69 research outputs found

    Countdown to 2030 : tracking progress towards universal coverage for reproductive, maternal, newborn, and child health

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    Building upon the successes of Countdown to 2015, Countdown to 2030 aims to support the monitoring and measurement of women's, children's, and adolescents' health in the 81 countries that account for 95% of maternal and 90% of all child deaths worldwide. To achieve the Sustainable Development Goals by 2030, the rate of decline in prevalence of maternal and child mortality, stillbirths, and stunting among children younger than 5 years of age needs to accelerate considerably compared with progress since 2000. Such accelerations are only possible with a rapid scale-up of effective interventions to all population groups within countries (particularly in countries with the highest mortality and in those affected by conflict), supported by improvements in underlying socioeconomic conditions, including women's empowerment. Three main conclusions emerge from our analysis of intervention coverage, equity, and drivers of reproductive, maternal, newborn, and child health (RMNCH) in the 81 Countdown countries. First, even though strong progress was made in the coverage of many essential RMNCH interventions during the past decade, many countries are still a long way from universal coverage for most essential interventions. Furthermore, a growing body of evidence suggests that available services in many countries are of poor quality, limiting the potential effect on RMNCH outcomes. Second, within-country inequalities in intervention coverage are reducing in most countries (and are now almost non-existent in a few countries), but the pace is too slow. Third, health-sector (eg, weak country health systems) and non-health-sector drivers (eg, conflict settings) are major impediments to delivering high-quality services to all populations. Although more data for RMNCH interventions are available now, major data gaps still preclude the use of evidence to drive decision making and accountability. Countdown to 2030 is investing in improvements in measurement in several areas, such as quality of care and effective coverage, nutrition programmes, adolescent health, early childhood development, and evidence for conflict settings, and is prioritising its regional networks to enhance local analytic capacity and evidence for RMNCH

    Gold-promoted styrene polymerization

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    Styrene can be polymerized at room temperature in the presence of equimolar mixtures of the gold(III) complexes (NHC)AuBr3 (NHC = N-heterocyclic carbene ligand) and NaBAr4', in the first example of a gold-induced olefin polymerization reaction

    Assessing soil surface roughness decay during simulated rainfall by multifractal analysis

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    Understanding and describing the spatial characteristics of soil surface microrelief are required for modelling overland flow and erosion. We employed the multifractal approach to characterize topographical point elevation data sets acquired by high resolution laser scanning for assessing the effect of simulated rainfall on microrelief decay. Three soil surfaces with different initial states or composition and rather smooth were prepared on microplots and subjected to successive events of simulated rainfall. Soil roughness was measured on a 2×2 mm2 grid, initially, i.e. before rain, and after each simulated storm, yielding a total of thirteen data sets for three rainfall sequences. The vertical microrelief component as described by the statistical index random roughness (RR) exhibited minor changes under rainfall in two out of three study cases, which was due to the imposed wet initial state constraining aggregate breakdown. The effect of cumulative rainfall on microrelief decay was also assessed by multifractal analysis performed with the box-count algorithm. Generalized dimension, Dq, spectra allowed characterization of the spatial variation of soil surface microrelief measured at the microplot scale. These D q spectra were also sensitive to temporal changes in soil surface microrelief, so that in all the three study rain sequences, the initial soil surface and the surfaces disturbed by successive storms displayed great differences in their degree of multifractality. Therefore, Multifractal parameters best discriminate between successive soil stages under a given rain sequence. Decline of RR and multifractal parameters showed little or no association
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