Semi-urban Areas Research Articles

A Review on Determination of Efficiency of Soil Parameters Below Multi-Storied Building

Abstract: The construction of high-rise structures is widely utilized in urban and semi-urban areas of developed and developing countries. These tall structures, including residential apartments, commercial, and semi-commercial spaces, are characterized by their efficient use of construction area relative to their footprint. During the structural analysis stage, significant characteristics such as vertical load, horizontal load, superstructure design, and foundation design are considered. However, prior to this stage, the larger construction area is planned by architecture. It is essential that this preliminary selection not only considers structural design configurations but also incorporates soil parameters, which should be assessed beforehand. This paper presents a review of past research on the aforementioned topics and draws conclusions based on the reviews. It is concluded that the location parameter, determined based on soil investigation reports, should be prioritized for the selection of the construction area's optimal Soil Bearing Capacity (SBC), ensuring the suitability of the soil for structural performance.

Social patterning of health misinformation in two Eastern Mediterranean populations

Abstract Background Health misinformation, the spread of false or misleading information relevant to health, has been proposed as a major global public health thread by the WHO. We aimed to identify the major social determinants of health misinformation in the general Greek and Cypriot populations. Methods Following proportional quota sampling we recruited a nationwide sample of 585 adults from Greece and Cyprus between January 2022 and May 2023. A newly developed, culturally adopted questionnaire comprising 48 items, was used to assess misinformation on COVID-19 vaccines and the pandemic. Sociodemographic determinants of interest included gender, age, marital status, area of residence, educational attainment, and income. Multiple linear regression was used to determine associations between the aforementioned social factors and the two dimensions of health misinformation, applying mutual adjustment. Results Misinformation about both vaccination and the pandemic was higher in younger age groups (p-trend 0.026 and 0.007, respectively), among those separated, divorced, or widowed (mean difference, 95% CI compared to those single: 9.73, 0.45, 19.01), and among those living in semi-urban compared to urban areas (11.14, 1.32; 20.97 and 9.44, 1.96; 16.92, respectively). We also detected strong inverse socioeconomic gradients in health misinformation based on educational attainment and income (p-trend <0.001, for both). Conclusions Younger individuals, those living alone, those residing in semi-urban areas, and those with lower educational attainment and income are particularly prone to health misinformation. Our adjusted models show that this social phenomenon is not simply explained by differences in education, hence more complex, cultural, political, perceptual, and psychosocial dynamics might be in place. Addressing the social patterning of health misinformation would help manage the issue more effectively and also reduce health inequalities. Key messages • Health misinformation is strongly socially patterned in two Eastern Mediterranean European populations. • Targeting efforts to tackle health misinformation to those more vulnerable, would render such programmes more effective, also helping reduce social inequalities in health.

Challenges and Problems of Rural Entrepreneurship in India

Rural entrepreneurship is now a significant possibility for those who relocate from rural or semi-urban areas to urban settings. On the contrary, it is also true that the majority of rural businesses face numerous challenges due to a lack of essential amenities in rural parts of developing countries such as India. Lack of education, financial constraints, limited technical and conceptual competence, and other factors make it difficult for rural entrepreneurs to create industries in remote areas. This paper makes an attempt to find out the Problems and Challenges for the of Rural Entrepreneurship. It also focuses on the major problems faced by rural entrepreneurs especially in the fields of Marketing of products, financial amenities and other primary amenities, i.e. availability of electricity, water supply, transport facilities and required energy etc

Different Food Coping Strategies in Urban and Semi-urban Areas During Coronavirus Disease 2019 (COVID-19) Pandemic

Consumption-related behavior implemented as an effort to maintain household food security is referred to as a food coping strategy (FCS). This study aims to describe the selection of FCS by families in urban and semi-urban areas in Indonesia during the COVID-19 pandemic. This research is a cross-sectional study with a total sample of 517 people who live in urban (Jakarta) and semi-urban (Depok) areas. The research data was taken from primary research data that had been collected online and purposively through Posyandu cadres who had access to family/community in October-December 2020. Data analysis used the chi-square test and multiple logistic regression. Results of multivariate analysis showed that the level of household food security (AOR = 12.182; 95% CI = 7.636 – 19.434) and spouse's education (AOR = 2.184; 95% CI = 1.091 – 4.375) were significantly related to the application of household FCS. Food insecured household had 12 times higher risk of implementing FCS than food secured household. Spouse with low education had 2 times higher risk of implementing FCS. Household food insecurity during the COVID-19 pandemic caused households to implementing several types of FCS. Special attention is needed for food insecured households as not to apply extreme coping strategies, such as not eating at all.

