National Poverty Research Articles

Strategies to Improve National Poverty Data Bank Ekasih Registration Process at State Development Office of Johor

Strategies to Improve National Poverty Data Bank Ekasih Registration Process at State Development Office of Johor

The case for investment in nutritional interventions to prevent and reduce childhood and adolescent overweight and obesity in Peru: a modelling study

BackgroundBetween 2006 and 2016 the prevalence of overweight and obesity among children and adolescents aged 5–19 years in Peru increased from 22.7 to 27.0%. This investment case quantifies the economic impacts of childhood and adolescent overweight and obesity in Peru. It identifies and quantifies the potential impact of a set of new or expanded interventions that can strengthen current national efforts to prevent and reduce child and adolescent overweight and obesity.MethodsA deterministic Markov cohort model with a societal cost perspective estimated reductions in mortality and morbidity from implementing interventions to prevent and reduce child and adolescent overweight and obesity and the impact in savings in healthcare costs and gains in wages and productivity. Interventions identified through a review of published literature includes a school-based social marketing campaign, exclusive breastfeeding promotion and support, a healthy food and drink policy for school premises, and a 20% subsidy on fruits and vegetables for people living below the national poverty line. The return on investment (ROI) was calculated along with the estimated cost savings associated with the interventions. Analysis was conducted to test ROI sensitivity to changes in the key parameters and assumptions.ResultsBetween 2025 and 2092, the expected combined direct and indirect healthcare costs attributable to child and adolescent overweight and obesity in Peru are 210.6 billion USD. The direct healthcare costs are 1.8 billion USD, and the indirect costs are 208.8 billion USD. Expected savings for all interventions combined is 13.9 billion USD with a per-person savings of 12,089.8 USD. The expected ROI of the four interventions combined is 39.3 USD (30-years), 64.6 USD (50-years), and 164.1 USD (66-years) per one USD invested.ConclusionsThe overweight and obesity epidemic among children and adolescents in Peru requires wide-ranging and expanded implementation of policies to achieve long-term reductions in prevalence. This study’s findings show that the four priority interventions have high ROIs and can be used to guide policy to address the complex interplay of factors that contribute to the obesogenic environment.

The promotion of ultra-processed foods in modern retail food outlets in rural and urban areas in Kenya.

To assess the availability and marketing of ultra-processed foods (UPFs) in modern retail food outlets (supermarkets and minimarts) in Kenya and associated factors. This cross-sectional study was conducted in Kenya from August 2021 to October 2021. Variables included; the geographic location and the socioeconomic status levels (SES), the food items displayed for sale and advertised in the stores, and locations in the stores such as the entrance. Three counties in Kenya (Nairobi - urban, Mombasa - coastal tourist, and Baringo- rural). Each county was stratified into high and low SES using national poverty indices. Food outlets that offered a self-service, had at least one check-out, and had a minimum of two stocked aisles were assessed. Of 115 outlets assessed, UPFs occupied 33% of the cumulative shelf space. UPFs were the most advertised foods (60%) and constituted 40% of foods available for sale. The most commonly used promotional characters were cartoon characters (18%). UPFs were significantly more available for sale in Mombasa (urban) compared to Baringo (rural) (Adjusted prevalence rate ratios (APRR): 1.13, 95% confidence interval (CI): 1.00-1.26, p=0.005). UPFs advertisements were significantly higher in Mombasa ((APRR): 2.18: 1.26-3.79, p= 0.005) compared to Baringo and Nairobi counties. There was a significantly higher rate of advertisement of UPFs in larger outlets ((APRR): 1.68: 1.06-2.67 p=0.001) compared to smaller outlets. The high marketing and availability of UPFs in modern retail outlets in Kenya calls for policies regulating unhealthy food advertisements in different settings in the country.

