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In 2019, the Federal Deposit Insurance Corporation (FDIC) reported that 7.1 million households in the United States (5.4%) were unbanked and lacked a checking or savings account). Using three leading household surveys, this paper documents how the interaction between bank access and poverty has evolved over time. We present a historical time series of unbanked rates, showing high‐unbanked rates for those in poverty even with increases in financial access over time. In the 1980s, 49.6% of households in poverty were unbanked while 22.8% were unbanked in 2019. Unbanked rates were even higher for Black and Hispanic households that were in poverty. In the 1980s, these groups had unbanked rates of 73.6% and 66.5% which declined to 38.4% and 31.8% in 2019, respectively. To explain differences in banking rates by race, we use binary Kitagawa‐Oaxaca‐Blinder decompositions. Socio‐demographic characteristics explain less than half the difference in unbanked rates for Blacks and around half for Hispanics. [ABSTRACT FROM AUTHOR]

Considering that public debt is a priority for policymakers in Mexico, the aim of this paper is to examine the convergence or divergence in debt per capita and main drivers of debt in the 32 Mexican states in the period 2006–2021. The results support significant spatial correlation of debt/cap across states. Cross‐section and spatial dynamic regressions are used to analyse absolute and conditional beta‐convergence in debt per capita, and the divergence assumption is documented. The panel data models based on the method‐of‐moments quantile models and pooled mean group estimators indicate that poverty is the main determinant of debt, whereas foreign direct investment is insufficient to support the reduction in debt in the long run. These results provide evidence for a set of policy recommendations to ensure a sustainable debt path in Mexico. [ABSTRACT FROM AUTHOR]

Introduction: Associations between structural inequalities and health are well established. However, there is limited work examining this link in relation to mental health, or that centres public perspectives. This study explores people's experience and sense‐making of inequality in their daily lives, with particular consideration of impacts on mental health. Methods: We conducted a peer research study. Participants had to live in one of two London Boroughs and have an interest in inequalities and mental health. Using social media, newsletters, local organisations and our peer researchers' contacts, we recruited 30 participants who took photos representing their experience of inequality and discussed them during semi‐structured interviews. Data were analysed using reflexive thematic analysis. Results: Three themes were identified in this study: (1) inequalities are unjust, multilayered and intertwined with mental health. Accounts demonstrated a deep understanding of inequalities and their link to mental health outcomes, describing inequalities as 'suffering' and 'not good for anyone'. Financial, housing, immigration and healthcare problems exacerbated poor mental health, with racism, gender‐based violence and job loss also contributing factors for both poor mental health and experiences of inequality; (2) inequalities exclude and have far‐reaching mental health consequences, impacting personal sense of belonging and perceived societal value and (3) moving forwards—addressing long‐standing inequality and poor public mental health necessitated coping and resilience strategies that are often unacknowledged and undervalued by support systems. Conclusion: Lived experience expertise was central in this study, creating an innovative methodological approach. To improve public mental health, we must address the everyday, painful structural inequalities experienced by many as commonplace and unfair. New policies and strategies must be found that involve communities, redistributing resources and power, building on a collective knowledge base, to coproduce actions combatting inequalities and improving population mental health. Patient or Public Contribution: This study was peer‐led, designed and carried out by researchers who had experiences of poor mental health. Six authors of the paper worked as peer researchers on this study. [ABSTRACT FROM AUTHOR]

This paper examines the impact of social pensions on old‐age poverty. To achieve causal identification, we leverage the reduction in the minimum eligibility age of Mexico's flagship non‐means‐tested social pension program. We find that the program's expansion significantly reduced extreme poverty, mainly among indigenous seniors and in rural areas. However, it had negligible effects on labor force participation, suggesting that social pensions were not effective in ensuring minimum economic well‐being and simultaneously inducing retirement among seniors at early stages of old age. The program's small cash transfer and mistargeting are among the main explanations. [ABSTRACT FROM AUTHOR]

The challenges of Reproducibility and Replicability (R & R) in computer science experiments have become a focus of attention in the last decade, as efforts to adhere to good research practices have increased. However, experiments using Deep Learning (DL) remain difficult to reproduce due to the complexity of the techniques used. Challenges such as estimating poverty indicators (e.g., wealth index levels) from remote sensing imagery, requiring the use of huge volumes of data across different geographic locations, would be impossible without the use of DL technology. To test the reproducibility of DL experiments, we report a review of the reproducibility of three DL experiments which analyze visual indicators from satellite and street imagery. For each experiment, we identify the challenges found in the data sets, methods and workflows used. As a result of this assessment we propose a checklist incorporating relevant FAIR principles to screen an experiment for its reproducibility. Based on the lessons learned from this study, we recommend a set of actions aimed to improve the reproducibility of such experiments and reduce the likelihood of wasted effort. We believe that the target audience is broad, from researchers seeking to reproduce an experiment, authors reporting an experiment, or reviewers seeking to assess the work of others. Plain Language Summary: This paper aims to help researchers understand the challenges of reproducing Deep Learning (DL) publications, mitigate reproducibility gaps, and make their own work more reproducible. We build on the work of others and add recommendations organized by (a) the quality of the data set (and associated metadata), (b) the DL methodology, (c) the implementation methodology, and the infrastructure used. To our knowledge, this is the first initiative of its kind to address the problem of reproducibility in remote sensing imagery and DL problems for real‐world tasks. We hope this paper lowers the barrier to entry for the DL community to improve research. Following the lifecycle mantra: reproduce!, then replicate! With the goal of improving reproducibility! Key Points: We discuss the reproducibility challenges faced in research by Deep Learning approaches using Big DataWe provide advice for pre‐screening papers (before experiments) to avoid poorly invested effortWe present a recipe with a set of mitigation strategies to address common errors users (researchers, authors, reviewers) may encounter [ABSTRACT FROM AUTHOR]

