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GORDON, SANFORD C., and HANNAH K. SIMPSON. "The Birth of Pork: Local Appropriations in America’s First Century." American Political Science Review 112, no. 3 (March 28, 2018): 564–79. http://dx.doi.org/10.1017/s000305541800014x.
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After describing a newly assembled dataset consisting of almost 9,000 local appropriations made by the U.S. Congress between 1789 and 1882, we test competing accounts of the politics surrounding them before offering a more nuanced, historically contingent view of the emergence of the pork barrel. We demonstrate that for most of this historical period—despite contemporary accusations of crass electoral motives—the pattern of appropriations is largely inconsistent with accounts of distributive politics grounded in a logic of legislative credit-claiming. Instead, support for appropriations in the House mapped cleanly onto the partisan/ideological structure of Congress for most of this period, and only in the 1870s produced the universalistic coalitions commonly associated with pork-barrel spending. We trace this shift to two historical factors: the emergence of a solid Democratic South, and growth in the fraction of appropriations funding recurrent expenditures on extant projects rather than new starts.
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Visser, Nicholas. "Postcoloniality of a Special Type: Theory and Its Appropriations in South Africa." Yearbook of English Studies 27 (1997): 79. http://dx.doi.org/10.2307/3509134.
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Mlilo, Mthokozisi, and Matamela Netshikulwe. "Re-testing Wagner's Law: Structural breaks and disaggregated data for South Africa." Journal of Economics and Behavioral Studies 9, no. 4(J) (September 4, 2017): 49–61. http://dx.doi.org/10.22610/jebs.v9i4(j).1821.
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Direction of causality between government expenditure and output growth is pertinent for a developing country since a sizeable volume of economic resources is in the hands of the public sector. This paper investigates the Wagner's law in South Africa over the post-apartheid era, 1994-2015. This paper is unique to present studies since it uses disaggregated government expenditure and controls for structural breaks. The Granger non-causality test of Toda & Yamamoto, a superior technique compared to conventional Granger causality testing, is employed and this paper finds no support for Wagner's law. However, there is causality running from total government and education expenditures to output. This finding is in line with the Keynesian framework. It is recommended in the paper that the government should take an active role in promoting output growth through increases in education expenditures in particular.
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Mlilo, Mthokozisi, and Matamela Netshikulwe. "Re-testing Wagner’s Law: Structural breaks and disaggregated data for South Africa." Journal of Economics and Behavioral Studies 9, no. 4 (September 4, 2017): 49. http://dx.doi.org/10.22610/jebs.v9i4.1821.
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Direction of causality between government expenditure and output growth is pertinent for a developing country since a sizeable volume of economic resources is in the hands of the public sector. This paper investigates the Wagner's law in South Africa over the post-apartheid era, 1994-2015. This paper is unique to present studies since it uses disaggregated government expenditure and controls for structural breaks. The Granger non-causality test of Toda & Yamamoto, a superior technique compared to conventional Granger causality testing, is employed and this paper finds no support for Wagner's law. However, there is causality running from total government and education expenditures to output. This finding is in line with the Keynesian framework. It is recommended in the paper that the government should take an active role in promoting output growth through increases in education expenditures in particular.
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Coetzee, Liza (ESM), Hanneke Du Preez, and Aideen Maher. "The Case For Tax Relief On Private Security Expenditures In South Africa." International Business & Economics Research Journal (IBER) 13, no. 2 (February 27, 2014): 419. http://dx.doi.org/10.19030/iber.v13i2.8458.
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Like other countries in transitional democracies, South Africa is experiencing high levels of crime since its first democratic election in 1994. About 83 percent of South Africans believe that the South African Police Service is corrupt and citizens are losing faith in the government to protect them as promised in the Constitution. As a result citizens are paying a large portion of their disposable income on security expenses to protect themselves and their property. Currently no tax relief is available for non-trade related security expenditure, as stated by the South African Revenue Services in 2008 after a public outcry to allow private security expenses as a deduction. This paper urges government to revisit its decision made in 2008. Private security expenses have become a necessity in the daily lives of South Africans. This was demonstrated by surveying four of the largest private security companies in an area of Tshwane Metropolitan Municipality (previously called Pretoria), South Africa. The paper ends by proposing three possible ways of providing tax relief for private security expenses.
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Jack, B. Kelsey, and Grant Smith. "Pay as You Go: Prepaid Metering and Electricity Expenditures in South Africa." American Economic Review 105, no. 5 (May 1, 2015): 237–41. http://dx.doi.org/10.1257/aer.p20151096.
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High rates of customer default on utility bills present a barrier to the expansion of electricity access in the developing world. Pre-paid electricity metering offers a technological solution to ensuring timely payment. Using an eleven-year panel of pre-paid electricity customers in Cape Town, South Africa, we describe patterns of purchase behavior across property values, our measure of socioeconomic status. Poorer households buy electricity more often, in smaller increments, and are most likely to buy on payday. These patterns suggest difficulties smoothing income, and reveal a preference for small, frequent purchases that is incompatible with a standard monthly electricity billing cycle.
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Vermaak, Claire, Marcel Kohler, and Bruce Rhodes. "Developing an energy-based poverty line for South Africa." Journal of Economic and Financial Sciences 7, no. 1 (April 30, 2014): 127–44. http://dx.doi.org/10.4102/jef.v7i1.134.
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The issue of energy poverty or the lack of access to modern energy has received increasing attention in the development literature, including specific reference in the UN Millennium Development Goals (MDGs). Measures based on just energy expenditures (‘energy burden’) are shown to be rather inadequate when identifying energy-poor households. This paper uses an access-adjusted energy poverty measure that allows for varying energy efficiencies and access to different fuel types used by sampled households from a 2008/9 Department of Energy survey. Taking three pre-assigned thresholds of household energy use among LSM1-LSM3 households, all the South African provinces are mapped showing spatial incidences of energy poverty for electrified households. It is proposed that these access-adjusted indicators are methodologically more robust and informative for policy than conventional, purely expenditure-based indicators.
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Habanabakize, Thomas, and Paul-Francois Muzindutsi. "Time series analysis of interaction between aggregate expenditure and job creation in South Africa." Journal of Governance and Regulation 4, no. 4 (2015): 649–57. http://dx.doi.org/10.22495/jgr_v4_i4_c5_p11.
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Jobs are the pillars of the economy and aggregate expenditure is among the key factor used to create an employment stimulating environment. This study scrutinizes the relationship between the component of aggregate expenditure and job creation in South Africa form 1995 to 2014. The Vector Autoregressive (VAR) model and multivariate co-integration approach were employed to examine how household consumption, government, investment and export expenditures affect job creation in South Africa. Findings of this study revealed that there is long-run relationship between aggregate expenditure and job creation with government and investment expenditure being the key determinants of job creation in South Africa. Contrary to priori expectation, consumption and exports do not improve jobs creation in South Africa. In the short-run, there are no significant interactions between components of aggregate expenditure and job creation. This study provided recommendation that may assist in boosting job creation in South Africa.
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Colclough, Christopher, and Samer Al-Samarrai. "Achieving Schooling for All: Budgetary Expenditures on Education in Sub-Saharan Africa and South Asia." World Development 28, no. 11 (November 2000): 1927–44. http://dx.doi.org/10.1016/s0305-750x(00)00065-6.
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Dzomira, Shewangu. "Financial accountability & governance in an emerging country." Corporate Ownership and Control 14, no. 3 (2017): 204–8. http://dx.doi.org/10.22495/cocv14i3c1art6.
