D E Liv E R Ing on T H E D at a R E V Olu T Ion in S U B -S a Ha Ra N a Fr Ic a C
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Verbal Autopsy Interpretation: a of the World Health Organization 2006, 84(3)
Oti and Kyobutungi Population Health Metrics 2010, 8:21 http://www.pophealthmetrics.com/content/8/1/21 RESEARCH Open Access VerbalResearch autopsy interpretation: a comparative analysis of the InterVA model versus physician review in determining causes of death in the Nairobi DSS Samuel O Oti* and Catherine Kyobutungi Abstract Background: Developing countries generally lack complete vital registration systems that can produce cause of death information for health planning in their populations. As an alternative, verbal autopsy (VA) - the process of interviewing family members or caregivers on the circumstances leading to death - is often used by Demographic Surveillance Systems to generate cause of death data. Physician review (PR) is the most common method of interpreting VA, but this method is a time- and resource-intensive process and is liable to produce inconsistent results. The aim of this paper is to explore how a computer-based probabilistic model, InterVA, performs in comparison with PR in interpreting VA data in the Nairobi Urban Health and Demographic Surveillance System (NUHDSS). Methods: Between August 2002 and December 2008, a total of 1,823 VA interviews were reviewed by physicians in the NUHDSS. Data on these interviews were entered into the InterVA model for interpretation. Cause-specific mortality fractions were then derived from the cause of death data generated by the physicians and by the model. We then estimated the level of agreement between both methods using Kappa statistics. Results: The level of agreement between individual causes of death assigned by both methods was only 35% (κ = 0.27, 95% CI: 0.25 - 0.30). However, the patterns of mortality as determined by both methods showed a high burden of infectious diseases, including HIV/AIDS, tuberculosis, and pneumonia, in the study population. -
Open Data – an Introduction to the Issue
ITM Web of Conferences 21, 00017 (2018) https://doi.org/10.1051/itmconf/20182100017 CST 2018 Open data – an introduction to the issue Paweł Dymora1,*, and Mirosław Mazurek1, and Bartosz Kowal1 1 Rzeszów University of Technology, Department of Complex Systems, Al. Powstancow Warszawy 12, 35-959 Rzeszów, Poland Abstract. Rapidly developing of internet technologies and digitalization of government generate more and more data. Databases from various public institutions and private sectors, e.g. in the fields of economics, transport, environment and public safety are publishing in the global Internet network, so that any user can browse them without additional charges. Most of this data is published on the open data portals. Open data - that is, "open", public data can allow the processing and analysis of information contained in them completely free of charge. This article is an introduction to a fairly new area of issues such as "open data" or "open government", presents the main mechanisms of accessing to data in public open data portals and also propose a conceptual open data/government model. 1 Open Data The term of “open data” was best defined by the Open Knowledge International non-profit organization [1]. It assumes that open data means the free data that can be freely used, re- used and distributed by anyone for any purpose [2]. This is a somewhat idealized definition of open data. Most published databases do not have all the listed properties [2 - 4]: • Free - access to data must be free, • Availability - data must be available as a whole without any intentional errors. These data must also be available in a convenient and modifiable form, e.g. -
Final Report of the Data for African Development Working Group
