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      A Case for Girl-child Education to Prevent and Curb the Impact of Emerging Infectious Diseases Epidemics

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          Abstract

          Not only do epidemics such as HIV/AIDS, Ebola Virus Disease (EVD), and the current Coronavirus Disease (COVID-19) cause the loss of millions of lives, but they also cost the global economy billions of dollars. Consequently, there is an urgent need to formulate interventions that will help control their spread and impact when they emerge. The education of young girls and women is one such historical approach. They are usually the vulnerable targets of disease outbreaks – they are most likely to be vehicles for the spread of epidemics due to their assigned traditional roles in resource-limited countries. Based on our work and the work of others on educational interventions, we propose six critical components of a cost-effective and sustainable response to promote girl-child education in resource-limited settings.

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          Social determinants of health inequalities.

          The gross inequalities in health that we see within and between countries present a challenge to the world. That there should be a spread of life expectancy of 48 years among countries and 20 years or more within countries is not inevitable. A burgeoning volume of research identifies social factors at the root of much of these inequalities in health. Social determinants are relevant to communicable and non-communicable disease alike. Health status, therefore, should be of concern to policy makers in every sector, not solely those involved in health policy. As a response to this global challenge, WHO is launching a Commission on Social Determinants of Health, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people. A major thrust of the Commission is turning public-health knowledge into political action.
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            Conditional, unconditional and everything in between: a systematic review of the effects of cash transfer programmes on schooling outcomes

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              Evidence for causal links between education and maternal and child health: systematic review

              Abstract Objective Numerous studies have documented an inverse association between years of schooling attained, particularly by women, and reduced maternal, infant and child mortality. However, if factors affecting educational attainment — many of which are unobservable, e.g. motivation and genetic endowment — also affect the likelihood of engaging in behaviours that enhance health, then assumed effects of schooling will be inflated in analyses that do not address this endogeneity. This systematic review assesses evidence for a causal link between education and maternal and child health in low and middle‐income countries. Methods Eligible studies controlled for observable and unobservable factors affecting both education and health. Reported effects were converted into partial correlations. When possible, we also conducted meta‐analyses to estimate mean effects by outcome. Results Of 4952 papers identified, 16 met the inclusion criteria. The 15 child health papers examined neonatal, infant and child mortality, stunting and wasting. Significant effects of education on infant and child health were observed for 30 of 33 models that did not account for endogeneity. In contrast, only 18 of 46 effects were significant in models that addressed endogeneity. Notably, for only one outcome —child mortality measured dichotomously —was the effect of maternal educational attainment significant in a meta‐analysis. The one maternal morbidity paper found significant effects for the two preventable outcomes considered. Conclusion While we find evidence for a causal link between education and health, effects are weaker in models that address endogeneity compared to naïve models that do not account for unobservable factors affecting both education and health. Advances in women's educational outcomes have undoubtedly played a role in improving health in many settings; however, the effect is not as strong as some researchers and advocates have claimed.
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                Author and article information

                Journal
                Yale J Biol Med
                Yale J Biol Med
                yjbm
                YJBM
                The Yale Journal of Biology and Medicine
                YJBM
                0044-0086
                1551-4056
                30 September 2020
                September 2020
                : 93
                : 4
                : 579-585
                Affiliations
                [a ]Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT
                [b ]Department of Pediatrics, Yale School of Medicine, New Haven, CT
                Author notes
                [* ]To whom all correspondence should be addressed: Shadrack Frimpong, MS, MPH, Department of Pediatrics, 464 Congress St, New Haven, CT, 06520; Tel: +13474093278; Email: shadrack.frimpong@ 123456yale.edu ; ORCID iD: https://orcid.org/0000-0003-0304-6189.
                Article
                yjbm934579
                7513442
                33005122
                3a7ec058-5e1e-4b0e-b29b-bfdfb87d862c
                Copyright ©2020, Yale Journal of Biology and Medicine

                This is an open access article distributed under the terms of the Creative Commons CC BY-NC license, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. You may not use the material for commercial purposes.

                History
                Categories
                Perspectives
                Focus: Sex & Reproduction

                Medicine
                girl-child,education,health,epidemics,pandemics,social determinant
                Medicine
                girl-child, education, health, epidemics, pandemics, social determinant

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