Reduced mother-to-child transmission rates of HIV between 2017 and 2020 in Kenya. What changed?

In 205 health facilities, mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) rates were reduced from 7.4% to 2.1% between 2017 and 2020, respectively. To determine characteristics that potentially correlate to the change in MTCT rates between two time points. Study was conducted in Kenya, semi-urban and rural areas. A retrospective, cross-sectional, exploratory analysis of programme implementation at two points in time (2017 and 2020). Between 2017 and 2020, we compared over 170 mother-infant pairs where MTCT occurred to over 6000 mother-infant pairs where MTCT did not occur through the following factors: (1) location of health facilities, (2) mother and infant characteristics, (3) access to antiretroviral therapy (ART), and (4) viral load suppression. Bivariate and multivariable logistic regression models were used to identify factors associated with MTCT. Factors significantly associated with reduced MTCT rates were time points, mother's age, infant age at first test, proportions of mothers receiving ART, and maternal viral load. When restricting the analysis to the sub-counties contributing data at both time points, the results were similar; however, counties' location became significant in the updated model, as did the interaction term for mother and infant receipt of antiretrovirals (odds ratio [OR]: 0.228; p = 0.04). What changed between 2017 and 2020 is a higher proportion of pregnant women living with HIV received ART. Also, unlike in 2017, in 2020, tenofovir disoproxil fumarate was the backbone of the ART regimen for the prevention of MTCT. The findings can potentially inform efforts on elimination of mother-to-child transmission of HIV.

Hesperetin-7-rutinoside mitigates erythrocyte dyslipidemia and oxidative stress induced by dichlorvos

In many rural and semi-urban areas of Nigeria, dichlorvos (DDVP) is a commonly utilized pesticide. However, it provokes remarkable health hazards, including erythrocyte toxicity. Hesperetin-7-rutinoside (Hesp-7-Rut), a citrus flavanone glycoside with antioxidant, anti-dyslipidemia and acetylcholinesterase-modulating properties has been investigated for its protective effects against various xenobiotic-mediated toxicities. This inquiry probed the chemotherapeutic role of Hesp-7-Rut in mitigating erythrocyte damage in rats. Forty-two rats were randomly `apportioned into seven groups (6 rats/group): control, DDVP alone (8 mg.kg⁻¹day⁻¹), DDVP + Hesp-7-Rut (50 mg.kg⁻¹day⁻¹), DDVP + Hesp-7-Rut (100 mg.kg⁻¹day⁻¹), DDVP + atropine (0.2 mg.kg⁻¹day⁻¹), Hesp-7-Rut only (50 mg.kg⁻¹day⁻¹), and Hesp-7-Rut only (100 mg.kg⁻¹day⁻¹). Rats were orally administered DDVP for 7 days followed by Hesp-7-Rut or atropine for another 14 days. Blood samples were collected to assess for biochemical assays. Hesp-7-Rut significantly (p < 0.05) rescinded DDVP-prompted increases in erythrocyte nitric oxide, malondialdehyde, cholesterol, phospholipids, and cholesterol: phospholipids ratio. Additionally, Hesp-7-Rut reversed DDVP-elicited decreases in red blood cell glutathione levels, activities of GST, SOD, catalase, glutathione peroxidase, and acetylcholinesterase. Overall, Hesp-7-Rut efficiently counteracts DDVP-elicited erythrocyte dysfunction by mitigating oxidative stress, dyslipidemia, and acetylcholinesterase inhibition. These findings highlight the potential of Hesp-7-Rut as a promising therapeutic agent for mitigating the harmful effects of DDVP exposure.