c Center for Global Development. 2014. Some Rights Reserved. Creative Commons Attribution-NonCommercial 3.0 Center for Global Development 1800 Massachusetts Ave NW, Floor 3 Washington DC 20036 www.cgdev.org CGD is grateful to the Omidyar Network, the UK Department for International Development, and the Hewlett Foundation for support of this work. This research was also made possible through the generous core funding to APHRC by the William and Flora Hewlett Foundation and the Swedish International Development Agency. ISBN 978-1-933286-83-9 Editing, design, and production by Communications Development Incorporated, Washington, D.C. Cover design by Bittersweet Creative Group, Washington, D.C. Working Group Working Group Co-chairs Kutoati Adjewoda Koami, African Union Commission Amanda Glassman, Center for Global Development Catherine Kyobutungi, African Population and Health Alex Ezeh, African Population and Health Research Center Research Center Paul Roger Libete, Institut National de la Statistique of Cameroon Working Group Members Salami M.O. Muri, National Bureau of Statistics of Nigeria/ Angela Arnott, UNECA Samuel Bolaji, National Bureau of Statistics of Nigeria Ibrahima Ba, Institut National de la Statistique, Côte d’Ivoire Philomena Nyarko, Ghana Statistical Service Donatien Beguy, African Population and Health Research Center Justin Sandefur, Center for Global Development Misha V. Belkindas, Open Data Watch Peter Speyer, Institute for Health Metrics and Evaluation Mohamed-El-Heyba Lemrabott Berrou, Former Manager of Inge Vervloesem, -
Accelerating the Gains of the Free Maternity Care in Kenya's Urban Informal Settlements
William & Mary Journal of Race, Gender, and Social Justice Volume 27 (2020-2021) Issue 2 Article 5 February 2021 Accelerating the Gains of the Free Maternity Care in Kenya's Urban Informal Settlements Juliet K. Nyamao Follow this and additional works at: https://scholarship.law.wm.edu/wmjowl Part of the Comparative and Foreign Law Commons, Health Law and Policy Commons, Human Rights Law Commons, and the Law and Gender Commons Repository Citation Juliet K. Nyamao, Accelerating the Gains of the Free Maternity Care in Kenya's Urban Informal Settlements, 27 Wm. & Mary J. Women & L. 415 (2021), https://scholarship.law.wm.edu/ wmjowl/vol27/iss2/5 Copyright c 2021 by the authors. This article is brought to you by the William & Mary Law School Scholarship Repository. https://scholarship.law.wm.edu/wmjowl ACCELERATING THE GAINS OF THE FREE MATERNITY CARE IN KENYA’S URBAN INFORMAL SETTLEMENTS JULIET K. NYAMAO* INTRODUCTION I. OVERVIEW OF THE URBAN INFORMAL SETTLEMENTS IN KENYA A. The Rise of Urban Informal Settlements in Kenya B. Characteristics of Urban Informal Settlements in Kenya 1. Inadequate Infrastructure 2. High Unemployment 3. Insecurity 4. Poverty 5. Low Levels of Education and Health Awareness II. MATERNAL HEALTH CARE IN KENYA’S URBAN INFORMAL SETTLEMENTS A. Challenges of Access to Maternal Health Care for Women Living in Informal Settlements in Kenya 1. Access to Qualified Skilled Health Personnel 2. Access to Public Health Care Facilities 3. Antenatal and Post-natal Care Coverage 4. Cost of Maternal Health Care 5. Reproductive Health Challenges B. Maternal Mortality in Kenya’s Informal Settlements 1. -
Using Meteorologically Based Dynamic Model to Assess Malaria Transmission Dynamic Among Under Five Children in an Endemic Region
Using meteorologically based dynamic model to assess malaria transmission dynamic among under five children in an endemic region Yazoumé Yé 1§, Catherine Kyobutungi 1, Moshe Hoshen 2, 1 African Population and Health Research Centre, PO Box 10787, 00100 GPO Nairobi, Kenya, + 254 020 2720 400, Fax + 254 020 2720380 2 Braun Hebrew University-Hadassah School of Public Health and Community Medicine, P.O. Box 12272 Jerusalem 91120. Israel §Corresponding author Emails: YY: [email protected] CK: [email protected] MH: [email protected] 1 Abstract Background To support malaria control strategies, prior knowledge of disease risk is necessary. Developing a model to explain the transmission of malaria, in endemic and epidemic regions, is of high priority in developing health system interventions. We develop, fit and validate a non-spatial dynamic model driven by meteorological conditions that can capture seasonal malaria transmission dynamics at a village scale in a malaria holoendemic area of north-western Burkina Faso. Methods 676 children aged 6-59 months took part in the the study. Trained-Interviewers visited at home weekly from December 2003 to November 2004 for Plasmodium falciparum (P falciparum ) malaria infection detection. Anopheles daily biting rate, mortality rate and growth rate were evaluated. Digital meteorological stations measured ambient temperature, humidity and rainfall in each site. Results The overall P falciparum malaria infection incidence was 1.1 episodes per person year. There was a strong seasonal variation of the P falciparum malaria infection incidence with a peak observed in August and September corresponding to the rainy season and with a high number of mosquitoes. -
