F.; Daures, J. P.; Lorraine, Corevih; May, T.; Rabaud, C.; Berger, J. L.; Rémy, G.; Arlet-Suau, E.; Cuzin, L.; Massip, P.; Legrand, M. F. Thiercelin; Pontonnier, G.; de Calais, Corevih Nord-Pas; Yasdanpanah, Y.; Dellamonica, P.; Pugliese, P.; Quinsat, D.; Ravaux, I.; Tissot, H.; Delmont, J. P.; Moreau, J.; Gastaut, J. A.; Retornaz, F.; Soubeyrand, J.; Galinier, A.; Ruiz, J. M.; Allegre, T.; Blanc, P. A.; Bonnet, D.; Lepeu, G.; Granet-Brunello, P.; Esterni, J. P.; Cohen-Valensi, R.; Nezri, M.; Chadapaud, S.; Laffeuillade, A.; Raffi, F.; Boibieux, A.; Peyramond, D.; Livrozet, J. M.; Touraine, J. L.; Strobel, M.; Saint-Martin, C. H.; Bissuel, F.; Pradinaud, R.; Sobesky, M.; Martinique, Corevih; Guyon, Félix; Contant, M.; HC, Bucher; CA, Fux; HH, Hirsch; de Tejada B, Martinez; Casabona, J.; Miró, Jose M.; de Barcelona-Idibaps, Clínic; Gallois, A.; Esteve, A.; Podzamczer, D.; Murillas, J.; Gatell, J. M.; Manzardo, C.; Tural, C.; Clotet, B.; Ferrer, E.; Riera, M.; Segura, F.; Navarro, G.; Vilaró, J.; Masabeu, A.; García, I.; Guadarrama, M.; Cifuentes, C.; Dalmau, D.; Agustí, C.; Montoliu, A.; Pérez, I.; Gargoulas, Freyra; Blanco, J. L.; Garcia-Alcaide, F.; Martínez, E.; García-Goez, J. F.; Sirera, G.; Negredo, E.; Miranda, C.; Capitan, M. C.; Saumoy, M.; Imaz, A.; Tiraboschi, J. M.; Murillo, O.; Bolao, F.; Peña, C.; Cabellos, C.; Vila, A.; Sala, M.; Cervantes, M.; Amengual, Jose; Navarro, M.; Barrufet, P.; Molina, J.; Alvaro, M.; Mercadal, J.; Fernández, Juanse; Ospina, Jesús E.; Berenguer, J.; García, F.; Gutiérrez, F.; Labarga, P.; Moreno, S.; Caro-Murillo, A. M.; Sobrino, P.; Jarrín, I.; Sirvent, J. L. Gómez; Rodríguez, P.; Alemán, M. R.; Alonso, M. M.; López, A. M.; Hernández, M. I.; Soriano, V.; Barreiro, P.; Medrano, J.; Rivas, P.; Herrero, D.; Blanco, F.; Vispo, M. E.; Martín, L.; Ramírez, G.; Rubio, R.; Pulido, F.; Moreno, V.; Cepeda, C.; Iribarren, J. A.; Camino, X.; Rodríguez-Arrondo, F.; von Wichmann, M. A.; Pascual, L.; Goenaga, M. A.; Masiá, M.; Ramos, J. M.; Padilla, S.; Sánchez-Hellín, V.; Bernal, E.; Montolio, F.; Peral, Y.; Marañón, Gregorio; López, J. C.; Miralles, P.; Cosín, J.; Sánchez, M.; Gutiérrez, I.; Ramírez, M.; Padilla, B.; Vidal, F.; Veloso, S.; Viladés, C.; López-Dupla, M.; Olona, M.; Vargas, M.; Lacruz, J.; Salavert, M.; Montero, M.; Cuéllar, S.; Sanz, J.; Oteo, J. A.; Blanco, J. R.; Ibarra, V.; Metola, L.; Sanz, M.; Pérez-Martínez, L.; Sola, J.; Uriz, J.; Castiello, J.; Reparaz, J.; Arriaza, M. J.; Irigoyen, C.; Antela, A.; Casado, J. L.; Dronda, F.; Moreno, A.; Pérez, M. J.; López, D.; Gutiérrez, C.; Martí, P.; García, L.; Page, C.; Hernández, J.; Peña, A.; Muñoz, L.; Parra, J.; Viciana, P.; Leal, M.; López-Cortés, L. F.; Mata, R.; Justice, A. C.; Rimland, D.; Jones-Taylor, C.; Oursler, K. A.; Brown, S.; Garrison, S.; Rodriguez-Barradas, M.; Masozera, N.; Goetz, M.; Leaf, D.; Simberkoff, M.; Blumenthal, D.; Leung, J.; Peck, R.; Mattocks, K.; Braithwaite, S.; Cook, R.; Conigliaro, J.; Crothers, K.; Chang, J.; Crystal, S.; Day, N.; Erdos, J.; Freiberg, M.; Kozal, M.; Gerschenson, M.; Good, B.; Gordon, A.; Goulet, J. L.; Hernán, M. A.; Kraemer, K.; Lim, J.; Maisto, S.; O'Connor, P.; Papas, R.; Robins, J. M.; Rinaldo, C.; Roberts, M.; Samet, J.; Tierney, B.; Whittle, J.; Brettle, R.; Fidler, S.; Goldberg, D.; Hawkins, D.; Jaffe, H.; Johnson, A.; McLean, K.; Porter, Kholoud; Ewings, Fiona; Fairbrother, Keith; Gnatiuc, Louisa; Murphy, Brendan; Douglas, G.; Kennedy, N.; Pritchard, J.; Andrady, U.; Gwynedd, Ysbyty; Rajda, N.; Maw, R.; McKernan, S.; Drake, S.; Gilleran, G.; White, D.; Ross, J.; Toomer, S.; Hewart, R.; Wilding, H.; Woodward, R.; Dean, G.; Heald, L.; Horner, P.; Glover, S.; Bansaal, D.; Carne, C.; Browing, M.; Stanley, B.; O'Mahony, C.; Fraser, P.; Hayman, B.; Joshi, U.; Ralph, S.; Wade, A.; Mette, R.; Lalik, J.; Summerfield, H.; El-Dalil, A.; France, A. J.; White, C.; Robertson, R.; Gordon, S.; Lean, C.; Morris, S.; Vithayathil, K.; McLean, L.; Winter, A.; Gale, D.; Jacobs, S.; Tayal, S.; Short, L.; Williams, G.; Minton, J.; Dhar, J.; Nye, F.; DeSouza, C. B.; Isaksen, A.; McDonald, L.; Franca, A.; William, L.; Peters, B.; El, S.; Easterbrook, P. J.; Mazhude, C.; Johnstone, R.; Fakoya, A.; Mchale, J.; Waters, A.; Kegg, S.; Mitchell, S.; Byrne, P.; Rice, P.; Mullaney, S. A.; McCormack, S.; David, D.; Melville, R.; Phillip, K.; Balachandran, T.; Mabey, S.; Sukthankar, A.; Murphy, C.; Wilkins, E.; Ahmad, S.; Cook, James; Haynes, J.; Keynes, Milton; Evans, E.; Ong, E.; Das, R.; Grey, R.; Meaden, J.; Bignell, C.; Loay, D.; Peacock, K.; Eliot, George; Girgis, M. R.; Morgan, B.; Palfreeman, A.; Wilcox, J.; Tobin, J.; Tucker, L.; Saeed, A. M.; Williams, O.; Clwyd, Glan; Lacey, H.; Herman, S.; Kinghorn, D.; Devendra, S. V.; Wither, J.; Dawson, S.; Rowen, D.; Harvey, J.; Chauhan, M.; Kellock, D.; Young, S.; Dannino, S.; Kathir, Y.; Rooney, G.; Currie, J.; Fitzgerald, M.; Devendra, S.; Keane, F.; Booth, G.; Arumainayyagam, J.; Chandramani, S.; Robinson, T.; Curless, E.; Gokhale, R.; Tariq, A.; Luzzi, G.; Fairley, I.; Wallis, F.; Smit, E.; Ward, F.; Loze, B.; Morlat, P.; Bonarek, M.; Bonnet, F.; Nouts, C.; Louis, I.; Reliquet, V.; Sauser, F.; Biron, C.; Mounoury, O.; Hue, H.; Brosseau, D.; Ghosn, J.; Rannou, M. T.; Bergmann, J. F.; Badsi, E.; Rami, A.; Girard, P. M.; Samanon-Bollens, D.; Campa, P.; Tourneur, M.; Desplanques, N.; Jeanblanc, F.; Chiarello, P.; Makhloufi, D.; Herriot, E.; Blanc, A. P.; Allègre, T.; Baillat, V.; Lemoing, V.; de Boever, C. Merle; Tramoni, C.; Sobesky, G.; Abel, S.; Beaujolais, V.; Slama, L.; Fournier, I.; Gerbe, J.; Trepo, C.; Koffi, K.; Miailhes, P.; Thoirain, V.; Brochier, C.; Souala, F.; Ratajczak, M.; Beytoux, J.; Jacomet, C.; Montpied, G.; Olivier, C.; Paré, A.; Lortholary, O.; Dupont, B.; Maignan, A.; Raymond, I.; Leport, C.; Jadand, C.; Jestin, C.; Longuet, P.; Boucherit, S.; Sereni, D.; Lascoux, C.; Prevoteau, F.; Sobel, A.; Levy, Y.; Lelièvre, J. D.; Mondor, H.; Aumaître, H.; Delmas, B.; Saada, M.; Medus, M.; Salmon, D.; Tahi, T.; Yazdanpanah, Y.; Pavel, S.; Marien, M. C.; Dron, C. H.; Beck, C.; Benomar, M.; Muller, E.; Tubiana, R.; Mohand, H. Ait; Touam, F.; Folzer, A.; Obadia, M.; Prudhomme, L.; Bonnet, E.; Balzarin, F.; Pichard, E.; Chennebault, J. M.; Fialaire, P.; Loison, J.; Galanaud, P.; Bornarel, D.; Six, M.; Ferret, P.; Batisse, D.; Devidas, A.; Chevojon, P.; Turpault, I.; Philip, G.; Morel, P.; Timsit, J.; Amirat, N.; Cabane, J.; Tredup, J.; Chavanet, C.; Buisson, M.; Treuvetot, S.; Choutet, P.; Bastides, F.; Boyer, L.; Wassoumbou, S.; Oksenhendeler, E.; Gérard, L.; Bernard, L.; Berthé, H.; Poincaré, R.; Domart, Y.; Merrien, D.; Belan, A. Greder; Mignot, A.; Gayraud, M.; Bodard, L.; Meudec, A.; Pape, E.; Vinceneux, P.; Simonpoli, A. M.; Zeng, A.; Mourier, L.; Fournier, L.; Jacquet, M.; Fuzibet, J. G.; Sohn, C.; Rosenthal, E.; Quaranta, M.; Sabah, M.; Audhuy, B.; Schieber, A.; Pasteur, L.; Moreau, P.; Vaillant, O.; Huchon, G.; Compagnucci, A.; de Lacroix Szmania, I.; Lamaury, I.; Saint-Dizier, F.; Garipuy, D.; Drogoul, M. P.; Martin, I. Poizot; Fabre, G.; Lambert, G.; Lagarde, P.; David, F.; Roche-Sicot, J.; Saraux, J. L.; Leprêtre, A.; Veil, S.; Fampin, B.; Uludag, A.; Morin, A. S.; Bletry, O.; Zucman, D.; Regnier, A.; Girard, J. J.; Quinsat, D. T.; Heripret, L.; Grihon, F.; Houlbert, D.; Ruel, M.; Chemlal, K.; Debab, Y.; Nicolle, C.; Perronne, V.; Quesnay, F.; Slama, B.; Duffaut, H.; Perré, P.; Miodovski, C.; Guermonprez, G.; Dulioust, A.; Ballanger, R.; Patey, O.; Semaille, C.; Deville, J.; Beclere, Antoine; Boue, F.; Chambrin, V.; Pignon, C.; Estocq, G. A.; Levy, A.; Bicetre, Le Kremlin; Duracinsky, M.; Bras, P. Le; Ngussan, M. S.; Lambert, T.; Segeral, O.; Lezeau, P.; Laurian, Y.; Piketty, C.; Karmochkine, M.; Eliaszewitch, M.; Jayle, D.; Tisne, D.; Colasante, U.; Vilde, J. L.; Bollens, D.; Binet, D.; Diallo, B.; Lagneau, J. L.; Pietrie, M. P.; Sicard, D.; Stieltjes, N.; Michot, J.; Bourdillon, F.; Obenga, G.; Escaut, L.; Bolliot, C.; Schneider, L.; Iguertsira, M.; Stein, A.; Tomei, C.; Dhiver, C.; Gallais, J.; Gallais, H.; Durant, J.; Mondain, V.; Perbost, I.; Cassuto, J. P.; Karsenti, J. M.; Ceppi, C.; Krivitsky, J. A.; Honore, P.; Delgado, J.; Rouzioux, C.; Burgard, M.; Boufassa, L.; Peynet, J.; Pérez-Hoyos, S.; Schiaffino, A.; Monge, D. Alvarez S.; Pujol, I.; Muga, R.; Sanvisens, A.; Tor, J.; Rivas, I.; Vallecillo, G.; del Romero, J.; Raposo, P.; Rodríguez, C.; Vera, M.; Alastrue, E. Fernandez I.; Tasa, C. Santos T.; Juan, A.; Trullen, J.; de Olalla, P. Garcia; Cayla, J.; Sambeat, M. A.; Guerrero, R.; Rivera, E.; Marco, A.; Quintana, M.; Gonzalez, C.; Castilla, J.; Guevara, M.; de Mendoza, C.; Zahonero, N.; Ortíz, M.; G, Daikos; T, Kordossis; G, Panos; H, Sambatakou; M, Chini; Nelson, M.; Asboe, D.; Man, S.-L.; Smith, C.; Grabowska, H.; Gras, L. A. J.; Branger, J.; Scherpbier, H. J.; van der Meer, J. T. M.; Wit, F. W. M. N.; van der Poll, T.; Nellen, F. J. B.; Lange, J. M. A.; Geerlings, S. E.; van Vugt, M.; Frissen, P. H. J.; Schouten, W. E. M.; van den Berk, G. E. L.; Vrouenraets, S. M. E.; van Eeden, A.; Verhagen, D. W. M.; Claessen, F. A. P.; Peters, E. J. G.; van Nieuwkoop, C.; Leyten, E. M. S.; Gelinck, L. B. S.; Ziekenhuis, Catharina; Pronk, M. J. H.; Delsing, C. E.; Scholvinck, E. H.; Bierman, W. F. W.; ten Kate, R. W.; de Boer, M. G. J.; ter Vollaard, H. J. M.; Zuiderzee, M. C.; Schreij, G.; Keuter, M.; van der Ven, A. J. A. M.; ter Hofstede, H. J. M.; Dofferhoff, A. S. M.; van der Ende, M. E.; de Vries-Sluijs, T. E. M. S.; Schurink, C. A. M.; Rijnders, B. J. A.; van Gorp, E. C. M.; Smeulders, A. W. M.; den Hollander, J. G.; Hoepelman, A. I. M.; Schneider, M. M. E.; Jaspers, C. A. J. J.; Arends, J. E.; Wassenberg, M. W. M.; Geelen, S. P. M.; Wolfs, T. F. W.; Cotte, L.; Tattevin, P.; Selinger-Leneman, H.; Diemer, M.; Sellier, P.; Crickx, B.; Lesprit, Ph; Rey, D.; Lucht, F.; Chavanet, P.; Eglinger, P.; Aleksandrowicz, K.; Pelissier, L.; Aubert, V.; Barth, J.; Battegay, M.; Bernasconi, E.; Böni, J.; Burton-Jeangros, C.; Calmy, A.; Cavassini, M.; Egger, M.; Elzi, L.; Fehr, J.; Fellay, J.; Furrer, H.; Gorgievski, M.; Günthard, H.; Hasse, B.; Hösli, I.; Kahlert, C.; Kaiser, L.; Keiser, O.; Klimkait, T.; Kovari, H.; Ledergerber, B.; Martinetti, G.; Metzner, K.; Müller, N.; Nadal, D.; Pantaleo, G.; Rauch, A.; Regenass, S.; Rickenbach, M.; Rudin, C.; Schmid, P.; Schultze, D.; Schöni-Affolter, F.; Schüpbach, J.; Speck, R.; Taffé, P.; Tarr, P.; Telenti, A.; Trkola, A.; Vernazza, P.; Weber, R.; Yerly, S.; Force, L.; Mallolas, J.; López-Dieguez, M.; Romeu, J.; Jou, A.; Masó, M.; Bejarano, G.; del Amo, J.; Muñoz, M. A.; Arrizabalaga, A. J.; Aramburu, M. J.; Escolano, C.; Sanjuan, M.; Peraire, J.; Aldeguer, J. L.; Blanes, M.; de los Santos, I.; Hernández, B.; Pumares, M.; Trastoy, M.; Fiellin, D. A.; Titanji, R.; Butt, A.; Brandt, C.; Bryant, K.; Gandhi, N.; Gaziano, M.; Miller, P.; Mole, L.; Darbyshire, J.; Cursley, Adam; Eduards, S.; Estreich, S.; Magdy, A.; Jebakumar, S. P. R.; McMillan, S.; Green, S.; Sivakumar, K.; Monteiro, E.; Jendrulek, I.; Deheragada, A.; Rajamanoharan, S.; Parrinello, M.; Chakvetadze, C.; Berrebi, V.; Augustin-Normand, C.; Morelon, S.; Ragnaud, J. M.; Dominguez, S.; Dumont, C.; Drenou, B.; Drobacheff, C.; Gonzales-Canali, A.; Cheret, A.; Brancion, C.; Ravault, I.; Nau, P.; Beuscart, C.; Daniel, C.; Chaillou, S.; Niault, M.; Richier, L.; Abraham, B.; Perino, C.; Tremollieres, F.; Boudon, P.; Malbec, D.; Remy, G.; Béguinot, I.; Peretti, D.; Medintzeff, N.; Kazatchkine, M.; Fonquernie, L.; Lelievre, J. D.; Tissot Dupont, H.; Vallon, A.; Venti, H.; Bouchaud, O.; Hurtado, I.; Belda, J.; Gargalianos-Kakolyris, P.; Katsarou, O.; Lazanas, M.; Paparizos, V.; Paraskevis, D.; Skoutelis, A.; Touloumi, G.; Pantazis, N.; Bakoyannis, G.; Gioukari, V.; Antoniadou, A.; Papadopoulos, A.; Petrikkos, G.; Daikos, G.; Psichogiou, M.; Xylomenos, G.; Kouramba, A.; Ioannidou, P.; Kordossis, T.; Kontos, A.; Tsogas, N.; Leuow, K.; Kourkounti, S.; Sambatakou, H.; Mariolis, I.; Papastamopoulos, V.; Baraboutis, I.

    2015-01-01

    Recommendations have differed nationally and internationally with respect to the best time to start antiretroviral therapy (ART). We compared effectiveness of three strategies for initiation of ART in high-income countries for HIV-positive individuals who do not have AIDS: immediate initiation,

  2. Do Electronic Technologies Increase or Narrow Differences in Higher Education Quality between Low- and High-Income Countries?

    Science.gov (United States)

    Capshaw, Norman Clark

    2008-01-01

    The disruptive technologies of the Internet and computers are changing our world in myriad ways. These technologies are also increasingly being employed in higher education but to what effect? Are the effects on higher education quality measurable, and if so, what is the effect on the traditional gap between high-income and low- to middle-income…

  3. Robust analysis of the determinants of healthcare expenditure growth: evidence from panel data for low-, middle- and high-income countries.

    Science.gov (United States)

    Younsi, Moheddine; Chakroun, Mohamed; Nafla, Amine

    2016-10-01

    This paper examines the determinants of healthcare expenditure for low-, middle- and high-income countries, and it quantifies their influences in order to assess policies for achieving universal health coverage. We elaborate two models, a fixed-effect model and the dynamic panel model, to estimate the factors associated with the total health expenditure growth as well as its major components for 167 countries over the period of 1993-2013. The panel data on total health expenditure per capita and its components were taken from the World Development Indicators. Overall, our results showed that total health expenditure per capita is rising in all countries over time as a result of rising incomes. However, our estimates showed that the income elasticity of health expenditure ranged from 0.75 to 0.96 in the fixed-effect static panel model, while in the dynamic panel model, it was smaller and ranged from 0.16 to 0.47. Our empirical findings indicate that development assistance for health reduced government domestic spending on health but increased total government health spending. Our results also indicate that the trend in health expenditure growth is significantly depending with the country's economic development. In addition, out-of-pocket expenditure is powerfully influenced by a country's capacity to increase general government revenues and social insurance contributions. Knowledge of factors associated to health expenditure might help policy makers to make wise judgments, plan health reforms and allocate resources efficiently. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  4. Investigating the burden of antibiotic resistance in ethnic minority groups in high-income countries: protocol for a systematic review and meta-analysis.

    Science.gov (United States)

    Lishman, Hannah; Aylin, Paul; Alividza, Vivian; Castro-Sanchez, Enrique; Chatterjee, Anuja; Mariano, Victor; Johnson, Alan P; Jeraj, Samir; Costelloe, Céire

    2017-12-11

    Antibiotic resistance (ABR) is an urgent problem globally, with overuse and misuse of antibiotics being one of the main drivers of antibiotic-resistant infections. There is increasing evidence that the burden of community-acquired infections such as urinary tract infections and bloodstream infections (both susceptible and resistant) may differ by ethnicity, although the reasons behind this relationship are not well defined. It has been demonstrated that socioeconomic status and ethnicity are often highly correlated with each other; however, it is not yet known whether accounting for deprivation completely explains any discrepancy seen in infection risk. There have currently been no systematic reviews summarising the evidence for the relationship between ethnicity and antibiotic resistance or prescribing. This protocol will outline how we will conduct this systematic literature review and meta-analysis investigating whether there is an association between patient ethnicity and (1) risk of antibiotic-resistant infections or (2) levels of antibiotic prescribing in high-income countries. We will search PubMed/MEDLINE, EMBASE, Global Health, Scopus and CINAHL using MESH terms where applicable. Two reviewers will conduct title/abstract screening, data extraction and quality assessment independently. The Critical Appraisal Skills Programme (CASP) checklist will be used for cohort and case-control studies, and the Cochrane collaboration's risk of bias tool will be used for randomised control trials, if they are included. Meta-analyses will be performed by calculating the minority ethnic group to majority ethnic group odds ratios or risk ratios for each study and presenting an overall pooled odds ratio for the two outcomes. The Grading of Recommendations, Assessments, Development and Evaluation (GRADE) approach will be used to assess the overall quality of the body of evidence. In this systematic review and meta-analysis, we will aim to collate the available evidence of

  5. The role of public law-based litigation in tobacco companies' strategies in high-income, FCTC ratifying countries, 2004-14.

    Science.gov (United States)

    Steele, Sarah L; Gilmore, Anna B; McKee, Martin; Stuckler, David

    2016-09-01

    Tobacco companies use a host of strategies to undermine public health efforts directed to reduce and eliminate smoking. The success, failure and trends in domestic litigation used by tobacco companies to undermine tobacco control are not well understood, with commentators often assuming disputes are trade related or international in nature. We analyse domestic legal disputes involving tobacco companies and public health actors in high-income countries across the last decade to ascertain the types of action and the success or failure of cases, develop effective responses. WorldLii, a publicly available online law repository, was used to identify domestic court cases involving tobacco companies from 2004 to 2014, while outcome data from LexisNexis and Westlaw databases were used to identify appeals and trace case history. We identified six domestic cases in the UK, Australia and Canada, noting that the tobacco industry won only one of six cases; a win later usurped by legislative reform and a further court case. Nevertheless, we found cases involve significant resource costs for governments, often progressing across multiple jurisdictional levels. We suggest that, in light of our results, while litigation takes up significant time and incurs legal costs for health ministries, policymakers must robustly fend off suggestions that litigation wastes taxpayers' money, pointing to the good prospects of winning such legal battles. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health.

  6. The role of public law-based litigation in tobacco companies’ strategies in high-income, FCTC ratifying countries, 2004–14

    Science.gov (United States)

    Steele, Sarah L.; Gilmore, Anna B.; McKee, Martin; Stuckler, David

    2016-01-01

    Background Tobacco companies use a host of strategies to undermine public health efforts directed to reduce and eliminate smoking. The success, failure and trends in domestic litigation used by tobacco companies to undermine tobacco control are not well understood, with commentators often assuming disputes are trade related or international in nature. We analyse domestic legal disputes involving tobacco companies and public health actors in high-income countries across the last decade to ascertain the types of action and the success or failure of cases, develop effective responses. Methods WorldLii, a publicly available online law repository, was used to identify domestic court cases involving tobacco companies from 2004 to 2014, while outcome data from LexisNexis and Westlaw databases were used to identify appeals and trace case history. Results We identified six domestic cases in the UK, Australia and Canada, noting that the tobacco industry won only one of six cases; a win later usurped by legislative reform and a further court case. Nevertheless, we found cases involve significant resource costs for governments, often progressing across multiple jurisdictional levels. Discussion We suggest that, in light of our results, while litigation takes up significant time and incurs legal costs for health ministries, policymakers must robustly fend off suggestions that litigation wastes taxpayers' money, pointing to the good prospects of winning such legal battles. PMID:26036703

  7. Choice of first-line antiretroviral therapy regimen and treatment outcomes for HIV in a middle income compared to a high income country: a cohort study.

    Science.gov (United States)

    Dragovic, Gordana; Smith, Colette J; Jevtovic, Djordje; Dimitrijevic, Bozana; Kusic, Jovana; Youle, Mike; Johnson, Margaret A

    2016-03-03

    The range of combination antiretroviral therapy (cART) regimens available in many middle-income countries differs from those suggested in international HIV treatment guidelines. We compared first-line cART regimens, timing of initiation and treatment outcomes in a middle income setting (HIV Centre, Belgrade, Serbia - HCB) with a high-income country (Royal Free London Hospital, UK - RFH). All antiretroviral-naïve HIV-positive individuals from HCB and RFH starting cART between 2003 and 2012 were included. 12-month viral load and CD4 count responses were compared, considering the first available measurement 12-24 months post-cART. The percentage that had made an antiretroviral switch for any reason, or for toxicity and the percentage that had died by 36 months (the latest time at which sufficient numbers remained under follow-up) were investigated using standard survival methods. 361/597 (61 %) of individuals initiating cART at HCB had a prior AIDS diagnosis, compared to 337/1763 (19 %) at RFH. Median pre-ART CD4 counts were 177 and 238 cells/mm(3) respectively (p HIV disease, resulting in higher mortality rates than in high income countries, supporting improved testing campaigns for early detection of HIV infection and early introduction of newer cART regimens.

  8. Economic Growth and Climate Change: A Cross-National Analysis of Territorial and Consumption-Based Carbon Emissions in High-Income Countries

    Directory of Open Access Journals (Sweden)

    Kyle W. Knight

    2014-06-01

    Full Text Available An important question in the literature on climate change and sustainability is the relation between economic growth and greenhouse gas emissions. While the “green growth” paradigm dominates in the policy arena, a growing number of scholars in wealthy countries are questioning the feasibility of achieving required emissions reductions with continued economic growth. This paper explores the relationship between economic growth and carbon dioxide emissions over the period 1991–2008 with a balanced data set of 29 high-income countries. We present a variety of models, with particular attention to the difference between territorial emissions and consumption-based (or carbon footprint emissions, which include the impact of international trade. The effect of economic growth is greater for consumption-based emissions than territorial emissions. We also find that over this period there is some evidence of decoupling between economic growth and territorial emissions, but no evidence of decoupling for consumption-based emissions.

  9. Internet access is NOT restricted globally to high income countries: so why are evidenced based prevention and treatment programs for mental disorders so rare?

    Science.gov (United States)

    Watts, Sarah E; Andrews, Gavin

    2014-08-01

    Mental disorders are widespread and universal. They are frequently accompanied by considerable harmful consequences for the individual and come at a significant economic cost to a community. Yet while effective evidence based prevention and treatment exists, there are a number of barriers to access, implement and disseminate. Cognitive behavior therapy programs, such as those available at www.thiswayup.com.au are widely available using the Internet in high income countries, such as Australia. With the ubiquitous uptake of Internet users globally, it is suggested that low and middle income countries should consider ways to embrace and scale up these cost effective programs. An explanation of why and some suggestions as to how this can be done are presented. Crown Copyright © 2014. Published by Elsevier B.V. All rights reserved.

  10. Effect of national wealth on BMI: An analysis of 206,266 individuals in 70 low-, middle- and high-income countries.

    Directory of Open Access Journals (Sweden)

    Mohd Masood

    Full Text Available This study explores the relationship between BMI and national-wealth and the cross-level interaction effect of national-wealth and individual household-wealth using multilevel analysis.Data from the World Health Survey conducted in 2002-2004, across 70 low-, middle- and high-income countries was used. Participants aged 18 years and over were selected using multistage, stratified cluster sampling. BMI was used as outcome variable. The potential determinants of individual-level BMI were participants' sex, age, marital-status, education, occupation, household-wealth and location(rural/urban at the individual-level. The country-level factors used were average national income (GNI-PPP and income inequality (Gini-index. A two-level random-intercepts and fixed-slopes model structure with individuals nested within countries was fitted, treating BMI as a continuous outcome.The weighted mean BMI and standard-error of the 206,266 people from 70-countries was 23.90 (4.84. All the low-income countries were below the 25.0 mean BMI level and most of the high-income countries were above. All wealthier quintiles of household-wealth had higher scores in BMI than lowest quintile. Each USD10000 increase in GNI-PPP was associated with a 0.4 unit increase in BMI. The Gini-index was not associated with BMI. All these variables explained 28.1% of country-level, 4.9% of individual-level and 7.7% of total variance in BMI. The cross-level interaction effect between GNI-PPP and household-wealth was significant. BMI increased as the GNI-PPP increased in first four quintiles of household-wealth. However, the BMI of the wealthiest people decreased as the GNI-PPP increased.Both individual-level and country-level factors made an independent contribution to the BMI of the people. Household-wealth and national-income had significant interaction effects.

  11. Effect of national wealth on BMI: An analysis of 206,266 individuals in 70 low-, middle- and high-income countries

    Science.gov (United States)

    Reidpath, Daniel D.

    2017-01-01

    Background This study explores the relationship between BMI and national-wealth and the cross-level interaction effect of national-wealth and individual household-wealth using multilevel analysis. Methods Data from the World Health Survey conducted in 2002–2004, across 70 low-, middle- and high-income countries was used. Participants aged 18 years and over were selected using multistage, stratified cluster sampling. BMI was used as outcome variable. The potential determinants of individual-level BMI were participants’ sex, age, marital-status, education, occupation, household-wealth and location(rural/urban) at the individual-level. The country-level factors used were average national income (GNI-PPP) and income inequality (Gini-index). A two-level random-intercepts and fixed-slopes model structure with individuals nested within countries was fitted, treating BMI as a continuous outcome. Results The weighted mean BMI and standard-error of the 206,266 people from 70-countries was 23.90 (4.84). All the low-income countries were below the 25.0 mean BMI level and most of the high-income countries were above. All wealthier quintiles of household-wealth had higher scores in BMI than lowest quintile. Each USD10000 increase in GNI-PPP was associated with a 0.4 unit increase in BMI. The Gini-index was not associated with BMI. All these variables explained 28.1% of country-level, 4.9% of individual-level and 7.7% of total variance in BMI. The cross-level interaction effect between GNI-PPP and household-wealth was significant. BMI increased as the GNI-PPP increased in first four quintiles of household-wealth. However, the BMI of the wealthiest people decreased as the GNI-PPP increased. Conclusion Both individual-level and country-level factors made an independent contribution to the BMI of the people. Household-wealth and national-income had significant interaction effects. PMID:28662041

  12. Road Safety Risk Assessment: An Analysis of Transport Policy and Management for Low-, Middle-, and High-Income Asian Countries

    Directory of Open Access Journals (Sweden)

    Syyed Adnan Raheel Shah

    2018-02-01

    Full Text Available Road safety assessment has played a crucial role in the theory and practice of transport management systems. This paper focuses on risk evaluation in the Asian region by exploring the interaction between road safety risk and influencing factors. In the first stage, a data envelopment analysis (DEA method is applied to calculate and rank the road safety risk levels of Asian countries. In the second stage, a structural equation model (SEM with latent variables is applied to analyze the interaction between the road safety risk level and the latent variables, measured by six observed performance indicators, i.e., financial impact, institutional framework, infrastructure and mobility, legislation and policy, vehicular road users, and trauma management. Finally, this paper illustrates the applicability of this DEA-SEM approach for road safety performance analysis.

  13. Decrease of morbidity in road traffic accidents in a high income country - an analysis of 24,405 accidents in a 21 year period.

    Science.gov (United States)

    Ernstberger, Antonio; Joeris, Alexander; Daigl, Monica; Kiss, Miklos; Angerpointner, Katharina; Nerlich, Michael; Schmucker, Uli

    2015-10-01

    The WHO initiated the "Decade of Action for Road Safety" because the fatality on road traffic accidents could become the fifth leading cause of death in 2030. On the contrary, fatalities continue to decrease in high income countries. The aim of the study was to find evidence for changes in injury severity of passenger car occupants after road traffic accidents in Germany over time, and to find contributing factors. Data from the German In Depth Accident Study (GIDAS), representative for Germany, was used. A total of 24.405 accidents, reported from 1991 until 2011. 44.503 adult passenger car occupants were examined. A multivariable logistic regression model was developed to find reasons for observed trends over time. The relative decrease in mortality was 68.8% from 1991 until 2011. Between 2006 and 2011, the percentage of severely injured traffic victims was less than half, both in terms of the whole body and individual body regions. For injuries with an Abbreviated Injury Scale (AIS) ≥ 2, the percentage of persons with lower leg injuries declined by 72.5%, followed by the percentage of persons with pelvic injuries (61.5%), upper extremity injuries (57.7%), head injuries (54.3%), thorax injuries (50.0%), and abdomen injuries (40.0%). The multivariable regression model found 13 independent variables associated with injury prevention (e.g. seat belt use: OR 0.41, CI 95% 0.32-0.49; airbag: OR 0.86, CI 95% 0.75-0.99). The implementation of protective factors increased over time while accident constellations with a high probability for severe injury decreased over time. The decrease of severe injuries after road traffic accidents can be only attributed to a comprehensive approach including the enforcement of road safety policies and innovations in car engineering and emergency medicine. Traffic related measures and alcohol level control, and seat belt usage enforcement next to other technical advances are considered especially important. Copyright © 2015 Elsevier Ltd

  14. Factors determining whether the parents accept BCG immunization of the new-born child in a high-income country

    DEFF Research Database (Denmark)

    Thybo Pihl, Gitte; Ammentorp, Jette; Kofoed, Poul-Erik

    Introduction: A large prospective randomised clinical trial in Denmark is planned to test the hypothesis that compared to non-BCG-vaccinated infants, infants who are BCG vaccinated at birth experience less hospitalisations, use less antibiotics, and develop less atopic disease in early childhood......' Connors 'Decisional Conflict scale' to compare decisional conflicts for the parents that accept BCG vaccination and parents who do not accept the BCG vaccination of their newborn child....

  15. Soft drink prices, sales, body mass index and diabetes: Evidence from a panel of low-, middle- and high-income countries.

    Science.gov (United States)

    Goryakin, Yevgeniy; Monsivais, Pablo; Suhrcke, Marc

    2017-12-01

    We take advantage of four different cross-country datasets containing data on 78 countries for the period 1999-2014, in order to assess the relationship of carbonated soft drinks' sales, as well as their prices, with body mass index (BMI), overweight, obesity and diabetes. Using an ecological study design and multivariate regression longitudinal estimation approaches, we find that carbonated soft drink sales were significantly positively related to BMI, overweight and obesity - but only in the low and lower-middle income countries. This finding was robust to a number of sensitivity and falsification checks. In this sub-sample, an increase in per capita soft drink sales by 1 litre per year was related to an increase of BMI by about 0.009 kg/m 2 (p < 0.1).. This is a small effect, implying that halving annual consumption per capita in this group of countries would result in a drop of BMI by only about 0.03 kg/m 2 . Although soft drink prices were negatively related to weight-related outcomes in the sample of higher middle income and high income countries, this finding was not robust to falsification checks. The results thus suggest that sales restrictions to steer consumers away from soft drinks could indeed have a beneficial health effects in poorer countries, although the effect magnitude appears to be very small. However, given potential limitations of using ecological research design, results from individual level studies would be required to further ascertain the role of soft drink sales and prices in obesity and diabetes.

  16. Depression, sleep problems, and perceived stress among informal caregivers in 58 low-, middle-, and high-income countries: A cross-sectional analysis of community-based surveys.

    Science.gov (United States)

    Koyanagi, Ai; DeVylder, Jordan E; Stubbs, Brendon; Carvalho, André F; Veronese, Nicola; Haro, Josep M; Santini, Ziggi I

    2018-01-01

    Caregiving has been associated with adverse health outcomes. However, there is a paucity of multi-country, population-based studies on mental health outcomes of caregivers especially from low- and middle-income countries (LMICs). Thus, we assessed the association of caregiving with depression, sleep problems, and perceived stress in 10 high-, 27 middle-, and 21 low-income countries. Cross-sectional community-based data of the World Health Survey including 258,793 adults aged ≥18 years were analyzed. Multivariable logistic and linear regression analyses were conducted to explore the association of past 12-month caregiving with past 12-month DSM-IV depression, and past 30-day perceived stress [range 0 (low)-100 (high)] and severe/extreme sleep problems. Nearly 20% of the individuals were engaged in caregiving with particularly high rates observed in high-income countries (HICs) (e.g., Finland 43.3%). Across the entire sample, after adjustment for potential confounders, caregivers had a significantly higher likelihood of having depression (OR = 1.54; 95%CI = 1.37-1.73), sleep problems (OR = 1.37; 95%CI = 1.25-1.50), while their mean perceived stress score was 3.15 (95%CI = 2.46-3.84) points higher. These associations tended to be stronger in HICs. A greater number of caregiving activities was associated with a greater likelihood of depression, sleep problems, and perceived stress regardless of country income levels. In conclusion, caregiving has a negative impact on mental health worldwide with possibly greater effects in HICs. Given the growing contribution of caregivers in long-term care, interventions and policies to alleviate the mental health burden of caregivers are urgently needed to maintain sustainable and effective care practices. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Mortality under age 50 accounts for much of the fact that US life expectancy lags that of other high-income countries.

    Science.gov (United States)

    Ho, Jessica Y

    2013-03-01

    Life expectancy at birth in the United States is among the lowest of all high-income countries. Most recent studies have concentrated on older ages, finding that Americans have a lower life expectancy at age fifty and experience higher levels of disease and disability than do their counterparts in other industrialized nations. Using cross-national mortality data to identify the key age groups and causes of death responsible for these shortfalls, I found that mortality differences below age fifty account for two-thirds of the gap in life expectancy at birth between American males and their counterparts in sixteen comparison countries. Among females, the figure is two-fifths. The major causes of death responsible for the below-fifty trends are unintentional injuries, including drug overdose--a fact that constitutes the most striking finding from this study; noncommunicable diseases; perinatal conditions, such as pregnancy complications and birth trauma; and homicide. In all, this study highlights the importance of focusing on younger ages and on policies both to prevent the major causes of death below age fifty and to reduce social inequalities.

  18. The health benefits of secondary education in adolescents and young adults: An international analysis in 186 low-, middle- and high-income countries from 1990 to 2013.

    Science.gov (United States)

    Viner, Russell M; Hargreaves, Dougal S; Ward, Joseph; Bonell, Chris; Mokdad, Ali H; Patton, George

    2017-12-01

    The health benefits of secondary education have been little studied. We undertook country-level longitudinal analyses of the impact of lengthening secondary education on health outcomes amongst 15-24 year olds. Exposures: average length of secondary and primary education from 1980 to 2013.Data/Outcomes: Country level adolescent fertility rate (AFR), HIV prevalence and mortality rate from 1989/90 to 2013 across 186 low-, middle- and high-income countries.Analysis: Longitudinal mixed effects models, entering secondary and primary education together, adjusted for time varying GDP and country income status. Longitudinal structural marginal models using inverse probability weighting (IPW) to take account of time varying confounding by primary education and GDP. Counterfactual scenarios of no change in secondary education since 1980/1990 were estimated from model coefficients for each outcome. Each additional year of secondary education decreased AFR by 8.4% in mixed effects models and 14.6% in IPW models independent of primary education and GDP. Counterfactual analyses showed the proportion of the reduction in adolescent fertility rate over the study period independently attributable to secondary education was 28% in low income countries. Each additional year of secondary education reduced mortality by 16.9% for 15-19 year and 14.8% for 20-24 year old young women and 11.4% for 15-19 year and 8.8% for 20-24 year old young men. Counterfactual scenarios suggested 12% and 23% of the mortality reduction for 15-19 and 20-24 year old young men was attributable to secondary education in low income countries. Each additional year of secondary education was associated with a 24.5% and 43.1% reduction in HIV prevalence amongst young men and women. The health benefits associated with secondary education were greater than those of primary education and were greatest amongst young women and those from low income countries. Secondary education has the potential to be a social vaccine

  19. The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review

    Directory of Open Access Journals (Sweden)

    Brocklehurst Peter

    2011-02-01

    Full Text Available Abstract Background Infant mortality has shown a steady decline in recent years but a marked socioeconomic gradient persists. Antenatal care is generally thought to be an effective method of improving pregnancy outcomes, but the effectiveness of specific antenatal care programmes as a means of reducing infant mortality in socioeconomically disadvantaged and vulnerable groups of women has not been rigorously evaluated. Methods We conducted a systematic review, focusing on evidence from high income countries, to evaluate the effectiveness of alternative models of organising or delivering antenatal care to disadvantaged and vulnerable groups of women vs. standard antenatal care. We searched Medline, Embase, Cinahl, PsychINFO, HMIC, CENTRAL, DARE, MIDIRS and a number of online resources to identify relevant randomised and observational studies. We assessed effects on infant mortality and its major medical causes (preterm birth, congenital anomalies and sudden infant death syndrome (SIDS Results We identified 36 distinct eligible studies covering a wide range of interventions, including group antenatal care, clinic-based augmented care, teenage clinics, prenatal substance abuse programmes, home visiting programmes, maternal care coordination and nutritional programmes. Fifteen studies had adequate internal validity: of these, only one was considered to demonstrate a beneficial effect on an outcome of interest. Six interventions were considered 'promising'. Conclusions There was insufficient evidence of adequate quality to recommend routine implementation of any of the programmes as a means of reducing infant mortality in disadvantaged/vulnerable women. Several interventions merit further more rigorous evaluation.

  20. Extent of alcohol use and mental health (depressive and post- traumatic stress disorder symptoms in undergraduate university students from 26 low-, middle- and high-income countries

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2015-05-01

    Full Text Available Objective. To estimate if there is a non-linear association between varying levels of alcohol use and poor mental health (depressive and post-traumatic stress disorder (PTSD symptoms in university students from low-, middle- and high-income countries.  Methods. Using anonymous questionnaires, data were collected from 19 238 undergraduate university students (mean age 20.8; standard deviation (SD 2.8 from 27 universities in 26 countries across Asia, Africa and the Americas. Alcohol use was assessed in terms of number of drinks in the past 2 weeks and number of drinks per episode, and measures of depression and PTSD symptoms were administered.  Results. The proportion of students with elevated depression scores was 12.3%, 16.9%, and 11.5% for non-drinkers, moderate drinkers, and heavy drinkers, respectively, while the proportion of students with high PTSD symptoms was 20.6%, 20.4% and 23.1% for non-drinkers, moderate drinkers, and heavy drinkers, respectively. Logistic regression found that non-drinkers and heavy drinkers had a lower odds than moderate drinkers to have severe depression, after adjusting for sociodemographic variables, social support and subjective health status. Further, heavy, more frequent drinkers and more frequent binge drinkers had a higher odds to have elevated PTSD symptoms than moderate and non-drinkers, after adjusting for sociodemographic variables, social support and subjective health status.  Conclusion. The results suggest a reverse U-shaped association between recent alcohol use volume and frequency and depressive symptoms (unlike that previously identified, and a J-shaped association between binge drinking frequency and depressive symptoms and alcohol use and PTSD symptoms.

  1. [Medium- and long-term health effects of the L'Aquila earthquake (Central Italy, 2009) and of other earthquakes in high-income Countries: a systematic review].

    Science.gov (United States)

    Ripoll Gallardo, Alba; Alesina, Marta; Pacelli, Barbara; Serrone, Dario; Iacutone, Giovanni; Faggiano, Fabrizio; Della Corte, Francesco; Allara, Elias

    2016-01-01

    to compare the methodological characteristics of the studies investigating the middle- and long-term health effects of the L'Aquila earthquake with the features of studies conducted after other earthquakes occurred in highincome Countries. a systematic comparison between the studies which evaluated the health effects of the L'Aquila earthquake (Central Italy, 6th April 2009) and those conducted after other earthquakes occurred in comparable settings. Medline, Scopus, and 6 sources of grey literature were systematically searched. Inclusion criteria comprised measurement of health outcomes at least one month after the earthquake, investigation of earthquakes occurred in high-income Countries, and presence of at least one temporal or geographical control group. out of 2,976 titles, 13 studies regarding the L'Aquila earthquake and 51 studies concerning other earthquakes were included. The L'Aquila and the Kobe/Hanshin- Awaji (Japan, 17th January 1995) earthquakes were the most investigated. Studies on the L'Aquila earthquake had a median sample size of 1,240 subjects, a median duration of 24 months, and used most frequently a cross sectional design (7/13). Studies on other earthquakes had a median sample size of 320 subjects, a median duration of 15 months, and used most frequently a time series design (19/51). the L'Aquila studies often focussed on mental health, while the earthquake effects on mortality, cardiovascular outcomes, and health systems were less frequently evaluated. A more intensive use of routine data could benefit future epidemiological surveillance in the aftermath of earthquakes.

  2. Sleep Duration, Sleep Quality, Body Mass Index, and Waist Circumference among Young Adults from 24 Low- and Middle-Income and Two High-Income Countries.

