SUMMARYBackground: The Government of Ghana's fee exemption policy for delivery care introduced in September 2003, aimed at reducing financial barriers to using maternal services. This policy also aimed to increase the rate of skilled attendance at delivery, reduce maternal and perinatal mortality rates and contribute to reducing poverty. Objective: To evaluate the economic outcomes of the policy on households in Ghana. Methods: Central and Volta regions were selected for the study. In each region, six districts were selected. A two stage sampling approach was used to identify women for a household cost survey. A sample of 1500 women in Volta region (made up of 750 women each before and after the exemption policy) and 750 women after the policy was introduced in Central region. Outcome Measures: Household out-of-pocket payment for maternal delivery and catastrophic out-of-pocket health payments. Results: There was a statistically significant decrease in the mean out-of-pocket payments for caesarean section (CS) and normal delivery at health facilities after the introduction of the policy. The percentage decrease was highest for CS at 28.40% followed by normal delivery at 25.80%. The incidence of catastrophic out-of-pocket payments also fell. At lower thresholds, the incidence of catastrophic delivery payment was concentrated more amongst the poor. For the poorest group (1
Professional fishing and fisheries quota systems can affect women and men differently, yet gender analysis of quota systems is rare. In this article, we use a feminist framing and a mixed methods approach to examine the long-term gendered effects of the introduction of the 1990 quota system in Norway. Using statistics from the National Fishery Registry and the Directorate of Fisheries, we found that the number of women and men registered as fishers has declined since 1990 (an overall decline of 59%). Over this period, men have consistently outnumbered women among registered fishers (2.7-3.2% women), among boat owners (2.23% women in 2017) and particularly among owners of larger boats (> 11 m), which can have multiple quotas (0.35% women in 2017). However, changes in the age and geographic location among women fishers reflect changes to fisheries overall, as well as highlighting the gender-blind entry barriers that disproportionately impact women. In addition, contextualising statistical data with participant interviews conducted in North Norway, especially in Finnmark, enables us to examine more closely why the gender gap remains. This mixed method approach also identifies changes women and men working in fisheries have undergone, while also addressing women fishers' political efforts to improve gender equity in Norwegian fisheries. Our study contributes to a more nuanced understanding of Norwegian coastal fishing, and particularly women's small but significant presence.
There are missing links between research and policy that can be filled by better information on the real world. This is important not only to evaluate the contribution of research to the policymakers and to society, but also to design policies based on evidence. Three models for meeting such objectives are presented, emphasizing the role of (a) journals, (b) government and (c) researchers. We provide outline examples of the three approaches, focussing on regional demographic policies in Portugal.
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