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The Geography of Maternal Health Indicators in Ghana
Ghana is identified among the developing countries with high maternal mortality ratio in Africa. This study unpacked the Demographic and Health Survey data by examining the maternal health indicators at the district level using GIS methods. Understanding the geographic patterns of antenatal care, place of delivery, and skilled birth attendants at the small scale will help to formulate and plan for location-specific health interventions that can improve maternal health care behavior among Ghanaian women. Districts with high rates and low rates were identified. Place of residence, Gini-Coefficient, wealth status, internet access, and religious affiliation were used to explore the underlying factors associated with the observed patterns. Economic inequality was positively associated with increased use of maternal health care services. The ongoing free maternal health policy serves as a cushion effect for the economic inequality among the districts in the Northern areas. Home delivery is common among the rural districts and is more prominent mostly in the western part of Northern Region and southwest of Upper West. Educating women about the free maternal health policy remains the most viable strategy for positive maternal health outcomes and in reducing MMR in Ghana.
Date:
May 2017
Creator:
Iyanda, Ayodeji Emmanuel
System:
The UNT Digital Library
Are Streams Protected? Outcomes of Environmental Regulation
Urban areas experience the loss of natural stream channels through conversion to artificial conveyances. This process tends to target headwater and other low order streams. The purpose of this study is to determine the patterns of stream loss in Denton, Texas, and explore the regulatory structure that manages these streams. Historic and current maps and stream data are used to map Denton's streams and categorize them according to their vertical connectivity as: 1) "intact", streams that are open to the atmosphere and connect to groundwater; 2) "concrete", channelized streams open to the atmosphere but cut off from groundwater; and 3) "buried", streams disconnected from the atmosphere and groundwater. A review of federal, state, and local regulatory codes and interviews with local government officials and other stakeholders elucidates stream management in Denton. Results from these analyses reveal high rates of stream loss in the urban center with low rates overall. The federal Clean Water Act and the local Environmentally Sensitive Areas code serve as the primary protective measures for natural streams. These regulations discourage stream impacts through expensive and complex permitting requirements. However the policies allow minor impacts which may cause cumulative effects. This study aims to inform future policy-making decisions …
Date:
August 2017
Creator:
Rowen, Zachary
System:
The UNT Digital Library