Cargo revenue management for space logistics

Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Aeronautics and Astronautics, 2009.Cataloged from PDF version of thesis.Includes bibliographical references (p. 79-82).This thesis covers the development of a framework for the application of revenue management, specifically capacity control, to space logistics for use in the optimization of mission cargo allocations, which in turn affect duration, infrastructure availability, and forward logistics. Two capacity control algorithms were developed; the first is based on partitioning of Monte Carlo samples while the second is based on bid-pricing with high-frequency price adjustments. The algorithms were implemented in Java as a plugin module to SpaceNet 2.0, an existing integrated modeling and simulation tool for space logistics. The module was tested on a lunar exploration concept which emphasizes global exploration of the Moon using mobile infrastructure. Results suggest that revenue management produces better capacity allocations in shorter duration missions, while producing nominal capacity allocations (i.e. those in the deterministic case) in the long run.by Nii A. Armar.S.M

Evaluating the economic outcomes of the policy of fee exemption for maternal delivery care in Ghana

Background: The Government of Ghana’s fee exemption policy for delivery care introduced in September 2003, aimed at reducing financial barriers to using maternal services. This policy alsoaimed to increase the rate of skilled attendance at delivery, reduce maternal and perinatal mortality rates and contribute to reducing poverty. Objective: To evaluate the economic outcomes of the policy on households in Ghana. Methods: Central and Volta regions were selectedfor the study. In each region, six districts were selected. A two stage sampling approach was used to identify women for a household cost survey. A sample of 1500 women in Volta region (made up of 750 women each before and after the exemption policy) and 750 women after the policy was introduced in Central region. Outcome Measures: Household out-of-pocket payment for maternal delivery and catastrophic out-of-pocket health payments. Results: There was a statistically significant decrease in the mean out-of-pocket payments for caesarean section (CS) and normal delivery at health facilities after the introduction of the policy. The percentage decrease was highest for CS at 28.40% followed by normal delivery at 25.80%. The incidence of catastrophic out-of-pocket payments also fell. At lower thresholds, the incidence of catastrophic delivery payment was concentratedmore amongst the poor. For the poorest group (1st quintile) household out-of-pocket payments in excess of 2.5% of their pre-payment incomedropped from 54.54% of the households to 46.38% after the exemption policy. The policy had a more positive impact on the extreme poor than the poor. The richest households (5th quintile) had a declinein out-of-pocket payments of 21.51% while the poor households (1st quintile) had a 13.18% decline. Conclusions: The policy was beneficial to users of the service. However, the rich benefited more thanthe poor. There is need for proper targeting to identify the poorest of the poor before policies are implemented to ensure maximum benefit by thetarget group

Prevalence and Determinants of Obesity among Primary School Children in Dar es Salaam, Tanzania.

Childhood obesity has increased dramatically and has become a public health concern worldwide. Childhood obesity is likely to persist through adulthood and may lead to early onset of NCDs. However, there is paucity of data on obesity among primary school children in Tanzania. This study assessed the prevalence and determinants of obesity among primary school children in Dar es Salaam. A cross sectional study was conducted among school age children in randomly selected schools in Dar es Salaam. Anthropometric and blood pressure measurements were taken using standard procedures. Body Mass Index (BMI) was calculated as weight in kilograms divided by the square of height in meters (kg/m2). Child obesity was defined as BMI at or above 95th percentile for age and sex. Socio-demographic characteristics of children were determined using a structured questionnaire. Logistic regression was used to determine association between independent variables with obesity among primary school children in Dar es Salaam. A total of 446 children were included in the analysis. The mean age of the participants was 11.1±2.0 years and 53.1% were girls. The mean BMI, SBP and DBP were 16.6±4.0 kg/m2, 103.9±10.3mmHg and 65.6±8.2mmHg respectively. The overall prevalence of child obesity was 5.2% and was higher among girls (6.3%) compared to boys (3.8%). Obese children had significantly higher mean values for age (p=0.042), systolic and diastolic blood pressures (all p<0.001). Most obese children were from households with fewer children (p=0.019) and residing in urban areas (p=0.002). Controlling for other variables, age above 10 years (AOR=3.3, 95% CI=1.5-7.2), female sex (AOR=2.6, 95% CI=1.4-4.9), urban residence (AOR=2.5, 95% CI=1.2-5.3) and having money to spend at school (AOR=2.6, 95% CI=1.4-4.8) were significantly associated with child obesity. The prevalence of childhood obesity in this population was found to be low. However, children from urban schools and girls were proportionately more obese compared to their counterparts. Primary preventive measures for childhood obesity should start early in childhood and address socioeconomic factors of parents contributing to childhood obesity

Social factors influencing child health in Ghana

Objectives Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals’ target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal. Methods ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review. Results Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence), family income (wealth/poverty) and high dependency (multiparousity). These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices. Conclusions Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother’s health knowledge is emphasised

Urban agriculture, dietary diversity and child health in a sample of Tanzanian town folk

Undernutrition and micronutrient deficiency continue to be two of the major health burdens in less developed economies. In this study, we explore the link between urban agriculture, dietary diversity and child health, using weight-for-age and height-for-age Z-scores. The study makes use of two rounds of observational data for urban Tanzania and employs an instrumental variables estimation approach. We show that practising urban agriculture leads to the consumption of a greater variety of food items and the health status of urban children living in households practising urban agriculture significantly improves in the short and, more importantly, long term