Health and Health-Related Indicators in Slum, Rural, and Urban Communities: a Comparative Analysis
Global Health Action æ ORIGINAL ARTICLE Health and health-related indicators in slum, rural, and urban communities: a comparative analysis Blessing U. Mberu, Tilahun Nigatu Haregu*, Catherine Kyobutungi and Alex C. Ezeh African Population and Health Research Center, Nairobi, Kenya Background: It is generally assumed that urban slum residents have worse health status when compared with other urban populations, but better health status than their rural counterparts. This belief/assumption is often because of their physical proximity and assumed better access to health care services in urban areas. However, a few recent studies have cast doubt on this belief. Whether slum dwellers are better off, similar to, or worse off as compared with rural and other urban populations remain poorly understood as indicators for slum dwellers are generally hidden in urban averages. Objective: The aim of this study was to compare health and health-related indicators among slum, rural, and other urban populations in four countries where specific efforts have been made to generate health indicators specific to slum populations. Design: We conducted a comparative analysis of health indicators among slums, non-slums, and all urban and rural populations as well as national averages in Bangladesh, Kenya, Egypt, and India. We triangulated data from demographic and health surveys, urban health surveys, and special cross-sectional slum surveys in these countries to assess differences in health indicators across the residential domains. We focused the comparisons on child health, maternal health, reproductive health, access to health services, and HIV/AIDS indicators. Within each country, we compared indicators for slums with non-slum, city/urban averages, rural, and national indicators. -
The Open Data Era in Health and Social Care
THE OPEN DATA ERA IN HEALTH AND SOCIAL CARE A blueprint for the National Health Stefaan Verhulst Beth Simone Noveck Service (NHS England) to develop a Robyn Caplan research and learning programme for the Kristy Brown open data era in health and social care Claudia Paz The Open Data Era in Health and Social Care Table of Contents FOREWORD . 4 EXECUTIVE SUMMARY . 6 INTRODUCTION . 9 PART I: THE OPEN DATA ERA . 11 I.1. Health Data and the Open Data Revolution .......................................................12 I.2. The NHS and Open Data: Where We Stand .......................................................14 PART II: POTENTIAL AND LIMITATIONS OF OPEN DATA . 18 II.1. Value propositions for using Open Health Data ...................................................20 II.1.1. Accountability ............................................................................22 II.1.2. Choice ...................................................................................24 II.1.3. Efficiency .................................................................................27 II.1.4. Outcomes ................................................................................29 II.1.5. Customer Service and Patient satisfaction ...................................................31 II.1.6. Innovation and Economic Growth ...........................................................33 II.2. Potential Challenges and Barriers of Open Data ..................................................36 II.2.1. Cultural and Institutional Barriers ...........................................................36 -
The Health and Well-Being of Older People in Nairobi's Slums