Sociodemographic Factors Influencing Access to Chimeric Antigen T-Cell Receptor Therapy for Patients With Non-Hodgkin Lymphoma

BackgroundChimeric antigen receptor T-cell (CAR-T) therapies are available for patients with Non-Hodgkin Lymphoma (NHL); however, their use has been limited in accessibility due to nondisease factors. Patients & MethodsWe conducted a retrospective study evaluating the influence of sociodemographic factors on access and outcomes after CAR-T therapy for adult patients with B-cell NHL in our institution treated between 2016 and 2023. ResultsAmong 154 patients treated with CAR-T, 43% were older than 65 years, 68% male, and 14% non-White (including Hispanic). Of those under 65, 66% had private insurance, while 82% over 65 had Medicare. Most patients (85%) were from in-state, 29% from areas below the national poverty level and 18% from nonmetropolitan areas. Distance to the treatment center was greater than 30, 60 or 120 miles for 52%, 40% and 29% of patients, respectively. No significant differences were found in the use of commercial versus investigational products among racial/ethnic minorities or those living >60 miles from the center. However, patients from nonmetropolitan areas and those below the national poverty level were less likely to receive commercial products. With a median follow-up of 11 months, the 1-year overall survival (OS) was 63.2% (95th CI 59.9%-66.8%). Poverty was associated with lower 1-year OS (HR 0.4, 95th CI 0.17-0.90, P = .031). ConclusionOur study shows that CAR-T therapy can be delivered across sociodemographic barriers and underscores the importance of considering social determinants of health to optimize access for all patients.

Advances in smallholder large ruminant production and profitability in Southeast Asia over the past decade – lessons from the Mekong region: a review

The global demand for protein in the form of red meat is growing, especially in Southeast Asia, with income and population growth driving an increase in global beef consumption projected to continue from 2023 to 2032. This provides incentive for smallholder large-ruminant producers to build on production improvements obtained over the past decade to ensure long-term profitability and sustainability. This review aims to provide an update on advances in smallholder large-ruminant production and profitability in Southeast Asia over the past decade, as well as highlight ongoing challenges that require further investment from governments and the private sector to meet the growing regional and global demand for protein that is safe for human consumption. Improvements are discussed in detail across the areas of health, production and welfare, using outputs from research for development projects across Southeast Asia, specifically Cambodia and Laos which have high proportions of population living below the national poverty line. Areas covered include nutrition, disease control, diversification and farmer engagement. Ongoing challenges and opportunities are also considered. Key improvements in smallholder large-ruminant production, health and welfare in Southeast Asia over the past decade include the introduction of strategies to improve nutrition through forage utilisation and disease control through vaccination and biosecurity as well as farmer engagement and diversification. However, major challenges continue in the areas of disease control and eradication, training, climate variability, gender empowerment and policy. Increasing global demand for red meat places smallholder large-ruminant producers throughout Cambodia and Laos in an ideal position to capitalise. To do this and gain improved regional food security requires ongoing investment in stakeholder training and adoption of appropriate strategies to ensure greater productivity from existing numbers and resisting increasing numbers in an environment with limited resources. Although the challenges for large-ruminant smallholders are substantial, the rewards for continual investment to improve health and production include increased household incomes and profitability as well as greater regional food security.

Nigeria: Hungry Nation in a Land of Plenty

Hunger is a pressing global concern. The prevalence of undernourishment, a crucial measure of hunger, is a global challenge. Many factors are responsible including poverty, political instability, economic disparities, climate change, and conflicts. The global nature of hunger underscores the urgency and collective responsibility to address this issue, demanding immediate action from all of us. Often heralded as a land of vast agricultural potential and rich natural and human resources, Nigeria faces a paradoxical struggle with pervasive hunger and food insecurity. This article explores Nigeria’s multifaceted hunger crisis despite its capacity to be a leading food producer in Africa. We examine the socio-economic and political dynamics that contribute to this disparity, including issues such as land distribution inequities and the impact of oil dependency. Additionally, the article analyses the role of government policies and infrastructure deficits. The goal of this work is to 1) analyse the concept of national wealth and its implications for economic development, 2) investigate the factors contributing to hunger and food insecurity in Nigeria despite its abundant resources, 3) provide insights and recommendations for addressing the country’s wealth inequality and hunger challenges, and 4) contribute to the academic understanding of the complex relationship between wealth, poverty, and development in nations.

On the consequences of climate change for the most vulnerable populations in the Central Asian region

The article reveals the problem of the impact of climate change in the Central Asian region on the most vulnerable segments of its population. The analysis identifies factors that negatively affect the level of poverty in the region, which include aging infrastructure and environmentally harmful economic activities in Central Asian countries. Climate change and its accompanying phenomena such as the increased incidence of natural disasters will lead to deterioration of the macroeconomic indicators of the Central Asian republics in the medium and long-term run and will increase in the number of people living below the international and national poverty lines. In this regard, the author proposes to attract the resources of the Eurasian Development Bank and the Eurasian Fund for Stabilization and Development already present in the region to assist the countries of Central Asia in overcoming the problems caused by climate change and adapting to this phenomenon.