Perceived social, economic, environmental and health effects of solid waste management practices in logia town, afar, ethiopia

Improper solid waste management in urban and semi-urban areas has led to adverse impacts on the environment, public health, and the economic well-being of communities. Therefore, this study analyzes the status of household solid waste management practices and their effects in Logia Town, Afar, Ethiopia. To achieve this objective, the study utilizes both descriptive and econometric models (binary logistic regression model). The descriptive results of the study revealed that there is general awareness of the importance of solid waste management (SWM) and its impact on the environment, economy, and human health among the respondents. Regarding respondents’ attitudes, the majority of households understand the responsibility of proper waste disposal and its impact. However, in terms of solid waste management practices, 80% of households do not properly segregate their waste, 59.3% do not separate solid waste (SW) before disposal, and 74% of households engage in improper disposal practices. About 95.9% of respondents were aware that improper waste management can lead to diseases such as diarrhea, typhoid, and cholera. Around 65% of the sampled households considered solid waste as a source of wealth, and, as a result, 56% of them reuse, recycle, and reduce waste. This indicates that solid waste has economic value for society. Regarding the environmental impact of SW, about 89% of respondents argued that SW adversely affects the environment by polluting rivers, lakes, wells, and air. This environmental impact negatively affects the well-being and economic status of the community. The binary logistic regression model found that having adequate solid waste landfills, access to door-to-door solid waste collection, knowledge of SWM rules and regulations, treating waste as a resource, and understanding the 3Rs (recycle, reuse, reduce) had positive and significant effects on the adoption of proper solid waste management practices in the study area. Therefore, to reduce undesirable effects and improve the value of SW, the relevant authorities should provide adequate solid waste landfills and door-to-door collection services, create awareness about SWM rules and regulations, and promote knowledge of the 3Rs.

Modelling and forecasting mobile money customer transaction volumes in rural and semi-urban Malawi: An autoregressive integrated moving average spatial decomposition

Mobile money technologies in Malawi have revolutionised banking and monetary transactions across geographical barriers. Prospects of profit have drawn mobile money agents to invest in the business but find it is more profitable when substantial customers subscribe to the cash-in and cash-out facilities of mobile money. Despite the initial success, several challenges have emerged, including regulatory hurdles, network reliability issues, and the need for increased financial literacy among users. The volumes of transactions in the rural areas are observably lower compared to urban areas. This study uses Bvumbwe township in Malawi to model and forecast the discrepancy of mobile money transactions in rural and semi-urban Malawi. The study uses ARIMA modelling to understand the temporal manifestation of mobile money subscription in these localities. Using ARMA (1,1) models decomposed for the semi-urban and rural area, the study finds that the semi-urban area has a disproportionately higher and lasting volume of mobile money transactions compared to the rural area. The study also finds that mobile money transactions are more susceptible to long-lasting effects of external shocks in the rural area compared to the urban area. Intuitively, the day-to-day relationship in the transactions is also stronger in the rural area. These findings highlight the need for tailored policy interventions to enhance mobile money adoption and utilization in different geographical contexts.

Investigating soil physicochemical factors influencing trace element contamination at the semi-urban-rural home gardening interfaces on the Fiji Islands

Due to its ecological and public health implications, home gardening soil pollution is challenging. However, the physicochemical factors of trace element pollution in semi-urban-rural home gardening soil interfaces in Fiji are unclear. Self-organizing map (SOM), chemometrics, compositional data analysis (CDA), and soil quality indices were used to evaluate spatial patterns, contamination characteristics, sources, and factors affecting trace element contamination in 55 soil samples from semi-urban and rural Fiji. The average contents of diethylenetriaminepentaacetic acid (DTPA)-extractable forms of trace element levels (mg/kg) increased in rural areas as Fe (55.7) > Mn (40.4) > Zn (9.4) > Cu (5.9) and semi-urban areas as Fe (55.2) > Zn (35.9) > Mn (37.1) > Cu (16.1). Rural soils have less ecological risks to home gardening than semi-urban soils. SOM and CDA analysis showed four spatial clusters: clusters 1 and 3 are natural geogenic in rural regions while clusters 2 and 4 are human-induced non-point sources in semi-urban areas. Principal component analysis (PCA) and hierarchical cluster analysis showed that semi-urban Cu-Zn was more affected by manufacturing emissions or fertilization, whereas rural Fe-Mn was more likely to be lithogenic. The research found that pH and organic matter significantly affect Cu and Zn pollution in semi-urban soils (p < 0.05). For rural and semi-urban soils, trace element subsets explained 44 %–87 % of soil contamination changes using the stepwise regression model. These findings aid to establishing a primary database of eco-environmental risks and facilitate comprehensive strategies for assessing soil contamination and potential threats to food safety.