    Science.gov (United States)

    Peltzer, Karl; Pengpid, Supa

    2017-05-26

    Obesity and its comorbidities have emerged as a leading public health concern. The aim of this study was to explore the relationship between body mass index (BMI), waist circumference (WC) and sleep patterns, including duration and disturbances. A cross-sectional questionnaire survey and anthropometric measurements were conducted with undergraduate university students that were randomly recruited in 26 universities in 24 low- and middle-income and two high-income countries. The sample included 18,211 (42.1% male and 57.9% female, mean age 21.0 in male and 20.7 years in female students) undergraduate university students. The overall BMI was a mean of 22.5 kg/m² for men and 22.0 kg/m² for women, and the mean WC was 78.4 cm for men and 73.8 cm for women. More than 39% of the students reported short sleep duration (≤6 h/day) and over 30% reported moderate to extreme sleep problems. In a linear multivariable regression, adjusted for sociodemographic and lifestyle factors, short sleep duration was positively associated with BMI in both men and women, and was positively associated with WC among women but not among men. Sleep quality or problems among men were not associated with BMI, while among women mild sleep problems were inversely associated with BMI, and poor sleep quality or problems were positively associated with WC both among men and women. The study confirmed an association between short sleep duration and increased BMI and, among women, increased WC, and an association between poor sleep quality and increased WC but not BMI. Further, differences in the association between sleep characteristics and BMI and WC were found by region and country income.

  3. Examining health and well-being outcomes associated with mining activity in rural communities of high-income countries: A systematic review.

    Science.gov (United States)

    Mactaggart, Fiona; McDermott, Liane; Tynan, Anna; Gericke, Christian

    2016-08-01

    It is recognised internationally that rural communities often experience greater barriers to accessing services and have poorer health outcomes compared to urban communities. In some settings, health disparities may be further exacerbated by mining activity, which can affect the social, physical and economic environment in which rural communities reside. Direct environmental health impacts are often associated with mining activity and are frequently investigated. However, there is evidence of broader, indirect health and well-being implications emerging in the literature. This systematic review examines these health and well-being outcomes in communities living in proximity to mining in high-income countries, and, in doing so, discusses their possible determinants. Four databases were systematically searched. Articles were selected if adult residents in mining communities were studied and outcomes were related to health or individual or community-level well-being. A narrative synthesis was conducted. Sixteen publications were included. Evidence of increased prevalence of chronic diseases and poor self-reported health status was reported in the mining communities. Relationship breakdown and poor family health, lack of social connectedness and decreased access to health services were also reported. Changes to the physical landscape; risky health behaviours; shift work of partners in the mine industry; social isolation and cyclical nature of 'boom and bust' activity contributed to poorer outcomes in the communities. This review highlights the broader health and well-being outcomes associated with mining activity that should be monitored and addressed in addition to environmental health impacts to support co-existence of mining activities and rural communities. © 2016 National Rural Health Alliance Inc.

  4. 77 FR 4807 - Revised Fee Policy for Acceptance of Foreign Research Reactor Spent Nuclear Fuel From High-Income...

    Science.gov (United States)

    2012-01-31

    ....S. in countries with high-income economies, as identified in the World Bank Development Report. The..., Research, Isotopes, General Atomics (TRIGA) from high-income economy countries. The first phase will take... acceptance of FRR SNF and that the policy could be changed as necessary to reflect changes in cost or new...

  5. Blood donation barriers and facilitators of Sub-Saharan African migrants and minorities in Western high-income countries: a systematic review of the literature

    NARCIS (Netherlands)

    Klinkenberg, E. F.; Huis In 't Veld, E. M. J.; de Wit, P. D.; van Dongen, A.; Daams, J. G.; de Kort, W. L. A. M.; Fransen, M. P.

    2018-01-01

    The present study aimed to gain more insight into, and summarise, blood donation determinants among migrants or minorities of Sub-Saharan heritage by systematically reviewing the current literature. Sub-Saharan Africans are under-represented in the blood donor population in Western high-income

  6. Household preferences for reducing greenhouse gas emissions in four European high-income countries: Does health information matter? A mixed-methods study protocol

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    Alina Herrmann

    2017-08-01

    Full Text Available Abstract Background It is now universally acknowledged that climate change constitutes a major threat to human health. At the same time, some of the measures to reduce greenhouse gas emissions, so-called climate change mitigation measures, have significant health co-benefits (e.g., walking or cycling more; eating less meat. The goal of limiting global warming to 1,5° Celsius set by the Conference of the Parties to the United Nations Framework Convention on Climate Change in Paris in 2015 can only be reached if all stakeholders, including households, take actions to mitigate climate change. Results on whether framing mitigation measures in terms of their health co-benefits increases the likelihood of their implementation are inconsistent. The present study protocol describes the transdisciplinary project HOPE (HOuseholds’ Preferences for reducing greenhouse gas emissions in four European high-income countries that investigates the role of health co-benefits in households’ decision making on climate change mitigation measures in urban households in France, Germany, Norway and Sweden. Methods HOPE employs a mixed-methods approach combining status-quo carbon footprint assessments, simulations of the reduction of households’ carbon footprints, and qualitative in-depth interviews with a subgroup of households. Furthermore, a policy analysis of current household oriented climate policies is conducted. In the simulation of the reduction of households’ carbon footprints, half of the households are provided with information on health co-benefits of climate change mitigation measures, the other half is not. Households’ willingness to implement the measures is assessed and compared in between-group analyses of variance. Discussion This is one of the first comprehensive mixed-methods approaches to investigate which mitigation measures households are most willing to implement in order to reach the 1,5° target set by the Paris Agreement, and

  7. Household preferences for reducing greenhouse gas emissions in four European high-income countries: Does health information matter? A mixed-methods study protocol.

    Science.gov (United States)

    Herrmann, Alina; Fischer, Helen; Amelung, Dorothee; Litvine, Dorian; Aall, Carlo; Andersson, Camilla; Baltruszewicz, Marta; Barbier, Carine; Bruyère, Sébastien; Bénévise, Françoise; Dubois, Ghislain; Louis, Valérie R; Nilsson, Maria; Richardsen Moberg, Karen; Sköld, Bore; Sauerborn, Rainer

    2017-08-01

    It is now universally acknowledged that climate change constitutes a major threat to human health. At the same time, some of the measures to reduce greenhouse gas emissions, so-called climate change mitigation measures, have significant health co-benefits (e.g., walking or cycling more; eating less meat). The goal of limiting global warming to 1,5° Celsius set by the Conference of the Parties to the United Nations Framework Convention on Climate Change in Paris in 2015 can only be reached if all stakeholders, including households, take actions to mitigate climate change. Results on whether framing mitigation measures in terms of their health co-benefits increases the likelihood of their implementation are inconsistent. The present study protocol describes the transdisciplinary project HOPE (HOuseholds' Preferences for reducing greenhouse gas emissions in four European high-income countries) that investigates the role of health co-benefits in households' decision making on climate change mitigation measures in urban households in France, Germany, Norway and Sweden. HOPE employs a mixed-methods approach combining status-quo carbon footprint assessments, simulations of the reduction of households' carbon footprints, and qualitative in-depth interviews with a subgroup of households. Furthermore, a policy analysis of current household oriented climate policies is conducted. In the simulation of the reduction of households' carbon footprints, half of the households are provided with information on health co-benefits of climate change mitigation measures, the other half is not. Households' willingness to implement the measures is assessed and compared in between-group analyses of variance. This is one of the first comprehensive mixed-methods approaches to investigate which mitigation measures households are most willing to implement in order to reach the 1,5° target set by the Paris Agreement, and whether health co-benefits can serve as a motivator for households to

  8. Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis.

    Science.gov (United States)

    Aldridge, Robert W; Story, Alistair; Hwang, Stephen W; Nordentoft, Merete; Luchenski, Serena A; Hartwell, Greg; Tweed, Emily J; Lewer, Dan; Vittal Katikireddi, Srinivasa; Hayward, Andrew C

    2017-11-10

    Inclusion health focuses on people in extremely poor health due to poverty, marginalisation, and multimorbidity. We aimed to review morbidity and mortality data on four overlapping populations who experience considerable social exclusion: homeless populations, individuals with substance use disorders, sex workers, and imprisoned individuals. For this systematic review and meta-analysis, we searched MEDLINE, Embase, and the Cochrane Library for studies published between Jan 1, 2005, and Oct 1, 2015. We included only systematic reviews, meta-analyses, interventional studies, and observational studies that had morbidity and mortality outcomes, were published in English, from high-income countries, and were done in populations with a history of homelessness, imprisonment, sex work, or substance use disorder (excluding cannabis and alcohol use). Studies with only perinatal outcomes and studies of individuals with a specific health condition or those recruited from intensive care or high dependency hospital units were excluded. We screened studies using systematic review software and extracted data from published reports. Primary outcomes were measures of morbidity (prevalence or incidence) and mortality (standardised mortality ratios [SMRs] and mortality rates). Summary estimates were calculated using a random effects model. Our search identified 7946 articles, of which 337 studies were included for analysis. All-cause standardised mortality ratios were significantly increased in 91 (99%) of 92 extracted datapoints and were 11·86 (95% CI 10·42-13·30; I 2 =94·1%) in female individuals and 7·88 (7·03-8·74; I 2 =99·1%) in men. Summary SMR estimates for the International Classification of Diseases disease categories with two or more included datapoints were highest for deaths due to injury, poisoning, and other external causes, in both men (7·89; 95% CI 6·40-9·37; I 2 =98·1%) and women (18·72; 13·73-23·71; I 2 =91·5%). Disease prevalence was consistently

  9. Can evidence-based health policy from high-income countries be applied to lower-income countries: considering barriers and facilitators to an organ donor registry in Mumbai, India.

    Science.gov (United States)

    Vania, Diana K; Randall, Glen E

    2016-01-13

    Organ transplantation has become an effective means to extend lives; however, a major obstacle is the lack of availability of cadaveric organs. India has one of the lowest cadaver organ donation rates in the world. If India could increase the donor rate, the demand for many organs could be met. Evidence from high-income countries suggests that an organ donor registry can be a valuable tool for increasing donor rates. The purpose of this study is to determine whether the implementation of an organ donor registry is a feasible and appropriate policy option to enhance cadaver organ donation rates in a lower-income country. This qualitative policy analysis employs semi-structured interviews with physicians, transplant coordinators, and representatives of organ donation advocacy groups in Mumbai. Interviews were designed to better understand current organ donation procedures and explore key informants' perceptions about Indian government health priorities and the likelihood of an organ donor registry in Mumbai. The 3-i framework (ideas, interests, and institutions) is used to examine how government decisions surrounding organ donation policies are shaped. Findings indicate that organ donation in India is a complex issue due to low public awareness, misperceptions of religious doctrines, the need for family consent, and a nation-wide focus on disease control. Key informants cite social, political, and infrastructural barriers to the implementation of an organ donor registry, including widely held myths about organ donation, competing health priorities, and limited hospital infrastructure. At present, both the central government and Maharashtra state government struggle to balance international pressures to improve overall population health with the desire to also enhance individual health. Implementing an organ donor registry in Mumbai is not a feasible or appropriate policy option in India's current political and social environment, as the barriers, identified through

  10. The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: a cross-sectional study

    Science.gov (United States)

    Moneta, Maria Victoria; Garin, Noe; Olaya, Beatriz; Ayuso-Mateos, Jose Luis; Chatterji, Somnath; Leonardi, Matilde; Sainio, Päivi; Galas, Aleksander; Haro, Josep Maria

    2015-01-01

    Objective The association between obesity and disability may differ between high-income and low-income/middle-income countries but there are no studies comparing this association between these settings. The aim of the study was to assess this association in nine countries using nationally-representative data from the Collaborative Research on Ageing in Europe (COURAGE) study and the WHO's Study on global AGEing and Adult Health (SAGE). Design Population-based cross-sectional study Setting The survey was conducted in China, Finland, Ghana, India, Mexico, Poland, Russia, South Africa and Spain between 2007 and 2012. Participants 42 116 individuals 50 years and older. The institutionalised and those with limited cognition were excluded. Primary outcome measure Disability was defined as severe or extreme difficulty in conducting at least one of six types of basic activities of daily living (ADL). Results The mean body mass index (BMI) ranged from 20.4 kg/m2 in India to 30.7 kg/m2 in South Africa. Compared to normal BMI (18.5–24.9 kg/m2), BMI≥35 kg/m2 was associated with significantly higher odds for ADL disability in Finland (OR 4.64), Poland (OR 2.77), South Africa (OR 2.19) and Spain (OR 2.42). Interaction analysis showed that obese individuals in high-income countries were more likely to have ADL limitations than those in low-income or middle-income countries. Conclusions The higher odds for disability among obese individuals in high-income countries may imply longer life lived with disability due to factors such as the decline in cardiovascular disease mortality. In South Africa, this may have been due to the exceptionally high prevalence of class III obesity. These findings underscore the importance of obesity prevention to reduce the disability burden among older adults. PMID:25838510

  11. Who Lives Where and Does It Matter? Changes in the Health Profiles of Older People Living in Long Term Care and the Community over Two Decades in a High Income Country.

    Science.gov (United States)

    Matthews, Fiona E; Bennett, Holly; Wittenberg, Raphael; Jagger, Carol; Dening, Tom; Brayne, Carol

    2016-01-01

    There have been fundamental shifts in the attitude towards, access to and nature of long term care in high income countries. The proportion and profile of the older population living in such settings varies according to social, cultural, and economic characteristics as well as governmental policies. Changes in the profiles of people in different settings are important for policy makers and care providers. Although details will differ, how change occurs across time is important to all, including lower and middle income countries developing policies themselves. Here change is examined across two decades in England. Using the two Cognitive Function and Ageing Studies (CFAS I: 77% response, CFAS II: 56% response), two population based studies of older people carried out in the same areas conducted two decades apart, the study diagnosis of dementia using the Automated Geriatric Examination for Computer Assisted Taxonomy, health and wellbeing were examined, focusing on long term care. The proportion of individuals with three or more health conditions increased for everyone living in long term care between CFAS I (47.6%, 95% CI: 42.3-53.1) and CFAS II (62.7%, 95% CI: 54.8-70.0) and was consistently higher in those without dementia compared to those with dementia in both studies. Functional impairment measured by activities of daily living increased in assisted living facilities from 48% (95% CI: 44%-52%) to 67% (95% CI: 62%-71%). Health profiles of residents in long term care have changed dramatically over time. Dementia prevalence and reporting multiple health conditions have increased. Receiving care in the community puts pressure on unpaid carers and formal services; these results have implications for policies about supporting people at home as well as for service provision within long term care including quality of care, health management, cost, and the development of a skilled, caring, and informed workforce.

  12. Who Lives Where and Does It Matter? Changes in the Health Profiles of Older People Living in Long Term Care and the Community over Two Decades in a High Income Country.

    Directory of Open Access Journals (Sweden)

    Fiona E Matthews

    Full Text Available There have been fundamental shifts in the attitude towards, access to and nature of long term care in high income countries. The proportion and profile of the older population living in such settings varies according to social, cultural, and economic characteristics as well as governmental policies. Changes in the profiles of people in different settings are important for policy makers and care providers. Although details will differ, how change occurs across time is important to all, including lower and middle income countries developing policies themselves. Here change is examined across two decades in England.Using the two Cognitive Function and Ageing Studies (CFAS I: 77% response, CFAS II: 56% response, two population based studies of older people carried out in the same areas conducted two decades apart, the study diagnosis of dementia using the Automated Geriatric Examination for Computer Assisted Taxonomy, health and wellbeing were examined, focusing on long term care. The proportion of individuals with three or more health conditions increased for everyone living in long term care between CFAS I (47.6%, 95% CI: 42.3-53.1 and CFAS II (62.7%, 95% CI: 54.8-70.0 and was consistently higher in those without dementia compared to those with dementia in both studies. Functional impairment measured by activities of daily living increased in assisted living facilities from 48% (95% CI: 44%-52% to 67% (95% CI: 62%-71%.Health profiles of residents in long term care have changed dramatically over time. Dementia prevalence and reporting multiple health conditions have increased. Receiving care in the community puts pressure on unpaid carers and formal services; these results have implications for policies about supporting people at home as well as for service provision within long term care including quality of care, health management, cost, and the development of a skilled, caring, and informed workforce.

  13. Economic downturns, universal health coverage, and cancer mortality in high-income and middle-income countries, 1990-2010: a longitudinal analysis.

    Science.gov (United States)

    Maruthappu, Mahiben; Watkins, Johnathan; Noor, Aisyah Mohd; Williams, Callum; Ali, Raghib; Sullivan, Richard; Zeltner, Thomas; Atun, Rifat

    2016-08-13

    40,000 excess deaths due to a subset of treatable cancers from 2008 to 2010, on the basis of 2000-07 trends. Most of these deaths were in non-UHC countries. Unemployment increases are associated with rises in cancer mortality; UHC seems to protect against this effect. PEH increases are associated with reduced cancer mortality. Access to health care could underlie these associations. We estimate that the 2008-10 economic crisis was associated with about 260,000 excess cancer-related deaths in the Organisation for Economic Co-operation and Development alone. None. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Telemedicine for Developing Countries

    Science.gov (United States)

    Combi, Carlo; Pozzani, Gabriele

    2016-01-01

    Summary Background Developing countries need telemedicine applications that help in many situations, when physicians are a small number with respect to the population, when specialized physicians are not available, when patients and physicians in rural villages need assistance in the delivery of health care. Moreover, the requirements of telemedicine applications for developing countries are somewhat more demanding than for developed countries. Indeed, further social, organizational, and technical aspects need to be considered for successful telemedicine applications in developing countries. Objective We consider all the major projects in telemedicine, devoted to developing countries, as described by the proper scientific literature. On the basis of such literature, we want to define a specific taxonomy that allows a proper classification and a fast overview of telemedicine projects in developing countries. Moreover, by considering both the literature and some recent direct experiences, we want to complete such overview by discussing some design issues to be taken into consideration when developing telemedicine software systems. Methods We considered and reviewed the major conferences and journals in depth, and looked for reports on the telemedicine projects. Results We provide the reader with a survey of the main projects and systems, from which we derived a taxonomy of features of telemedicine systems for developing countries. We also propose and discuss some classification criteria for design issues, based on the lessons learned in this research area. Conclusions We highlight some challenges and recommendations to be considered when designing a telemedicine system for developing countries. PMID:27803948

  15. Use of non-steroidal anti-inflammatory drugs that elevate cardiovascular risk: an examination of sales and essential medicines lists in low-, middle-, and high-income countries.

    Directory of Open Access Journals (Sweden)

    Patricia McGettigan

    Full Text Available BACKGROUND: Certain non-steroidal anti-inflammatory drugs (NSAIDs (e.g., rofecoxib [Vioxx] increase the risk of heart attack and stroke and should be avoided in patients at high risk of cardiovascular events. Rates of cardiovascular disease are high and rising in many low- and middle-income countries. We studied the extent to which evidence on cardiovascular risk with NSAIDs has translated into guidance and sales in 15 countries. METHODS AND FINDINGS: Data on the relative risk (RR of cardiovascular events with individual NSAIDs were derived from meta-analyses of randomised trials and controlled observational studies. Listing of individual NSAIDs on Essential Medicines Lists (EMLs was obtained from the World Health Organization. NSAID sales or prescription data for 15 low-, middle-, and high-income countries were obtained from Intercontinental Medical Statistics Health (IMS Health or national prescription pricing audit (in the case of England and Canada. Three drugs (rofecoxib, diclofenac, etoricoxib ranked consistently highest in terms of cardiovascular risk compared with nonuse. Naproxen was associated with a low risk. Diclofenac was listed on 74 national EMLs, naproxen on just 27. Rofecoxib use was not documented in any country. Diclofenac and etoricoxib accounted for one-third of total NSAID usage across the 15 countries (median 33.2%, range 14.7-58.7%. This proportion did not vary between low- and high-income countries. Diclofenac was by far the most commonly used NSAID, with a market share close to that of the next three most popular drugs combined. Naproxen had an average market share of less than 10%. CONCLUSIONS: Listing of NSAIDs on national EMLs should take account of cardiovascular risk, with preference given to low risk drugs. Diclofenac has a risk very similar to rofecoxib, which was withdrawn from worldwide markets owing to cardiovascular toxicity. Diclofenac should be removed from EMLs.

  16. A Review of Environmental Contamination and Health Risk Assessment of Wastewater Use for Crop Irrigation with a Focus on Low and High-Income Countries.

    Science.gov (United States)

    Khalid, Sana; Shahid, Muhammad; Bibi, Irshad; Sarwar, Tania; Shah, Ali Haidar; Niazi, Nabeel Khan

    2018-05-01

    Population densities and freshwater resources are not evenly distributed worldwide. This has forced farmers to use wastewater for the irrigation of food crops. This practice presents both positive and negative effects with respect to agricultural use, as well as in the context of environmental contamination and toxicology. Although wastewater is an important source of essential nutrients for plants, many environmental, sanitary, and health risks are also associated with the use of wastewater for crop irrigation due to the presence of toxic contaminants and microbes. This review highlights the harmful and beneficial impacts of wastewater irrigation on the physical, biological, and chemical properties of soil (pH, cations and anions, organic matter, microbial activity). We delineate the potentially toxic element (PTEs) build up in the soil and, as such, their transfer into plants and humans. The possible human health risks associated with the use of untreated wastewater for crop irrigation are also predicted and discussed. We compare the current condition of wastewater reuse in agriculture and the associated environmental and health issues between developing and developed countries. In addition, some integrated sustainable solutions and future perspectives are also proposed, keeping in view the regional and global context, as well as the grounded reality of wastewater use for crop production, sanitary and planning issues, remedial techniques, awareness among civil society, and the role of the government and the relevant stakeholders.

  17. Investment in Developing Countries

    Science.gov (United States)

    Motooka, Takeshi

    1973-01-01

    The fundamental problems of investment in rural education in the present developing countries are analyzed. Needs of rural education are outlined and financial considerations related to investment in the improvement of rural educational programs are discussed. (SM)

  18. Why Electricity Demand Is Highly Income-Elastic in Spain: A Cross-Country Comparison Based on an Index-Decomposition Analysis

    Directory of Open Access Journals (Sweden)

    Julián Pérez-García

    2017-03-01

    Full Text Available Since 1990, Spain has had one of the highest elasticities of electricity demand in the European Union. We provide an in-depth analysis into the causes of this high elasticity, and we examine how these same causes influence electricity demand in other European countries. To this end, we present an index-decomposition analysis of growth in electricity demand which allows us to identify three key factors in the relationship between gross domestic product (GDP and electricity demand: (i structural change; (ii GDP growth; and (iii intensity of electricity use. Our findings show that the main differences in electricity demand elasticities across countries and time are accounted for by the fast convergence in residential per capita electricity consumption. This convergence has almost concluded, and we expect the Spanish energy demand elasticity to converge to European standards in the near future.

  19. Prevention and Treatment of Smoking and Tobacco Use During Pregnancy in Selected Indigenous Communities in High-Income Countries of the United States, Canada, Australia, and New Zealand: An Evidence-Based Review.

    Science.gov (United States)

    Gould, Gillian S; Lim, Ling Li; Mattes, Joerg

    2017-10-01

    Tobacco smoking during pregnancy is the most important modifiable risk factor for adverse pregnancy outcomes and long-term health complications for mother and baby. Tobacco use during pregnancy has decreased in high-income countries but not in Indigenous women in Australia, New Zealand, the United States, and Canada. This evidence-based review focuses on tobacco use among Indigenous pregnant women in high-income countries that share a history of European colonization. Indigenous women are more likely to use tobacco because of socioeconomic disadvantage, social norms, and poor access to culturally appropriate tobacco cessation support. Complications arising from tobacco smoking during pregnancy, such as low birth weight, prematurity, perinatal death, and sudden infant death syndrome, are much higher in Indigenous populations. Effective approaches to cessation in pregnant nonindigenous women involves behavioral counseling, with or without nicotine replacement therapy (NRT). Higher nicotine metabolism during pregnancy and poor adherence may affect therapeutic levels of NRT. Only two randomized trials were conducted among Indigenous women: neither found a statistically significant difference in cessation rates between the treatment and comparison arms. Considerations should be given to (1) whole life course approaches to reduce tobacco use in Indigenous women, (2) prohibiting tobacco promotion and reducing access to alcohol for minors to prevent smoking initiation in Indigenous youth, and (3) training health-care professionals in culturally appropriate smoking cessation care to improve access to services. It is critical to ensure acceptability and feasibility of study designs, consult with the relevant Indigenous communities, and preempt implementation challenges. Research is needed into the effect of reducing or stopping smoking during pregnancy when using NRT on subsequent maternal and infant outcomes. Copyright © 2017 The Authors. Published by Elsevier Inc. All

  20. State budget transfers to Health Insurance Funds for universal health coverage: institutional design patterns and challenges of covering those outside the formal sector in Eastern European high-income countries.

    Science.gov (United States)

    Vilcu, Ileana; Mathauer, Inke

    2016-01-15

    Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a "traditional" approach. The Eastern European high-income countries studied in this paper managed to avoid this potential pitfall by using state budget revenues to explicitly pay health insurance contributions on behalf of certain (vulnerable) population groups who have difficulties to pay these contributions themselves. The institutional design aspects of their government revenue transfer arrangements are analysed, as well as their impact on universal health coverage progress. This regional study is based on literature review and review of databases for the performance assessment. The analytical framework focuses on the following institutional design features: rules on eligibility for contribution exemption, financing and pooling arrangements, and purchasing arrangements and benefit package design. More commonalities than differences can be identified across countries: a broad range of groups eligible for exemption from payment of health insurance contributions, full state contributions on behalf of the exempted groups, mostly mandatory participation, integrated pools for both the exempted and contributors, and relatively comprehensive benefit packages. In terms of performance, all countries have high total population coverage rates, but there are still challenges regarding financial protection and access to and utilization of health care services, especially for low income people. Overall, government revenue transfer arrangements to exempt vulnerable groups from contributions are one option to progress towards universal health coverage.

  1. Radiotherapy in developing countries

    International Nuclear Information System (INIS)

    1987-01-01

    The Symposium presentations are divided into 6 chapters devoted to the following topics: radiation therapy for carcinoma of the cervix (6 papers), different approaches in radiation therapy (15 papers), hyperthermia (7 papers), chemical modifiers (7 papers), dosimetry and technology (5 papers), organization of radiation therapy in developing countries (5 papers). A separate abstract was prepared for each of these papers

  2. Problems facing developing countries

    International Nuclear Information System (INIS)

    Anon.

    1986-01-01

    Financing, above all political and technical considerations, remains the major obstacle faced by developing countries who wish to embark on a nuclear power programme. According to the IAEA, the support of the official lending agencies of the suppliers is essential. (author)

  3. Developed-developing country partnerships: Benefits to developed countries?

    Directory of Open Access Journals (Sweden)

    Syed Shamsuzzoha B

    2012-06-01

    Full Text Available Abstract Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed—this is perhaps the single most immediate need in planning for, and realizing, the full potential of international

  4. Developed-developing country partnerships: benefits to developed countries?

    Science.gov (United States)

    Syed, Shamsuzzoha B; Dadwal, Viva; Rutter, Paul; Storr, Julie; Hightower, Joyce D; Gooden, Rachel; Carlet, Jean; Bagheri Nejad, Sepideh; Kelley, Edward T; Donaldson, Liam; Pittet, Didier

    2012-06-18

    Developing countries can generate effective solutions for today's global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed--this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and

  5. Community gardening, community farming and other local community-based gardening interventions to prevent overweight and obesity in high-income and middle-income countries: protocol for a systematic review.

    Science.gov (United States)

    Heise, Thomas L; Romppel, Matthias; Molnar, Sandra; Buchberger, Barbara; Berg, Agnes van den; Gartlehner, Gerald; Lhachimi, Stefan K

    2017-06-15

    The worldwide prevalence of overweight/obesity has continued to rise over the last decades. To reverse this trend, public health authorities are exploring cost-effective interventions, especially in high-income and middle-income countries. Community gardening offers a unique opportunity for individuals to enhance physical activity levels and improve their diet. However, synthesised evidence on the short-term or long-term effectiveness and on the costs of community gardening interventions to prevent overweight/obesity remains limited. Therefore, this review will investigate: (1) the effectiveness of voluntary participation in community gardening compared with no or a control intervention on overweight/obesity and associated health outcomes, (2) effects on different subgroups of populations and (3) the costs of community gardening interventions. We will conduct a systematic review, limited to evaluations of community gardening interventions with controlled quantitative and interrupted time series designs. To identify relevant articles, we will systematically search 12 academic and 5 grey literature databases, as well as 2 trial registers and 6 websites. Articles will then be assessed for eligibility based on a predefined set of criteria. At least two independent reviewers will assess each article for relevance, before evaluating the methodological quality and potential bias of the studies. Data relevant to the objectives of this review will be extracted and cross-validated. Any disagreements will be mediated by a third reviewer. If feasible, meta-analyses of primary outcomes (overweight/obesity, physical activity, food intake, energy intake) will be conducted. We will use the Grading of Recommendations Assessment, Development and Evaluation method to assess the overall quality of evidence. For this review, no ethical approval is required as we will only extract and analyse secondary data. We aim to submit the final review manuscript to an open access journal for

  6. Skilled migration and health outcomes in developing countries.

    Science.gov (United States)

    Uprety, Dambar

    2018-04-30

    Many studies have found that health outcomes decline when health professionals leave the country, but do such results remain consistent in gender- and income-disaggregated skilled migration? To help uncover explanations for such a pro-migration nature of health outcomes, the present study revisits this topic but allows for associations of skilled migration with mortality and life expectancy to differ between male and female, and between low- and high-income countries. Using a panel of 133 developing countries as source and 20 OECD countries as destination from 1980 to 2010 allowing the coefficient on emigration across different education levels to differ, the study finds the negative effect of high-skilled emigration on health outcomes. Such effect is more pronounced for high-skilled female migration than those for male and for low-income countries than for middle-and high-income countries. Results also show that such adverse effect is larger for African countries than non-African ones. However, the low-skilled migration appears to be insignificant to affect health outcomes in developing countries. Thus, skilled migration is detrimental to longevity in developing countries but unskilled migration is not.

  7. Cyclotrons in developing countries

    International Nuclear Information System (INIS)

    Vera Ruiz, Hernan

    2004-01-01

    Cyclotron accelerators are prolific sources of charged particle for the production of radionuclides and have become an essential tool in the practice of modern nuclear medicine by providing reliable radiotracers for SPECT and PET studies. In a recent survey conducted by the IAEA in 2001, the growth in the number of cyclotron facilities installed in laboratories and hospitals in developed as well as developing countries was recorded. This trend, which started in the late 70's, continues in the present time also and all indications are that it will continue in the next five to ten years. The reasons for this growth are several: technology involved has become more user or 'hospital friendly', third party reimbursement for several clinical studies based on F-18 PET radiopharmaceuticals at least in some of the advanced countries started in 1998 and above all, the clear irrefutable and demonstrable conclusion of the positive cost/benefit outcomes of PET studies in the field of oncology to a lesser degree, thus far, for cardiology and neurology. It is however recognizable that the overall financial cost of the technology, which comprises the premises to house the facility, the cyclotron accelerator, the corresponding radiochemistry and quality control equipment and the PET cameras can be nevertheless an expensive proposition that requires careful advance planning. This fact is even more relevant when the facility is planned for installation in a developing country, which, frequently, in addition to having a lack of sufficient financial resources, do have shortage of qualified human resources to efficiently run the facility. In spite of the above, it is fact that more and more public as well as private organizations in the developing countries are setting up cyclotron/PET programmes or are seriously considering the installation of such a facility

  8. DEVELOPING COUNTRIES. TRANSITION ECONOMIES

    Directory of Open Access Journals (Sweden)

    Dumitru FILIPEANU

    2016-05-01

    Full Text Available According to the modern theories of economic development – the take-off, backwardness, convergence and balanced growth hypothesis - the new industrialized states from Asia seem to have noticed the advantages of backwardness from which low income countries benefited, namely the possibility to take advantage of the latest technological discoveries of advanced countries, thus achieving a faster growth than the latter which operated closer to the technological border. The assimilation of appropriate technologies, however, required the efficient mobilization and allocation of resources and the improvement of human and physical capital. While the Western countries were confronted with crises generated by inflationary shocks and movements of speculative capital, the relative isolation of countries whose economy was planned by the world economy sheltered them until 1990, unemployment being practically non-existent. Asia's exceptional economic success is not only due to borrowing Western practices, but also to the fact that Asian societies maintained certain traditional features of their own culture - such as a strong work ethic - and integrated them in the modern business environment.

  9. Fluctuations, Uncertainty and Income Inequality in Developing Countries

    OpenAIRE

    Fadi Fawaz; Masha Rahnamamoghadam; Victor Valcarcel

    2012-01-01

    We analyze income inequality and high frequency movements in economic activity for low and high income developing countries (LIDC and HIDC). The impact of human capital, capital formation, and economic uncertainty on income inequality for LIDC and HIDC are also evaluated. We find strong evidence that business cycle fluctuations serve to exacerbate income inequality in HIDC while they help narrow the gap in LIDC. Importantly, volatility in output widens inequality across the board but to a con...

  10. Is the UN Convention on the Rights of Persons with Disabilities Impacting Mental Health Laws and Policies in High-Income Countries? A Case Study of Implementation in Canada.

    Science.gov (United States)

    Hoffman, Steven J; Sritharan, Lathika; Tejpar, Ali

    2016-11-11

    Persons with psychosocial disabilities face disparate access to healthcare and social services worldwide, along with systemic discrimination, structural inequalities, and widespread human rights abuses. Accordingly, many people have looked to international human rights law to help address mental health challenges. On December 13, 2006, the United Nations formally adopted the Convention on the Rights of Persons with Disabilities (CRPD) - the first human rights treaty of the 21st century and the fastest ever negotiated. This study assesses the CRPD's potential impact on mental health systems and presents a legal and public policy analysis of its implementation in one high-income country: Canada. As part of this analysis, a critical review was undertaken of the CRPD's implementation in Canadian legislation, public policy, and jurisprudence related to mental health. While the Convention is clearly an important step forward, there remains a divide, even in Canada, between the Convention's goals and the experiences of Canadians with disabilities. Its implementation is perhaps hindered most by Canada's reservations to Article 12 of the CRPD on legal capacity for persons with psychosocial disabilities. The overseeing CRPD Committee has stated that Article 12 only permits "supported decision-making" regimes, yet most Canadian jurisdictions maintain their "substitute decision-making" regimes. This means that many Canadians with mental health challenges continue to be denied legal capacity to make decisions related to their healthcare, housing, and finances. But changes are afoot: new legislation has been introduced in different jurisdictions across the country, and recent court decisions have started to push policymakers in this direction. Despite the lack of explicit implementation, the CRPD has helped to facilitate a larger shift in social and cultural paradigms of mental health and disability in Canada. But ratification and passive implementation are not enough. Further

  11. Long-term trends in mortality and AIDS-defining events after combination ART initiation among children and adolescents with perinatal HIV infection in 17 middle- and high-income countries in Europe and Thailand: A cohort study.

    Directory of Open Access Journals (Sweden)

    Ali Judd

    2018-01-01

    Full Text Available Published estimates of mortality and progression to AIDS as children with HIV approach adulthood are limited. We describe rates and risk factors for death and AIDS-defining events in children and adolescents after initiation of combination antiretroviral therapy (cART in 17 middle- and high-income countries, including some in Western and Central Europe (W&CE, Eastern Europe (Russia and Ukraine, and Thailand.Children with perinatal HIV aged 6 months of cART death and progression to AIDS were assessed. Of 3,526 children included, 32% were from the United Kingdom or Ireland, 30% from elsewhere in W&CE, 18% from Russia or Ukraine, and 20% from Thailand. At cART initiation, median age was 5.2 (IQR 1.4-9.3 years; 35% of children aged 400 c/mL predicted late death. Predictors of early and late progression to AIDS were similar. Study limitations include incomplete recording of US Centers for Disease Control (CDC disease stage B events and serious adverse events in some countries; events that were distributed over a long time period, and that we lacked power to analyse trends in patterns and causes of death over time.In our study, 3,526 children and adolescents with perinatal HIV infection initiated antiretroviral therapy (ART in countries in Europe and Thailand. We observed that over 40% of deaths occurred ≤6 months after cART initiation. Greater early mortality risk in infants, as compared to older children, and in Russia, Ukraine, or Thailand as compared to W&CE, raises concern. Current severe immune suppression, being underweight, and unsuppressed viral load were associated with a higher risk of death at >6 months after initiation of cART.

  12. The AEC and developing countries

    International Nuclear Information System (INIS)

    Ouvrieu, J.B.

    1983-01-01

    A historical background shows how AEC's activities have changed and consequently, the development of the AEC's relations with developing countries. Some examples serve to illustrate the different types of AEC cooperation with developing countries [fr

  13. Glaucoma in developing countries

    Directory of Open Access Journals (Sweden)

    Ravi Thomas

    2012-01-01

    Full Text Available Objective: To describe the background and strategy required for the prevention of blindness from glaucoma in developing countries. Materials and Methods: Extrapolation of existing data and experience in eye care delivery and teaching models in an unequally developed country (India are used to make recommendations. Results: Parameters like population attributable risk percentage indicate that glaucoma is a public health problem but lack of simple diagnostic techniques and therapeutic interventions are barriers to any effective plan. Case detection rather than population-based screening is the recommended strategy for detection. Population awareness of the disease is low and most patients attending eye clinics do not receive a routine comprehensive eye examination that is required to detect glaucoma (and other potentially blinding eye diseases. Such a routine is not taught or practiced by the majority of training institutions either. Angle closure can be detected clinically and relatively simple interventions (including well performed cataract surgery can prevent blindness from this condition. The strategy for open angle glaucoma should focus on those with established functional loss. Outcomes of this proposed strategy are not yet available. Conclusions: Glaucoma cannot be managed in isolation. The objective should be to detect and manage all potential causes of blindness and prevention of blindness from glaucoma should be integrated into existing programs. The original pyramidal model of eye care delivery incorporates this principle and provides an initial starting point. The routine of comprehensive eye examination in every clinic and its teaching (and use in residency programs is mandatory for the detection and management of potentially preventable blinding pathology from any cause, including glaucoma. Programs for detection of glaucoma should not be initiated unless adequate facilities for diagnosis and surgical intervention are in place and

  14. Uranium exploration in developing countries

    International Nuclear Information System (INIS)

    Premoli, C.

    1982-01-01

    The advantages to the developing countries of exploiting their uranium deposits in the next two decades to aid their own economic growth are considered. It is pointed out that in spite of the little known geology of these countries less sophisticated surveying methods have turned up large uranium deposits even in developed countries. Carborne surveys with simple crystal-detectors coupled to scintillators can be effective. Intelligent exploration in developing countries can be cheap due to low labour costs and less stringent environmental restraints and the uranium found could be sold to developed countries for their nuclear power programme. (U.K.)

  15. in a Developing Country

    African Journals Online (AJOL)

    GB

    This could have contributed to the refusal for readmission. In conclusion, identification and management of mucopolysaccharidosis type II in affected patients pose a problem in resource-constrained countries due to late identification and presentation, lack of facilities for diagnosis and treatment, as well as the cost and the.

  16. Cognitive Training for Schizophrenia in Developing Countries: A Pilot Trial in Brazil

    OpenAIRE

    Pontes, Livia M. M.; Martins, Camila B.; Napolitano, Isabel C.; Fonseca, Juliana R.; Oliveira, Graça M. R.; Iso, Sandra M. K.; Menezes, Anny K. P. M.; Vizzotto, Adriana D. B.; di Sarno, Elaine S.; Elkis, Hélio

    2013-01-01

    Cognitive deficits in schizophrenia can massively impact functionality and quality of life, furthering the importance of cognitive training. Despite the development of the field in Europe and in the United States, no programmes have been developed and tested in developing countries. Different cultural backgrounds, budget restrictions, and other difficulties may render treatment packages created in high income countries difficult for adoption by developing nations. We performed a pilot double-...

  17. Literacy Campaigns in Developing Countries.

    Science.gov (United States)

    Odunuga, Segun

    1984-01-01

    Discusses the problem of eradicating illiteracy in developing countries, where the illiteracy rate may average about 70 percent. Looks at the Arab countries, Latin America, Africa, and India and the factors that thwart attempts to increase literacy in those countries. These include religious habits and the problem of language in multilingual…

  18. Nuclear energy for developing countries

    International Nuclear Information System (INIS)

    Kemery, L.S.

    1980-01-01

    This paper examines the circumstances which must prevail before a reasonable technical, administrative and sociological case can be made to justify the introduction of nuclear power technology to a developing country. The role played by the IAEA in responding to needs of developing countries is considered and problems of nuclear plant safety and materials safeguards discussed. Plans for nuclear power in several developing countries are outlined

  19. Drug discovery and developments in developing countries ...

    African Journals Online (AJOL)

    the major burden being in developing countries. Many of ... The driving force for drug discovery and development by pharmaceutical firms ... world and particularly in the third world countries ..... GFHR (2000) Global Forum for Health Research:.

  20. Country branding: an imperative for developing countries | Akotia ...

    African Journals Online (AJOL)

    Clarifying what a country brand and country branding encompasses, this paper examines the competitive advantage a country brand engenders for developing countries. Furthermore, emphasising country branding as a social construction, this paper argues that for developing countries entrenched in the poverty cycle there ...

  1. Business ethics in developing countries

    Directory of Open Access Journals (Sweden)

    G.J. Rossouw

    1992-03-01

    Full Text Available Underlying this paper is the conviction that it is of the utmost importance that business ethics should indeed become an integral part of business culture in all, and therefore also in developing countries. It is not to be denied that business ethics has to a much larger extent become pari of the business culture' in developed countries than in developing countries. The primary aim of this paper is to provide an explanation for the fact that business ethics is fighting an uphill battle in becoming pari of the business culture in developing countries. Secondly, a thumbnail sketch is given of the preconditions that have to be fulfilled in order to stimulate the development of a moral business culture in developing countries. In order to achieve these goals I will focus mainly on Africa, and more specifically on South Africa.

  2. Energy problems in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Tasugi, Hirosaburo [Japan Industrial Tech. Association, Tokyo, Japan

    1989-06-20

    In order to rid the people's living of poverty in developing countries, first, the production of food has been planned to increase. And then, resource development and industrialization have been tried to improve with efforts. Because of such development and an increase in population, energy consumption has been increasing. Advanced countries have supported these countries in many ways, however, there is much difference in their assistance depend on various situations such as racial, religious, and political ones. Moreover, a gap between cities and farm villages has widen since infrastructure has not been fully equipped in developing countries. The electrification ratio is used as an index to show the degree of development in developing countries. It is low in the countries where development is lagging, particularly in farm villages. This gap is an urgent problem that faces developing countries. In order to cope with the actual conditions, advanced countries including Japan should be plan to reinforce their technological and economic assistance more suitable for farm villages. Furthermore, they should also improve the assistance system which includes a measure for environmental pollution control, considering the spot directly. 3 figs., 14 tabs.

  3. Availability and affordability of blood pressure-lowering medicines and the effect on blood pressure control in high-income, middle-income, and low-income countries: an analysis of the PURE study data.

    OpenAIRE

    Attaei, MW; Khatib, R; McKee, M; Lear, S; Dagenais, G; Igumbor, EU; AlHabib, KF; Kaur, M; Kruger, L; Teo, K; Lanas, F; Yusoff, K; Oguz, A; Gupta, R; Yusufali, AM

    2017-01-01

    Hypertension is considered the most important risk factor for cardiovascular diseases, but its control is poor worldwide. We aimed to assess the availability and affordability of blood pressure-lowering medicines, and the association with use of these medicines and blood pressure control in countries at varying levels of economic development. We analysed the availability, costs, and affordability of blood pressure-lowering medicines with data recorded from 626 communities in 20 countries part...

  4. Alcohol fuels for developing countries

    International Nuclear Information System (INIS)

    Bhattacharya, Partha

    1993-01-01

    The importance of alcohol as an alternative fuel has been slowly established. In countries such as Brazil, they are already used in transport and other sectors of economy. Other developing countries are also trying out experiments with alcohol fuels. Chances of improving the economy of many developing nations depends to a large extent on the application of this fuel. The potential for alcohol fuels in developing countries should be considered as part of a general biomass-use strategy. The final strategies for the development of alcohol fuel will necessarily reflect the needs, values, and conditions of the individual nations, regions, and societies that develop them. (author). 5 refs

  5. Nuclear medicine in developing countries

    International Nuclear Information System (INIS)

    Kremenchuzky, S.; Degrossi, O.J.

    1991-01-01

    The economic crisis through which developing countries are passing means that every field of endeavour must adapt to new realities imposed by each particular's country's situation. Public health is no exception, although it is obviously a priority field in view of the repercussions which social and economic phenomena can have on the health of a country's inhabitants. This article briefly considers ways in which nuclear medicine facilities in Argentina may be improved

  6. Photovoltaic marketing in developing countries

    International Nuclear Information System (INIS)

    Muntasser, M.A.; Bara, M.F.; Quadri, H.A.; El-Tarabelsi, R.; La-azebi, I.F.

    2000-01-01

    Photovoltaic (PV) insolation-harnessing is acknowledged as the most practical economic solution to meet the requirements of one hundred million people without electricity in the developing countries. Industrialised countries in particular, have been active in utilising such technologies because they can afford the current peak watt prices of US $3-15 for such systems. The market in those countries will soon be close to saturation and attention by suppliers will have to be shifted to the already established larger market in less developed countries (LDCs). PV marketing in these developing countries, i.e. ability to penetrate the potential market, is facing tremendous hurdles. This paper reviews the present status and future directions of the PV market in developing countries as well as discusses the current technical, social, financial or geopolitical barriers and constraints, which are in line with the trends in the world. The paper concludes by making a global policy package proposal, in terms of an appeal on the global community concerned with PV to propagate proposal, in terms of an appeal on the global community concerned with PV to propagate this proposal more convincingly, perhaps to emanate from an internationally recognised 'forum', like a PV conference and exhibition, with cooperation and participation of PV manufacturers, suppliers, industrialised countries, NGOs, financial institutions and developing countries. (Author)

  7. Natural gas in developing countries

    International Nuclear Information System (INIS)

    Holwerda, B.

    1998-01-01

    Everywhere in the world plans are being made to stimulate the natural gas industry in developing countries. High investment costs are the biggest problem almost everywhere. Even countries with a closed economy realize that they do not get far without foreign capital. Cases are presented for Africa, Pakistan, and Indonesia

  8. Nuclear power in developing countries

    International Nuclear Information System (INIS)

    Morrison, R.W.