æINDEPTH WHO-SAGE Supplement The health and well-being of older people in Nairobi’s slums Catherine Kyobutungi1,2*, Thaddaeus Egondi1,2 and Alex Ezeh1,2 1African Population & Health Research Centre, Nairobi, Kenya; 2INDEPTH Network, Accra, Ghana Background: Globally, it is estimated that people aged 60 and over constitute more than 11% of the population, with the corresponding proportion in developing countries being 8%. Rapid urbanisation in sub- Saharan Africa (SSA), fuelled in part by ruralÁurban migration and a devastating HIV/AIDS epidemic, has altered the status of older people in many SSA societies. Few studies have, however, looked at the health of older people in SSA. This study aims to describe the health and well-being of older people in two Nairobi slums. Methods: Data were collected from residents of the areas covered by the Nairobi Urban Health and Demographic Surveillance System (NUHDSS) aged 50 years and over by 1 October 2006. Health status was assessed using the short SAGE (Study on Global AGEing and Adult Health) form. Mean WHO Quality of Life (WHOQoL) and a composite health score were computed and binary variables generated using the median as the cut-off. Logistic regression was used to determine factors associated with poor quality of life (QoL) and poor health status. Results: Out of 2,696 older people resident in the NUHDSS surveillance area during the study period, data were collected on 2,072. The majority of respondents were male, aged 50Á60 years. The mean WHOQoL score was 71.3 (SD 6.7) and mean composite health score was 70.6 (SD 13.9). -
Kenya Science Journalists Congress 2013
Kenya Science Journalists Congress 2013 Venue: Kenya Medical Research Institute, Mbagathi, Nairobi September 25-27, 2013 L RESEA A RC IC H D E IN M S T A I T Y U N T E E K KEMRI Kenya Science Journalists Congress 2013 Time Wednesday, September 25, 2013 8.30am to 10.30am DAY ONE Wednesday, September 25, 2013 Opening Plenary Session 1 Venue: Training Centre Lecture Room 1 Opening Remarks MESHA, Internews, KEMRI, NACOSTI Keynote address: Dr. Catherine Kyobutungi, Director of Policy Engagement, APHRC Official opening by Dr Shahnaz Sharrif, Director, Public Health Panel discussion: Positioning science journalism in promoting devolution Mr Wycliffe Muga, The Star; Paddy Onyango, National Devolution Working Group; Martin Mutua, The Standard Group 10.30am to 11.00am HEALTH BREAK 11.00am to Breakaway Session 1 Breakaway Session 2 Breakaway Session 3 12.45pm Venue: Conference Hall Venue: Training Centre, Venue: Training Centre, Lecture Room 3 Lecture Room 1 Public Health Left by the hospital gate - Agriculture Environment Noreen Hungu - KCBHFA Leading the pack: The case of The Kenya Coastal seed production in Kenya - Development Project: Mothering our way to an Dr Evans Sikinyi, CEO, STAK Opportunities for the HIV-free generation: The Coastal Counties - Dr Mentor Mother model - The landscape of the seed Jackline Uku Dr Maxwel Omondi, industry in Africa - Senior Advisor m2m Ms Grace Gitu, Building the capacity of Technical Officer, AFSTA journalists to cover marine Real Life Experience of a ecosystem issues - Joseph mentor mother - Ngome, Chairman -
Challenges of Health Programmes in Slums
Viewpoint Challenges of health programmes in slums Steven van de Vijver, Samuel Oti, Clement Oduor, Alex Ezeh, Joep Lange*, Charles Agyemang, Catherine Kyobutungi Introduction These areas include urban planning and infrastructure, Published Online The world is becoming increasingly urban. Of the education and employment, law enforcement, and the October 7, 2015 projected increase of 1·1 billion in the world population environment. This list implies that health programmes http://dx.doi.org/10.1016/ S0140-6736(15)00385-2 between 2010 and 2025, virtually all will be urban have to contend with other factors that have an eff ect on African Population and Health 1 dwellers. Urbanisation is mostly happening in low- health but might also disrupt the programme, hence Research Center, Nairobi, Kenya income regions, with Africa having the highest rate of all curtailing its eff ect. From time to time, high-level politics (S van de Vijver MD, S Oti MD, continents.2 The population growth rate in urban areas is at the level of national or municipal government