Estimation of human airway deposition of size-segregated particulate and their health impact in monsoon and post-monsoon season in semi-urban area of northern India

Numerous studies have shown the negative association between Particulate Matter (PM) exposure and health impact, understanding this risks associated with PM exposure for generating appropriate risk-control strategies, an accurate evaluation of PM concentration and respiratory deposition is necessary. So, the present study aims to describe the temporal and diurnal variation of Particulate Matter and Black Carbon concentrations, as well as their health risks. Real-time monitoring of PM and BC was conducted near a national highway (NH-19) in the semi-urban area. Our findings indicated that the washout effect played its role in reducing the PM level in monsoon season while meteorological parameters, local anthropogenic activities, and stubble-burning influenced the high PM concentration in the post-monsoon season. The current study also estimates the particle deposition in the human respiratory tract using Multiple Path Dosimetry Model (MPPD) for understanding the health effects of particle inhalation. The results revealed that different seasons exhibit different deposition patterns. For example, during the monsoon season, the trend was PM10>PM2.5>PM1.0 while in post-monsoon season PM2.5 >PM10 > PM1.0 respectively. The findings indicate that small particles easily deposited deeper into the lungs have a significant impact on various age groups, particularly children, who are the most affected. Furthermore, the health risks of PM and BC exceeded the safer limit (HQ = 1) and ELCR≥10−6, suggesting prolonged inhalation exposure to particulate could lead to cancer. The present study will give an insight into designing interventions and policies to control PM pollution in smaller cities, where a significant portion of the population resides.

Purchasing Power as a Major Determinant of Food Security in Rural and Semi-Urban Areas: A South African Household Experience

This study examined the complex role religion plays in both promoting and ending sexual and gender-based violence against women in the Tamale Metropolis of Ghana. While major religious traditions emphasize equality and non-violence, certain interpretations of religious texts and cultural traditions have enabled patriarchal norms that subjugate women. Qualitative data from interviews with 18 respondents across Christian, Muslim, and traditional African religious communities revealed ongoing oppressive practices like forced marriage and early marriage of young girls, divorce, physical abuse such as wife battering, sexual abuse, and victim-blaming. However, religious institutions are increasingly initiating efforts to combat this violence through advocacy, education, counselling services, and partnerships with civil society groups. While these initiatives exist, significant challenges remain in transforming deeply entrenched sociocultural norms that enable violence against women. These initiatives demonstrate how religious institutions can leverage their moral authority to transform sociocultural norms enabling violence against women. The study highlights the need for sustained engagement with religious communities, reinterpretation of doctrine promoting gender equality, and collaborative efforts across sectors to eliminate this pervasive human rights issue. Harnessing the influential role of religion through a progressive, rights-based approach is crucial for addressing sexual and gender-based violence in the Tamale Metropolis and similar contexts. By delving into this intricate dynamic within the context of the Tamale Metropolis in Ghana, the study contributes to a deeper understanding of how religious beliefs, interpretations, and institutions can either perpetuate or combat this form of violence. Keywords: Sexual Violence, Gender, Religion, Tamale Metropolis, Ghana

Knowledge, risk perception and utilization of hepatitis B vaccine among youths in a semi-urban area in Ibadan, Oyo state, Nigeria

Knowledge, risk perception and utilization of hepatitis B vaccine among youths in a semi-urban area in Ibadan, Oyo state, Nigeria

Circumstances leading to home childbirths among women living in Winterveldt, Tshwane Municipality of South Africa.

