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Background: A community’s cultural beliefs, attitudes and discourse can affect their responses in surveys. Knowledge of these cultural factors and how to comply with them or adjust for them during data collection can improve data quality. Objective: This study describes implications of features of Gambian culture related to women’s reproductive health, and mortality, when collecting data in surveys. Methods: 13 in-depth interviews of female interviewers and a focus group discussion among male interviewers were conducted in two rural health and demographic surveillance systems as well as three key informant interviews in three regions in The Gambia. Results: From the fieldworker’s viewpoint, questions relating to reproduction were best asked by women as culturally pregnancies should be concealed, and menstruation is considered a sensitive topic. Gambians were reluctant to speak about decedents and the Fula did not like to be counted, potentially affecting estimation of mortality. Asking about siblings proved problematic among the Fula and Serahule communities. Proposals made to overcome these challenges were that culturally-appropriate metaphors and symbols should be used to discuss sensitive matters and to enumerating births/deaths singly instead of collecting summary totals, which had threatening connotations. This was as opposed to training interviewers to ask standardised and precise verbatim questions. Contribution: This paper presents indigenous Gambian solutions by fieldworkers to culturally sensitive topics when collecting pregnancy outcomes and mortality data in demographic and health surveys. For researchers collecting maternal mortality data, it highlights the potential shortcomings of the sibling history methodology. [ABSTRACT FROM AUTHOR]

This paper explores the predictors of HIV/AIDS awareness and knowledge among older and younger Ghanaian women of reproductive age. Logistic regression was estimated using the 2014 Ghana Demographic and Health Survey data. Results indicate that older Ghanaian women are significantly different from their younger counterparts in terms of the selected socio-economic and demographic characteristics that influence awareness and knowledge of the epidemic. In all, the respondents' age, region of residence, wealth status, education, marital status and religious affiliation were found to significantly predict knowledge and awareness of HIV/AIDS among women. In addition, pregnancy status and place of residence proved to be significant correlates of HIV/AIDS awareness among Ghanaian women. The study suggests that higher social status is critical in determining whether women of reproductive age are aware of and knowledgeable about the epidemic. Thus, there is the need for policies and interventions to target messages taking into account the varied socio-economic and demographic backgrounds of women in Ghana. Further, health education interventions should be sensitive to the changing technological landscape in order to develop messages that can be delivered via mobile phones, whether as reminders or ringtones, and therefore enhance health knowledge and promote behaviour that brings about desirable health outcomes. [ABSTRACT FROM AUTHOR]

Purpose - This editorial aims to summarize the outcome of the Special Issue exploration on the theme "Is Africa the land of the future?". Design/methodology/approach - The paper contextualises and synthesizes the set of Africa-themed foresight papers included in the journal issue. Findings - The exploration concludes that Africa faces a range of internal and external opportunities and challenges. These are historical, geopolitical, economic, demographic, psychological, and intellectual. Key drivers and analyses identified by seven authors are briefly presented. Research limitations/implications - The restricted number of papers that could be included in the single issue required a narrow selection from a large set of good papers and subject coverage. The issue and editorial therefore only address a few of the key drivers, in addition to some broad, foundational issues. Practical implications - Neither mere optimism nor pessimism will determine Africa's ultimate trajectory. Concerted ownership, foresight and collective action by Africa's leaders and followers are the key to positive futures for the continent. Originality/value - The Special Issue is a unique contemporary African foresight contribution, which aims to provide a deeper understanding of the emerging challenges and opportunities for the continent. [ABSTRACT FROM AUTHOR]

Objective: In many countries of the world millions of people are not registered at birth. However, in order to assess children's nutritional status it is necessary to have an exact knowledge of their age. In the present paper we discuss the effects of insufficient or imprecise age data on estimates of undernutrition prevalence.Design: Birth registration rates and levels of stunting, underweight and wasting were retrieved from Multiple Indicator Cluster Surveys and Demographic and Health Surveys of thirty-seven sub-Saharan African countries, considering the subdivision in wealth quintiles. The composition of the cross-sectional sample used for nutritional evaluation was analysed using a permutation test. Logistic regression was applied to analyse the relationship between birth registration and undernutrition. The 95 % probability intervals and Student's t test were used to evaluate the effect of age bias and error.Results: Heterogeneous sampling designs were detected among countries, with different percentages of children selected for anthropometry. Further, registered children were slightly more represented within samples used for nutritional analysis than in the total sample. A negative relationship between birth registration and undernutrition was recognized, with registered children showing a better nutritional status than unregistered ones, even within each wealth quintile. The over- or underestimation of undernutrition in the case of systematic over- or underestimation of age, respectively, the latter being more probable, was quantified up to 28 %. Age imprecision was shown to slightly overestimate undernutrition.Conclusions: Selection bias towards registered children and underestimation of children's age can lead to an underestimation of the prevalence of undernutrition. [ABSTRACT FROM AUTHOR]

