Demography, Population, and Ecology Commons^™

Rapid Evidence Assessment: Quality Of Studies Assessing Interventions To Support Fgm/C Abandonment, Tammary Esho, Jamlick Karumbi, Carolyne Njue

Reproductive Health

The last decade has seen increased focus and investment in interventions to eliminate female genital mutilation/cutting (FGM/C), along with the need to accelerate its abandonment. The UK Department for International Development (DFID) commissioned the Evidence to End FGM/C: Research to Help Girls and Women Thrive project to: 1) assess the quality of studies that have evaluated different interventions for the prevention of FGM/C, and 2) describe the FGM/C interventions that were evaluated by high-quality studies. The quality of evidence on the effectiveness and impact of FGM/C interventions is generally moderate to low. In addition, few baseline surveys are conducted prior …

Reducing Barriers To Accessing Fistula Repair: Establishing A Baseline In Ebonyi, Population Council

Reproductive Health

As a partner on the Fistula Care Plus (FC+) project, the Population Council is conducting implementation research that tests solutions to treatment barriers. Formative research in Nigeria’s Ebonyi State found that a lack of knowledge among lower-level providers and women and families of how the condition occurs, where treatment is available, and the signs and symptoms of obstetric fistula, as well as transportation costs, affect women’s access to screening and repair. Baseline data reveal the necessity of a comprehensive intervention to address fistula treatment barriers in Ebonyi. Not only do primary healthcare providers lack adequate knowledge of fistula, referral, and …

Reducing Barriers To Accessing Fistula Repair: Establishing A Baseline In Katsina, Population Council

Reproductive Health

As a partner on the Fistula Care Plus (FC+) project, the Population Council is conducting implementation research that tests solutions to treatment barriers. Formative research in Nigeria’s Katsina State found that a lack of knowledge among lower-level providers and women and families of how the condition occurs, where treatment is available, and the signs and symptoms of obstetric fistula, as well as transportation costs, affect women’s access to screening and repair. Baseline data reveal the necessity of a comprehensive intervention to address fistula treatment barriers in Katsina. Not only do primary healthcare providers lack adequate knowledge of fistula, referral, and …

Reducing Barriers To Accessing Fistula Repair: Establishing A Baseline In Uganda, Population Council

Reproductive Health

As a partner on the Fistula Care Plus (FC+) project, the Population Council is conducting implementation research that tests solutions to treatment barriers. Formative research in Uganda found that a lack of knowledge among lower-level providers and women and families of how the condition occurs, where treatment is available, and the signs and symptoms of obstetric fistula, as well as transportation costs, affect women’s access to screening and repair. Baseline data reveal the necessity of a comprehensive intervention to address fistula treatment barriers in Uganda. Not only do primary healthcare providers lack adequate knowledge of fistula, referral, and counseling, but …

Resilience And Community Response To Climate-Related Events: Case Studies From Four Countries, Aviva Klein Meyers, Karen Hardee

Reproductive Health

It is important for governments, aid organizations, and researchers to understand how developing communities respond to climate change and how their efforts can be improved within a framework of resilience thinking. This review explores the definition of resilience and, more specifically, community resilience and its components, then presents four case studies of community response to extreme weather events to illustrate community resilience in action. The review is intended to provide context for and inform more detailed exploration of community resilience in integrated programming (specifically, programming designed to improve health, environment, and population outcomes). It is also intended to capture references …

Results From Systematic Literature Review On Pe/E In Bangladesh, Karen Kirk, Amy Dempsey

Reproductive Health

By 2015, at the conclusion of the Millennium Development Goals, Bangladesh had achieved a reduction in maternal death from 550 per 100,000 live births in 1990, to 170 maternal deaths per 100,000 live births in 2015. Despite this progress, there are still between 5,000 and 6,000 maternal deaths every year in Bangladesh, where 20 percent are the result of pre-eclampsia and eclampsia (PE/E). This systematic review of peer-reviewed literature published between January 2000 and July 2016 identified interventions adopted to manage PE/E throughout Bangladesh. Specifically, it looked at issues around quality of care, gaps in the evidence, and barriers to …