Childbirth complications, which may include maternal and perinatal mortality are common among women giving birth at home compared to those giving birth at health care facilities. Increasing access to childbirth in health care facilities improves the maternal and perinatal health outcomes for both the mother and child. There are however reported cases of home childbirth and decreasing numbers of health care facilities' births in developing countries. The researchers identified an increase in number of babies born before arrival in several health care facilities and therefore explored this phenomenon in order to understand circumstances leading to this practice. The findings of the study have a potential to inform interventions and strategies to strengthen community health education and engagement on maternal and child health issues. Information gathered through this study will also be important in informing decision making on prioritization of key interventions to incorporate Traditional Birth Attendants (TBAs) services in reproductive health care. An exploratory descriptive qualitative study was used to conduct in-depth interviews amongst women of childbearing age living in a semi urban area of the Tshwane municipality in South Africa. The sample of this study was made of 21 purposively selected women who had experienced home childbirth. Thematic content analysis was used for data analysis. Many women made a choice to give birth at home due to religious and cultural beliefs. However, some women wished to give birth in a health care facility but due to unintentional factors such as lack of transport, failure to identify labour pains, and fast labour; they ended up giving birth at home. Some of the women indicated harsh treatment in health care facilities compared to the pleasant birthing experience at home as reasons for opting for home childbirth.

Menstruation Related Practices among Adolescent Girls and Women in a Semi-urban Area of Nepal

Background Menstruation is often associated with restrictions from different activities. Studies about extreme form of menstruation practices i.e. “Chhaupadi” have been widely done but other practices have been less studied. Thus, this study aimed to find out the menstruation related practices among adolescent girls and women in secondary schools in a semi-urban community of Nepal. MethodsThis was a descriptive cross-sectional study done at two secondary schools in a semi-urban community of Panauti municipality which were selected purposively. The duration of study was from 31st October 2022 to 15th November, 2022. Total 158 adolescent girls and women present at the study site who have had menarche were included in the study through census sampling. Ethical approval was taken from the Institutional Review Committee [Reference number: 36/22] of Kathmandu University School of Medical Sciences. Self-administered semi-structured questionnaires were used to collect the information.ResultsAmong 158 study participants, menstrual restriction practice was followed by 155(98.66%) and most common restriction was not being allowed to worship or go to worshipping room 150 (96.77%). Most (68.98%) of the study participants said that their mother insisted them to follow such practices.Conclusions Menstruation related practices were common among the study participants and most common form of restriction was not being allowed to worship.

Evaluating flood early warning system and public preparedness and knowledge in urban and semi-urban areas of Johor, Malaysia: Challenges and opportunities

Flood Early Warning System (FEWS) play a crucial role in mitigating the impacts of floods by providing timely information to the public, which is particularly important for flood-prone areas in the Malaysian State of Johor that have suffer significant damages and disruptions almost every year. This research presents an assessment into the current state of FEWS through expert interviews and consultations with the concerned department to understand the management and institutional status and challenges in employing FEWS. In addition, a total of 106 structured questionnaires were administered as part of the survey research to a sample of residents in urban Johor Bahru and semi-urban Kota Tinggi, two regions vulnerable to floods, to collect data on their level of preparedness and knowledge, and their perceived effectiveness of FEWS. The analysis revealed that 69.8 % of the respondents did not have any knowledge on the FEWS in their place, and 60.5 % respondents turn to social media to gain information on flood warning, occurrence and forecast. This study also evaluates the opportunity for the messaging application as an additional support system for FEWS. The research highlights and identifies the challenges and barriers to accessing and utilising FEWS. The study calls for the incorporation of messaging application, preferable WhatsApp to transmit early warnings to the end-users and to use their feedback in designing/redesigning the FEWS. The findings can inform policy and decision-making processes aimed at improving flood preparedness and response strategies, and contribute to the existing literature on FEWS in Malaysia and other similar regions.

