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1.
Medicine (Baltimore) ; 99(37): e22067, 2020 Sep 11.
Article in English | MEDLINE | ID: mdl-32925742

ABSTRACT

INTRODUCTION: Coastal areas in Malaysia can have important impacts on the livelihoods and health of local communities. Efforts by Malaysian government to develop and improve the landscape and ecosystem have been planned; however, the progress has been relatively slow because some of the coastal areas are remote and relatively inaccessible. Thus, these coastal communities face various challenges in health, healthcare and quality of life. This paper presents a study protocol to examine the health status, healthcare utilisation, and quality of life among the coastal communities. In addition, the relationship between the community and their coastal environment is examined. METHODOLOGY AND ANALYSIS: The population of interest is the coastal communities residing within the Tun Mustapha Park in Sabah, Malaysia. The data collection is planned for a duration of 6 months and the findings are expected by December 2020. A random cluster sampling will be conducted at three districts of Sabah. This study will collect 600 adult respondents (300 households are estimated to be collected) at age of 18 and above. The project is a cross sectional study via face-to-face interview with administered questionnaires, anthropometrics measurements and observation of the living condition performed by trained interviewers.


Subject(s)
Facilities and Services Utilization , Health Services/statistics & numerical data , Health Status , Public Health Surveillance , Quality of Life , Rural Health , Cross-Sectional Studies , Ecosystem , Government Programs , Health Services Accessibility , Humans , Malaysia/epidemiology
2.
Article in English | MEDLINE | ID: mdl-32120949

ABSTRACT

Several of the coastal zones in Sabah, Malaysia, are isolated and inaccessible. This study aimed to review the published literature on the health status of the coastal communities in Sabah. The following four main health issues were found: (i) malaria, (ii) tuberculosis (TB), (iii) seafood poisoning, and (iv) antenatal problems. Factors associated with the risk of acquiring malarial infection in the studied coastal area were advanced age, male sex, farming as an occupation, history of travel outside the village, and rainy seasons. TB infection was primarily observed in adult men. Seafood poisoning was significantly common in Sabah. Studies have reported that tetrodotoxin and paralytic shellfish poisoning were commonly reported (30-60 cases annually). Several pregnant women in the coastal community had insufficient knowledge of the national antenatal care programme. Nonetheless, 99% of them received antenatal care at public healthcare facilities with 92% of them undergoing safe delivery. Nevertheless, a majority of the pregnant women had iodine deficiency due to low iodised salt intake. Findings from this review highlighted that the coastal communities in Sabah are experiencing significant health problems. Specific attention is required to significantly enhance the health and well-being of the individuals living in the coastal communities in Sabah.


Subject(s)
Health Status , Malaria , Prenatal Care , Shellfish Poisoning , Tuberculosis , Adult , Female , Humans , Iodine/deficiency , Malaysia , Male , Pregnancy
3.
J Int Assoc Provid AIDS Care ; 16(5): 446-454, 2017.
Article in English | MEDLINE | ID: mdl-26715489

ABSTRACT

To determine the socioeconomic impacts among HIV-infected persons in Sudan and examine whether there are significant variations in coping strategies between infected men and women, a primary survey was conducted among infected persons (n = 555). Discriminant function was used to analyze the data. We found significant variation in the coping strategies (<.001). HIV/AIDS impacts were more critical for women. Infected people have 3 alternatives in coping with the changes in their income and expenditure, that is, borrow, utilize savings, or sell assets. Policy makers should consider economic information in planning health care to mitigate the impacts and remove the gender gap.


Subject(s)
HIV Infections/economics , Acquired Immunodeficiency Syndrome/economics , Acquired Immunodeficiency Syndrome/psychology , Adaptation, Psychological , Adolescent , Adult , Female , HIV Infections/psychology , Health Expenditures , Humans , Income , Male , Middle Aged , Poverty , Socioeconomic Factors , Sudan , Surveys and Questionnaires , Young Adult
4.
Environ Monit Assess ; 188(3): 173, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26887312