    1980-01-01

    A few of the essential issues which arise when we consider nuclear power and development together in the context of energy policy are discussed. Ethical concerns must ultimately be expressed through policies and their impact on people. There are ethical issues associated with nuclear power in the developing countries which deserve our attention. Four aspects of the question of nuclear power in developing countries are considered: their energy situation; the characteristics of nuclear power which are relevant to them; whether developing countries will undertake nuclear power programmes; and finally the ethical implications of such programmes. It is concluded that what happens in developing countries will depend more on the ethical nature of major political decisions and actions than on the particular technology they use to generate their electricity. (LL)

  9. Entrepreneurial Intentions in Developing and Developed Countries

    Science.gov (United States)

    Iakovleva, Tatiana; Kolvereid, Lars; Stephan, Ute

    2011-01-01

    Purpose: This study proposes to use the Theory of Planned Behaviour to predict entrepreneurial intentions among students in five developing and nine developed countries. The purpose is to investigate whether entrepreneurial intention and its antecedents differ between developing and developed countries, and to test the theory in the two groups of…

  10. social protection for developing countries

    African Journals Online (AJOL)

    Nicola Smit

    challenges of informal economy workers in developing countries. This view. 5 ibid. ..... in the informal economy – an international and regional perspective” 2007 4 TSAR 700-715. ..... management – should be improved. In South Africa the ...

  11. Business Cycles in Developing Countries

    DEFF Research Database (Denmark)

    Rand, John; Tarp, Finn

    2002-01-01

    This paper demonstrates that developing countries differ considerably from their developed counterparts when focus is on the nature and characteristics of short run macroeconomic fluctuations. Cycles are generally shorter, and the stylized facts of business cycles across countries are more diverse...... than those of the rather uniform industrialized countries. Supply-side models are generally superior in explaining changes in output, but a “one-size fits all” approach in formulating policy is inappropriate. Our results also illustrate the critical importance of understanding business regularities...

  12. Child labour in developing countries

    OpenAIRE

    Dvořáková, Pavla

    2014-01-01

    Child labour in developing countries Abstract This bachelor thesis deals with the child labour and its occurence in developing countries. The main aim is to present the basic view of this problem. The term of child labour relies here on Convention on the Rights of the Child and conventions of International Labour Organization. There are several types of child labour, in which children appear most, including the worst forms of child labour. Every type includes description of activities perform...

  13. The income elasticity of health care spending in developing and developed countries.

    Science.gov (United States)

    Farag, Marwa; NandaKumar, A K; Wallack, Stanley; Hodgkin, Dominic; Gaumer, Gary; Erbil, Can

    2012-06-01

    To date, international analyses on the strength of the relationship between country-level per capita income and per capita health expenditures have predominantly used developed countries' data. This study expands this work using a panel data set for 173 countries for the 1995-2006 period. We found that health care has an income elasticity that qualifies it as a necessity good, which is consistent with results of the most recent studies. Furthermore, we found that health care spending is least responsive to changes in income in low-income countries and most responsive to in middle-income countries with high-income countries falling in the middle. Finally, we found that 'Voice and Accountability' as an indicator of good governance seems to play a role in mobilizing more funds for health.

  14. Clean development mechanism: Perspectives from developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Sari, Agus P.; Meyers, Stephen

    1999-06-01

    This paper addresses the political acceptability and workability of CDM by and in developing countries. At COP-3 in Kyoto in 1997, the general position among developing countries changed from strong rejection of joint implementation to acceptance of CDM. The outgrowth of CDM from a proposal from Brazil to establish a Clean Development Fund gave developing countries a sense of ownership of the idea. More importantly, establishing support for sustainable development as a main goal for CDM overcame the resistance of many developing countries to accept a carbon trading mechanism. The official acceptance of CDM is not a guarantee of continued acceptance, however. Many developing countries expect CDM to facilitate a substantial transfer of technology and other resources to support economic growth. There is concern that Annex I countries may shift official development assistance into CDM in order to gain carbon credits, and that development priorities could suffer as a result. Some fear that private investments could be skewed toward projects that yield carbon credits. Developing country governments are wary regarding the strong role of the private sector envisioned for CDM. Increasing the awareness and capacity of the private sector in developing countries to initiate and implement CDM projects needs to be a high priority. While private sector partnerships will be the main vehicle for resource transfer in CDM, developing country governments want to play a strong role in overseeing and guiding the process so that it best serves their development goals. Most countries feel that establishment of criteria for sustainable development should be left to individual countries. A key issue is how CDM can best support the strengthening of local capacity to sustain and replicate projects that serve both climate change mitigation and sustainable development objectives.There is support among developing countries for commencing CDM as soon as possible. Since official commencement must

  15. Export opportunities in developing countries

    International Nuclear Information System (INIS)

    Sullivan, J.

    1992-01-01

    Developing countries will offer major opportunities to US exporters of energy and related environmental equipment in the next ten years. These opportunities arise because the markets in developing countries will be growing much faster than those in the developed countries during this period, and because these countries will not in most cases have strong domestic manufacturers to compete against. US technologies will help these countries solve their energy, environmental, and economic development problems, and help the US solve its serious trade balance problems. This market will represent over $200 billion between now and 2000. There are, however, many potential problems. These include a lack of focus and coordination among US government trade assistance organizations, a lack of interest on the part of US firms in exporting and an unwillingness to make the needed investments, barriers put up by the governments of potential foreign customers, and strong international competition. This paper describes how the United States Agency for International Development's (A.I.D.) Office of Energy and other US agencies are helping US firms resolve these problems with a comprehensive program of information, trade promotion assistance, and co-funding of feasibility studies. In addition, there are monies available to match unfair concessionary financing offered by our major competitors

  16. Industry Switching in Developing Countries

    DEFF Research Database (Denmark)

    Newman, Carol; Rand, John; Tarp, Finn

    Firm turnover (i.e. firm entry and exit) is a well-recognized source of sectorlevel productivity growth across developing and developed countries. In contrast, the role and importance of firms switching activities from one sector to another is little understood. Firm switchers are likely...

  17. Road safety in developing countries.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1991-01-01

    This paper presents a classification of countries (developing and developed alike), divided into two main categories: an economical and historical entry. When road safety problems are placed into the economical context, it then appears that, among other things: (1) The road safety problem in the

  18. Progress in the developing countries

    International Nuclear Information System (INIS)

    Simnad, M.

    1981-01-01

    Nuclear programmes in selective developing countries are briefly discussed. The oil rich countries of Iraq, Libya and Iran all have reactors on order. Turkey has decided to purchase a PWR from the USSR and Egypt's programme anticipates a capacity of 6600 MWe by 2000. The current projections for India are 6000 MWe by 1990 and 20,000 MWe by 2000. The progress of Pakistan, South Korea and other Asian countries are discussed. The predicted growth in reactors and population in Latin America is considered - 17 reactors presently planned for a population of 340 million and 18-57 possible additions in 2000 for an estimated population of 600 million. The role of the IAEA and experience of some Western countries in technology transfer is discussed with the ambitious Spanish nuclear power programme and the experience of Argentina in purchasing Candu reactors. (author)

  19. Cancer epidemiology in developing countries

    International Nuclear Information System (INIS)

    Whelan, S.L.

    2002-01-01

    It is estimated that there were over 10 million new cancer cases in 2000, 5.4 million of them occurring in the developing countries (Parkin et al, 2001). The marked geographical variation in cancer occurrence results in differing therapeutic priorities: North America has more new cancer cases than South-Central Asia, but there are more deaths from cancer in South-Central Asia, reflecting a different pattern of cancer rather than differences in prognosis. Prediction of future trends is difficult, but the impact of population increase and ageing will be significant, with an expected 63% increase in the population of the less developed countries in 50 years. Four sites of cancer namely breast, cervix, colorectal and nasopharyngeal carcinoma are reviewed, looking at their present and possible future importance in the context of developing countries and their aetiology

  20. Energy investment in developing countries

    International Nuclear Information System (INIS)

    Rovani, Y.

    1982-01-01

    The developing countries are likely to represent the fastest growing component of the global energy demand over the next two decades. The paper presents considerations based on the World Bank's approach to the energy sector in these countries. It is considered that an accelerated development of conventional indigenous sources of energy is absolutely vital if developing countries are to attain a satisfactory rate of economic growth. The cost of the energy investment, the power sector issues, the optimal use of the resources, the role of the external financing and the need of technical assistance are reviewed. One emphasizes the role of the World Bank in analyzing and preparing projects, and in mobilizing financing from other official and commercial sources

  1. Fundamental research in developing countries

    International Nuclear Information System (INIS)

    Moravesik, M.J.

    1964-01-01

    Technical assistance is today a widespread activity. Large numbers of persons with special qualifications in the applied sciences go to the developing countries to work on specific research and development projects, as do educationists on Fulbright or other programmes - usually to teach elementary or intermediate courses. But I believe that until now it has been rare for a person primarily interested in fundamental research to go to one of these countries to help build up advanced education and pure research work. Having recently returned from such an assignment, and having found it a most stimulating and enlightening experience, I feel moved to urge strongly upon others who may be in a position to do so that they should seek similar experience themselves. The first step is to show that advanced education and fundamental research are badly needed in the under-developed countries.

  2. Radioassay services in developing countries

    International Nuclear Information System (INIS)

    Belcher, E.H.

    1978-01-01

    The findings and recommendations of an advisory group convened by the IAEA to give guidance relating to the development of IAEA projects involving radioassay are presented. The current status of radioassay services in different countries is reviewed; guiding principles relating to the organization of such services are affirmed, with particular reference to services in developing countries; the needs of services at various levels as regards accommodation, staff, equipment, supporting services and running costs, including minimum initial needs, are specified; operational problems are identified and indications given how they may be solved; facilities for training in radioassay are reviewed; finally, reference is made to IAEA activities in the field in question. (author)

  3. Mobilizing technology for developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Weiss, C Jr

    1979-10-01

    Mr. Weiss says that the 15 years since the UN Conference on Science, Technology, and Development in Geneva have taught us that what seem at first to be technological obstacles to development frequently turn out on closer examination to have been policy failures; that introduction of technologies into developing countries must be accompanied by institutional and policy changes if the technologies are to benefit the countries. He points out that choice of alternative technology for a developing country should depend on careful overall assessment of local techno-economic, geographical, ecological, and social factors, as well as the desired balance between growth and equity. Such a technology assessment, a key element in the choice of appropriate (i.e., locally suitable) technology for particular investment projects, should be built into procedures for project preparation and appraisal in governments and development assistance agencies. Turning to technologists, Mr. Weiss says they face a double challenge: (1) to recognize potential for new efforts to harness science and technology for the benefit of the developing countries; and (2) by understanding the social, institutional, and economic framework into which an innovation is to operate, to ease its application and diffusion, and thus speed and increase its practical impact. 25 references.

  4. Nuclear power for developing countries

    International Nuclear Information System (INIS)

    Kendall, J.; Kupitz, J.; Rogner, H. H.

    2000-01-01

    Nuclear power is a proven technology which currently makes a large contribution to the electricity supply in a number of countries and, to a much less extent, to heat supply in some countries. Nuclear power is economically competitive with fossil fuels for base load electricity generation in many countries, and is one of the commercially proven energy supply options that could be expanded in the future to reduce environmental burdens, especially greenhouse gas emissions, from the electricity sector. Over the past five decades, nearly ten thousand reactor-years of operating experience have been accumulated with current nuclear power plants. Building upon this background of success and applying lessons learned from the experience of operating plants, new generations of nuclear power plants have been, or are being developed. Improvements incorporated into these advance designs include features that will allow operators more time to perform equipment protection and safety actions in response to equipment failures and other off normal operating conditions, and that will reduce and simplify the actions required. Great attention is also paid to making new plants simpler to operate, inspect, maintain and repair, thus increasing their overall cost efficiency and their compatibility with the infrastructure of developing countries. The paper provides a discussion of future world energy supply and demand projections, current status and prospects for nuclear power, a short summary of advanced reactor concepts and non-electrical applications of nuclear energy for developing countries, and a review of the role of the IAEA. (author)

  5. Traditional Medicine in Developing Countries

    DEFF Research Database (Denmark)

    Thorsen, Rikke Stamp

    or spiritual healer and self-treatment with herbal medicine or medicinal plants. Reliance on traditional medicine varies between countries and rural and urban areas, but is reported to be as high as 80% in some developing countries. Increased realization of the continued importance of traditional medicine has......People use traditional medicine to meet their health care needs in developing countries and medical pluralism persists worldwide despite increased access to allopathic medicine. Traditional medicine includes a variety of treatment opportunities, among others, consultation with a traditional healer...... led to the formulation of policies on the integration of traditional medicine into public health care. Local level integration is already taking place as people use multiple treatments when experiencing illness. Research on local level use of traditional medicine for health care, in particular the use...

  6. Nuclear power for developing countries

    International Nuclear Information System (INIS)

    Hirschmann, H.; Vennemann, J.

    1980-01-01

    The paper describes the energy policy quandary of developing countries and explains why nuclear power plants of a suitable size - the KKW 200 MW BWR nuclear power plant for electric power and/or process steam generation is briefly presented here - have an economic advantage over fossil-fuelled power plants. (HP) [de

  7. Sanitation planning in developing countries

    NARCIS (Netherlands)

    Kerstens, S.M.

    2016-01-01

    Sanitation planning in developing countries: Added value of resource recovery

    Worldwide 2.5 billion people lack access to sanitation. This impacts human live, the environment and represents a loss of valuable resources that can be regained from wastewater. This study

  8. Construction industry in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Moavenzadeh, F

    1978-01-01

    This paper provides a review of the construction capability available in the developing countries to meet the demand for shelter. It discusses the role of construction in the process of development and its importance to economic growth. It considers the issue facing the growth of a viable indigenous construction industry in the developing world within the context of the activities involved in the creation of constructed facilities--planning, design, contruction and maintenance; it also examines the environment within which the industry has developed. For each construction activity the paper reviews available capabilities, the various resources needed for the development of an indigenous industry, and some possible means of accommodating these needs.

  9. Development perspective of transitional countries

    Directory of Open Access Journals (Sweden)

    Ilić Bogdan B.

    2005-01-01

    Full Text Available The end of 20th century witnessed the affirmation and development of information technology as well as the transformation of industrial into information, "new economy", which caused changes in people and circumstances. The role and importance of nonhuman factors was increased, causing entrepreneurship and knowledge-based information to become the most significant resources. The Internet became the basis of the "new economy". It changes the way of doing business, studying, researching, communicating and competition. It also reduces operating costs, crosses national borders and leads to the globalization of the world economy. Transitional countries have to fit into modern development flows by formulating their own strategy of national development and establishing their own competitive advantages in conditions of "new economy". These advantages lie predominantly in highly qualified and skilled younger labor which learns fast and adopts new knowledge and skills, through reducing transactional costs, shortening of certain development stages through which developed countries have already gone, using their experience, scientific-technological progress, a rise in work productivity, etc. Experience of other countries should be innovated and adapted to one's own material and social conditions, not copied. This enables the emergence of "European small tigers", which are similar to "Asian small tigers".

  10. Urban bioclimatology in developing countries.

    Science.gov (United States)

    Jauregui, E

    1993-11-15

    A brief review of the literature on urban human bioclimatology in the tropics is undertaken. Attempts to chart human bioclimatic conditions on the regional/local scale have been made in several developing countries. The effective temperature scheme (with all its limitations) is the one that has been most frequently applied. The possibilities of application of bioclimatic models based on human heat balance for the tropical urban environment are discussed.

  11. Sanitation planning in developing countries

    OpenAIRE

    Kerstens, S.M.

    2016-01-01

    Sanitation planning in developing countries: Added value of resource recovery Worldwide 2.5 billion people lack access to sanitation. This impacts human live, the environment and represents a loss of valuable resources that can be regained from wastewater. This study shows that resource recovery can be a potential driver to accelerate sanitation. A new sanitation decision framework for policy makers was created and tested in Indonesia. The variety of advantages and disadvantages of sanitatio...

  12. Palliative radiotherapy in developing countries

    International Nuclear Information System (INIS)

    Allen, B.J.

    2010-01-01

    Full text: The International Agency for Research on Cancer predicts that cancer incidence in developing countries will increase dramatically in the first two decades of this millennium. Already some 80% of cancer patients in developing countries present with incurable disease. [n many cases pain is a severe problem and palliation is needed to improve quality of life as well as extending survival. This paper will consider the physical and clinical aspects of palliative radiotherapy (PRT), choice of radiation modality, alternative approaches to imaging and therapy and cost-benefit considerations. The potential benefits of a dedicated palliative centre include lower cost and therefore more centres, enabling more patients access to regional palliative care. Whilst there is an obvious need for palliative radiotherapy, simple curative treatments could also be managed. C060 radiotherapy has important advantages in developing countries, because of the higher initial cost of a linear accelerator, as well as the need for reliable power supply and the level of skill required by linac technicians and physicists. The beam characteristics of both C060 units and low energy linacs are compared and both are found to be acceptable for palliation. The concept of telemedicine is also discussed, using mobile phones and internet communication to allow rural clinics to receive support from specialists based in the cities, to send images for remote diagnosis and remote dose planning for radiotherapy. (author)

  13. [AIDS, developing countries and ethnopsychiatry].

    Science.gov (United States)

    Ehrhardt, N; Defourny, J; Bertrand, J

    1995-04-01

    This work briefly assesses the history of the AIDS epidemic in different geographic regions and examines factors that render developing countries particularly vulnerable. It reviews the three main techniques of traditional therapeutic systems and examines their implications for psychiatric treatment of AIDS patients from developing countries. Young age structures, low rates of condom usage, women's lack of education and of sexual bargaining power, and the deficiencies of health and educational facilities are among factors that increase risks of HIV in developing countries. Health education geared to specific audiences should encourage condom use and other preventive measures. Among factors to encourage condom use, group decision making appears to be of greatest potential influence on behavior in sub-Saharan Africa and among African immigrants to Europe. To encourage preventive measures and to understand reactions of non-Western populations to HIV, it is desirable to understand the deeper meanings of their cultures and of traditional therapies. It is difficult and misguided to pose a diagnosis according to the criteria of Western psychiatry. Western psychiatry has been proven incompetent in its attempts to treat members of traditional societies, whether immigrants or in their countries of origin. And attempts to integrate traditional healing into a western medical system have not been successful. Traditional systems accomplish therapeutic goals by three major techniques, possession, shamanism, and clairvoyance, or their numerous variants. It is recommended that group sessions be held with immigrants requiring treatment, in which the principal therapist is assisted by translators, who help create a space for the patient intermediate between the two cultures, where the therapies can coexist without conflict.

  14. Nuclear power in developing countries

    International Nuclear Information System (INIS)

    Lane, J.A.; Covarrubias, A.J.; Csik, B.J.; Fattah, A.; Woite, G.

    1977-01-01

    This paper is intended to be a companion to similar papers by OECD/NEA and CMEA and will summarize the nuclear power system plans of developing Member States most likely to have nuclear programmes before the year 2000. The information that is presented is derived from various sources such as the Agency 1974 study of the market for nuclear power in developing countries, the annual publication, ''Power Reactors in Member States - 1976 Edition'', various nuclear power planning studies carried out by the Agency during the period 1975 and 1976, direct correspondence with selected Member States and published information in the open literature. A preliminary survey of the prospects for nuclear power in Member States not belonging to the OECD or having centrally planned economies indicates that about 27 of these countries may have operating nuclear power plants by the end of the century. In the 1974 Edition of the ''Market Survey'' it was estimated that the installed nuclear capacity in these countries might reach 24 GW by 1980, 157 GW by 1190 and 490 GW by the year 2000. It now appears that these figures are too high for a number of reasons. These include 1) the diminished growth in electrical demand which has occurred in many Member States during the last several years, 2) the extremely high cost of nuclear plant construction which has placed financial burdens on countries with existing nuclear programmes, 3) the present lack of commercially available small and medium power reactors which many of the smaller Member States would need in order to expand their electric power systems and 4) the growing awareness of Member States that more attention should be paid to exploitation of indigenous energy sources such as hydroelectric power, coal and lignite

  15. Value of a statistical life in road safety: a benefit-transfer function with risk-analysis guidance based on developing country data.

    Science.gov (United States)

    Milligan, Craig; Kopp, Andreas; Dahdah, Said; Montufar, Jeannette

    2014-10-01

    We model a value of statistical life (VSL) transfer function for application to road-safety engineering in developing countries through an income-disaggregated meta-analysis of scope-sensitive stated preference VSL data. The income-disaggregated meta-analysis treats developing country and high-income country data separately. Previous transfer functions are based on aggregated datasets that are composed largely of data from high-income countries. Recent evidence, particularly with respect to the income elasticity of VSL, suggests that the aggregate approach is deficient because it does not account for a possible change in income elasticity across income levels. Our dataset (a minor update of the OECD database published in 2012) includes 123 scope-sensitive VSL estimates from developing countries and 185 scope-sensitive estimates from high-income countries. The transfer function for developing countries gives VSL=1.3732E-4×(GDP per capita)(∧)2.478, with VSL and GDP per capita expressed in 2005 international dollars (an international dollar being a notional currency with the same purchasing power as the U.S. dollar). The function can be applied for low- and middle-income countries with GDPs per capita above $1268 (with a data gap for very low-income countries), whereas it is not useful above a GDP per capita of about $20,000. The corresponding function built using high-income country data is VSL=8.2474E+3×(GDP per capita)(∧).6932; it is valid for high-income countries but over-estimates VSL for low- and middle-income countries. The research finds two principal significant differences between the transfer functions modeled using developing-country and high-income-country data, supporting the disaggregated approach. The first of these differences relates to between-country VSL income elasticity, which is 2.478 for the developing country function and .693 for the high-income function; the difference is significant at peconomic performance measures for road

  16. Nuclear trade between developing countries

    International Nuclear Information System (INIS)

    Stahl, K.

    1990-01-01

    The analysis of nuclear south-south cooperation is based on the evaluation of official documents (the texts of laws, of contracts for nuclear cooperation treaties, safeguard treaties, official government policy speeches etc.). These data were supplemented by numerous interviews with representatives of atomic energy authorities, foreign ministries, nuclear industries, members of parliament, representatives of the nuclear energy opposition movement and military representatives in the three states and by interviews with representatives of the IAEO and OPANAL in Mexico. The study deals with each country in turn: Chapter 2 gives an overview of the Indian nuclear energy programme and India's nuclear export activity and export policy. Chapter 3 analyzes Brazil's nuclear energy policy and Brazilian export capacities, exports and export policy in the nuclear sector. Chapter 4 looks at the development of the Argentinian nuclear energy programme and the crisis in it, at Argentina's nuclear export activities and its export policy and technology transfer policy in this field. Chapter 5 analyzes separately relations between Argentina and Brazil on nuclear cooperation, since they differ considerably from the two countries' relations with other Third World countries on this topic. The appendix documents the most important contractual agreements and government policy declarations on nuclear cooperation between the two states. (orig.) [de

  17. Nuclear cardiology for developing countries

    International Nuclear Information System (INIS)

    Feinendegen, L.E.

    1986-01-01

    The role of nuclear medicine in developing countries must be oriented to the local needs for clinical practice, the health care of large populations and the demands for research with sometimes extremely limited resources. To help define the locally differing needs, it is stressed that nuclear medicine provides the unique opportunity to observe the body at the molecular level of organization and thus makes the body biochemically transparent. Depending on the particular diagnostic demands, complex imaging with gamma scintigraphy or emission tomography may be the only method to choose in some instances, but for others it may be an unnecessary luxury. Nuclear cardiology, with the purpose of non-invasively assessing cardiac function, myocardial perfusion and myocardial metabolism, is a particular challenge in both respects for developing countries. Given such requirements, single-probe devices with multipurpose application are less expensive than gamma cameras and promise advanced diagnostic uses. In one examination, left ventricular function, global cardio-pulmonary circulation and the general circulatory adaptation to exercise can be investigated by non-gated simultaneous blood pool measurements over four lung regions, the heart and the liver. In addition, such devices have the advantages of compactness, robustness and electronic stability. Despite enormous difficulties regarding funding, infrastructure, equipment and maintenance, developing countries should be encouraged to participate in the evolution of nuclear medicine by responding and adapting to defined needs and perhaps by maintaining at least one national centre of excellence with capacities for research and training. Funds are best secured by providing an indispensable service in co-operation with the various clinical disciplines. (author)

  18. Pediatric anesthesia in developing countries.

    Science.gov (United States)

    Bösenberg, Adrian T

    2007-06-01

    To highlight the problems faced in developing countries where healthcare resources are limited, with particular emphasis on pediatric anesthesia. The fact that very few publications address pediatric anesthesia in the developing world is not surprising given that most anesthetics are provided by nonphysicians, nurses or unqualified personnel. In compiling this article information is drawn from pediatric surgical, anesthetic and related texts. In a recent survey more than 80% of anesthesia providers in a poor country acknowledged that with the limited resources available they could not provide basic anesthesia for children less than 5 years. Although many publications could be regarded as anecdotal, the similarities to this survey suggest that the lack of facilities is more generalized than we would like to believe. The real risk of anesthesia in comparison to other major health risks such as human immunodeficiency virus, malaria, tuberculosis and trauma remains undetermined. The critical shortage of manpower remains a barrier to progress. Despite erratic electrical supplies, inconsistent oxygen delivery, paucity of drugs or equipment and on occasion even lack of running water, many provide life-saving anesthesia. Perioperative morbidity and mortality is, however, understandably high by developed world standards.

  19. Infection control in developing countries.

    Science.gov (United States)

    Meers, P D

    1988-02-01

    The level of socio-political and economic development achieved by a country determines the quality and quantity of the health care its citizens receive. These factors also govern the amount of attention given to hospital-acquired infection. The problems of infection control in 'developing' countries include, first, the international problems that arise from clashes of personality and viewpoint among those responsible for it, exacerbated in some places by ethnic or religious traditions. Second are problems imposed by factors that affect the spectrum of infectious disease, and third is a variable deficiency of human and financial resources. In the search for solutions, an analysis suggests that nurses are particularly suited to take the lead in the prevention of infection, so that a special initiative directed towards their education in the rapidly developing science of hospital infection and its control is likely to be the most cost effective and appropriate initial approach. This needs to be accompanied by parallel improvements in the education of medical undergraduates. Anything else should be applied in response to measured need, and then only as money and manpower permit. Careful thought is required to avoid squandering scarce resources by applying inappropriate infection control technology.

  20. HIS priorities in developing countries.

    Science.gov (United States)

    Amado Espinosa, L

    1995-04-01

    Looking for a solution to fulfill the requirements that the new global economical system demands, developing countries face a reality of poor communications infrastructure, a delay in applying information technology to the organizations, and a semi-closed political system avoiding the necessary reforms. HIS technology has been developed more for transactional purposes on mini and mainframe platforms. Administrative modules are the most frequently observed and physicians are now requiring more support for their activities. The second information systems generation will take advantage of PC technology, client-server models and telecommunications to achieve integration. International organizations, academic and industrial, public and private, will play a major role to transfer technology and to develop this area.

  1. Health, globalization and developing countries.

    Science.gov (United States)

    Cilingiroglu, Nesrin

    2005-02-01

    In health care today, scientific and technological frontiers are expanding at unprecedented rates, even as economic and financial pressures shrink profit margins, intensify competition, and constrain the funds available for investment. Therefore, the world today has more economic, and social opportunities for people than 10 or 100 years since globalization has created a new ground somewhat characterized by rapid economic transformation, deregulation of national markets by new trade regimes, amazing transport, electronic communication possibilities and high turnover of foreign investment and capital flow as well as skilled labor. These trends can easily mask great inequalities in developing countries such as importation and spreading of infectious and non-communicable diseases; miniaturization of movement of medical technology; health sector trades management driven by economics without consideration to the social and health aspects and its effects, increasing health inequalities and their economic and social burden creation; multinational companies' cheap labor employment promotion in widening income differentials; and others. As a matter of fact, all these factors are major determinants of ill health. Health authorities of developing countries have to strengthen their regulatory framework in order to ensure that national health systems derive maximum benefit in terms of equity, quality and efficiency, while reducing potential social cost to a minimum generated risky side of globalization.

  2. AIDS in the developing countries.

    Science.gov (United States)

    Tinker, J

    1988-01-01

    Without a medical miracle, it seems inevitable that the Acquired Immune Deficiency Syndrome (AIDS) pandemic will become not only the most serious public health problem of this generation but a dominating issue in 3rd world development. As a present-day killer, AIDS in developing countries is insignificant compared to malaria, tuberculosis, or infant diarrhea, but this number is misleading in 3 ways. First, it fails to reflect the per capita rate of AIDS cases. On this basis, Bermuda, French Guyana, and the Bahamas have much higher rates than the US. Second, there is extensive underreporting of AIDS cases in most developing nations. Finally, the number of AIDS cases indicates where the epidemic was 5-7 years ago, when these people became infected. Any such projections of the growth of 3rd world AIDS epidemics are at this time based on epidemiologic data from the industrialized rations of the north and on the assumption that the virus acts similarly in the south as it does in the US and Europe. Yet, 3rd world conditions differ. Sexually transmitted diseases usually are more prevalent, and people have a different burden of other diseases and of other stresses to the immune system. In Africa, AIDS already is heavily affecting the mainstream population in some nations. Some regions will approach net population declines over the next decade. How far their populations eventually could decline because of AIDS is unclear and will depend crucially on countermeasures taken or not taken over the next 1-2 years. In purely economic terms, AIDS will affect the direct costs of health care, expenses which are unrealistic for most 3rd world countries. Further, the vast majority of deaths from AIDS in developing countries will occur among those in the sexually active age groups -- the wage earners and food producers. Deaths in this age group also will reduce the labor available for farming and industry. AIDS epidemics also may have significant effects on foreign investment in the 3rd

  3. Nuclear power in developing countries

    International Nuclear Information System (INIS)

    Laue, H.J.; Bennett, L.L.; Skjoeldebrand, R.

    1984-01-01

    Experience clearly indicates that most developing countries actively planning and implementing nuclear power require broad-scope assistance if their use of nuclear technology is to be safe, economic, and reliable. The IAEA's assistance is directed both to general planning, and to the development of supporting structures and is based on an assessment of needs which cannot be satisfied by other means. The Agency's Division of Nuclear Power has the technical background and tools to support a comprehensive programme of assistance in nuclear power assessment, planning, and implementation. The overall objective of such a programme is to help strengthen national capabilities of executing the following tasks: Analysis of overall energy and electricity demand and supply projections; planning the possible role of nuclear power in electricity supply, through determining the economically optimal extent and schedule for the introduction of nuclear power plants; assessing the available infrastructures and the need, constraints, and possibilities for their development; and developing master schedules, programmes, and recommendations for action. Proposed programmes must be reviewed periodically, and one of the Agency's aims is to ensure that national competence to carry out such reviews exists or can be developed. Training of local staff is therefore one of the most important objectives

  4. Availability and affordability of blood pressure-lowering medicines and the effect on blood pressure control in high-income, middle-income, and low-income countries: an analysis of the PURE study data

    Directory of Open Access Journals (Sweden)

    Marjan W Attaei, MA

    2017-09-01

    Funding: Population Health Research Institute, the Canadian Institutes of Health Research, Heart and Stroke Foundation of Ontario, Canadian Institutes of Health Research Strategy for Patient Oriented Research through the Ontario SPOR Support Unit, the Ontario Ministry of Health and Long-Term Care, pharmaceutical companies (with major contributions from AstraZeneca [Canada], Sanofi Aventis [France and Canada], Boehringer Ingelheim [Germany amd Canada], Servier, and GlaxoSmithKline, Novartis and King Pharma, and national or local organisations in participating countries.

  5. Temporal Trends in Late Preterm and Early Term Birth Rates in 6 High-Income Countries in North America and Europe and Association With Clinician-Initiated Obstetric Interventions

    DEFF Research Database (Denmark)

    Richards, Jennifer L.; Kramer, Michael S.; Deb-Rinker, Paromita

    2016-01-01

    Importance: Clinicians have been urged to delay the use of obstetric interventions (eg, labor induction, cesarean delivery) until 39 weeks or later in the absence of maternal or fetal indications for intervention. Objective: To describe recent trends in late preterm and early term birth rates in 6......: Use of clinician-initiated obstetric intervention (either labor induction or prelabor cesarean delivery) during delivery. Main Outcomes and Measures: Annual country-specific late preterm (34-36 weeks) and early term (37-38 weeks) birth rates. Results: The study population included 2 415 432 Canadian...... births in 2006-2012 (3.6% late preterm; 18.7% early term); and 25 788 558 US births in 2006-2014 (6.0% late preterm; 26.9% early term). Late preterm birth rates decreased in Norway (3.9% to 3.5%) and the United States (6.8% to 5.7%). Early term birth rates decreased in Norway (17.6% to 16.8%), Sweden (19...

  6. Domestic biogas development in developing countries

    International Nuclear Information System (INIS)

    Rakotojaona, Loic

    2013-07-01

    Communities that rely mostly on agriculture and livestock farming in developing countries can face strong pressure related to: - Energy access: for instance, in Africa, it is estimated that 68% of the population live without clean cooking facilities [1]. Energy access plays a key role in poverty alleviation. - Resources depletion: if a household uses firewood for cooking purposes, forests depletion in some areas makes firewood collection tougher. - Climate change mitigation: agriculture (i.e. the production of crop and livestock products) accounts for 13.5%2 of the global GHG emissions, and extensive systems are sometimes blamed for being less efficient than intensive ones when it comes to climate change mitigation (given that the later involve lower direct emissions per kg of product). In this context, access to clean and sustainable energy through domestic biogas production can help rural communities alleviate current pressures on the environment. In an urban context, domestic biogas in developing countries is also considered as a means for improving hygiene conditions (especially when it comes to public washrooms issues). This report only focuses on domestic biogas development within the frame of small scale agriculture and livestock production (i.e. in rural areas). The main objective of this document is to provide domestic biogas project developers with relevant information on the key issues to have in mind regarding national integration of such projects. This document gives a general presentation of domestic biogas and its main environmental, social and economic benefits. It also browses the main aspects one should have in mind (checklist) in order to assess local risks and opportunities for domestic biogas development

  7. Occupational and environmental exposures and cancers in developing countries.

    Science.gov (United States)

    Hashim, Dana; Boffetta, Paolo

    2014-01-01

    Over the past few decades, there has been a decline in cancers attributable to environmental and occupational carcinogens of asbestos, arsenic, and indoor and outdoor air pollution in high-income countries. For low- to middle-income countries (LMICs), however, these exposures are likely to increase as industrialization expands and populations grow. The aim of this study was to review the evidence on the cancer risks and burdens of selected environmental and occupational exposures in less-developed economies. A causal association has been established between asbestos exposure and mesothelioma and lung cancer. For arsenic exposure, there is strong evidence of bladder, skin, lung, liver, and kidney cancer effects. Women are at the highest risk for lung cancer due to indoor air pollution exposure; however, the carcinogenic effect on the risk for cancer in children has not been studied in these countries. Cancer risks associated with ambient air pollution remain the least studied in LMICs, although reported exposures are higher than World Health Organization, European, and US standards. Although some associations between lung cancer and ambient air pollutants have been reported, studies in LMICs are weak or subject to exposure misclassification. For pulmonary cancers, tobacco smoking and respiratory diseases have a positive synergistic effect on cancer risks. A precise quantification of the burden of human cancer attributable to environmental and occupational exposures in LMICs is uncertain. Although the prevalence of carcinogenic exposures has been reported to be high in many such countries, the effects of the exposures have not been studied due to varying country-specific limitations, some of which include lack of resources and government support. Copyright © 2014 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.

  8. Informational and Cultural Situation in Developing Countries.

    Science.gov (United States)

    Nadirova, Goulnar

    Cultural development of modern countries in the East, including the Republic of Kazakhstan, is a complicated and contradictory process, where common cultural ways were shaped differently and specifically in the countries. Common historical fate has influenced this development and given these countries some common problems, but there is some…

  9. Modelling energy systems for developing countries

    International Nuclear Information System (INIS)

    Urban, F.; Benders, R.M.J.; Moll, H.C.

    2007-01-01

    Developing countries' energy use is rapidly increasing, which affects global climate change and global and regional energy settings. Energy models are helpful for exploring the future of developing and industrialised countries. However, energy systems of developing countries differ from those of industrialised countries, which has consequences for energy modelling. New requirements need to be met by present-day energy models to adequately explore the future of developing countries' energy systems. This paper aims to assess if the main characteristics of developing countries are adequately incorporated in present-day energy models. We first discuss these main characteristics, focusing particularly on developing Asia, and then present a model comparison of 12 selected energy models to test their suitability for developing countries. We conclude that many models are biased towards industrialised countries, neglecting main characteristics of developing countries, e.g. the informal economy, supply shortages, poor performance of the power sector, structural economic change, electrification, traditional bio-fuels, urban-rural divide. To more adequately address the energy systems of developing countries, energy models have to be adjusted and new models have to be built. We therefore indicate how to improve energy models for increasing their suitability for developing countries and give advice on modelling techniques and data requirements

  10. Fostering biotechnology entrepreneurship in developing countries

    African Journals Online (AJOL)

    Fred

    countries cheaper and potentially easier to administer. Efficient sewage treatment ... developing countries, start-up funding for biotechnology companies is still very ... Business incubators are unique in stimulating spin-offs from universities and ...

  11. Weight-related stigma is a significant psychosocial stressor in developing countries: Evidence from Guatemala.

    Science.gov (United States)

    Hackman, Joseph; Maupin, Jonathan; Brewis, Alexandra A

    2016-07-01

    Weight-related stigma is established as a major psychosocial stressor and correlate of depression among people living with obesity in high-income countries. Anti-fat beliefs are rapidly globalizing. The goal of the study is to (1) examine how weight-related stigma, enacted as teasing, is evident among women from a lower-income country and (2) test if such weight-related stigma contributes to depressive symptoms. Modeling data for 12,074 reproductive-age women collected in the 2008-2009 Guatemala National Maternal-Infant Health Survey, we demonstrate that weight-related teasing is (1) experienced by those both underweight and overweight, and (2) a significant psychosocial stressor. Effects are comparable to other factors known to influence women's depressive risk in lower-income countries, such as living in poverty, experiencing food insecurity, or suffering sexual/domestic violence. That women's failure to meet local body norms-whether they are overweight or underweight-serves as such a strong source of psychological distress is particularly concerning in settings like Guatemala where high levels of over- and under-nutrition intersect at the household and community level. Current obesity-centric models of weight-related stigma, developed from studies in high-income countries, fail to recognize that being underweight may create similar forms of psychosocial distress in low-income countries. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Mongolia, the forgotten developing country

    International Nuclear Information System (INIS)

    Staudenherz, Anton

    2003-01-01

    In August 2003 I had an opportunity to visit Mongolia together with 20 other colleagues from different medical specialties (internal medicine, paediatrics, surgery, pathology, hygiene and infection). This small activity was sponsored by a Non-Governmental Organization, 'FABULA'. Our task was to carry out a two-week education programme for Mongolian colleagues at the University Hospital in Ulaanbaatar. I would like to briefly share my experiences and impressions with the readers of World Journal of Nuclear Medicine. Mongolia is a young democracy. Free parliamentary elections were held for the first time on 29 June, 1990. The new constitution was established on 14 February 1992. It is one of the sparsely populated countries of the world with 2.5 million inhabitants living in an area 18.7 times larger than Austria. With 64.6 years, the life expectancy is considerably lower than that in the industrialised countries, like Austria which has a life expectancy of 79 years. The child (< 5 years) mortality rate of 71/1000 is significantly high in comparison with Austria (5/1000). The expenditure on public health service as compared to the GDP is very low [source: WHO internet homepage: http://www3.who.int]. In spite of these alarming numbers the University hospital of Ulaanbaatar has established a department of nuclear medicine. This is part of the 'imaging diagnostic facility' which consists of four sub-units - x-ray, ultrasound, nuclear medicine and endoscopy. Mongolia started its first nuclear medicine facility in the year 1975 through the support received from the International Atomic Energy Agency under a Technical Cooperation Project. Prof. Dr. P. Onkhuudai, who currently is the head of the nuclear medicine department at First State Central Clinic of the National Medical University of Mongolia was the first trained and qualified nuclear medicine physician of Mongolia. Keeping in view the limitations of finance and other logistics, the standard of nuclear medicine

  13. Consumer evaluations of products from developing countries

    NARCIS (Netherlands)

    Verlegh, P.W.J.

    2002-01-01

    Consumers use country of origin as a signal or proxy for product quality. Consumers have little confidence in the ability of less developed countries to produce high quality goods. On the other hand emotionally attachment to a country or associations of "exoticness" or "authenticity" can lead to a

  14. Nuclear data applications in developing countries

    International Nuclear Information System (INIS)

    Mehta, M.K.; Schmidt, J.J.

    1985-01-01

    The peaceful applications of nuclear science and technology currently receive an increasing attention in many developing countries. More than 15 developing countries operate, construct or plan nuclear power reactors, 70 developing countries are using or planning to use nuclear techniques in medicine, agriculture, industry, and for other vital purposes. The generation, application and computer processing of nuclear data constitute important elements of the nuclear infrastructure needed for the successful implementation of nuclear science and technology. Developing countries become increasingly aware of this need, and, with the help and cooperation of the IAEA Nuclear Data Section, are steadily gaining in experience in this field. The paper illustrates this development in typical examples. (orig.)

  15. Macroeconomic Volatility and Welfare in Developing Countries

    OpenAIRE

    Loayza, Norman V.; Rancière, Romain; Servén, Luis; Ventura, Jaume

    2007-01-01

    Macroeconomic Volatility and Welfare in Developing Countries: An Introduction Norman V. Loayza, Romain Ranciere, Luis Serven, ` and Jaume Ventura Macroeconomic volatility, both a source and a reflection of underdevelopment, is a fundamental concern for developing countries. This article provides a brief overview of the recent literature on macroeconomic volatility in developing countries, highlighting its causes, consequences, and possible remedies. to reduce domestic policy-induced macroecon...

  16. What Makes MNCs Succeed in Developing countries?

    DEFF Research Database (Denmark)

    Hansen, Michael W.; Gwozdz, Wencke

    MNCs are increasingly investing in developing countries to be part of rapid market growth, to enhance the efficiency of their value chains, and to access abundant resources and talent. The potential gains are high, however so are the risks. Some developing country subsidiaries become top performers...... regardless of location and industry. The findings of the study have important implications for the IB literature, for managers and for policy aimed at promoting FDI in developing countries....

  17. Essays on energy, equity, and the environment in developing countries

    Science.gov (United States)

    Israel, Debra Kim

    1999-11-01

    The essays in this dissertation explore different environmental and public policy issues relevant to developing countries. Essay I examines household-level survey responses to the question "How willing would you be to pay somewhat higher taxes to the government if you knew the money would be spent to protect the environment and prevent land, water and air pollution?" Specifically, for twelve developing and three developed countries included in the survey, the empirical relationships among willingness to pay for environmental quality, relative household income and national income are investigated. The results indicate that when the effects of household and national income are combined, households with below-average income in low-income countries are less willing to pay for environmental protection than those with above-average income in high-income countries. Furthermore, willingness to pay for environmental protection increases more significantly with relative household income than with national income. Essay II uses data from urban Bolivia to study the determinants of household fuel choice, an important link between deforestation and indoor air pollution in developing countries. In particular, the effects of fixed fuel costs, income growth, and female earned income on household fuel choice are examined. The results imply that reduction in firewood use in developing countries is not likely to occur simply as the result of income growth. The essay discusses possible policy implications based on the results that fixed fuel costs appear to be a deterrent to switching to a cleaner fuel and households with female earned income seem less likely to use firewood than other households. Essay III analyzes the equity implications of the elimination of fuel subsidies in the 1985 Bolivian economic reforms. An analysis of the direct static burden shows that while the elimination of gasoline subsidies was progressively distributed, the elimination of LPG and kerosene subsidies

  18. Selecting Tools for Renewable Energy Analysis in Developing Countries: An Expanded Review

    Energy Technology Data Exchange (ETDEWEB)

    Irsyad, M. Indra al [School of Earth and Environmental Science, University of Queensland, Brisbane, QLD (Australia); Ministry of Energy and Mineral Resources, Jakarta (Indonesia); Halog, Anthony Basco, E-mail: a.halog@uq.edu.au [School of Earth and Environmental Science, University of Queensland, Brisbane, QLD (Australia); Nepal, Rabindra [Massey Business School, Massey University, Palmerston North (New Zealand); Koesrindartoto, Deddy P. [School of Business and Management, Institut Teknologi Bandung, Bandung (Indonesia)

    2017-12-20

    Renewable energy planners in developing countries should be cautious in using analytical tools formulated in developed countries. Traditional energy consumption, economic and demography transitions, high-income inequality, and informal economy are some characteristics of developing countries that may contradict the assumptions of mainstream, widely used analytical tools. In this study, we synthesize the debate in previous review studies on energy models for developing countries and then extend the scope of the previous studies by highlighting emerging methods of system thinking, life cycle thinking, and decision support analysis. We then discuss how these tools have been used for renewable energy analysis in developing countries and found out that not all studies are aware of the emerging critical issues in developing countries. We offer here a guidance to select the most appropriate analytical tool, mainly when dealing with energy modeling and analysis for developing countries. We also suggest potential future improvements to the analytical tool for renewable energy modeling and analysis in the developing countries.

  19. Selecting Tools for Renewable Energy Analysis in Developing Countries: An Expanded Review

    International Nuclear Information System (INIS)

    Irsyad, M. Indra al; Halog, Anthony Basco; Nepal, Rabindra; Koesrindartoto, Deddy P.

    2017-01-01

    Renewable energy planners in developing countries should be cautious in using analytical tools formulated in developed countries. Traditional energy consumption, economic and demography transitions, high-income inequality, and informal economy are some characteristics of developing countries that may contradict the assumptions of mainstream, widely used analytical tools. In this study, we synthesize the debate in previous review studies on energy models for developing countries and then extend the scope of the previous studies by highlighting emerging methods of system thinking, life cycle thinking, and decision support analysis. We then discuss how these tools have been used for renewable energy analysis in developing countries and found out that not all studies are aware of the emerging critical issues in developing countries. We offer here a guidance to select the most appropriate analytical tool, mainly when dealing with energy modeling and analysis for developing countries. We also suggest potential future improvements to the analytical tool for renewable energy modeling and analysis in the developing countries.

  20. Readiness for banking technologies in developing countries

    African Journals Online (AJOL)

    Professor in the Department of Marketing Management, University of Johannesburg. ... From the organisation's perspective, it has been suggested ... technological readiness of developing countries' consumers, in an urban environment,.

