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The role of mothers-in-law in antenatal care decision-making in Nepal: a qualitative study

Background Antenatal care (ANC) has been recognised as a way to improve health outcomes for pregnant women and their babies. However, only 29% of pregnant women receive the recommended four antenatal visits in Nepal but reasons for such low utilisation are poorly understood. As in many countries of South Asia, mothers-in-law play a crucial role in the decisions around accessing health care facilities and providers. This paper aims to explore the mother-in-law’s role in (a) her daughter-in-law’s ANC uptake; and (b) the decision-making process about using ANC services in Nepal. Methods In-depth interviews were conducted with 30 purposively selected antenatal or postnatal mothers (half users, half non-users of ANC), 10 husbands and 10 mothers-in-law in two different (urban and rural) communities. Results Our findings suggest that mothers-in-law sometime have a positive influence, for example when encouraging women to seek ANC, but more often it is negative. Like many rural women of their generation, all mothers-in-law in this study were illiterate and most had not used ANC themselves. The main factors leading mothers-in-law not to support/ encourage ANC check ups were expectations regarding pregnant women fulfilling their household duties, perceptions that ANC was not beneficial based largely on their own past experiences, the scarcity of resources under their control and power relations between mothers-in-law and daughters-in-law. Individual knowledge and social class of the mothers-in-law of users and non-users differed significantly, which is likely to have had an effect on their perceptions of the benefits of ANC. Conclusion Mothers-in-law have a strong influence on the uptake of ANC in Nepal. Understanding their role is important if we are to design and target effective community-based health promotion interventions. Health promotion and educational interventions to improve the use of ANC should target women, husbands and family members, particularly mothers-in-law where they control access to family resources

The Role of Women in Economic Transformation: Market Women in Sierra Leone.

yesVarious research has concluded that economic life did not die out during the conflict in Sierra Leone, but took on different forms. Different stakeholders at all levels were engaged in economic activities during the war. The specific roles of women in the shadow economy are under-researched with the result that most analysis and policy-options are inadequate. While some of Sierra Leone¿s Market Women strategically participated in war economies to `do well out of war¿, most did so out of the need to survive. With the end of the war, market women have been able to make a successful transformation to peace economies through micro-credit assistance

Advancing SDG7 in Least Developed Countries, Landlocked Developing Countries and Small Island Developing States

The Policy Brief underscores urgent international attention is needed to address the inequalities in access to sustainable energy that are faced by the three groups of countries. Unless efforts are scaled up significantly in these countries, the world will fall short of its target of universal access to affordable, reliable and modern energy services by 2030. Supported by technological leapfrogging, faster deployment of renewables in the LDCs, LLDCs and the SIDS can help bridge the sustainable energy access gap, strengthen energy security and support climate goals. A major shift in strategy is required, however, to significantly increase these countries’ access to accessible and appropriate financing and support clean or low-carbon energy initiatives. The SDG7 Policy Briefs are developed in support of the High-level Political Forum which this year will review progress and action needed on SDG7. UN-OHRLLS as a member of the SDG7 Technical Advisory Group (SDG7 TAG), is the lead contributor to this Policy Brief on LDCs, LLDCs and SIDS

Examining the correlates and drivers of human population distributions across low-and middle-income countries

Geographical factors have influenced the distributions and densities of global human population distributions for centuries. Climatic regimes have made some regions more habitable than others, harsh topography has discouraged human settlement, and transport links have encouraged population growth. A better understanding of these types of relationships enables both improved mapping of population distributions today and modelling of future scenarios. However, few comprehensive studies of the relationships between population spatial distributions and the range of drivers and correlates that exist have been undertaken at all, much less at high spatial resolutions, and particularly across the low-and middle-income countries. Here, we quantify the relative importance of multiple types of drivers and covariates in explaining observed population densities across 32 low-and middle-income countries over four continents using machine-learning approaches. We find that, while relationships between population densities and geographical factors show some variation between regions, theyare generally remarkably consistent,pointing to universal drivers of human population distribution. Here,we find that a set of geographical features relating to the built environment, ecology and topography consistently explain the majority of variability in population distributions at fine spatial scales across the low-and middle-income regions of the world.</p