This article engages with public holidays in post-apartheid South Africa as lieux de mémoire, 'sites of memory' that preserve particular interpretations of historical events and selected heroes for inscription into the collective memory of the nation. It first traces the legislative process that resulted in the official rearrangement of the festive calendar after the 1994 first general elections, exploring the political and pragmatic considerations that influenced the selection of public holidays. Based on a survey conducted in the Durban area, the paper then engages with the public reception of the new festive calendar and the knowledge that people of different demographic backgrounds appear to have about the historical events commemorated. It is argued that the creation of the post-apartheid festive calendar reflects the spirit of the tense transition period with its concern for tolerance, reconciliation and national unity, but that these national holidays have largely failed as memory sites and instruments of nation-building. [ABSTRACT FROM AUTHOR]

Introduction: We sought to examine the association between livelihood security and adherence to antiretroviral therapy (ARVs) in low- and middle-income countries (LIMC). Methods: Performing a systematic review, we searched, independently and in duplicate, 7 electronic databases and 2 conference websites for quantitative surveys that examined the association between indicators of livelihood security and adherence to ARVs in LIMC between 2000-2010. Criteria for relevance were applied to complete papers (quantitative study with estimates of associations) and quality assessment was conducted on those deemed relevant. We performed three regressions to measure the association between each type of livelihood and adherence. Results: Twenty original studies and 6 conference abstracts were included, the majority from Africa (n = 16). Seventeen studies and 3 conference abstracts were cross-sectional and 3 studies and 3 abstracts were prospective clinical cohort studies, with considerable variation in quality for studies of each design type. Among the diverse populations represented, we observed considerable variation in associations between measurements of livelihood indicators and increasingly accepted adherence measures, irrespective of study design or quality. A financial capital indicator, financial constraints/payment for ARV medication, was more commonly associated with non-adherence (3/5 studies). A human capital indicator, educational level, was most commonly associated with adherence (11/20 studies). Discussion: Additional better quality research examining livelihood security is required to inform provision of optimal supports for adherence and mitigation of the impacts of HIV/AIDS. [ABSTRACT FROM AUTHOR]

Rural demographic studies have not led much in the field of remote sensing. In Africa, as well as in some developed countries, the existing demographic data are not suitable for planners' needs. To create accurate data, our paper explores a practical modelling technique, as well as less expensive solution techniques. We used data from an official demographic survey carried out in 1988 and a HRV1 satellite image of 1990. With a pixel-by-pixel textural basis analysis, we selected meaningful measure pixels for land cover units classification (mixed pixels were automatically removed). We then computed linear regression models. In the first model, the endogenous and heterogenous variables are respectively dwelling unit and cultivated unit. Furthermore, we calculated a regression from Census data (endogenous variable) and cultivated unit (exogenous data extracted from a HRV image). Finally we adjusted demographic data with two laws of distributions: exponential law and Pareto law. This article opens up the possibility of using remote sensing to estimate population sizes through environmental indicators more accurately. We obtained consistent adjusted correlation coefficients. En Afrique, et dans certains pays developpes, la pratique de recensements, amplement mise en cause par les bailleurs de fonds, est menacee de disparition. Nous proposons des pistes nouvelles pour la production d'une information demographique adaptee aux besoins des planificateurs et orientee vers la realisation de la comptabilite sociale. Pour cela, nous avons utilise une image HRV et les donnees du recensement officiel de 1988. Apres des traitements preliminaires bases sur la texture de notre image, nous avons extrait les villages dont nous disposons des statistiques officielles. Nous avons etabli des modeles de regression lineaire ou dans un premier temps la surface habitee est la variable endogene et la surface cultivee la variable exogene. Dans un deuxieme temps la population (recensement de 1988) est la variable endogene et la surface cultivee (extaite de l'image) la variable exogene. Enfin nous terminons par un ajustement des donnees de population par deux lois de distribution: loi exponentielle et loi de Pareto. [ABSTRACT FROM AUTHOR]

Background: Insecticide-treated nets (ITN) have largely been distributed via mass distribution campaigns. Since 2011, however, the World Health Organization (WHO) has recommended additional ITN distribution via routine antenatal care (ANC) and expanded programme on immunization (EPI) services. Countries have begun to implement these routine facility-based distribution strategies, but inconsistently, and there is little research on outcomes of these new programmes. This paper investigates the impact of ITN distribution policies on children's net use, comparing countries with different policies in place. Methods: Demographic Health Surveys from 25 countries in Africa were used to analyse household ITN ownership, and ITN use among children under 5 years of age. Countries were categorized in terms of the ITN facility-based distribution policies in place, based on nationally reported policies and distribution data provided to the WHO. The analysis was conducted for individual countries and then pooled with all countries in each category weighted equally to present the average country experience, by ITN distribution policy. Results: Household ITN ownership, children's ITN use, and children's ITN use in households with at least one ITN increase with each additional routine facility-based distribution policy. An average of 54.0% of children slept under an ITN in countries with ITN distribution via ANC and EPI, compared to 34.3% and 24.7% in countries with ITN distribution via ANC only, or no facility-based distribution, respectively. Linear regression found a 13% increase in net use among children under 5, on average, with each additional ITN distribution policy. Conclusion: ITN distribution via ANC and EPI can not only assist countries in maintaining ITN ownership and use, but may be extremely effective at increasing ITN ownership and use. There is also an additional benefit associated with combined ANC and EPI-based ITN distribution, compared to ANC distribution alone. [ABSTRACT FROM AUTHOR]