  1. Problems of nuclear power in developing countries

    International Nuclear Information System (INIS)

    Woite, G.

    1978-01-01

    The problems of nuclear power in developing countries are different in nature but not less severe than in industrialized countries. So far, only five developing countries with market economies (Argentina, India, Korea, Pakistan, Taiwan) have nuclear power plants in operation with a combined net output of 2.2 GWe. Nuclear projects with a total capacity of 15 GWe are under construction in these and four other developing countries in Asia and Latin America (Brazil, Iran, Mexico, Philippines). It is expected that most of the future nuclear power installed in developing countries of Asia, Africa and Latin America will be in these countries which have overcome some of the problems of nuclear power. (orig./RW) [de

  2. Projected uranium requirements of developing countries

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    The objective of this paper is to examine the uranium requirements of developing countries both in aggregate and individually. Although the cumulative uranium requirements of these countries are expected to account for less than eight percent of total requirements, the fact that many of these countries are expressing renewed interest in nuclear is, in itself, encouraging. The countries analyzed in this paper are Argentina, Brazil, Egypt, India, Israel, Mexico, Pakistan, South Africa, South Korea and Taiwan. For each country, the existing and planned nuclear capacity levels have been identified and capacity factors have been projected. For countries with no previous nuclear power, the world weighted average capacity factor for the specific reactor type is utilized. Other factors influencing nuclear power demand and operations of these developing countries will be discussed, and finally, uranium requirements based on a calculated optimal tails assay of .30 will be provided

  3. Implementing care policy in developing countries

    International Nuclear Information System (INIS)

    Tattum, L.; Phishner, E.S.

    1992-01-01

    How do chief executives of Western companies, from their plush offices, keep tabs on what happens at chemical plants in developing countries? Many point out that it is difficult to operate a Responsible Care policy in countries where industry associations have not yet started a coordinated initiative. 'Responsible Care is a program that has primarily a geographic dimension and is organized country by country by the industry associations,' note Kaspar Eigenmann, head of corporate unit safety and environment at Ciba (Basel). Where there is a campaign, the local Ciba company participates, he says. 'It's obvious that the industrialized countries are taking the lead,' adds Eigenmann

  4. Proposed Special Issue: Progress of cancer research in developing countries

    Directory of Open Access Journals (Sweden)

    T.S. Jong

    2016-10-01

    Full Text Available As developing economies[1] around the world become more socially affluent in the coming decades, the incidence of cancer-related mortality is expected rise significantly owing to a combination of lifestyle changes and multiple environmental factors (Figure 1. Based on statistics from the World Health Organization, developing countries accounted for nearly 72% of cancer mortality in 2008 even though the average disease incidence in these countries is lower compared to that of high-income nations[3]It has been projected that up to 60% (ca. 15–20 million of new cancer cases will occur in developing countries by the year 2020[4-6], causing more deaths than AIDS, malaria, and tuberculosis combined. In the past, cancer management in developing countries has focused heavily on disease prevention, general awareness improvement, and early detection, while deprioritizing treatment and research efforts as a result of limited resources[7]. However, given the severity of the situation, it is now necessary to recalibrate our focus and reprioritize the investment of valuable resources in the fight against cancer.With respect to cancer research in developing countries, a major challenge faced by international researchers is the lack of reliable data[6], along with a limited research output from the developing world, which hampers our general understanding of the capability of these countries in dealing with the cancer pandemic. From 2011 to 2015, the average combined research output from developing countries constituted only 20% of the total publication output of the world’s top 100 most published countries in the field of oncology (Figure 2. Nonetheless, developing countries have recorded an impressive 20% average year-on-year increase in terms of their publication output during this period, and five of these countries contributed to more than three quarter of the total number of papers published (Figure 3.In contrast, developed nations only registered a 4

  5. Market Dynamics and Productivity in Developing Countries ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    25 nov. 2009 ... Market Dynamics and Productivity in Developing Countries : Economic Reforms in the Middle East and North Africa. Book cover Market Dynamics and Productivity in Developing Countries: Economic Reforms in the Middle East. Directeur(s):. Khalid Sekkat. Maison(s) d'édition: Springer, CDRI. 25 novembre ...

  6. Health educaton in developing countries.

    Science.gov (United States)

    Kanaaneh, H A

    1977-01-01

    Health education is of great relevance in developing communities as it is a means of improving the health level which is an integral part of the overall socioeconomic development. It must be undertaken in conjunction with health services which should involve consumer participation at an early stage. Its focus is on changing behavior in respect to healthful living both at the individual and community levels. Health education subjects in developing communities include maternal and child health (MCH), nutrition, family planning and infectious diseases. Every member in the health team must be a health educator. Personal methods, especially when used by indigenous community health workers, are best suited to induce health behavior change in developing communities. Mass media as a rule is less suited for this, although radio can inform large segments of the population.

  7. Environmental policy implementation in developing countries

    International Nuclear Information System (INIS)

    Gamman, J.K.

    1990-01-01

    This study examines why national and international policies intended to protect limited natural resources in developing countries are not effectively implemented. It employs a comparative-policy implementation in three developing countries, Barbados, St. Lucia and St. Kitts, and three foreign assistance agencies, the US Agency for International Development, the Inter-American Development Bank and the Organization of American States. The decision-making process within the countries and donor agencies is closed, preventing key stakeholders from participating. In two instances, the mutually reinforcing behavior of top officials in the countries and the donor agencies led to decisions that prevented natural resources from being protected. In all three cases, strategies to implement environmental policies failed to account for four major elements: national politics, behavior in the donor agency, the culture of decision making, and economic necessity. The existing-decision making process in both developing countries and donor agencies is dysfunctional

  8. Gender Imbalance and Terrorism in Developing Countries

    Science.gov (United States)

    Younas, Javed

    2016-01-01

    This article investigates whether gender imbalance may be conducive to domestic terrorism in developing countries. A female-dominated society may not provide sufficient administration, law, or order to limit domestic terrorism, especially since societies in developing countries primarily turn to males for administration, policing, and paramilitary forces. Other economic considerations support female imbalance resulting in grievance-generated terrorism. Because male dominance may also be linked to terrorism, empirical tests are ultimately needed to support our prediction. Based on panel data for 128 developing countries for 1975 to 2011, we find that female gender imbalance results in more total and domestic terrorist attacks. This female gender imbalance does not affect transnational terrorism in developing countries or domestic and transnational terrorism in developed countries. Further tests show that gender imbalance affects terrorism only when bureaucratic institutions are weak. Many robustness tests support our results. PMID:28232755

  9. Gender Imbalance and Terrorism in Developing Countries.

    Science.gov (United States)

    Younas, Javed; Sandler, Todd

    2017-03-01

    This article investigates whether gender imbalance may be conducive to domestic terrorism in developing countries. A female-dominated society may not provide sufficient administration, law, or order to limit domestic terrorism, especially since societies in developing countries primarily turn to males for administration, policing, and paramilitary forces. Other economic considerations support female imbalance resulting in grievance-generated terrorism. Because male dominance may also be linked to terrorism, empirical tests are ultimately needed to support our prediction. Based on panel data for 128 developing countries for 1975 to 2011, we find that female gender imbalance results in more total and domestic terrorist attacks. This female gender imbalance does not affect transnational terrorism in developing countries or domestic and transnational terrorism in developed countries. Further tests show that gender imbalance affects terrorism only when bureaucratic institutions are weak. Many robustness tests support our results.

  10. EU CONTRIBUTION TO SUPPORT DEVELOPING COUNTRIES

    Directory of Open Access Journals (Sweden)

    Diana Popa

    2012-06-01

    Full Text Available The paper deals with the EU aid concerning to improved the economic situation from developing countries. Therefore, the aim of this research is to identify how EU states contribute to helping poor countries, members of the World Trade Organization. For the beginning, we define the EU’position before, during and after the Doha Round – a round of WTO multilateral trade negotiations. Moreover, we analyse the development dimension, focusing on countries „marginalized” until early of XXI century in terms of international trade, because this represents the idea-axis of the Doha Round. In this context, the EU – one of the leading global commercial players and a key member of the institution mentioned above – has set several objectives to achieve the basic goal of negotiations and several ways to support developing countries. To conclude, we propose to define the key points of the European aid for least developed and developing countries.

  11. Beyond convergence: Poland and Turkey en route to high income

    Directory of Open Access Journals (Sweden)

    Martin Raiser

    2016-03-01

    Full Text Available This paper compares and contrasts the policy reform experiences of Poland and Turkey en route to high income. For both countries, globalization has presented unprecedented opportunities to catch up, unleased by integration into European and global markets and the establishment of macroeconomic discipline. These opportunities were reinforced by the creation of economic institutions to strengthen competition and support private entrepreneurship, catalyzed by the convergence process with the European Union. Both Poland and Turkey have shown resilience following the 2008 global crisis, but continued success will require renewed structural reform measures. Dealing with the challenging of aging while at the same time finding a way to sustain productivity growth through greater domestic innovation is shaping Poland’s policy agenda. Turkey's structural and demographic potential as well as its strategic location between the markets of Europe and Asia offers attractive value proposition to investors, which could be further enhanced with improvements in business regulations and economic governance.

  12. Energy in developing countries: prospects and problems

    International Nuclear Information System (INIS)

    Baum, V.

    1977-01-01

    This paper analyses requirements for primary energy and electric power in the developing countries in the light of projections of population and economic growth. It evaluates the availability of indigenous energy resources and focuses on input requirements (capital, technology, trained personnel) for accelerated energy development; it reviews possible supplies for such inputs from domestic sources, transnational corporations, multilateral institutions, and through co-operation among the developing countries themselves and between the developing and the developed countries. The paper analyses the findings of the United Nations study ''The Future of the World Economy. A Study on the Impact of the Prospective Economic Issues and Policies on the International Development Strategy'' as far as they relate to energy and the developing countries in the light of the objectives of the Declaration on the Establishment of a New International Economic Order

  13. Regulatory pathways for vaccines for developing countries.

    Science.gov (United States)

    Milstien, Julie; Belgharbi, Lahouari

    2004-01-01

    Vaccines that are designed for use only in developing countries face regulatory hurdles that may restrict their use. There are two primary reasons for this: most regulatory authorities are set up to address regulation of products for use only within their jurisdictions and regulatory authorities in developing countries traditionally have been considered weak. Some options for regulatory pathways for such products have been identified: licensing in the country of manufacture, file review by the European Medicines Evaluation Agency on behalf of WHO, export to a country with a competent national regulatory authority (NRA) that could handle all regulatory functions for the developing country market, shared manufacturing and licensing in a developing country with competent manufacturing and regulatory capacity, and use of a contracted independent entity for global regulatory approval. These options have been evaluated on the basis of five criteria: assurance of all regulatory functions for the life of the product, appropriateness of epidemiological assessment, applicability to products no longer used in the domestic market of the manufacturing country, reduction of regulatory risk for the manufacturer, and existing rules and regulations for implementation. No one option satisfies all criteria. For all options, national infrastructures (including the underlying regulatory legislative framework, particularly to formulate and implement local evidence-based vaccine policy) must be developed. WHO has led work to develop this capacity with some success. The paper outlines additional areas of action required by the international community to assure development and use of vaccines needed for the developing world. PMID:15042235

  14. Prospects of Nuclear Power for Developing Countries

    International Nuclear Information System (INIS)

    Mourogov, V. M.; Khan, A. M.; Rogner, H-H.; Kagramanian, V. S.

    1998-01-01

    The demand for electricity in developing countries of the world is expected to grow rapidly in the coming decades as these countries undergo the process of industrialization, accompanied by increased urbanization, and seek to improve the living standards of their growing population. The continued heavy reliance of the power sector on fossil fuels will result in an increased dependence of a number of the developing countries on energy imports, with consequentbalance of payment difficulties and implications in terms of reduced energy security, cause severe degradation of the local and regional environment, and will also lead to increasing emissions of greenhouse gases. Increasing the share of hydropower in most of the developing countries is constrained by the limited potential of hydro resources as well as environmental considerations. Other renewable energy technologies such as solar PV and wind power are not expected to play a significant role in the commercial supply of electricity in the foreseeable future in the most part of the developing world. Thus nuclear power as a non-fossil alternative with a proven and mature technology may be called upon to play an increasing role in the future supply of electricity to developing countries. The paper discusses the main factors that are likely to affect, both positively and negatively, the deployment of nuclear power in developing countries and presents the results of the recent IAEA projections on nuclear power capacity growth up to the 2020. The paper also briefly reviews the prospects of nuclear power in Central and Eastern European countries. (author)

  15. Rabies diagnosis for developing countries.

    Directory of Open Access Journals (Sweden)

    Salome Dürr

    Full Text Available BACKGROUND: Canine rabies is a neglected disease causing 55,000 human deaths worldwide per year, and 99% of all cases are transmitted by dog bites. In N'Djaména, the capital of Chad, rabies is endemic with an incidence of 1.71/1,000 dogs (95% C.I. 1.45-1.98. The gold standard of rabies diagnosis is the direct immunofluorescent antibody (DFA test, requiring a fluorescent microscope. The Centers for Disease Control and Prevention (CDC, Atlanta, United States of America developed a histochemical test using low-cost light microscopy, the direct rapid immunohistochemical test (dRIT. METHODOLOGY/PRINCIPAL FINDINGS: We evaluated the dRIT in the Chadian National Veterinary Laboratory in N'Djaména by testing 35 fresh samples parallel with both the DFA and dRIT. Additional retests (n = 68 in Chad, n = 74 at CDC by DFA and dRIT of stored samples enhanced the power of the evaluation. All samples were from dogs, cats, and in one case from a bat. The dRIT performed very well compared to DFA. We found a 100% agreement of the dRIT and DFA in fresh samples (n = 35. Results of retesting at CDC and in Chad depended on the condition of samples. When the sample was in good condition (fresh brain tissue, we found simple Cohen's kappa coefficient related to the DFA diagnostic results in fresh tissue of 0.87 (95% C.I. 0.63-1 up to 1. For poor quality samples, the kappa values were between 0.13 (95% C.I. -0.15-0.40 and 0.48 (95% C.I. 0.14-0.82. For samples stored in glycerol, dRIT results were more likely to agree with DFA testing in fresh samples than the DFA retesting. CONCLUSION/SIGNIFICANCE: The dRIT is as reliable a diagnostic method as the gold standard (DFA for fresh samples. It has an advantage of requiring only light microscopy, which is 10 times less expensive than a fluorescence microscope. Reduced cost suggests high potential for making rabies diagnosis available in other cities and rural areas of Africa for large populations for which a capacity for

  16. Importance of rural bioenergy for developing countries

    International Nuclear Information System (INIS)

    Demirbas, Ayse Hilal; Demirbas, Imren

    2007-01-01

    Energy resources will play an important role in the world's future. Rural bioenergy is still the predominant form of energy used by people in the less developed countries, and bioenergy from biomass accounts for about 15% of the world's primary energy consumption and about 38% of the primary energy consumption in developing countries. Furthermore, bioenergy often accounts for more than 90% of the total rural energy supplies in some developing countries. Earth life in rural areas of the world has changed dramatically over time. Industrial development in developing countries, coming at a time of low cost plentiful oil supplies, has resulted in greater reliance on the source of rural bioenergy than is true in the developed countries. In developed countries, there is a growing trend towards employing modern technologies and efficient bioenergy conversion using a range of biofuels, which are becoming cost wise competitive with fossil fuels. Currently, much attention has been a major focus on renewable alternatives in the developing countries. Renewable energy can be particularly appropriate for developing countries. In rural areas, particularly in remote locations, transmission and distribution of energy generated from fossil fuels can be difficult and expensive. Producing renewable energy locally can offer a viable alternative. Renewable energy can facilitate economic and social development in communities but only if the projects are intelligently designed and carefully planned with local input and cooperation. Particularly in poor rural areas, the costs of renewable energy projects will absorb a significant part of participants' small incomes. Bio-fuels are important because they replace petroleum fuels. Biomass and biofuels can be used as a substitute for fossil fuels to generate heat, power and/or chemicals. Generally speaking, biofuels are generally considered as offering many benefits, including sustainability, reduction of greenhouse gas emissions, regional

  17. The fight against tobacco in developing countries.

    Science.gov (United States)

    Mackay, J L

    1994-02-01

    The battle to reduce the tobacco epidemic is not being won; the epidemic is merely being transferred from rich to poor countries. Tobacco-related mortality will rise from the present annual global toll of 3 million to over 10 million by the year 2025. Currently, most of these deaths are in developed countries but 7 out of the 10 million deaths will occur in developing countries by 2025. Developing countries cannot afford this increase, either in terms of human health or in economic costs, such as medical and health care costs, costs of lost productivity, costs of fires or costs of the misuse of land used to grow tobacco. As many of the tobacco-related illnesses, such as lung cancer or emphysema, are incurable even with expensive technology, the key to tobacco control lies in prevention. The essential elements of a national tobacco control policy are the same for all countries throughout the world--the only differences lie in fine tuning to a country's current situation. While indigenous production and consumption of tobacco remain a problem, of particular concern is the penetration of developing countries by the transnational tobacco companies, with aggressive promotional campaigns and the use of political and commercial pressures to open up markets and to promote foreign cigarettes. This includes specific targeting of women, few of whom currently smoke in developing countries. Also, tobacco advertising revenue prevents the media from reporting on the hazards of tobacco, a particularly serious problem in developing countries where awareness of the harmfulness of tobacco is low.(ABSTRACT TRUNCATED AT 250 WORDS)

  18. Health Behaviuor Interventions In Developing Countries

    African Journals Online (AJOL)

    health promotion interventions specifically focusing on developing countries would ... example from Kenya and Brazil of web-based education on adolescents' ... Master of Public Health, College of Medicine, University of Malawi. Reviewed by: ...

  19. Environmental isotope hydrology laboratories in developing countries

    International Nuclear Information System (INIS)

    Gonfiantini, R.; Stichler, W.

    1991-01-01

    This article reports on the role, experience, and problems of environmental isotope hydrology laboratories in developing countries, based upon the IAEA's experience. It specifically offers guidance on important aspects of organization, staffing, and operation

  20. Problems of scientific research in developing countries

    International Nuclear Information System (INIS)

    Vose, P.B.; Cervellini, A.

    1983-01-01

    The paper gives a general consideration of the problems encountered in the scientific research by the developing countries. Possible optimizations in the long term as well as short term strategies are pointed out

  1. Improving access to transport in developing countries

    CSIR Research Space (South Africa)

    Savill, T

    2003-06-01

    Full Text Available Improving access and mobility of people with disabilities is an essential component of the alleviation of poverty in developing countries. Disabled people are among the most socially excluded members of society and poorly designed and inaccessible...

  2. Child Welfare in Developing Countries | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2010-08-05

    Aug 5, 2010 ... In developing countries, there has been relatively little empirical work on the analysis and measurement of child poverty. Further ... Based on original research in Africa and South America and using a ... Related content ...

  3. Magnetic fusion research in developing countries

    International Nuclear Information System (INIS)

    Hassan, M.H.A.

    1990-01-01

    This article is a presentation prepared by the Third World Academy of Sciences on magnetic fusion research activity in the developing countries and its connection with the IAEA's own fusion programme. 6 figs, 1 tab

  4. Management of Radioactive Wastes in Developing Countries

    International Nuclear Information System (INIS)

    Abdel Ghani, A.H.

    1999-01-01

    The management of radioactive wastes is one area of increasing interest especially in developing countries having more and more activities in the application of radioisotopes in medicine, research and industry. For a better understanding of radioactive waste management in developing countries this work will discuss the following items:Classification of countries with respect to waste management programs. Principal Radionuclides used in medicine, biological research and others and the range of radioactivity commonly used. Estimation of radioactive waste volumes and activities. Management of liquid wastes Collection. Treatment. Management of small volumes of organic liquid waste. Collection Treatment. Packaging and storage of radioactive wastes

  5. Causal Attributions for Poverty in Developing Countries

    Directory of Open Access Journals (Sweden)

    José Juan Vázquez

    2009-07-01

    Full Text Available This paper analyzes attributional differences about causes of poverty in the less developed countries, among Nicaraguan ("actors" and Spanish ("observers" undergraduates. A self–applied questionnaire was used. It included socio–demographic questions and an adaptation of the "Causes of Third World Poverty Questionnaire" (CTWPQ. Results show agreement between Spanish and Nicaraguan in attributions about the main causes of poverty in the less developed countries, although there are differences about the perception of the incidence of the different causes in that situation. Nicaraguan students consider, as causes of poverty, more dispositional attributes about the population in those countries.

  6. Female labor force participation in developing countries

    OpenAIRE

    Verick, Sher

    2014-01-01

    While women’s labor force participation tends to increase with economic development, the relationship is not straightforward or consistent at the country level. There is considerably more variation across developing countries in labor force participation by women than by men. This variation is driven by a wide variety of economic and social factors, which include economic growth, education, and social norms. Looking more broadly at improving women’s access to quality employment, a critica...

  7. The gender wage gap in developed countries

    OpenAIRE

    Kunze, Astrid

    2017-01-01

    Despite the increased attachment of women to the labour force in nearly all developed countries, a stubborn gender pay gap remains. This chapter provides a review of the economics literature on the gender wage gap, with an emphasis on developed countries. We begin with an overview of the trends in the gender differences in wages and employment rates. We then review methods used to decompose the gender wage gap and the results from such decompositions. We discuss how trends and differences in ...

  8. Promoting nuclear medicine in developing countries

    International Nuclear Information System (INIS)

    Ganatra, R.; Nofal, M.

    1986-01-01

    After a short review of the applications of nuclear medicine in diagnosis and treatment of diseases or in medical research the ways and the means of IAEA's support in helping developing countries to set up nuclear medicine capabilities in their hospitals are described. Some trends and new directions in the field of nuclear medicine and the problems related to the implementation of these techniques in developing countries are presented

  9. Energy Issues and Problems in Developing Countries

    International Nuclear Information System (INIS)

    Mehdizadeh, Saeed

    1999-01-01

    In general, the developing countries due to changes in supply and demand for energy in the world, are facing several problems, such as: 1. Energy growth. 2.Energy consumption 3.Environmental protection. The objective of this paper is to study the problems caused by the increase in the energy consumption of the developing countries. also several guideline and solution schemes are recommended for these problems

  10. Causal Attributions for Poverty in Developing Countries

    OpenAIRE

    José Juan Vázquez; Sonia Panadero

    2009-01-01

    This paper analyzes attributional differences about causes of poverty in the less developed countries, among Nicaraguan ("actors") and Spanish ("observers") undergraduates. A self–applied questionnaire was used. It included socio–demographic questions and an adaptation of the "Causes of Third World Poverty Questionnaire" (CTWPQ). Results show agreement between Spanish and Nicaraguan in attributions about the main causes of poverty in the less developed countries, although there are difference...

  11. Global Agricultural Trade and Developing Countries

    OpenAIRE

    Aksoy, M. Ataman; Beghin, John C.

    2005-01-01

    Global Agricultural Trade and Developing Countries explores the outstanding issues in global agricultural trade policy and evolving world production and trade patterns. This book presents research findings based on a series of commodity studies of significant economic importance to developing countries. Setting the stage with background chapters and investigations of cross-cutting issues, the authors describe trade and domestic policy regimes affecting agricultural and food markets and analyz...

  12. Measuring Poverty and Wellbeing in Developing Countries

    DEFF Research Database (Denmark)

    Arndt, Channing; Tarp, Finn

    2017-01-01

    Detailed analyses of poverty and wellbeing in developing countries, based on large-scale, nationally representative household surveys, have been ongoing for more than three decades. The large majority of developing countries now conduct on a regular basis a variety of household surveys—income, co......Detailed analyses of poverty and wellbeing in developing countries, based on large-scale, nationally representative household surveys, have been ongoing for more than three decades. The large majority of developing countries now conduct on a regular basis a variety of household surveys......—income, consumption, health, demographics, labour force, household enterprise, and others. And the information base in developing countries with respect to poverty and wellbeing has improved dramatically. Nevertheless, appropriate measurement of poverty remains complex and controversial; this chapter lays out...... for the reader the issues and challenges. This is particularly true in developing countries where (i) the stakes with respect to poverty reduction are high; (ii) the determinants of living standards are often volatile; and (iii) related information bases, while much improved, are often characterized...

  13. Changing education through ICT in developing countries

    DEFF Research Database (Denmark)

    Georgsen, Marianne; Zander, Pär-Ola

    This book presents discussions of how information and communication technology (ICT) can play a vital role in developing education and thereby developing communities, countries and regions.Through examples of current research in developing countries, a number of highly relevant questions and topics...... and education The chapters in this volume are written by members of the international research group on ICT for Development (ICT4D) at Aalborg University together with researchers from around the world. This book is the first of its kind to concentrate fully on the relationship between ICT for development...... in the context of education. The book is essential reading for researchers, educational planners, policy advisers, students and educators....

  14. Vitamin A Deficiency Due to Selective Eating as a Cause of Blindness in a High-Income Setting.

    Science.gov (United States)

    Martini, Silvia; Rizzello, Angela; Corsini, Ilaria; Romanin, Benedetta; Fiorentino, Michelangelo; Grandi, Sara; Bergamaschi, Rosalba

    2018-04-01

    Vitamin A is a fat-soluble micronutrient involved in the regulation of several physiologic functions, such as visual acuity, epithelial tissue integrity, immune response, and gene expression, thus playing a crucial role in childhood growth and development. Although vitamin A deficiency (VAD) in resource-limited settings is still an actual issue and represents the leading cause of preventable childhood blindness, its occurrence in high-income countries is rare, although possibly underdiagnosed because of its nonspecific early manifestations. A good awareness of VAD symptoms and risk factors could aid its early diagnosis, which is fundamental to undertake a prompt treatment and to prevent ocular complications. Nevertheless, the role of restrictive dietary habits, increasingly common in developed countries, is often overlooked in infants and children. We present a case of VAD with permanent ocular sequelae in a 5-year-old girl from a high-income country. In the case described, VAD ensued from a highly restricted diet, mainly limited to oat milk, which had been followed for more than 2 years. This child presented with ocular symptoms, opportunistic infection, anemia, poor growth, and a diffuse squamous metaplasia of the bladder; after commencing retinol supplementation, a gradual healing of clinical VAD manifestations occurred, with the exception of the ocular sequelae, which resulted in irreversible visual loss. Copyright © 2018 by the American Academy of Pediatrics.

  15. Developing countries and the global science Web

    CERN Document Server

    Cerdeira, Hilda; Fonda, Carlo; Cottrell, R L A

    2003-01-01

    Enabling scientists from developing countries to bridge the gap between rich and poor depends on closing another gap - the "digital divide". Now the technology exists to monitor this divide, and it reveals some alarming results. Most developing countries experience great difficulties because of adverse economic conditions and political instability, which means they lag behind in scientific and technological development. With the advent of the World Wide Web and the rapid exchange of information via the Internet, one might naively have thought that much of the gap between developed and developing nations would disappear, even if problems still persisted for those areas of science that need expensive facilities. However, access to information, peer reviewed or not, depends on having the appropriate hardware, i.e. a computer, and Internet connectivity, and there is a serious problem with access to the Internet in developing countries. Gaining access to a computer is more of a question of economics, and one that ...

  16. International: development, the petroleum, security for the least developing countries

    International Nuclear Information System (INIS)

    Anon.

    2004-01-01

    The annual report of the CNUCED presents the economic situation improvement of the developing countries, those which benefit from petroleum resources. The CNUCED worries on the durability of the economic improvement of these countries. (A.L.B.)

  17. An economic justification for open access to essential medicine patents in developing countries.

    Science.gov (United States)

    Flynn, Sean; Hollis, Aidan; Palmedo, Mike

    2009-01-01

    This paper offers an economic rationale for compulsory licensing of needed medicines in developing countries. The patent system is based on a trade-off between the "deadweight losses" caused by market power and the incentive to innovate created by increased profits from monopoly pricing during the period of the patent. However, markets for essential medicines under patent in developing countries with high income inequality are characterized by highly convex demand curves, producing large deadweight losses relative to potential profits when monopoly firms exercise profit-maximizing pricing strategies. As a result, these markets are systematically ill-suited to exclusive marketing rights, a problem which can be corrected through compulsory licensing. Open licenses that permit any qualified firm to supply the market on the same terms, such as may be available under licenses of right or essential facility legal standards, can be used to mitigate the negative effects of government-granted patents, thereby increasing overall social welfare.

  18. Gastroenterology in developing countries: Issues and advances

    Science.gov (United States)

    Mandeville, Kate L; Krabshuis, Justus; Ladep, Nimzing Gwamzhi; Mulder, Chris JJ; Quigley, Eamonn MM; Khan, Shahid A

    2009-01-01

    Developing countries shoulder a considerable burden of gastroenterological disease. Infectious diseases in particular cause enormous morbidity and mortality. Diseases which afflict both western and developing countries are often seen in more florid forms in poorer countries. Innovative techniques continuously improve and update gastroenterological practice. However, advances in diagnosis and treatment which are commonplace in the West, have yet to reach many developing countries. Clinical guidelines, based on these advances and collated in resource-rich environments, lose their relevance outside these settings. In this two-part review, we first highlight the global burden of gastroenterological disease in three major areas: diarrhoeal diseases, hepatitis B, and Helicobacter pylori. Recent progress in their management is explored, with consideration of future solutions. The second part of the review focuses on the delivery of clinical services in developing countries. Inadequate numbers of healthcare workers hamper efforts to combat gastroenterological disease. Reasons for this shortage are examined, along with possibilities for increased specialist training. Endoscopy services, the mainstay of gastroenterology in the West, are in their infancy in many developing countries. The challenges faced by those setting up a service are illustrated by the example of a Nigerian endoscopy unit. Finally, we highlight the limited scope of many clinical guidelines produced in western countries. Guidelines which take account of resource limitations in the form of “cascades” are advocated in order to make these guidelines truly global. Recognition of the different working conditions facing practitioners worldwide is an important step towards narrowing the gap between gastroenterology in rich and poor countries. PMID:19533805

  19. Developing countries are combating climate change. Actions in developing countries that slow growth in carbon emissions

    International Nuclear Information System (INIS)

    Reid, Walter V.; Goldemberg, Jose

    1998-01-01

    The role of developing countries in helping to solve the problem of climate change is increasingly a focus of political controversy. With levels of greenhouse gas emissions projected to exceed those of developed countries by 2020, some industrialized countries are calling on developing countries to take stronger action to meet the commitments they have made in the Framework Convention on Climate Change (FCCC). This review of recent policy changes in developing countries, however, suggests that they are already taking little appreciated steps that reduce rates of growth in carbon emissions. Indeed, since the 1992 signing of the FCCC, carbon emission savings in developing countries may be greater than those attained by industrialized countries. A major source of these gains can be attributed to energy price reforms that are likely to have led to substantial gains in production and end-use efficiency. (author)

  20. IMF and economic reform in developing countries

    DEFF Research Database (Denmark)

    Abbott, Philip; Andersen, Thomas Barnebeck; Tarp, Finn

    2010-01-01

    approach is in order. However, the cross-country approach is unlikely to provide a sound basis for drawing clear conclusions, so we review IMF programs from a different perspective, involving a broader literature on development strategy. In particular, it is widely accepted that a common characteristic......In this paper we assess the IMF approach to economic reform in developing countries. The impact of IMF program participation on economic growth has been evaluated empirically in a cross-country literature, with little evidence of IMF programs having been successful. This suggests that a fresh...... of IMF programs is a high degree of policy rigidity. This is in contrast with studies which hold that unleashing an economy's growth potential hinges on a set of well-targeted policy interventions aimed at removing country-specific binding constraints. The process of locating constraints that bind...

  1. Helping transfer technology to developing countries

    International Nuclear Information System (INIS)

    Masters, R.

    1978-01-01

    Manpower planning and training are an increasingly important part of the activities of the IAEA which organises a number of courses for engineers and administrators from developing countries. The Agency supports the view of these countries that there should be a real transfer of nuclear technology and not just the import of equipment and services. A Construction and Operation Management course held at Karlsruhe, is reviewed. (author)

  2. Transfer of radiation technology to developing countries

    Science.gov (United States)

    Markovic, Vitomir; Ridwan, Mohammad

    1993-10-01

    Transfer of technology is a complex process with many facets, options and constraints. While the concept is an important step in bringing industrialization process to agricultural based countries, it is clear, however, that a country will only benefit from a new technology if it addresses a real need, and if it can be absorbed and adapted to suit the existing cultural and technological base. International Atomic Energy Agency, as UN body, has a mandate to promote nuclear applicationsand assist Member States in transfer of technology for peaceful applications. This mandate has been pursued by many different mechanisms developed in the past years: technical assistance, coordinated research programmes, scientific and technical meetings, publications, etc. In all these activities the Agency is the organizer and initiator, but main contributions come from expert services from developed countries and, increasingly, from developing countries themselves. The technical cooperation among developing coutries more and more becomes part of different programmes. In particular, regional cooperation has been demonstrated as an effective instrument for transfer of technology from developed and among developing countries. Some examples of actual programmes are given.

  3. Status of nuclear power in developing countries

    International Nuclear Information System (INIS)

    Laue, H.J.

    1982-01-01

    In the context of the world-wide energy situation and the key position energy plays and will play for the economic and social development of any country, the energy demand situation up to the year 2000 is analysed. As a result, the world-wide energy demand will continue to increase, however, mainly in the developing world. Nuclear power is one of the important component in the energy mix of today and in the future. Status of nuclear power application in developing countries up to the end of the century. Any further growth of the peaceful use of nuclear power in developing countries is closely linked with the following requirements: - qualified manpower, - industrial infrastructure, - energy demand and supply assessments, - high investments, - assurance of supply of nuclear fuel and fuel cycle services, - availability of small and medium power reactors. The possible role of the IAEA in developing countries and international measures to remove some of the limitations for the peaceful use of nuclear energy in developing countries are discussed. (orig.)

  4. Teacher labor markets in developed countries.

    Science.gov (United States)

    Ladd, Helen F

    2007-01-01

    Helen Ladd takes a comparative look at policies that the world's industrialized countries are using to assure a supply of high-quality teachers. Her survey puts U.S. educational policies and practices into international perspective. Ladd begins by examining teacher salaries-an obvious, but costly, policy tool. She finds, perhaps surprisingly, that students in countries with high teacher salaries do not in general perform better on international tests than those in countries with lower salaries. Ladd does find, however, that the share of underqualified teachers in a country is closely related to salary. In high-salary countries like Germany, Japan, and Korea, for example, only 4 percent of teachers are underqualified, as against more than 10 percent in the United States, where teacher salaries, Ladd notes, are low relative to those in other industrialized countries. Teacher shortages also appear to stem from policies that make salaries uniform across academic subject areas and across geographic regions. Shortages are especially common in math and science, in large cities, and in rural areas. Among the policy strategies proposed to deal with such shortages is to pay teachers different salaries according to their subject area. Many countries are also experimenting with financial incentive packages, including bonuses and loans, for teachers in specific subjects or geographic areas. Ladd notes that many developed countries are trying to attract teachers by providing alternative routes into teaching, often through special programs in traditional teacher training institutions and through adult education or distance learning programs. To reduce attrition among new teachers, many developed countries have also been using formal induction or mentoring programs as a way to improve new teachers' chances of success. Ladd highlights the need to look beyond a single policy, such as higher salaries, in favor of broad packages that address teacher preparation and certification

  5. THE FASTEST GROWING LEAST DEVELOPED COUNTRIES

    Directory of Open Access Journals (Sweden)

    Wioletta NOWAK

    2017-12-01

    Full Text Available The paper presents trends in economic growth and development in twelve least developed countries from 2006 to 2015. The study is based on the data retrieved from the World Bank Database. During the analysed 10 years, seven Asian (Myanmar, Lao PDR, Bhutan, Cambodia, Timor-Leste, Bangladesh, and Afghanistan and five African (Ethiopia, Rwanda, Angola, Sudan, and Mozambique LDCs had average annual GDP per capita growth rates higher than 4.0%. GDP has been largely generated through the services and industry sectors. A few LDCs sustained strong growth mainly because of foreign assistance and in other countries remittances were a significant source of development finance. Resource rich countries recorded high inflows of foreign direct investment. In a few fast growing LDCs the state has been heavily engaged in economy. The analysed LDCs substantially improved their development indicators.

  6. Adaptation to Climate Change in Developing Countries

    DEFF Research Database (Denmark)

    Mertz, Ole; Halsnæs, Kirsten; Olesen, Jørgen E.

    2009-01-01

    Adaptation to climate change is given increasing international attention as the confidence in climate change projections is getting higher. Developing countries have specific needs for adaptation due to high vulnerabilities, and they will in this way carry a great part of the global costs...... of climate change although the rising atmospheric greenhouse gas concentrations are mainly the responsibility of industrialized countries. This article provides a status of climate change adaptation in developing countries. An overview of observed and projected climate change is given, and recent literature...... on impacts, vulnerability, and adaptation are reviewed, including the emerging focus on mainstreaming of climate change and adaptation in development plans and programs. The article also serves as an introduction to the seven research articles of this special issue on climate change adaptation in developing...

  7. Surgical audit in the developing countries.

    Science.gov (United States)

    Bankole, J O; Lawal, O O; Adejuyigbe, O

    2003-01-01

    Audit assures provision of good quality health service at affordable cost. To be complete therefore, surgical practice in the young developing countries, as elsewhere, must incorporate auditing. Peculiarities of the developing countries and insufficient understanding of auditing may be, however, responsible for its been little practised. This article, therefore, reviews the objectives, the commonly evaluated aspects, and the method of audit, and includes a simple model of audit cycle. It is hoped that it will kindle the idea of regular practice of quality assurance by surgeons working in the young developing nations and engender a sustainable interest.

  8. Energy needs, developing countries and ICTP

    International Nuclear Information System (INIS)

    Sreenivasan, K.R.

    2005-01-01

    The energy consumption in the near future will go up at a more rapid rate than before. About four billion people use little energy today (1.6 billion are without electricity). The energy consumption will increase partly because more of them will begin to use more energy and partly because the population will increase (to an estimated 10-12 billion in the steady state). Dependence on fossil fuels cannot continue as now. Supplies are limited, availability will become a greater vagary as sources dry up and greenhouse effects may make them less useful even sooner. Sustainable energy options will have to be a mix of fossil fuels, nuclear energy, renewable sources and others like hydrogen. Participation of developing countries and dialogue with them are essential. Developing countries cannot follow the same path to progress as industrialized countries did in the past. Greater ingenuity is needed, which calls for greater investment in science. The industrialized countries have a large responsibility because unsustainable development in the developing part of the world will adversely affect every other part. ICTP's involvement in this respect involve dedicated scientific workshops over the years (some in cooperation with IAEA) with considerable participation from Developing Countries and TRIL Fellows. ICTP has a new section on Earth System Physics (consolidating energy issues as well). Since 1977 ICTP organized 21 courses and workshops, which were attended by about 2000 participants

  9. Obesity and poverty paradox in developed countries.

    Science.gov (United States)

    Żukiewicz-Sobczak, Wioletta; Wróblewska, Paula; Zwoliński, Jacek; Chmielewska-Badora, Jolanta; Adamczuk, Piotr; Krasowska, Ewelina; Zagórski, Jerzy; Oniszczuk, Anna; Piątek, Jacek; Silny, Wojciech

    2014-01-01

    Obesity is a civilization disease and the proportion of people suffering from it continues to grow, especially in the developed countries. Number of obese people in Europe has increased threefold over the last 20 years. The paradox of obesity and poverty relationship is observed especially in the developed and developing countries. In developing countries, along with economic development and income growth, the number of people with overweight and obesity is increasing. This paradox has a relationship with both the easy availability and low cost of highly processed foods containing 'empty calories' and no nutritional value. To date, this paradox has been described in the United States and the United Kingdom, although many European countries are also experiencing high percentages of obese people. Among the reasons for the growing obesity in the population of poor people are: higher unemployment, lower education level, and irregular meals. Another cause of obesity is low physical activity, which among the poor is associated with a lack of money for sports equipment. Due to the large rate of deaths caused by diseases directly linked to obesity, the governments of many countries implement prevention programmes of overweight and obesity. These programmes are based primarily on educating the public about a healthy lifestyle based on healthy eating, daily physical activity and avoiding alcohol and cigarettes.

  10. Obesity and poverty paradox in developed countries

    Directory of Open Access Journals (Sweden)

    Wioletta Żukiewicz-Sobczak

    2014-09-01

    Full Text Available Obesity is a civilization disease and the proportion of people suffering from it continues to grow, especially in the developed countries. Number of obese people in Europe has increased threefold over the last 20 years. The paradox of obesity and poverty relationship is observed especially in the developed and developing countries. In developing countries, along with economic development and income growth, the number of people with overweight and obesity is increasing. This paradox has a relationship with both the easy availability and low cost of highly processed foods containing ‘empty calories’ and no nutritional value. To date, this paradox has been described in the United States and the United Kingdom, although many European countries are also experiencing high percentages of obese people. Among the reasons for the growing obesity in the population of poor people are: higher unemployment, lower education level, and irregular meals. Another cause of obesity is low physical activity, which among the poor is associated with a lack of money for sports equipment. Due to the large rate of deaths caused by diseases directly linked to obesity, the governments of many countries implement prevention programmes of overweight and obesity. These programmes are based primarily on educating the public about a healthy lifestyle based on healthy eating, daily physical activity and avoiding alcohol and cigarettes.

  11. Changing education through ICT in developing countries

    DEFF Research Database (Denmark)

    Georgsen, Marianne; Zander, Pär-Ola

    This book presents discussions of how information and communication technology (ICT) can play a vital role in developing education and thereby developing communities, countries and regions.Through examples of current research in developing countries, a number of highly relevant questions and topics...... are dealt with, such as: • Approaches to user involvement and participation in development • Knowledge and its role in development, particularly in higher education • Digital literacy and ways of developing it • Pedagogic approaches • Learning cultures in globalised education • Teacher training...... and education The chapters in this volume are written by members of the international research group on ICT for Development (ICT4D) at Aalborg University together with researchers from around the world. This book is the first of its kind to concentrate fully on the relationship between ICT for development...

  12. Nuclear desalting potential for developing countries

    International Nuclear Information System (INIS)

    1969-01-01

    Nuclear power, having proved its success in large units, now poses problems for application in developing countries. Possible solutions for electricity supply, desalting systems and agricultural development are suggested by Joseph R. Wilson, of the Agency's Division of Nuclear Power and Reactors. His article is adapted from a lecture to students in Switzerland. (author)

  13. Status consumption and poverty in developing countries

    NARCIS (Netherlands)

    van Kempen, L.A.C.M.

    2005-01-01

    This thesis investigates the scope, nature and welfare effects of status consumption by the poor in developing countries, a phenomenon that is virtually unexplored in the development economics literature. It addresses questions such as: why do the poor buy status-intensive goods, while they suffer

  14. Educating Civil Engineers for Developing Countries

    Science.gov (United States)

    Stanley, D.

    1974-01-01

    Based on engineering teaching experience in Africa and Asia, ideas are presented on educating civil engineers for developing countries, especially those in Africa. Some of the problems facing educational planners, teachers, and students are addressed, including responsibilities of a newly graduated civil engineer, curriculum development, and…

  15. Business symbiosis between developing and industrialised countries

    International Nuclear Information System (INIS)

    Alfsen, Knut H.; Sygna, Linda

    1999-01-01

    The article discusses problems of soil conservation and use. Research into the possibilities of improving soil quality by carbon storage is surveyed. An integration of soil carbon storage into the green development mechanisms in the Kyoto protocol may prove to be environmentally beneficial and economically profitable to both the developing and the industrialised countries

  16. Dental Curriculum Development in Developing Countries.

    Science.gov (United States)

    Phantumvanit, Prathip

    1996-01-01

    Since establishment of formal dental education in Southeast Asia, changes stemming from research and technology have led to dental curriculum changes. Development of the dental curriculum can be divided into three phases: disease oriented; health oriented; and community oriented. Evolution of these phases is traced in the dental curricula of Laos,…

  17. Synchrotron light sources in developing countries

    Science.gov (United States)

    Mtingwa, Sekazi K.; Winick, Herman

    2018-03-01

    We discuss the role that synchrotron light sources, such as SESAME, could play in improving the socioeconomic conditions in developing countries. After providing a brief description of a synchrotron light source, we discuss the important role that they played in the development of several economically emerging countries. Then we describe the state of synchrotron science in South Africa and that country’s leadership role in founding the African Light Source initiative. Next, we highlight a new initiative called Lightsources for Africa, the Americas & Middle East Project, which is a global initiative led by the International Union of Pure and Applied Physics and the International Union of Crystallography, with initial funding provided by the International Council for Science. Finally, we comment on a new technology called the multibend achromat that has launched a new paradigm for the design of synchrotron light sources that should be attractive for construction in developing countries.

  18. What Makes MNCs Succeed in Developing Countries?

    DEFF Research Database (Denmark)

    Hansen, Michael W.; Gwozdz, Wencke

    2015-01-01

    ) are increasingly establishing subsidiaries in developing countries. The potential gains are high; however, so are the risks. While the issue of subsidiary performance should be at the heart of any international business (IB) enquiry into MNC activity in developing countries, surprisingly little research has...... examined this issue. Design/methodology/approach – Based on a comprehensive literature review of the IB performance literature, it is hypothesized that subsidiary performance essentially is shaped by five clusters of factors: location, industry, MNC capabilities, subsidiary role and entry strategy...

  19. Problems of radiation therapy in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Lyimo, R; Neumeister, K

    1988-01-01

    Poverty as well as lack of proper cancer programmes has prevented the early detection of cancer in developing countries. Radiotherapy is applied mostly in advanced cases only. To change the situation comprehensive programmes must be introduced with particular attention to the importance of cancer control. The establishment of cancer societies as well as the introduction of centres for training of radiological personnel will really improve the situation. A realistic method for the optimization of radiotherapy in developing countries should be the use of radiomodification such as hypoxyradiotherapy.

  20. CSR Institutionalized Myths in Developing Countries

    DEFF Research Database (Denmark)

    Jamali, Dima; Lund-Thomsen, Peter; Khara, Navjote

    2017-01-01

    This article examines joint action initiatives among small- and medium-sized enterprises (SMEs) in the manufacturing industries in developing countries in the context of the ascendancy of corporate social responsibility (CSR) and the proliferation of a variety of international accountability tools...... place, and how developing country firms can gain credit and traction by focusing on high visibility CSR issues, although the plight of workers remains fundamentally unchanged. The authors revisit these findings in the discussion and concluding sections, highlighting the main research and policy...