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In the public sector the agents have the responsibility of being accountable to the exploitation of the resources towards service delivery. The public sector expenditure has been characterised with wasteful and fruitless, irregular and unauthorised expenditures. Therefore governance embraces the engagements set to certify that the anticipated upshots for stakeholders (citizens) are limpid and realized. This study is grounded on agency theory as it seeks out to analyse public expenditure and governance in South Africa’s public sector. The research study followed a qualitative research approach based on an interpretative philosophy which examined meaningful and symbolic content of qualitative data from 24 General Reports on The Provincial Audit Outcomes for the three periods (2012-2013; 2013-2014 and 2014-2015). The research results propose that public sector financial governance in South Africa is pitiable as the public agencies perpetrate an act of financial misdemeanour as they continue to errantly make irregular expenditures, unauthorised expenditures and, fruitless and wasteful expenditures. Public finance management reform is a necessity as it can aid governments move to single accounting systems across the public sector, permitting centralised planning and budgeting, as well as the capacity to observe the expenditure of funds centrally. It is recommended that governments should implement integrated financial management systems which allows for integrated budgeting, financial management, procurement and supply chain management.
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Chisholm, Dan, Emily Garman, Erica Breuer, Abebaw Fekadu, Charlotte Hanlon, Mark Jordans, Tasneem Kathree, et al. "Health service costs and their association with functional impairment among adults receiving integrated mental health care in five low- and middle-income countries: the PRIME cohort study." Health Policy and Planning 35, no. 5 (March 9, 2020): 567–76. http://dx.doi.org/10.1093/heapol/czz182.
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Abstract This study examines the level and distribution of service costs—and their association with functional impairment at baseline and over time—for persons with mental disorder receiving integrated primary mental health care. The study was conducted over a 12-month follow-up period in five low- and middle-income countries participating in the Programme for Improving Mental health carE study (Ethiopia, India, Nepal, South Africa and Uganda). Data were drawn from a multi-country intervention cohort study, made up of adults identified by primary care providers as having alcohol use disorders, depression, psychosis and, in the three low-income countries, epilepsy. Health service, travel and time costs, including any out-of-pocket (OOP) expenditures by households, were calculated (in US dollars for the year 2015) and assessed at baseline as well as prospectively using linear regression for their association with functional impairment. Cohort samples were characterized by low levels of educational attainment (Ethiopia and Uganda) and/or high levels of unemployment (Nepal, South Africa and Uganda). Total health service costs per case for the 3 months preceding baseline assessment averaged more than US$20 in South Africa, $10 in Nepal and US$3–7 in Ethiopia, India and Uganda; OOP expenditures ranged from $2 per case in India to $16 in Ethiopia. Higher service costs and OOP expenditure were found to be associated with greater functional impairment in all five sites, but differences only reached statistical significance in Ethiopia and India for service costs and India and Uganda for OOP expenditure. At the 12-month assessment, following initiation of treatment, service costs and OOP expenditure were found to be lower in Ethiopia, South Africa and Uganda, but higher in India and Nepal. There was a pattern of greater reduction in service costs and OOP spending for those whose functional status had improved in all five sites, but this was only statistically significant in Nepal.
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Okafor, Chukwuemeka, Solomon Matiwane, and Richard Amechi Onuigbo. "Examining Municipal Councillors’ Oversight Roles in Alfred Nzo District Municipality of the Eastern Cape, South Africa." Africa’s Public Service Delivery and Performance Review 3, no. 3 (September 1, 2015): 52. http://dx.doi.org/10.4102/apsdpr.v3i3.89.
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This study reviews the oversight roles played by municipal councillors in Alfred Nzo District Municipality, Eastern Cape Province, South Africa. The objective is to determine the appropriate strategies that can be recommended for improving effectiveness of leadership, i.e., council structures. This is against the backdrop of the Auditor-General’s audit report for three financial years (2008–2011), which revealed the weakness of the systems of the municipal councils, including internal controls and inadequate leadership. These audit findings had been highlighted as the basis for irregular, fruitless and wasteful expenditures that results to a series of adverse and disclaimer audit reports. Using a qualitative methodology approach with a descriptive design, the study attempts to assess the extent to which the political leadership of the municipality performs its roles in response to expectations of good governance and service delivery. The findings show apparent shortcomings in the administrative procedures. To achieve improvement in good governance, financial accountability and service delivery, the study recommends for improvement in educational and leadership capacity of elected councillors.
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Dobrzanski, Pavel, Sebastian Bobowski, Elie Chrysostome, Emil Velinov, and Jiri Strouhal. "Toward Innovation-Driven Competitiveness Across African Countries: An Analysis of Efficiency of R&D Expenditures." Journal of Competitiveness 13, no. 1 (March 31, 2021): 5–22. http://dx.doi.org/10.7441/joc.2021.01.01.
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The main goal of this paper is to determine whether R&D funds are used efficiently in African countries. The innovativeness of a country’s economy is nowadays one of the key factors stimulating the economic growth and competitiveness. Becoming more innovative is important in particular for developing countries, whose governments are developing national innovation strategies (NIS) and assuming a steady increase in research and development spending. Efficient innovation policies are creating conditions for enterprise development and the increase of competitiveness of the country. A calculation of R&D spending efficiency for selected African economies for the years 2009-2017 was carried out using Data Envelopment Analysis methodology, which allows the evaluation of input-output efficiency. Public and private spending on R&D as % of GDP was the selected inputs indicator. The model examines three output indicators: the number of patent applications (per million inhabitants), high-technology exports (% of export), and number of technical and scientific journal articles (per million inhabitants). Among the analyzed countries, those on the efficiency frontier regarding the use of CRS methodology are South Africa and Tunisia. According to VRS methodology, the most efficient nations are South Africa, Tunisia, and Madagascar. The performed analysis has not confirmed our hypothesis regarding the non-proportional relation between higher R&D spending and innovation outputs. Considering limited innovation capacities across African countries, it appears to be reasonable to increase R&D expenditures gradually to achieve better results on the path toward innovationdriven growth and development.
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London, Leslie. "Human Rights and Public Health: Dichotomies or Synergies in Developing Countries? Examining the Case of HIV in South Africa." Journal of Law, Medicine & Ethics 30, no. 4 (2002): 677–91. http://dx.doi.org/10.1111/j.1748-720x.2002.tb00435.x.
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Despite growing advances in medical technologies, health status inequalities continue to increase across the globe. Developing countries have been faced with declining expenditures in health and social services, increasing burdens posed by both communicable and non-communicable diseases, and economic systems poorly geared to fostering sustainable development for the poorest and most marginalized. Under such circumstances, the challenges facing health practitioners in countries in transition are complex and diverse, and require the balancing of many conflicting imperatives. This is particularly so in relation to the development of public health policy, where equity, redress of past inequalities, and the god of social justice may seemingly be pitted against macroeconomic adjustments required for national economic development in an increasingly globalized economic order.For example, pressures to deregulate as part of a market-oriented development philosophy will increase the risks from occupational hazards in populations desperate for paid employment.
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Hashmi, Shabir Mohsin, Ali Gul Khushik, Muhammad Akram Gilal, and Zhao Yongliang. "The Impact of GDP and Its Expenditure Components on Unemployment Within BRICS Countries: Evidence of Okun’s Law From Aggregate and Disaggregated Approaches." SAGE Open 11, no. 2 (April 2021): 215824402110234. http://dx.doi.org/10.1177/21582440211023423.
