Disability as a determinant of access to health care services in Colombia

The relationship between disability and poverty has been described in different contexts. Nevertheless, the basic characteristics of this relationship have not yet been fully established. The social exclusion and discrimination against people with disabilities increase the risk of poverty and reduce the access to basic opportunities such as health and education. This study examines the impact of a health limitation and poverty in the access to health care services in Colombia. Data from the Colombian National Health Survey (2007) was used in the analysis. Variables related with health condition and socio economic characteristics were first generated. Then interactions between health limitations and the lower levels of the asset index were created. This variable gave information related to the relationship between disability and poverty. A probabilistic model was estimated to examine the impact of a health condition and the relation between poverty and disability on the access to health care. The results suggest that living with a physical limitation increases by 10% the probability of access to health care services in Colombia. However, people with a disability and in the lowest quartile of the asset index have a 5% less probability of access to health care services. We conclude that people who live with a physical, mental or sensorial limitation have a higher probability of access to health care services. However, poor and disabled people have a lower probability in access, which increases the risk of having a severe disease and become chronically poor.

Reflections about Complicity and its Application in some Socio Economics Crimes

In Colombia, the definitions of crimes are found in the special part of the Criminal Code. They are set out as though the only way of to commit them was by being the author of the punishable conduct there described. Nevertheless, in the general part of the Criminal Code, we find other forms of criminal responsibility for the conduct described in the special part. Complicity is one of those ways. Although complicity is established in the Criminal Code, it does not appear as a criminal definition and, as such it is ignored or, worse, applied incorrectly. For those reasons, this article tries to reflect upon the validity of complicity. Accordingly, this article analyzes: what is complicity, what is the difference between complicity and co-authorship and how would complicity work in some practical cases related to socio-economic crimes, in which it has being overlooked or, has been used incorrectly. The article concludes that complicity is still valid, and that the correct application of complicity materializes the ideal of justice.

La educación secundaria y sus dos dimensiones, efectos del barrio y del colegio sobre los resultados saber 11.

Resumen: Este trabajo estudia los resultados en matemáticas y lenguaje de 32000 estudiantes en la prueba saber 11 del 2008, de la ciudad de Bogotá. Este análisis reconoce que los individuos se encuentran contenidos en barrios y colegios, pero no todos los individuos del mismo barrio asisten a la misma escuela y viceversa. Con el fin de modelar esta estructura de datos se utilizan varios modelos econométricos, incluyendo una regresión jerárquica multinivel de efectos cruzados. Nuestro objetivo central es identificar en qué medida y que condiciones del barrio y del colegio se correlacionan con los resultados educacionales de la población objetivo y cuáles características de los barrios y de los colegios están más asociadas al resultado en las pruebas. Usamos datos de la prueba saber 11, del censo de colegios c600, del censo poblacional del 2005 y de la policía metropolitana de Bogotá. Nuestras estimaciones muestran que tanto el barrio como el colegio están correlacionados con los resultados en las pruebas; pero el efecto del colegio parece ser mucho más fuerte que el del barrio. Las características del colegio que están más asociadas con el resultado en las pruebas son la educación de los profesores, la jornada, el valor de la pensión, y el contexto socio económico del colegio. Las características de los barrios más asociadas con el resultado en las pruebas son, la presencia de universitarios en la UPZ, un clúster de altos niveles de educación y nivel de crimen en el barrio que se correlaciona negativamente. Los resultados anteriores fueron hallados teniendo en cuenta controles familiares y personales.

Gross Inequality and Inequality of Opportunities in Basic Education: Were they affected by Latin America’s Economic Boom?

In the context of economic growth and recovering socio-economic conditions, many Latin American countries have implemented deep educational reforms since the beginning of the century. This paper aims to analyse whether these changes have promoted equality of educational opportunities in the region. Both the access and knowledge and skills dimensions are evaluated for six important countries, deepening the analysis for Argentina, Brazil and Colombia, in order to better understand the trends observed. Results point to reasonable progress in access, but reflect an unsatisfactory evolution of the level and distribution of knowledge and skills as reflected by PISA test scores.