Results From Systematic Literature Review On Pe/E In Nigeria, Amy Dempsey, Karen Kirk

Reproductive Health

Pre-eclampsia and eclampsia (PE/E), hypertensive disorders of pregnancy, are consistently cited as a leading cause of maternal and newborn morbidity and mortality in Nigeria. A recent, nationwide cross-sectional survey found that PE/E contributes to 28.2 percent of national maternal deaths. The other main contributors to maternal mortality are hemorrhage and pregnancy-related infection or sepsis. To fully understand the key challenges, gaps, and interventions related to the prevention and treatment of PE/E, the Ending Eclampsia project conducted a systematic review of papers on PE/E in Nigeria published between 2000–15. The methods, results, and recommendations are discussed in this brief.

Workplace Health And The Garment Sector In Cambodia, Bunmey Yat, Carolyn Rodehau, David Wofford, Ashish Bajracharya

Reproductive Health

In Cambodia, there has been considerable investment in improving the well-being of factory workers. Understanding the key stakeholders and their roles in improving worker health is essential for policy change and ensuring that interventions achieve sustainable, long-term impact in and around the workplace. This policy brief presents selected findings from a stakeholder and situational analysis undertaken by the Cambodia Worker Health Coalition (WorkerHealth) to understand the stakeholder landscape and policy environment for women’s health in the garment industry in Cambodia, with the objective of identifying leading stakeholders and their relationships, as well as strategies and opportunities for collaboration. Collaboration and …

Uganda Retail Audit: Analysis And Report, The Evidence Project

Reproductive Health

This brief presents results of a retail audit, carried out in January 2016, that was commissioned as part of PATH’s work under the USAID-funded Evidence Project to conduct a landscape assessment of the feasibility of a Total Market Approach (TMA) in Uganda. This project also involved key informant interviews with stakeholders on their attitudes toward TMA principles and the collection of a Uganda Market Research Summary of existing family planning knowledge. The approach is based on an understanding that equitably meeting the diverse needs of different population segments requires increased coordination across sectors, including the public, private for-profit, and not-for-profit …

Some Social Differences On The Basis Of Race Among Puerto Ricans, Carlos Vargas-Ramos

CUNY Centro, The Center for Puerto Rican Studies

Puerto Ricans are a multiracial people. This is given by the fact that the Puerto Rican population is composed of people from different categories of socially differentiated and defined racial groups, and also because not an insignificant number of Puerto Rican individuals share ancestry derived from multiple racial groups. Yet, the analysis of social difference and inequities among Puerto Ricans on the basis of physical difference is largely avoided, and when it is conducted its findings are often neglected.

L'Effet De La Sélection De L’Immigrant En Bonne Santé Au Canada: Une Revue Systématique, Zoua Vang, Jennifer Sigouin, Astrid Flenon, Alain Gagnon

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Au Canada, la politique d'immigration favorise les individus ayant un capital humain élevé (Knowles, 2007). Étant donné les liens étroits entre le capital humain et la santé (Jasso et al., 2004) et le fait que les recherches suggèrent la présence d'un avantage de santé universel au sein de la population immigrante au Canada, nous nous attendions à observer l'effet de la sélection de l’immigrant en bonne santé à tous les stades du parcours de vie et sur des problèmes de santé multiples. Notre examen suggère plutôt un modèle plus complexe qu’envisagé initialement. Cette synthèse indique que les immigrants ont clairement …

Black Gentrification Twice Removed: A Study Of Migration And Community Involvement In Washington, Dc, Janwin A. Zeegar-Holman

Capstone Collection

This paper is about Black people and community involvement against the backdrop of gentrification in Washington, DC, and possibility of Black-led neighborhood revitalization. My practicum in Southeast Washington DC compelled me to examine the ability of a Black person in Washington DC to sustain commitment to a community that they do not live in, and if Black people moving to gentrifying areas of Washington DC can help the predominantly Black non-gentrifying areas to gentrify on their own terms.

