Missing female patients: an observational analysis of sex ratio among outpatients in a referral tertiary care public hospital in India

Submitted by Tanay Ray Bhatt on

Objective: To investigate gender discrimination in access to healthcare and its relationship with the patient’s age and distance from the healthcare facility.Design and settingAn observational study based on outpatient data from a large referral public hospital in Delhi, India.ParticipantsConfirmed clinical appointments.Primary and secondary outcome measuresEstimates from the logistic regression are used to compute sex ratios (male/female) of patient visits with respect to distance from the hospital and age.

Gender

Exploring pro-social and pro-environmental preferences: evidence from a survey experiment on shifting behaviors

Submitted by Luat Do on
EfD Authors:

This study investigates pro-social and pro-environmental preferences through a survey experiment that examines behavioral shifts from single-use medical masks to reusable fabric masks among healthy individuals. Drawing on goal-framing theory, we evaluate the impact of the WHO’s recommendation alongside two additional informational interventions encouraging the use of fabric masks over medical-grade alternatives. Using an add-on experimental design, participants were randomly assigned to one of three treatment groups, with baseline responses serving as a reference group.

Policy Design

From protection to pollution: Evaluating environmental and human health risks of acaricide use in dairy farming in Kenya

Submitted by Jane Nyawira Maina on
EfD Authors:

Sustainable intensification of livestock production relies critically on effective disease management, yet the environmental implications of current practices remain poorly understood. The study was designed to evaluate the efficacy of acaricide use in tick control in Kenya’s dairy sector affects environmental and human health risks. Using original survey data from dairy farmers and a two-stage least square (2SLS) approach, the results found that farmers’ adaptation to perceived ineffective tick treatment leads to potentially harmful practices.

Agriculture, Health

Effect of Drinking Water Sources on the Health of Children Under Five in South Sudan

Submitted by Jane Nyawira Maina on
EfD Authors:

Abstract

Introduction: South Sudan has higher rates of under-five morbidity and mortality compared to other countries in the African region. Diarrhea is one of the major causes of death among children under five, both globally and in South Sudan. One of the main factors contributing to diarrheal infections, especially among young children, is the source of drinking water. This paper aims to establish the effect of drinking water sources on diarrheal morbidities among children under five in South Sudan.

Health, Water

Cost-Benefit Analysis of Interpersonal Therapy and Fluoxetine for Treating Depression and PTSD in Primary Care Settings in Kenya

Submitted by Jane Nyawira Maina on
EfD Authors:

Abstract

Background

Kenya faces a significant mental health crisis, with 1.9 million reported cases of depression and 10.6% prevalence of post-traumatic stress disorder (PTSD). The economic burden of mental health conditions was 62.2 billion Kenyan shillings in 2021, accounting for 0.6% of GDP. This study performed a cost-benefit analysis (CBA) of Interpersonal Psychotherapy (IPT) and fluoxetine (FLX) for treating depression and PTSD in a primary care setting.

Health

Assessing readiness for implementation of psychedelic-assisted mental health therapy, in low-and middle-income countries

Submitted by Jane Nyawira Maina on
EfD Authors:

Abstract

Mental health disorders (MHD) rank among the top 10 global causes of disease burden, with significant economic and social costs. Current treatments often have limited efficacy or tolerability, and there has been little recent innovation in treatments. In the past decade, clinical research on Psychedelic-Assisted Therapies (PAT) for treating MHD has increased in high-income countries, while most MHD burdens are in low and middle-income countries. This study assesses the readiness of implementing PAT in 136 low- and middle-income countries.

Health