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This article examines the responsiveness of changes in the unemployment rate to changes in output for Brazil, Russia, India, China, and South Africa (BRICS) using aggregate and disaggregated data from 1991 to 2018. We also split the entire sample period into two subsamples (from 1991 to 2008 and 2009 to 2018) to see the responsiveness of changes in the unemployment rate to changes in the GDP in pre and post global financial crisis period of 2007–2008. Three different econometric methods were employed for conducting the analysis. Results obtained from aggregated and disaggregated data for the entire sample and two subsamples confirm the validity of the Okun law for BRICS. The postcrisis period Okun’s law estimates are larger than those from the full sample and precrisis period. Disaggregated data results show private consumption is the main determinant of the unemployment rate and its estimate is negative and significant. Along with consumption expenditures, other variables that have relevancy in determining changes in the unemployment rate are government expenditures, exports, and imports. Based on aggregated and disaggregated data results, it is recommended that the relevant authorities must focus sustainable economic growth for reducing unemployment rate in the country. Particularly, they must incentivize consumption and government expenditures, boost exports, and curtail imports for reducing the unemployment rate.
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Mpundu, Mubanga, Mubanga Mpundu, and Nolutho Diko. "Economic Growth and Household Expenditure Nexus: A Focus on Education and Health in South Africa." Mediterranean Journal of Social Sciences 12, no. 4 (July 8, 2021): 89. http://dx.doi.org/10.36941/mjss-2021-0030.
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The COVID-19 pandemic which was first recorded from China and spread globally in 2020 caused a massive response from many countries with most opting for national lockdowns. The move prohibited the movement of people across boarders so as to control and limit the spread of the virus. In developing countries, the move contributed to ill performing economies even before the pandemic was rampant. The study focused on analysing time series data with a focus on the effects of changes in final consumer consumption on health and education on gross domestic product per capita. A Vector Error Correction Model was used as a suitable displaying technique when the factors were found to be cointegrated. Numerous economic variables showed persistent upward or descending movement which could be created by stochastic patterns in incorporated variables. Results showed the error correction coefficient was statistically significant showing the speed at which GDP per capita returned to equilibrium because of changes in the independent variables. What was interesting from the results was the fact that final consumption expenditures on health and education where not negatively affected by shocks in the economy prior and during COVID-19. Consumers where still spending on the health and education as they are considered vital for the development and wellbeing of households even with reduced foreign direct investment observed. Investment into high return projects both in health and education should be funded more as they in turn tend to have a positive impact on production. Received: 2 May 2021 / Accepted: 15 June 2021 / Published: 8 July 2021
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Piesse, J., and C. Thirtle. "Agricultural R&D, technology and productivity." Philosophical Transactions of the Royal Society B: Biological Sciences 365, no. 1554 (September 27, 2010): 3035–47. http://dx.doi.org/10.1098/rstb.2010.0140.
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The relationships between basic and applied agricultural R&D, developed and developing country R&D and between R&D, extension, technology and productivity growth are outlined. The declining growth rates of public R&D expenditures are related to output growth and crop yields, where growth rates have also fallen, especially in the developed countries. However, growth in output value per hectare has not declined in the developing countries and labour productivity growth has increased except in the EU. Total factor productivity has generally increased, however it is measured. The public sector share of R&D expenditures has fallen and there has been rapid concentration in the private sector, where six multinationals now dominate. These companies are accumulating intellectual property to an extent that the public and international institutions are disadvantaged. This represents a threat to the global commons in agricultural technology on which the green revolution has depended. Estimates of the increased R&D expenditures needed to feed 9 billion people by 2050 and how these should be targeted, especially by the Consultative Group on International Agricultural Research (CGIAR), show that the amounts are feasible and that targeting sub-Saharan Africa (SSA) and South Asia can best increase output growth and reduce poverty. Lack of income growth in SSA is seen as the most insoluble problem.
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Saxena, Akshar, Nicholas Stacey, Paula Del Ray Puech, Caroline Mudara, Karen Hofman, and Stéphane Verguet. "The distributional impact of taxing sugar-sweetened beverages: findings from an extended cost-effectiveness analysis in South Africa." BMJ Global Health 4, no. 4 (August 2019): e001317. http://dx.doi.org/10.1136/bmjgh-2018-001317.
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BackgroundFacing increasing obesity prevalence and obesity-related disease burden, South Africa has devised an obesity prevention strategy that includes a recently implemented tax on the sugar content of sugar-sweetened beverages (SSB). We assess the potential distributional impact (across socioeconomic groups) of this tax on type 2 diabetes mellitus (T2DM) incidence and associated mortality and its financial burden on households.MethodsWe conducted an extended cost-effectiveness analysis of the new 10% tax on SSBs in South Africa, and estimated: the averted premature deaths related to T2DM, the financial benefits to households (out-of-pocket (OOP) medical costs and indirect costs due to productivity losses averted), the increased government tax revenues and healthcare savings for the government, all across income quintiles.FindingsA 10% SSB tax increase would avert an estimated 8000 T2DM-related premature deaths over 20 years, with most deaths averted among the third and fourth income quintiles. The government would save about South African rand (ZAR) 2 billion (US$140 million) in subsidised healthcare over 20 years; and would raise ZAR6 billion (US$450 million) in tax revenues per annum. The bottom two quintiles would bear the smallest tax burden increase (36% of the additional taxes). The bottom two income quintiles would also have the lowest savings in OOP payments due to significant subsidisation provided by government healthcare. Lastly, an estimated 32 000 T2DM-related cases of catastrophic expenditures and 12 000 cases of poverty would be averted.ConclusionsSSB taxation would have a substantial distributional impact on obesity-related premature deaths, cost savings to the government and the financial outcomes of South Africa’s population.
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Gratwohl, Alois, Helen Baldomero, Mahmoud Aljurf, Marcelo C. Pasquini, Luis Fernando Bouzas, Ayami Yoshimi, Jeffrey Szer, et al. "Hematopoietic Stem Cell Transplantation: a Global Perspective From the Worldwide Network of Blood and Marrow Transplantation." Blood 114, no. 22 (November 20, 2009): 809. http://dx.doi.org/10.1182/blood.v114.22.809.809.
