Towards a “society for all ages”: meeting the challenge or missing the boat

Zelenev, Sergei

doi:10.1111/j.1468-2451.2008.00658.x

Cited by 16 publications

(6 citation statements)

References 5 publications

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“…Ethiopia's population is estimated to be 120 million people, with approximately 25 million women of reproductive age. Ethiopia is divided administratively into 11 regions and two city administrations [19]. Human resources for health, access to essential maternal health care, and a lack of infrastructure are major challenges in Ethiopian maternal and child health care [20].…”

Section: Methodsmentioning

confidence: 99%

Multilevel mixed effect analysis of adequate postnatal care in Ethiopia: Evidence from EMDHS, 2019

Ashemo,

Shiferaw,

Biru

et al. 2023

Preprint

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Background The postpartum period is critical for both the mother's and newborn child's health and survival. Rising morbidity and mortality are usually the consequence of absence of adequate, suitable, or timely care during that time period. There is lack of information on the adequacy of postnatal care in Ethiopia and this study was aimed to investigate adequacy of postnatal care and its determinants in the study area. Methods In this study we used a cross-sectional dataset from the Ethiopia Mini Demographic and Health Surveys conducted in 2019. A multistage stratified clustered design applied and survey weights were used to take into account the complicated sample design. A multilevel mixed effects logistic regression was fitted on 3772 women who were nested within 305 clusters. The fixed effect models were fitted and expressed as adjusted odds ratios with 95% confidence intervals, while intra-class correlation coefficients, median odds ratio, and proportional change in variance explained measures of variation. As model fitness criteria, the deviance information criterion and the Akaike information criterion were used. Results This study found that only 563(16.14%, 95% CI: 16.05–16.24) women had adequate post natal care. Age of between 25–35 years old (AOR = 1.55, 95%CI = 1.04–2.31), secondary level of education (AOR = 2.23, 95%CI = 1.43–3.45), Having parity of between two and four had (AOR = 0.62, 95%CI = 0.42 0.93), having ANC follow up four and above (AOR = 1.74, 95%CI = 1.31–2.33), being residents of Oromia region (AOR = 0.10, 95CI = 0.02–0.43) were strong predictors of adequate postnatal care. () Conclusion The study found that prevalence of adequate PNC in Ethiopia was significantly low. To increase postnatal care adequacy, it was recommended to reinforce existing policies and strategies such as increasing number of antenatal care follow up, and scheduling mothers based on the national postnatal care follow-up protocol.

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Section: Methodsmentioning

confidence: 99%

Multilevel mixed effect analysis of adequate postnatal care in Ethiopia: Evidence from EMDHS, 2019

Ashemo,

Shiferaw,

Biru

et al. 2023

Preprint

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“…Ethiopia is a land‐locked country located in East Africa, sharing borders with Sudan and South Sudan from the west, Somalia and Djibouti from the east, Eritrea from the north, and Kenya from the southern direction. The population of Ethiopia is approximated to be 120 million, with around 25 million reproductive‐age women 24 …”

Section: Methodsmentioning

confidence: 99%

“…The population of Ethiopia is approximated to be 120 million, with around 25 million reproductive-age women. 24 Administratively, Ethiopia is divided into 11 regions and 2 city administrations (Figure 1). Human resource for health is one of the major challenges in the country including shortages, and urban/rural disparities.…”

Section: Study Design and Settingmentioning

confidence: 99%

Are Ethiopian women getting the recommended maternal health services? The analysis of Ethiopian mini Demographic and Health Survey 2019