This paper focuses specifically on Black individuals who have spent time in DC and proposed ways that Black non-gentrifying communities can revitalize …

Obesity Over The Life Course: Perspectives In Health And Mortality, Noura E. Insolera

Dissertations, Theses, and Capstone Projects

This dissertation seeks to examine obesity in different contexts throughout the life course. Through empirical analyses, separate stages of the life course are considered: namely childhood through adolescence, young adulthood, and adulthood. By using a life course perspective, it is possible to consider longitudinal and intergenerational approaches to these questions, which will update and inform the current debates surrounding obesity.

Beginning with children, the intergenerational transmission of diet disease knowledge, socioeconomic status, and child health behaviors are considered in their associations with the outcomes of child diet in 2002, and in turn their associations with child obesity in 2007. Information …

Household Shocks And Transition Into Marriage: Evidence From Rural Ethiopia, Boyd K. Tembo

Theses and Dissertations

The study tests the primary hypothesis that household shocks do not have a positive and significant correlation with a child's transition into early marriage. It finds that there is no statistically significant correlation between parental death and transition into marriage for both genders of subjects in the study.

Multicultural Advertising And Updated Branding For Wedding Photographers, Kaitlyn Wimmers

Honors Projects

A traditional image of a couple getting married includes one man, one woman, who are young, white, and do not have children. Yet, demographics of prospective couples have become more diverse in terms of age, race-ethnicity, sexual orientation, and family composition. This project examines the extent to which these changes toward diversity in prospective couples are reflected in wedding photographers’ marketing strategies, using content analysis of photographs (N = 960) from photographers' Wedding Wire profiles, personal photography websites, and professional Facebook pages. Eight photographers were chosen from the Midwest (Chicago and Indianapolis) and the West Coast (Los Angeles and San …

Problem Analysis In Community Violence Assessments: Reavealing Early Childhood Trauma As A Driver Of Youth And Gang Violence, Laurie Ross Phd, Samantha Arsenault, Sergeant Miguel Lopez

Mosakowski Institute for Public Enterprise

Problem analysis conducted by a university-based research partner can provide communities with data-driven options to address the local drivers of serious youth and gang violence. Situated in Worcester, Massachusetts, this article describes how after early childhood trauma was identified as a potential driver of adolescent and young adult violence, problem analysis using local data confirmed that being the victim or witness of a traumatic incident before the age of 12 was significantly correlated with involvement in violence in adolescence or young adulthood. While there is a robust literature on the relationship between early childhood trauma and later delinquency, local decision-makers …

Policy Brief No. 20 - The Oldest Old: A New Reality In Canada's Population, Jacques Légaré, Yann Décarie, Kim Deslandes, Yves Carrière

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Canadians aged 85 and over (the oldest old) form a distinct group which is destined to grow as a proportion of the country’s population. This is a demographic reality which needs to be taken into account in policy making.

Dossier De Politique No. 20 - Les Canadiens Très Âgés Forment Une Nouvelle Réalité Démographie, Jacques Légaré, Yann Décarie, Kim Deslandes, Yves Carrière

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Les Canadiens très âgés (« Oldest Olds ») forment une population distincte, appelée à prendre une place grandissante au pays. Il faut considérer cette réalité démographique dans l’élaboration des politiques publiques.

Research Brief No. 20 - Population Growth, Energy Use, And Environmental Impact: Comparing Canadian And Swedish Records On Co2 Emissions, Don Kerr

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Canada and Sweden are both northern countries with predominantly export-oriented economies that have recently witnessed demographic growth and climbing affluence. However, there is a stark contrast in their respective records on greenhouse gas emissions: Sweden is often considered a world leader in emission reduction, while Canada has largely failed to meet international commitments. This study aims to understand the factors responsible for their differing records. It demonstrates that Canada’s relatively rapid population growth, persistent reliance on fossil fuels, and heavy demand for energy have contributed to its increasing level of CO2 emissions. On the other hand, Sweden has man-aged to …