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Abstract Abstract 809 Hematopoietic stem cell transplantation (HSCT) has become the standard of care for many patients with defined congenital or acquired disorders of the hematopoietic system. It has seen rapid expansion over the last two decades. HSCT is frequently considered as high cost and highly specialized medicine restricted to countries with abundant resources. This view needs to be changed; HSCT might represent the most cost effective therapy in certain situations. In an attempt to obtain a global overview, the WBMT, has collected information from 1,350 transplant centers in 71 reporting countries over all continents on the numbers of HSCT by indication and donor type for 2006. Data were analyzed by four regions, based on the WHO classification (www.who.org): America (North, Central and South America), Asia (South East Asia and Western Pacific, including Australia and New Zealand), Europe and EMRO/Africa (Eastern Mediterranean region and Africa). Main indications were compared within and between regions. Transplant rates (number of HSCT per 10 million inhabitants) were computed and compared with several macro-economic health care indicators by single and multiple linear regression analyzes. They included gross national income per capita (GNI/capita), total health care expenditures, governmental health care expenditures, adult, infant and maternal mortality rate, hospital beds, cesarean section rates and human developmental index (http://hdr.undp.org). There were a total of 51,421 first HSCT, 22,163 allogeneic (43%), 29,258 autologous (57%). Main indications were leukemias 17,553 (34%; 89% allogeneic), lymphomas 27,778 (54%; 87% autologous), solid tumors 2,954 (6%; 95% autologous) and non-malignant disorders 2,771 (5%; 93% allogeneic). There were significant differences between and within regions: autologous HSCT was the preferred type of HSCT in America (58%) and Europe (61%), allogeneic HSCT in Asia (57%) and in EMRO Africa (65%). The proportion of unrelated donors was highest in Asia (49%); it was negligible in EMRO/Africa (6%). Leukemia was the main indication for allogeneic HSCT globally (71%). Non-malignant/congenital diseases represented about 10% of all HSCT globally; with almost 40% activity reported in EMRO/Africa. A minimum income as measured by GNI per capita and a minimum size as measured by its population or size were the primary prerequisites for performing HSCT in an individual country. No transplants were performed in countries with less than 300 000 inhabitants, less than 960 km2 of size and less than 680 US$ GNI per capita. All macro-economic factors has a significant positive or negative (mortality ratios) association with transplant rates (p<0.05; t-test) but with variable explanatory content: Governmental Health Care Expenditures (r2= 77.33), Gross National Income per Capita (r2= 74.04), team density (r2= 76.28) and, Human Developmental Index (r2= 74.36) explained best transplant rates. Weak explanations were found with, adult (r2= 49.03), infant (r2= 66.31) and maternal mortality rate (r2= 63.21), hospital beds (r2= 32.04) or, caesarean section rates (r2= 30.56). If all factors are combined in regression analyzes explanatory content reaches r2 = 84.24 but the significance of human development index is lost due to multicolinearity. In conclusion, this first global overview on HSCT activity demonstrates that HSCT is an accepted therapy world-wide today, with different needs and priorities in different countries. Transplant activity is concentrated in countries with higher health care expenditures, highest GNI/capita and high team density; hence, governmental support, access to a transplant center, disease prevalence and availability of resources are the key factors related to regional transplant activity. These data provide a solid basis for up-to-date health care counseling and targeted interventions and support the establishment of comprehensive regional registries. Disclosures: Gratwohl: AMGEN: Research Funding; Bristo Myers Squibb: Research Funding; Roche: Research Funding; Novartis: Research Funding; Pfizer: Research Funding.
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Townsend, R. F., J. van Zyl, and C. Thirtle. "ASSESSING THE BENEFITS OF RESEARCH EXPENDITURES ON MAIZE PRODUCTION IN SOUTH AFRICA / RAMING VAN DIE VOORDELE VAN NAVORSINGSBESTEDINGS OP MIELIEPRODUKSIE IN SUID-AFRIKA." Agrekon 36, no. 4 (December 1997): 585–97. http://dx.doi.org/10.1080/03031853.1997.9523486.
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Zieleniewski, M., and A. C. Brent. "Evaluating the costs and achievable benefits of extending technologies for uneconomical coal resources in South Africa: the case of underground coal gasification." Journal of Energy in Southern Africa 19, no. 4 (November 1, 2008): 21–31. http://dx.doi.org/10.17159/2413-3051/2008/v19i4a3335.
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As the South African economy relies heavily on its coal resources, these resources should be utilised and managed in the best possible manner. Underground coal gasification (UCG) is one of the leading technologies used where conventional min-ing techniques are uneconomical. UCG delivers gas suitable for synthesis, production of fuels and elec-tricity, or for home usage. The method is perceived as being environmentally friendly and safer than traditional mining. The study summarised in this paper was conducted so as to create a simple model that would allow for the evaluation of UCG process-related costs versus expected benefits in a wider context and under different circumstances. The parameters of the model are: feasibility definition, i.e. maximum possible gas calorific value, based on geological surveys and gasification agents for a pre-defined need; direct process-related costs that are derived from the expected capital and operational expenditures and compared to the value and vol-ume of the gas produced; and assessment of exter-nality costs, i.e. the indirect economic value of envi-ronmental, safety and health benefits. The external-ities concept should encourage governmental agen-cies to consider further investment in UCG technol-ogy as a vehicle for delivering, potentially, high sav-ings in terms of the reduction in the costs of envi-ronmental damage resulting from gaseous emis-sions into the atmosphere, specifically expenditure on national health.
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Voorend, Carlijn GN, Shane A. Norris, Paula L. Griffiths, Modiehi H. Sedibe, Marjan J. Westerman, and Colleen M. Doak. "‘We eat together; today she buys, tomorrow I will buy the food’: adolescent best friends’ food choices and dietary practices in Soweto, South Africa." Public Health Nutrition 16, no. 3 (July 16, 2012): 559–67. http://dx.doi.org/10.1017/s1368980012003254.
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AbstractObjectiveTo explore if and how female adolescents engage in shared eating and joint food choices with best friends within the context of living in urban Soweto, South Africa.DesignA qualitative, exploratory, multiple case study was conducted using semi-structured duo interviews of best friend pairs to ascertain their eating patterns, friendship and social interactions around dietary habits.SettingParticipants were recruited from three high schools in the urban township of Soweto, South Africa.SubjectsFifty-eight female adolescents (twenty-nine friend pairs) still in high school (mean age of 18 years) were enrolled.ResultsAlthough overweight rates were high, no association between friends was found; neither did friends share dieting behaviours. Both at school and during visits to the shopping mall, foods were commonly shared and money pooled together by friends to make joint purchases. Some friends carefully planned expenditures together. Foods often bought at school were mostly unhealthy. Availability, price and quality were reported to affect choice of foods purchased at school. Preference shaped joint choices within the shopping mall environment.ConclusionsFood sharing practices should be investigated in other settings so as to identify specific behaviours and contexts for targeted and tailored obesity prevention interventions. School-based interventions focusing on price and portion size should be considered. In the Sowetan context, larger portions of healthy food may improve dietary intake of fruit and vegetables where friends are likely to share portions.
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Ngalawa, Harold P. E. "Anatomy Of The Southern African Customs Union: Structure And Revenue Volatility." International Business & Economics Research Journal (IBER) 13, no. 1 (January 8, 2014): 145. http://dx.doi.org/10.19030/iber.v13i1.8385.
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This paper studies the evolution of the Southern African Customs Union (SACU), tracing it from its inception in 1889 as the Customs Union Convention, the worlds first customs union, to its current status. While the union has operated under different agreements, which have been negotiated and renegotiated with changing circumstances, the study identifies the agreements of 1889, 1910, 1969 and 2002 as key to the unions transformation. It is observed that SACU has evolved from a geopolitical organisation with a repressive colonial foundation to a well-integrated regional trading bloc that is perceived as a possible springboard for larger regional trading blocs in Africa. The study further explores evidence of declining SACU revenue and investigates its implications on government expenditures in the small members of the union; namely, Botswana, Lesotho, Namibia and Swaziland (BLNS countries). It is found that among the members of the union, Lesotho and Swaziland are the most dependent on SACU transfers and, consequently, the most vulnerable to the current downward trend in SACU revenue. While Namibia has traditionally relied on diamond exports, it has also been receiving large SACU transfers relative to its GDP. In addition, the study observes that the present SACU revenue sharing formula adopted in 2002 exposes the BLNS countries to instabilities arising from global business cycles more than it does South Africa.
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South, David B., Robert J. Mitchell, Bruce R. Zutter, John M. Balneaves, Brad L. Barber, Derek G. Nelson, and Janusz B. Zwolinski. "Integration of nursery practices and vegetation management: economic and biological potential for improving regeneration." Canadian Journal of Forest Research 23, no. 10 (October 1, 1993): 2083–92. http://dx.doi.org/10.1139/x93-260.