Reductions in insecticide use from adoption of Bt cotton in South Africa: impacts on economic performance and toxic load to the environment

The study reported presents the findings relating to commercial growing of genetically-modified Bt cotton in South Africa by a large sample of smallholder farmers over three seasons (1998/99, 1999/2000, 2000/01) following adoption. The analysis presents constructs and compares groupwise differences for key variables in Bt v. non-Bt technology and uses regressions to further analyse the production and profit impacts of Bt adoption. Analysis of the distribution of benefits between farmers due to the technology is also presented. In parallel with these socio-economic measures, the toxic loads being presented to the environment following the introduction of Bt cotton are monitored in terms of insecticide active ingredient (ai) and the Biocide Index. The latter adjusts ai to allow for differing persistence and toxicity of insecticides. Results show substantial and significant financial benefits to smallholder cotton growers of adopting Bt cotton over three seasons in terms of increased yields, lower insecticide spray costs and higher gross margins. This includes one particularly wet, poor growing season. In addition, those with the smaller holdings appeared to benefit proportionately more from the technology (in terms of higher gross margins) than those with larger holdings. Analysis using the Gini-coefficient suggests that the Bt technology has helped to reduce inequality amongst smallholder cotton growers in Makhathini compared to what may have been the position if they had grown conventional cotton. However, while Bt growers applied lower amounts of insecticide and had lower Biocide Indices (per ha) than growers of non-Bt cotton, some of this advantage was due to a reduction in non-bollworm insecticide. Indeed, the Biocide Index for all farmers in the population actually increased with the introduction of Bt cotton. The results indicate the complexity of such studies on the socio-economic and environmental impacts of GM varieties in the developing world.

Reductions in insecticide use from adoption of Bt cotton in South Africa: impacts on economic performance and toxic load to the environment

The study reported presents the findings relating to commercial growing of genetically-modified Bt cotton in South Africa by a large sample of smallholder farmers over three seasons (1998/99, 1999/2000, 2000/01) following adoption. The analysis presents constructs and compares groupwise differences for key variables in Bt v. non-Bt technology and uses regressions to further analyse the production and profit impacts of Bt adoption. Analysis of the distribution of benefits between farmers due to the technology is also presented. In parallel with these socio-economic measures, the toxic loads being presented to the environment following the introduction of Bt cotton are monitored in terms of insecticide active ingredient (ai) and the Biocide Index. The latter adjusts ai to allow for differing persistence and toxicity of insecticides. Results show substantial and significant financial benefits to smallholder cotton growers of adopting Bt cotton over three seasons in terms of increased yields, lower insecticide spray costs and higher gross margins. This includes one particularly wet, poor growing season. In addition, those with the smaller holdings appeared to benefit proportionately more from the technology (in terms of higher gross margins) than those with larger holdings. Analysis using the Gini-coefficient suggests that the Bt technology has helped to reduce inequality amongst smallholder cotton growers in Makhathini compared to what may have been the position if they had grown conventional cotton. However, while Bt growers applied lower amounts of insecticide and had lower Biocide Indices (per ha) than growers of non-Bt cotton, some of this advantage was due to a reduction in non-bollworm insecticide. Indeed, the Biocide Index for all farmers in the population actually increased with the introduction of Bt cotton. The results indicate the complexity of such studies on the socio-economic and environmental impacts of GM varieties in the developing world.

Integrating socio-economics and ecology: a taxonomy of quantitative methods and a review of their use in agro-ecology

Answering many of the critical questions in conservation, development and environmental management requires integrating the social and natural sciences. However, understanding the array of available quantitative methods and their associated terminology presents a major barrier to successful collaboration. We provide an overview of quantitative socio-economic methods that distils their complexity into a simple taxonomy. We outline how each has been used in conjunction with ecological models to address questions relating to the management of socio-ecological systems. We review the application of social and ecological quantitative concepts to agro-ecology and classify the approaches used to integrate the two disciplines. Our review included all published integrated models from 2003 to 2008 in 27 journals that publish agricultural modelling research. Although our focus is on agro-ecology, many of the results are broadly applicable to other fields involving an interaction between human activities and ecology. We found 36 papers that integrated social and ecological concepts in a quantitative model. Four different approaches to integration were used, depending on the scale at which human welfare was quantified. Most models viewed humans as pure profit maximizers, both when calculating welfare and predicting behaviour. Synthesis and applications. We reached two main conclusions based on our taxonomy and review. The first is that quantitative methods that extend predictions of behaviour and measurements of welfare beyond a simple market value basis are underutilized by integrated models. The second is that the accuracy of prediction for integrated models remains largely unquantified. Addressing both problems requires researchers to reach a common understanding of modelling goals and data requirements during the early stages of a project.

Arid rangeland production systems of Southern Africa

This paper analyses and describes the semi-arid rangelands of southern Africa. These rangelands are found in the grassland, savanna and thicket biomes and comprise all the remaining land which does not support commercial rainfed agriculture, in extent some 778221 km2 (66% of South Africa). Although production is primarily driven by rainfall, rangeland management systems have been developed to cope with the uncertain climate and to ameliorate the impact of inter-annual variation in production. We describe the rangeland types that occur, provide an insight into their management and examine some constraints on livestock production which the socio-economic environment presents. We describe the grazing management systems which apply under the two land tenure systems, namely freehold and leasehold tenure, and discuss how each of these systems effects livestock production, management and resource condition.

