Economic integration in an urban labor market

This study explores the relationship between migration and employment in Ouagadougou. Using both a cross-sectional and a longitudinal approach, we compare the economic integration of migrants to that of non-migrants. Contrary to most studies based on urban samples, the data used here come from a national survey. It is thus possible to reintegrate into the analysis the migration episodes to Ouagadougou of those respondents elsewhere in Burkina Faso. Results indicate that, contrary to the dominant hypothesis, with the introduction of time-dependent variables, migrants are not more disadvantaged than non-migrants in the labour market, whether we consider the situation at the time of the survey or at their time of arrival in the city hunting for their first paid job.Burkina Faso, employment, migration, urban

Measuring the Influence of Social Mutations on the Precariousness of Women’s Marriage, the “Dismarriage”: Case of Niger Republic

The South societies, under the influence of their Northern counterparts, have undergone profound familial changes; these transformations are translated in a reduction of the number of marriages and in making wedlock unions fragile along with the consequences that this entails on children. Drawing on the data from four Demographic and Health surveys (DHS) (1992, 1998, 2006, and 2012) which Niger has so far conducted, this study aims at verifying whether the influence of social transformations on the family in Niger can be captured through an examination of the increase in median age at the first marriage, in the proportion of single women (and definitive celibacy), in polygamous marriages, in couples living in consensual union (not in wedlock), in the proportion of children living with their single mother, and in that of the divorced/separated women. Our results show that though urbanization and education influence marriage, women’s “dismarriage” is yet to be a topical issue. Thus, we notice an intensification of marriages which comes, however, with a slight increase in the age at first marriage

Evolution des inégalités devant la mort (1992-2012) selon les caractéristiques de l’enfant: cas des enfants de moins de 5 ans au Niger.

L’examen des différents résultats des Enquêtes Démographiques et de Santé (EDS) réalisées au Niger permet de constater que le niveau de la mortalité infanto-juvénile a diminué régulièrement au cours des vingt dernières années en passant de 318 ‰ à 127 ‰ entre 1992 et 2012. On note une mortalité différentielle des enfants de moins de cinq ans selon l’âge, le sexe, le poids à la naissance, et l’intervalle inter-génésique de l’enfant. A partir des résultats des quatre EDS (1992, 1998, 2006, 2012) et sur la base de calculs d’indice d’évolution notre objectif est de mettre en évidence les évolutions des inégalités selon ces différentes variables en fonction des différents quotients de mortalité (néonatale, post-néonatale, infantile, juvénile). Nos résultats montrent que la baisse de la mortalité des enfants s’accompagne souvent d’une aggravation des inégalités devant la mort. 

Regards croisés entre projections démographiques et gestion des questions de population au Niger

Après la mise en œuvre des politiques de population, depuis plus de vingt ans, le Niger détient le triple record en termes de plus forte fécondité, plus fort taux de croissance démographique et plus bas niveau d’indice du développement humain. Ainsi la maitrise de la croissance démographique préconisée n’est pas assurée et les hypothèses sur lesquelles se base les projections démographiques deviennent non probantes. Pour mettre en évidence cette contre-performance de ces politiques de population et préciser les orientations nouvelles, cette étude présente les écarts observés entre l’indice synthétique de fécondité projeté et celui observé, montre les enjeux sociaux économiques et politiques associés aux nouvelles projections démographiques du système des Nations Unies et suggère des champs d’actions possibles en termes de politiques et programmes à mettre en œuvre pour assurer une maitrise de la croissance de la populatio

Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition.

International audienceThe Global Burden of Disease Study 2013 (GBD 2013) aims to bring together all available epidemiological data using a coherent measurement framework, standardised estimation methods, and transparent data sources to enable comparisons of health loss over time and across causes, age-sex groups, and countries. The GBD can be used to generate summary measures such as disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) that make possible comparative assessments of broad epidemiological patterns across countries and time. These summary measures can also be used to quantify the component of variation in epidemiology that is related to sociodemographic development. We used the published GBD 2013 data for age-specific mortality, years of life lost due to premature mortality (YLLs), and years lived with disability (YLDs) to calculate DALYs and HALE for 1990, 1995, 2000, 2005, 2010, and 2013 for 188 countries. We calculated HALE using the Sullivan method; 95% uncertainty intervals (UIs) represent uncertainty in age-specific death rates and YLDs per person for each country, age, sex, and year. We estimated DALYs for 306 causes for each country as the sum of YLLs and YLDs; 95% UIs represent uncertainty in YLL and YLD rates. We quantified patterns of the epidemiological transition with a composite indicator of sociodemographic status, which we constructed from income per person, average years of schooling after age 15 years, and the total fertility rate and mean age of the population. We applied hierarchical regression to DALY rates by cause across countries to decompose variance related to the sociodemographic status variable, country, and time. Worldwide, from 1990 to 2013, life expectancy at birth rose by 6·2 years (95% UI 5·6-6·6), from 65·3 years (65·0-65·6) in 1990 to 71·5 years (71·0-71·9) in 2013, HALE at birth rose by 5·4 years (4·9-5·8), from 56·9 years (54·5-59·1) to 62·3 years (59·7-64·8), total DALYs fell by 3·6% (0·3-7·4), and age-standardised DALY rates per 100 000 people fell by 26·7% (24·6-29·1). For communicable, maternal, neonatal, and nutritional disorders, global DALY numbers, crude rates, and age-standardised rates have all declined between 1990 and 2013, whereas for non-communicable diseases, global DALYs have been increasing, DALY rates have remained nearly constant, and age-standardised DALY rates declined during the same period. From 2005 to 2013, the number of DALYs increased for most specific non-communicable diseases, including cardiovascular diseases and neoplasms, in addition to dengue, food-borne trematodes, and leishmaniasis; DALYs decreased for nearly all other causes. By 2013, the five leading causes of DALYs were ischaemic heart disease, lower respiratory infections, cerebrovascular disease, low back and neck pain, and road injuries. Sociodemographic status explained more than 50% of the variance between countries and over time for diarrhoea, lower respiratory infections, and other common infectious diseases; maternal disorders; neonatal disorders; nutritional deficiencies; other communicable, maternal, neonatal, and nutritional diseases; musculoskeletal disorders; and other non-communicable diseases. However, sociodemographic status explained less than 10% of the variance in DALY rates for cardiovascular diseases; chronic respiratory diseases; cirrhosis; diabetes, urogenital, blood, and endocrine diseases; unintentional injuries; and self-harm and interpersonal violence. Predictably, increased sociodemographic status was associated with a shift in burden from YLLs to YLDs, driven by declines in YLLs and increases in YLDs from musculoskeletal disorders, neurological disorders, and mental and substance use disorders. In most country-specific estimates, the increase in life expectancy was greater than that in HALE. Leading causes of DALYs are highly variable across countries. Global health is improving. Population growth and ageing have driven up numbers of DALYs, but crude rates have remained relatively constant, showing that progress in health does not mean fewer demands on health systems. The notion of an epidemiological transition--in which increasing sociodemographic status brings structured change in disease burden--is useful, but there is tremendous variation in burden of disease that is not associated with sociodemographic status. This further underscores the need for country-specific assessments of DALYs and HALE to appropriately inform health policy decisions and attendant actions. Bill & Melinda Gates Foundation