  1. Nuclear power programmes in developing countries

    International Nuclear Information System (INIS)

    Anon.

    1988-01-01

    The paper on ''Nuclear power programmes in developing countries'' is a report to the IAEA by a Senior Expert Group. A description is given of the requirements for a successful nuclear power programme, including the constraints that developing countries might face in the introduction and execution of the programme. The group attempted to identify the main issues affecting the financing of nuclear power projects and suggested specific actions that could be undertaken in order to reduce economic and financial risks. The various issues were discussed under the topic headings:-programme-project-related factors, investment climate, financing plan, export credits and creditworthiness. (U.K.)

  2. Waste management advisory missions to developing countries

    International Nuclear Information System (INIS)

    Thomas, K.T.

    1990-01-01

    The IAEA's Waste Management Advisory Programme (WAMAP) was initiated in 1987 as an interregional technical co-operation project to complement other activities in radioactive waste management. Its creation gave greater recognition to the importance of the safe management of radioactive wastes and promotion of long-term waste management technical assistance strategies for developing countries. Over the past 4 years, international experts have reviewed the radioactive waste management programmes of 29 developing countries. Missions have been conducted within the framework of the IAEA's Waste Management Advisory Programme (WAMAP). Ten of these countries have nuclear power plants in operation or under construction or have nuclear fuel cycle facilities. Altogether, 23 have research reactors or centres, eight have uranium or thorium processing programmes or wastes, and nine essentially have only isotope applications involving the use of radiation sources

  3. Developing countries' motivation to use nuclear technology

    International Nuclear Information System (INIS)

    Ratsch, U.

    1990-01-01

    Governments of various developing countries see nuclear energy as an important tool for at least three political goals: Firstly, the expected rise in future energy demand, so they argue, can only be met if nuclear electricity production in the Third World is expanded. Fossil sources are supposed to become increasingly scarce and expensive, and they are also seen to be ecologically damaging. Technologies to harness renewable energy sources are not yet mature and still too costly. Secondly, nuclear technology is seen as one of the most advanced technologies. Mastering of it might help to diminish the technological gap between the First and the Third World. Thirdly, scientific progress in developing countries is hoped to be accelerated by operating research reactors in these countries. All of these arguments ought to be taken as serious motivations. (orig./HSCH) [de

  4. Innovation in Developing Countries - a New Approach

    Directory of Open Access Journals (Sweden)

    Dagmara Bubel

    2015-05-01

    Full Text Available Currently the enterprises’ development and competitive positions are determined by innovation. The importance of innovation in corporate management is a result of changes in corporate environment, as well as of preferences and changing needs of customers. These changes are accompanied by a new approach to innovation: they are no longer limited to developed countries, but also emerge in developing countries. Moreover, a reverse in the direction of innovations occurs, which means that developing countries are often not only the recipients of innovative products, but also creators and „exporters”. Given the current trends, the paper begins with the concept of innovation and deals with the subject of innovation in developing countries. The conclusion of the paper presents examples of innovative solutions originated from Poland. Although Poland ranks rather „tail end” in innovation rankings, but also deliver products that have a good chance to conquer the global market. By highlighting the importance of this reverse innovative trend, this article provides the conceptual grounds for further systematic research.

  5. Microneedle patches for vaccination in developing countries.

    Science.gov (United States)

    Arya, Jaya; Prausnitz, Mark R

    2016-10-28

    Millions of people die of infectious diseases each year, mostly in developing countries, which could largely be prevented by the use of vaccines. While immunization rates have risen since the introduction of the Expanded Program on Immunization (EPI), there remain major challenges to more effective vaccination in developing countries. As a possible solution, microneedle patches containing an array of micron-sized needles on an adhesive backing have been developed to be used for vaccine delivery to the skin. These microneedle patches can be easily and painlessly applied by pressing against the skin and, in some designs, do not leave behind sharps waste. The patches are single-dose, do not require reconstitution, are easy to administer, have reduced size to simplify storage, transportation and waste disposal, and offer the possibility of improved vaccine immunogenicity, dose sparing and thermostability. This review summarizes vaccination challenges in developing countries and discusses advantages that microneedle patches offer for vaccination to address these challenges. We conclude that microneedle patches offer a powerful new technology that can enable more effective vaccination in developing countries. Copyright © 2015. Published by Elsevier B.V.

  6. Reflections on the development of health economics in low- and middle-income countries.

    Science.gov (United States)

    Mills, Anne

    2014-08-22

    Health economics is a relatively new discipline, though its antecedents can be traced back to William Petty FRS (1623-1687). In high-income countries, the academic discipline and scientific literature have grown rapidly since the 1960s. In low- and middle-income countries, the growth of health economics has been strongly influenced by trends in health policy, especially among the international and bilateral agencies involved in supporting health sector development. Valuable and influential research has been done in areas such as cost-benefit and cost-effectiveness analysis, financing of healthcare, healthcare provision, and health systems analysis, but there has been insufficient questioning of the relevance of theories and policy recommendations in the rich world literature to the circumstances of poorer countries. Characteristics such as a country's economic structure, strength of political and social institutions, management capacity, and dependence on external agencies, mean that theories and models cannot necessarily be transferred between settings. Recent innovations in the health economics literature on low- and middle-income countries indicate how health economics can be shaped to provide more relevant advice for policy. For this to be taken further, it is critical that such countries develop stronger capacity for health economics within their universities and research institutes, with greater local commitment of funding. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

  7. The importance of Evolutionary Medicine in developing countries: A case for Pakistan's medical schools.

    Science.gov (United States)

    Enam, Syed Faaiz; Hashmi, Shumaila

    2018-01-01

    Evolutionary Medicine (EM) is a fundamental science exploring why our bodies are plagued with disease and hindered by limitations. EM views the body as an assortment of benefits, mistakes, and compromises molded over millennia. It highlights the role of evolution in numerous diseases encountered in community and family medicine clinics of developing countries. It enables us to ask informed questions and develop novel responses to global health problems. An understanding of the field is thus crucial for budding doctors, but its study is currently limited to a handful of medical schools in high-income countries. For the developing world, Pakistan's medical schools may be excellent starting posts as the country is beset with communicable and non-communicable diseases that are shaped by evolution. Remarkably, Pakistani medical students are open to studying and incorporating EM into their training. Understanding the principles of EM could empower them to tackle growing health problems in the country. Additionally, some difficulties that western medical schools face in integrating EM into their curriculum may not be a hindrance in Pakistan. We propose solutions for the remaining challenges, including obstinate religious sentiments. Herein, we make the case that incorporating EM is particularly important in developing countries such as Pakistan and that it is achievable in its medical student body.

  8. Solar passive buildings for developing countries

    International Nuclear Information System (INIS)

    Gupta, C.L.

    1993-01-01

    This paper is meant to be an indicative survey of developments in solar passive building technology relevant to developing countries. The evolution of this area during the last fifty years is reported along with the scientific principles and design concepts underlying these developments. Factors to be considered for design strategies such as direct gain, isolated gain, indirect gain and roof evaporative systems are then described. Rating parameters for assessing the performance and benefit and cost parameters are then outlined. Successful examples illustrating each of the design concepts, mainly from Indian buildings constructed during the last fifteen years, are then detailed along with their performance based on actual monitoring, if available. Concluding remarks indicate the current and future trends. A survey is made of papers marking significant milestones in the development of solar passive building technology relevant to developing countries. (author). 48 refs., 14 figs., 3 tabs

  9. Is astronomical research appropriate for developing countries?

    Science.gov (United States)

    Snowden, Michael S.

    An unproductive 45-cm astronomical telescope, given by JICA (Japan) to Sri Lanka, raises general questions as to the reasons for unproductive pure science in developing countries. Before installation, site, maintenance, and scientific objectives were discussed. The facility was launched with a conference organised by the UN Office for Outer Space Affairs. Unfortunately, no research or significant education has resulted after four years. The annual operating cost is U.S. $5000 per year, including salary for a trainee, maintenance, and a modest promotional programme. Comparison with a similar installation in Auckland suggests lack of funding or technical competence do not explain the failure in Sri Lanka. The facility in New Zealand, on the roof of Auckland University's Physics Department, has a slightly smaller budget but has led to modest but useful research and teaching. Lack of financial backing and expertise are often blamed for weak science in developing countries, but examination shows most of these countries have adequately skilled people, and plenty of resources for religion and military. General lack of motivation for science appears to be the principal reason. This lack of interest and highly inefficient bureaucracies are common to scientifically unproductive countries. They mostly lack the cultural and philosophical base of the European Renaissance that motivate the pursuit of modern science, an activity that violates human preferences. There are excellent facilities (ESO, SAAO, Cerro Tololo, and GONG) in some of these same countries, when administered from the West.

  10. Social Upgrading in Developing Country Industrial Clusters

    DEFF Research Database (Denmark)

    Pyke, Frank; Lund-Thomsen, Peter

    2016-01-01

    In this article, we examine the role of social upgrading in developing country industrial clusters. We argue that while economic growth and productivity enhancement matter, social conditions within clusters are influenced by state monetary, fiscal, and labour policies and regulations, as well...

  11. Information Communication Technology Planning in Developing Countries

    Science.gov (United States)

    Malapile, Sandy; Keengwe, Jared

    2014-01-01

    This article explores major issues related to Information Communication Technology (ICT) in education and technology planning. Using the diffusion of innovation theory, the authors examine technology planning opportunities and challenges in Developing countries (DCs), technology planning trends in schools, and existing technology planning models…

  12. SMEs and CSR in Developing Countries

    DEFF Research Database (Denmark)

    Jamali, Dima; Lund-Thomsen, Peter; Jeppesen, Søren

    2017-01-01

    This article is the guest editors’ introduction to the special issue in Business & Society on “SMEs and CSR in Developing Countries.” The special issue includes four original research articles by Hamann, Smith, Tashman, and Marshall; Allet; Egels-Zandén; and Puppim de Oliveira and Jabbour...

  13. Housing policies in developing countries: Microfinance

    NARCIS (Netherlands)

    Smets, P.G.S.M.; Smith, S.J.; Elsinga, M.; O’Mahony, L.H.; Ong, S.E.; Wachter, S.; Wood, G.

    2012-01-01

    Shelter is a basic human need for which financial means are required. Poorer sections of society face difficulties in accessing and coping with conventional mortgage finance and are better assisted with housing microfinance. This enables the poor, especially in 'developing' countries to build their

  14. Empowering women in work in developing countries

    NARCIS (Netherlands)

    van Klaveren, M.; Tijdens, K.

    2012-01-01

    The authors of this volume present the outcomes of a major project aimed at empowering girls and young women in 14 developing countries. They discuss the young women’s choices in life, set against the backdrop of family building, health, education, employment opportunities and the use of the

  15. Climate change and developing country interests

    DEFF Research Database (Denmark)

    Arndt, Channing; Chinowsky, Paul; Fant, Charles

    We consider the interplay of climate change impacts, global mitigation policies, and the interests of developing countries to 2050. Focusing on Malawi, Mozambique, and Zambia, we employ a structural approach to biophysical and economic modeling that incorporates climate uncertainty and allows for...

  16. Industrial Clusters and CSR in Developing Countries

    DEFF Research Database (Denmark)

    Fayyaz, Anjum; Lund-Thomsen, Peter; Lindgreen, Adam

    2017-01-01

    - and medium-sized enterprises (SMEs). A case study of the Sialkot football-manufacturing cluster in Pakistan indicates that donor-funded support of CSR initiatives in industrial clusters in developing countries may be short-lived, due to the political economy of aid, the national context of CSR implementation...

  17. Household Water Treatments in Developing Countries

    Science.gov (United States)

    Smieja, Joanne A.

    2011-01-01

    Household water treatments (HWT) can help provide clean water to millions of people worldwide who do not have access to safe water. This article describes four common HWT used in developing countries and the pertinent chemistry involved. The intent of this article is to inform both high school and college chemical educators and chemistry students…

  18. Strategy of the Development of the Country: opinions and attitudes of the country people

    OpenAIRE

    Somerauerová, Jana

    2009-01-01

    The conception of country-side and village. Demographic development of country-side places. Case study of attitude and positions of village inhabitants outspreaded to the country-side development (opinion poll).

  19. High Income Inequality as a Structural Factor in Entrepreneurial Activity

    Directory of Open Access Journals (Sweden)

    Antonio Lecuna

    2014-04-01

    Full Text Available Statistical tests on a panel of data from 54 countries over the 2004–2009 period support the proposition that high income inequality and entrepreneurial activity share a positive linear relationship. In a novel approach, the dependent variable is defined from two independent and uncorrelated perspectives: (1 the World Bank Group Entrepreneurship Snapshot, which measures new business entry density based on secondary official sources; and (2 the Total Early Stage Entrepreneurial Activity of the Global Entrepreneurship Monitor project, which is a survey-based measure of formal and informal entrepreneurial participation rates. The empirical strategy is based on the logic that economies with increasing concentrations of wealth tend to encourage entrepreneurial activity because entrepreneurs accumulate more income than workers. Following the disequalizing model, once this inequality appears, it is reinforced in successive generations. The intuition behind this outcome is that a certain level of initial capital is required to establish a new enterprise, which implies that the probability of becoming an entrepreneur increases if an individual has inherited wealth.

  20. Radiation protection monitoring in tropical, developing countries

    International Nuclear Information System (INIS)

    Becker, K.; Drexler, G.

    1979-01-01

    Almost all radiation protection standards, manuals and textbooks have been written in and for industrialized countries in temperate climates, and most research effort and instrument manufacturers are also located there. There has been relatively little interest in the completely different socio-economic and climatic conditions in many developing countries. Some of the important differences in conditions, such as high temperatures and relative humidities, electric-power failures and voltage fluctuations, shortage of trained manpower, etc., are discussed, and suggestions are made how to minimize their impacts. Other important matters that are considered are recruitment and training, optimized organizational structures, and the proper choice of research topics in the radiation protection field. (author)

  1. Energy technology transfer to developing countries

    International Nuclear Information System (INIS)

    Butera, F.; Farinelli, U.

    1992-01-01

    With the use of critical analyses of some examples of technology transfer by industrialized to third world countries, this paper illustrates the importance, in technology transfer, of giving due consideration to the specific social and marketing contexts of the targeted developing country and its physical and financial capability to acquire all the technology necessary to make the total realization of a desired industrial scheme feasible from the economic, technical and social points of view. It also indicates that the most effective transfers are those in which efforts are made to optimize local work force learning levels, process scheme efficiency and cost through the careful integration of innovative with conventional technologies

  2. WTO negotiations on agriculture and developing countries:

    OpenAIRE

    Hoda, Anwarul; Gulati, Ashok

    2008-01-01

    The World Trade Organization’s Doha Round of trade talks has been plagued by a lack of concrete progress toward establishing a fair and harmonious agricultural trading system. Because the results of the Doha Round could have far-reaching implications for the trade and economic prospects of developing countries in the twenty-first century, it is critical for these countries to fully understand the issues involved in the negotiations on agriculture. However, there has been no authoritative an...

  3. Internationalization of science in developing countries

    International Nuclear Information System (INIS)

    Salam, A.

    1980-03-01

    The history of science has gone through cycles among nations. In the period of antiquity the centres of science were in the East; in the middle ages scholars from the underdeveloped West travelled to the centres of study and research of the rich countries in the East to learn from the teachers there. In our century the cycle has turned and it is the East that turns to the West for science. Opportunities for scientists from developing countries are diminishing, however, and it is important that centres like the International Centre for Theoretical Physics in Trieste, supported by the IAEA, UNESCO and the Government of Italy, be provided with continuing and strong support

  4. Public Education and Growth in Developing Countries

    DEFF Research Database (Denmark)

    Schuppert, Christiane; Wirz, Nadja

    Human capital plays a key role in fostering technology adoption, the major source of economic growth in developing countries. Consequently, enhancing the level of human capital should be a matter of public concern. The present paper studies public education incentives in an environment in which...... governments can invest in human capital to facilitate the adoption of new technologies invented abroad or, instead, focus on consumptive public spending. Although human capital is pivotal for growth, the model reveals that incentives to invest in public education vanish if a country is poorly endowed...

  5. Food aid to developing countries: a survey

    Energy Technology Data Exchange (ETDEWEB)

    Maxwell, S J; Singer, H W

    1979-03-01

    Food air currently constitutes nearly 15% of official development assistance and hence has considerable potential as a stimulant to growth in less-developed countries (LDCs). This paper reviews the evidence on the impact of food aid on growth and its associated factors. While recognizing that the use of food aid is influenced by a constellation of interests in recipient and donor countries, it identifies a set of guiding principles for maximizing the effectiveness of food aid. These include the need for food (relative to other development needs), its level of substitutability with commercial imports, its incorporation in a poverty-oriented development plan, its guaranteed availability and its complementarity with financial aid. Current food air programs recognize the relevance of some of these principles - e.g. the criteria of necessity - but ignore others - notably the need to situate food aid in a comprehensive plan for improving patterns of income distribution in LDCs. 203 notes, 203 references.

  6. Bringing developing countries into the energy equation

    International Nuclear Information System (INIS)

    Colombier, M.; Loup, J.; Laponche, Bernard; Martin-Amouroux, Jean-Marie; Chateau, Bertrand; Heller, Thomas C.; Kieken, Hubert; Kleiche, Mustapha; Mathy, Sandrine; Hourcade, Jean-Charles; Goldemberg, Jose; Pizer, William A.

    2006-01-01

    This compilation of articles on energy and climate change is a selection of contributions to the first edition of Regards sur la Terre, an annual reference in French on the international dimension of sustainable development, launched on the initiative of the French development agency, AFD (Agence francaise de developpement) and the institute for sustainable development and international relations, IDDRI (Institut du developpement durable et des relations internationales), and published by Presses de Sciences Po (Paris) in November 2006. Regards sur la terre includes an analysis of the most important international meetings and events of the last 12 months in the field of sustainable development, along with a thematic report, which focuses this year on energy and climate change. For almost two hundred years, the economic development of industrialized countries has gone hand in hand with growing consumption of fossil fuels, first coal, then oil and gas. The oil shocks of the 1970's had already revealed the fragility of this model, without however generating any major changes. The disconnection observed in the 1980's between a rapid return to economic growth and stagnating energy consumption was only provisional, and energy demand in the richest countries has again been rising since the 1990's; the development of alternative energy sources (nuclear power and renewables) has remained marginal and has failed to dethrone fossil fuels on which, paradoxically, the economies of industrialized countries are even more dependent today than they were 20 years ago. But with the turn of the century came major developments in the global energy landscape following the emergence of new and hitherto marginal actors: the rapid economic development of emerging countries is also dependent on an increasing supply of energy. Today this growing demand adds to tension on the oil and gas market, where the poorest countries are also the first victims. It could give new impetus to the

  7. Electronic medical records: a developing and developed country analysis

    CSIR Research Space (South Africa)

    Sikhondze, NC

    2016-05-01

    Full Text Available of Electronic Medical Records (EMR) systems in developed and developing countries. There is a direct relationship between the income of the country and the use of electronic information and communication systems as part of healthcare systems hence the division...

  8. Development of gas markets in developing countries and in countries in economical transition

    International Nuclear Information System (INIS)

    Roze, J.; Guegan, G.; Guerrini, Y.; Marzeau, J.M.

    2000-01-01

    The WOC 10 working committee of the CMG 2000 worldwide gas congress was devoted to the study of gas markets in developing countries and in countries in economical transition. This committee comprises three group of studies covering the following topics: natural gas in the less developed countries (environment protection, power production, institutional framework and cooperation), natural gas in countries in economical transition (situation in Eastern Europe, reforms and investments, prices and tariffs, towards the integration to the European Union), natural gas in developing countries (financing and technology transfers, down-side gas development, economical viability, technology transfers, projects financing, recommendations), inter-region development and power production (South America, Asia, role of the worldwide bank). (J.S.)

  9. Private health insurance: implications for developing countries.

    Science.gov (United States)

    Sekhri, Neelam; Savedoff, William

    2005-02-01

    Private health insurance is playing an increasing role in both high- and low-income countries, yet is poorly understood by researchers and policy-makers. This paper shows that the distinction between private and public health insurance is often exaggerated since well regulated private insurance markets share many features with public insurance systems. It notes that private health insurance preceded many modern social insurance systems in western Europe, allowing these countries to develop the mechanisms, institutions and capacities that subsequently made it possible to provide universal access to health care. We also review international experiences with private insurance, demonstrating that its role is not restricted to any particular region or level of national income. The seven countries that finance more than 20% of their health care via private health insurance are Brazil, Chile, Namibia, South Africa, the United States, Uruguay and Zimbabwe. In each case, private health insurance provides primary financial protection for workers and their families while public health-care funds are targeted to programmes covering poor and vulnerable populations. We make recommendations for policy in developing countries, arguing that private health insurance cannot be ignored. Instead, it can be harnessed to serve the public interest if governments implement effective regulations and focus public funds on programmes for those who are poor and vulnerable. It can also be used as a transitional form of health insurance to develop experience with insurance institutions while the public sector increases its own capacity to manage and finance health-care coverage.

  10. Oral health care systems in developing and developed countries

    DEFF Research Database (Denmark)

    Kandelman, Daniel; Arpin, Sophie; Baez, Ramon J

    2012-01-01

    and to provide universal access, especially in disadvantaged communities, in both developing and developed countries. Moreover, even though the most widespread illnesses are avoidable, not all population groups are well informed about or able to take advantage of the proper measures for oral health promotion....... In addition, in many countries, oral health care needs to be fully integrated into national or community health programmes. Improving oral health is a very challenging objective in developing countries, but also in developed countries, especially with the accelerated aging of the population now underway...... intervention procedures aim, at treating existing problems and restore teeth and related structure to normal function. It is unfortunate that the low priority given to oral health hinders acquisition of data and establishment of effective periodontal care programmes in developing countries but also in some...

  11. Radioactive waste management in developing countries

    International Nuclear Information System (INIS)

    Thomas, K.T.; Baehr, W.; Plumb, G.R.

    1989-01-01

    The activities of the Agency in waste management have therefore laid emphasis on advising developing Member States on the management of wastes from the uses of radioactive materials. At the present time, developing countries are mostly concerned with the management of nuclear wastes generated from medical centres, research institutes, industrial facilities, mining operations, and research reactors. In certain instances, management of such wastes has lapsed causing serious accidents. Radiation source mismanagement has resulted in fatalities to the public in Mexico (1962), Algeria (1978), Morocco (1984), and Brazil (1987). The objective of these activities is to support the countries to develop the required expertise for self-sufficiency in safe management of radioactive wastes. What follows are details of the Agency mechanisms in place to meet the above objectives

  12. Developing countries: small technology with big effects

    International Nuclear Information System (INIS)

    McRobie, G.; Carr, M.

    1978-01-01

    As far the poor countries of the world are concerned, during the past twenty years they have had access only to the technologies developed by the rich to suit the rich. It is now beyond question that some of the most daunting problems confronting the majority of the worlds populations stem directly from the kind of technology transferred to them under current aid and development programs. That the technology of the rich is generally inappropriate to meet the needs and resources of the poor countries is becoming more widley recognized both by aid-givers and aid-receivers. Yet it is this technology that continues to be almost exclusively and most powerfully promoted in the developing countries. To meet their needs a new technology must be discovered or devised: one that lies between the sickle and the combine harvester and is small, simple and cheap enough to harmonise withlocal human and material resources and lends itself to widespread reproduction with the minimum of outside help. What we now need most urgently is a new set of technologies, designed, by people who are informed by the need to develop capital-saving technologies capable of being decentralized to the maximum extend. The technology gap is not only wide, but the knowledge an resources required to fill is, although they exist in the industrialized countries, have not been mobilized to provide the right kind of knowledge and to make it available to those who need it. It was to do this that the Intermediate Technology Development Group was set up ten years ago. (orig.) 891 HP 892 EKI [de

  13. Nuclear Fuel Cycle Strategy For Developing Countries

    International Nuclear Information System (INIS)

    Kim, Chang Hyo

    1987-01-01

    The world's uranium market is very uncertain at the moment while other front-end fuel cycle services including enrichment show a surplus of supply. Therefore, a current concern of developing countries is how to assure a long-term stable supply of uranium, so far as front-end fuel cycle operation is concerned. So, as for the front-end fuel cycle strategy, I would like to comment only on uranium procurement strategy. I imagine that you are familiar with, yet let me begin my talk by having a look at, the nuclear power development program and current status of fuel cycle technology of developing countries. It is a nice thing to achieve the full domestic control of fuel cycle operation. The surest way to do so is localization of related technology. Nevertheless, developing at a time due to enormous capital requirements, not to mention the non-proliferation restrictions. Therefore, the important which technology to localize prior to other technology and how to implement. The non-proliferation restriction excludes the enrichment and reprocessing technology for the time being. As for the remaining technology the balance between the capital costs and benefits must dictate the determination of the priority as mentioned previously. As a means to reduce the commercial risk and heavy financial burdens, the multi-national joint venture of concerned countries is desirable in implementing the localization projects

  14. Head and Neck Cancers in Developing Countries

    Directory of Open Access Journals (Sweden)

    Poonam Joshi

    2014-04-01

    Full Text Available Head and neck cancers are the most common cancers in developing countries, especially in Southeast Asia. Head and neck cancers are more common in males compared to females. This is mainly attributed to tobacco, areca nut, alcohol, etc. Oral cancers are most common amongst all head and neck squamous cell cancers (HNSCC. HNSCC in the developing world differ from those in the Western world in terms of age, site of disease, etiology, and molecular biology. Poverty, illiteracy, advanced stage at presentation, lack of access to health care, and poor treatment infrastructure pose a major challenge in management of these cancers. The annual GDP (gross domestic product spent on health care is very low in developing countries compared to the developed countries. Cancer treatment leads to a significant financial burden on the cancer patients and their families. Several health programs have been implemented to curb this rising burden of disease. The main aims of these health programs are to increase awareness among people regarding tobacco and to improve access to health care facilities, early diagnosis, treatment, and palliative care.

  15. Promoting biofuels: Implications for developing countries

    International Nuclear Information System (INIS)

    Peters, Joerg; Thielmann, Sascha

    2008-01-01

    Interest in biofuels is growing worldwide as concerns about the security of energy supply and climate change are moving into the focus of policy makers. With the exception of bioethanol from Brazil, however, production costs of biofuels are typically much higher than those of fossil fuels. As a result, promotion measures such as tax exemptions or blending quotas are indispensable for ascertaining substantial biofuel demand. With particular focus on developing countries, this paper discusses the economic justification of biofuel promotion instruments and investigates their implications. Based on data from India and Tanzania, we find that substantial biofuel usage induces significant financial costs. Furthermore, acreage availability is a binding natural limitation that could also lead to conflicts with food production. Yet, if carefully implemented under the appropriate conditions, biofuel programs might present opportunities for certain developing countries

  16. POVERTY, GROWTH AND INEQUALITY IN DEVELOPING COUNTRIES

    Directory of Open Access Journals (Sweden)

    Guiga Housseima

    2012-01-01

    Full Text Available The purpose of this paper is to assess the position of some developing countries in relation to different theories about the relationship between poverty, growth and inequality. We conducted an econometric analysis through a study using panel data from 52 developing countries over the period 1990-2005, to determine the main sources of poverty reduction and show the interdependence between poverty, inequality and growth by using a system of simultaneous equations. This method is rarely applied econometric panel data and especially in the case studies on poverty. Our results indicate that the state investment in social sectors such as education and health and improving the living conditions of the rural population can promote economic growth and reducing inequality. Therefore, the Kuznets hypothesis is based on a relationship between economic growths to income inequality is most appropriate.

  17. Reprocessing considerations for a developing country

    International Nuclear Information System (INIS)

    This paper describes some of the alternatives for dealing with spent fuel that face a developing country. It then discusses the considerations that affect decisions on the size and siting of reprocessing plants, and shows how small plants may be suitable in countries without the means to transport spent fuel easily. The paper also outlines the reasons for reprocessing in India, and describes the development of India's reprocessing capability. It shows how the economic conditions in India, such as low skilled labour costs, make reprocessing plants of 100 to 200 tonnes U/yr capacity economic, and includes a table giving technical data on a 100 t U/yr national plant for inclusion in the reference cases used by INFCE Working Group 4

  18. FOOD SECURITY SITUATION OF SELECTED HIGHLY DEVELOPED COUNTRIES AGAINST DEVELOPING COUNTRIES

    OpenAIRE

    Karolina Pawlak

    2016-01-01

    The aim of the paper is to present the food security situation in selected highly developed countries and to identify consumption disparities between them and developing countries. The research is based on the data from the United Nations Food and Agriculture Organization (FAO), the Statistical Office of the European Union (Eurostat), the United Nations Statistics Division, the Organisation for Economic Co-operation and Development (OECD), World Food Programme (WFP) and selected measures used...

  19. Transferring World Class Production to Developing Countries

    DEFF Research Database (Denmark)

    Bruun, Peter; Mefford, Robert Neil

    1998-01-01

    Strategic reasons for firms to transfer world-class production methods and technology to developing countries are discussed and the importance of the management aspects of technology transfer are emphasized. A five stage model of the technology transfer process which bases the choice of the produ....... The barriers and challenges of implementation are considered, and a socio-technical systems approach is proposed as a way to addapt to local conditions....

  20. The Demand for Calories in Developing Countries

    OpenAIRE

    Odin K. Knudsen; Pasquale L. Scandizzo

    1982-01-01

    This paper employs characteristic demand theory to estimate demand functions for calories for a set of developing countries and to investigate the potential impact of income growth, redistribution, and price changes on alleviating underconsumption of calories. The analysis finds that, although calorie elasticities with respect to income are substantial for the poorer consumers, income growth above historical rates is required for the food needs of the entire population to be satisfied within ...

  1. Globalisation and the developing countries (in Dutch)

    OpenAIRE

    Miquel Dijkman

    2003-01-01

    Globalisation is a highly controversial topic. Despite its potential for accelerating growth and reducing poverty (to which most policy makers and economist would agree) objections are often expressed about the position of developing countries, and a number of damaging side-effects of the current globalisation wave. In the present analysis, a number of questions raised by the antiglobalist movement is assessed on its economic merits. On the basis of empirical analyses, it is assessed whether:...

  2. Finance and Competitiveness in Developing Countries | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Couverture du livre Finance and Competitiveness in Developing Countries. Editor(s):. José M. ... Ils se penchent sur les enjeux clés internationaux comme les preuves de l'impact de la variabilité du taux de change sur le commerce, les tendances des prêts bancaires, ainsi que l'ouverture du commerce et le développement.

  3. Capital goods for energy development: power equipment for developing countries

    International Nuclear Information System (INIS)

    Parikh, J.K.

    1986-01-01

    Questions of energy policy in developing countries are considered, with the goal of 'evolution from exports to indigenization' i.e. independence. Levels of technologies are considered in relation to the resources of each country. Nuclear power is considered among other energy sources. (G.Q.)

  4. Capacity Development for Sustainable Urban Transportation in Developing Countries

    OpenAIRE

    Senbil, Metin; Fujiwara, Akimasa; Zhang, Junyi

    2008-01-01

    To make urban transport sustainable, effective and efficient, first and foremost, there is a need for capacity development-capacity is defined as the ability to deal with problems in efficient and effective ways-in developing countries. Apart from many important capacity related problems such as lack of adequate infrastructure, older vehicle population, etc., policy makers in developing countries have to consider changing individual behavior to realize sustainable urban transportation policie...

  5. Establishing molecular microbiology facilities in developing countries

    Directory of Open Access Journals (Sweden)

    Salman S. Ahmed

    2015-11-01

    Full Text Available Summary: Microbiology laboratories play an important role in epidemiology and infection control programs. Within microbiology laboratories, molecular microbiology techniques have revolutionized the identification and surveillance of infectious diseases. The combination of excellent sensitivity, specificity, low contamination levels and speed has made molecular techniques appealing methods for the diagnosis of many infectious diseases. In a well-equipped microbiology laboratory, the facility designated for molecular techniques remains indiscrete. However, in most developing countries, poor infrastructure and laboratory mismanagement have precipitated hazardous consequences. The establishment of a molecular microbiology facility within a microbiology laboratory remains fragmented. A high-quality laboratory should include both conventional microbiology methods and molecular microbiology techniques for exceptional performance. Furthermore, it should include appropriate laboratory administration, a well-designed facility, laboratory procedure standardization, a waste management system, a code of practice, equipment installation and laboratory personnel training. This manuscript lays out fundamental issues that need to be addressed when establishing a molecular microbiology facility in developing countries. Keywords: Developing country, Molecular technique, Molecular microbiology laboratory

  6. Renewable energy education in developing countries

    International Nuclear Information System (INIS)

    Bara, M.F.

    2006-01-01

    The global call for more and more penetration of renewable energy sources in the energy mix for several countries driven by various different motives including the desire for attaining sustainable development through the use of these renewable sources, for decreasing pollution, trying to decrease dependency on imported fuels or to exploit the locally available renewable resources, this call has not been satisfactorily responded to, partially, it is believed here, due to the lack of awareness and adequate manpower qualifications in these sources at the different levels of decision making. Energy education in many countries is still not so dynamic to coup with the ever changing circumstances and developments related to the demand, supply, technologies, economics policies as well as environmental aspects this is more noticed in the world developing countries, with other related obstacles facing the desired and needed wider application of renewable energy sources. The paper will try to handle this situation, analyzing its components, citing some examples of good fruitful practice in this connection, and drawing some recommendations that may help in improving the same

  7. Status of radiation applications in developing countries

    International Nuclear Information System (INIS)

    Roushdy, H.M.

    1979-01-01

    A summary is given of the following applications: radiotherapy; sterilization of medical products and biological tissues; inactivation of virus; food preservation; insect control and eradication; improvement in field crops; treatment of waste waters and sewage sludge. In industry, irradiation technology has contributed to the manufacturing industries for new product developments in the plastics, textiles, wood, rubber, petroleum, concrete and chemical industries. Irradiation technology offers a fascinating outlet for developing countries for improving their condition of medical care, upgrading of their natural materials, stimulating their industrial development, decreasing their food losses and increasing their crop production. These lines would certainly contribute to their national economy and would result in an enhanced rate of development. However, transfer of radiation technology to developing countries should be undertaken in view of the actual national and regional needs and supported by an overall well studied national and regional planning for trained manpower development. The choice of a radiation source for a potential application should be based on the demand of the process, compromise between desirability and cost and quantitative data on installation, operation and maintenance conditions, and costs. The program developed and implemented by Egypt is herein presented. Facilities, organization, personnel, current and past activities, and future plans are described. (author)

  8. Grid and Cloud for Developing Countries

    Science.gov (United States)

    Petitdidier, Monique

    2014-05-01

    The European Grid e-infrastructure has shown the capacity to connect geographically distributed heterogeneous compute resources in a secure way taking advantages of a robust and fast REN (Research and Education Network). In many countries like in Africa the first step has been to implement a REN and regional organizations like Ubuntunet, WACREN or ASREN to coordinate the development, improvement of the network and its interconnection. The Internet connections are still exploding in those countries. The second step has been to fill up compute needs of the scientists. Even if many of them have their own multi-core or not laptops for more and more applications it is not enough because they have to face intensive computing due to the large amount of data to be processed and/or complex codes. So far one solution has been to go abroad in Europe or in America to run large applications or not to participate to international communities. The Grid is very attractive to connect geographically-distributed heterogeneous resources, aggregate new ones and create new sites on the REN with a secure access. All the users have the same servicers even if they have no resources in their institute. With faster and more robust internet they will be able to take advantage of the European Grid. There are different initiatives to provide resources and training like UNESCO/HP Brain Gain initiative, EUMEDGrid, ..Nowadays Cloud becomes very attractive and they start to be developed in some countries. In this talk challenges for those countries to implement such e-infrastructures, to develop in parallel scientific and technical research and education in the new technologies will be presented illustrated by examples.

  9. Research in Medicine: Essentials for Developing Countries

    Directory of Open Access Journals (Sweden)

    Yusuf YAKUPOGULLARI

    2014-06-01

    Full Text Available (ExtractThe well-being has been the highest topic for humanity throughout the adventure of mankind on the earth. Therefore, extensive efforts have been performed on the science of medicine, and glorious advances have been gained especially in the last two centuries. Research is essential for medicine to develop new therapeutic methods and to monitor the results of the current treatment given to the patient. These are possibly the simplest reasons for investigations in medicine. On the other hand, qualified human resource, research ethics, financial supports, regular data recording and analysis, and publication are important issues for improvement of the medical researches in the developing countries.... 

  10. Three-dimensional Printing in Developing Countries.

    Science.gov (United States)

    Ibrahim, Ahmed M S; Jose, Rod R; Rabie, Amr N; Gerstle, Theodore L; Lee, Bernard T; Lin, Samuel J

    2015-07-01

    The advent of 3-dimensional (3D) printing technology has facilitated the creation of customized objects. The lack of regulation in developing countries renders conventional means of addressing various healthcare issues challenging. 3D printing may provide a venue for addressing many of these concerns in an inexpensive and easily accessible fashion. These may potentially include the production of basic medical supplies, vaccination beads, laboratory equipment, and prosthetic limbs. As this technology continues to improve and prices are reduced, 3D printing has the potential ability to promote initiatives across the entire developing world, resulting in improved surgical care and providing a higher quality of healthcare to its residents.

  11. Acceptance of nuclear energy in developed countries

    International Nuclear Information System (INIS)

    Sobajima, Makoto

    1999-03-01

    This paper focuses on the presence of problems, governmental efforts and the state of each people's awareness in accepting nuclear energy especially in developed countries and reviews the past circumstances and recent activities. Significant differences among countries in the popularity of nuclear power depend largely on the environment of the particular country such as energy circumstances and also on the execution of the energy policy. Also it is pointed out that the difference comes from the consciousness of the execution of the people in such a policy they establish and decide whether they accept or not. The analysis, that the French people traditionally believe they cannot control risks and give high degree of trust to their government and specialists, whereas Americans conversely intervene in administration to control risks by themselves and try to change specialist's Judgment, explains one side of polarization in popularity of nuclear energy in the world. Japanese have tended to not to believe the administration probably due to recent continuous scandals of officials and motivation to require disclosure of information and to dispute, which lays on the background of retard of nuclear energy. For resolving the global issues such as warming, it is becoming more important that at least specialists of nuclear technology recover the loosing trust owing to the accidents and scandals through steady activities, show the whole view of trust worthy development plan of nuclear energy and regain the confidence by the people. (author)

  12. Cognitive Training for Schizophrenia in Developing Countries: A Pilot Trial in Brazil

    Directory of Open Access Journals (Sweden)

    Livia M. M. Pontes

    2013-01-01

    Full Text Available Cognitive deficits in schizophrenia can massively impact functionality and quality of life, furthering the importance of cognitive training. Despite the development of the field in Europe and in the United States, no programmes have been developed and tested in developing countries. Different cultural backgrounds, budget restrictions, and other difficulties may render treatment packages created in high income countries difficult for adoption by developing nations. We performed a pilot double-blind, randomized, controlled trial in order to investigate the efficacy and feasibility of an attention and memory training programme specially created in a developing nation. The intervention used simple, widely available materials, required minimal infrastructure, and was conducted in groups. The sample included seventeen stable Brazilians with schizophrenia. Sessions were conducted weekly during five months. The cognitive training group showed significant improvements in inhibitory control and set-shifting over time. Both groups showed improvements in symptoms, processing speed, selective attention, executive function, and long-term visual memory. Improvements were found in the control group in long-term verbal memory and concentration. Our findings reinforce the idea that cognitive training in schizophrenia can be constructed using simple resources and infrastructure, facilitating its adoption by developing countries, and it may improve cognition.

  13. The Social Development Summit and the developing countries.

    Science.gov (United States)

    Barnabas, A P; Kulkarni, P D; Nanavatty, M C; Singh, R R

    1996-01-01

    This article discusses some concerns of the 1996 UN Summit on Social Development. Conference organizers identified the three key conference issues as poverty alleviation, social integration of the marginalized and disadvantaged, and expansion of productive employment. The goal of a "society for all" means dealing with the increasing differences between rich and poor countries, the survival of weaker economies in a competitive market system, wide variations in consumption patterns between countries, attainment of political stability while respecting ethnic identity, the rise in social problems among countries with a high human development index, and increasing joblessness. The Human Development Report for 1994 emphasizes human security. Social development is not the equivalent of human resource development nor a side issue of economic growth. The integration of ethnic groups poses social and political problems. There remains a question about what political system and culture would be best for social integration. Developed countries define poverty as the inability of people and government to provide resources and necessary services for people's productive activity. Poverty in developing countries is blamed on colonialism. Globally, developed countries control 71% of world trade. Sharing resources to meet basic needs throughout the world is not an operational ideal. The highest 20% of income earners receive 83% of the world income. The culture of poverty is the strategy used by the poor to survive. Welfare is not an end in itself but does enable the poor to improve their conditions. Development that focuses on productive employment is uncertain. Developed and developing countries do not share similar perceptions of human rights. There is a question as to who should set the priorities for social development. Sustainable social development is related to preservation of natural resources, control of population growth, and promotion of social security.

  14. OpportunitiesandPerceptionofSpaceProgramsintheDevelopingCountries

    Science.gov (United States)

    Abubakar, B.

    2007-05-01

    Although the space program as a whole is a true reflection of the level of achievement in human history in the field of Science and Technology, but it is also important to note that there are numbers of communities and societies on this earth that are ignorant about this great achievement, hence leading to the continuous diverting of Potential Astronomers, Aerospace Engineers and Astrologist to other disciplines, thereby undermining the development of the space program over time. It was in view of the above that this research was conducted and came up with the under listed Suggestions/Recommendations:- (1) The European Space Agency (ESA), National Aeronautic Space Agency (NASA) and the Russian Space Agency, should be organising and sponsoring public enlightenment conferences, seminars and workshops towards creating awareness and attracting Potential Astronomers and other Space Scientist mostly in the developing countries into the space program. (2) Esteemed organisations in space programs like NASA, ESA and others should be awarding scholarships to potential space scientist that lacks the financial capability to pursue studies in the field of space science from the developing countries. (3) The European Space Agency, National Aeronautic Space Agency and the Russian Space Agency, should open their offices for the development of the space program in the third world countries. I believe that if the above suggestions/recommendations are adopted and implemented it will lead to the development of the space program in general, otherwise the rate at which potential Astronomers, Aerospace Engineers and Astrologists will be diverting into other disciplines will ever remain on the increase. Thanks for listening.

  15. Obesity among schoolchildren in developing countries.

    Science.gov (United States)

    Galal, Osman M; Hulett, Judie

    2005-06-01

    The threat of worldwide obesity in children is a reality and has become pandemic. Previously a concern of only developed countries, rapid, escalating rates of overweight children now dominate the public health concerns of middle-and low-income nations as well. There are, of course, many influences that have literally shaped the global population, but there is also a recent observable pattern that is shared by those developing countries with increasingly obese children: a grand structural shift in diet and activity levels on every continent and in every region has occurred in the last quarter century, accompanied by rising rates of obesity. Two central public health concerns drive the need for effective interventions: the immediate health of children and the imminently crushing blow that is coming to health care systems and developing economies due to high rates of chronic disease. In developed nations, the role of gatekeeper has shifted to childcare providers, media, and schools, but in the developing world the traditional role of the mother as home manager has remained intact. Accepting the mother as the primary care provider within the child's nuclear environment places the mother as the guardian of the family's resources, which may be a viable alternative to the types of health-promotion efforts found in past ineffective models.

  16. Should Research on the Nutritional Potential and Health Benefits of Fermented Cereals Focus More on the General Health Status of Populations in Developing Countries?

    Science.gov (United States)

    Laurent-Babot, Caroline; Guyot, Jean-Pierre

    2017-07-25

    Cereal foods fermented by lactic acid bacteria are staples in many countries around the world particularly in developing countries, but some aspects of the nutritional and health benefits of traditional fermented foods in developing countries have not been sufficiently investigated compared to fermented foods in high-income countries. Today, malnutrition worldwide is characterized by a double burden, excess leading to non-communicable diseases like obesity or diabetes alongside micronutrient deficiencies. In addition, populations in developing countries suffer from infectious and parasitic diseases that can jeopardize the health benefits provided by their traditional fermented foods. Using examples, we argue that research on traditional fermented cereals in developing countries should focus more on their effect on inflammation and oxidative stress under conditions including infectious or non-infectious gut inflammation.

  17. Should Research on the Nutritional Potential and Health Benefits of Fermented Cereals Focus More on the General Health Status of Populations in Developing Countries?

    Directory of Open Access Journals (Sweden)

    Caroline Laurent-Babot

    2017-07-01

    Full Text Available Cereal foods fermented by lactic acid bacteria are staples in many countries around the world particularly in developing countries, but some aspects of the nutritional and health benefits of traditional fermented foods in developing countries have not been sufficiently investigated compared to fermented foods in high-income countries. Today, malnutrition worldwide is characterized by a double burden, excess leading to non-communicable diseases like obesity or diabetes alongside micronutrient deficiencies. In addition, populations in developing countries suffer from infectious and parasitic diseases that can jeopardize the health benefits provided by their traditional fermented foods. Using examples, we argue that research on traditional fermented cereals in developing countries should focus more on their effect on inflammation and oxidative stress under conditions including infectious or non-infectious gut inflammation.

  18. Sanitary and phytosanitary measures and food safety: challenges and opportunities for developing countries.

    Science.gov (United States)

    Siméon, M

    2006-08-01

    Because of fast-growing demand, export markets can absorb high value added products and offer high returns; for many developing countries export market development is thus a key requirement for rural income generation and rural growth. Although developing countries face increasingly strict sanitary and phytosanitary standards in their export markets, they can maintain and improve market access--and improve domestic food safety and agricultural productivity--by adopting a strategic approach to food safety, agricultural health and trade. High-income countries should increase development flows to help developing countries build the capacity to plan and execute the necessary strategies. The first proposal in this paper is to make two existing sets of guidelines widely available to interested parties, in particular through the World Bank and the World Organisation for Animal Health (OIE). The first covers the broad process of problem assessment, strategy development and action plan formulation; the second set deals with institutional analysis and training of staff of the official sanitary control services. The second proposal is that interested countries and donors should speed up the ongoing development of guidelines, computer software tools and training material to help countries quantify the importance and impact of food safety issues. The focus here is on a 'multipurpose agricultural data analysis and modelization system'. The third proposal is to carry out a case study to help demonstrate that a number of animal health issues related to food safety should be treated as relating to 'global public goods' and thus require intervention on a global scale. Possible candidates are foot and mouth disease and highly pathogenic avian influenza.