Health Risks and Dust Exposure among Flour Mill Workers in Eastern India: A Comprehensive Study

Flour milling, a prevalent agricultural industry in semi-urban and urban areas of India, involves grinding whole wheat to produce flour. However, this indoor occupation exposes workers to hazardous flour dust for prolonged periods without adequate ventilation. To investigate the health implications, a study was conducted on 142 flour mill workers in and around Bhubaneswar, Odisha. The findings revealed significant health issues, including respiratory problems (20%), eye irritation (8.6%), headache (11.4%), and shortness of breath (31.4%) among workers. Alarming levels of PM2.5 (330–385 ?g m-3) and PM10 (420–470 ?g m-3) dust particles were recorded. Notably, workers with over 10-15 years of experience displayed reduced pulmonary function, with a decline in force vital capacity (FVC) and forced expiratory volume in one second (FEV1). To mitigate these risks, the study recommends implementing personal protective equipment, improved ventilation, and regular medical care for flour mill workers.

Caregiver acceptance of human papillomavirus vaccine for their female children in Chileka, Blantyre, Malawi

IntroductionMalawi is one of the countries enduring an enormous burden of cervical cancer. Human Papillomavirus (HPV) vaccination offers a feasible and effective tool for reducing the burden. Such a prospect however, is being impeded by low uptake rates of the HPV vaccine in the country. This study, therefore, sought to identify barriers to caregiver acceptance of the HPV vaccine for their female children in Chileka, Blantyre, Malawi and to establish the consequential willingness to vaccinate their children. MethodologyA cross-sectional study was conducted using qualitative methods. We conducted 6 Focus Group Discussions (FGDs) with 4 groups of women and 2 groups of men in 4 villages located in a semi-urban area, Chileka, Blantyre. The guiding questionnaire was designed to draw out two main outcomes: barriers to caregiver acceptance of the HPV vaccine and willingness to vaccinate children. The data was analysed by thematic analysis by an inductive approach using NVivo software version 11. ResultsLack of knowledge on cervical cancer and HPV vaccination coupled with numerous misconceptions are the main barriers discouraging the population from accepting the HPV vaccine. Consequently, there was little desire to get their children vaccinated against HPV. Though responsibility to get the children vaccinated was mainly attributed to women, men argued that they need to have a final say in their children’s vaccination. ConclusionIn the wake of the revealed barriers and low acceptance of the HPV vaccine, it is imperative to organize effective and sustainable awareness programmes for the improvement of the HPV vaccine’s uptake.

Aetiologies of bacterial tick-borne febrile illnesses in humans in Africa: diagnostic limitations and the need for improvement.

Tick-borne febrile illnesses caused by pathogens like Anaplasma spp., Bartonella spp., Borrelia spp., Ehrlichia spp., Coxiella burnetii, Francisella tularensis, and Rickettsia spp., are significant health concerns in Africa. The epidemiological occurrence of these pathogens is closely linked to the habitats of their vectors, prevalent in rural and semi-urban areas where humans and livestock coexist. The overlapping clinical presentations, non-specific symptoms, and limited access to commercially available in vitro diagnostics in resource-limited settings exacerbate the complexity of accurate diagnoses. This review aimed to systematically extract and analyze existing literature on tick-borne febrile illnesses in Africa, highlighting the diagnostic challenges and presenting an up-to-date overview of the most relevant pathogens affecting human populations. A comprehensive literature search from January 1990 to June 2024 using databases like PubMed, Cochrane Library, Science Direct, EMBASE, and Google Scholar yielded 13,420 articles, of which 70 met the inclusion criteria. Anaplasma spp. were reported in Morocco, Egypt, and South Africa; Francisella spp. in Kenya and Ethiopia; Ehrlichia spp. in Cameroon; Bartonella spp. in Senegal, Namibia, South Africa, and Ethiopia; Borrelia spp. in Senegal, Gabon, Tanzania, and Ethiopia; Coxiella burnetii in 10 countries including Senegal, Mali, and South Africa; and Rickettsia spp. in 14 countries including Senegal, Algeria, and Uganda. Data were analyzed using a fixed-effect model in R version 4.0.1 and visualized on an African map using Tableau version 2022.2. This review highlights the urgent need for improved diagnostics to better manage and control tick-borne febrile illnesses in Africa.

Group sex and behavior change associated with the 2022 Mpox outbreak among men who have sex with men in Southern California.

