Proportions of facility births are increasing throughout sub-Saharan Africa, but obstetric services vary within the health system. In Tanzania, advanced management of childbirth complications ... Show moreProportions of facility births are increasing throughout sub-Saharan Africa, but obstetric services vary within the health system. In Tanzania, advanced management of childbirth complications (comprehensive emergency obstetric care) is offered in hospitals, while in frontline, primary health care (PHC) facilities (health centres and dispensaries) mostly only routine childbirth care is available. With over half (54%) of rural births in facilities, we hypothesized the presence of socio-economic inequity in hospital-based childbirth uptake in rural Tanzania and explored whether this relationship was modified by parity. This inequity may compound the burden of greater mortality among the poorest women and their babies. Records for 4456 rural women from the 2015-16 Tanzania Demographic and Health Survey with a live birth in the preceding 5years were examined. Proportions of births at each location (home/PHC/hospital) were calculated by demographic and obstetric characteristics. Multinomial logistic regression was used to obtain crude and adjusted odds ratios of home/PHC and hospital/PHC births based on household wealth, including interaction between wealth and parity. Post-estimation margins analysis was applied to estimate childbirth location by wealth and parity. Hospital-based childbirth uptake was inequitable. The gap between poorest and richest was less pronounced at first birth. Hospital-based care utilization was lowest (around 10%) among the poorest multiparous women, with no increase at high parity (>= 5) despite higher risk. PHC-based childbirth care was used by a consistent proportion of women after the first birth (range 30-51%). The poorest women utilized it at intermediate parity, but at parity >= 5 mostly gave birth at home. In an effort to provide effective childbirth care to all women, context-specific strategies are required to improve hospital-based care use, and poor, rural, high parity women are a particularly vulnerable group that requires specific attention. Improving childbirth care in PHC and strengthening referral linkages would benefit a considerable proportion of women. Show less
Zaal, A.F.M.; Dietz, A.J.; Jong, A. de; Broekhuis, A. 2001
This chapter looks at a high-profile Fulbe Muslim religious leader from Mali and explores his relations with the people of the Mande. This Muslim religious leader, El-Hadj Cheikh Sidy Modibo Kane... Show moreThis chapter looks at a high-profile Fulbe Muslim religious leader from Mali and explores his relations with the people of the Mande. This Muslim religious leader, El-Hadj Cheikh Sidy Modibo Kane Diallo of Dilly, in the circle of Nara, is perhaps one of the most influential religious leaders in present-day Mali. The author examines the development of Diallo's "career" as a 'shaykh' and a 'wali' (friend of God). He shows how this career has been constructed in large part through ideological oppositions between Fulbe and Mande/Bambara, as well as through the 'shaykh's interactions with actual Bambara people, particularly his efforts to spread Islam among the country's non-Muslim ("pagan") rural Bambara population and to eradicate the widespread practice of spirit possession. As he suggests, it is in such conversion campaigns that one can see most clearly how individuals - both Fulbe and Bambara - deploy such ideological oppositions. Ultimately, however, the results of such campaigns to spread Islam remain rather ambiguous. Bibliogr., notes, ref., sum. in French. [ASC Leiden abstract] Show less
This bibliography on Ethiopia and Eritrea is a sequel to 'Ethiopian society and history: a bibliography of Ethiopian studies 1957-1990' (1990). The present volume, which covers the period 1990... Show moreThis bibliography on Ethiopia and Eritrea is a sequel to 'Ethiopian society and history: a bibliography of Ethiopian studies 1957-1990' (1990). The present volume, which covers the period 1990-1995, contains c. 2000 items. Books, journal articles, and articles from collective volumes have been included. The entries are arranged under the following headings: Bibliographies; History and development of Eritreo-Ethiopian studies; Manuscripts, documents, sources, library studies; Travellers and foreigners; History; Cultural geography, ecology, demography; Politics and law before 1974; Politics, law and revolutionary development after 1974; Politics and law after 1991; Peasantry and the rural sector after 1974; The urban sector; Modernization, communications, industry and 'development'; Economics, economic policy, banking; Social structure, social change and gender; Drought and famine, refugees and resettlement; International relations; Ethno-regional conflicts; Education; Health and health care; Ethnomedicine and indigenous knowledge; Folklore, magic, oral traditions; Music; Material culture, architecture, arts and crafts; Christian and hagiographical literature; Religion and missions; Ethnology and anthropology. The last section is subdivided according to ethno-cultural groups. A list of collective volumes and an index of authors' names have been included Show less
Comprehensive overview of publications on Ethiopia published between c. 1957 up to 1990. The 5433 entries are arranged according to the following broad subject areas: Bibliographies - History of... Show moreComprehensive overview of publications on Ethiopia published between c. 1957 up to 1990. The 5433 entries are arranged according to the following broad subject areas: Bibliographies - History of Ethiopianist studies - Studies on manuscripts, documents, archives and library resources - Travellers and foreigners - History - Cultural geography and demography - Politics and law before 1974 - Politics, law and revolutionary development after 1974 - Peasantry and the rural sector before 1974 - Peasantry and the rural sector after 1974 - The urban sector - Modernization, communications, industry and economic development - Social structure and social change - Drought and famine; refugees and resettlement - International relations - Ethnoregional conflicts - Education - Health and health care - Ethnomedicine, traditional healing, disease history - Folklore, magic, oral traditions - Music - Material culture, architecture, arts and crafts - Christian and hagiographical literature - Religion and missions - Ethnography and ethnology. An author index is included Show less