Poverty Impacts of the Pakistan Flood 2022

AbstractIn the summer of 2022, devastating floods hit Pakistan with a profound negative impact on lives and livelihoods. Apart from the irreconcilable loss of life, household welfare was negatively impacted through the loss of household income, loss of assets, and rising food prices. Yet, in the absence of just-in-time household survey data, evaluating the welfare impact is challenging, particularly in terms of estimating monetary poverty. This paper demonstrates how real-time satellite data, in combination with administrative data and historical household survey data, can be used to model the impact of floods on Pakistani households. In the context of data and time constraints, we present a practical methodology to simulate the expected impact of a natural disaster on monetary poverty from an ex-ante perspective. Estimates show that, as a direct consequence of the floods, the national poverty rate would increase by 4.0 to 4.3 percentage points, pushing around 9 million people below the national poverty line. Moreover, a spatially disaggregated analysis showed that the magnitude of shocks varied across locations and households depending on the intensity of the flooding and household characteristics. These estimates, which informed the Post Disaster Needs Assessment and were later used to frame the Donor Conference for Pakistan, provide an example of rapid modeling in the absence of real-time household survey data.

Sustainable Development Goals Need for India to Refocus on Measurement and Monitoring

The first and most important Global Goal set in the Charter of Sustainable Development Goals (SDGs), adopted by the United Nations in 2015, is “NO POVERTY.” Countries estimate the extremely poor population based on the International Poverty Level (IPL), which uses Global Purchase power parities (PPP) set by the World Bank International Comparison program. Some claims state that India has made substantial progress in fighting extreme poverty during the last few decades. Published data shows there is no headcount below the National Poverty line. This paper attempts to study the relevance of the national statistical data sets on the limits and levels for the poverty line in India as against the international poverty level, taking into consideration of the Purchasing Power Index, Gross GDP, and per capita GDP, Gross National Income, and Per capita Income, minimum wedge regulations, and the critical parameters for the Hunger Index.

Ending poverty and accelerating growth in South Africa, through the expansion of its social grant system

South Africa has one of the most extensive social assistance systems among developing countries; however, the proportion of the population below the national poverty lines remains relatively high. Thus, we develop a micro-macro framework to assess the economic growth implications of expanding South Africa’s social grant system under alternative conditions. We find that conditional poverty-alleviation social transfers foster growth while unconditional redistribution towards lower-income earners can hinder economic growth. From policy perspectives, we show that the transfer of purchasing power to extremely poor beneficiaries and their economic participation are required for poverty-alleviation social transfers to have positive economic outcomes.

DOES GLOBALIZATION REDUCE POVERTY AT EACH LEVEL OF DEVELOPMENT? - SENSITIVITY TO POVERTY LINES

This paper aims to estimate the effect of globalization on poverty by using alternative poverty lines, namely the World Bank’s $ 3.10-a-day poverty approach and national poverty line in comparison with the World Bank’s $ 1.90-a-day absolute poverty approach. The data covers 176 countries for the 2005-2018 period, and the methodology is based on heterogeneous panel data analysis. According to the results, globalization reduces absolute poverty in the least developed and developing countries. Moreover, the negative effect is found as significant only for the least developed countries in terms of national poverty. Lastly, globalization does not reduce poverty in developed countries.

Analysis of Per Capita Income towards A Poverty-Free Region in Sampang Regency

A poverty-free region is one of the seventeen Sustainable Development Goals (SDGs) targets approved by the United Nations in 2015. It aims to end extreme poverty for all people earning less than $1.25 per day and promote inclusive and equitable development. Per capita, income is one of the critical indicators of human resource development and the economy. This research aims to identify economic growth in the context of per capita income and to monitor and evaluate the achievement of the SDGs Without Poverty in the Sampang district. This qualitative study uses a descriptive analysis approach, with data collection methods including observation, documentation, and library research. The research focuses on the achievement of the SDGs Without Poverty indicator, which consists of five key indicators: (i) Percentage of the population living below the national poverty line; (ii) Implementation of the social protection system; (iii) Guarantee of economic resources and fundamental service rights (health, housing, lighting); (iv) Strengthening and development of disaster-resilient areas, and (v) Government policies and proportions in poverty alleviation, as well as several sub-indicators set by the National Development Planning Agency. The study results showed that the increase in per capita income had a negative but insignificant correlation with the poverty rate. However, per capita income positively impacts realizing the SDGs Without Poverty. It has achieved the goal of ending extreme poverty for all people with an income of less than $1.25 per day.