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Researchers in New Zealand, Scotland, South Africa, Texas, and Alabama provided data on growth responses owing to nursery management practices and weed control after outplanting. Nursery treatments included nitrogen fertilization (0 vs. 168 kg/ha), seedling grades (small-diameter vs. large-diameter seedlings), and a comparison of stock types. Weed-control treatments varied by study and included broadcast and spot applications. Interactions between nursery practices and weed control were examined. Regardless of location, growth (2–8 years after planting) was increased as seedling diameter increased. Practices that increase average seedling diameter in the nursery are typically less costly than silvicultural practices required to obtain similar growth responses from small-diameter stock. Although interactions were observed among sites, stock size, and intensity of weed control, large-diameter stock consistently grew better than small-diameter stock regardless of site or site-preparation method. Thus, increasing the investment of regeneration expenditures at the nursery, relative to that put into site preparation, will substantially improve financial returns on investment. Further research needs in this area are also discussed.
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Townsend, Rob, and Johan van Zyl. "ESTIMATION OF THE RATE OF RETURN TO WINE GRAPE RESEARCH AND TECHNOLOGY DEVELOPMENT EXPENDITURES IN SOUTH AFRICA / BEPALING VAN DIE OPBRENGSKOERS VAN NAVORSING EN TEGNOLOGIE-ONTWIKKELING IN DIE WYNDRUIFINDUSTRIE." Agrekon 37, no. 2 (June 1998): 189–210. http://dx.doi.org/10.1080/03031853.1998.9523505.
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Prayagsing, Chakeel, and Kheswar Jankee. "Influence of External Sources of Funding on Corporate Financial Policies in a Pre-Financial Crisis Period in South Africa—A Case Study of Mauritian Enterprises." Journal of Economics and Public Finance 3, no. 3 (June 3, 2017): 287. http://dx.doi.org/10.22158/jepf.v3n3p287.
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<p><em>A number of scholars have been motivated to study the manner to which firms adjust their corporate finance strategies in light of the availability and easiness of accessing external sources of funding. Till recently, researchers have also been interested to analyse the external factors that allow firms to relax their fixed budget and the consequent impact on corporate strategies. These mainly include alterations in the composition of their funding and the second round effects on other corporate decisions such as on investment projects and their dividend policies. External financing can be assessed both from a policy perspective, i.e., via financial liberalisation policies, as well as other development in the financial sector such as availability of alternative bases of finance, both from banks and non-banks. It will thus be pertinent to examine the impact of FL policies as well as availability of financial resources on the capital structure of Mauritian firms and their investment decisions in a post financial liberalization period. A judicious investigation is undertaken and the empirical soundness of our different formulations tested with the techniques of panel data and GMM estimates. We compare and contrast the results in the 7 different sectors notably banking, insurance, leasing, hotel, oil, retail/distributive trade and the construction industry. For a better analysis, the full sample of firms is divided into several subsamples as follows: top 100 companies, firms in group-structure, those which are not in group structures, local firms, international firms, firms with good banking ties, those with good and poor corporate governance, listed and unlisted firms. By employing different econometric investment models, we found that all indices of FL, including the index of money market liberalisation, index of capital account liberalisation and overall financial liberalisation index have do not have any influence on private investment behaviour. In contract, higher amount of money in circulation, bank credit, leasing activities and subsidised financing from the Development bank have a positive impact on private investment expenditures. Development in the financial sector in terms of credit facilities offered by insurance companies, venture capitals and the stock market activities have not been effective in inducing firms to increase their investment portfolios.</em></p>
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Silva do Carmo Previdelli, Maria de Fatima, and Luiz Eduardo Simões de Souza. "Environmental Policy in Brazil after the 2016 Coup: An Analysis of Government Expenditure." Management and Economics Research Journal 4, no. 2 (2018): 233. http://dx.doi.org/10.18639/merj.2018.04.670142.
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An emerging power since the last decade and a participant in BRICS—a bloc composed of Russia, China, India, and South Africa—Brazil would be the weakest link of an opposition to U.S. hegemony in the world order established since 1991 with the end of the Cold War. The 13-year advances of Luiz Inacio Lula da Silva’s reformist and progressive government, continued by his successor Dilma Rousseff, appear to have reached a tolerance limit regarding the retrograde domestic forces and outside interests of the metropolitan center. The coup happened in 2016, following a two-year process of political and economic destabilization of the government. This paper seeks to show, through the exposition of an earlier history and the analyzed narrative of the events, besides the analysis of the federal public expenditures, that this movement of linkage and regression occurred in the ambit of issues related to the environment. The coup government launched in 2016 has abandoned any environmental policy, is interested in dissolving the institutional framework established after 20 years of insertion of Brazil in the global debate on the environment, and does not even supervise and protect the country’s natural resources, in an attitude characteristic of a state of exception.
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Sharma, Avinash, Olusegun Isaac Alatise, Kelli O'Connell, Samson Gbenga Ogunleye, Adewale Abdulwasiu Aderounmu, Marquerite L. Samson, Funmilola Wuraola, Olalekan Olasehinde, T. Peter Kingham, and Mengmeng Du. "Healthcare utilisation, cancer screening and potential barriers to accessing cancer care in rural South West Nigeria: a cross-sectional study." BMJ Open 11, no. 7 (July 2021): e040352. http://dx.doi.org/10.1136/bmjopen-2020-040352.
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Background/aimsCancer burden is predicted to double by 2030 in sub-Saharan Africa; access to healthcare services for cancer management is a priority in the region. In Nigeria, National Cancer Control Plan aims to ensure >50% cancer screening of eligible populations by 2022 for all Nigerians. We describe healthcare utilisation, cancer screening activities and potential barriers to accessing cancer care within an understudied rural community-based adult population in South West Nigeria.MethodsIn April 2018, we conducted a cross-sectional study of community-based adults (>18 years) ~130 km east of Ibadan, 250 km from Lagos in Osun State, South West Nigeria. Participants completed a face-to-face survey in local dialect. We used a questionnaire to assess demographics, health status, income, medical expenditures, doctor visits and cancer screening history.ResultsWe enrolled 346 individuals: with median age of 52 years and 75% women. Of the entire cohort, 4% had medical insurance. 46% reported a major medical cost in the last year. Cancer screening activities were infrequent in eligible participants: 1.5% reported having had cervical cancer screening, 3.3% mammogram and 5% colonoscopy screening. Cancer screening assessment was less frequent in those with less income and lower education levels. Using a multivariable logistic regression model including personal income, insurance status and education, higher personal income was associated with more cancer screening activity (OR 2.7, 95% CI 1.3 to 5.7, p<0.01). Despite this, most individuals had contact with a primary healthcare doctor (52% in the last year), and over 70% access to radio and TV suggesting the opportunity to expand community-based screening interventions and awareness exists.ConclusionsDespite national increases in cancer cases, we highlight a deficiency in cancer screening and universal healthcare coverage within a community-based adult Nigerian population. Subject to availability of governmental resources, increasing financial risk protection, awareness and targeted resource allocation may help expand access in Nigeria.
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Mpofu, Raphael T. "Macroeconomic variables and food price inflation, nonfood price inflation and overall inflation: A case of an emerging market." Risk Governance and Control: Financial Markets and Institutions 7, no. 2 (2017): 38–48. http://dx.doi.org/10.22495/rgcv7i2art4.