Dossier De Recherche No. 22 - De Nouvelles Pistes Sur Le Vieillissement Démographique Et Les Coûts Des Soins De Santé Au Québec, Michaël Boissonneault, Jacques Légaré, Yann Décarie

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Cette recherche s'intéresse aux déterminants individuels associés à la variation des coûts publics des soins de santé, chez les Québécois de 65 ans et plus, vivant en ménage privé, avec incapacités. À l'aide de données administratives, la variation des coûts pour la consultation de professionnels de la santé et la consommation de produits pharmaceutiques a été analysée en fonction du nombre d’incapacités ainsi que de la nature de celles-ci. Les résultats montrent que des coûts plus élevés sont associés à un nombre plus élevé d'incapacités ainsi qu'à certains types particuliers d'incapacité, soient celles liées à l’agilité, la mobilité et, plus …

Policy Brief No. 18 - The Dynamics Of Inequality Among Canadian Children, Peter Burton, Shelley Phipps, Lihui Zhang

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

This study characterizes income inequality and mobility of Canadian children between the ages of 4/5 and 14/15. There is considerable inequality of family income. Moreover, income position is especially persistent for children at the bottom and top of the distribution; this is unfair and may be perpetuated into adulthood. Finally, family structure is very important for children’s material well-being; for example, they experience a considerable drop in income position upon parental separation/ divorce. It is recommended that such children be protected, perhaps through advance maintenance payments.

Policy Brief No. 16 - Annual Levels Of Immigration And Immigrant Entry Earnings In Canada, Feng Hou, Garnett Picot

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

The annual level of immigration is a critical component of a country’s immigration policy. This study considers the influence of immigration levels on immigrant entry earnings in Canada. We find that from 1982-2010, a 10% increase in the size of a cohort of entering immigrants is associated with a 0.8% decline in entry earnings among immigrant men from that cohort, and a 0.3% earnings decline among immigrant women.

Research Brief No. 16 - The Effects Of Age And Background On The Fertility Patterns Of Child Migrants, Alícia Adserà, Ana M. Ferrer, Wendy Sigle-Rushton, Ben Wilson

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

This paper challenges the common notion that immigrants have more children than the native-born population. More specifically, immigrants who arrived in Canada, England or France at an early age have about the same number of children as the native-born. By examining child immigrants, the paper is able to attribute this finding to the hypothesis that, with time, immigrants adopt the destination country’s norms. The results also show that the relationship between age at migration and number of children differs for immigrants from certain countries. Likewise, the fertility patterns of child migrants also depend on their destination country.

Economy And Decision: How Economic Factors Influence The Journeys And Destinations Of Trans-Saharan Migrants In Oujda, Morocco, Dianne Kaiyoorawongs

Independent Study Project (ISP) Collection

This paper discusses how economic factors impact the journeys and destinations of irregular trans-Saharan migrants who enter Morocco through Oujda. Though many may choose either to return home or settle in Morocco and eventually receive status, migration policies continue to view virtually all immigration into Morocco through the lens of transit migration—it assumes that all migrants in Morocco are en route to Europe. The reality, however, is that the majority of trans-Saharan immigrants into Morocco will never have the means to reach Europe. Thus, this paper aims to fill the gaps in our understanding of immigration to Morocco—not simply as …

Living And Working Longer In An Aging Society: Toward Increasing Inequalities?, Yves Carrière, Jacques Légaré, Mélanie Léger St-Cyr, Chloé Ronteix, Viorela Diaconu

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Population ageing raises questions about the sustainability of the public pillars of the retirement income system and about inter-generational equity. In response to this, a number of countries have raised the normal retirement age in an attempt to reduce projected future expenditures on their state pension system. In this context, private savings and later retirement represent the best ways of avoiding a major fall in living standards when retiring. Increased life expectancy at age 65 appears to justify this policy trend. But there are substantial differences in life expectancy and healthy life expectancy between people of different socio-economic status, and …