  19. The Gender Digital Divide in Developing Countries

    Directory of Open Access Journals (Sweden)

    Amy Antonio

    2014-10-01

    Full Text Available Empirical studies clearly show that women in the developing world have significantly lower technology participation rates than men; a result of entrenched socio-cultural attitudes about the role of women in society. However, as studies are beginning to show, when those women are able to engage with Internet technology, a wide range of personal, family and community benefits become possible. The key to these benefits is on-line education, the access to which sets up a positive feedback loop. This review gives an overview of the digital divide, before focusing specifically on the challenges women in developing countries face in accessing the Internet. Current gender disparities in Internet use will be outlined and the barriers that potentially hinder women’s access and participation in the online world will be considered. We will then look at the potential opportunities for women’s participation in a global digital society along with a consideration of current initiatives that have been developed to mitigate gender inequity in developing countries. We will also consider a promising avenue for future research.

  20. Cancer Pain Management in Developing Countries.

    Science.gov (United States)

    Saini, Shalini; Bhatnagar, Sushma

    2016-01-01

    The World Health Organization estimated that more than 60% of the 14 million new cancer cases worldwide in 2012 were reported in the developing part of the world, including Asia, Africa, Central and South America. Cancer survival rate is poorer in developing countries due to diagnosis at late stage and limited access to timely treatment. Since the disease per se cannot be treated even with the best available treatment modalities, what remains important is symptom management and providing comfort care to these patients. The incidence of pain in advanced stages of cancer approaches 70-80%. Lack of preventive strategies, poverty, illiteracy, and social stigma are the biggest cause of pain suffering and patient presenting in advance stage of their disease. The need for palliative care is expanding due to aging of world's population and increase in the rate of cancer in developed and developing countries. A huge gap remains between demand and current palliative care services. Overcoming barriers to palliative care is a major global health agenda that need immediate attention. Main causes of inadequate pain relief remain lack of knowledge among physician and patients, lack of adequate supply of opioids and other drugs for pain relief, strong bureaucracy involved in terms of procurement, and dispensing of opioids. Beside this, poverty and illiteracy remain the most important factors of increased suffering.

  1. Sustainable energy issues in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Munasinghe, M [Environmental Policy Division, The World Bank, Washington D.C. (US)

    1991-07-01

    Increased energy use is a vital pre-requisite for economic development, and less developing countries (LDCs) are struggeling to meet energy needs at acceptable costs. LDC decision-makers share the worldwide environmental concerns, but also face other urgent issues like poverty. The industrialised countries can afford to substitute environmental protection for further material growth, but the LDCs will need concessional funding to participate in addressing global environmental problems. Global financing issues may be analysed and resolved through tradeoffs among several criteria including affordability/additionality, fairness/equity, and economic efficiency. The short-term LDC response to sustainable energy issues will be limited mainly to conventional technologies in efficiency improvements, conservation and resource development. The industrialised nations should provide financial resources to LDCs and develop the technology to be used in the 21st century. Pilot international funds like the Global Environmental Facility and the Ozone Fund will help LDCs participate in the effort to solve global environmental issues. (author) 16 refs.

  2. Radioimmunoassay for human health in developing countries

    International Nuclear Information System (INIS)

    Piyasena, R.D.; Airey, P.L.; Ganatra, R.D.; Nofal, M.

    1989-01-01

    Since first introduced in the early 1960s, radioimmunoassay (RIA) has gained wide acceptance as an analytical method adopted by an increasing number of developing countries as an appropriate technology that can be managed within the capabilities of local infrastructures. An informed estimate would be that there are, at present, more than 500 hospitals, university, or other laboratories in the developing world engaged in RIA on some scale. In the developing world, RIA is used primarily for patient management, but research activity is also increasing as expertise and resources improve. The majority of patient samples processed are in relation to thyroid disorders. However, the technique also is used widely in the investigation of other endocrine conditions and public health problems. Some developing countries have gained the capability to perform radioisotopic microassays in areas of clinical and research importance such as steroid receptor quantification in breast tissue; diagnosis of bacterial and parasitic disorders; investigation of infertility and sterility; narcotic drug abuse; and organ transplantation. 1 fig

  3. Regulatory difficulties in a developing country

    International Nuclear Information System (INIS)

    Jacobs, W.R. Jr.

    1978-01-01

    The regulatory agency assigned the task of regulating the initial entry into the field of nuclear power generation by a developing country has a very difficult job. Based on the authors' experience during the start-up and initial operation of Ko-Ri Unit I, the first power reactor in the Republic of Korea, observations on regulatory difficulties and recommendations for improved regulatory effectiveness are offered. The problem areas can be loosely grouped into three general categories: (1) Lack of adequate technical knowledge which is the basis for all effective regulation; (2) Difficulties with understanding and utilization of the required regulatory documentation; (3) Failure to establish the proper regulatory environment. Examples are cited from actual experience during the Ko-Ri Unit I start-up to demonstrate the impact that regulatory activities can have on a plant construction and testing programme. The problems encountered are not unique to developing countries but also exist in the United States of America. Recommendations are offered which should be beneficial to either newly formed regulatory agencies or agencies wishing to improve their abilities and effectiveness. These include: (1) Additional training of regulatory inspectors in plant operations; (2) Additional experience gained by participation in regulatory activities in other countries; (3) Increased attention given to regulatory documents, especially plant technical specifications; (4) Establishment of formal lines of communication between the utility and the regulatory agency; (5) Clear definition of regulatory responsibilities to avoid areas of overlapping jurisdiction; (6) Active participation by the regulatory staff very early in the project. It is hoped that these and other recommendations offered will greatly improve regulatory effectiveness and at the same time demonstrate that when the decision is made to 'go nuclear', a strong commitment must be made to develop and support a technically

  4. Financing nuclear programmes in developing countries

    International Nuclear Information System (INIS)

    McKenzie, N.C.

    1977-01-01

    The following topics are discussed: the implications for a developing nation's economy of acquiring nuclear plants with the attendant high capital cost but low operating cost; political factors and safeguards provisions; turnkey versus non-turnkey contracts; spreading exchange and other risks through multi-national consortia; maximising local content; cash flow considerations; availability of aid or other direct government to government loans; packaging of export finance from different countries; downpayments and local costs; eurodollar markets, bank syndications and bond issues, and domestic markets; available security, central bank or government guarantees; special considerations, barter deals, leasing, and finance for the fuel cycle

  5. Promoting electricity conservation in developing countries

    International Nuclear Information System (INIS)

    Geller, H.S.

    1991-01-01

    Electricity conservation helps meet national goals and does not imply reducing economic growth or lowering standards of living. Improving efficiency raises economic productivity. Cutting back on the construction of costly new power plants reduces public debt and the need to increase tariffs. Also, more customers can be added to the power grid if there is a transition to more efficient equipment among all customers. And if developing countries do not produce and use energy-efficient equipment, they could be burdened with outdated products and factories. 35 refs, 2 tabs

  6. Financing nuclear programmes in developing countries

    International Nuclear Information System (INIS)

    McKenzie, N.C.

    1977-01-01

    The paper discusses the following topics: The implications for a developing nation's economy of acquiring nuclear plants with the attendant high capital cost but low operating cost; political factors and safeguards provisions; turnkey versus non-turnkey contracts; spreading exchange and other risks through multi-national consortia; maximizing local content; cash flow considerations; availability of aid or other direct government to government loans; packaging of export finance from different countries; downpayments and local costs; Eurodollar markets, bank syndications and bond issues, domestic markets; available security, central bank or government guarantees; special considerations, barter deals, leasing; and finance for the fuel cycle. (author)

  7. Risk and FDI flows to developing countries

    Directory of Open Access Journals (Sweden)

    Jay van Wyk

    2011-08-01

    Full Text Available The explanatory power of institutional and macroeconomic variables for FDI stock accumulation in developing countries is investigated. Hypotheses are tested by means of pooled least squares regressions. The impact of institutional variables on FDI flows produced mixed results: levels of economic freedom facilitate inward FDI; political risk dampens investment. Some macroeconomic variables displayed significant explanatory power: market size (as measured by per capita income in the base year and absolute growth of GDP positively impacts FDI inflows.  Other key macroeconomic variables, such as lower current account balance, appreciation of host country’s currency, and lower inflation rate stimulate FDI inflows.

  8. ACTS for distance education in developing countries

    Science.gov (United States)

    Kalu, A.; Ventre, G.

    1995-08-01

    The need for electrical energy supply in the rural communities of developing countries has been well documented. Equally well known is the potential for photovoltaic in cost effectively meeting this need. A major impediment to fulfilling the need is the lack of indigenous personnel with a knowledgeof photovoltaic systems, and the associated infrastructure required to implement project. Various delivery schemes for providing the needed training to developing countries personnel have been investigated. Various train methods and programs that have been employed to remedy the problem have had significant drawbacks in terms of cost, consistency, impact, reach, and sustainability. The hypothesis to be tested in this project posits that satellite-based distance education using ACTS technologies can overcome these impediments. The purpose of the project is to investigate the applicability of the ACTS satellite in providing distance education in photovoltaic systems to developing countries and rural communities. An evaluation of the cost effectiveness of using ACTS unique technologies to overcome identified problems shall be done. The limitations of ACTS in surmounting distance education problems in developing countries shall be investigated. This project will, furthermore, provide training to Savannah State College faculty in photovoltaic (PV) systems and in distance education configurations and models. It will also produce training materials adequate for use in PV training programs via distance education. Savannah State College will, as a consequence become well equipped to play a leading role in the training of minority populations in photovoltaic systems and other renewables through its Center for Advanced Water Technology and Energy Systems. This communication provides the project outline including the specific issues that will be investigated during the project. Also presented i the project design which covers the participations of the various components of a network

  9. Reactor physics needs in developing countries

    International Nuclear Information System (INIS)

    Solanilla, R.

    1980-01-01

    The aim of this paper the identification of needs on Reactor Physics in developing countries embarked in the installation and later on in the operation of Commercial Nuclear Power Plants. In this context the main task of Reactor Physics should be focused in the application of Physical models with inclusion of thermohydraulic process to solve the various realistic problems which appear to ensure a safe, economical and reliable core design and reactor operation. The first part of the paper deals with the scope of Reactor Physics and its interrelation with other disciplines as seen from the view point of developing countries possibilities. Needs requiring a quick response, i.e., those demands coming during the development of a specific Nuclear Power Plant Project, are summarized in the second part of the lecture. Plant startup has been chosen as reference to separate two categories of requirements: Requirements prior to startup phase include reactor core verification, licensing aspects review and study of fuel utilization alternatives; whereas the period during and after startup mainly embraces codes checkup and normalization, core follow-up and long term prediction

  10. Health and development in BRICS countries

    Directory of Open Access Journals (Sweden)

    Paulo Marchiori Buss

    2014-06-01

    Full Text Available At the beginning of the century, the acronym BRIC first appeared in a study produced by an economist at Goldman Sachs. Economic and financial interest in BRICS resulted from the fact of them being seen as drivers of development. The purpose of this review is to analyze the extent to which what is being proposed at the Declarations of Heads of State and in the Declaration and Communiqué of Ministers of Health of BRICS can provide guidance to the potential of achieving a healthier world. With that in mind, the methodology of analysis of Statements and Communiqué rose from the discussions at the Summit of Heads of State and Ministers of Health was adopted. In the first instance, the study focused on the potential for economic, social and environmental development, and in the second, on the future of health within the group addressed. The conclusion reached was that despite the prospect of continued economic growth of BRICS countries, coupled with plausible proposals for the health sector, strong investment by the countries in S&T and technology transfer within the group, research on the social and economic determinants that drive the occurrence of NCDs – there is the need and the opportunity for joint action of the BRICS in terms of the “diplomacy of health” reinforcing the whole process of sustainable development.

  11. HIV among women in developing countries.

    Science.gov (United States)

    Decarlo, P

    1999-01-01

    In South Africa, a pregnant woman infected with HIV took zidovudine to protect her fetus, but the child later developed HIV because the woman was not told about breast milk transmission. Women in developing countries have been hit hard by the AIDS epidemic because social inequalities that make it impossible for them to negotiate for safer sex or even to choose their sexual partners. In most developing countries, the only treatment women have access to is the zidovudine that is available only during their participation in clinical trials on prenatal transmission. Activists have expressed concern over programs that attempt to save the lives of babies with no regard for their mothers or other women. Women with HIV need access to health care, to information, and to counselors who can help them make choices. Women must be able to assess whether to risk breast feeding or attempt costly bottle feeding, which may lead to higher levels of infant mortality from bacteria in contaminated water. Women must also be educated so that they can protect their sexual health. In some settings, the topics of sex and sexuality still must be introduced into public discourse. Strong prevention programs are reducing HIV-infection rates among young women in parts of Tanzania, among pregnant women and prostitutes in Dakar, among prostitutes in Thailand and Nepal, and among street children in Brazil. Effective programs must consider AIDS a social issue and address education, equality, and information access.

  12. Future energy options for developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Zaric, Z P

    1982-05-01

    An educated guess is made of the energy demand in developing countries well into the next century in order to estimate the possible role of new and renewable sources in meeting this demand. The world is roughly divided into industrialized (IND) and developing (LDC) countries. A plot of energy demand in both parts shows a possible structure of mixed energy to meet LDC demand, but there is a gap between demand and supply from conventional sources in LDCs that has to be met by new and renewable sources. When the demand for specific energy forms is projected, as much as two thirds of the final energy needed from new sources should be based on centralized-electricity and liquid-fuels technologies. Solar and geothermal energy must compete with nuclear and thermonuclear breeders, while solar prospects for chemical fuel supply in LDCs lacking adequate coal reserves seems promising. There is a large gap in research and development (R and D) spending on new energy between the two parts, which means that LDCs will have inappropriate technology at a high price. An increase in R and D spending on a regional basis should target funds to appropriate options. 6 references, 7 figures.

  13. Technical Co-operation between developing countries

    International Nuclear Information System (INIS)

    2001-01-01

    In the plan of activities of the project Int/0/060 Technical Cooperation Between Developing Countries a Workshop on Public Awareness Promotional Literature was included with the purpose of preparing public and professional awareness literature and to develop a strategy which would enable Tissue Banks to present their mission to their public,professional health workers and clinical users.To identify the information to be provided to potential donors about the value of the donation.To prepare instructions to be given to potential users about the various types of grafts available.To develop a strategy wi ch would enable Tissue Banks to present themselves to their public and tissue users

  14. The health migration crisis: the role of four Organisation for Economic Cooperation and Development countries.

    Science.gov (United States)

    Pond, Bob; McPake, Barbara

    2006-04-29

    The crisis of human resources for health that is affecting low-income countries and especially sub-Saharan Africa has been attributed, at least in part, to increasing rates of migration of qualified health staff to high-income countries. We describe the conditions in four Organisation for Economic Cooperation and Development (OECD) health labour markets that have led to increasing rates of immigration. Popular explanations of these trends include ageing populations, growing incomes, and feminisation of the health workforce. Although these explanations form part of the larger picture, analysis of the forces operating in the four countries suggests that specific policy measures largely unrelated to these factors have driven growing demand for health staff. On this basis we argue that specific policy measures are equally capable of reversing these trends and avoiding the exploitation of low-income countries' scarce resources. These policies should seek to ensure local stability in health labour markets so that shortages of staff are not solved via the international brain drain.

  15. Technological transfer. 1. Appropriateness for developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Berrie, T W

    1978-12-01

    Capital-intensive projects dominate the technology transferred to developing countries in spite of the need to serve a pool of unskilled labor and small capital reserves. Recent doubts about the appropriateness of large industrialization projects have questioned the social and economic benefits of this approach and led to an emphasis on innovative planning for the benefit of the urban and rural poor. This shift assumed that direct attacks on the roots of poverty will be more effective than the trickle-down approach, but development planners now see that technologies can be planned that are not limited to single groups. Official policies, often working against the adoption of appropriate technologies, must consider local needs and local resources. Farm equipment, for example, must minimize the need for skilled labor and maintenance. Planners for appropriate urban technology should emphasize local capability, but should also risk occasional failure in the effort to improve the efficiency of labor.

  16. Scaling Health Information Systems in Developing Countries

    DEFF Research Database (Denmark)

    Mengiste, Shegaw Anagaw; Neilsen, Petter

    2006-01-01

    This article addresses the issues of scaling health information system in the context of developing countries by taking a case study from Ethiopia. Concepts of information infrastructure have been used as an analytical lens to better understand scaling of Health Information systems. More...... specifically, we question the fruitfulness of focusing on not being installed base hostile and suggest focusing on how to be installed base “friendly” by underscoring how the installed base can also be draw upon and shaped by human agents. The paper conceptualizes health information infrastructure (HII......) building as an intertwined process of the evolution of the installed base and the construction activities of human agents. Overall, we argue that it is not only the adverse situation that determines how things develop, but HII builders need to navigate and take into account a wide range of issues related...

  17. Strategies for Fighting Pandemic Flu in Developing Countries

    Centers for Disease Control (CDC) Podcasts

    Countries throughout the world are preparing for the next influenza pandemic. Developing countries face special challenges because they don't have antiviral drugs or vaccines that more developed countries have. In this podcast, CDC's Dr. Dan Jernigan discusses new and innovative approaches that may help developing countries fight pandemic flu when it emerges.

  18. Green technology innovation in a developing country

    Science.gov (United States)

    Treesubsuntorn, Chairat; Dolphen, Rujira; Dhurakit, Prapai; Siswanto, Dian; Thiravetyan, Paitip

    2017-11-01

    Developing countries rapidly grow when green technology, which is referred to as eco-friendly processes or methods, is developed in parallel. Here, some examples of green technology research and development in Thailand will be overviewed. A huge amount of agricultural waste is generated during agricultural processes. Applying these agricultural wastes in order to maximize the benefits for environmental cleanups of water, soil and air has been studied and commercialized. For example: 1) Application of agricultural waste and/or biochar developed from agricultural waste as biological adsorbents for wastewater treatment in some industries, such as textile/dye industries, and printing industries. In addition, this agricultural waste can also be applied in decolorization of sugar syrup from sugar industries; 2) The research on modified biomaterials as adsorbents and packing materials in biofilters would also be presented, and now, pilot scale biofilters have been developed and applied to solve air pollution problems in the field for future commercialization; 3) Some agricultural waste and/or biochar developed from agricultural waste in our laboratory can promote rice growth and improve rice quality via the reduction of Cd uptake and translocation in rice. Phytoremediation technology, in which plants are used to improve the environmental quality in water and air, has also been studied and would be presented. 1) Some species of native Thai plants can effectively remove heavy metals and dye from wastewater. For this research, a constructed wetland for wastewater treatment was developed and applied in a real contaminated site. 2) In air phytoremediation, some plant species harbor highly volatile organic compound (VOC) removal efficiency. In addition, plants do not only absorb organic pollutants, but also they have the innate ability to degrade organic compounds and use them as carbon sources for their growth. In addition, plant growth-promoting (PGP) bacteria inoculation

  19. The birth rate decline in developing countries.

    Science.gov (United States)

    Robey, B

    1993-01-01

    Family planning programs historically have played an important role in providing information and counseling and supplying modern methods. Most programs are effective due to socioeconomic development and strong political support. Potential demand for services will be growing. This means that donor agencies must commit additional funding, and users must begin paying or paying more for contraceptives. Services and method choices need to be expanded, and quality of care needs to be improved. Three primary factors will impact on fertility decline: 1) the rate of social development, 2) the speed with which small family norms spread and contraception is adopted, and 3) the facility of private and public suppliers to meet contraceptive demand. Other factors influence reproductive decisions (women's roles and status, economic hardships or opportunities, religion, ethnicity, culture, and tradition). Contraceptive prevalence has increased from under 10% in the 1960s to 38% of all married, reproductive age women in the developing world, excluding China, which has contraceptive prevalence of 72%. Regional differences are wide. In Latin America, contraceptive use averages nearly 60% and ranges from over 50% in 10 countries and below 38% in Bolivia, Guatemala, and Haiti. Contraceptive prevalence is above average in Indonesia (50%), Sri Lanka (62%), and Thailand (68%) and just below average in Bangladesh (40%), India (45%), Philippines (34%), and Vietnam (53%). Sub-Saharan Africa has the lowest prevalence, except for Zimbabwe (45%), Botswana (35%), and Kenya (27%). 80% of current users rely on modern methods. In most surveyed countries, 20-30% of married women have unmet demand. Fertility decline, unmet demand, and contraceptive use have all been affected by the diffusion of ideas about the use of family planning and the small family norm. Innovators are usually high status, educated women, who spread their views to other social groups or geographic areas. The spread can be rapid

  20. Child Development in Developing Countries: Introduction and Methods

    Science.gov (United States)

    Bornstein, Marc H.; Britto, Pia Rebello; Nonoyama-Tarumi, Yuko; Ota, Yumiko; Petrovic, Oliver; Putnick, Diane L.

    2012-01-01

    The Multiple Indicator Cluster Survey (MICS) is a nationally representative, internationally comparable household survey implemented to examine protective and risk factors of child development in developing countries around the world. This introduction describes the conceptual framework, nature of the MICS3, and general analytic plan of articles…

  1. Education and Rural Development with Reference to Developing Countries.

    Science.gov (United States)

    Coverdale, G.M.

    Seeking full use of the educational resources available to developing countries in the areas of rural education and agricultural training, this paper is concerned with ways in which the efforts of organizations and institutions concerned with rural development might be improved and expanded. A generalized critical analysis of different facets of…

  2. FOOD SECURITY SITUATION OF SELECTED HIGHLY DEVELOPED COUNTRIES AGAINST DEVELOPING COUNTRIES

    Directory of Open Access Journals (Sweden)

    Karolina Pawlak

    2016-06-01

    Full Text Available The aim of the paper is to present the food security situation in selected highly developed countries and to identify consumption disparities between them and developing countries. The research is based on the data from the United Nations Food and Agriculture Organization (FAO, the Statistical Office of the European Union (Eurostat, the United Nations Statistics Division, the Organisation for Economic Co-operation and Development (OECD, World Food Programme (WFP and selected measures used by the Economist Intelligence Unit (EIU for the construction of the Global Food Security Index. It has been showed that to the greatest extent the problem of maintaining food security occur in developing countries which are characterised by low per capita income, while in developed countries the scale of hunger is marginal and it afflicts less than 1% of the population. On a regional scale the daily dietary energy supply is greater than the minimum dietary energy requirement in all regions of the world, but the extent to which the dietary needs are satisfied increases along with the increase in national income. In order to reduce the problem of hunger it is necessary to solve the problem of asymmetrical distribution of global income, e.g. by taking actions to accelerate the economic growth in less developed regions and increase the purchasing power of the population.

  3. Application of food irradiation in developing countries

    International Nuclear Information System (INIS)

    1966-01-01

    The panel on the Application of Food Irradiation in Developing Countries was convened in Vienna by the International Atomic Energy Agency (IAEA) in August 1964. The members of this panel examined the problem of food preservation in geographical areas where much food was lost through spoilage, deterioration and insect infestation. It was thought, that radiation treatment should be used to solve these preservation problems. The attendees included 13 experts, four observers from research organizations, and 2 representatives from the Food and Agriculture Organization (FAO) in Rome. The members of the panel examined the use of ionizing radiation to preserve fish, fruits, and vegetables and to inactivate disease producing viruses which are closely associated with animal products. Refs, figs and tabs

  4. Application of food irradiation in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    1966-05-01

    The panel on the Application of Food Irradiation in Developing Countries was convened in Vienna by the International Atomic Energy Agency (IAEA) in August 1964. The members of this panel examined the problem of food preservation in geographical areas where much food was lost through spoilage, deterioration and insect infestation. It was thought, that radiation treatment should be used to solve these preservation problems. The attendees included 13 experts, four observers from research organizations, and 2 representatives from the Food and Agriculture Organization (FAO) in Rome. The members of the panel examined the use of ionizing radiation to preserve fish, fruits, and vegetables and to inactivate disease producing viruses which are closely associated with animal products. Refs, figs and tabs.

  5. Malnutrition and vaccination in developing countries

    Science.gov (United States)

    Prendergast, Andrew J.

    2015-01-01

    Malnutrition contributes to an estimated 45% of deaths among children under 5 years of age in developing countries, predominantly due to infections. Malnourished children therefore stand to benefit hugely from vaccination, but malnutrition has been described as the most common immunodeficiency globally, suggesting that they may not be able to respond effectively to vaccines. The immunology of malnutrition remains poorly characterized, but is associated with impairments in mucosal barrier integrity, and innate and adaptive immune dysfunction. Despite this, the majority of malnourished children can mount a protective immune response following vaccination, although the timing, quality and duration of responses may be impaired. This paper reviews the evidence for vaccine immunogenicity in malnourished children, discusses the importance of vaccination in prevention of malnutrition and highlights evidence gaps in our current knowledge. PMID:25964453

  6. Energy statistics: A manual for developing countries

    International Nuclear Information System (INIS)

    1991-01-01

    Considerable advances have been made by developing countries during the last 20 years in the collection and compilation of energy statistics. the present Manual is a guide, which it is hoped will be used in countries whose system of statistics is less advanced to identify the main areas that should be developed and how this might be achieved. The generally accepted aim is for countries to be able to compile statistics annually on the main characteristics shown for each fuel, and for energy in total. These characteristics are mainly concerned with production, supply and consumption, but others relating to the size and capabilities of the different energy industries may also be of considerable importance. The initial task of collecting data from the energy industries (mines, oil producers, refineries and distributors, electrical power stations, etc.) may well fall to a number of organizations. ''Energy'' from a statistical point of view is the sum of the component fuels, and good energy statistics are therefore dependent on good fuel statistics. For this reason a considerable part of this Manual is devoted to the production of regular, comprehensive and reliable statistics relating to individual fuels. Chapters V to IX of this Manual are concerned with identifying the flows of energy, from production to final consumption, for each individual fuel, and how data on these flows might be expected to be obtained. The very different problems concerned with the collection of data on the flows for biomass fuels are covered in chapter X. The data needed to complete the picture of the national scene for each individual fuel, more concerned with describing the size, capabilities and efficiency of the industries related to that fuel, are discussed in chapter XI. Annex I sets out the relationships between the classifications of the various types of fuels. The compilation of energy balances from the data obtained for individual fuels is covered in chapter XIII. Finally, chapter

  7. Rural energy and poverty in developing countries

    International Nuclear Information System (INIS)

    Fall, L.M.

    2000-01-01

    The study from which this article is drawn was carried out under the auspices of the World Energy Council, in collaboration with the FAO, and under the supervision of a steering committee made up of experts in which the author played an active role. The article begins with an in-depth analysis of the energy crisis in rural areas of developing countries and their economic implications, which contribute to increasing poverty among rural populations. It then assesses the limits and problems related to intervention and the solutions attempted in the past, with the aim of drawing lessons from the various experiments undertaken. From these, we see an edifying and worrying factor emerging as despite a great deal of well-intentioned effort, rural energy poverty still remains at an unacceptable level today in the so-called modern world of the third millennium. Indeed 2 billion people (accounting for a third of the world population and almost all living in developing countries) do not have access to modern forms of energy and still depend on firewood, leftovers from the harvest and animal waste in order to meet their energy needs. It therefore appears necessary and urgent if we intend to take up the challenge of meeting energy requirements in rural areas, to fundamentally change the attitudes and mentalities of decision-makers at a political and other levels (planners, consultants, donors etc). It also means changing direction in research to find solutions. The author then presents a range of 'solutions' advices and recommendations aimed at ensuring that future energy provision in rural areas is more stable and sustainable, enabling rural populations to live the decent life that they should be entitled to expect today. (author)

  8. Modeling Cervical Cancer Prevention in Developed Countries

    Science.gov (United States)

    Kim, Jane J.; Brisson, Marc; Edmunds, W. John; Goldie, Sue J.

    2009-01-01

    Cytology-based screening has reduced cervical cancer mortality in countries able to implement, sustain and financially support organized programs that achieve broad coverage. These ongoing secondary prevention efforts considerably complicate the question of whether vaccination against Human Papillomavirus (HPV) types -16 and 18 should be introduced. Policy questions focus primarily on the target ages of vaccination, appropriate ages for a temporary “catch-up” program, possible revisions in screening policies to optimize synergies with vaccination, including the increased used of HPV DNA testing, and the inclusion of boys in the vaccination program. Decision-analytic models are increasingly being developed to simulate disease burden and interventions in different settings in order to evaluate the benefits and cost-effectiveness of primary and secondary interventions for informed decision-making. This article is a focused review on existing mathematical models that have been used to evaluate HPV vaccination in the context of developed countries with existing screening programs. Despite variations in model assumptions and uncertainty in existing data, pre-adolescent vaccination of girls is consistently found to be attractive in the context of current screening practices, provided there is complete and lifelong vaccine protection and widespread vaccination coverage. Questions related to catch-up vaccination programs, potential benefits of other non-cervical cancer outcomes and inclusion of boys are subject to far more uncertainty, and results from these analyses have reached conflicting conclusions. Most analyses find that some catch-up vaccination is warranted but becomes increasingly unattractive as the catch-up age is extended, and vaccination of boys is unlikely to be cost-effective if reasonable levels of coverage are achieved in girls or coverage among girls can be improved. The objective of the review is to highlight points of consensus and qualitative

  9. Agricultural support measures of advanced countries and food insecurity in developing countries

    OpenAIRE

    Herrmann, Michael

    2006-01-01

    Many developing nations, especially the least developed countries, are subjected to recurrent spells of food insecurity. In order to understand food insecurity in these countries it is necessary to consider not only immediate or trigger-causes of food crises, but also its underlying or systemic causes. This paper argues that the agricultural support measures of advanced countries may act as a systemic cause for food insecurity in developing countries. While the import of subsidized foods by d...

  10. Sustainable transportation initiatives in developing countries

    International Nuclear Information System (INIS)

    Figueroa, M.J.

    2000-01-01

    The primary goal of the workshop was to share experiences of sustainable transport practices from invited medium-sized cities in Latin America and Asia. The purpose was to learn how sustainable mechanisms have been incorporated into national planning and implementation systems. Emphasis was given to understand what concrete mechanism work to promote sustainable transport in the selected projects. The workshop included participation of transport economics and engineers, policy makers and policy-advisors, and key representatives from the transportation government and non-governmental sector in El Salvador. Among participants there were also members from academia, private consultants and international NGOs. The workshop provided a basis for outreach in terms of directly informing participants on the specific experiences brought in by the participating countries. The Workshop set out to address the following main objectives: To demonstrate successful examples of transportation initiatives that show positive sustainable economic, environmental and social benefits in selected developing countries; To provide a forum for discussion of sustainable transport paths; To develop a network for information exchange and capacity building; To gather information on concrete mechanisms to promote sustainable transportation; To demonstrate efficient mechanisms and tools for collection and analysis of data in transport; To create an inventory of success stories and alternative visions for the future. Several institutions collaborated in organising the event: the Intermediate Technology Development Group (ITDG-Sri Lanka), The Peace and Development Research Group from Goeteborg University and institutions within El Salvador: Centro Salvadeoreno de Tecnologia Apropiada (CESTA), and the Climate Change Communication office of the Ministry of Environment in Salvador. This volume contains reports of the presentations and discussions that took place at the workshop in San Salvador. The agenda

  11. Sustainable transportation initiatives in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Figueroa, M J [ed.

    2000-03-01

    The primary goal of the workshop was to share experiences of sustainable transport practices from invited medium-sized cities in Latin America and Asia. The purpose was to learn how sustainable mechanisms have been incorporated into national planning and implementation systems. Emphasis was given to understand what concrete mechanism work to promote sustainable transport in the selected projects. The workshop included participation of transport economics and engineers, policy makers and policy-advisors, and key representatives from the transportation government and non-governmental sector in El Salvador. Among participants there were also members from academia, private consultants and international NGOs. The workshop provided a basis for outreach in terms of directly informing participants on the specific experiences brought in by the participating countries. The Workshop set out to address the following main objectives: To demonstrate successful examples of transportation initiatives that show positive sustainable economic, environmental and social benefits in selected developing countries; To provide a forum for discussion of sustainable transport paths; To develop a network for information exchange and capacity building; To gather information on concrete mechanisms to promote sustainable transportation; To demonstrate efficient mechanisms and tools for collection and analysis of data in transport; To create an inventory of success stories and alternative visions for the future. Several institutions collaborated in organising the event: the Intermediate Technology Development Group (ITDG-Sri Lanka), The Peace and Development Research Group from Goeteborg University and institutions within El Salvador: Centro Salvadeoreno de Tecnologia Apropiada (CESTA), and the Climate Change Communication office of the Ministry of Environment in Salvador. This volume contains reports of the presentations and discussions that took place at the workshop in San Salvador. The agenda

  12. The Doha Development Agenda: Mixed Prospects for Developing Countries

    OpenAIRE

    Alan Matthews; Keith Walsh

    2006-01-01

    This paper uses the GTAP computable general equilibrium model to assess the impact of a Doha Development Agenda agreement on agricultural trade liberalisation. In particular, we examine the consequences for developing countries. The simulation incorporates further liberalisation in the areas of market access, export competition and domestic support. Most developing regions can expect strong positive results from this liberalisation, however some suffer a decrease in welfare. The magnitude of ...

  13. Renewable energy markets in developing countries

    International Nuclear Information System (INIS)

    Martinot, Eric; Chaurey, Akanksha; Lew, Debra; Moreira, Jose Roberto; Wamukonya, Njeri

    2003-01-01

    Roughly 400 million households, or 40% of the population of developing countries, do not have access to electricity. Household and community demand for lighting, TV, radio, and wireless telephony in rural areas without electricity has driven markets for solar home systems, biogas-fueled lighting, small hydro mini-grids, wind or solar hybrid mini-grids, and small wind turbines. These technologies are not strictly comparable with each other, however; the level of service that households receive varies considerably by technology and by the specific equipment size used. Regardless of size, surveys and anecdotal evidence suggest that rural households value both electric lighting and television viewing. Growing numbers of individual equipment purchases, beyond government-driven programs, point to growing market demand. As energy consumption rises with increases in population and living standards, awareness is growing about the environmental costs of energy and the need to expand access to energy in new ways. As recognition grows of the contribution renewable energy can make to development, renewable energy is shifting from the fringe to the mainstream of sustainable development. Support for renewable energy has been building among those in government, multilateral organizations, industry, and non-governmental organizations. Commercial markets for renewable energy are expanding, shifting investment patterns away from traditional government and donor sources to greater reliance on private firms and banks. In this paper we take a market orientation, providing an aggregate review of past market experience, existing applications, and results of policies and programs. (BA)

  14. Radioimmunoassay in developing countries: General principles

    Energy Technology Data Exchange (ETDEWEB)

    Piyasena, R D

    1993-12-31

    Radioimmunoassay (RIA) is probably the most commonly performed nuclear medicine technique. It is an in vitro procedure, where no radioactivity is administered to the patient. But this alone is not the reason for its widespread use. It provides the basis for extremely sensitive and specific diagnostic tests, and its use in present day medicine has brought a virtual information explosion in terms of understanding the pathophysiology of many diseases. The fact that the technology involved is within the technical and economic capabilities of the developing world is evident from the increasing demand for its introduction or expansion of existing services. RIA facilities need not be restricted to urban hospitals, as in the case of in vivo nuclear medicine techniques, but may be extended to smaller district hospitals and other laboratories in peripheral areas. It is also possible to send blood samples to a central laboratory so that a single centre can serve a wide geographical area. There are many laboratories in the industrialized world that receive a major proportion of samples for assay by mail. In recent years, substantial RIA services have been established in many of the developing countries in Asia and Latin America. The International Atomic Energy Agency (IAEA) and World Health Organisation (WHO) have made vital contributions to these activities and have played a catalytic role in assisting member states to achieve realistic goals. In the past five years, more than 250 individual RIA laboratories in developing member states have been beneficiaries of IAEA projects

  15. Radioimmunoassay in developing countries: General principles

    International Nuclear Information System (INIS)

    Piyasena, R.D.

    1992-01-01

    Radioimmunoassay (RIA) is probably the most commonly performed nuclear medicine technique. It is an in vitro procedure, where no radioactivity is administered to the patient. But this alone is not the reason for its widespread use. It provides the basis for extremely sensitive and specific diagnostic tests, and its use in present day medicine has brought a virtual information explosion in terms of understanding the pathophysiology of many diseases. The fact that the technology involved is within the technical and economic capabilities of the developing world is evident from the increasing demand for its introduction or expansion of existing services. RIA facilities need not be restricted to urban hospitals, as in the case of in vivo nuclear medicine techniques, but may be extended to smaller district hospitals and other laboratories in peripheral areas. It is also possible to send blood samples to a central laboratory so that a single centre can serve a wide geographical area. There are many laboratories in the industrialized world that receive a major proportion of samples for assay by mail. In recent years, substantial RIA services have been established in many of the developing countries in Asia and Latin America. The International Atomic Energy Agency (IAEA) and World Health Organisation (WHO) have made vital contributions to these activities and have played a catalytic role in assisting member states to achieve realistic goals. In the past five years, more than 250 individual RIA laboratories in developing member states have been beneficiaries of IAEA projects

  16. Sustainable sludge management in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, B.; Barrios, J.A.; Mendez, J.M.; Diaz, J.

    2003-07-01

    Worldwide, unsanitary conditions are responsible of more than three million deaths annually. One of the reasons is the low level of sanitation in developing countries. Particularly, sludge from these regions has a high parasite concentration and low heavy metal content even though the available information is limited. Different issues needed to achieve a sustainable sludge management in developing nations are analysed. Based on this analysis some conclusions arise: sludge management plays an important role in sanitation programs by helping reduce health problems and associated risks; investments in sanitation should consider sludge management within the overall projects; the main restriction for reusing sludge is the high microbial concentration, which requires a science-based decision of the treatment process, while heavy metals are generally low; the adequate sludge management needs the commitment of those sectors involved in the development and enforcement of the regulations as well as those that are directly related to its generation, treatment, reuse or disposal; current regulations have followed different approaches, based mainly on local conditions, but they favour sludge reuse to fight problems like soil degradation, reduced crop production, and the increased use of inorganic fertilizers. This paper summarises an overview of theses issues. (author)

  17. Teacher labor markets in developing countries.

    Science.gov (United States)

    Vegas, Emiliana

    2007-01-01

    Emiliana Vegas surveys strategies used by the world's developing countries to fill their classrooms with qualified teachers. With their low quality of education and wide gaps in student outcomes, schools in developing countries strongly resemble hard-to-staff urban U.S. schools. Their experience with reform may thus provide insights for U.S. policymakers. Severe budget constraints and a lack of teacher training capacity have pushed developing nations to try a wide variety of reforms, including using part-time or assistant teachers, experimenting with pay incentives, and using school-based management. The strategy of hiring teachers with less than full credentials has had mixed results. One successful program in India hired young women who lacked teaching certificates to teach basic literacy and numeracy skills to children whose skills were seriously lagging. After two years, student learning increased, with the highest gains among the least able students. As in the United States, says Vegas, teaching quality and student achievement in the developing world are sensitive to teacher compensation. As average teacher salaries in Chile more than doubled over the past decade, higher-quality students entered teacher education programs. And when Brazil increased educational funding and distributed resources more equitably, school enrollment increased and the gap in student test scores narrowed. Experiments with performance-based pay have had mixed results. In Bolivia a bonus for teaching in rural areas failed to produce higher-quality teachers. And in Mexico a system to reward teachers for improved student outcomes failed to change teacher performance. But Vegas explains that the design of teacher incentives is critical. Effective incentive schemes must be tightly coupled with desired behaviors and generous enough to give teachers a reason to make the extra effort. School-based management reforms give decisionmaking authority to the schools. Such reforms in Central America

  18. Road safety in developing countries: The role of research.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1986-01-01

    Road accidents are a continuous burden for all countries, developing and developed alike. There are reasons, however, to pay special attention to developing countries as the situation often seems to be more unfavourable as in developed countries, and as the consequences of road accidents, can be

  19. Monitoring Outdoor Alcohol Advertising in Developing Countries ...

    African Journals Online (AJOL)

    Analyses on the placement, channels, size and content of outdoor alcohol advertising practices (N=807) in relation to existing regulations are given. For example, in Gambia, the country with the most stringent alcohol marketing regulations of all countries studied, outdoor alcohol advertisements are on average smaller and ...

  20. Shadow economies and corruption all over the world: revised estimates for 120 countries

    OpenAIRE

    Schneider, Friedrich G.; Buehn, Andreas

    2007-01-01

    Estimations of the shadow economies for 120 countries, including developing, Eastern Europe and Central Asian and high income OECD countries over 1999 to 2006 are presented. The average size of the shadow economy (as a percent of "official" GDP) in 2004/05 in 76 developing countries is 35.5%, in 19 Eastern and Central Asian countries 36.7% and in 25 high income OECD countries 15.5%. An increased burden of taxation and social security contributions, combined with labour market regulations are ...

  1. Financial globalization: gain and pain for developing countries

    OpenAIRE

    Sergio L. Schmukler

    2004-01-01

    Economies around the world are becoming increasingly interconnected by the unprecedented breadth and depth of financial globalization. Developed countries tend to be most actively involved in cross-country capital movement, but in recent years developing countries have begun to participate in the process. ; This article focuses on the integration of developing countries into the international financial system. It examines recent developments and the principal agents of financial globalization...

  2. Seismic-Proof Buildings in Developing Countries

    Directory of Open Access Journals (Sweden)

    Vittoria Laghi

    2017-08-01

    Full Text Available The use of “ductile seismic frames,” whose proper seismic behavior largely depends upon construction details and specific design rules, may do not always lead to effective seismic resistant structures, as dramatically denounced by the famous Chinese artist Ai Weiwei in his artwork Straight. The artwork (96 t of undulating metal bars that were salvaged from schools destroyed by the 2008 Sichuan, China earthquake, where over 5,000 students were killed is a clear denounce against the corruption yielding to shoddy construction methods. The issue of safe constructions against natural hazards appears even more important in developing countries where, in most cases, building structures are realized by non-expert workers, or even by simple “people from the street,” who does not have any technical knowledge on construction techniques and seismic engineering. In this paper, a brief history from the first frame structures to the more efficient wall-based structures is provided within Earthquake Engineering perspectives. The superior structural properties of box-type wall structures with respect to conventional frame structures envisage a change of paradigm from actual “ductility-based” Earthquake Engineering (centered on frame structures toward 100% safe buildings through a “strength-based” design exploiting the use of box-type wall-based structures.

  3. ROLE OF DIASPORA BONDS IN DEVELOPING COUNTRIES

    Directory of Open Access Journals (Sweden)

    Y. Bunyk

    2015-08-01

    Full Text Available The article deals with the problem of the bond issue for the Diaspora as a source of financing of the national economy and a factor of development. We reveal the following factors driving demand in the diaspora bond market: targeting at a project, channels, audience and marketing. The paper shows international experience to attract migrants’ savings and use them to issue bonds. Investors consider diaspora bonds because: firstly, people who have disposable income, who can commit that income or that excess income to a long term investment should look at diaspora bonds: secondly, people who really want to participate in transforming the home country should look at diaspora bond specifically diaspora bonds related to projects: and last but not least, if there are incentives around diaspora bonds for example whether there’s tax incentive and other kinds of incentive, that also should be taken into account. Also we disclosed the possibility of using this type of securities in Ukraine and its expedience.

  4. Institutional and societal innovations in information technology for developing countries

    NARCIS (Netherlands)

    James, M.J.

    2012-01-01

    Innovation in the developed countries is heavily based on R&D and is closely related to income, skills and infrastructure in those countries. Little is geared towards IT problems of poor countries. This technology does not suit the incomes, skills and so on of poor countries. Fortunately another

  5. Professional development for nuclear power programs in developing countries

    International Nuclear Information System (INIS)

    Kanter, M.A.

    1983-01-01

    Countries entering nuclear power programs for the first time find that inadequate planning for the development of trained manpower is a critical factor in the success of their programs. This requires the early training of a team for the planning and acquisition effort to be followed by training for the supervision of construction. In addition, there is the more readily recognized training for operation. Typical manpower needs for such projects have been documented by the International Atomic Energy Agency. The basic academic training of engineers and scientists, which should be available within the country; advanced academic training, which is often secured in institutions abroad; specialized training abroad by international agencies; specialized training by the vendors of nuclear equipment; and the development of indigenous training. This paper outlines all of these avenues but will concentrate on the training available through international agencies and on the development of indigenous training capability

  6. Bureau Management Technologies and Information Systems in Developing Countries

    OpenAIRE

    Mehmet Altınöz

    2008-01-01

    This study focuses on bureau management technologies and information systems in developing countries. Developing countries use such systems which facilitate executive and organizational functions through the utilization of bureau management technologies and provide the executive staff with necessary information. The concepts of data and information differ from each other in developing countries, and thus the concepts of data processing and information processing are di...

  7. Marriage and fertility in the developed countries.

    Science.gov (United States)

    Westoff, C F

    1978-12-01

    Most developed countries have reached zero population growth or less and, while population projections have often proved badly off-target, it seems that currently low fertility levels are the result of a long-term trend, which was interrupted in the last 100 years only by the still-unexplained postwar baby boom, and which will probably continue. The declining trend has accompanied economic development and modernization, which have transformed the economic value of children, making them a drain on resources rather than a source of income. The concomitant social changes seem largely irreversible: urban economy, the decline in traditional authority, universal, prolonged education, equality of women, low infant mortality, high consumer demands and sophisticated birth control technology are all here to stay. The theory that fertility exhibits a cyclical pattern based on people's perception of their degree of economic and social opportunity ignores the other elements affecting fertility behavior, especially the radical change in the status and expectations of women. Several trends in marriage and reproductive behavior in the U.S., Denmark and Sweden reinforce the presumption that fertility will remain low: declining number of marriages; postponement of marriage; increased tendency for unmarried couples to live together; instability of marriage shown by high divorce rates and declining remarriage rates; and increasing economic activity by women. The traditional institution of marriage is losing its economic, sexual, sociological and parenting rationales. Thus, declining fertility is both cause and consequence of changes in marriage. In Europe, where the decline is more advanced than in the U.S., governments are concerned that population growth will be too low and have instituted social welfare measures to induce and facilitate childbearing and childrearing. As women become more career-oriented, greater incentives will have to be provided. Manipulating immigration quotas

  8. Preliminary Country Reports on Feasibility Survey: Policy Research and Education Institutions for Developing Countries.

