"The 2006 Nepal Demographic and Health Survey (NDHS) is the seventh in a series of demographic surveys conducted in the country and is the third survey conducted as part of the worldwide Demographic and Health Surveys (DHS) program. The survey was conducted under the aegis of the Population Division of the Ministry of Health and Population and implemented by New ERA. Technical support for the survey was provided by Macro International Inc., and financial support was provided by the United States Agency for International Development through its mission in Nepal." - p. xv
The anthropological demography of health, as a field of interdisciplinary population research, has grown from the 1990s, extending to a remarkable range of key human and policy issues, including: genetic disorders; nutrition; mental health; infant, child, and maternal morbidity; malaria; HIV/AIDS; disability and chronic diseases; new reproductive technologies; and population ageing. By observing group formation and change over time, tracking people's networks, and observing variance between what people say and do, anthropological demography goes beyond the characteristically top-down formal methodologies of most mainstream socio-economic demography and population health. This path-breaking volume charts and integrates the growing body of research that combines ethnography with quantitative models and methods in the field of population health. It offers a clear agenda based on important conceptual and methodological advances, and often working in close collaboration with medical and historical research. Approaches to population that are grounded in sustained ethnographic and historical research provide more than substantive knowledge of how cultural and social formations interact with health. They enable understanding of how local institutions and experience of vital events come to be translated into the demographic and health measures on which survey and clinical programmes rely. This, in turn, makes possible critical evaluation of the empirical adequacy of such translation, reflection on what happens when these models and measures become standardised evaluations of health statuses, and what this implies for governance. The combination of anthropological, demographic, historical, and biological research has gone beyond the initial demographic prioritisation of fertility regulation, to take on an expanded range of key health policy issues, and locate them in the context of the inequalities that so frequently give rise to major health differentials. The Anthropological Demography of Health offers a clear agenda for the application and extension of combined anthropological and demographic thinking in population health, and will provide a point of reference for the field.
This publication is one of a series of practical field guides produced by the Pan American Health Organization with best practice guidance for immunisation programmes in the region. This guide describes the strategies that have made the elimination of neonatal tetanus in the Americas possible, highlighting the progress made in surveillance to identify and monitor high-risk areas as well as immunisation activities geared towards women of childbearing age who live in those areas. Sections cover: epidemiology, clinical aspects, case definitions and investigations, surveillance, data analysis, control in high risk areas, programme monitoring, vaccine storage and supply.
This eighty-ninth volume of the IARC Monographs is the third and last of a series on tobacco-related agents. Volume 83 reported on the carcinogenicity of tobacco smoke and involuntary smoking (second-hand smoke or environmental tobacco smoke) (IARC 2004a). Volume 85 summarized the evidence on the carcinogenic risk of chewing betel quid with and without tobacco (IARC 2004b). That volume explored the variety of products chewed in South Asia and other parts of the word that contain areca nut in combination with other ingredients, often including tobacco. In this eighty-ninth volume, the carcinogenic risks associated with the use of smokeless tobacco, including chewing tobacco and snuff, are considered in a first monograph. The second monograph reviews some tobacco-specific nitrosamines. These agents were evaluated earlier in Volume 37 of the Monographs (IARC 1985) and information gathered since that time has been summarized and evaluated.
These 70 articles examine how warfare, human health and society interact. Topics include: the changing character of wars and the demographic consequences; medical/health aspects of weapons; health professionals in war; factors behind wars; violence; the arms trade; and regulation of modern war.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Based on almost a decade of research in the Kathmandu Valley, Planning Families in Nepal offers a compelling account of Hindu Nepali women as they face conflicting global and local ideals regarding family planning. Promoting a two-child norm, global family planning programs have disseminated the slogan, “A small family is a happy family,” throughout the global South. Jan Brunson examines how two generations of Hindu Nepali women negotiate this global message of a two-child family and a more local need to produce a son. Brunson explains that while women did not prefer sons to daughters, they recognized that in the dominant patrilocal family system, their daughters would eventually marry and be lost to other households. As a result, despite recent increases in educational and career opportunities for daughters, mothers still hoped for a son who would bring a daughter-in-law into the family and care for his aging parents. Mothers worried about whether their modern, rebellious sons would fulfill their filial duties, but ultimately those sons demonstrated an enduring commitment to living with their aging parents. In the context of rapid social change related to national politics as well as globalization—a constant influx of new music, clothes, gadgets, and even governments—the sons viewed the multigenerational family as a refuge. Throughout Planning Families in Nepal, Brunson raises important questions about the notion of “planning” when applied to family formation, arguing that reproduction is better understood as a set of local and global ideals that involve actors with desires and actions with constraints, wrought with delays, stalling, and improvisation.