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The paper analyses the association between certain macroeconomic variables and food price inflation, non-food price inflation and overall inflation in Zimbabwe, and also seeks to determine the level of association between these variables, given food security implications and overall well-being of its citizens. The study reveals that during the 2010 to 2016 period, Zimbabwe experienced stable food prices—annual food price inflation for food and non-alcoholic beverages averaged a relatively low growth rate of 0.12% monthly, while non-food inflation monthly growth rate was 0.09% and overall inflation growth rate was 0.11%. Although inflation from 2010 had been declining, of late, the increase in annual inflation has been underpinned by a rise in non-food inflation. Zimbabwe’s annual inflation remains lower than inflation rates in other countries in the region. Despite the increases lately in overall inflation, it remained below zero in January 2016, mostly driven by the depreciation of the South African rand and declining international oil prices. It should also be noted that domestic demand continued to decline in 2015, leading to the observed decline in both food and non-food prices. While food inflation has remained relatively low, it should be noted that non-food expenditures is significant component of the household budget and the rising prices result often lead to declining purchasing power and force households to make difficult choices in terms of their purchases. The findings of the study are food inflation has a low association with the independent variables under study; Zimbabwe broad money supply, rand-dollar exchange rates and the South Africa food inflation. There is, however, a very strong association between non-food inflation and these independent variables, as well as between overall inflation and the independent variables. Given the mostly rural population and the high level of unemployment in Zimbabwe, it can be surmised that the distributional burden of the effects of rising non-food prices between 2009 and 2016 fell mostly on these vulnerable groups as they had the lowest disposable income. In addition, it can also be surmised that domestic production can cushion the impact of rising prices in general, particularly on food. A deliberate policy of increasing domestic food production would therefore go a long way in ensuring lower price changes of both food and non-food items.
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SHKOLNYK, INNA O., NATALIIA G. VYHOVSKA, YULIIA S. HAVRYSH, and ANDRII O. IVANCHENKO. "Transparency of Public and Local Finances: Foreign Experience." Mechanism of an Economic Regulation, no. 3 (2020): 18–30. http://dx.doi.org/10.21272/mer.2020.89.02.
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In modern conditions, the role of transparency of both public and local finances is growing significantly, which is a tool to increase the efficiency of financial resources, which confirms the analysis of Ukrainian and foreign studies. In Ukraine, the level of transparency is improving every year and as of 2019 is assessed by international organizations as the minimum allowable. At the same time, the level of transparency of local budgets differs significantly in different regions. To improve the situation and implement best practices in the field of transparency of public finances at both the state and local levels, it is important to analyze the foreign experience of those countries that are leaders in ratings of transparency of public authorities and transparency of the budget process. The paper analyzes the experience of the Office of the Public Accountant of Texas (USA), the Treasury of New Zealand, and the Treasury of the Republic of South Africa, which according to the open budget rating provided by the International Budget Partnership are among the 10 most transparent countries. Analysis of the content of the information portal of the Texas Public Accounts Controller Office showed a separate section “Transparency” with a detailed presentation of information in terms of key blocks of revenues and expenditures, state budget and finances, information on the formation and use of funds in all localities, information on budget deficit as well as information on transparency at the level of individual settlements, school districts, etc. A comparative analysis with the state of transparency of Ukrainian government agencies responsible for the development and implementation of fiscal policy and identifies weaknesses and strengths in terms of their transparency. It is established that the openness of the process of using public finances in Ukraine is gradually increasing, while the positions in the world transparency rating are also improving. However, the conceptual difference between building sites in the countries analyzed is that they report to taxpayers in a form that is accessible to them, rather than simply covering available information without comment or explanation. Keywords: open budget, participation, public finances, rating, fiscal policy.
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Makate, Marshall, Steve Whetton, Robert J. Tait, Tania Dey, Michelle Scollo, Emily Banks, Richard Norman, Ken Pidd, Ann M. Roche, and Steven Allsop. "Tobacco Cost of Illness Studies: A Systematic Review." Nicotine & Tobacco Research 22, no. 4 (March 15, 2019): 458–65. http://dx.doi.org/10.1093/ntr/ntz038.
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Abstract Introduction To identify studies reporting costs arising from tobacco use and detail their (1) economic approaches, (2) health outcomes, and (3) other cost areas included. Methods We searched PubMed, Scopus, Cochrane Library, EconLit, and Google Scholar for studies published between 2008 and April 2018 in English. Eligible articles reported tobacco-related costs and included all tobacco-using populations (multinational, national, subpopulations, and involuntary smokers). All economic approaches that resulted in monetary outcomes were included. We reported USD or converted local currencies to USD. Two health economists extracted and two researchers independently reviewed the data. Results From 4083 articles, we reviewed 361 abstracts and examined 79 full-texts, with 63 (1.6%) deemed eligible. There were three multinational, thirty-four national, twenty-one subpopulation or condition(s)-specific analyses, and five evaluating involuntary smoking. The diverse approaches and outcomes precluded integrating costs, but these were substantial in all studies. For instance, about USD 1436 billion in global health expenditures and productivity losses in 2012 and USD 9 billion in lost productivity in China, Brazil, and South Africa in 2012. At the national level, costs ranged from USD 4665 in annual per respondent health expenses (Germany 2006–2008) to USD 289–332.5 billion in medical expenses (United States 1964–2014). Conclusions Despite wide variations in the methods used, the identified costs of tobacco are substantial. Studies on tobacco cost-of-illness use diverse methods and hence produce data that are not readily comparable across populations, time, and studies, precluding a consistent evidence-base for action and measurement of progress. Recommendations are made to improve comparability. Implications In addition to the health and financial costs to individual smokers, smoking imposes costs on the broader community. Production of comparable estimates of the societal cost of tobacco use is impaired by a plethora of economic models and inconsistently included costs and conditions. These inconsistencies also cause difficulties in comparing relative impacts caused by differing factors. The review systematically documents the post-2007 literature on tobacco cost-of-illness estimations and details conditions and costs included. We hope this will encourage replication of models across settings to provide more consistent data, able to be integrated across populations, over time, and across risk factors.
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Rangasamy, Logan. "Healthcare price changes and expenditures in South Africa: Some implications for economic policy." Development Southern Africa, April 6, 2021, 1–15. http://dx.doi.org/10.1080/0376835x.2021.1907176.
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Babikir, Ali, Ali Satty, and Henry Mwambi. "Determinants of out-of-pocket health expenditure and their welfare implications in a South African context." Journal of Economic and Financial Sciences 11, no. 1 (May 17, 2018). http://dx.doi.org/10.4102/jef.v11i1.177.
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This study aims to quantify the extent of catastrophic household health expenditures on welfare and determine factors influencing it. A logistic regression model based on the logit link function was used to predict the probability of catastrophic health expenditure occurrence. A comparison between 2008 and 2012 health status of adults shows that there was a sizable improvement of the health status of individuals. The high level of catastrophic health expenditure may be associated with the low share of prepayment in national health expenditure, adequate availability of services and a high level of poverty which for South Africa is 46.2% according to the Statistics South Africa report (2015). Major factors determining the catastrophic expenditure besides poverty were spending on hospitalisation and medical supplies. Thus, reducing catastrophic expenditures requires an increase in financial protection offered to the poor through expanding government-financed benefits for the poor such as implementation of the Social Health Insurance (SHI) scheme, which will cover all poor households.
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Mahomed, Ozayr H., Ruth Lekalakala, Shaidah Asmall, and Naseem Cassim. "Implications of the introduction of laboratory demand management at primary care clinics in South Africa on laboratory expenditure." African Journal of Laboratory Medicine 5, no. 1 (February 1, 2016). http://dx.doi.org/10.4102/ajlm.v5i1.339.