Background: As digital tools are increasingly used to support COVID‐19 contact tracing, the equity implications must be considered. As part of a study to understand the public's views of digital contact tracing tools developed for the national 'Test and Protect' programme in Scotland, we aimed to explore the views of groups often excluded from such discussions. This paper reports on their views about the potential for contact tracing to exacerbate inequalities. Methods: A qualitative study was carried out; interviews were conducted with key informants from organizations supporting people in marginalized situations, followed by interviews and focus groups with people recruited from these groups. Participants included, or represented, minority ethnic groups, asylum seekers and refugees and those experiencing multiple disadvantage including severe and enduring poverty. Results: A total of 42 people participated: 13 key informants and 29 members of the public. While public participants were supportive of contact tracing, key informants raised concerns. Both sets of participants spoke about how contact tracing, and its associated digital tools, might increase inequalities. Barriers included finances (inability to afford smartphones or the data to ensure access to the internet); language (digital tools were available only in English and required a degree of literacy, even for English speakers); and trust (many marginalized groups distrusted statutory organizations and there were concerns that data may be passed to other organizations). One strength was that NHS Scotland, the data guardian, is seen as a generally trustworthy organization. Poverty was recognized as a barrier to people's ability to self‐isolate. Some participants were concerned about giving contact details of individuals who might struggle to self‐isolate for financial reasons. Conclusions: The impact of contact tracing and associated digital tools on marginalized populations needs careful monitoring. This should include the contact tracing process and the ability of people to self‐isolate. Regular clear messaging from trusted groups and community members could help maintain trust and participation in the programme. Patient and Public Contribution: Our patient and public involvement coapplicant, L. L., was involved in all aspects of the study including coauthorship. Interim results were presented to our local Public and Patient Involvement and Engagement Group, who commented on interpretation and made suggestions about further recruitment. [ABSTRACT FROM AUTHOR]

To uncover pathways for understanding and alleviating poverty, this paper offers an alternative approach for examining the real and unseen processes of destitution and in‐work poverty which shape the lives of consumers. We apply a critical realist paradigm structured around three core tenets—stratified realities, complex causations and generative structures—to surface the nuanced complexities of these issues. A critical realist lens encourages impact by focusing on the deep causes of enduring social problems and provides transformative consumer research scholars with an integrative way to work toward transformative policy action. [ABSTRACT FROM AUTHOR]

Knowing whether poverty rates converge within a country matters for regional development policy and for understanding growth processes. In this paper, we use five poverty measures, calculated biennially from 2004 to 2014 for 100 districts in Pakistan, to test for poverty convergence. Spatial autoregressive models are used to capture spatial spillovers. Conventional money‐metric poverty measures, such as the headcount index and poverty gap index, show unconditional convergence, and the convergence is more apparent if indirect impacts from spillovers are accounted for. In contrast, two multidimensional poverty indices show no convergence and no indirect impacts from spatial spillovers. Catch‐up growth in initially poorer areas is apparent with the money‐metric poverty measures traditionally used in Pakistan but not with the types of multidimensional poverty measures used officially since 2015. This difference in apparent poverty convergence could affect regional development policy choices. [ABSTRACT FROM AUTHOR]

Drawing on the literature on the psychological consequences of poverty, this paper examines whether stress explains poor people's stronger preferences for unhealthy food and whether self‐affirmation mitigates stress and reduces unhealthy food preferences. Through a quasiexperimental field study of patrons of a community kitchen, we show that poor people (vs. controls) prefer more unhealthy food and, more importantly, that chronic stress mediates the relationship between poverty and unhealthy food preferences. A second quasiexperimental study of poor residents of a home for homeless people replicates this effect for actual unhealthy food choices. A final online study reveals that a social‐psychological self‐affirmation intervention mitigates poor people's experienced stress, which in turn helps reduce unhealthy food preferences. The discussion focuses on how managing stress through timely interventions such as self‐affirmation can improve poor people's unhealthy food preferences. Finally, policy implications are discussed. [ABSTRACT FROM AUTHOR]

This paper investigates the main determinants of the welfare gap between rural–urban migrants and non‐migrants (both urban and rural) in Tunisia. The lack of data on the expenditure of migrant and non‐migrant households is overcome by applying the ELL (Elbers, Lanjouw and Lanjouw) methodology. The decomposition results show a positive welfare gains from rural‐to‐urban migration, especially among the younger generation born after the failure of the collectivism experiment in 1961. The education level of the household's head and the household's size appear as the main sources of the welfare gap. The unconditional quantile regression decomposition shows that the endowment effect contributes more to the welfare gap than the discrimination effect at the bottom part of the welfare distribution. [ABSTRACT FROM AUTHOR]

Regentrification has been a controversial and often debated topic since it was first observed in the late 1960s. This paper expands the understanding of regentrification through the development of a new hybrid Tiebout‐Alonso model that explicitly introduces: (i) public transportation as an alternative mode of commute to automobile and (ii) a detailed modelling of housing and land demand so that the size of housing driven force against that of opposing commuting driven force is in line with the empirical estimates of existing literature. We find that government policies (school district boundary alteration, taxes and subsidies for commuters) have substantial effects on the degree of regentrification and concentration of poverty around central cities. [ABSTRACT FROM AUTHOR]

A growing body of evidence highlights that maternal and child nutrition programmes need to extend beyond the mother–child dyad by adopting a family systems approach, particularly in the Global South. Guided by a sociocultural and community psychology understanding of health, the paper explores factors identifying grandmothers as central resources for nutrition programmes. The study was conducted in a Colombian urban periphery applying a qualitative longitudinal design (prenatal and postpartum). It is based on interviews with adolescent mothers and mothers in their 20s (n = 35 at T1; n = 21 at T2), grandmothers (n = 15 at T1; n = 12 at T2) and community/public stakeholders (n = 17). Many of the participants live in low‐income households headed by grandmothers, who adjust feeding practices to the extent of their economic capacity. Findings reveal grandmothers play a central role in decision‐making and in enabling a holistic support system for the dyad. This is defined as grandmothers' scaffolding; it covers nutrition advice, breastfeeding and infant feeding, cultural practices, caregiving and maternal mental health. The study helps build the evidence‐base for the transferability of a family systems approach to Global South regions by using sociocultural and community psychology concepts to fortify the rationale for including grandmothers in maternal and child nutrition programmes. It argues for the need to continue raising the visibility of key actors like grandmothers and for nutrition programmes to align themselves more flexibly with the needs of families experiencing poverty. [ABSTRACT FROM AUTHOR]