Measuring urban economic density

At the heart of urban economics are agglomeration economies, which drive the existence and extent of cities and are also central to structural transformation and the urbanization process. This paper evaluates the use of different measures of economic density in assessing urban agglomeration effects, by examining how well they explain household income differences across cities and neighborhoods in six African countries. We examine simple scale and density measures and more nuanced ones which capture in second moments the extent of clustering within cities. The evidence suggests that more nuanced measures attempting to capture within-city differences in the extent of clustering do no better than a simple density measure in explaining income differences across cities, at least for the current degree of accuracy in measuring clustering. However, simple city scale measures such as total population are inferior to density measures and to some degree misleading. We find large household income premiums from being in bigger and particularly denser cities over rural areas in Africa, indicating that migration pull forces remain very strong in the structural transformation process. Moreover, the marginal effects of increases in urban density on household income are very large, with density elasticities of 0.6. In addition to strong city level density effects, we find strong neighborhood effects. For household incomes, both overall city density and density of the own neighborhood matter

Opportunity or necessity? Conceptualizing entrepreneurship at African small-scale mines

This article critically examines the policy environment in place for artisanal and small-scale mining (ASM) – low-tech, labour-intensive mineral extraction and processing – in sub-Saharan Africa, with a view to determining whether there is adequate ‘space’ for the sector's operators to flourish as entrepreneurs. In recent years, there has been growing attention paid to ASM in the region, particularly as a vehicle for stimulating local economic development. The work being planned under the Africa Mining Vision (AMV), a comprehensive policy agenda adopted by African heads of state in February 2009, could have an enormous impact on this front. One of its core objectives is to pressure host governments into Boosting Artisanal and Small-Scale Mining by following a series of streamlined recommendations. It is concluded, however, that there is a disconnect between how entrepreneurship in ASM has been interpreted and projected by proponents of the AMV on the one hand, and the form it has mostly taken in practice on the other hand. This gulf must be rapidly bridged if ASM is to have a transformative impact, economically, in the region. © 2017 Elsevier Inc

Assessment of Social Vulnerability to Natural Hazards in the Mountain Kingdom of Lesotho

Lesotho's landlocked mountainous setting with thin regolith cover and poor economic situation make it vulnerable to hazardous events associated with climate such as drought, floods, strong winds, heavy snowfall, and severe frost. To date, no quantitatively based vulnerability assessment has been undertaken in this heavily populated, developing region in southern Africa. The primary aim of this study was to assess social vulnerability of communities to natural hazards by applying a place-based social vulnerability index developed for the United States, to the Lesotho context. The study used 2006 Lesotho census data, district government records, and household interviews to identify 27 indicators of social vulnerability in southern Lesotho, and then used principal components analysis to generate a social vulnerability index for the study region. Index scores were summed and then mapped to quantify spatial variability in social vulnerability. The study results show a clustering of highly vulnerable communities in the rural highlands as a result of underdevelopment, poverty, and inaccessibility

The role of hydrogen and fuel cells in the global energy system

Hydrogen technologies have experienced cycles of excessive expectations followed by disillusion. Nonetheless, a growing body of evidence suggests these technologies form an attractive option for the deep decarb onisation of global energy systems, and that recent improvements in their cost and performance point towards economic viability as well. This paper is a comprehensive review of the potential role that hydrogen could play in the provision of electricity, h eat, industry, transport and energy storage in a low - carbon energy system, and an assessment of the status of hydrogen in being able to fulfil that potential. The picture that emerges is one of qualified promise: hydrogen is well established in certain nic hes such as forklift trucks, while mainstream applications are now forthcoming. Hydrogen vehicles are available commercially in several countries, and 225,000 fuel cell home heating systems have been sold. This represents a step change from the situation of only five years ago. This review shows that challenges around cost and performance remain, and considerable improvements are still required for hydrogen to become truly competitive. But such competitiveness in the medium - term future no longer seems an unrealistic prospect, which fully justifies the growing interest and policy support for these technologies around the world

Software for the frontiers of quantum chemistry:An overview of developments in the Q-Chem 5 package

This article summarizes technical advances contained in the fifth major release of the Q-Chem quantum chemistry program package, covering developments since 2015. A comprehensive library of exchange–correlation functionals, along with a suite of correlated many-body methods, continues to be a hallmark of the Q-Chem software. The many-body methods include novel variants of both coupled-cluster and configuration-interaction approaches along with methods based on the algebraic diagrammatic construction and variational reduced density-matrix methods. Methods highlighted in Q-Chem 5 include a suite of tools for modeling core-level spectroscopy, methods for describing metastable resonances, methods for computing vibronic spectra, the nuclear–electronic orbital method, and several different energy decomposition analysis techniques. High-performance capabilities including multithreaded parallelism and support for calculations on graphics processing units are described. Q-Chem boasts a community of well over 100 active academic developers, and the continuing evolution of the software is supported by an “open teamware” model and an increasingly modular design