Faktor-Faktor Yang Mempengaruhi Terjadinya Permasalahan Pada Ekonomi Makro Islam Di Indonesia

Macroeconomic problems are complex and multifaceted issues whose causes include several factors. The main focus of this research is on the factors that cause macroeconomic problems both from an internal and external perspective. Internal factors include national income, fiscal policy, poverty, and inflation. Low national income can hamper economic growth and worsen social welfare. Ineffective fiscal policy can result in budget imbalances and waste of resources. Widespread poverty can reduce people's purchasing power and increase social instability. High inflation can erode the value of the currency and people's purchasing power, thereby worsening economic conditions. Meanwhile, external factors that influence the macro economy include international trade and foreign exchange rates. Unbalanced international trade can lead to trade deficits and dependence on imports.

Beyond the Grid: An In-depth Analysis of Economic, Demographic, and Technological Drivers of Energy Poverty in 11 Developing Countries

This research examines the impact of critical factors, including GDP, population, internet, renewable power, human capital, and global link, on energy poverty in the New-11 nations, using a Panel ARDL technique. Energy poverty rises with GDP and population growth but is significantly reduced by internet access and renewable energy. Human resources and globalization present a mix of insignificant functions. Short-run illustrations depict initial movement in the long run, which abruptly stabilizes as renewable energy costs become apparent. The implications of the findings of energy poverty are the essential and inescapable policy calls for targeted investments in digitalization, sustainable energy, people, and intelligent globalization.

A Quantitative Exploration of the Influence of Tobacco Use on Poverty in India

Abstract Introduction Tobacco use has a disproportionate impact on lower socioeconomic groups in India. The study quantifies the number of people who would fall under the national poverty line if the direct spending on tobacco and healthcare expenditures attributable to tobacco use were subtracted from their monthly expenditures. It also aims to estimate the extent to which tobacco use increases the probability of poverty status in India. Aims and Methods We quantify the increase in poverty by multiplying the difference between headcount ratios with and without tobacco-related spending by population size. We use propensity score matching to estimate the extent to which tobacco use increases the probability of poverty. Results About 18.4 million (1.5% of all Indians) are pushed into poverty due to either direct tobacco-related expenditures or tobacco-related healthcare spending. Tobacco use increases households’ likelihood of being poor by 3.4%–3.7%. Conclusions With over 22% of the global poor, achieving poverty reduction goals is a significant challenge for India. We show that this challenge is accentuated by increased tobacco spending, which pushes millions of Indians into poverty. To address this, the Government of India must implement both fiscal and non-fiscal policies that regulate tobacco use and, in turn, contribute to poverty reduction in the country. Implications Tobacco use has a disproportionate impact on lower socioeconomic groups in India, leading to increased and deeper poverty. This paper finds that, based on existing proven measures of poverty, tobacco use accounts for an additional 18.4 million poor individuals. It also shows that tobacco use increases the likelihood of a household being classified as poor by 3.4% to 3.7%. As India is home to a significant proportion of the global poor, addressing tobacco use becomes crucial for global and domestic poverty reduction goals. Fiscal and non-fiscal policies can be used to regulate tobacco and potentially reduce poverty levels in India.