Complementary feeding practices and adherence to health recommendations are influenced by a range of different and often interrelating factors such as socio‐economic and cultural factors. However, the factors underlying these associations are often complex with less awareness of how complementary feeding approaches vary across the UK's diverse population. This paper describes a qualitative investigation undertaken in a deprived and culturally diverse community in the UK which aimed to explore parents' knowledge, beliefs and practices of complementary feeding. One hundred and ten mothers and fathers, self‐identified as being White British, Pakistani, Bangladeshi, Black African/Caribbean or Polish took part in twenty‐four focus group discussions, organised by age group, sex and ethnicity. The findings revealed that most parents initiated complementary feeding before the World Health Organisation (WHO) recommendation of 6 months. Early initiation was strongly influenced by breast feeding practices alongside the extent to which parents believed that their usual milk; that is, breastmilk or formula was fulfilling their infants' nutritional needs. The composition of diet and parents' approach to complementary feeding was closely aligned to traditional cultural practices; however, some contradictions were noted. The findings also acknowledge the pertinent role of the father in influencing the dietary practices of the wider household. Learning about both the common and unique cultural feeding attitudes and practices held by parents may help us to tailor healthy complementary feeding advice in the context of increasing diversity in the United Kingdom. [ABSTRACT FROM AUTHOR]

This analysis aims to provide a comprehensive representation of the role of regional disparities in the nexus between poverty and subjective well‐being, by adding the territorial dimension to the definition of poverty conditions. We investigate the nexus using regional poverty lines, including different poverty measures and considering different life domains. The analysis focuses on Italy because of its strong regional socio‐economic disparities. Results show that the relevance of being poor on the well‐being of citizens is in general higher and significant; the intensity and severity of poverty also change for different life domains. Findings are fundamental in designing local policies against poverty. [ABSTRACT FROM AUTHOR]

Behavioural change communication interventions have been shown to be effective at improving infant and young child nutrition knowledge and practices. However, evidence in humanitarian response contexts is scarce. Using data on secondary outcomes of breastfeeding, water treatment, and knowledge from a cluster randomized control trial of the Yemen Cash for Nutrition programme's impact on child nutritional status, this paper shows that the programme significantly improved knowledge and practices for poor women with young children in the pilot districts. The intervention consisted of cash transfers and monthly group nutrition education sessions led by locally recruited community health volunteers. Data are based on self‐reports by participants. Estimating impacts among all 1,945 women in 190 clusters randomly assigned to treatment versus control and controlling for baseline levels and community characteristic and adjusting for noncompliance with randomization, the programme increased the probability of breastfeeding initiation within the first hour after delivery by 15.6% points (p <.05; control = 74.4% and treatment = 83.6%), the probability of exclusive breastfeeding during the first 6 months by 14.4% points (control = 13.5% and treatment = 25.3%), the probability of households treating water consumed by adults by 16.7% points (p <.01; control = 13.9% and treatment = 23.4%), and treating water consumed by children under two by 10.3% points (p <.10; control = 31.2% and treatment = 37.9%). Impacts on knowledge and breastfeeding are similar for both literate and illiterate women, and water treatment impacts are significantly larger for literate women. This study was registered at 3ie (RIDIE‐STUDY‐ID‐5b4eff881b29a) and funded by the Nordic Trust Fund and Consultative Group on International Agricultural Research programme on Policies, Institutions, and Markets. [ABSTRACT FROM AUTHOR]

Aim: To map the breadth of use of the Ages and Stages Questionnaires (ASQ) in low- and middle-income countries (LMICs) across world regions, and examine procedures for ASQ translation, adaptation, psychometric evaluation, and administration.Method: We conducted a review of all original, peer-reviewed studies written in English referencing use of the ASQ in LMICs. We used a consensus rating procedure to classify each article into one of four categories: feasibility study, psychometric study, prevalence study, or research study.Results: We analysed 53 peer-reviewed articles written in English detailing use of the ASQ in LMICs. We found evidence of ASQ use in 23 LMICs distributed across all world regions. The ASQ was translated into 16 languages. Just over half of the studies reported parent completion of the ASQ (50.9%). We identified eight feasibility studies, 12 psychometric studies, and nine prevalence studies. Study type varied by economy and region.Interpretation: Findings suggest broad global use of the ASQ in a range of countries and cultural and linguistic contexts. There is need for further validation studies across all cited regions and countries and in countries ready to begin to design systems for providing universal developmental screening services.What This Paper Adds: The Ages and Stages Questionnaires (ASQ) has been used in at least 23 low- and middle-income countries (LMICs). The ASQ has been translated into at least 16 languages in LMICs. Over half the identified studies reported parent completion of the ASQ. [ABSTRACT FROM AUTHOR]

Objective: The design of health insurance, and the role out-of-pocket (OOP) payments play in it, is a key policy issue as rising health costs have encouraged greater cost-sharing measures. This paper compares the percentage of Americans spending large amounts OOP to meet their health needs with percentages in eight other developed countries. By disaggregating by age and income, the paper focuses on the poor and elderly populations within each.Data Source: The study uses nationally representative household survey data made available through the Luxembourg Income Study. It includes nations with high, medium, and low levels of OOP spending.Study Design: Households have high medical spending when their OOP expenditures exceed a threshold share of income. I calculate the share of each nation's population, as well as subpopulations within it, with high OOP expenditures.Principal Findings: The United States is not alone in exposing large numbers of citizens to high OOP expenses. In six of the other eight countries, one-quarter or more of low-income citizens devoted at least 5 percent of their income to OOP expenses, and in all but two countries, more than 1 in 10 elderly citizens had high medical expenses.Conclusions: For some populations in the sample nations, health insurance does not provide adequate financial protection and likely contributes to inequities in health care delivery and outcomes. [ABSTRACT FROM AUTHOR]

