Consequences of High Morbidity and Mortality in a Low-Income Country

低收入国家高发病率和死亡率的后果

基本信息

批准号：
8105470
负责人：
Hans-Peter Kohler
金额：
$ 50.27万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-01 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8105470
关键词：
Adolescent Adoption Adult Africa South of the Sahara African Agriculture Behavior Behavioral Biological Markers Capital Caring Cessation of life Characteristics Child Chronically Ill Communities Consumption Country Data Data Collection Diffusion Digit structure Elderly Endowment Equation Experimental Designs Extended Family Family Family health status Family member Fertility Future Generations Grant Health Health Status Height Hemoglobin Home environment Household Household and Family Housing Human Incentives Income Individual Intergenerational Relations Intervention Investments Leg Length Life Life Cycle Stages Livestock Longitudinal Studies Longitudinal Surveys Low income Malawi Modeling Morbidity - disease rate Orphan Parents Patient Self-Report Pattern Formation Population Prevention Process Production Productivity Public Health Randomized Remittance Respondent Risk Assessment Risk Reduction Running Rural Rural Community Sampling Schools Shock Structure Surveys Techniques Testing Time Vulnerable Populations Work coping coping mechanism design expectation hazard high risk human capital innovation intergenerational member migration mortality named group programs response social capital socioeconomics time use

项目摘要

DESCRIPTION (provided by applicant): It is often claimed that Sub-Saharan African (SSA) is being decimated and devastated by illness and death. There is, however, limited but intriguing evidence that rural families and communities are unexpectedly resilient and that the immediate impact of health shocks are modulated over time by the adjustments in the human and social capital of extended families and rural communities. However, no data exist in SSA that allow an econometrically-sophisticated and dynamic analysis of a broad range of interrelated coping mechanisms employed by multi-generational rural families. The general aim of the proposed project is to (1) create the Malawi Longitudinal Study of Families and Health (MLSFH), which will provide a rare record of more than a decade of demographic, socioeconomic and health conditions in one of the world's poorest countries, and (2) study the mechanisms through which poor rural individuals, families, households, and communities cope with the impacts of high morbidity and mortality. The specific aims of the proposed study include: (1) extend already existing longitudinal survey and biomarker data with new samples of special populations and new microdata to create a publicly available MLSFH that (a) covers the period 1998-2010, (b) encompasses children, adolescents, adults, and elderly, (c) provides comprehensive survey, anthropometric and biomarker data on health across three generations, and (d) includes innovative aspects such as vulnerable high-risk populations and experimental designs offering monetary health incentives to families and to communities; and (2) analyze the MLSFH to estimate the consequences of multiple and potentially competing or reinforcing responses to high morbidity and mortality with - on many topics for first time in SSA- controls for endowments, unobserved characteristics, endogenous decision processes and selective participation in health prevention efforts, including analyses of (a) household coping mechanisms such as altering time use, human capital investments and intrafamilial transfers and using various forms of accumulated social capital, (b) the patterns, formation and behavioral consequences of health-related expectations, (c) both short- and long-term micro-consequences of poor health and mortality and (d) the impact over time of important public-health interventions such as the introduction of an ambitious national program providing testing and treatment or monetary health incentives.

描述（由申请人提供）：通常声称撒哈拉以南非洲（SSA）因疾病和死亡而遭到破坏和破坏。但是，有限制但有趣的证据表明，农村家庭和社区意外地具有韧性，并且健康冲击的直接影响会随着时间的流逝而通过大家庭和农村社区的人力和社会资本的调整来调节。但是，SSA中没有任何数据可以允许对多代农村家庭采用的广泛相互关联的应对机制进行计量学和动态分析。 The general aim of the proposed project is to (1) create the Malawi Longitudinal Study of Families and Health (MLSFH), which will provide a rare record of more than a decade of demographic, socioeconomic and health conditions in one of the world's poorest countries, and (2) study the mechanisms through which poor rural individuals, families, households, and communities cope with the impacts of high morbidity and mortality. The specific aims of the proposed study include: (1) extend already existing longitudinal survey and biomarker data with new samples of special populations and new microdata to create a publicly available MLSFH that (a) covers the period 1998-2010, (b) encompasses children, adolescents, adults, and elderly, (c) provides comprehensive survey, anthropometric and biomarker data on health across three generations, and (d)包括创新的方面，例如脆弱的高风险人群以及为家庭和社区提供货币健康激励措施的实验设计；（2）分析MLSFH，以估计多个和潜在竞争或强化对高发病率和死亡率的响应的后果 - 首次在许多主题中进行SSA控制，以进行捐赠，未观察到的特征，未观察到的特征，内源性决策过程，内源性决策过程以及在健康预防范围内进行了诸如构成人类的内在机构，包括（包括）的内在使用（包括）（a）诸如（a）的内在（a）（a）诸如（a）诸如a（a）的内在（包括a）（a）（a）（b）使用各种形式的累积社会资本，（b）与健康相关期望的模式，形成和行为后果，（c）短期和长期对健康和死亡率差的短期微小结果以及（d）重要的公共卫生干预措施的影响，例如引入雄心勃勃的国家计划和治疗或治疗或摩西尼氏疗法的雄心勃勃的国家计划。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Negative economic shocks and child schooling: Evidence from Rural Malawi.

负面经济冲击和儿童教育：来自马拉维农村地区的证据。

DOI：
10.1080/0376835x.2015.1039707
发表时间：
2015
期刊：
Development Southern Africa
影响因子：
1.4
作者：
Hyder,Asma;Behrman,JereR;Kohler,Hans-Peter
通讯作者：
Kohler,Hans-Peter

Pursuing Social Justice through Public Health: Gender and Sexual Diversity Activism in Malawi.

DOI：
10.1080/21681392.2017.1283637
发表时间：
2017-01-01
期刊：
Critical African studies
影响因子：
0
作者：
Currier, Ashley;McKay, Tara
通讯作者：
McKay, Tara

The impact of HIV testing on subjective expectations and risky behavior in Malawi.

DOI：
10.1007/s13524-012-0119-7
发表时间：
2012-08
期刊：
DEMOGRAPHY
影响因子：
3.5
作者：
Delavande, Adeline;Kohler, Hans-Peter
通讯作者：
Kohler, Hans-Peter

Ethnic identity, region and attitudes towards male circumcision in a high HIV-prevalence country.

艾滋病毒高流行国家的种族认同、地区和对男性包皮环切的态度。

DOI：
10.1080/17441692.2013.790988
发表时间：
2013
期刊：
Global public health
影响因子：
3.3
作者：
Dionne KY;Poulin M
通讯作者：
Poulin M

Female economic activity in Rural Malawi.

马拉维农村地区的女性经济活动。

DOI：
发表时间：
2014
期刊：
Journal for development and leadership. Nelson Mandela Metropolitan University
影响因子：
0
作者：
Hyder,Asma;Behrman,JereR
通讯作者：
Behrman,JereR