Conceptualizing pathways linking women's empowerment and prematurity in developing countries.

BackgroundGlobally, prematurity is the leading cause of death in children under the age of 5. Many efforts have focused on clinical approaches to improve the survival of premature babies. There is a need, however, to explore psychosocial, sociocultural, economic, and other factors as potential mechanisms to reduce the burden of prematurity. Women's empowerment may be a catalyst for moving the needle in this direction. The goal of this paper is to examine links between women's empowerment and prematurity in developing settings. We propose a conceptual model that shows pathways by which women's empowerment can affect prematurity and review and summarize the literature supporting the relationships we posit. We also suggest future directions for research on women's empowerment and prematurity.MethodsThe key words we used for empowerment in the search were "empowerment," "women's status," "autonomy," and "decision-making," and for prematurity we used "preterm," "premature," and "prematurity." We did not use date, language, and regional restrictions. The search was done in PubMed, Population Information Online (POPLINE), and Web of Science. We selected intervening factors-factors that could potentially mediate the relationship between empowerment and prematurity-based on reviews of the risk factors and interventions to address prematurity and the determinants of those factors.ResultsThere is limited evidence supporting a direct link between women's empowerment and prematurity. However, there is evidence linking several dimensions of empowerment to factors known to be associated with prematurity and outcomes for premature babies. Our review of the literature shows that women's empowerment may reduce prematurity by (1) preventing early marriage and promoting family planning, which will delay age at first pregnancy and increase interpregnancy intervals; (2) improving women's nutritional status; (3) reducing domestic violence and other stressors to improve psychological health; and (4) improving access to and receipt of recommended health services during pregnancy and delivery to help prevent prematurity and improve survival of premature babies.ConclusionsWomen's empowerment is an important distal factor that affects prematurity through several intervening factors. Improving women's empowerment will help prevent prematurity and improve survival of preterm babies. Research to empirically show the links between women's empowerment and prematurity is however needed

Assessment of Planetary Boundary-Layer Schemes in the Weather Research and Forecasting Mesoscale Model Using MATERHORN Field Data

The study was aimed at understanding the deficiencies of numerical mesoscale models by comparing predictions with a new high-resolution meteorological dataset collected during the Mountain Terrain Atmospheric Modelling and Observations (MATERHORN) Program. The simulations focussed on the stable boundary layer (SBL), the predictions of which continue to be challenging. High resolution numerical simulations (0.5-km horizontal grid size) were conducted to investigate the efficacy of six planetary boundary-layer (PBL) parametrizations available in the advanced research version of the Weather Research and Forecasting model. One of the commonly used PBL schemes was modified to include eddy diffusivities that account for enhanced momentum transport compared to heat transport in the SBL, representing internal wave dynamics. All of the tested PBL schemes, including the modified scheme, showed a positive surface temperature bias. None of the PBL schemes was found to be superior in predicting the vertical wind and temperature profiles over the lowest 500 m, however two of the schemes appeared superior in capturing the lower PBL structure. The lowest model layers appear to have a significant impact on the predictions aloft. Regions of sporadic flow interactions delineated by the MATERHORN observations were poorly predicted, given such interactions are not represented in typical PBL schemes