Objectives: Identifying pregnant women infected with Trypanosoma cruzi is one of the major challenges for preventing and controlling Chagas disease (CD) in non-endemic countries. The aim of this paper was to perform a policy evaluation of the current practices of congenital Chagas disease (CCD) control in non-endemic countries and to propose specific targets for enhanced interventions to tackle this emerging health problem outside the endemic areas of Latin America.Methods: We conducted a mixed method review of CCD policy strategies by searching the literature in the PubMed, Google Scholar and the World Health Organization (WHO) databases using the key terms 'CCD', 'paediatric Chagas disease' and 'non-endemic countries'; as free text and combined as one phrase to increase the search sensitivity. Reviews, recommendations, guidelines and control/surveillance programme reports were included.Results: Of 427 CCD papers identified in non-endemic countries, 44 matched the inclusion. Although local programmes were launched in different countries with large numbers of Latin American immigrants, there were considerable disparities in terms of the programmes' distribution, delivery, integration and appropriated CCD control strategies. Moreover, Catalonia, Spain is the only region/country with an established systematic monitoring of CCD in pregnant women from Latin American countries.Conclusions: Given the worldwide dissemination of CD, the nature of its vertical transmission, and the gaps of the current strategies in non-endemic countries, there is an urgent need to standardise, expand and reinforce the control measures against CCD transmission. [ABSTRACT FROM AUTHOR]

This paper analyses patterns in regional inequality within and between Malaysia's 14 states, drawing upon estimates of Kuznets/Williamson curves, σ- and β-convergence and spatial spillovers. The path of regional inequality contradicts Kuznets predictions. Regional inequality initially fell but has subsequently risen with further economic development. While Malaysian governments have been successful at reducing poverty, they have been unable to curtail regional inequality in the long run. [ABSTRACT FROM AUTHOR]

Objectives: To examine: (1) what elements of patient-centered medical homes (PCMHs) are typically provided to low-income populations, (2) whether PCMHs improve health behaviors, experiences, and outcomes for low-income groups.Data Sources/study Setting: Existing literature on PCMH utilization among health care organizations serving low-income populations.Study Design: Systematic review and meta-analysis.Data Collection/extraction Methods: We obtained papers through existing systematic and literature reviews and via PubMed, Web of Science, and the TRIP databases, which examined PCMHs serving low-income populations. A total of 434 studies were reviewed. Thirty-three articles met eligibility criteria.Principal Findings: Patient-centered medical home interventions usually were composed of five of the six recommended components. Overall positive effect of PCMH interventions was d = 0.247 (range -0.965 to 1.42). PCMH patients had better clinical outcomes (d = 0.395), higher adherence (0.392), and lower utilization of emergency rooms (d = -0.248), but there were apparent limitations in study quality.Conclusions: Evidence shows that the PCMH model can increase health outcomes among low-income populations. However, limitations to quality include no assessment for confounding variables. Implications are discussed. [ABSTRACT FROM AUTHOR]

Aim: This study examined cross-sectional population-based rates in reported need and unmet need for occupational, physical, and speech therapy services in children with autism spectrum disorder (ASD) compared with children with attention-deficit-hyperactivity disorder (ADHD) and cerebral palsy (CP).Method: The 2005-2006 and 2009-2010 (USA) National Survey of Children with Special Health Care data sets were used to compare therapy need and unmet need among children younger than 18 years with ASD (n=5178), ADHD (n=20 566), and CP (n=1183). Bivariate approaches and multivariate logistic regression using imputed data were used to identify associations between child and family characteristics, and access to therapy services.Results: After adjusting for other variables, children with ASD had a significantly greater likelihood of having an unmet therapy need compared with children with ADHD (odds ratio [OR] 1.66, 95% confidence interval [CI] 1.36-2.03), but a similar unmet need as children with CP (OR 1.30, 95% CI 0.97-1.74). Factors associated with unmet need included survey year, younger child age, no health insurance, and increased functional and behavioral difficulties.Interpretation: Children in our sample had greater unmet therapy needs in 2009 than in 2005. Caregiver-reported reasons for unmet need included cost and school resources. Research examining future trends in therapy access are warranted for children with ASD and CP.What This Paper Adds: Children with complex diagnoses of autism spectrum disorder and cerebral palsy had reported unmet need for therapy services. High costs of therapy were the primary reported reason contributing to reduced access among children. [ABSTRACT FROM AUTHOR]

This paper investigates the long-term effects of conditional cash transfers on school attainment and child labor. To this end, we construct a dynamic heterogeneous agent model, calibrate it with Brazilian data, and introduce a policy similar to the Brazilian Bolsa Família. Our results suggest that this type of policy has a very strong impact on educational outcomes, sharply increasing primary school completion. The conditional transfer is also able to reduce the share of working children from 22% to 17%. We then compute the transition to the new steady state and show that the program actually increases child labor over the short run, because the transfer is not enough to completely cover the schooling costs, so children have to work to be able to comply with the program's schooling eligibility requirement. We also evaluate the impacts on poverty, inequality, and welfare. ( JEL O11, I25, J24) [ABSTRACT FROM AUTHOR]

Objectives Social determinants of health include social and demographic factors such as poverty, education status, race and ethnicity, gender, insurance status, and other factors that influence (1) development of illness, (2) ability to obtain and utilize healthcare, and (3) health and healthcare outcomes. In otolaryngology, as in other subspecialty surgical fields, we are constantly confronted by patients' social and demographic circumstances including poverty, language barriers, and lack of health insurance and yet there is limited research on how these factors impact health equity in our field, or how attention to these patient characteristics may improve health equity. This review provides the reader with a framework to understand the social determinants of health including how socioeconomic status, insurance status, race, gender, and other factors impact health. Data Sources and Review Methods Foundational papers on the social determinants of health are reviewed, as well as otolaryngology publications focused on health and healthcare disparities. Results The social determinants of health have a major impact on patient health as well as healthcare utilization, but there is a relative lack of data on these factors and how they can be addressed within otolaryngology. Incorporating tools to measure social and demographic characteristics and actually report on these measures is a first simple step to increase the data on the social determinants of health as they pertain to otolaryngology. Conclusion More research is needed on the social determinants of health, and how they impact otolaryngic disease. Medicare's Accountable Care Organization models will increasingly change the way in which physicians are reimbursed, making the social determinants of health central not only to our moral conscience but also the bottom line. Level of Evidence 4 [ABSTRACT FROM AUTHOR]

