Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol
Introduction Several studies have shown that residents of urban informal settlements/slums are usually excluded and marginalised from formal social systems and structures of power leading to disproportionally worse health outcomes compared to other urban dwellers. To promote health equity for slum d...
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BMJ Publishing Group
2022-06-01
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| author | Helen Elsey Alastair H Leyland Linsay Gray Laura Dean Bachera Aktar Zahidul Quayyum Penelope Phillips-Howard Ivy Chumo Caroline Kabaria Blessing Mberu Samuel Saidu Lana Whittaker Lakshmi K Josyula Md Imran Hossain Mithu Ross Forsyth Eliud Kibuchi Varun Sai Sureka Garimella Proloy Barua Noemia Teixeira de Siqueira Filha Tasmiah Selim Ibrahim Gandi |
| author_facet | Helen Elsey Alastair H Leyland Linsay Gray Laura Dean Bachera Aktar Zahidul Quayyum Penelope Phillips-Howard Ivy Chumo Caroline Kabaria Blessing Mberu Samuel Saidu Lana Whittaker Lakshmi K Josyula Md Imran Hossain Mithu Ross Forsyth Eliud Kibuchi Varun Sai Sureka Garimella Proloy Barua Noemia Teixeira de Siqueira Filha Tasmiah Selim Ibrahim Gandi |
| author_sort | Helen Elsey |
| collection | DOAJ |
| description | Introduction Several studies have shown that residents of urban informal settlements/slums are usually excluded and marginalised from formal social systems and structures of power leading to disproportionally worse health outcomes compared to other urban dwellers. To promote health equity for slum dwellers, requires an understanding of how their lived realities shape inequities especially for young children 0–4 years old (ie, under-fives) who tend to have a higher mortality compared with non-slum children. In these proposed studies, we aim to examine how key Social Determinants of Health (SDoH) factors at child and household levels combine to affect under-five health conditions, who live in slums in Bangladesh and Kenya through an intersectionality lens.Methods and analysis The protocol describes how we will analyse data from the Nairobi Cross-sectional Slum Survey (NCSS 2012) for Kenya and the Urban Health Survey (UHS 2013) for Bangladesh to explore how SDoH influence under-five health outcomes in slums within an intersectionality framework. The NCSS 2012 and UHS 2013 samples will consist of 2199 and 3173 under-fives, respectively. We will apply Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy approach. Some of SDoH characteristics to be considered will include those of children, head of household, mothers and social structure characteristics of household. The primary outcomes will be whether a child had diarrhoea, cough, fever and acute respiratory infection (ARI) 2 weeks preceding surveys.Ethics and dissemination The results will be disseminated in international peer-reviewed journals and presented in events organised by the Accountability and Responsiveness in Informal Settlements for Equity consortium and international conferences. Ethical approval was not required for these studies. Access to the NCSS 2012 has been given by Africa Population and Health Center and UHS 2013 is freely available. |
| format | Article |
| id | doaj-art-02a054f602c54defaf1367fe929732a7 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-02a054f602c54defaf1367fe929732a72025-01-27T17:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-056494Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocolHelen Elsey0Alastair H Leyland1Linsay Gray2Laura Dean3Bachera Aktar4Zahidul Quayyum5Penelope Phillips-Howard6Ivy Chumo7Caroline Kabaria8Blessing Mberu9Samuel Saidu10Lana Whittaker11Lakshmi K Josyula12Md Imran Hossain Mithu13Ross Forsyth14Eliud Kibuchi15Varun Sai16Sureka Garimella17Proloy Barua18Noemia Teixeira de Siqueira Filha19Tasmiah Selim20Ibrahim Gandi21Health Sciences, University of York, York, UKMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, Glasgow, UKMRC/CSO Social and Public Health Sciences Unit, Glasgow, UKDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UKBRAC University James P Grant School of Public Health, Dhaka, BangladeshBRAC University James P Grant School of Public Health, Dhaka, BangladeshDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKResearch Division, APHRC, Nairobi, KenyaAfrican Population and Health Research Center, Nairobi, KenyaAfrican Population and Health Research Center, Nairobi, KenyaCOMAHS, Freetown, Western Area, Sierra LeoneLiverpool School of Tropical Medicine, Liverpool, Liverpool, UKDivision of Epidemiology, The George Institute for Global Health, Hyderabad, IndiaBRAC University James P Grant School of Public Health, Dhaka, BangladeshMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Glasgow, UKMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UKThe George Institute for Global Health India, New Delhi, IndiaThe George Institute for Global Health India, New Delhi, IndiaSchool of Public Health, BRAC University James P Grant School of Public Health, Dhaka, BangladeshDepartment of Health Sciences, University of York, York, UKSchool of Public Health, BRAC University James P Grant School of Public Health, Dhaka, BangladeshCODOHSAPA/FEDURP, Freetown, Sierra LeoneIntroduction Several studies have shown that residents of urban informal settlements/slums are usually excluded and marginalised from formal social systems and structures of power leading to disproportionally worse health outcomes compared to other urban dwellers. To promote health equity for slum dwellers, requires an understanding of how their lived realities shape inequities especially for young children 0–4 years old (ie, under-fives) who tend to have a higher mortality compared with non-slum children. In these proposed studies, we aim to examine how key Social Determinants of Health (SDoH) factors at child and household levels combine to affect under-five health conditions, who live in slums in Bangladesh and Kenya through an intersectionality lens.Methods and analysis The protocol describes how we will analyse data from the Nairobi Cross-sectional Slum Survey (NCSS 2012) for Kenya and the Urban Health Survey (UHS 2013) for Bangladesh to explore how SDoH influence under-five health outcomes in slums within an intersectionality framework. The NCSS 2012 and UHS 2013 samples will consist of 2199 and 3173 under-fives, respectively. We will apply Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy approach. Some of SDoH characteristics to be considered will include those of children, head of household, mothers and social structure characteristics of household. The primary outcomes will be whether a child had diarrhoea, cough, fever and acute respiratory infection (ARI) 2 weeks preceding surveys.Ethics and dissemination The results will be disseminated in international peer-reviewed journals and presented in events organised by the Accountability and Responsiveness in Informal Settlements for Equity consortium and international conferences. Ethical approval was not required for these studies. Access to the NCSS 2012 has been given by Africa Population and Health Center and UHS 2013 is freely available.https://bmjopen.bmj.com/content/12/6/e056494.full |
| spellingShingle | Helen Elsey Alastair H Leyland Linsay Gray Laura Dean Bachera Aktar Zahidul Quayyum Penelope Phillips-Howard Ivy Chumo Caroline Kabaria Blessing Mberu Samuel Saidu Lana Whittaker Lakshmi K Josyula Md Imran Hossain Mithu Ross Forsyth Eliud Kibuchi Varun Sai Sureka Garimella Proloy Barua Noemia Teixeira de Siqueira Filha Tasmiah Selim Ibrahim Gandi Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol BMJ Open |
| title | Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol |
| title_full | Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol |
| title_fullStr | Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol |
| title_full_unstemmed | Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol |
| title_short | Effects of social determinants on children’s health in informal settlements in Bangladesh and Kenya through an intersectionality lens: a study protocol |
| title_sort | effects of social determinants on children s health in informal settlements in bangladesh and kenya through an intersectionality lens a study protocol |
| url | https://bmjopen.bmj.com/content/12/6/e056494.full |
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