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Background: Diagnostic health laboratory services are regarded as an integral part of the national health infrastructure across all countries. Clinical laboratory tests contribute substantially to health system goals of increasing quality of care and improving patient outcomes.Objectives: This study aimed to analyse current laboratory expenditures at the primary healthcare (PHC) level in South Africa as processed by the National Health Laboratory Service and to determine the potential cost savings of introducing laboratory demand management.Methods: A retrospective cross-sectional analysis of laboratory expenditures for the 2013/2014 financial year across 11 pilot National Health Insurance health districts was conducted. Laboratory expenditure tariff codes were cross-tabulated to the PHC essential laboratory tests list (ELL) to determine inappropriate testing. Data were analysed using a Microsoft Access database and Excel software.Results: Approximately R35 million South African Rand (10%) of the estimated R339 million in expenditures was for tests that were not listed within the ELL. Approximately 47% of expenditure was for laboratory tests that were indicated in the algorithmic management of patients on antiretroviral treatment. The other main cost drivers for non-ELL testing included full blood count and urea, as well as electrolyte profiles usually requested to support management of patients on antiretroviral treatment.Conclusions: Considerable annual savings of up to 10% in laboratory expenditure are possible at the PHC level by implementing laboratory demand management. In addition, to achieve these savings, a standardised PHC laboratory request form and some form of electronic gatekeeping system that must be supported by an educational component should be implemented.
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Munzhedzi, Pandelani H. "Fostering public accountability in South Africa: A reflection on challenges and successes." Journal for Transdisciplinary Research in Southern Africa 12, no. 1 (October 24, 2016). http://dx.doi.org/10.4102/td.v12i1.339.
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Accountability and oversight are constitutional requirements in all the spheres of government in the Republic of South Africa and their foundation is in the Constitution of the Republic of South Africa of 1996. All spheres of government are charged with the constitutional mandate of providing public services. The level of responsibility and public services provision also goes with the level of capacity of a particular sphere. However, most of the direct and visible services that the public receives are at the local sphere of government. As such, enormous resources are channelled towards this sphere of government so that the said public services could be provided. It is imperative that the three spheres of government account for the huge expenditures during the public service provision processes. The parliaments of national and provincial governments exercise oversight and accountability over their executives and administrations through the Public Accounts Committees, while the local sphere of government relies on the Municipal Public Accounts Committees. This article is theoretical in nature, and it seeks to explore the current state of public accountability in South Africa and to evaluate possible measures so as to enhance public accountability. The article argues that the current public accountability mechanisms are not efficient and effective. It is recommended that these mechanisms ought to be enhanced by inter alia capacitating the legislative bodies at national, provincial and local spheres of the government.
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Vyas, Seema, Melissa Meinhart, Katrina Troy, Hannah Brumbaum, Catherine Poulton, and Lindsay Stark. "The Economic Cost of Violence Against Women and Girls in Low- and Middle-Income Countries: A Systematic Review of the Evidence." Trauma, Violence, & Abuse, May 17, 2021, 152483802110160. http://dx.doi.org/10.1177/15248380211016018.
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Evidence demonstrating the economic burden of violence against women and girls can support policy and advocacy efforts for investment in violence prevention and response programming. We undertook a systematic review of evidence on the costs of violence against women and girls in low- and middle-income countries published since 2005. In addition to understanding costs, we examined the consistency of methodological approaches applied and identified and assessed common methodological issues. Thirteen articles were identified, eight of which were from sub-Saharan Africa. Eight studies estimated costs associated with domestic or intimate partner violence, others estimated the costs of interpersonal violence, female genital cutting, and sexual assaults. Methodologies applied to estimate costs were typically based on accounting approaches. Our review found that out-of-pocket expenditures to individuals for seeking health care after an episode of violence ranged from US$29.72 (South Africa) to US$156.11 (Romania) and that lost productivity averaged from US$73.84 to US$2,151.48 (South Africa) per facility visit. Most studies that estimated provider costs of service delivery presented total programmatic costs, and there was variation in interventions, scale, and resource inputs measured which hampered comparability. Variations in methodological assumptions and data availability also made comparisons across countries and settings challenging. The limited scope of studies in measuring the multifaceted impacts of violence highlights the challenges in identifying cost metrics that extend beyond specific violence episodes. Despite the limited evidence base, our assessment leads us to conclude that the estimated costs of violence against women and girls are a fraction of its true economic burden.
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Mpanza, Mbalenhle, Elhadi Adam, and Raeesa Moolla. "Perceptions of external costs of dust fallout from gold mine tailings: West Wits Basin." Clean Air Journal 30, no. 1 (June 2, 2020). http://dx.doi.org/10.17159/caj/2020/30/1.7566.
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Mining is important for the South African economy, as it is for many developing African nations. In 2017, mining was reported to contribute 6.8 % to the South African GDP and provided more than 460, 000 jobs. Though mining adds an enormous amount of value to the country, it has significant impacts on the environment and the socio-economic factors of society. The well-documented environmental impact of mining operations on surface and groundwater systems, known as Acid Mine Drainage (AMD), is just one of these environmental impacts. There are also other impacts such as the pollution of agricultural soils, the creation of sinkholes and air pollution. For example, airborne dust remains a persistent problem in South African urban areas due to the climatic conditions, extensive surface mining, unrehabilitated tailings storage facilities and mineral processing. However, very little is reported on the socio-economic costs that are due to poor environmental management. Some scholars assert that despite the Mine Health and Safety Act, deposition monitoring guidelines and national dust regulations, South Africa still experiences persistent dust problems, especially in coal and gold mining districts. This paper investigates the effect of gold mining dust pollution in and around a Gold Mining Village, in South Africa. A quantitative and qualitative approach was used, where a questionnaire and interviews were conducted to examine the Gold Mine Village perceptions on dust pollution and their socio-economic environment. This paper further examines how poor and premature mine closure by liquidation results in unrehabilitated mine tailings and how this has significant impacts on the socio-economic status of individuals and surrounding businesses. The community being investigated in this study, perceives the dust fallout impact to be a socio-economic threat. The paper finds that the community believes it incurs medical financial expenditures due to treating respiratory-related diseases triggered by dust fallout.
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C. Onuoha, Favour, and Moses Oyeyemi, Agbede. "Impact of Disagregated Public Expenditure on Unemployment Rate of Selected African Countries: A Panel Dynamic Analysis." Journal of Economics, Management and Trade, August 29, 2019, 1–14. http://dx.doi.org/10.9734/jemt/2019/v24i530175.
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The study examined the impact of disaggregated public expenditure on unemployment rate in Angola, Benin, Botswana, Cameroun, Central African Republic, Chad, Egypt, Equatorial Guinea, Ethiopia, Ghana, Kenya, Mauritius, Morocco, Namibia, Nigeria, South Africa, Sudan, Tanzania, Togo and Tunisia with panel data spanning from 2000 to 2017. The data were majorly sourced from the World Bank Indicator. The study employed Generalized Method of Moments (GMM) techniques for empirical analysis. The findings of two-step system GMM showed that expenditure on infrastructure and education reduce unemployment rate, while expenditure on defense and health increase unemployment rate in the region. The short-run elasticity estimate showed that infrastructure and education expenditures reduce unemployment rate by 9% and 1.83%. A unit rise in defense and health expenditure increase unemployment rate by 5.2% and 84.5%. The long-run elasticities of infrastructure and education expenditure reduce unemployment rate by 3.8% and 7.89%, while the long-run defense and health expenditure elasticities increase unemployment rate by 22.22% and 364.58% in Angola, Benin, Botswana, Cameroun, Central African Republic, Chad, Egypt, Equatorial Guinea, Ethiopia, Ghana, Kenya, Mauritius, Morocco, Namibia, Nigeria, South Africa, Sudan, Tanzania, Togo and Tunisia. The policy implication is that, the positive relationship between expenditure on health and unemployment could be attributed to mismanagement of government funds due to corruption, while that of defense and unemployment could be high rate of insecurity and crimes in the region.Therefore, the study recommended among others a drastic measure to further improve the education sector through adequate investment in education that will help in skills, development and training.