    Science.gov (United States)

    Mitchell, James M.; Luikart, F. W.

    The feasibility of creating independent research and education centers that deal with public policy issues in developing countries is assessed. Countries that were surveyed include Brazil, Colombia, Bolivia, Costa Rica, Guatemala, South Korea, Philippines, Pakistan, and Nepal. For each country, a report describes the social and political climate…

  9. Health aid and governance in developing countries.

    Science.gov (United States)

    Fielding, David

    2011-07-01

    Despite anecdotal evidence that the quality of governance in recipient countries affects the allocation of international health aid, there is no quantitative evidence on the magnitude of this effect, or on which dimensions of governance influence donor decisions. We measure health-aid flows over 1995-2006 for 109 aid recipients, matching aid data with measures of different dimensions of governance and a range of country-specific economic and health characteristics. Everything else being equal, countries with more political rights receive significantly more aid, but so do countries with higher corruption levels. The dependence of aid on political rights, even when we control for other governance indicators, suggests that health aid is sometimes used as an incentive to reward political reforms. Copyright © 2010 John Wiley & Sons, Ltd.

  10. Market Dynamics and Productivity in Developing Countries ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2009-11-25

    Nov 25, 2009 ... ... economic performance is still lagging behind many regions of the world. Even in those countries that are the most advanced in implementing ... IWRA/IDRC webinar on climate change and adaptive water management.

  11. Finance and Competitiveness in Developing Countries

    International Development Research Centre (IDRC) Digital Library (Canada)

    The experience of these countries suggests that high productivity and competitiveness .... Fluctuations in the terms of trade and, hence, in the availability of foreign ...... plying mills), 3312 (wooden and cane containers), 3521 (paints, varnishes, ...

  12. Developing countries unprepared for ballooning elderly population ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2010-11-29

    Nov 29, 2010 ... ... Economics and Demography of Aging at the University of California, Berkeley ... Another problem is that some of these countries are implementing social ... Presenting advances in financial inclusion and education for youth, ...

  13. Energy technology transfer to developing countries

    International Nuclear Information System (INIS)

    Goldemberg, J.

    1991-01-01

    This paper gives some examples of how technology transfer can successfully be given to third world countries to allow them to benefit in their quest for economic growth and better standards of living through reduced energy consumption and environmental pollution. It also suggests methods by which obstacles such as high investment costs, lack of information, market demand, etc., can be overcome in order to motivate technological transfer by industrialized countries

  14. Developed country trade barriers and the least developed countries: The economic results of freeing trade

    OpenAIRE

    Haveman, Jon D.; Shatz, Howard J.

    2003-01-01

    The Doha Ministerial Declaration emphasized that priority should be given to improving market access for products originating in the Least Developed Countries (LDCs). In this paper, we analyze the importance of this proposition with respect to market access in the Triad economies. We first present a brief history of non-reciprocal preferences granted by the Triad. This covers Generalized System of Preference (GSP) programmes in each, and further preferences granted to African, Caribbean and P...

  15. Strategies for Fighting Pandemic Flu in Developing Countries

    Centers for Disease Control (CDC) Podcasts

    2009-03-04

    Countries throughout the world are preparing for the next influenza pandemic. Developing countries face special challenges because they don't have antiviral drugs or vaccines that more developed countries have. In this podcast, CDC's Dr. Dan Jernigan discusses new and innovative approaches that may help developing countries fight pandemic flu when it emerges.  Created: 3/4/2009 by Emerging Infectious Diseases.   Date Released: 3/4/2009.

  16. Eosinophilic Esophagitis in a Developing Country: Is It Different from Developed Countries?

    Directory of Open Access Journals (Sweden)

    Abdulrahman Al-Hussaini

    2013-01-01

    Full Text Available Background and Objective. Despite the extensive reporting of eosinophilic esophagitis (EoE from industrialized developed countries, reports from developing countries are rare. The aim of our study was to determine the epidemiological, clinical, and endoscopic features of EoE and response to therapy in children and adults from a developing country, Saudi Arabia. Methods. We identified patients diagnosed with EoE in our center from 2004 to 2011. EoE was defined as esophageal mucosal infiltration with a peak eosinophil count ≥15 eosinophils/high-powered field. Results. Forty-five patients were diagnosed with EoE (37 children and 8 adults; 36 males; median age 10.5 years, range from 1–37 years. Feeding difficulty, vomiting/regurgitation, and failure to thrive predominated in young children, whereas dysphagia and food impactions predominated in older children and adults. Allergy testing revealed food sensitization in 12 of 15 patients (80%; 3 responded to elemental formula, while 8 failed to respond to dietary manipulation after the allergy testing. Thirty-nine patients achieved remission by swallowed inhaled fluticasone. The majority of patients experienced a recurrence of symptoms upon the discontinuation of fluticasone. Conclusion. Our data indicate that EoE is increasingly recognized in Saudi Arabia and show many similarities to data from North America and Europe.

  17. Promoting Balanced Competitiveness Strategies of Firms in Developing Countries

    CERN Document Server

    Wang, Vivienne

    2012-01-01

    Since the pioneering work of Joseph Schumpeter (1942), it has been assumed that innovations typically play a key role in firms’ competitiveness.  This assumption has been applied to firms in both developed and developing countries. However, the innovative capacities and business environments of firms in developing countries are fundamentally different from those in developed countries. It stands to reason that innovation and competitiveness models based on developed countries may not apply to developing countries.   In this volume, Vivienne Wang and Elias G. Carayannis apply both theoretical approaches and empirical analysis to explore the dynamics of innovation in developing countries, with a particular emphasis on R&D in manufacturing firms.  In so doing, they present an alternative to Michael Porter’s Competitive Advantage Model—a Competitive Position Model that focuses on incremental and adaptive innovations that are more appropriate than radical innovations for developing countries.  Their ...

  18. Developing Enterprise Architecture Skills: A Developing Country Perspective

    OpenAIRE

    Shaanika , Irja; Iyamu , Tiko

    2014-01-01

    Part 1: Key Competencies for Educating ICT Professionals; International audience; Through different approaches, organisations strive to evolve their competitiveness, as well as their addressing their operational and strategic needs. Some organisations employ Enterprise Architecture (EA), to bridge the gap between the business and IT, and to providing strategic goals. However, there exists scarcity of EA Skills in many developing countries. This could be attributed to the uniqueness of the dis...

  19. Performance of rotavirus vaccines in developed and developing countries

    OpenAIRE

    Jiang, Victoria; Jiang, Baoming; Tate, Jacqueline; Parashar, Umesh D; Patel, Manish M

    2010-01-01

    The World Health Organization estimates that rotavirus diarrhea results in approximately half a million deaths and approximately 2.4 million hospitalizations in developing countries each year. Two live oral rotavirus vaccines, RotaTeq® (RV 5; Merck) and Rotarix® (RV 1; GlaxoSmithKline) with good efficacy against severe rotavirus disease and a reassuring safety profile could substantially impact the burden of rotavirus disease. In April 2009, WHO provided a recommendation for global introducti...

  20. Extreme weather events in developing countries and related injuries and mental health disorders - a systematic review

    Directory of Open Access Journals (Sweden)

    Elisabeth Rataj

    2016-09-01

    Full Text Available Abstract Background Due to climate change, extreme weather events have an incremental impact on human health. Injuries and mental health disorders are a particular burden of disease, which is broadly investigated in high income countries. Most distressed populations are, however, those in developing countries. Therefore, this study investigates mental and physical health impacts arising from extreme weather events in these populations. Method Post-traumatic Stress Disorder (PTSD, injury [primary outcomes], anxiety and depressive disorders [secondary outcomes], caused by weather extremes were systematically analyzed in people of developing countries. A systematic review of observational studies was conducted searching six databases, complemented by hand search, and utilizing two search engines. Review processing was done independently by two reviewers. Prevalence rates were analyzed in a pre/post design; an additional semi-structured search was conducted, to provide reference data for studies not incorporating reference values. Results All 17 identified studies (70,842 individuals indicate a disease increase, compared to the reference data. Increase ranges from 0.7–52.6 % for PTSD, and from 0.3–37.3 % for injury. No studies on droughts and heatwaves were identified. All studies were conducted in South America and Asia. Conclusion There is an increased burden of psychological diseases and injury. This finding needs to be incorporated into activities of prevention, preparedness and general health care of those developing countries increasingly experiencing extreme weather events. There is also a gap in research in Africa (in quantity and quality of studies in this field and a predominant heterogeneity of health assessment tools. PROSPERO registration no.: CRD42014009109

  1. Teaching of Psychology in Countries with Advanced versus Developing Economies

    Science.gov (United States)

    Pinquart, Martin; Bernardo, Allan B. I.

    2014-01-01

    We compare structures and contents of psychology programmes from countries with developing and advanced economies. Respondents from 49 countries completed a survey of the International Union of Psychological Science on psychology education and training. In general, there are more similarities than differences between countries with developing and…

  2. Poverty—A structural problem of developing countries

    OpenAIRE

    Wülker, Gabriele

    1981-01-01

    The contrast between industrialized and developing countries is often seen as one between two opposites: Rich countries—poor countries. But the poverty in the developing countries is by no means identical with the need for help as perceived in the industrialized societies. Poverty in the Third World is, as the following article shows, a structural problem.

  3. Comparing ecological awareness in developed countries

    International Nuclear Information System (INIS)

    Kessel, H.

    1982-01-01

    This paper addresses the questions ''Do people think about the environment in similar ways.'', ''What are the similarities and differences across different groups within a country, and what are the similarities and differences across countries.'' Using a new factor-analytical approach (which is described in detail in the appendix) four independent cognitive dimensions of the ecological awareness could be found from a set of 12 Items of the International Environmental Survey of 1980: 1. Attitude toward science and technology; 2. Concern about resources and energy supply; 3. Attitude toward nuclear power; 4. Concern about the limits to growth. The major similarities overall and the minor differences between the countries will be discussed. (orig.) [de

  4. Pharmacovigilance in developing countries (part I): importance and challenges.

    Science.gov (United States)

    Elshafie, Shaimaa; Zaghloul, Iman; Roberti, Anne Marie

    2017-12-16

    The thalidomide disaster was the significant historical event that acted as a catalyst for pharmacovigilance activity. Following this event developed countries initiated drug monitoring systems that evolved and now extend their scope to broader drug-related safety issues; however, this was not the case in developing countries. Pharmacovigilance is still a relatively new concept with low priority in developing countries although various issues are raising concerns that magnify the need for systems to monitor post marketing drug safety in these countries. This article analyzes the barriers to introducing robust pharmacovigilance systems in developing countries.

  5. Likely impact of global warming on developing countries

    International Nuclear Information System (INIS)

    Topping, J.

    1992-01-01

    Over the last couple of years there has been mounting evidence that the human costs of rapid global warming are likely to be concentrated especially in developing countries and that some countries may be gravely affected. Climate impacts research has until recently been focused principally on a handful of more affluent countries, but studies of climate impacts on developing countries are now under way and preliminary results are likely to be available for many areas of the world within the next year

  6. Teacher Labor Markets in Developed Countries

    Science.gov (United States)

    Ladd, Helen F.

    2007-01-01

    Helen Ladd takes a comparative look at policies that the world's industrialized countries are using to assure a supply of high-quality teachers. Her survey puts U.S. educational policies and practices into international perspective. Ladd begins by examining teacher salaries--an obvious, but costly, policy tool. She finds, perhaps surprisingly,…

  7. Destigmatizing day-to-day practices: what developed countries can learn from developing countries.

    Science.gov (United States)

    Rosen, Alan

    2006-02-01

    The nature of and threshold for stigma associated with mental disorders appears to be different between developed and developing countries. Decreasing stigma can be achieved through a combination of the best Western educational and media strategies and the systematization of some important lessons from developing countries. At the macro-level, this involves: societal changes leading to being more inclusive and re-integrating people with mental illness into our communities; finding socially useful and culturally valued work roles for such marginalized people; re-extending our kinship networks, and re-valuing contact with people with mental illness and learning from their experiences. At the micro-level, this involves developing more destigmatizing day-to-day clinical practices, including: more holistic appraisal of disorder, abilities and needs; therapeutic optimism; a strengths orientation; engaging family and redeveloping an extended support network; celebration of age appropriate rites of passage; invoking the language of recovery; valuing veterans of mental illness as "spirit guides"; promoting consumers' community living as full citizens; engaging and involving the local community in taking responsibility for their own mental health.

  8. Handbook of nuclear medicine practice in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-12-31

    This ``Handbook of Nuclear Medicine Practices in the Developing Countries`` is meant primarily for those, who intend to install and practice nuclear medicine in a developing country. By and large, the conventional Textbooks of nuclear medicine do note cater to the special problems and needs of these countries. The Handbook is not trying to replace these textbooks, but supplement them with special information and guidance, necessary for making nuclear medicine cost-effective and useful in a hospital of a developing country. It is written mostly by those, who have made success in their careers in nuclear medicine, in one of these countries. One way to describe this Handbook will be that it represents the ways, in which, nuclear medicine is practised in the developing countries, described by those, who have a long and authentic experience of practising nuclear medicine in a developing country Figs, tabs

  9. Handbook of nuclear medicine practice in developing countries

    International Nuclear Information System (INIS)

    1992-01-01

    This ''Handbook of Nuclear Medicine Practices in the Developing Countries'' is meant primarily for those, who intend to install and practice nuclear medicine in a developing country. By and large, the conventional Textbooks of nuclear medicine do note cater to the special problems and needs of these countries. The Handbook is not trying to replace these textbooks, but supplement them with special information and guidance, necessary for making nuclear medicine cost-effective and useful in a hospital of a developing country. It is written mostly by those, who have made success in their careers in nuclear medicine, in one of these countries. One way to describe this Handbook will be that it represents the ways, in which, nuclear medicine is practised in the developing countries, described by those, who have a long and authentic experience of practising nuclear medicine in a developing country

  10. Developing countries and the frontiers of science and technology

    Energy Technology Data Exchange (ETDEWEB)

    Gunawardena, W

    1980-06-01

    Direct transfers of technology to developing countries are basically product transfers which may be irrelevant to the recipient country's needs. The process of imitation, however, can build upon local research aided by information transfers so that innovative technology is applied more appropriately. Since developing countries think of technology transfer as a purchased package rather than an intellectual process, most Third World countries have a low innovative capacity at present. This can be overcome if the developed countries will cooperate with information transfers. 24 references. (DCK)

  11. Globalization and Gender Equality in Developing Countries

    OpenAIRE

    Niklas Potrafke; Heinrich Ursprung

    2011-01-01

    This study empirically assesses the influence of globalization on the institutional root causes of gender equality as measured by the new OECD Social Institutions and Gender Index (SIGI). We capture the multifaceted concept of globalization with the KOF index and its three sub-indices which measure the economic, social and political dimensions of globalization. Observing the progress of globalization for a sample of almost one hundred countries at ten year intervals starting in 1970, we find ...

  12. Food irradiation for developing countries in Africa

    International Nuclear Information System (INIS)

    1990-12-01

    The amount of post-harvest losses of food is considered to be highest on the African continent. As a result, increasing numbers of countries in Africa are suffering from problems of hunger and malnutrition, which range from chronic to acute. Food irradiation could play an important role in reducing the high rate of food losses especially in the case of food grain, root crops and dried food in this continent provided that proper infrastructure to employ this technique could be identified. Irradiation could contribute positively to the safety of food from microbiological and parasitic infection. A panel of experts participated at the round table discussion to assess the potential application of the technology in Africa. Some of the items for which technical feasibility has been established for food irradiation preservation include yams, onions, potatoes, maize, millet, sorghum, cowpeas and other pulses, cocoa beans, spices (pepper) and condiments, meat and poultry, fish and fishery products, animal feed, etc. In considered the local demand, a suitable choice of the type and size of the facility should be made. The design should allow up-grading in both size and automated operation to meet future expansion of the existing facility, but small commercial scale facilities, of low cost, should be considered to start with. Whatever type of equipment chosen, (whether Gamma or Electron Beam) safety, reliability, maintainability, and simplicity of operation should be of major consideration. It is recognized that for a project to be concluded on a reasonable schedule, technology transfer and training should be incorporated into the complete package. In addition back-up technical infrastructure in the country should be strengthened. The effective procedures demonstrated in a number of countries for performing consumer acceptance studies on irradiated foods, should be adopted in a slightly modified form adapted to the different target populations. Such studies should be

  13. Energy systems Diagnosis in developing countries

    International Nuclear Information System (INIS)

    Girod, J.

    1991-01-01

    Energy systems diagnosis is necessary to allow evaluation of energy balance by administration and political authorities of a country. First, the author describes the principle stages of energetic diagnosis. Then this work is divided into three parts: First part: Energy consumption diagnosis in several districts (families, utilities, agriculture, transport, industry) Second part: Energy supplies diagnosis (energy markets). Third part: Interactions between energy consumption and energy supply. 28 figs.; 52 tabs.; 107 refs

  14. Development of Global Change Research in Developing Countries

    Science.gov (United States)

    Sierra, Carlos A.; Yepes, Adriana P.

    2010-10-01

    Ecosystems and Global Change in the Context of the Neotropics; Medellín, Colombia, 19-20 May 2010; Research in most areas of global environmental change is overwhelmingly produced outside developing countries, which are usually consumers rather than producers of the knowledge associated with their natural resources. While there have been important recent advances in understanding the causes of global-¬scale changes and their consequences to the functioning of tropical ecosystems, there is still an important gap in the understanding of these changes at regional and national levels (where important political decisions are usually made). A symposium was held with the aim of surveying the current state of research activities in a small, developing country such as Colombia. It was jointly organized by the Research Center on Ecosystems and Global Change, Carbono and Bosques; the National University of Colombia at Medellín and the Colombian Ministry of the Environment, Housing, and Regional Development. This 2-¬day symposium gathered Colombian and international scientists involved in different areas of global environmental change, tropical ecosystems, and human societies.

  15. International Trade as an Engine of Growth in Developing Countries ...

    African Journals Online (AJOL)

    This study examines international trade as an engine of growth in developing countries, a case study of Nigeria. A review of the literature reveals that countries that are more open to international trade tends to experience higher growth rate and per-capital income than countries who do not trade or closed economy.

  16. Technology foresight and industrial strategy in developing countries

    NARCIS (Netherlands)

    Pietrobelli, C.; Puppato, F.

    2015-01-01

    When Technology Foresight (TF) began to be adopted in industrial countries, it tended to be still somewhat a marginal activity in developing countries. It was then believed that TF and its prediction of the future was a matter that only highly industrialised countries could endeavour to achieve,

  17. Socioeconomic development as a determinant of the levels of organochlorine pesticides and PCBs in the inhabitants of Western and Central African countries

    International Nuclear Information System (INIS)

    Luzardo, Octavio P.; Boada, Luis D.; Carranza, Cristina; Ruiz-Suárez, Norberto; Henríquez-Hernández, Luis Alberto; Valerón, Pilar F.; Zumbado, Manuel; Camacho, María; Arellano, José Luis Pérez

    2014-01-01

    Several studies of environmental samples indicate that the levels of many persistent organic pollutants (POPs) are increasing in Africa, but few studies have been conducted in humans. Simultaneously, many African countries are experiencing a rapid economic growth and implementing information and communication technologies (ICT). These changes have generated high amounts of electronic waste (e-waste) that have not been adequately managed. We tested the hypothesis that the current levels of two main classes of POPs in Western and Central African countries are affected by the degree of socioeconomic development. We measured the levels of 36 POPs in the serum of recent immigrants (N = 575) who came from 19 Sub-Saharan countries to the Canary Islands (Spain). We performed statistical analyses on their anthropometric and socioeconomic data. High median levels of POPs were found in the overall sample, with differences among the countries. Organochlorine pesticide (OCP) and polychlorinated biphenyl (PCB) levels increased with age. People from low-income countries had significantly higher OCP levels and much lower PCB levels than those from high-income countries. We found a significant association between the implementation of ICT and PCB contamination. Immigrants from the countries with a high volume of imports of second-hand electronic equipment had higher PCB levels. The economic development of Africa and the e-waste generation have directly affected the levels of POPs. The POP legacies of these African populations most likely are due to the inappropriate management of the POPs' residues. - Highlights: • Higher levels of organochlorine pesticides in Africans from low-income countries • Higher levels of PCBs in Africans from high-income countries • Levels of PCBs are significantly higher in people from West Africa. • Significant association between implementation of ICT and PCB contamination • High volume of second-hand electronic equipment is associated

  18. Socioeconomic development as a determinant of the levels of organochlorine pesticides and PCBs in the inhabitants of Western and Central African countries

    Energy Technology Data Exchange (ETDEWEB)

    Luzardo, Octavio P., E-mail: operez@dcc.ulpgc.es [Toxicology Unit, Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Boada, Luis D. [Toxicology Unit, Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Carranza, Cristina [Infectious Diseases and Tropical Medicine Unit, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria (Spain); Medical Sciences and Surgery Department, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Ruiz-Suárez, Norberto; Henríquez-Hernández, Luis Alberto; Valerón, Pilar F.; Zumbado, Manuel; Camacho, María [Toxicology Unit, Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Arellano, José Luis Pérez [Infectious Diseases and Tropical Medicine Unit, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria (Spain); Medical Sciences and Surgery Department, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain)

    2014-11-01

    Several studies of environmental samples indicate that the levels of many persistent organic pollutants (POPs) are increasing in Africa, but few studies have been conducted in humans. Simultaneously, many African countries are experiencing a rapid economic growth and implementing information and communication technologies (ICT). These changes have generated high amounts of electronic waste (e-waste) that have not been adequately managed. We tested the hypothesis that the current levels of two main classes of POPs in Western and Central African countries are affected by the degree of socioeconomic development. We measured the levels of 36 POPs in the serum of recent immigrants (N = 575) who came from 19 Sub-Saharan countries to the Canary Islands (Spain). We performed statistical analyses on their anthropometric and socioeconomic data. High median levels of POPs were found in the overall sample, with differences among the countries. Organochlorine pesticide (OCP) and polychlorinated biphenyl (PCB) levels increased with age. People from low-income countries had significantly higher OCP levels and much lower PCB levels than those from high-income countries. We found a significant association between the implementation of ICT and PCB contamination. Immigrants from the countries with a high volume of imports of second-hand electronic equipment had higher PCB levels. The economic development of Africa and the e-waste generation have directly affected the levels of POPs. The POP legacies of these African populations most likely are due to the inappropriate management of the POPs' residues. - Highlights: • Higher levels of organochlorine pesticides in Africans from low-income countries • Higher levels of PCBs in Africans from high-income countries • Levels of PCBs are significantly higher in people from West Africa. • Significant association between implementation of ICT and PCB contamination • High volume of second-hand electronic equipment is associated

  19. Systems approaches to integrated solid waste management in developing countries

    International Nuclear Information System (INIS)

    Marshall, Rachael E.; Farahbakhsh, Khosrow

    2013-01-01

    Highlights: ► Five drivers led developed countries to current solid waste management paradigm. ► Many unique factors challenge developing country solid waste management. ► Limited transferability of developed country approaches to developing countries. ► High uncertainties and decision stakes call for post-normal approaches. ► Systems thinking needed for multi-scale, self-organizing eco-social waste systems. - Abstract: Solid waste management (SWM) has become an issue of increasing global concern as urban populations continue to rise and consumption patterns change. The health and environmental implications associated with SWM are mounting in urgency, particularly in the context of developing countries. While systems analyses largely targeting well-defined, engineered systems have been used to help SWM agencies in industrialized countries since the 1960s, collection and removal dominate the SWM sector in developing countries. This review contrasts the history and current paradigms of SWM practices and policies in industrialized countries with the current challenges and complexities faced in developing country SWM. In industrialized countries, public health, environment, resource scarcity, climate change, and public awareness and participation have acted as SWM drivers towards the current paradigm of integrated SWM. However, urbanization, inequality, and economic growth; cultural and socio-economic aspects; policy, governance, and institutional issues; and international influences have complicated SWM in developing countries. This has limited the applicability of approaches that were successful along the SWM development trajectories of industrialized countries. This review demonstrates the importance of founding new SWM approaches for developing country contexts in post-normal science and complex, adaptive systems thinking

  20. Systems approaches to integrated solid waste management in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, Rachael E., E-mail: rmarsh01@uoguelph.ca [School of Engineering, University of Guelph, Albert A. Thornbrough Building, Guelph, ON, Canada N1G 2W1 (Canada); Farahbakhsh, Khosrow, E-mail: khosrowf@uoguelph.ca [School of Engineering, University of Guelph, Albert A. Thornbrough Building, Guelph, ON, Canada N1G 2W1 (Canada)

    2013-04-15

    Highlights: ► Five drivers led developed countries to current solid waste management paradigm. ► Many unique factors challenge developing country solid waste management. ► Limited transferability of developed country approaches to developing countries. ► High uncertainties and decision stakes call for post-normal approaches. ► Systems thinking needed for multi-scale, self-organizing eco-social waste systems. - Abstract: Solid waste management (SWM) has become an issue of increasing global concern as urban populations continue to rise and consumption patterns change. The health and environmental implications associated with SWM are mounting in urgency, particularly in the context of developing countries. While systems analyses largely targeting well-defined, engineered systems have been used to help SWM agencies in industrialized countries since the 1960s, collection and removal dominate the SWM sector in developing countries. This review contrasts the history and current paradigms of SWM practices and policies in industrialized countries with the current challenges and complexities faced in developing country SWM. In industrialized countries, public health, environment, resource scarcity, climate change, and public awareness and participation have acted as SWM drivers towards the current paradigm of integrated SWM. However, urbanization, inequality, and economic growth; cultural and socio-economic aspects; policy, governance, and institutional issues; and international influences have complicated SWM in developing countries. This has limited the applicability of approaches that were successful along the SWM development trajectories of industrialized countries. This review demonstrates the importance of founding new SWM approaches for developing country contexts in post-normal science and complex, adaptive systems thinking.

  1. Obesity and socioeconomic status in developing countries: a systematic review

    OpenAIRE

    Dinsa, GD; Goryakin, Y; Fumagalli, E; Suhrcke, M

    2012-01-01

    Summary We undertook a systematic review of studies assessing the association between socioeconomic status (SES) and measured obesity in low- and middle-income countries (defined by the World Bank as countries with per capita income up to US$12,275) among children, men and women. The evidence on the subject has grown significantly since an earlier influential review was published in 2004. We find that in low-income countries or in countries with low human development index (HDI), the associat...

  2. Export Credit Insurances in Developing Countries: The Case of Turkey and IMT Countries

    Directory of Open Access Journals (Sweden)

    Cihat Koksal

    2018-05-01

    Full Text Available Export credit insurance is one of the substantial tools to promote export in a country. This paper endeavours to find out the effect of Export Credit Insurance covered by Export Credit Agencies on the developing countries’ export figures and GDP. The countries subject to the analysis are Turkey and Indonesia, Malaysia, Thailand also known as IMT Countries. The relationship between export value, economic growth and export credit insurances will be analyzed using Vector Autoregression (VAR Model.

  3. The Financial and Economic Crisis and Developing Countries

    Directory of Open Access Journals (Sweden)

    Bruno Gurtner

    2010-03-01

    Full Text Available Developing countries were hit hard by the financial and economic crisis, although the impact was somewhat delayed. Every country had different challenges to master. The closer the developing countries are interconnected with the world economy, the crasser the effects. And the incipient recovery that is becoming noticeable is, for the time being, restricted to only a few countries and regions.The crisis was transmitted primarily by trade and financial flows forcing millions back into poverty. Attainment of the Millennium Development Goals is seriously jeopardised in many countries. Many developing countries did not and do not have the resources to stimulate the economy and protect their socially disadvantaged populations to the same extent as the industrialised countries. However, many countries have made considerable efforts to mitigate the effects. Developing countries have also increased their cooperation with one another and are urgently demanding a greater voice in global economic affairs.The industrialised countries are for the most part more concerned with their own problems. Their readiness to provide more extensive aid is limited. They are under pressure from the international institutions to relax their previous dominance in favour of the increasingly strong emerging countries. A shift in power and influence that was already noticeable before the financial crisis is deepening.

  4. INTEREST RATE DERIVATIVES IN DEVELOPING COUNTRIES IN EUROPE

    OpenAIRE

    SLOBODAN CEROVIC; MARINA PEPIC

    2011-01-01

    Financial derivatives (interest rate futures, options and swaps) are a very simple way to minimize interest rate risk and therefore are extremely popular. The value of interest rate derivatives transactions in the world is increasing dramatically. Unfortunately, this is not the case with developing countries in Europe. Although significantly increased in the last decade, interest rate derivatives markets in developing countries are still in nascent stage. In most developing countries still t...

  5. Corporate Governance Practices in Developing Countries: The Case for Kenya

    OpenAIRE

    Benjamin Mwanzia Mulili; Dr. Peter Wong

    2011-01-01

    This paper examines the concept of corporate governance from a historical perspective. The paper explores how the agency theory and stewardship theory affect corporate governance practices. The focus of the paper is on public universities in Kenya. An extensive review of literature indicates that the ideals of good corporate governance have been adopted by developing countries since the 1980s. Developing countries differ from developed countries in a wide variety of ways. Therefore, there is ...

  6. Search Results | Page 27 | IDRC - International Development ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Results 261 - 270 of 369 ... High income inequality in developed countries is attributed to skill-biased ... Resources and Division of Labour along Gender Lines in Veracruz, Mexico ... ICTs for Microcredit Delivery : Correspondent Banking in Brazil.

  7. [The informed consent in international clinical trials including developing countries].

    Science.gov (United States)

    Montenegro Surís, Alexander; Monreal Agüero, Magda Elaine

    2008-01-01

    The informed consent procedure has been one of the most important controversies of ethical debates about clinical trials in developing countries. In this essay we present our recommendations about important aspects to consider in the informed consent procedure for clinical trials in developing countries. We performed a full publications review identified by MEDLINE using these terms combinations: informed consent, developing countries, less developed countries and clinical trials. To protect volunteers in less developed countries should be valuated the importance of the community in the informed consent proceeding. The signing and dating of the informed consent form is not always the best procedure to document the informed consent. The informed consent form should be written by local translators. Alternative medias of communications could be needed for communicatios of the information to volunteers. Comparing with developed countries the informed consent proceeding in clinical trials in developing countries frequently require additional efforts. The developing of pragmatic researches is needed to implement informed consent proceedings assuring subjects voluntarily in each developing country. The main aspects to define in each clinical trial for each country are the influence of the community, the effective communication of the information, the documentation of the informed consent and local authority's control.

  8. Nuclear power programs in the world's developed and developing countries

    International Nuclear Information System (INIS)

    Czibolya, L.

    1983-01-01

    The significance of nuclear power in the world's energy balance related to fossile energy sources is discussed. The general trend of declination of the national power programs could be observed from the seventies as a result of the oil crisis and the economic recession. The main features of the national energy programs including the ratio of the different energy sources in the power supply, the distribution of power production among the different types of nuclear reactors, the time schedules of the national nuclear power programs are reviewed through the examples of some developed and developing countries: USA, FRG, Canada, Japan, France, Sweden, the Soviet Union, Czechoslovakia, Bulgaria, Hungary, Romania, India, and the Republic of Korea. (V.N.)

  9. Nuclear power for developing countries. Key issue paper no. 1

    International Nuclear Information System (INIS)

    Rogner, H.-H.; Khan, A.M.

    2000-01-01

    Is there a rationale for developing countries to adopt nuclear power? This paper explores this rationale and the suitability of nuclear power for developing countries by surveying the prerequisites for and implications of developing a nuclear power program: infrastructure availability, economics and finance, environment, the needs for technology transfer, the regulatory and institutional frameworks required and the awareness of public concerns. (author)

  10. Nuclear Medicine in a developing country

    International Nuclear Information System (INIS)

    Wenzel, K.S. von; Rubow, S.M.; Ellmann, A.; Ghoorun, S.

    2002-01-01

    Namibia is a country with 1,8 million inhabitants, of whom the majority has limited access to first world facilities. Nevertheless, medical services of high standard are offered. A Nuclear Medicine Department was established at Windhoek Central Hospital in 1982. A nuclear physician, two nuclear medicine radiographers and a nursing sister staff the department. Equipment includes a Siemens Orbiter and an Elscint Apex SPX Helix gamma camera. Radiopharmaceuticals are obtained from suppliers in South Africa. Investigations performed include musculoskeletal, liver, hepatobiliary, thyroid, renal studies, ventilation perfusion lung scans as well as the following Nuclear Cardiology studies: Gated blood pool scans, Tc-99m pyrophosphate hot spot scans, Tl-201 myocardial perfusion studies, Tc-99m MIBI myocardial perfusion studies and Tl-201 rest-redistribution studies. Problems experienced at the Windhoek Nuclear Medicine department include: Lack of funding and high cost of equipment and radiopharmaceuticals, lack of understanding of Nuclear Medicine by the hospital management and health administrators, and difficulties in procuring short-lived radiopharmaceuticals. Furthermore, the absence of company representatives and spare parts in Namibia leads to loss of time whenever equipment needs to be repaired. Working as the only nuclear medicine physician in a country also poses major problems. Careful management of resources and information drives have helped to sustain the Nuclear Medicine service despite economic problems in the country. Installation of a tele-link between the department in Windhoek Hospital and Tygerberg Hospital in South Africa has greatly assisted to overcome the problem of isolation and lack of back up from fellow specialists. The IAEA has equipped both departments with Hermes workstations (Nuclear Diagnostics) and a tele-link is maintained via modem. The current software provided with the Hermes system is ideally suited to processing of data such as gated

  11. Nuclear project finance in developing countries: The multi-country financing alternative

    International Nuclear Information System (INIS)

    Fleck, J.B.

    1986-01-01

    It is the basic contention of this paper that, because of certain factors in the financial markets, multi-country financing (MCF) is the new alternative if not the imperative for large scale and turnkey nuclear plant programs in developing countries. The point is made that its successful use depends on the ability of the host country, the credit granting countries and suppliers to both recognize the MCF reality and manage its implicit variables. Those who collectively do so will be successful, and those who cannot will not be states the author. The aspects of MCF are described

  12. Nanotechnologies risk assessment: a perspective from developing countries

    CSIR Research Space (South Africa)

    Musee, N

    2009-09-01

    Full Text Available chemicals in these states: the unique challenges of nanotechnologies from a waste perspective are modeled to develop scenarios of likely impacts to the developing countries. Both qualitative and quantitative risk assessment approaches were developed...

  13. Nuclear oncology in a developing country: Namibia

    International Nuclear Information System (INIS)

    Wenzel, K.S. von; Rubow, S.M.; Ellmann, A.

    2004-01-01

    Full text: Namibia is a country with 1.8 million inhabitants of whom the majority have limited access to world-class medical facilities. On an average, 25% people in Namibia get cancer in their lifetime. Most cancers can be cured if detected early and treated more effectively when metastatic disease is localized or even excluded. Nuclear medicine techniques play an important role in the detection, staging and management of malignant disease. In Namibia, due to sun exposure, skin cancer (31%) tops the list of prevailing cancers. The next most common cancer is breast cancer (9%), followed by head and neck cancers (8%), prostate (7%), Kaposi sarcoma (7%) and cervical cancer (6%). AIDS is an ever growing problem in Namibia, and related cancers e.g. Kaposi sarcoma and lymphoma are on the rise. A Nuclear Medicine Department was established at Windhoek Central Hospital in 1982. A nuclear physician, two nuclear medicine radiographers and a nursing sister staff the department. Equipment includes a Siemens Orbiter and an Elscint Apex SPX Helix gamma camera. Radiopharmaceuticals are obtained from suppliers in South Africa. There is a good working relationship between the Nuclear Medicine department and the clinicians, including the oncologists and surgeons. Therefore oncology patients are regularly referred for Nuclear Medicine procedures. Approximately 50% of all studies performed in the department are referred from oncologists. Investigations performed for breast cancer patients include scintimammography, sentinel node mapping with gamma probe. Bone scans and liver scans are used for the detection of metastases in patients with breast carcinoma and other cancers. In thyroid cancer patients, whole body radioiodine scans are done post-thyroidectomy to confirm the presence of a thyroid remnant and to detect local or distant metastases. Thallium and Sestamibi scans are performed to localize metastatic disease in thyroid cancer patients with a rising thyroglobulin level but a

  14. Developing countries SMEs innovation characteristics and performance

    DEFF Research Database (Denmark)

    Vang, Jan; Rezaei, Shahamak; Baklanov, Nikita

    An econometric study analysing developing countries’ SMEs innovation characteristics and their correlation with performance.......An econometric study analysing developing countries’ SMEs innovation characteristics and their correlation with performance....

  15. Energy and environmental consciousness. Differences between advanced and developing countries

    International Nuclear Information System (INIS)

    Takeshita, Takashi

    1999-01-01

    The purpose of the present study is to understand how much differences there are between advanced countries and developing countries in terms of environmental and energy consciousness. We are experiencing now a big dilemma of the human desire to continue to exist and, at the same time, to develop the economy against the worsening of the Earth's environmental conditions. Understanding international differences of environmental and energy consciousness is a short way to solve this dilemma. The results of the present study were that peoples from advanced countries feel that science and technology are sometimes unreliable, while those from developing countries, are willing to rely upon them. However regardless of the country, people share the same consciousness about Earth's environment. In both, advanced and developing countries, people are reluctant to give up living comforts, unless this leads to a higher standard of living. Based on this result, the author would like to conduct another survey concerning the consciousness of future lifestyle. (author)

  16. Changing education through ICT in developing countries

    DEFF Research Database (Denmark)

    are dealt with, such as: • Approaches to user involvement and participation in development • Knowledge and its role in development, particularly in higher education • Digital literacy and ways of developing it • Pedagogic approaches • Learning cultures in globalised education • Teacher training...... and education The chapters in this volume are written by members of the international research group on ICT for Development (ICT4D) at Aalborg University together with researchers from around the world. This book is the first of its kind to concentrate fully on the relationship between ICT for development...

  17. Climate change mitigation in the energy sector of developing countries

    International Nuclear Information System (INIS)

    Sathaye, J.A.

    1998-01-01

    The Framework Convention on Climate change, singed by more than 150 governments worldwide, calls on parties to the Convention to undertake inventories of national sources and sinks of greenhouse gases and to develop plans for responding to climate change. Several institutions, including UNEP, have initiated programs to assist developing countries and countries with economies in transition to meet this obligation. This paper describes a mitigation methodology that is being used for these country studies, and discusses issues that have arisen in conducting mitigation assessments for developing countries in the past. (EG)

  18. Managing nuclear knowledge in a developing country: Pakistan's perspective

    International Nuclear Information System (INIS)

    Ahmad, I.

    2004-01-01

    The nuclear technology base in a developing country is relatively much smaller compared to those in the industrialised countries. Thus, nuclear knowledge and its management are of great importance for those countries which are interested in nuclear technology but are still in the development phase. It is neither desirable nor possible to use imported nuclear technology as a black box. It is important for a developing country to acquire the ability for the safe and efficient operation of a nuclear facility such as a nuclear power plant. This should be done with maximum local participation and a sound institutional memory. (author)

  19. The key issues facing the electricity systems of developing countries

    International Nuclear Information System (INIS)

    Oliveira, A. de

    1991-01-01

    This report covers a common project designed to investigate the major issues and possible future direction in the electricity systems of developing countries in AFRICA, ASIA and LATIN AMERICA. Individual centres each had responsibility for preparing a detailed report on the experiences and issues in their own country plus a regional report, in less detail, to cover neighbouring countries. In this disaggregated way, a picture of the whole of the developing world (with the exception of the Middle East, the problems of which are in some ways distinct from those of other developing countries) has been built up. 30 Refs.; 14 Figs.; 33 Tabs

  20. Universal Health Coverage: A burning need for developing countries

    OpenAIRE

    Zaman, Sojib Bin; Hossain, Naznin

    2017-01-01

    The term of universal health coverage (UHC) are getting popularity among the countries who have not yet attained it. Majority of the developing countries are planning to implement the UHC to protect the vulnerable citizen who cannot afford to buy the health services. Poor people living in developing countries, where there is no UHC, are bereft of getting equal health care. They have to bear a significant amount of health cost in buying different services which often causes catastrophic expend...

  1. China and the Manufacturing Exports of Other Developing Countries

    OpenAIRE

    Gordon H. Hanson; Raymond Robertson

    2008-01-01

    In this paper, we examine the impact of China's growth on developing countries that specialize in manufacturing. Over 2000-2005, manufacturing accounted for 32% of China's GDP and 89% of its merchandise exports, making it more specialized in the sector than any other large developing economy. Using the gravity model of trade, we decompose bilateral trade into components associated with demand conditions in importing countries, supply conditions in exporting countries, and bilateral trade cost...

  2. Decentralisation in developing countries: preconditions for successful implementation

    Directory of Open Access Journals (Sweden)

    Yasin Olum

    2014-07-01

    Full Text Available Decentralisation has been implemented and is being implemented in many developing countries without much success. Although several unique factors inhibit the implementation of decentralisation in individual countries, the paper argues that there are six pre-conditions that these countries should fulfill before decentralisation can be successfully implemented. These preconditions are: institutional mechanisms; creation of spaces for participation; political will and civil will; capacity development at the local level; careful implementation; and democratic governance.

  3. Ranking of Developing Countries Based on the Economic Freedom Index

    OpenAIRE

    Zirak, Masoumeh; Mehrara, Mohsen

    2013-01-01

    In this paper we’ve ranked developing countries based on the Economic Freedom index. Therefore we are trying to do the analysis how this ranking is done using numerical taxonomic methodology. To do this, by estimating the effects of the determinants of FDI in 123 developing countries from 1997 to 2010, results showed that with regard to the degree of economic freedom or Economic openness, attract foreign direct investment in each country is different. In this study china, Equator, Liberia, Az...

  4. Radioactive waste management approaches for developed countries

    Energy Technology Data Exchange (ETDEWEB)

    Patricia Paviet-Hartmann; Anthony Hechanova; Catherine Riddle

    2013-07-01

    Nuclear power has demonstrated over the last 30 years its capacity to produce base-load electricity at a low, predictable and stable cost due to the very low economic dependence on the price of uranium. However the management of used nuclear fuel remains the “Achilles’ Heel” of this energy source since the storage of used nuclear fuel is increasing as evidenced by the following number with 2,000 tons of UNF produced each year by the 104 US nuclear reactor units which equates to a total of 62,000 spent fuel assemblies stored in dry cask and 88,000 stored in pools. Two options adopted by several countries will be presented. The first one adopted by Europe, Japan and Russia consists of recycling the used nuclear fuel after irradiation in a nuclear reactor. Ninety six percent of uranium and plutonium contained in the spent fuel could be reused to produce electricity and are worth recycling. The separation of uranium and plutonium from the wastes is realized through the industrial PUREX process so that they can be recycled for re-use in a nuclear reactor as a mixed oxide (MOX) fuel. The second option undertaken by Finland, Sweden and the United States implies the direct disposal of used nuclear fuel into a geologic formation. One has to remind that only 30% of the worldwide used nuclear fuel are currently recycled, the larger part being stored (70% in pool) waiting for scientific or political decisions. A third option is emerging with a closed fuel cycle which will improve the global sustainability of nuclear energy. This option will not only decrease the volume amount of nuclear waste but also the long-term radiotoxicity of the final waste, as well as improving the long-term safety and the heat-loading of the final repository. At the present time, numerous countries are focusing on the R&D recycling activities of the ultimate waste composed of fission products and minor actinides (americium and curium). Several new chemical extraction processes, such as TRUSPEAK

  5. Telemedicine for Developing Countries. A Survey and Some Design Issues.

    Science.gov (United States)

    Combi, Carlo; Pozzani, Gabriele; Pozzi, Giuseppe

    2016-11-02

    Developing countries need telemedicine applications that help in many situations, when physicians are a small number with respect to the population, when specialized physicians are not available, when patients and physicians in rural villages need assistance in the delivery of health care. Moreover, the requirements of telemedicine applications for developing countries are somewhat more demanding than for developed countries. Indeed, further social, organizational, and technical aspects need to be considered for successful telemedicine applications in developing countries. We consider all the major projects in telemedicine, devoted to developing countries, as described by the proper scientific literature. On the basis of such literature, we want to define a specific taxonomy that allows a proper classification and a fast overview of telemedicine projects in developing countries. Moreover, by considering both the literature and some recent direct experiences, we want to complete such overview by discussing some design issues to be taken into consideration when developing telemedicine software systems. We considered and reviewed the major conferences and journals in depth, and looked for reports on the telemedicine projects. We provide the reader with a survey of the main projects and systems, from which we derived a taxonomy of features of telemedicine systems for developing countries. We also propose and discuss some classification criteria for design issues, based on the lessons learned in this research area. We highlight some challenges and recommendations to be considered when designing a telemedicine system for developing countries.

  6. Waste biorefineries: Enabling circular economies in developing countries.

    Science.gov (United States)

    Nizami, A S; Rehan, M; Waqas, M; Naqvi, M; Ouda, O K M; Shahzad, K; Miandad, R; Khan, M Z; Syamsiro, M; Ismail, I M I; Pant, Deepak

    2017-10-01

    This paper aims to examine the potential of waste biorefineries in developing countries as a solution to current waste disposal problems and as facilities to produce fuels, power, heat, and value-added products. The waste in developing countries represents a significant source of biomass, recycled materials, chemicals, energy, and revenue if wisely managed and used as a potential feedstock in various biorefinery technologies such as fermentation, anaerobic digestion (AD), pyrolysis, incineration, and gasification. However, the selection or integration of biorefinery technologies in any developing country should be based on its waste characterization. Waste biorefineries if developed in developing countries could provide energy generation, land savings, new businesses and consequent job creation, savings of landfills costs, GHG emissions reduction, and savings of natural resources of land, soil, and groundwater. The challenges in route to successful implementation of biorefinery concept in the developing countries are also presented using life cycle assessment (LCA) studies. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Factors Attributing to Outwards Direct Investments from Developing Countries to Developed Countries: Evidence from China and India

    Directory of Open Access Journals (Sweden)

    Diyah Ayu Amalia Avina

    2016-12-01

    Full Text Available The purpose of this research is to explore the growing trend of outward foreign direct investments (OFDIs from developing countries to developed countries. Market-seeking and strategic asset explorations are the main motivations for conducting OFDIs in developed countries. Meanwhile, cross-border greenfield investments and cross-border mergers and acquisitions are the main entry strategies used by developing countries when penetrating the developed markets. Finally, this paper reveals mixed results about the explaining ability of John Dunning’s International Development Path (IDP theory on the patterns of selected developing markets' OFDIs to developed countries. On the one hand, China’s OFDIs follow the paths in the IDP theory. On the other hand, those of India do not confirm so.