This paper considers two arguments that are common in the literature on organ sales. First, organ sales are exploitative and therefore should not be permitted. Second, it doesn't matter whether organ sales are exploitative or not; the only thing that matters is that we do what is in the interests of those who need to be protected. In this paper, I argue that both of these arguments are too simplistic. My intention, however, is not to argue for or against organ sales. My conclusion, rather, is simply that we cannot hope to address the issue of organ sales if we lack a good understanding of exploitation. We should not attempt to answer the question of whether or not organ sales should be banned on the grounds that they are exploitative without acknowledging and addressing the nuances involved in understanding exploitation. [ABSTRACT FROM AUTHOR]

The UK White Paper on International Development published in 2009 explicitly links access to financial services with poverty reduction. In doing so, it echoes the policies the World Bank set out in its 2008 Policy Research Report on Finance. This paper offers a detailed analysis of these development policies and connects the current plans for the expansion of financial sectors in the developing world with policies that promote the acquisition of formal land title. The paper argues that as asset-backed lending expands, commercial banks will come to play an increasingly important role in third world economies. In light of this, it reviews important first-hand accounts of the difficulties of drafting legislation to protect women's access to land in the face of opposition from commercial lenders, using Tanzania and Uganda as illustrative examples. The paper assesses the implications of expanding access to credit for gender equality and concludes that it is difficult to reconcile the promotion of financial inclusion with the aim of international development to end poverty. [ABSTRACT FROM AUTHOR]

This paper investigates cultural dimensions and processes of exclusion in rural Ireland and Russia that impact upon marginalised rural people by making them poor. It employs Bourdieu and Passeron’s (1977) concept of cultural capital, which provides understanding of both structural effects of cultural discrimination and individual strategies of cultural reproduction on well-being. First, it explores the function of cultural capital as a power resource that can be used to monopolise certain cultural preferences. Second, the paper studies the function of cultural capital to mark cultural distance and to put people with less-valued cultural resources in a disadvantaged position that can limit poor people’s access to social settings and resources. Third, the paper investigates the function of cultural capital to exclude individuals by means of regulating their aspirations and cultural dispositions, which degrade social bonds and limit people’s sources of economic growth. The results of this study reveal the complexity of classificatory effects of cultural practices on poverty and argue against treating culture as a residual category in poverty studies. It takes on board the findings from this study to critically re-evaluate certain stereotypes of hardship and to articulate the need for a broader understanding of rural poverty. [ABSTRACT FROM AUTHOR]

This paper provides an overview of some of the significant environmental problems in the Southern African region. The key problems highlighted are global warming and climate variability, loss of biodiversity, deforestation, desertification-land degradation, waste and littering, population growth, urbanization, pollution, poverty and health hazards. These problems present a challenge to governments and other players within and outside Southern Africa to seek for long-term solutions by addressing the root causes of these problems. The paper notes that although the environmental problems facing the Southern African region are being tackled at national, regional and international levels, there is more that can be done. At the national level, the different agencies and players, both within and outside government need to strengthen coordination and implementation of key interventions in different sectors in both rural and urban areas. At the African regional and international levels, there is a need to address geopolitical forces and issues that contribute to the underdevelopment of the African region. Among the major issues are poor terms of international trade, political instability, poverty, declining economic performance and international debt. [ABSTRACT FROM AUTHOR]

Despite an emerging body of work on youth transitions, research has yet to explore the often unconventional routes to adulthood for young people marginalised through poverty. By drawing on interviews with 60 young commercial sex workers in Ethiopia, this paper explores the connections between poverty, migration and sex work and demonstrates that sex work provides a risky alternative, but often successful, path to independence for some rural–urban migrants. The paper concludes by offering recommendations for policies that seek to support young sex workers by enabling them to maintain their independence while seeking different employment. [ABSTRACT FROM AUTHOR]

Neoliberal restructuring in Morocco has been taking place for over twenty years. Beginning with a decade of structural adjustment, from the early 1980s to the early 1990s, parts of the public sector have been privatized, state services such as health care and education reduced, tariffs lowered and exports heavily promoted. In the dryland agricultural areas, a declensionist colonial environmental narrative has been appropriated to help justify and implement the neoliberal goals of land privatization and the intensification of agricultural production in the name of environmental protection. This paper contributes to areas of growing interest for geographers through an analysis of the underexplored relationship between neoliberalism and environmentalism, in the form of questionable environmental narratives, in Morocco. Land degradation in the dryland agricultural areas of Morocco is commonly blamed on overgrazing by local pastoralists despite existing documentation that suggests instead that ploughing of marginal lands and over-irrigation are the primary drivers of land degradation in the region. The deployment of this colonial environmental narrative of ‘native improvidence’ has facilitated an expansion of state power over collective rangelands under neoliberalism at the same time that government involvement has decreased in other sectors. The effects of neoliberalism in Morocco have been complex and thus the paper argues that current neoliberal reforms such as the Morocco–US free trade agreement need to be scrutinized carefully to prevent a further exacerbation of poverty as well as to prevent further land degradation in these areas. [ABSTRACT FROM AUTHOR]

This paper demonstrates that recent protests in Bolivia must be linked to the failure of efforts to improve democratic participation in the country. It argues that such failures can be traced to a history of prejudices in national development and society and persistent biases and contradictions within international development policy and institutions. Despite these obstacles, the paper concludes that ideas for appropriate development and realistic alternatives for change to government and democracy are visible in recent critical development thinking and amongst the different social and cultural groupings involved in the demonstrations. [ABSTRACT FROM AUTHOR]

This paper presents health outcomes and associated socioeconomic factors of 41 children admitted to a tertiary care institution in south-east Nigeria with Burkitt's lymphoma (BL) between 1987 and 2004. BL responds well to chemotherapy and does not pose a significant threat to health in industrialized nations. However, in resource-poor settings where it is endemic, socioeconomic factors significantly affect access to care for affected children, making this readily treatable condition a cause of considerable distress and early death in affected children. Half of the children reported in this paper presented with late stage disease. Although laboratory facilities were available, they were not accessible to all the children. Nearly a quarter of parents of these children could not afford the cost of confirmatory tests, and about a fifth (n = 8; 19.5%) of the children received no chemotherapy because of their parents’ inability to pay. Only 21 of 41 children (51.2%) remained on treatment long enough (at least 12 weeks) to enable them to be confirmed either as short-term cure (n = 9; 64.3%), or as early relapse (n = 2; 4.9%). Owing to financial constraint, 13 of the parents (31.7%) withdrew their children against medical advice (n = 7; 17.1%) or left the hospital (n = 6; 14.6%). To address the challenge posed by these factors, we call for the establishment of a regional BL programme in Africa to help establish a critical mass of resources (human and material) to facilitate the development of an effective and accessible control programme in the region. [ABSTRACT FROM AUTHOR]