Birhanu

Mideksa

Yitbarek

2022

Health Science Reports

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Background and Aims: Health services during pregnancy, childbirth, and the postnatal period play a pivotal role in the survival of both the mother and the baby.We, therefore, analyzed maternal health service utilization and the related drivers among women of childbearing age in Ethiopia. Methods:We used secondary data from the 2019 Ethiopian mini Demographic and Health Survey. The survey was conducted in 11 regions, and 2 city administrations, in Ethiopia from March 21 to June 28, 2019. Maternal health service utilization was measured in terms of three dimensions including antenatal care (ANC), skilled delivery service, and postnatal care (PNC). Bi-variable and multivariable logistic regression was used. We then fitted three separate models. Data were analyzed using SPSS version 25; all analysis was adjusted for cluster and sample weight.Results: A total of 2923, 3924, and 1899 women were included for ANC, delivery, and PNC utilization, respectively. The majority of 1802 (61.7%) women had a "good" antenatal care utilization, and it was explained by the level of maternal education, marital status, and wealth index. Nearly half, of 1899 (48.1%) of the women gave birth in a health facility, and it was associated with age, educational status, wealth index, the timing of first antenatal care, and the number of antenatal care contact.Finally, one third (33.7%) of them had adequate PNC utilization and it was associated with households having a television, the timing of first antenatal care, and the number of antenatal care contacts. Conclusion:Despite the due emphasis on maternal health services by the Ethiopian government, the uptake of services is not optimal. Women empowerment and timely and adequate ANC contacts will prepare women for better uptake of services.

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“…Thus, undeniable national achievements in various ageing-specific sectors co-exist with significantly less progress in mainstreaming ageing into wider policy discourse and development strategies. For instance, there is still a substantial gap between the comprehensive philosophy of the UN Madrid International Plan of Action on Ageing (MIPAA) and the related commitments for its implementation [ 23 ] and the sectoral translation of the MIPAA commitments into national programs [ 24 ]. A real involvement of public authorities at various levels is needed.…”

Section: Policy Making In the Field Of Active Ageing: Main Challenges...mentioning

confidence: 99%

“…Different stakeholders across different policy areas are compelled to work together on designing effective and comprehensive strategies for active ageing [ 25 ]. When social policy goals aimed at older persons are incorporated into overall national development plans, this integration may have a positive long-term effect on the well-being of the older population [ 24 ]. It has also been observed, as a criticism, that AA is politically pursued mainly through a top-down approach.…”

Section: Policy Making In the Field Of Active Ageing: Main Challenges...mentioning

confidence: 99%

Active Ageing in Italy: An Evidence-Based Model to Provide Recommendations for Policy Making and Policy Implementation

Lucantoni

Principi

Socci

et al. 2022

IJERPH

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In ageing societies, active ageing (AA) has been recognized as a useful conceptual tool due to its holistic approach to social issues and recognised benefits from it at multiple levels (micro, meso and macro) for addressing demographic challenges. However, one of the main problems identified in relation to AA, is to turn into practice, at the policy making level, the many positive aspects that it promises at the conceptual level, as is demonstrated by the available evidence based on experiences carried out in some European countries. As an advancement in this field, through an original research experience carried out in Italy between 2019 and 2021, this study for the first time provides a model for producing recommendations for policy making and policy implementation in the field of AA, by managing the main problematic aspects related to the operationalization, at the policy making level, of the AA concept, with the potential for replication in other countries. The main challenges were identified, as well as the way to deal with them through a model, for a proper operationalization of the AA concept, based, among other aspects, on a solid international framework concerning this matter, on a mainstreaming ageing approach (at the public policy level) and on a wide stakeholder participation through co-decisional tools. A multi-level (national-regional-local) perspective was adopted to consider cultural and geographical diversity, among other challenges.

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Towards a “society for all ages”: meeting the challenge or missing the boat

Cited by 16 publications

References 5 publications

Multilevel mixed effect analysis of adequate postnatal care in Ethiopia: Evidence from EMDHS, 2019

Multilevel mixed effect analysis of adequate postnatal care in Ethiopia: Evidence from EMDHS, 2019

Are Ethiopian women getting the recommended maternal health services? The analysis of Ethiopian mini Demographic and Health Survey 2019

Active Ageing in Italy: An Evidence-Based Model to Provide Recommendations for Policy Making and Policy Implementation

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