  8. The future of urbanisation in developing countries. The case of Indonesia.

    Science.gov (United States)

    Mcgee, T

    1994-02-01

    Indonesia was used as an example of a country that, in the 1960s, was beset with persistent poverty, a large informal sector, and agricultural involution. Indonesia's population increased to more than 180 million by 1990; the population was unevenly distributed and was concentrated on the island of Java. A proposed scenario for Indonesia in 2020 would result in the development of one of the largest and most prosperous newly industrialized countries in Asia. Gross domestic product (GDP) would grow at about 6% annually with the advent of a free trading block with a population of about 650 million. Growth would be mainly in the business services sector in urban areas concurrent with growth in lower order services such as food processing and vending, sports, and entertainment. Indonesian industrial markets would be regional and would include exports of oil, gas, timber, and mineral resources. Rice would still be government subsidized, as in Japan. Farmers would cultivate rice part-time and earned most of their income from other sources. Agriculture would continue to decline as a percentage of GDP and would engage only 20% of the labor force. The informal sector would decrease in size, while household income and personal consumption would increase. Housing would be of three types: low-income, low-rise, walk-up apartments; middle-income houses in the suburbs; and high-income, single-family houses in large developments at the edge of cities or high rises in the city core. Following this scenario, Indonesia would have developed a very efficient transportation system with a container port and ferries connecting it with Thailand, Singapore, and even China. Information would flow readily over interactive television and telecommunications. Air transport would be upgraded. Local governments would be involved with their own development of financing and national transfers. The one child family size would be introduced, and family size would decline to 3.5. The American lifestyle

  9. Mobilising private adaptation finance: developed country perspectives

    NARCIS (Netherlands)

    Pauw, W.P.

    2017-01-01

    Abstract The private sector is one of the sources of finance included in developed countries’ pledge in the UN climate negotiations to mobilise $100 billion annually by 2020 to support developing countries’ efforts to address climate change. For adaptation in particular, it remains unclear what

  10. Financial Development in Arab Countries (Research Paper)

    OpenAIRE

    Hussein, Khaled; Omran, Mohamed

    2005-01-01

    This book of readings provides fruitful policy recommendations on various financial development issues in the Arab World such as operational efficiency and service quality in banking. It also examines different aspects related to stock markets development such as efficiency, volatility, hedging, and returns.

  11. Implementing the illicit financial flows agenda: Perspectives from developing countries

    OpenAIRE

    Fontana, Alessandra; Hansen-Shino, Kjetil

    2012-01-01

    While once considered solely a concern of law enforcement agencies; money laundering, tax evasion and secrecy jurisdictions are now perceived as important obstacles to development. Dealing with illicit financial flows is an important aspect of the policy coherence agenda in international development, and developed country governments have made international commitments to tackle the problem Reforms and actions are necessary both in developed and developing countries, and this Brief looks at t...

  12. Globalization and Industrialization in 64 Developing Countries, 1980-2003

    Science.gov (United States)

    Kaya, Yunus

    2010-01-01

    This study investigates the effect of the latest wave of economic globalization on manufacturing employment in developing countries. It revisits the classic debate on the effect of internal and external influences on industrialization, and extends this debate to contemporary developing countries. In the process, it assesses the evidence for…

  13. Perceived Requirements of MIS Curriculum Implementation in Bilingual Developing Countries

    Science.gov (United States)

    Kabeil, Magdy M.

    2005-01-01

    This paper addresses additional requirements associated with implementing a standard curriculum of Management Information Systems (MIS) in bilingual developing countries where both students and workplace users speak English as a second language. In such countries, MIS graduates are required to develop bilingual computer applications and to…

  14. Women's Health – A Continuing Challenge in Developing Countries

    African Journals Online (AJOL)

    Patrick Erah

    Pharmacotherapy Group,. Faculty of Pharmacy, University of Benin,. Benin City, Nigeria. All rights reserved. Available online at http://www.tjpr.org. Editorial. Women's Health – A Continuing Challenge in. Developing Countries. For justifiable reasons, the health of women in developing countries is presently an important.

  15. Energy in developing countries and the role of nuclear energy

    International Nuclear Information System (INIS)

    Goldemberg, Jose

    1986-01-01

    The role of nuclear energy in developing countries is discussed with respect to energy consumption, energy needs and energy future. The application of Article IV of the Non-Proliferation Treaty (NPT) is examined for the developing countries. It is suggested that a revision of the NPT is needed to encourage effective nuclear disarmament. (UK)

  16. Urban agriculture and poverty alleviation in developing countries ...

    African Journals Online (AJOL)

    Urban agriculture has served for a long time as a vital asset in the livelihood strategies of urban households in developing countries. It has been considered since then as a relevant input in responding to the embryonic economic situation of developing countries resulting to the structural adjustment programs and increasing ...

  17. Private power in developing countries: Exporting the American experience

    International Nuclear Information System (INIS)

    Rogers, W.L.; Bourgeacq, J.P.

    1990-01-01

    This paper discusses using American marketing and financing expertise and technology to meet the need for increased power production and efficiency in developing countries. The topics of the paper include the opportunity for independent power production, dangers in international development, foreign country market evaluation, the criteria for selection, and taking advantage of the opportunities

  18. Global Administrative Law and Developing Countries | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... and influence important developments in global regulatory governance. ... transnational institutions designed to detect and sanction money laundering shape ... IDRC congratulates first cohort of Women in Climate Change Science Fellows.

  19. MANAGING LARGE CLASSES IN DEVELOPING COUNTRIES

    African Journals Online (AJOL)

    PROF. BARTH EKWUEME

    GLOBAL JOURNAL OF EDUCATIONAL RESEARCH VOL 15, 2016: 31-39. COPYRIGHT© ... classes or overcrowded classrooms affect the quality of education delivered in the school system. ... central to their national development strategy.

  20. Promoting energy efficiency in developing countries: The role of NGOs

    International Nuclear Information System (INIS)

    Wojtaszek, E.I.

    1993-06-01

    Developing countries need energy growth to spur economic growth. Yet energy activities contribute significantly to local water pollution and global greenhouse gas emissions. Energy efficiency offers the means to achieve the twin goals of sustainable economic/social development and environmental protection. Energy efficiency increases industrial competitiveness and frees up capital so it can be applied to other uses, such as health and education. The key to improving energy efficiency in developing countries will be acquiring and applying Western technologies, practices, and policies and building national institutions for promoting energy efficiency. Relevant energy-efficient technologies include the use of better electric motors, adjustable speed controls, combined cycle power cogeneration, improved lighting, better refrigeration technologies, and improved electric power transmission and distribution systems. Western countries can best help developing countries by providing guidance and resources to support nongovernmental organizations (NGOS) staffed by local experts; these institutions can capture the energy efficiency potential and ensure environmental protection in developing countries

  1. Management of radioactive wastes in developing countries: Growing needs

    International Nuclear Information System (INIS)

    Thomas, K.T.

    1992-01-01

    Wide variations in the development and use of nuclear energy are evident in developing countries. A few have or are pursuing partial or complete nuclear fuel cycle activities. Eleven developing countries have nuclear power plants with a total installed capacity of 8600 megawatts-electric (MWe). Because of the increasing demand for electrical energy, more developing countries would like to have nuclear power. But most of them are constrained by lack of finances and technical expertise. Some have research reactors, and a few have uranium mining and milling operations. Most developing countries are using nuclear energy for applications in fields of medicine, agriculture, industry, and research. From all these uses, radioactive waste is produced that must be managed safely and efficiently. Increasingly in recent years, countries have turned to the IAEA for technical assistance and waste management services to address serious problems they are facing. 1 map

  2. Nuclear development in a pacific basin country

    International Nuclear Information System (INIS)

    Lawson, D.S.

    1987-01-01

    A diversity of energy resources, and of climatic and environmental conditions, has shaped the development of Canada's energy systems. By the early 1950s, a significant scientific base had been established for the development of heavy water-moderated, natural uranium-fuelled reactors. This combination of an existing scientific base and the need to provide economic alternative sources of electricity prompted a policy under which the federal crown corporation Atomic Energy of Canada Limited would lead the development of nuclear power on a cooperative basis with interested electrical utilities. The close working relationship of all the participants--design, research, project management, consultants, manufacturers, utilities and regulators--led to the success of the unique Canadian nuclear program. (author)

  3. Nanotechnology for potable water and general consumption in developing countries

    CSIR Research Space (South Africa)

    Hillie, T

    2012-08-01

    Full Text Available that affect people in developing and developed countries. The challenges outlined are; poor governance, water scarcity, sanitation and climate change. Nanotechnology is sufficiently advanced to help provide potable water and water for general assumption...

  4. E-Government for Good Governance in Developing Countries ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2014-05-01

    May 1, 2014 ... In this book, Kettani and Moulin develop their findings and methods from the eFez ... practitioners, and decision makers in developing countries. ... Science and Software Engineering, Laval University, Québec City, Canada.

  5. Renewable energy markets in developing countries

    DEFF Research Database (Denmark)

    Martinot, E.; Chaurey, A.; Lew, D.

    2002-01-01

    Renewable energy is shifting from the fringe to the mainstream of sustainable development. Past donor efforts achieved modest results but often were not sustained or replicated, which leads now to greater market orientation. Markets for rural household lighting with solar home systems, biogas...

  6. Socioeconomic inequality in malnutrition in developing countries

    NARCIS (Netherlands)

    E. Van de Poel (Ellen); A.R. Hosseinpoor (Ahmad); N. Speybroeck (Niko); T.G.M. van Ourti (Tom); J. Vega (Jeanette)

    2008-01-01

    textabstractObjective: The objectives of this study were to report on socioeconomic inequality in childhood malnutrition in the developing world, to provide evidence for an association between socioeconomic inequality and the average level of malnutrition, and to draw attention to different patterns

  7. Finance and Competitiveness in Developing Countries | CRDI ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... the National Research Council (CONICET) in Buenos Aires. Rohinton Medhora is Vice-President of Programs at Canada's International Development Research Centre. He has published primarily in the areas of monetary integration and central banking and holds a doctorate in economics from the University of Toronto.

  8. OPEC Aid to the Developing Countries.

    Science.gov (United States)

    OECD Observer, 1978

    1978-01-01

    For the third consecutive year, OPEC aid amounted to more than $5.5 billion, representing more than two percent of the gross national product. This is compared to 0.31 percent for members of OECD's Development Assistance Committee. (Author/BB)

  9. Childhood overweight, obesity, and the metabolic syndrome in developing countries.

    Science.gov (United States)

    Kelishadi, Roya

    2007-01-01

    The incidence of chronic disease is escalating much more rapidly in developing countries than in industrialized countries. A potential emerging public health issue may be the increasing incidence of childhood obesity in developing countries and the resulting socioeconomic and public health burden faced by these countries in the near future. In a systematic review carried out through an electronic search of the literature from 1950-2007, the author compared data from surveys on the prevalence of overweight, obesity, and the metabolic syndrome among children living in developing countries. The highest prevalence of childhood overweight was found in Eastern Europe and the Middle East, whereas India and Sri Lanka had the lowest prevalence. The few studies conducted in developing countries showed a considerably high prevalence of the metabolic syndrome among youth. These findings provide alarming data for health professionals and policy-makers about the extent of these problems in developing countries, many of which are still grappling with malnutrition and micronutrient deficiencies. Time trends in childhood obesity and its metabolic consequences, defined by uniform criteria, should be monitored in developing countries in order to obtain useful insights for primordial and primary prevention of the upcoming chronic disease epidemic in such communities.

  10. Energy and Development in Emerging Countries

    International Nuclear Information System (INIS)

    Reilly, John; Vincent, Nicolas

    2015-03-01

    Energy is an important component of the economy and is a fundamental factor of production. In general we expect is use to grow in some relation to growth in economic activity. Empirically we see a closer relationship (higher E/GDP elasticity) in emerging economies where the energy intensive stage of development is still in process. Traditional fossil energy sources remain the least cost source of providing many or most energy services but present an environmental challenge. Managing the growth of energy use and its impact on the environment is a central challenge of 'green growth'. Examples of the interactions of energy development in China are used to provide a deeper understanding of these links. (author)

  11. Online development in the Nordic countries

    OpenAIRE

    Mickos, Elisabet (ed.); Lamvik, Aud (ed.); Retlev, Ulla (ed.); Wallin, Marie (ed.); Oker-Blom, Teodora (ed.)

    2007-01-01

    This is a collection of some of the articles that will form the e-book “Online development in the Nordic countries”. The e-book will contain the chapters: Introduction - Information policy - The infrastructure - Information systems and databases - Users - The online market in perspective. The final version of the e-book will include more articles, more pictures and information about the authors.

  12. Recent Development of Municipal Finance in Selected European Countries

    OpenAIRE

    Friedrich, Peter; Kaltschütz, Anita; Nam, Chang Woon

    2004-01-01

    The idea of fiscal decentralisation has become increasingly fashionable world-wide. In some developed countries the systems of intergovernmental finance have evolved gradually and each country has unique features. Transition countries on different continents have had differing reasons and motivations for such reforms. More recently, the acknowledgement of subsidiarity as the basic principle for the European Un-ion, the introduction of the West German federal system in the eastern part of the ...

  13. Wood biomass gasification: Technology assessment and prospects in developing countries

    International Nuclear Information System (INIS)

    Salvadego, C.

    1992-05-01

    This investigation of the technical-economic feasibility of the development and use of wood biomass gasification plants to help meet the energy requirements of developing countries covers the following aspects: resource availability and production; gasification technologies and biomass gasification plant typology; plant operating, maintenance and safety requirements; the use of the biomass derived gas in internal combustion engines and boilers; and the nature of energy requirements in developing countries. The paper concludes with a progress report on biomass gasification research programs being carried out in developing countries world-wide

  14. National innovation system in less successful developing countries

    DEFF Research Database (Denmark)

    Intarakumnerd, Patarapong; Chairatana, Pun-arj; Tangchitpiboon, Tipawan

    2002-01-01

    This paper, using Thailand as a case study, aims at understanding the national innovation system (NIS) in developing countries which are less successful in technological catching-up. In contrast to developed countries, the development level of Thailand’s NIS does not link to its economic structural...... development level. As Thailand moves from agricultural to an increasingly industrial economy, its NIS remains weak and fragmented. The mismatch between the two affected Thailand’s competitiveness and partially contributed to the recent economic crisis. Studies of NIS in countries like Thailand should focus...

  15. Policy alternatives in reforming energy utilities in developing countries

    International Nuclear Information System (INIS)

    Gabriele, Alberto

    2004-01-01

    This paper examines the policy alternatives faced by developing countries in their endeavor to preserve and develop their electricity and gas systems, two service-oriented industries which--along with oil--provide the bulk of energy supply both in developed and in developing countries. Even in very poor countries, industrially generated energy is indispensable for carrying out most economic activities. Therefore, governments traditionally recognize that the supply of gas and electricity entails a fundamental public service dimension. The Introduction presents the case for reforming of energy utilities, discusses in general terms the pros and cons of privatization, and attempts to locate the reforms in a broader historical framework in which developing countries' governments faced characterized by increasing financial hardship. Section 2 constitutes the core of the paper. It reviews the main features of gas and power sector reforms in the developing world and analyzes specifically the cases of five semi-industrialized countries in Latin America and Asia. Section 3 (Concluding remarks) briefly evaluates the country experiences reviewed above and indicates a few policy lessons which can be learnt from them. The main conclusion is that, in a long-run development perspective, full-scale privatization of gas and power sectors in developing countries entails significant risks, and therefore a flexible policy approach is preferable to a rigid commitment to extensive liberalization

  16. Height-income association in developing countries: Evidence from 14 countries.

    Science.gov (United States)

    Patel, Pankaj C; Devaraj, Srikant

    2017-12-28

    The purpose of this study was to assess whether the height-income association is positive in developing countries, and whether income differences between shorter and taller individuals in developing countries are explained by differences in endowment (ie, taller individuals have a higher income than shorter individuals because of characteristics such as better social skills) or due to discrimination (ie, shorter individuals have a lower income despite having comparable characteristics). Instrumental variable regression, Oaxaca-Blinder decomposition, quantile regression, and quantile decomposition analyses were applied to a sample of 45 108 respondents from 14 developing countries represented in the Research on Early Life and Aging Trends and Effects (RELATE) study. For a one-centimeter increase in country- and sex-adjusted median height, real income adjusted for purchasing power parity increased by 1.37%. The income differential between shorter and taller individuals was explained by discrimination and not by differences in endowments; however, the effect of discrimination decreased at higher values of country- and sex-adjusted height. Taller individuals in developing countries may realize higher income despite having characteristics similar to those of shorter individuals. © 2017 Wiley Periodicals, Inc.

  17. Internationalisation of Firms in Developing Countries

    DEFF Research Database (Denmark)

    Kuada, John

    process with export and proceed in a path-dependent manner towards the location of production activities abroad. The present apper challenges this perspective, arguing that internationalisation of firms may be initiated through either or both upstream and downstream activities. It therefore proposes...... an integrated conceptual model for internationalisation, encompassing both upstream and downstream activities. Building on this understanding, the paper suggests that firms in general and developing county-based firms in particular, may adopt one or a combination of four routes of internationalisation: upstream...... only, downstream only, sequential upstream-downstream, and or concurrent upstream-downstream routes. The implication of these perspectives for policy, strategy and research are discussed....

  18. Financing of power expansion for developing countries

    International Nuclear Information System (INIS)

    Friedmann, E.

    1975-01-01

    The need for a paper of this kind, which was first identified in the Operations Evaluation Report on Power of 1972, became more pressing when the increases in oil prices precipitated the development by the LDCs of more capital intensive sources of power as alternative to oil-fired thermal plants. The occasion for its preparation was the participation of Mr. Friedmann in (i) a Seminar on nuclear power development in LDCs for utility managers organized by IAEA and the Jamaican Government last June and (ii) a Scientific Afternoon on the same subject at the Nineteenth Regular Session of the General Conference of IAEA. The paper reviews the likely growth of Power/Nuclear installation in LDCs, the associated capital requirements in foreign and domestic currencies, the past and projected sources of these funds - official and private -, and points out the growing proportion of foreign borrowing and investments that would be required by the sector. The urgency of mobilizing sufficient resources is brought up. Intentionally, no implications have been drawn in this article regarding Bank policy - either for lending in the sectors or for assistance in mobilizing resources. These will be dealt with separately in cooperation with those concerned. (author)

  19. Managing Water supply in Developing Countries

    Science.gov (United States)

    Rogers, P. P.

    2001-05-01

    If the estimates are correct that, in the large urban areas of the developing world 30 percent of the population lack access to safe water supply and 50 percent lack access to adequate sanitation, then we are currently faced with 510 million urban residents without access to domestic water and 850 million without access to sanitation. Looking to the year 2020, we will face an additional 1,900 million in need of water and sanitation services. The provision of water services to these billions of people over the next two decades is one of the greatest challenges facing the nations of the world. In addition to future supplies, major problems exist with the management of existing systems where water losses can account for a significant fraction of the water supplied. The entire governance of the water sector and the management of particular systems raise serious questions about the application of the best technologies and the appropriate economic incentive systems. The paper outlines a few feasible technical and economic solutions.

  20. Globalization and the Least Developed Countries: Potentials and Pitfalls

    NARCIS (Netherlands)

    Bigman, D.

    2007-01-01

    One of the most notable changes in the world economy during the past three decades has been the diverging trends in the growth of the developing countries. Compared to East Asian countries that have integrated well into the global economy, those of Sub-Saharan Africa have remained stagnant and have

  1. Are less developed countries more exposed to multinational tax avoidance?

    DEFF Research Database (Denmark)

    Johannesen, Niels; Tørsløv, Thomas Rasmusen; Wier, Ludvig

    We use a global dataset with information on 210,000 corporations in 102 countries to investigate whether cross-border profit shifting by multinational firms is more prevalent in less developed countries. We propose a novel technique to study aggressive profit shifting and improve the credibility ...

  2. Millions Learning: Scaling up Quality Education in Developing Countries

    Science.gov (United States)

    Robinson, Jenny Perlman; Winthrop, Rebecca

    2016-01-01

    "Millions Learning: Scaling up Quality Education in Developing Countries" tells the story of where and how quality education has scaled in low- and middle-income countries. The story emerges from wide-ranging research on scaling and learning, including 14 in-depth case studies from around the globe. Ultimately, "Millions…

  3. Bank concentration, country income and financial development in ...

    African Journals Online (AJOL)

    kirstam

    between bank concentration and financial development in the SADC region. ... 5The study findings suggest that bank assets in SADC are concentrated in ... a country's cities/administrative regions, or across countries within a regional ... sector emphasises the importance of local embeddedness, networks, ...... The Case of.

  4. Maintenance of nuclear medicine instruments in developing countries

    International Nuclear Information System (INIS)

    1976-01-01

    This report reviews the current nature and severity of the problems related to nuclear medicine instruments in developing countries and gives the recommendations of the Advisory Group on the development of improved strategies to assure that the instruments are effectively maintained while in use. A compilation of data from the Register of Medical Radioisotope Units (IAEA-167) on medical radioisotope instrumentation installed in developing countries and some comments and suggestions contained in reports of Agency Technical Assistance Experts are also presented

  5. Corporate Taxation and BEPS: A Fair Slice for Developing Countries?

    OpenAIRE

    Burgers, Irene; Mosquera, Irma

    2017-01-01

    textabstractThe aim of this article is to examine the differences in perception of ‘fairness’ between developing and developed countries, which influence developing countries’ willingness to embrace the Base Erosion and Profit Shifting (BEPS) proposals and to recommend as to how to overcome these differences. The article provides an introduction to the background of the OECD’s BEPS initiatives (Action Plan, Low Income Countries Report, Multilateral Framework, Inclusive Framework) and the conc...

  6. Capacity building in renewable energy technologies in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Fridleifsson, Ingvar

    2010-09-15

    The renewable energy sources are expected to provide 20-40% of the world primary energy in 2050, depending on scenarios. A key element in the mitigation of climate change is capacity building in renewable energy technologies in the developing countries, where the main energy use growth is expected. An innovative training programme for geothermal energy professionals developed in Iceland is an example of how this can be done effectively. In 1979-2009, 424 scientists/engineers from 44 developing countries have completed the 6 month courses. In many countries in Africa, Asia, C-America, and E-Europe, UNU-GTP Fellows are among the leading geothermal specialists.

  7. Analysis of Public Sector Efficiency in Developed Countries

    Directory of Open Access Journals (Sweden)

    Ivan Lovre

    2017-06-01

    Full Text Available The public sector in developed countries went through various forms of transformation in the twentieth century. The expansion of the public sector resulted in high levels of public spending in developed countries. The financial crisis of 2008 led to recessions in the economies of developed countries, the public debt growth, and actualized the issue of the public sector optimal size and efficiency. This study analysed the public sector efficiency in 19 developed countries. The analysis focuses on the relationship between the size of public expenditure and economic growth in the global financial crisis and the measures implemented. The aim of the research in this paper is a comparison of total and partial efficiency of the public sector in developed countries, in order to determine the characteristics of the public sector operations. The comparison covers the areas of the public sector operations in order to identify sources of inefficiency. Partial and overall efficiency of countries are analysed with different size and concept of the public sector, to determine the relationship between the public sector size, efficiency and welfare of citizens. The research results clearly indicate (unjustified state intervention in developed countries.

  8. Cross-Country Individual Participant Analysis of 4.1 Million Singleton Births in 5 Countries with Very High Human Development Index Confirms Known Associations but Provides No Biologic Explanation for 2/3 of All Preterm Births.

    Science.gov (United States)

    Ferrero, David M; Larson, Jim; Jacobsson, Bo; Di Renzo, Gian Carlo; Norman, Jane E; Martin, James N; D'Alton, Mary; Castelazo, Ernesto; Howson, Chris P; Sengpiel, Verena; Bottai, Matteo; Mayo, Jonathan A; Shaw, Gary M; Verdenik, Ivan; Tul, Nataša; Velebil, Petr; Cairns-Smith, Sarah; Rushwan, Hamid; Arulkumaran, Sabaratnam; Howse, Jennifer L; Simpson, Joe Leigh

    2016-01-01

    Preterm birth is the most common single cause of perinatal and infant mortality, affecting 15 million infants worldwide each year with global rates increasing. Understanding of risk factors remains poor, and preventive interventions have only limited benefit. Large differences exist in preterm birth rates across high income countries. We hypothesized that understanding the basis for these wide variations could lead to interventions that reduce preterm birth incidence in countries with high rates. We thus sought to assess the contributions of known risk factors for both spontaneous and provider-initiated preterm birth in selected high income countries, estimating also the potential impact of successful interventions due to advances in research, policy and public health, or clinical practice. We analyzed individual patient-level data on 4.1 million singleton pregnancies from four countries with very high human development index (Czech Republic, New Zealand, Slovenia, Sweden) and one comparator U.S. state (California) to determine the specific contribution (adjusting for confounding effects) of 21 factors. Both individual and population-attributable preterm birth risks were determined, as were contributors to cross-country differences. We also assessed the ability to predict preterm birth given various sets of known risk factors. Previous preterm birth and preeclampsia were the strongest individual risk factors of preterm birth in all datasets, with odds ratios of 4.6-6.0 and 2.8-5.7, respectively, for individual women having those characteristics. In contrast, on a population basis, nulliparity and male sex were the two risk factors with the highest impact on preterm birth rates, accounting for 25-50% and 11-16% of excess population attributable risk, respectively (pbirth within each country lacks a plausible biologic explanation, and 63% of difference between countries cannot be explained with known factors; thus, research is necessary to elucidate the underlying

  9. Implementation of sustainable energy programs in developing countries

    International Nuclear Information System (INIS)

    Spitalnik, J.

    2001-01-01

    Energy, a major contributor to development, is an essential element for increasing quality of life. During the next decades, the developing world will experience an explosive increase of energy demand, requiring enormous efforts and ingenuity to be fully satisfied. Delays may create public frustration for not achieving paradigm levels of quality of life, giving eventually rise to serious pressures on governments. The concept of sustainable energy options for development cannot be analyzed under the same prism in developed and developing countries. The relative degree of a country development should be introduced when setting up the path to sustainable development. (author)

  10. Human resource development in nuclear medicine in developing countries

    International Nuclear Information System (INIS)

    Gopinathan Nair, P.G.

    1998-01-01

    An organization, an enterprise or a movement is only as good as the people in it and these cannot be conceived without considering the people that make it, in other words its human resources (HR). The definition of HR includes the total knowledge, skills, creative abilities, talents and aptitudes of the work-force. Equally important it includes the values, attitudes and benefits of each of the individuals concerned. No development is possible without proper planning. HR planning is therefore a prerequisite for HRD in NM and no planning can be made without defining the objectives of Nuclear Medicine (NM) in developing countries (DC). It is also essential to forecast the future needs of NM in DC keeping in mind the stated objectives before laying out the strategies of the HRD. HRD in NM is best achieved when all the partners in the game play their part with commitment and sincerity of purpose. At the national level the partners are the government (ministries of health and education), professional bodies (national societies of NM) and academic bodies (colleges of NM physicians, physicists and technologists etc.). In the implementation of the HRD systems and processes, involvement of all the partners is essential for success. Creation of task forces to implement, monitor and evaluate HRD tools ensures the quality of these tools. The operation of some of these tools may have to be centralized, and others decentralized depending upon the exigencies of need, propriety and practicality. In summary, the aim of HRD should be to ensure the right people at the right time for the right job and in doing so nuclear medicine achieves its objectives and the individuals in the workforce realize their full potentials, and benefits in full

  11. Financing Renewable Energy Projects in Developing Countries: A Critical Review

    Science.gov (United States)

    Donastorg, A.; Renukappa, S.; Suresh, S.

    2017-08-01

    Access to clean and stable energy, meeting sustainable development goals, the fossil fuel dependency and depletion are some of the reasons that have impacted developing countries to transform the business as usual economy to a more sustainable economy. However, access and availability of finance is a major challenge for many developing countries. Financing renewable energy projects require access to significant resources, by multiple parties, at varying points in the project life cycles. This research aims to investigate sources and new trends in financing RE projects in developing countries. For this purpose, a detail and in-depth literature review have been conducted to explore the sources and trends of current RE financial investment and projects, to understand the gaps and limitations. This paper concludes that there are various internal and external sources of finance available for RE projects in developing countries.

  12. A strategy to improve priority setting in developing countries.

    Science.gov (United States)

    Kapiriri, Lydia; Martin, Douglas K

    2007-09-01

    Because the demand for health services outstrips the available resources, priority setting is one of the most difficult issues faced by health policy makers, particularly those in developing countries. Priority setting in developing countries is fraught with uncertainty due to lack of credible information, weak priority setting institutions, and unclear priority setting processes. Efforts to improve priority setting in these contexts have focused on providing information and tools. In this paper we argue that priority setting is a value laden and political process, and although important, the available information and tools are not sufficient to address the priority setting challenges in developing countries. Additional complementary efforts are required. Hence, a strategy to improve priority setting in developing countries should also include: (i) capturing current priority setting practices, (ii) improving the legitimacy and capacity of institutions that set priorities, and (iii) developing fair priority setting processes.

  13. Postnatal depression and its effects on child development: a review of evidence from low- and middle-income countries.

    Science.gov (United States)

    Parsons, Christine E; Young, Katherine S; Rochat, Tamsen J; Kringelbach, Morten L; Stein, Alan

    2012-01-01

    It is well established that postnatal depression (PND) is prevalent in high-income countries and is associated with negative personal, family and child developmental outcomes. Here, studies on the prevalence of maternal PND in low- and middle-income countries are reviewed and a geographical prevalence map is presented. The impact of PND upon child outcomes is also reviewed. The available evidence suggests that rates of PND are substantial, and in many regions, are higher than those reported for high-income countries. An association between PND and adverse child developmental outcomes was identified in many of the countries examined. Significant heterogeneity in prevalence rates and impact on child outcomes across studies means that the true extent of the disease burden is still unclear. Nonetheless, there is a compelling case for the implementation of interventions to reduce the impact of PND on the quality of the mother-infant relationship and improve child outcomes.

  14. The burden of non communicable diseases in developing countries

    Directory of Open Access Journals (Sweden)

    Boutayeb Abdesslam

    2005-01-01

    Full Text Available Abstract Background By the dawn of the third millennium, non communicable diseases are sweeping the entire globe, with an increasing trend in developing countries where, the transition imposes more constraints to deal with the double burden of infective and non-infective diseases in a poor environment characterised by ill-health systems. By 2020, it is predicted that these diseases will be causing seven out of every 10 deaths in developing countries. Many of the non communicable diseases can be prevented by tackling associated risk factors. Methods Data from national registries and international organisms are collected, compared and analyzed. The focus is made on the growing burden of non communicable diseases in developing countries. Results Among non communicable diseases, special attention is devoted to cardiovascular diseases, diabetes, cancer and chronic pulmonary diseases. Their burden is affecting countries worldwide but with a growing trend in developing countries. Preventive strategies must take into account the growing trend of risk factors correlated to these diseases. Conclusion Non communicable diseases are more and more prevalent in developing countries where they double the burden of infective diseases. If the present trend is maintained, the health systems in low-and middle-income countries will be unable to support the burden of disease. Prominent causes for heart disease, diabetes, cancer and pulmonary diseases can be prevented but urgent (preventive actions are needed and efficient strategies should deal seriously with risk factors like smoking, alcohol, physical inactivity and western diet.

  15. Comparison of real development levels of countries: Genesis and perspectives

    Directory of Open Access Journals (Sweden)

    Prekajac Zora

    2007-01-01

    Full Text Available Comparison of levels of development among countries is usually done by reducing values in national currencies with a common denominator, using the official exchange rate. Because of its unreality, the values calculated in this way do not illustrate real relations between compared countries. That brings about the launching of the UN International Comparison Project (latter Programme with two fold aims: developing a method for international comparison of real domestic product which could be applied to a number of very heterogeneous countries, and the comparison of growing number of very different countries. Until now six phases of comparisons are finished. Taking into consideration problems that appeared in the realization of the VI ICP phase as well as quality improvement proposals, a decision has been made to launch a new, global round for 2003-2006. Comparison will cover 150 countries (the widest coverage ever. This will give global character to the comparison, which was the end cause of the ICP.

  16. Increasing transparency in the European Union: developments of Country-by-Country Reporting

    Directory of Open Access Journals (Sweden)

    Alicja Brodzka

    2017-09-01

    Full Text Available Increasing transparency in the European Union: developments of Country-by-Country Reporting The aim of the paper is to bring closer Country-by-Country Reporting and outline possible future amendments of the introduced anti-tax avoidance measures. The article presents the motives of implementing the international CbC initiative, aimed at increasing transparency of the biggest multinational enterprises, with particular emphasis on the specificity of the European Union. Part 2 of the paper analyses the Euro-pean legal bases for companies’ financial reporting. It also gives an overview of the main findings of Directive 2016/881, which implements Country-by-Country Reporting and allows for the exchange of information between tax authorities. Part 3 deals with the national perspective, presenting the CbC solu-tions implemented to the Polish legal system; the paper also attempts to assess the potential impact of tax information disclosures, both from the perspective of taxpayers and the tax administration. The final part presents conclusions and tries to draft future developments of the Country-by-Country Reporting system. In the paper, the following research methods have been used: critical analysis and deduction, with partic-ular reference to the source materials and legal acts, as well as the reports of the European Commission, consulting companies, and NGOs. Although the article deals with tax matters, CbC Reporting is an im-portant and relevant issue from the point of view of researchers and accounting specialists. Reporting this phenomenon is part of the accounting science as a universal tool for recording economic phenomena. The author examined all relevant sources and took into account all important factors in order to obtain a com-prehensive picture of CbC Reporting and to prepare a paper that may serve as a reference for future research.

  17. The use of radioisotopes in the developing countries

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1963-04-15

    Some of the more important isotope applications, especially those which are or can be profitably introduced in the developing countries, are reviewed. The use of radioisotopes in industry, medicine, agriculture, and hydrology is discussed

  18. Water Loss Management: Tools and Methods for Developing Countries

    NARCIS (Netherlands)

    Mutikanga, H.E.

    2012-01-01

    Water utilities in developing countries are struggling to provide customers with a reliable level of service due to their peculiar water distribution characteristics including poorly zoned networks with irregular supply operating under restricted budgets. These unique conditions demand unique tools

  19. Water Loss Management : Tools and Methods for Developing Countries

    NARCIS (Netherlands)

    Mutikanga, H.E.

    2012-01-01

    Water utilities in developing countries are struggling to provide customers with a reliable level of service due to their peculiar water distribution characteristics including poorly zoned networks with irregular supply operating under restricted budgets. These unique conditions demand unique tools

  20. The need for biosafety regulation in developing countries: Benefits ...

    African Journals Online (AJOL)

    Jane

    2011-09-30

    Sep 30, 2011 ... Key words: Biotechnology, biosafety, developing countries, benefits, risks and controversies. ... biotechnology concerns relate more to human health and ..... animals in laboratory, when they are tested outdoors, and when they ...

  1. Gender Issues in the Management of Infertility in Developing Countries

    African Journals Online (AJOL)

    Gender Issues in the Management of Infertility in Developing Countries. Editorial. Infertility ... heritage has become morbidly adherent in the mind of even the highly ... the respondents preferred male to female children, and this was attributed to ...

  2. Promotion and financing of nuclear power programmes in developing countries

    International Nuclear Information System (INIS)

    1987-01-01

    The Director General of the International Atomic Energy Agency established in February 1986 a Senior Expert Group (SEG) on Mechanisms to Assist Developing Countries in the Promotion and Financing of Nuclear Power Programmes, which was asked: (a) To identify and analyse the problems of and constraints on nuclear power introduction/expansion in developing countries, with particular attention being paid to the problems of financing nuclear power projects; (b) To study mechanisms for dealing with the identified problems and constraints in order to assist developing countries with the promotion and financing of their nuclear power programmes, and to determine the role of the IAEA in this context. This report summarizes the Senior Expert Group's study. It also presents a number of recommendations on mechanisms to assist developing countries in promoting and financing their nuclear power programmes. 1 fig., 3 tabs

  3. Developing countries and copyright in the information age The ...

    African Journals Online (AJOL)

    . Developing countries are especially disadvantaged by diminished access to works. In this article it is argued that adherence to the principle of functional equivalence in implementing the anti-circumvention provisions of the WCT will ensure ...

  4. Advancing LGBTQI2 rights in developing countries through research ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2018-05-10

    May 10, 2018 ... Advancing LGBTQI2 rights in developing countries through research ... the role of research in advancing the rights of lesbian, gay, bisexual, transgender, ... cities were discussed at ADAPTO's second international workshop.

  5. Dynamic functional studies in nuclear medicine in developing countries

    International Nuclear Information System (INIS)

    1989-01-01

    The Proceedings document some of the trials and tribulations involved in setting up nuclear medicine facilities in general and specifically as regards nuclear medicine applications for the diagnosis of the diseases prevalent in the less developed countries. Most of the 51 papers deal with various clinical applications of dynamic functional studies. However, there was also a session on quality control of the equipment used, and a panel discussion critically looked at the problems and potential of dynamic studies in developing countries. This book will be of interest and use not only to those practising nuclear medicine in the developing countries, but it may also bring home to users in developed countries how ''more can be done with less''. Refs, figs and tabs

  6. Space-based Communications Infrastructure for Developing Countries

    Science.gov (United States)

    Barker, Keith; Barnes, Carl; Price, K. M.

    1995-01-01

    This study examines the potential use of satellites to augment the telecommunications infrastructure of developing countries with advanced satellites. The study investigated the potential market for using satellites in developing countries, the role of satellites in national information infractructures (NII), the technical feasibility of augmenting NIIs with satellites, and a nation's financial conditions necessary for procuring satellite systems. In addition, the study examined several technical areas including onboard processing, intersatellite links, frequency of operation, multibeam and active antennas, and advanced satellite technologies. The marketing portion of this study focused on three case studies: China, Brazil, and Mexico. These cases represent countries in various stages of telecommunication infrastructure development. The study concludes by defining the needs of developing countries for satellites, and recommends steps that both industry and NASA can take to improve the competitiveness of U.S. satellite manufacturing.

  7. International Trade as an Engine of Growth in Developing Countries ...

    African Journals Online (AJOL)

    First Lady

    2013-06-30

    Jun 30, 2013 ... international trade on economic development in Nigeria. In the .... devaluation of currency in order to make the exports of the devaluation country's ..... External Shocks and Inconsistent Domestic Policies, IMF Staff. Papers, Vol.

  8. Expedited patent examination for green inventions: Developing countries' policy choices

    International Nuclear Information System (INIS)

    Lu, Bingbin

    2013-01-01

    Innovation in green technology is important. Patent rights can provide incentives for green technology research and development. Expedited patent examination for green inventions has emerged as a policy instrument to provide such incentives. Developing countries were never opposed to patents for green technologies. China and Brazil have led the way by offering expedited examinations for green patent applications. More developing countries are expected to follow. Expedited examination for green technologies is consistent with the intellectual property system objectives and is justified by the clear social benefit from green technologies. Introducing such expedited programs in developing countries has sufficient advantages. Existing models of expedited programs for green technologies are analyzed to generalize key issues and to discern suitable policy choices for developing countries. When introducing such programs, a balanced definition for green technology is preferred; a special classification requirement is premature and is not recommended; a pre-examination search requirement is generally recommended to balance patent office workloads, and a green patent database is recommended. - Highlights: • There is no north–south divide in promoting green technologies. • Earlier issuance of green patents has its great social benefit. • Green patent application should receive expedited examination. • Developing countries should introduce such expedited programs. • A suitable approach for developing countries is searched and recommended

  9. Estimation of Unrecorded Alcohol Consumption in Low-, Middle-, and High-Income Economies for 2010.

    Science.gov (United States)

    Rehm, Jürgen; Larsen, Elisabeth; Lewis-Laietmark, Candace; Gheorghe, Paul; Poznyak, Vladimir; Rekve, Dag; Fleischmann, Alexandra

    2016-06-01

    Consumption of unrecorded alcohol is prevalent, especially in low-income countries (LIC). Monitoring and reduction of unrecorded consumption have been asked for in the World Health Organization (WHO) global strategy to reduce the harmful use of alcohol. To date, only a few countries have installed monitoring systems, however. As part of the WHO global monitoring, an expert survey using the nominal group technique, a variant of Delphi studies, was conducted to assess level and characteristics of unrecorded consumption in 46 member states. One hundred experts responded. Descriptive statistics and repeated analysis of covariance were used to analyze the data. The study showed feasibility of the chosen methodology to elicit information of unrecorded consumption with experts responding for 74% of the countries. Response rate was lower for LIC. Compared to prior WHO estimates, experts tended to estimate higher unrecorded consumption for LIC, and lower unrecorded consumption for high-income countries. Unrecorded consumption was seen as a financial, public health, and social problem by the majority of experts. Homemade alcohol was the most prevalent subcategory of unrecorded consumption globally. The chosen methodology was feasible, and new information about consumption of unrecorded consumption could be gathered. There is still a need for increasing efforts of national monitoring, especially in LIC. Copyright © 2016 by the Research Society on Alcoholism.

  10. Water Loss Management: Tools and Methods for Developing Countries

    OpenAIRE

    Mutikanga, H.E.

    2012-01-01

    Water utilities in developing countries are struggling to provide customers with a reliable level of service due to their peculiar water distribution characteristics including poorly zoned networks with irregular supply operating under restricted budgets. These unique conditions demand unique tools and methods for water loss control. Water loss management: Tools and Methods for Developing Countries provide a decision support toolbox (appropriate tools and methodologies) for assessing, quantif...

  11. Present and future of bioleaching in developing countries

    OpenAIRE

    Acevedo, Fernando

    2002-01-01

    Nowadays bioleaching occupies an increasingly important place among the available mining technologies. Today bioleaching is no longer a promising technology but an actual economical alternative for treating specific mineral ores. An important number of the current large-scale bioleaching operations are located in developing countries. This situation is determined by the fact that several developing countries have significant mineral reserves and by the characteristics of bioleaching that make...

  12. Growth and project finance in the least developed countries

    OpenAIRE

    Lisbeth F. la Cour; Jennifer Müller

    2014-01-01

    This article examines the effects of project finance on economic growth in the least developed countries (LDC). Inspired by the neoclassical growth model we set up an econometric model to estimate the effects of project finance for a sample consisting of 38 of the least developed countries using data from the period 1994-2007. The results of our study suggest, that project finance has a significant positive effect on economic growth and therefore constitute an important source of ...

  13. Subnational Taxes in Developing Countries: The Way Forward.

    OpenAIRE

    Richard M. Bird; Roy Bahl

    2008-01-01

    This paper reviews the literature and evidence on the most appropriate structure of regional and local taxes in developing countries. A good subnational tax system is critical to an effective and sustainable system of intergovernmental fiscal relations – a need that has become increasingly important around the world as more and more public services are being delivered through subnational governments. In most developing countries potentially sound and productive taxes exist that are suitable f...

  14. Coping with terms-of-trade shocks in developing countries

    OpenAIRE

    Christian Broda; Cedric Tille

    2003-01-01

    Sharp swings in a developing country's terms of trade, the price of its exports relative to the price of its imports, can seriously disrupt output growth. An analysis of the effects of a decline in export prices in seventy-five developing economies suggests that countries with a flexible exchange rate will experience a much milder contraction in output than their counterparts with fixed exchange rate regimes.

  15. Strategies and challenges for safe injection practice in developing countries

    OpenAIRE

    Gyawali, Sudesh; Rathore, Devendra Singh; Shankar, P Ravi; Kumar, KC Vikash

    2013-01-01

    Injection is one of the important health care procedures used globally to administer drugs. Its unsafe use can transmit various blood borne pathogens. This article aims to review the history and status of injection practices, its importance, interventions and the challenges for safe injection practice in developing countries. The history of injections started with the discovery of syringe in the early nineteenth century. Safe injection practice in developed countries was initiated in the earl...

  16. Organization and training in radiotherapy for developing countries in Africa

    International Nuclear Information System (INIS)

    1991-07-01

    This Seminar was arranged to help identify and solve problems likely to be encountered by developing countries, especially in Africa, interested in developing radiotherapy facilities. The Proceedings contain status reports of medical facilities in a number of African countries as well as several more general papers dealing with the epidemiology of cancer in Africa, the attitudes of patients and the importance of different radiotherapeutical techniques in cancer treatment. The individual papers are indexed separately. Refs, figs and tabs

  17. The Roots of Gender Inequality in Developing Countries

    OpenAIRE

    Seema Jayachandran

    2014-01-01

    Is the high degree of gender inequality in developing countries--in education, personal autonomy, and more--explained by underdevelopment itself? Or do the societies that are poor today hold certain cultural views that lead to gender inequality? This article discusses several mechanisms through which, as countries grow, gender gaps narrow. I argue that while much of the GDP/gender-inequality relationship can be explained by the process of development, society-specific factors are also at play...

  18. Capital Flight and Transfer from Resource-Rich Developing Countries

    OpenAIRE

    Demachi, Kazue

    2013-01-01

    This paper analyzes the influence of international resource price movements on capital outflows from resource-rich developing countries (RRDCs) by distinguishing capital flight and capital transfers. The volume of capital flight and transfers are calculated and their determinants are analyzed using macro-panel data constituting 21 resource-rich developing countries from 1990 to 2011. Through the regression analysis, the linkage between capital flight and resource revenue as well as that betwe...

  19. Necessities and constraints of petroleum exploration in developing countries

    International Nuclear Information System (INIS)

    Fetah, M.

    1991-01-01

    In spite of the petroleum low prices, persisting since 1986, many developing countries, non-producing petroleum, are facing growing energy problems: fall of petroleum exploration activities, quasi stoppage of projects for energy substitute development, consecutively to the lowering of the crude oil prices. This communication shows the necessity for these countries to resume petroleum exploration and proposes solutions in order to release constraints: international cooperation, fiscal incentives, access to the financial market, etc. Morocco is taken as an example

  20. Influence Factors of the Economic Development Level Across European Countries

    OpenAIRE

    Diana Ioana POPA

    2016-01-01

    The economic development level of a country refers to the measure of the progress in an economy that could be measured, especially through GDP or GDP per capita. The level of these indicators can be influenced by many factors as a large scale, from social and economical to environmental and government policies factors. The paper aims to investigate some of these influence factors of the economic development level, represented in this case by GDP per capita, across European countries in the...