Access to and equity in cancer clinical trials in Oregon.

e23100 Background: Approximately 20,000 people per year are diagnosed with cancer in Oregon. The OHSU Knight Cancer Institute is the only academic cancer center in the state, with the nearest center located almost 200 miles away. Clinical trials (CT) are essential for cancer care but only a small proportion of eligible people participate due to multiple factors. In this retrospective study, we identified the association between sociodemographic factors and cancer CT participation at OHSU. Methods: Adult patients referred to OHSU for evaluation and treatment of a new cancer 2019-2022 were included. Data collected included age, gender, race/ethnicity, zipcode, insurance, type of cancer and CT participation. Zip-codes were used to estimate poverty level as defined by the American Community Survey, rural vs. urban location and distance to the cancer center. Multivariate analysis was conducted to identify factors associated with CT participation. Results: A total of 14,261 patients with median age 65 (18-101) years were treated at OHSU from 2019-2022 (86% for solid tumors, 14% hematologic malignancies). Of these, 53% were > 65yrs, 51% male and 8.5% self-identified as non-White (including Hispanic). These numbers are similar to those reported in the statewide cancer registry. About 61% of those < 65 yrs were privately insured, 84% of those > 65 yrs had Medicare, and 31% were from areas at or below the national poverty level. About 40% lived > 30 miles from OHSU (29% > 60 miles, 14% > 120 miles) and 31.5% lived in rural areas. A total of 2134 patients (15%) participated in cancer CT (8% interventional, 6% interventional therapeutic and 10% noninterventional). Factors independently associated with decreased CT participation on multivariate analysis included age > 65yrs regardless of type of insurance, < 65yrs with public insurance, female, racial/ethnic minority, solid tumor diagnosis and cancer care at a community-based clinic (Table 1). Conclusions: Patient with cancer treated at OHSU are representative of the population in our catchment area and region. However, there is room to improve access and CT participation for older adults and persons from racial/ethnic minorities and disadvantaged backgrounds. Our study highlights the importance of understanding the catchment area and accounting for social determinants of health when implementing community outreach strategies for CT participation. [Table: see text]

Disparities and outcomes of immune checkpoint inhibitor therapies in LMICs: Retrospective study on current state, efficacy, and challenges in Armenia.

e23315 Background: The escalating incidence of cancer in Armenia is a global trend, underscoring the urgency for innovative treatments, including immune checkpoint inhibitors (ICIs). This study, a first in the region, investigates ICIs' real-world impact, emphasizing the current state and critical gaps in access to care. Methods: We conducted a retrospective review of 224 patients, excluding 32, resulting in 192 patients treated with ICIs between 2017 and 2023 across four major oncology centres. The review covered demographic and clinical data, genetic testing, treatment regimens, and survival outcomes, analyzed using the STATA 18 BE. Results: The mean age of the patients was 61.4 years, with 69.27% being male. Lung cancer was the most common diagnosis (42.19%, n = 81), followed by melanoma (11.98%, n = 23) and gastric cancer (10.94%, n = 21). Survival outcomes varied, with melanoma patients exhibiting a mean overall survival (OS) of 33.26 months, lung cancer patients 19.69 months, and gastric cancer patients 20.50 months; the survival difference between patients with metastases and without was not statistically significant. Patients receiving ICIs in the second or later lines of treatment had a 2.12-fold lower chance of survival compared to those receiving them as first-line treatment (95% CI 1.16-3.88, p = 0.014). 78% of patients received ICIs in the metastatic setting and only 22% in curative. In two centres, among 185 patients with metastatic lung cancer, only 23.2% (43 patients) received ICIs, and of these, about 50% underwent mutation testing, with only 4 assessed via broad panel NGS. A significant 76.8% (142 patients) did not receive immunotherapy. Furthermore, 34% of those starting ICI treatment were forced to discontinue due to financial hardships. Pembrolizumab and Nivolumab were the most widely used agents, but the choice varies significantly between centres. Conclusions: The financial barrier is substantial: the cost of one pembro cycle on the black market, at $3,000, is 3.8 times the annual income of those at the national poverty line, more than twice the income of the lower middle-income class, and represents over 60% of the country's GDP per capita. Median cycle lengths for ICIs, such as 6.5 for Ipil+Nivo and 5.61 for Pembro, are below the NCCN's standard recommendations, highlighting the profound impact of financial constraints on treatment adherence and duration. This study reveals the stark reality of ICI accessibility and affordability in Armenia, where a significant portion of cancer patients are unable to benefit from these potentially life-extending treatments. Additionally, a preference bias towards selecting treatments without nationwide guidelines was observed, alongside the absence of a national E-health database, underscoring the need for policymaker attention, insurance adjustments, and more precise, prospective data collection.