might C Oduor BA, A Ezeh PhD, almost double the rural rate but, more importantly, the have a substantial eff ect on research and project work C Kyobutungi PhD); Department of Global Health, Academic 2 slum growth rate is higher than the overall urban rate. In in the slums. For example, an attempt by the central Medical Centre, Amsterdam the next few decades, the proportion of the urban government in collaboration with a UN agency to upgrade Institute for Global Health and population living in slums in sub-Saharan Africa might the road networks in a slum in Nairobi in the late 2000s Development, University of therefore get even higher than the estimated 60% in led to demolition of housing structures and displacement Amsterdam, Amsterdam, Netherlands (S van de Vijver, 2 2010. -
APHRC-Newsletter-201
APHRC News January - June 2019 APHRC SPREADS ITS WINGS TO WEST AFRICA APHRC Newsletter | January - June | 2019 1 Transforming lives in Africa Vision through research Generating evidence, strengthening research Mission capacity, and engaging policy to inform action on population health and wellbeing 2 APHRC Newsletter | January - June | 2019 C O N T E N T S 1 Out with the old: Introducing APHRC’s new culture shift program 1 Kenya’s first human milk bank targets vulnerable infants 3 It’s dinnertime! Why do you eat the food you eat? 4 10 Take five: Dr. Kanyiva Muindi 6 Women’s reproductive health hangs in the balance 8 Deliver for good: Using your power for gender equality 10 Women Deliver: Reflections on power 13 Seizing the opportunity to address social exclusion in Africa 15 APHRC spreads its wings to West Africa 16 Sex for survival: Tales of a prostitute 18 18 APHRC Newsletter | January - June | 2019 iii Out with the old: Introducing APHRC’s new culture shift program By Moreen Nkonge, communications officer Since taking the helm of APHRC in 2017, you championed the initiation of a culture shift at the Center. What prompted this initiative? The realization of the need for a culture shift at APHRC became apparent during a leadership training session that took place shortly before I took office in October 2017. The training provided an opportunity to interrogate APHRC’s existing culture and what Executive Director, Catherine my contribution had been to the institution’s Kyobutungi shared beliefs and perceptions over 13 years of serving in different capacities. -
XXIX CICLO UNIVERSITÀ DEGLI STUDI DI CATANIA Dipartimento Di Scienze Politiche
DOTTORATO DI RICERCA IN “SCIENZE POLITICHE” XXIX CICLO UNIVERSITÀ DEGLI STUDI DI CATANIA Dipartimento di Scienze Politiche e Sociali GIUSEPPE REALE Open Government Data. Dall’empowerment del cittadino all’innovazione nella pubblica amministrazione: il caso italiano in un’ottica comparata Coordinatore: prof. F. Sciacca Tutor: prof. F. Mazzeo Rinaldi A.A. 2015/2016 INDICE INTRODUZIONE CAPITOLO 1: “Le trasformazioni in atto nel rapporto tra cittadini e Pubbliche Amministrazioni” 1.1 Verso il “governo aperto”: un’introduzione 1.2 La crisi del paradigma Stato-Nazione tra globalizzazione e nuovo localismo 1.3 Partecipazione e cittadinanza: digitalizzazione, disintermediazione, ibridazione 1.4 Il paradigma dell’Open Government CAPITOLO 2: “Open Data: definizioni, standard e criticità” 2.1 Cosa non è open data 2.2 Open Data: definizioni istituzionali e confini 2.3 Gli standard di pubblicazione e rilascio dei dati aperti 2 2.4 Public data disclosure: la diffusione degli open government data portal tra amministrazione aperta e digital economy. 2.5 Criticità e limiti dei processi di public data disclosure CAPITOLO 3: “Open Governement Data in prospettiva comparata: un percorso di ricerca” 3.1 Il metodo comparativo come strumento di comprensione nelle società globali e interconnesse 3.2 Obiettivi e metodo applicato per l’analisi dell’Open Government Data 3.3 L’analisi del contenuto dei National Action Plan 3.4 L’analisi comparativa dei dati dell’Open Data Barometer 3.5 Le peculiarità del caso italiano 3.6 Modelli di Open Government: una proposta interpretativa CONCLUSIONI BIBLIOGRAFIA 3 Introduzione La ricerca si propone di indagare empiricamente il fenomeno dell’Open Government e dei sistemi Open Data in un’ottica comparativa.