It is widely accepted that the rising gap in recent years between the global rich and the global poor can be linked to globalization in one way or another, although the strength and causality of the link is debated. Against the backcloth of the havoc wreaked by neo-liberalism and the Washington Consensus, new meta-narratives of global order are emerging to suggest ways of reducing global poverty and inequality. This paper examines two ‘Olympian’ visions of re-regulation along social democratic lines that propose new scalar arrangements. It evaluates these meta-narratives against another spatial ontology of regulation thrown up by the economy of global flows and networks – an unfolding regime of heterarchical order that is topological, hybrid, decentred and coalitional in its workings. The paper argues that these new ‘micro-worlds’ of regulation are as significant as, and equivalent to, so-called macro-orders of regulation in influencing global poverty and inequality, that they throw into doubt assumptions of control and reach held by the meta-narratives, and that their rise amounts to a situation of global regulatory excess, rather than, as some have argued, a condition of regulatory deficit or global disorder. [ABSTRACT FROM AUTHOR]

How much does the 2001 census tell us about the changes in people's life in British cities and regions since 1991? This paper attempts to answer this question by telling the stories of two British northern cities: Leeds and Sheffield. In particular, the paper investigates and compares socio-economic change in these cities on the basis of actual 1991 and 2001 census data as well as estimated non-census data. A static spatial microsimulation model is used to combine the outputs of the 1991 and 2001 censuses of UK population with data from the British Household Panel Survey (BHPS) data. In particular, selected Small Area Statistics (SAS) tables from the 1991 and 2001 censuses are used as constraints in the spatial microsimulation modelling exercise, which aims to reweight BHPS household records so that they satisfy these constraints. The paper briefly discusses the change in these census variables across different localities of the two cities. It is then shown how the changes in these variables affect the simulation of non-census variables. Further, the microsimulation model is used to estimate the trends in income inequalities and child poverty between and within the two cities. Finally, the paper discusses the implication of the research findings for policy formulation. [ABSTRACT FROM AUTHOR]

Social capital, understood as norms of reciprocity and associational life, is supposed to provide a bottom-up approach to poverty alleviation world-wide. The World Bank says that social capital is a necessary condition for long-term development and that social capital is the capital of the poor. This paper will argue that much of the literature is too sanguine of the benefits of social capital for the poor. It is, of course, important to look at the extent to which social capital can help the poor. But how the conditions of the poor people can also affect their social capital is equally important to examine, and this has often been neglected by many scholars who have been busy to prove that social capital is a new paradigm of development. Based on qualitative interviews in two rural areas in Orissa, eastern India, this paper seeks to examine whether and to what extent poor people of the daily wage labour class benefit from their social capital. It then goes on to unpack the mechanisms in which the economic-political conditions under which poor people live and the spatiality of these conditions affect the production of social capital. By seeking to unpack the dialectical relation between social capital and poverty, the paper aims at problematizing the overly optimistic claims about social capital. It shows that it is untenable to posit social capital as an independent variable and poverty as a dependent variable because the economic-political conditions of poor people have an enormous constraining effect on social capital itself and its supposed material benefits for the poor. [ABSTRACT FROM AUTHOR]

The Revised National Tuberculosis Control Programme (RNTCP), based on the World Health Organization's DOTS strategy,* was introduced in India in the mid-1990s. This paper reports the findings from operational research studies in two pilot sites in New Delhi from 1996 to 1998. A variety of operational research methods were used, including semi-structured interviews, focus group discussions, non-participant observations and collection of data from the tuberculosis registers. The cure rates for the clinics were 71 and 75% with a default rate of 6 and 11%, respectively. An important finding was that health workers screened patients to determine their ability to conform to the direct observation of treatment element of the RNTCP. If the health worker was confident that the patient would comply and/or be easy to trace in the community in the event of 'default', they were provided with short-course treatment under the RNTCP. Other patients, largely those who were in absolute poverty, socially marginalized, itinerant labourers, poorly integrated in the city, were put on standard tuberculosis (TB) treatment as for the previous National TB Programme. The programme was evidently excluding the most vulnerable from the best available care. These findings demonstrate the potential dangers of target-driven programmes where there is an absence of support to both frontline health workers and patients. The paper also highlights the importance of operations research in helping to identify problems within TB programmes. [ABSTRACT FROM AUTHOR]

Advocacy represents an intervention into complex, dynamic and highly contextual socio-political systems, in which strategies and tactics must be adjusted on a continual basis in light of rapidly changing conditions, reactions from actors and feedback. For this reason, the practice of advocacy is often considered more art than science. However, capacities and practices for advocacy can be strengthened by sharing and analysing experiences in varying contexts, deriving general principles and learning to adapt these principles to new contexts. Nutrition is a particular context for advocacy, but to date, there has been little systematic analysis of experiences. The purpose of this paper is to illustrate and draw lessons from the practice of nutrition advocacy, especially in relation to stunting and complementary feeding, and suggest ways to strengthen capacities and practices in the future. The strategies and tactics, achievements and lessons learnt are described for three case studies: Uganda, Vietnam and Bangladesh. These cases, and experience from elsewhere, demonstrate that concerted, well-planned and well-implemented advocacy can bring significant achievements, even in short period of time. In light of the global and national attention being given to stunting reduction through the SUN ( Scaling Up Nutrition) movement and other initiatives, there is now a need for much stronger investments in strategic and operational capacities for advocacy, including the human, organisational and financial resources for the advocacy and strategic communication themselves, as well as for monitoring and evaluation, supportive research and institutional capacity-building. [ABSTRACT FROM AUTHOR]