PENGARUH IPM, PERTUMBUHAN EKONOMI DAN PENGANGGURAN TERHADAP KEMISKINAN KABUPATEN/KOTA DI PROVINSI JAWA TENGAH TAHUN 2017-2019

Central Java Province is a province with a poverty rate percentage that ranks second in Java after DIY, but the poverty rate in Central Java Province is still quite high because it is still above the national poverty rate. This study aims to analyze the effect of the Human Development Index (HDI), economic growth and unemployment rates in districts/cities in Central Java Province in 2017-2019.Based on the data used, in this study using panel data regression analysis with the fixed effect method which was tested using the Eviews 9.0 application. The data used in this study is secondary data. The independent variables used in this study are the Human Development Index (HDI), economic growth and unemployment rates, while the dependent variable used is the poverty rate in 35 regencies/cities in Central Java Province in 2017-2019.The results of this research that the Human Development Index (HDI) had a positive effect on the poverty rate in districts/cities in Central Java Province in 2017-2019. Variables of economic growth and unemployment had no significant effect on the poverty rate. The variables of the Human Development Index (HDI), economic growth and the unemployment rate together have a significant effect on poverty in Central Java Province in districts/cities in Central Java Province in 2017-2019. Keywords: poverty, human development index (HDI), economic growth, unemployment rate

“Why Is the Old Dying and the New Is Not Being Born?” The Church’s Struggle with Public Justice and Righteousness in Zimbabwe

Abstract This article attempts to present how the church has struggled with public justice and righteousness in Zimbabwe where the past and old dominate the national debate without giving room for emerging personalities and ideas. The church introduced programmes, organisations and documents in an attempt to theoretically break away with the past. The documents are results of transformative projects designed to address the holistic needs of people in Zimbabwe against both the localised and internationalised neoliberal paradigms of Capitalism, Colonialism and Christianity that disempowered rather than liberated followers. Being critical of the past, Derrida says: “To ask such questions, such difficult questions, requires that we change the most resistant, archaic structures of our desire”. The Zimbabwe Heads of Christian Denominations (ZHOCD s) introduced the post-liberation discourse through the Zimbabwe We Want Document (ZWWD) in 2006, and a national economic discussion through the National Holistic Agenda for Renewal and Empowerment (NHARE) in 2019 against the idea that the Church must be confined in the pews and politicians in the public arena. These documents and programmes engaged with both politicians and citizens in critical ways to achieve both justice and righteousness. Justice and righteousness are big themes in the Bible and Christian doctrine. Breaking away with the past promised to reverse the slippery slope on public life in Zimbabwe that increased national poverty, class inequalities, and factionalised politics. The opening of space in public life by the ZHOCD allowed citizens to engage in all public life and justice struggles, which is “a revival of a voice that has been silenced after independence, or was send to the Intensive Care Unit (ICU), paralysed, captured, neutralised or unauthorised”. It explored new alternatives to engaging state theology in relationship to the margins. Scripture has been useful in the church’s engagement with the state on public life goods, hence the question: “Why is the old dying and the new not being born”? The article pursues this question in view of the church programmes and documents.

Inelegant enforcement of anti-corruption laws and good governance: a persistent catalyst for coups d’état and poverty in Africa

Purpose The purpose of this paper is to scrutinise the intricate relationship between the inadequate enforcement of anti-corruption laws and the application of good governance and the persisting prevalence of coups d'état and poverty in Africa. Design/methodology/approach This paper uses a doctrinal legal research approach, synthesising existing literature while extensively analysing primary and secondary legal sources. Its primary aim is to scrutinise the intricate relationship between the inadequate enforcement of anti-corruption laws and the application of good governance and the persisting prevalence of coups d'état and poverty in Africa. The choice of case study countries Burkina Faso, Chad, Gabon, Guinea, Mali, Niger and Sudan stems from their historical significance, regional diversity, data accessibility and potential insights into the interplay among anti-corruption enforcement, governance, poverty and coups d'état in Africa. Findings The enforcement of anti-corruption laws and the promotion of good governance are indispensable for democracy and economic stability; their suboptimal enforcement directly contributes to coups d'état and the worsening of poverty in African nations. It emphasises the imperative for African countries to consistently and proficiently enforce anti-corruption laws and adhere to principles of good governance, effectively and responsibly, to mitigate coups d'état and alleviate poverty in the region. Originality/value This study designs a model strategy for combating coups d'état and corruption in Africa as contribution to knowledge in the field of study.