The Monkeypox (Mpox) outbreak disproportionately affected sexually active gay, bisexual, and other men who have sex with men. To understand community-level changes in sexual behavior, we surveyed individuals in a semi-urban area in Southern California. Participants were recruited between October 2022 to April 2023, using palm cards, and geolocation-focused online advertisements on social media and dating apps. Eligible participants were male, ≥18 years, reported sex with men, residents of San Bernardino or Riverside counties, California, Human Immunodeficiency Virus (HIV)-negative, currently not taking pre-exposure prophylaxis (PrEP). Descriptive analyses were performed. Chi-square, Fisher's exact, and Student's T-tests examined the association between group sex behaviors and demographics. We enrolled 91 gay, bisexual, and other men who have sex with men with a median age of 35 years (range 18-70 years). Nearly half reported having participated in group sex in the past year. Overall, 48.9% of group sex participants reported changing their sexual behaviors to prevent Mpox transmission, with limiting the number of sex partners being the most reported prevention strategy (47.6%). To prevent Mpox infection, participants that engage in group sex reported limiting the number of sex partners (34.4%), using condoms for anal sex (16.7%), avoiding crowded social venues (14.3%), and asking partners about Mpox symptoms before sex (9.5%). Survey participants reported modest sexual behavior changes in response to the Mpox outbreak. Group sex may increase the risk for Mpox, HIV, and other sexually transmitted infections; therefore, public health messages should include specific discussion of safer group sex practices in sexual health promotion.

Resilience of the group lending model to a COVID-19 induced shock: evidence from an Indian microfinance fund

PurposeThe authors study the effect of an exogenous shock in the form of Coronavirus lockdowns on individual default and on default contagion within the microfinance (MF) sector in India. The authors rely on proprietary data obtained from an MF institution for the period from Nov 2019 to Dec 2020. The authors show that default increased to 95.29% in the month of April 2020, when Covid lockdowns were fully in place. However, borrowers bounced back thereafter, either making full or partial payments, so that defaults had fallen to 5.92% by December 2020. Static features of the group lending model like peer monitoring and joint liability help explain 90% of the monthly deficit during Covid lockdowns among uneducated borrowers. Dynamic features such as contingent renewal help explain why defaults were cured quickly through timely repayments. Finally, there is an absence of default contagion at the district level. Indeed, lagged own default explains 96.6% of variation in individual default, rather than contagion through group, village or district-level defaults. The authors conclude that the MF sector is resilient to exogenous shocks like the pandemic.Design/methodology/approachThe authors use time series panel regressions, as well as cross-sectional regressions.FindingsThe authors find that borrower defaults increased significantly to 95.29% during the month of April 2020, when Covid lockdowns were fully in place. However, borrowers bounced back almost immediately, either making full or partial payments, such that defaults had fallen to 5.92% by December 2020. The group lending model does remarkably well in explaining defaults even during Covid lockdowns. Among the majority (92%) of borrowers who are residents of rural districts, the group lending model appears to blunt the impact of the exogenous shock on rates of default. Indeed, panel regressions demonstrate that the group lending model helps explain 90% of the monthly deficit among uneducated borrowers. Logistic regressions indicate that the group lending model is less persuasive among relatively affluent borrowers residing in semi-urban or urban areas who have some formal schooling. Contingent renewal is shown to be an effective disciplining mechanism when a group does default due to the Covid lockdowns. The authors find that groups who defaulted in April 2020 but repaid the outstanding balance within the next two months were more likely to receive subsequent loans from the lender. On the other hand, groups who defaulted in April 2020 and did not repay the outstanding balance until December 2020 did not receive follow-on financing. Finally, the authors find that lagged individual default is the primary source of individual default, rather than contagion through group, village or district-level defaults.Research limitations/implicationsThe limitation of the study is that it is confined to a single MF institution in India.Social implicationsThe authors conclude that the social capital that is the foundation of the group lending model succeeds in limiting both the risk and contagion of default from an exogenous shock, such as the Covid pandemic.Originality/valueTo the best of the authors’ knowledge, the authors are the first to examine defaults in the Indian MF sector during the Covid lockdowns in April 2020.