Human rights, health and the state in Bangladesh

BACKGROUND: This paper broadly discusses the role of the State of Bangladesh in the context of the health system and human rights. The interrelation between human rights, health and development are well documented. The recognition of health as a fundamental right by WHO and subsequent approval of health as an instrument of welfare by the Universal Declaration of Human Rights (UDHR) and the International Covenant on Social, Economic and Cultural Rights (ICSECR) further enhances the idea. Moreover, human rights are also recognized as an expedient of human development. The state is entrusted to realize the rights enunciated in the ICSECR. DISCUSSION: In exploring the relationship of the human rights and health situation in Bangladesh, it is argued, in this paper, that the constitution and major policy documents of the Bangladesh government have recognized the health rights and development. Bangladesh has ratified most of the international treaties and covenants including ICCPR, ICESCR; and a signatory of international declarations including Alma-Ata, ICPD, Beijing declarations, and Millennium Development Goals. However the implementation of government policies and plans in the development of health institutions, human resources, accessibility and availability, resource distribution, rural-urban disparity, the male-female gap has put the health system in a dismal state. Neither the right to health nor the right to development has been established in the development of health system or in providing health care. SUMMARY: The development and service pattern of the health system have negative correlation with human rights and contributed to the underdevelopment of Bangladesh. The government should take comprehensive approach in prioritizing the health rights of the citizens and progressive realization of these rights

Refractive ocular conditions and reasons for spectacles renewal in a resource-limited economy

<p>Abstract</p> <p>Background</p> <p>Although a leading cause of visual impairment and a treatable cause of blindness globally, the pattern of refractive errors in many populations is unknown. This study determined the pattern of refractive ocular conditions, reasons for spectacles renewal and the effect of correction on refractive errors in a resource-limited community.</p> <p>Methods</p> <p>A retrospective review of case records of 1,413 consecutive patients seen in a private optometry practice, Nigeria between January 2006 and July 2007.</p> <p>Results</p> <p>A total number of 1,216 (86.1%) patients comprising of (486, 40%) males and (730, 60%) females with a mean age of 41.02 years SD 14.19 were analyzed. The age distribution peaked at peri-adolescent and the middle age years. The main ocular complaints were spectacles loss and discomfort (412, 33.9%), blurred near vision (399, 32.8%) and asthenopia (255, 20.9%). The mean duration of ocular symptoms before consultation was 2.05 years SD 1.92. The most common refractive errors include presbyopia (431, 35.3%), hyperopic astigmatism (240, 19.7%) and presbyopia with hyperopia (276, 22.7%). Only (59, 4.9%) had myopia. Following correction, there were reductions in magnitudes of the blind (VA<3/60) and visually impaired (VA<6/18-3/60) patients by (18, 58.1%) and (89, 81.7%) respectively. The main reasons for renewal of spectacles were broken lenses/frame/scratched lenses/lenses' falling off (47, 63.4%).</p> <p>Conclusions</p> <p>Adequate correction of refractive errors reduces visual impairment and avoidable blindness and to achieve optimal control of refractive errors in the community, services should be targeted at individuals in the peri-adolescent and the middle age years.</p

A population-based study of effect of multiple birth on infant mortality in Nigeria

<p>Abstract</p> <p>Background</p> <p>Multi-foetal pregnancies and multiple births including twins and higher order multiples births such as triplets and quadruplets are high-risk pregnancy and birth. These high-risk groups contribute to the higher rate of childhood mortality especially during early period of life.</p> <p>Methods</p> <p>We examined the relationship between multiple births and infant mortality using univariable and multivariable survival regression procedure with Weibull hazard function, controlling for child's sex, birth order, prenatal care, delivery assistance; mother's age at child birth, nutritional status, education level; household living conditions and several other risk factors.</p> <p>Results</p> <p>Children born multiple births were more than twice as likely to die during infancy as infants born singleton (hazard ratio = 2.19; 95% confidence interval: 1.50, 3.19) holding other factors constant. Maternal education and household asset index were associated with lower risk of infant mortality.</p> <p>Conclusion</p> <p>Multiple births are strongly negatively associated with infant survival in Nigeria independent of other risk factors. Mother's education played a protective role against infant death. This evidence suggests that improving maternal education may be key to improving child survival in Nigeria. A well-educated mother has a better chance of satisfying important factors that can improve infant survival: the quality of infant feeding, general care, household sanitation, and adequate use of preventive and curative health services.</p

Roles of income and equality in poverty reduction: recent cross-country evidence

This paper uses a reasonable model and recent cross-country data to study empirically the effects of income and equality on poverty. Three main points are noted. First, the estimates show highly significant roles of income and equality in poverty reduction, and the effects of increased income and lower inequality are both substantial. Second, the elasticity of poverty with respect to inequality is substantially larger than that relative to income. Third, the estimates suggest a 'growth elasticity' of poverty that is much smaller than the values used in almost every study. Therefore, most of the well-known and influential recent research seems to have overstated the impact of income growth on poverty alleviation by de-emphasising the role of inequality, to which poverty is highly responsive, and by using an income (growth) elasticity of poverty that is much larger than what seems reasonable. Copyright © 2007 John Wiley & Sons, Ltd.

A Synthetic Indicator of Progress Towards the Millennium Development Goals 2, 3 and 4 in the Least Developed Countries (LDCs) of Asia

The aim of this article is to measure progress towards the United Nations’ (UN’s) Millennium Development Goals (MDGs) 2, 3 and 4 in Asia’s least developed countries (LDCs) by studying a group of countries that suffer particularly intensely from poverty. To achieve this goal, we use Pena’s distance method (DP2) to compose a synthetic indicator of the variables of MDG levels for MDGs 2, 3 and 4 in Asia’s LDCs through territorial classification of the DP2 for 2013, the last year for which data are available. The index also permits study of the impact of each variable individually to determine countries’ disparities in the variables associated with three of the MDGs. This analysis is particularly useful for the post-2015 agenda in a scenario such as Asia’s LDCs, which are beset by profound social and economic inequalities

Impact pathways of small-scale energy projects in the global south : findings from a systematic evaluation

Access to clean and affordable modern energy services has been widely recognised as a significant factor for enabling social and economic development. Stand-alone systems and mini-grids are presumed to play an important role in the provision of sustainable energy to those people who currently lack access. Accordingly, an increasing number of small-scale energy projects are being implemented in developing countries and emerging economies. However, despite the large number of energy development projects, only limited evidence exists about the actual contribution they make to sustainable development. This paper addresses this research gap by providing a systematic assessment of three selected impact pathways based on the evaluation of over 30 small-scale sustainable energy projects. Applying a theory-based evaluation approach in the form of a contribution analysis, the aim of this research is to better understand if and how these types of technical interventions can create development outcomes and impacts. The results show that technological issues are often not the most decisive factor in achieving development effects, but that embedding the technology in a set of actions that address social, cultural, economic and environmental aspects is essential