The medieval climate anomaly and Byzantium: a review of the evidence on climatic fluctuations, economic performance and societal change

At the beginning of the Medieval Climate Anomaly, in the ninth and tenth century, the medieval eastern Roman empire, more usually known as Byzantium, was recovering from its early medieval crisis and experiencing favourable climatic conditions for the agricultural and demographic growth. Although in the Balkans and Anatolia such favourable climate conditions were prevalent during the eleventh century, parts of the imperial territories were facing significant challenges as a result of external political/military pressure. The apogee of medieval Byzantine socio-economic development, around AD 1150, coincides with a period of adverse climatic conditions for its economy, so it becomes obvious that the winter dryness and high climate variability at this time did not hinder Byzantine society and economy from achieving that level of expansion. Soon after this peak, towards the end of the twelfth century, the populations of the Byzantine world were experiencing unusual climatic conditions with marked dryness and cooler phases. The weakened Byzantine socio-political system must have contributed to the events leading to the fall of Constantinople in AD 1204 and the sack of the city. The final collapse of the Byzantine political control over western Anatolia took place half century later, thus contemporaneous with the strong cooling effect after a tropical volcanic eruption in AD 1257. We suggest that, regardless of a range of other influential factors, climate change was also an important contributing factor to the socio-economic changes that took place in Byzantium during the Medieval Climate Anomaly. Crucially, therefore, while the relatively sophisticated and complex Byzantine society was certainly influenced by climatic conditions, and while it nevertheless displayed a significant degree of resilience, external pressures as well as tensions within the Byzantine society more broadly contributed to an increasing vulnerability in respect of climate impacts. Our interdisciplinary analysis is based on all available sources of information on the climate and society of Byzantium, that is textual (documentary), archaeological, environmental, climate and climate model-based evidence about the nature and extent of climate variability in the eastern Mediterranean. The key challenge was, therefore, to assess the relative influence to be ascribed to climate variability and change on the one hand, and on the other to the anthropogenic factors in the evolution of Byzantine state and society (such as invasions, changes in international or regional market demand and patterns of production and consumption, etc.). The focus of this interdisciplinary

Modelo para avaliação de desempenho do sistema de saúde municipal com foco nas ações da saúde materno-infantil da atenção básica por meio de indicadores sociais

O presente trabalho aborda o desempenho dos sistemas municipais de saúde, tendo como foco a saúde materno-infantil. Com o objetivo de apontar as possíveis fragilidades dos sistemas de saúde, especificamente daqueles em que a Atenção Primária (AP) é a principal ou exclusiva estratégia de atuação da gestão municipal, foi criado um modelo teórico de avaliação dos indicadores de saúde, denominado de ADS. Aplicado às cidades com população entre 14 mil e 35 mil habitantes, onde o sistema de saúde se baseia exclusivamente na política de AP, esse modelo foi construído por meio da técnica de consenso, com a formação de um grupo de 12 especialistas na área de saúde coletiva para definição e validação de critérios para análise dos sistemas. Testado na cidade de Iati, localizada no Agreste Meridional e distante 282 quilômetros da capital pernambucana, o ADS apontou fatores ambientais e socioeconômicos abaixo da média, além de vulnerabilidades da assistência materno-infantil que influenciam negativamente a situação de saúde do município. A avaliação verificou ainda desempenho insatisfatório no que diz respeito ao acompanhamento das crianças e gestantes por meio de consultas médicas (efetividade); assistência à criança (continuidade); cobertura de consultas em crianças e imunização de gestantes (acesso aos serviços da Atenção Primária); produtividade das ações realizadas pelos profissionais de saúde (eficiência) e capacidade de investigação dos óbitos infantis, qualidade dos registros e controle da sífilis em gestantes (vigilância à saúde). Também foi observada baixa alocação de investimentos em saúde em combinação com a carência de recursos humanos e materiais para prestar os serviços. Ao final da pesquisa, foi possível constatar a viabilidade de aplicação do modelo para planejamento das auditorias, avaliando o desempenho dos indicadores de saúde no âmbito municipal.