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Biswas, Sanjib, Shuvendu Majumder, and Suman Kumar Dawn. "Comparing the Socioeconomic Development of G7 and BRICS Countries and Resilience to COVID-19: An Entropy–MARCOS Framework." Business Perspectives and Research, May 10, 2021, 227853372110154. http://dx.doi.org/10.1177/22785337211015406.
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In this article, we aim to compare the socioeconomic development (SED) of the countries listed in G7 (representing developed nations) and BRICS (Brazil, Russia, India, China and South Africa—developing countries). Further, we intend to delve into the nexus between the SED of a country and its resilience to the current pandemic, COVID-19. The initial apprehension is that a country with better SED can show better resilience. To test this assumption, we consider seven socioeconomic indicators representing income, employment status, educational level, health condition, government expenditures in essential areas, like health, research and development, and gender equality and apply a compromise solution–based multi-criteria decision analysis (MCDA) framework. Next, we consider three parameters, namely infected cases (IC), recovery rate (RR), and death rate (DR), as explanatory proxy variables to indicate the resilience of the countries to COVID-19 spread. Finally, we examine the association between the SED and resilience of the countries. The results show that the SED of a country does not lead to better resilience to COVID-19.
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Steinert, Janina Isabel, Shaukat Khan, Khudzie Mlambo, Fiona J. Walsh, Emma Mafara, Charlotte Lejeune, Cebele Wong, et al. "A stepped-wedge randomised trial on the impact of early ART initiation on HIV-patients’ economic outcomes in Eswatini." eLife 9 (August 24, 2020). http://dx.doi.org/10.7554/elife.58487.
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Background:Since 2015, the World Health Organisation (WHO) recommends immediate initiation of antiretroviral therapy (ART) for all HIV-positive patients. Epidemiological evidence points to important health benefits of immediate ART initiation; however, the policy’s impact on the economic aspects of patients' lives remains unknown.Methods:We conducted a stepped-wedge cluster-randomised controlled trial in Eswatini to determine the causal impact of immediate ART initiation on patients’ individual- and household-level economic outcomes. Fourteen healthcare facilities were non-randomly matched into pairs and then randomly allocated to transition from the standard of care (ART eligibility at CD4 counts of <350 cells/mm3 until September 2016 and <500 cells/mm3 thereafter) to the ‘Early Initiation of ART for All’ (EAAA) intervention at one of seven timepoints. Patients, healthcare personnel, and outcome assessors remained unblinded. Data were collected via standardised paper-based surveys with HIV-positive adults who were neither pregnant nor breastfeeding. Outcomes were patients’ time use, employment status, household expenditures, and household living standards.Results:A total sample of 3019 participants were interviewed over the duration of the study. The mean number of participants approached at each facility per time step varied from 4 to 112 participants. Using mixed-effects negative binomial regressions accounting for time trends and clustering at the level of the healthcare facility, we found no significant difference between study arms for any economic outcome. Specifically, the EAAA intervention had no significant effect on non-resting time use (RR = 1.00 [CI: 0.96, 1.05, p=0.93]) or income-generating time use (RR = 0.94, [CI: 0.73,1.20, p=0.61]). Employment and household expenditures decreased slightly but not significantly in the EAAA group, with risk ratios of 0.93 [CI: 0.82, 1.04, p=0.21] and 0.92 [CI: 0.79, 1.06, p=0.26], respectively. We also found no significant treatment effect on households’ asset ownership and living standards (RR = 0.96, [CI 0.92, 1.00, p=0.253]). Lastly, there was no evidence of heterogeneity in effect estimates by patients’ sex, age, education, timing of HIV diagnosis and ART initiation.Conclusions:Our findings do not provide evidence that should discourage further investments into scaling up immediate ART for all HIV patients.Funding:Funded by the Dutch Postcode Lottery in the Netherlands, Alexander von Humboldt-Stiftung (Humboldt-Stiftung), the Embassy of the Kingdom of the Netherlands in South Africa/Mozambique, British Columbia Centre of Excellence in Canada, Doctors Without Borders (MSF USA), National Center for Advancing Translational Sciences of the National Institutes of Health and Joachim Herz Foundation.Clinical trial number:NCT02909218 and NCT03789448.
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O’Keeffe, Derek Timothy, Kevin Johnson, and Spyridoula Maraka. "OR30-04 Autonomous Drone Delivery of Insulin." Journal of the Endocrine Society 4, Supplement_1 (April 2020). http://dx.doi.org/10.1210/jendso/bvaa046.880.
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Abstract Unmanned aerial vehicles (UAV’s) or drones have become ubiquitous in modern society, predominantly as recreational tools (e.g. racing, photography). However, their use to transport medical products is still nascent, with the best examples seen in emerging economies with underdeveloped infrastructure due to local terrain such as East African jungles or the South Pacific islands. A case in point is the drone operator Zipline, which has pioneered the delivery of blood products in Rwanda since 2016 [1]. Therefore UAV’s have potential in disaster relief operations where there is often significant disruption of health systems [2]. After Ireland experienced Storm Ophelia (Cat 3 Hurricane) in 2017 and then Storm Emma (Winter Blizzard) in 2018, many of our patients with Diabetes had issues with insulin supplies as they remained housebound due to subsequent flooding/snowdrifts. Diabetes Mellitus is one of the world’s most common chronic diseases with approximately 400 million people affected. Insulin is often needed to achieve and maintain glycemic control and therefore is considered a lifesaving medication for patients with diabetes [3]. Consequently, in order to ensure an adequate insulin supply method for patients, after a sentinel weather event, we developed a UAV delivery solution using a vertical take-off and landing (VTOL) Wingcopter 178 drone which we operated under beyond visual line of sight (BVLOS) conditions. After a lengthy planning process, we ensured compliance with all Irish (European) Aviation Aerospace regulations. In addition we complied with regulations surrounding the dispensing of prescribed fridge medications. We had our maiden flight on September 13, 2019 from Galway, Ireland to the Aran Islands (20Km each way) delivering insulin from the pharmacist to the patient’s clinician. This represents the first documented autonomous delivery of insulin for a patient with diabetes. References 1. Ackerman E, Strickland E. Medical delivery drones take flight in east africa. IEEE Spectrum. 2018 Jan 1;55(1):34-5. 2. Rabta B, Wankmüller C, Reiner G. A drone fleet model for last-mile distribution in disaster relief operations. International Journal of Disaster Risk Reduction. 2018 Jun 1;28:107-12. 3. da Rocha Fernandes J, Ogurtsova K, Linnenkamp U, Guariguata L, Seuring T, Zhang P, Cavan D, Makaroff LE. IDF Diabetes Atlas estimates of 2014 global health expenditures on diabetes. Diabetes research and clinical practice. 2016 Jul 1;117:48-54.