Project Soar's Approach To Research Utilization, Project Soar

HIV and AIDS

Project SOAR (Supporting Operational AIDS Research) conducts operations research (OR) with the aim of producing a large, multi-faceted body of high-quality evidence that can guide the planning and implementation of programs and policies for HIV prevention, care, and treatment. OR provides the needed evidence to make sound policy and program decisions at national, subnational, and service-delivery levels by identifying practical solutions to challenges delivering program services. Translating OR findings into action at these levels requires two-way information exchange between people who can apply research findings and researchers. Project SOAR’s premise is that this exchange will bring about eventual use of …

Retrospective Review Of Task-Shifting Community-Based Programs Supporting Arv Treatment And Retention In Uganda, Sam Kalibala, Jerry Okal, Brady Zieman, Nrupa Jani, Lung Vu, Josephine Birungi, Stephen Okoboi, Jonathan Wangisi, Christine Nabiryo, Joanne Lyavala Okullu, Michael Etukoit, Lydia Buzaalirwa, Augustine Lubanga, Paul Kiyingi, Jonathan Ikapule, Syson Nakyeyune, Stephen Nakibinge, Penninah Lutung, Samuel Waliggo, Joseph Nsamba, Yashien Wamanga, Joseph Kamya, Robina Sentongo, Robert Yiga

HIV and AIDS

The purpose of this study was to examine examples of task-shifting programs in Uganda with the aim of generating data that could inform the development of task-shifting policies, guidelines, and practices. The overall purpose of the study was to contribute to the growing knowledge base about task-shifting by describing the service delivery approaches of three purposively selected major AIDS service organizations (ASOs) in Uganda that have adopted task-shifting. The study showed that in the three ASOs, almost all key tasks in antiretroviral therapy (ART), including determining eligibility, initiating ART, and dispensing antiretrovirals, can be feasibly shifted to lower-level cadres or …

Developing An Implementation Science Research Agenda To Improve The Treatment And Care Outcomes Among Adolescents Living With Hiv In Sub-Saharan Africa, Julie Denison, Audrey Pettifor, Lynne Mofenson, Deanna Kerrigan

HIV and AIDS

In February 2016, Project SOAR convened a Technical Advisory Network meeting, attended by more than 50 international and domestic thought leaders in adolescent HIV care research and a small group of youth from southern Africa who are living with HIV. To prepare the groundwork for the meeting, SOAR produced a background paper synthesizing the literature on HIV continuum of care outcomes among adolescents living with HIV (ALHIV) in sub-Saharan Africa, where most adolescent cases of HIV are concentrated. This report presents the findings from the literature review and highlights from the Technical Advisory Network meeting. The first section is a …

Strengthening Community-Based Services For Children And Families Affected By Hiv: An Evaluation Of The Zambia Family Program, Project Soar

HIV and AIDS

As the US President’s Emergency Plan for AIDS Relief (PEPFAR) pivots its focus to care and treatment, there is strong interest in learning to what extent community-based programs contribute to achieving the public health goals of getting people—including children and adolescents—tested, enrolled in care if infected, and adherent to treatment. This brief describes Project SOAR’s evaluation of the Zambia Family (ZAMFAM) program, which will generate critical evidence to help fill knowledge gaps. The evidence will also guide country and global decisionmakers in strengthening community-based services to better meet the care, support, and treatment needs of vulnerable children and their families.

Understanding Hiv-Related Vulnerabilities And Stigma Among Egyptian Youth, Nahla G. Abdel-Tawab, Doaa Oraby, Sally Saher, Sarah Ismail

Poverty, Gender, and Youth

The overall objective of this study is to provide an evidence-based description and interpretation of the HIV-related risks and vulnerabilities faced by different subgroups of youth in Egypt. The report is part of a six-country study that was conducted by the Population Council in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. The study examines social, economic, cultural, and legal factors that may contribute to youth’s increased vulnerability to HIV and documents the situation of the policy and programmatic responses. The study identified poverty, unemployment, delayed marriage, and gender inequality as examples of factors that increase young people’s risk-taking behavior …