Competência e desempenho nas habilidades primarias: um estudo a luz dos determinantes socio-econômicos

Este trabalho, pretende ser uma contribuição, no sentido de aguçar as atenções despertadas na área do desenvolvimento cognitivo do pré-escolar, para que não se desviem do grave problema há muito instalado na nossa sociedade: as dificuldades nos primeiros anos escolares da população procedente da classe baixa. O desempenho neste período, é um dos fatores determinantes no futuro acadêmico. Portanto, faz-se necessário que a compreensão do ambiente social se torne definida, permitindo planejar medidas de intervenção, que resultem em promoção social, especialmente para as classes e grupos carentes. As preocupações mencionadas, orientaram os esforços deste estudo, afim de se entender as variações intelectuais em função do nível socioeconômico de pré-escolares, assim como, as possíveis interrelações entre essas variáveis. Partindo-se de uma sucinta análise através de uma breve revisão das principais concepções da inteligência, buscou-se interpretar e relacionar essas contribuições e suas consequências em nível pragmático. Destaque marcante atribuiu-se aos estudos de AF inspirados no instrumental de D. Wechsler, enfatizando-se a avaliação dos fatores mais comumente encontrados. O aspecto central do trabalho é representado por uma pesquisa instrumentada através do WISC e de um questionário sôcio-econômico. A Análise Fatorial (AF) dos dados coletados, levou a detectar 4 fatores, cuja interpretação constituiu um tema paralelo deste trabalho.

Quinze anos de ação comunitária: uma análise descritiva de uma prática educacional

Este estudo aborda a Ação Comunitária, forma de intervenção educacional em populações carentes, no período de 1950 a 1975. Avalia esta ação, baseando no binômio "Dependência-independência" , partindo do pressuposto que a Ação Comunitária, Dor definição, deve levar as populações-alvo à urna postura de independência para tornarem-se interdependentes na consecução do objetivo do desenvolvimento. o objeto principal do estudo é a evolução histórica de urna instituição particular, a FASE, comparada com outras instituições públicas e privadas, que atuaram nas comunidades ditas marginalizadas, na época analisada. Analisam-se as redefinições de objetivos da instituição e, posteriormente, reformulações das estratégias pedagógicas, usadas no decorrer destes anos, Dara definir três tipos básicos de intervenção: 1. O assistencialismo que, sem usar metodologia específica, atende as comunidades nas suas supostas necessidades, numa postura anti-pedagógica, porque aumenta com isso os laços de dependência da comunidade em relação à instituição interveniente. 2. O DC (desenvolvimento comunitário), metodologia propagada 4 nela 0NU na década de 60, baseada ora em técnicas de planejamento, ora em teorias sociais, e que pretende obter maior participação da comunidade na definição e implementação do seu auto desenvolvimento . Conclui-se que a experiência do De no Brasil, em geral falhou, não tanto por falta de continuidade, mas mais por conjunturas políticosociais adversas, falta de planeiamento global e superficialidade na condu~ão do processo, ficando o DC limitado à Or~ani ? ação da Comunidad e e algumas melhoria s de infra- estrutura hásica, obtidas através de estratéqias de auto-ajuda e mutirãô, sem nun ca atingir os problemas estruturais, causas da mar ginalizacão e da dependência. 3. A Educação oara o Desenvolvimento , ornoosta na d! cada de 70 7 ~ue se limitou em primeira instância a UM mera nualificação do capital humano , e, na medida no avanço da abertura oolítica, se redifi niu numa nedaqoqia de conscientização e oarticipa cao. Enquant~ a ~rimeira estratéqia educacional transfere a dependência do indivíduo ao ânbito do sistema capitalista, a segunda esbarra contra os nro~lemas estruturais s6cio-econômicos de um nais eM fase de caritalismo denendente. Conclui-se que a Acão Comunitária, nara alcancar seu objetivo que é a independência dos ind ivíduos e rlas comunidades, marginalizadas, nara tornarem-se narceiras i 9uais particioativos no orocesso de desenvolvimento nacionaL depende, basicamente , da conjuntura nolítica e das estruturas econômico- sociais do pais.

The impact of the 2008 economic recession on three residential property type investments: a case study of five diverse zip codes in Washington DC, USA

There has been 47 recessions in the United States of America (US) since 1790. US recessions have increasingly affected economies of other countries in the world as nations become more and more interdependent on each other. The worst economic recession so far was the “Great Depression” – an economic recession that was caused by the 1929 crash of the stock market in the US. The 2008 economic recession in the US was a result of the burst of the “housing bubble” created by predatory lending. The economic recession resulted in increased unemployment (according to NBER 8.7 million jobs were lost from Feb. 2008 to Feb. 2010); decrease in GDP by 5.1%; increase in poverty level from 12.1% (2007) to 16.0% (2008) (NBER) This dissertation is an attempt to research the impact of the 2008 economic recession on different types of residential investments: a case study of five (5) diverse neighborhoods/zip codes in Washington DC, USA The main findings were that the effect of the 2008 economic depression on the different types of residential properties was dependent on the location of the property and the demographics/socio-economic factors associated with that location.