ABSTRACT

"Indigenous people" have been acknowledged as among the poorest and most socio-economically and culturally marginalized all over the world. This paper explores the socio-economic status of the indigenous people and their poverty profile within watershed and environmentally protected areas in Peninsular Malaysia. The findings of the study indicate that the "indigenous community" is likely to be poor if they live in environmentally sensitive and unprotected areas as compared to families under the new resettlement scheme. Inadequate access to basic education and employment contributed significantly to their poor economic status. The findings further reveal that the indigenous community is facing difficulties in receiving access and support in terms of basic needs such as housing, education, economic livelihood, and other social infrastructure. Moreover, the regulatory structure for the management of watershed areas as well as the emphasis for commodity crops such as palm oil and natural rubber have indirectly contributed toward the poverty level of the indigenous people.


Subject(s)
Conservation of Natural Resources , Population Groups , Poverty , Environmental Monitoring , Housing , Humans , Malaysia , Male , Social Class , Socioeconomic Factors
5.
An Acad Bras Cienc ; 87(3): 1887-902, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26221988

ABSTRACT

The significance of Science Framework (SF) to date is receiving more acceptances all over the world to address agricultural sustainability. The professional views, however, advocate that the SF known as Mega Science Framework (MSF) in the transitional economies is not converging effectively in many ways for the agricultural sustainability. Specially, MSF in transitional economies is mostly incapable to identify barriers in agricultural research, inadequate to frame policy gaps with the goal of strategizing the desired sustainability in agricultural technology and innovation, inconsistent in finding to identify the inequities, and incompleteness to rebuild decisions. Therefore, this study critically evaluates the components of MSF in transitional economies and appraises the significance, dispute and illegitimate issue to achieve successful sustainable development. A sound and an effective MSF can be developed when there is an inter-linkage within principal components such as of (a) national priorities, (b) specific research on agricultural sustainability, (c) adequate agricultural research and innovation, and (d) alternative policy alteration. This maiden piece of research which is first its kind has been conducted in order to outline the policy direction to have an effective science framework for agricultural sustainability.


Subject(s)
Agriculture/trends , Conservation of Natural Resources , Agriculture/methods , Humans , Science , Technology
6.
Environ Monit Assess ; 187(2): 38, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25632900

ABSTRACT

This paper estimates Malaysian farmers' willingness to pay (WTP) for a planned adaptation programme for addressing climate issues in the Malaysian agricultural sector. We used the contingent valuation method (CVM) for a monetary valuation of farmers' preferences for a planned adaptation programme by ascertaining the value attached to address climatic issues in the Malaysian agricultural sector. Structured questionnaires were distributed among the sampled farmers. The study found that 74 % of respondents were willing to pay for a planned adaptation programme and that several socioeconomic and motivation factors have greater influence on their WTP. This paper clearly specifies the steps needed for all institutional bodies to better address issues in climate change. The outcomes of this paper will support policy makers to better design an efficient adaptation framework for adapting to the adverse impacts of climate change.


Subject(s)
Agriculture/methods , Climate Change , Environmental Policy/economics , Agriculture/economics , Environmental Monitoring , Humans , Malaysia , Surveys and Questionnaires
7.
J Environ Manage ; 68(3): 231-8, 2003 Jul.
Article in English | MEDLINE | ID: mdl-12837252

ABSTRACT

The implications of a potential ban on shrimp imports by the US from countries that do not utilize the Turtle Excluder Device on commercial shrimp nets is explored in this paper. A Linear Expenditure System (LES) was used to determine the own-price elasticities of demand for shrimp imports. The system of estimated equations was then solved for quantity levels under assumptions made about the trade restrictions, resulting in a set of prices for those import levels. These estimated prices were then used to estimate the compensating variation impact of the trade restrictions. Findings suggest that the environmental regulation would have a negative impact on US consumers, but the magnitude of that effect depends on assumptions made regarding the distribution of US imports after the trade restriction is imposed.


Subject(s)
Commerce/legislation & jurisprudence , Fisheries/legislation & jurisprudence , Penaeidae , Shellfish/economics , Animals , Asia, Southeastern , Commerce/economics , Economic Competition/legislation & jurisprudence , Environment , Fisheries/economics , International Cooperation/legislation & jurisprudence , Models, Econometric , Shellfish/supply & distribution , United States
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