Little is known about the response of post-partum women from deprived backgrounds to weight management interventions, however behavioural intervention trials in disadvantaged communities are often characterised by recruitment difficulties. Recruitment and retention is key to the robust conduct of an effective trial, and exploratory work is essential prior to a definitive randomised controlled trial. This paper describes strategies used to recruit to the WeighWell feasibility study, which aimed to recruit 60 overweight or obese post-partum women living in areas of deprivation to a trial of a weight-loss intervention. Recruitment strategies included the following: (1) distribution of posters and 'business cards'; (2) newspaper advertisements; (3) visits to community groups; and (4) personalised letters of invitation sent via the National Health Service (NHS). Potential participants were screened for eligibility following response to a Freephone number. Body mass index was calculated using self-reported body weight and height. Over 6 months, 142 women responded of whom 65 (46%) met the eligibility criteria. The most effective methods for recruiting eligible women and those who went on to complete the study ( n = 36) were visits to community groups (37% and 42%, respectively), personalised letters (26% and 17%, respectively) and posters and 'business cards' (22% and 31%, respectively). These results emphasise the need to utilise a range of strategies beyond traditional NHS settings. Current approaches might be enhanced by sending personal contact letters via their General Practitioner to women identified as eligible at post-natal discharge. Under-reporting of body weight by self-report suggests that a threshold lower than 25 kg/m2 should be utilised for screening purposes. [ABSTRACT FROM AUTHOR]

ABSTRACT This paper, which is based on an extensive analysis of the literature, gives a brief overview of the main ways in which solidarity has been employed in bioethical writings in the last two decades. As the vagueness of the term has been one of the main targets of critique, we propose a new approach to defining solidarity, identifying it primarily as a practice enacted at the interpersonal, communal, and contractual/legal levels. Our three-tier model of solidarity can also help to explain the way in which crises of solidarity can occur, notably when formal solidaristic arrangements continue to exist despite 'lower tiers' of solidarity practices at inter-personal and communal levels having 'broken away'. We hope that this contribution to the growing debate on the potential for the value of solidarity to help tackle issues in bioethics and beyond, will stimulate further discussion involving both conceptual and empirically informed perspectives. [ABSTRACT FROM AUTHOR]

ABSTRACT The debate over the host of moral issues that genetic enhancement technology (GET) raises has been significant. One argument that has been advanced to impugn its moral legitimacy is the 'unfair advantage argument' (UAA), which states: allowing access to GET to be determined by socio-economic status would lead to unjust outcomes, namely, create a genetic caste system, and with it the exacerbation and perpetuation of existing socio-economic inequalities. Fritz Allhoff has recently objected to the argument, the kernel of which is that it conflates the use of the technology with its distribution. GET, he argues, would generate unjust outcomes only if it is distributed according to principles of an unjust pattern of distribution; for if we can determine what constitutes a 'just' distributive scheme, then the technology can be allocated according to the principles of that scheme. In this paper I argue the following cluster of related claims: (1) both UAA and Allhoff's proposed distributive schemes ignore the importance of non-genetic factors in the development of an individual's characteristics and capacities; (2) if we accept the view that it is good to prevent unjust outcomes that arise because some have exclusive access to GET, then we have to accept wide-ranging distributive schemes; (3) by tracking genetic and non-genetic factors wide-ranging schemes do violate in some sense the widely shared value of neutrality in liberal democracies. [ABSTRACT FROM AUTHOR]

This paper uses a system of labour supply equations and data from Burkina Faso collected in 2003 to test the conditions underlying two different migratory movements: continental and intercontinental migration. We provide theoretical reasoning and empirical evidence that heterogeneity in migration is related to heterogeneity in rural households. We find that comparatively asset-poor households embark on continental migration, whereas intercontinental migration takes place in comparatively wealthy households in response to opportunities for accumulation of wealth in Europe. We also find that access to religion-specific migrant networks plays a positive and negative role in explaining, respectively, intercontinental and continental migration. [ABSTRACT FROM AUTHOR]

Low income proportion is an important index in comparisons of poverty in countries around the world. The stability of a society depends heavily on this index. An accurate and reliable estimation of this index plays an important role for government's economic policies. In this paper, the authors study empirical likelihood-based inferences for a low income proportion under the simple random sampling and stratified random sampling designs. It is shown that the limiting distributions of the empirical likelihood ratios for the low income proportion are the scaled chi-square distributions. The authors propose various empirical likelihood-based confidence intervals for the low income proportion. Extensive simulation studies are conducted to evaluate the relative performance of the normal approximation-based interval, bootstrap-based intervals, and the empirical likelihood-based intervals. The proposed methods are also applied to analyzing a real economic survey income dataset. The Canadian Journal of Statistics 39: 1-16; 2011 ©2011 Statistical Society of Canada [ABSTRACT FROM AUTHOR]

Information-rich environments, with access and funding provided by government, make it possible to organize longitudinal administrative data to support analyses of policy-relevant questions. This paper describes insights into children's well-being and social equity obtained from data available in Manitoba, Canada, and highlights findings that have engaged policymakers. Analyses draw on Manitoba-linked data providing information over time (going back to 1970 in some files) and across space (with residential location documented every six months) for each provincial resident. Routinely collected data from the Ministries of Health, Education, and Family Services and Consumer Affairs have been integrated with a population registry. Identifying risk factors and presenting outcomes by social groups and by local communities capture the attention of policymakers. Linking an individual's area of residence to census and health data has led to developing measures of population health status and socioeconomic status. These measures focus on whether delivery patterns track health and educational needs, and a population registry makes it possible to describe who is (and is not) served by each program. The nature of health and social research has been changed by the development of information-rich environments. Many findings in Manitoba could not be replicated without a population registry. Engaging decision makers through effective presentations can ensure continuing support for diverse efforts based on these environments, and this article suggests ways of better communicating with policymakers. [ABSTRACT FROM AUTHOR]