Apitidão funcional e comportamentos relacionados à saúde em mulheres idosas do município de Jequié-BA

The identification of the factors that interfere in the decline of functional conditions is useful in the planning of actions addressing the improvement in the conditions of the lives of elderly people. The purpose of this investigation was to analyze the relationship between social demographics and health aspects of the functional condition in elderly women of low income of the Brazilian northeast. This crosssectional study involved a representative sample of 222 women with an average age of 70 years (± 7.1), belonging to coexisting groups and that were resident in the urban area of the municipal district of Jequié /Bahia. In order to achieve this objective, a battery of physical tests of functional aptitude was carried out previously tested in pilot study, anthropometric measurements collected with a comparison of the measures referred to the reported weight and height as well as the application of an interview with questions containing subjects related to social demographic variables, clinical conditions and health, physical conditions and behaviors. Descriptive statistics Proceedings (frequency, average, standard deviation and percent distribution) were used for statistic analysis, and the calculation of the respective odds ratio by binary logistics regression, for the analysis of factors hierarchically grouped; p<0.05. The prevalence of 56% (n=122) of women considered with moderated or serious type of functional limitations was found, In which from multi-varied hierarchical analysis, significant association was verified with the age group over 80 years (p=0.02), conditions of widowhood (p=0.04), presence of arterial hypertension (p=0.001), and physical inactivity during leisure time (p=0.03). On the other hand for functional incapacities the prevalence was of 46.8% (n=104) being associated to the increase of the age (p=0.01), hospitalization (p=0.02), absence of physical activities along their lives (p=0.001) and the occurrence of alterations in the cognitive function (p=0.001). The normative table for the parameters of physical fitness generated conducive to health professionals in the diagnosis of health conditions and the prescription of physical exercises. The identified characteristics that are associated with the functional limitations / functional incapacities suggest a complex causal net in the determination of the functional condition in elderly women. However, actions addressed to the incentive of the practice of physical activities in the leisure time and the preservation of the cognitive function can contribute to a life with more quality for these people. This research was multidisciplinary approach to involve elements of psychology, nutrition and Physical Education in the elucidation of the object of study related to the functional condition of elderly women

Estrutura econômica, mercado de trabalho e evolução sócio-ocupacional no Rio Grande do Norte 2001 a 2008: reflexo de uma condição mercantil e estruturalmente periférica

The aim of this thesis was to investigate the evolution of the socio-occupational status in Rio Grande do Norte from 2001 to 2008, based on the characterization of the socio-economic status of this State from the analysis of labor market norte-rio-grandense . The study, specifically, drew a comparison between the dynamics of the labor market in Rio Grande do Norte and the capital city, Natal. From this perspective, the purpose was to make a relationship between the social division of labor and its effects on the socio-spatial division, represented in the "macro scale" by the federal unit and the "micro level" for the capital; locus of economic and population concentration. The collection of data on the labor market had as a major source PNAD/IBGE, characterizing the labor market in many ways: people of working age, economically active population and employed and unemployed people, classified by age, sex, color, education, income and social protection condition. However, as for the socio-occupational division, we follow the methodology used by the research group on national television, based in IPPUR /UFRJ, called Monitoring of the Metropolis," which rallied twenty-four groups that aggregate the occupations found in the PNAD/IBGE, in eight groups of socio-occupational categories, according to the similarity between them. It was used in the socio-spatial cutting two relevant discussions, which are inter-related and were characterized as crucial points in developing the research problem: the former was related to the influence of the hegemony of merchant capital in the labor market in Rio Grande North and, the latter, it referred the socio-economic relations between the territory and the variable occupation. Lastly, the results all indicated that in Rio Grande do Norte, as a peripheral state, has suffered the devastating influence of the hegemony of capital purely commercial basis, where "wealth" of capitalism is generated through the sphere of mere movement of goods and services rather than a productive process due to the social relations of production more advanced. We have a little advanced economic structure, with a tertiary sector that has propagated under-employment or disguised unemployment. Similarly, the agricultural sector has been presented as an example of greater social degradation of working conditions in the state. The secondary sector, in turn, also was not behind this uncertainty; on the contrary, confirmed that condition, with poor levels of income, low education of the workforce and a high degree of social helplessness, even in the state capital, space full urban area, which although always appear with a favorable condition compared to Province, in practically most of the variables studied, was also reflected at the same time the author of a structurally underdeveloped condition