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31.

Background

Perinatal mortality remains a major international problem responsible for nearly six million stillbirths and neonatal deaths.

Objectives

To estimate the perinatal mortality rate in Sana’a, Yemen and to identify risk factors for perinatal deaths.

Methods

A community-based prospective cohort study was carried out between 2015 and 2016. Nine-hundred and eighty pregnant women were identified and followed up to 7 days following birth. A multi-stage cluster sampling was used to select participants from community households’, residing in the five districts of the Sana’a City, Yemen.

Results

Total of 952 pregnant women were tracked up to 7 days after giving birth. The perinatal mortality rate, the stillbirth rate and the early neonatal mortality rate, were 89.3 per 1000, 46.2 per 1000 and 45.2 per 1000, respectively. In multivariable analysis older age (35+ years) of mothers at birth (Relative Risk = 2.83), teenage mothers’ age at first pregnancy (<18 years) (Relative Risk = 1.57), primipara mothers (Relative Risk = 1.90), multi-nuclear family (Relative Risk = 1.74), mud house (Relative Risk = 2.02), mothers who underwent female genital mutilation (Relative Risk = 2.92) and mothers who chewed khat (Relative Risk = 1.60) were factors associated with increased risk of perinatal death, whereas a positive mother’s tetanus vaccination status (Relative Risk = 0.49) were significant protective factors against perinatal deaths.

Conclusion

Rates of perinatal mortality were higher in Sana’a City compared to perinatal mortality at the national level estimated by World Health Organization. It is imperative there be sustainable interventions in order to improve the country’s maternal and newborn health.  相似文献   
32.
Local self-government systems have been adopted in many countries to supervise local interests in development and provide a range of goods and services to localities. It is believed that awareness of certain issues itself guides duty-bearers to reshape and divert development in a certain direction. In Pakistan, elected representatives in district governments are the key duty-bearers at the local level. Hence, their awareness is indispensable to decision-making for local development and, thus, it is pertinent to assess it from a disability rights perspective. In-depth information collected from two districts has reflected that most of the public representatives are ill-informed about disability, day-to-day problems of disabled persons and their rights, which results in inadvertently disability-biased local development planning. An overriding impression gained from the results is that raising elected representatives’ awareness on disability and the rights of disabled people is imperative to embracing disability rights practice in local development.  相似文献   
33.
Abstract

Even though supply chain agility (SCA) has been considered an essential concept in supply chain management (SCM) research, the way it is experienced and manifested, especially by small and medium-sized enterprises (SMEs), has received much less attention. Our purpose is to focus on SME organisational vulnerabilities in the context of increased environmental uncertainty, and explore how SCA is developed and applied by SMEs amid their vulnerabilities. By relying on insights from comparative case studies of three British SMEs, we examine SME SCA as an acclimatisation process and delve into SMEs’ experiences of facing environmental uncertainty while developing and applying SCA. Our findings highlight that organisational attitudes underlie how SMEs perceive environmental uncertainty, tackle organisational vulnerabilities and develop SCA as an acclimatisation process. Our findings also reveal that resource constraints, supply chain relationships, interorganisational power dynamics, and access to information play important roles in developing SCA.  相似文献   
34.
Environmental scanning is a broadly defined concept, having first received attention from scholars in the late 1960s. Over the years a number of similar and overlapping constructs have emerged in management literature. The aim of this study, via a systematic review and thematic analysis of relevant empirical research, is to consolidate foundation environmental scanning knowledge, demonstrate how scanning research has developed and fragmented over time, and propose an agenda for future research. The first contribution of our review is a new typology of environmental scanning research made up of five discrete research views, which provides a more comprehensive and contemporary overview of the field than previous studies. The second is a proposed agenda for future research that explicitly acknowledges the role of technology, an area that is presently underdeveloped in foundation scanning literature. The third contribution is to signpost future directions for research on scanning and organisational performance using a number of theoretical perspectives. The overall outcome of our review is to move scanning research on from increasingly incremental contributions concerned with context to a place where the changing role of technology and the mechanisms through which environmental scanning contributes to competitive advantage can be more thoroughly understood.  相似文献   
35.
The purpose of this article is to describe the attempts of the Nutrition Education and Training Program to provide equitable services to its target populations. The article stresses the effectiveness of a comprehensive needs assessment in identifying the need for program services relative to the characteristics of target populations, setting priorities for service delivery. Equitable distribution of program services is tied to the needs assessment methodology.  相似文献   
36.
Abstract

The assumption of underlying return distribution plays an important role in asset pricing models. While the return distribution used in the traditional theories of asset pricing is the unimodal distribution, numerous studies which have investigated the empirical behavior of asset returns in financial markets use multi-modal distribution. We introduce a new parsimonious multi-modal distribution, referred to as the multi-modal tempered stable (MMTS) distribution. In this article we also generate the exponential Lévy market models and derive the value-at-risk (VaR) induced from them. To demonstrate the advantages, we will present the results of the parameter estimation and the VaRs for financial data.  相似文献   
37.
38.
The authors investigate the factors influencing the share of equity ownership sought in cross‐border mergers and acquisitions (CBM&As). Drawing on real options theory and transaction cost economics (TCE), they address and hypothesize key factors linked to commitment under exogenous uncertainty and the separation of desired and non‐desired assets’ influence on share of equity sought by acquiring firms in CBM&As. Empirical analysis based on 1872 CBM&As undertaken by British firms in both developed and emerging economies shows that British MNEs are more likely to pursue a partial acquisition in a target foreign firm when those foreign firms are from culturally distant countries. Further, findings support the view that the high cost of separating desired assets from non‐desired assets motivates firms to make a partial acquisition rather than acquire the target completely. This is one of the first studies to use real options theory to address the cost of commitment under exogenous uncertainty, as well as TCE logic to address the separation of desired and non‐desired assets in the target firm while analysing equity ownership sought in CBM&As. Empirically, this paper contributes by examining CBM&As by British firms in both developed and emerging markets.  相似文献   
39.
Recently, social psychologists have given considerable attention to the possibility that empathy can be used to improve intergroup attitudes and relations. For this possibility to bear practical fruit, it is important to know what is meant by empathy because different researchers use the term to refer to different psychological states. It is also important to understand how each of these empathy states might affect intergroup relations by reviewing theory and research on the psychological processes involved, and it is important to consider the limitations of each form of empathy as a source of improved intergroup relations. Finally, it is important to consider the role of different empathy states in existing programs designed to improve intergroup relations, whether in protracted political conflicts, in educational settings, or via media. In this article, we pursue each of these goals.  相似文献   
40.
This article looks at field‐workers employed by nongovernmental organizations (NGOs) in Bangladesh. It can be argued that NGO field‐workers, who work directly with clients, are an undervalued and underused resource in Bangladesh. A questionnaire survey, participant observation, and semistructured interviews of field‐workers in four types of NGOs (international, large national, regional, and small local) revealed that they are from rural, middle‐class families and, because the work requires rigorous physical exercise, most of them are young. They do not join NGOs as field‐workers enthusiastically, but rather to have a job and earn money. Most field‐workers in Bangladesh must leave the job when they grow older or (in the case of women) get married.  相似文献   
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