The paper is based on an on-going 3-year study in the wetland communities of Kampala. The study uses participatory methods and aims to contribute to (i) the development of low-income wetland communities, (ii) to prepare these communities to become less dependent on wetlands without receding into poverty, and (iii) the better management of the wetlands. The communities in direct dependence and intimate interaction with Nakivubo wetlands are mainly poor, live and work under hazardous conditions, and their activities pose a threat to the ecological function of the wetlands. Yet these wetlands are important for filtering the city’s waste and storm water before it flows into Lake Victoria’s Murchison Bay, which is Kampala’s source of piped water. Government approaches to the problem of wetland encroachment have largely failed because they are confrontational, and are not consistent or participatory. The study has in the first year conducted a series of activities including stakeholder analysis, resource analysis, livelihood analysis, a questionnaire survey and action planning. Preliminary data show that wetland dependency is very high among the poor nearby communities. They practice cultivation, brick-making and harvesting of wetland vegetation. However, these activities are under threat because wetland resources are dwindling due to increasing population and over-use. Livelihoods are threatened not only by the decreasing productivity of the wetland, but also by the ever-present government threat to evict wetland encroachers to restore its ecology. The study therefore works with communities to prepare for less dependence on wetlands so that they do not suddenly recede into worse poverty if they are evicted. They formulate strategies to enhance alternative livelihood, and for management of the wetland. Action plans have been formulated to address the situation through a newly created association. [ABSTRACT FROM AUTHOR]

Despite its growing popularity as a method across the social sciences, the methodological literature on auto-photography is remarkably sparse. In an effort to begin redressing this gap, this paper provides an account of the ways in which auto-photography was used to complement other research methods in a (re)examination of the geographies of homelessness. It describes how auto-photography illuminated ‘hidden’ spaces that do not typically feature in public (or academic) imaginations of homelessness, and provided more nuanced understandings of the use, meanings and dynamics associated with other, apparently already ‘known’ spaces. It concludes that whilst auto-photography presents a number of logistical and ethical challenges – particularly when used with such a vulnerable group – it is nevertheless a powerful heuristic tool. [ABSTRACT FROM AUTHOR]

The Island of Montréal is particularly concerned with the issue of poverty. In 2000, 29 percent of its inhabitants lived under the low income cut-offs as defined by Statistics Canada. However, poverty is not a homogeneous phenomenon at the intra-urban scale, and identifying and categorizing spaces of poverty has become a main concern for ongoing researches. According to this way of thinking, this paper proposes an analysis of the factors influencing the geographical distribution of poverty on the Island of Montréal. To be able to identify properly the various profiles of poverty, this analysis uses a specific methodology, the geographically weighted regression (GWR), and compares its results with the ones of a classical regression model. At the global level, the most important factors to explain poverty are in order: unemployment, lone-parent families, one person households, recent immigrants, part time or part year workers, school dropouts. At the local level, [ABSTRACT FROM AUTHOR]

In recent years, attention has increasingly focused on the wider context of nutrition, rather than simply on calorie and nutrient intake. Recent estimates put the figure of people in the world living in extreme poverty (an income of less than $1 a day) at 1.1 billion. This has significant implications for nutritional deficiencies in infants and young children. In this paper, we will show how the physical growth and psychological development of infants and children are intimately linked, and how many of the same aetiological factors (such as caregiver sensitivity, psychosocial support, communicative exchange between infant/child and their caregiver) are implicated in both domains. Preliminary evidence indicates that community-based interventions impact on the mother–infant relationship as well as infant physical growth, and contribute to the increasing sense of how aspects of the early relationship between infants and their caretakers are crucial to any complete understanding of infant growth and development. The paediatric food-based dietary guidelines (PFBDGs) include guidelines relating to the mother–infant relationship and may thus prove to be a significant tool in community interventions. [ABSTRACT FROM AUTHOR]

Public statistics face quite a challenge when it comes to measuring new dimensions of development (institutions, governance, and social and political participation). To take up this challenge, modules on Governance, Democracy and Multiple Dimensions of Poverty have been appended to household surveys by National Statistics Institutes in twelve African and Latin American developing countries. This paper presents the issues addressed and the methodological lessons learnt along with a selection of findings to illustrate this innovative approach and demonstrate its analytic potential. We investigate, for instance, the population's support for democratic principles, the respect for civil and political rights and the trust in the political class; the ‘need for the State’, particularly of the poorest; the extent of petty corruption; the reliability of expert surveys on governance; the perception of decentralization policies at local level; the level and vitality of social and political participation, etc. The conclusive appraisal made opens up prospects for the national statistical information systems in the developing countries. The measurement and tracking of this new set of objective and subjective public policy monitoring indicators would benefit from being made systematic. [ABSTRACT FROM AUTHOR]

Few cities in Latin America provide much evidence of good governance. However, during the last fifteen years, Bogotá has been transformed and now qualifies in certain respects as an example of ‘best practice’. The paper considers how Bogotá changed and whether it can continue its improvement, an especially interesting question insofar as a left-wing administration has been in charge since 2004. Of course, the city is by no means perfect and national issues continue to create difficulties both for the poor and for the local administration. [ABSTRACT FROM AUTHOR]

There is currently a growing interest in the spatial causes of poverty, particularly its persistence. This paper presents methodological innovations that have been developed for investigating the relationship between physical segregation and economic marginalization in the urban environment. Using GIS to layer historical poverty data, contemporary deprivation indexes and space syntax measures of spatial segregation, a multivariate system has been created to enable the understanding of the spatial process involved in the creation and stagnation of poverty areas as well as to analyse the street segment scale of configuration. [ABSTRACT FROM AUTHOR]

This paper focuses on poverty and inequality in the world today. First, it points out how this topic is a main concern for the IAB. Second, it proposes ‘new’ theoretical tools in order to analyze global justice and our obligations towards the needy. I present John Rawls's denial that the egalitarian principle can be applied to the global sphere, his proposed weak duty of assistance, and his consideration of endemic poverty as essentially homegrown. In opposition, I focus on Thomas Pogge as representative of a cosmopolitan view who also holds a critical position towards the international systems which allow and cause poverty. I endorse the general normative proposal that defends every human being as an ultimate unit of moral concern, as well as the strategy of moving away from the charity model of bilateral aid to the realm of rights and duties. These ideas should redesign and broaden the normative and practical roles of institutions, and should also help provide a new approach on bioethical issues such as drug patenting or the imbalance in global research and neglected diseases. [ABSTRACT FROM AUTHOR]