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Lynda Kristian Mercer

Bio: Lynda Kristian Mercer is an academic researcher. The author has contributed to research in topics: Medicine & Socioeconomic status. The author has an hindex of 1, co-authored 1 publications receiving 39 citations.

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Posted ContentDOI
18 Mar 2022-medRxiv
TL;DR: This study analyzed cluster-level data from the Demographic and Health Surveys and the Malaria Indicator Survey as well as geospatial covariates to describe malaria burden and its determinants in areas administratively defined as urban in Nigeria and found low malaria test positivity across urban areas.
Abstract: Nigeria is one of three countries projected to have the largest absolute increase in the size of its urban population and this could intensify malaria transmission in cities. Accelerated urban population growth is out-pacing the availability of affordable housing and basic services and resulting in living conditions that foster vector breeding and heterogeneous malaria transmission. Understanding community determinants of malaria transmission in urban areas informs the targeting of interventions to populations at greatest risk. In this study, we analyzed cluster-level data from the Demographic and Health Surveys (DHS) and the Malaria Indicator Survey (MIS) as well as geospatial covariates to describe malaria burden and its determinants in areas administratively defined as urban in Nigeria. Overall, we found low malaria test positivity across urban areas. We observed declines in test positivity rate over time and identified the percentage of individuals with post-primary education, the percentage of individuals in the rich wealth quintiles, the percentage of individuals living in improved housing in 2015, all age population density, median age, the percentage of children under the age of five that sought medical treatment for fever, total precipitation and enhanced vegetation index as key community predictors of malaria transmission intensity. The unrepresentativeness of the DHS and MIS in urban settings at the state and geopolitical zonal level, regional differences in malaria seasonality across Nigeria, and information detection bias were among likely factors that limited our ability to compare malaria burden across geographic space and ultimately drove model uncertainty. Nevertheless, study findings provide a starting point for informing decisions on intervention prioritization within urban spaces and underscore the need for improved regionally-focused surveillance systems in Nigeria.

1 citations

Posted ContentDOI
14 Dec 2022-medRxiv
TL;DR: In this paper , the authors present a quantitative visualization tool called the subnational family planning estimation tool (SFPET) that can be used by policy makers to monitor programmatic success at subnational levels and gain insight into trends within demographic subgroups.
Abstract: Background Access to safe, effective, and voluntary family planning (FP) is a fundamental human right and is an important step toward achieving gender equality and economic autonomy. Global organizations have set ambitious goals to create universal access to FP services but assessing progress can be challenging, especially at the local geographic scale. Here, we present a quantitative visualization tool called the subnational family planning estimation tool (SFPET) that can be used by policy makers to monitor programmatic success at subnational levels and gain insight into trends within demographic subgroups. Methods The visualization tool builds on the statistical methods and analyses presented in earlier research to generate model-based estimates of FP indicators for 25 sub-Saharan countries at administrative units one and two. Here, we have extended this modeling approach to more demographic and geographic subgroups, integrated recently released survey data, and constructed a web-based dashboard to navigate survey and model-based estimates. Findings Significant heterogeneity in the levels and trends of FP indicators exist at subnational levels and across demographic subgroups. This tool provides the ability to efficiently navigate these model-based estimates across local regions within countries and across demographic subgroups. The tool also helps highlight regions and groups that may be falling behind the national trends as well as identify exemplars that exceed the national average. Interpretation SFPET is an interactive dashboard created to aid policymakers in assessing progress towards family planning goals by visualizing both model-based and direct survey estimates of family planning indicators at the subnational level. This framework provides insight into locations and population segments experiencing the greatest unmet need, enabling targeting and allocation of resources to achieve family planning goals.

Cited by
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Journal ArticleDOI
TL;DR: In this paper, Imagined communities: Reflections on the origin and spread of nationalism are discussed. And the history of European ideas: Vol. 21, No. 5, pp. 721-722.

13,842 citations

Journal ArticleDOI
TL;DR: Michel Foucault takes the reader on a serendipitous journey in tracing the history of madness from the 16th to the 18th centuries using original documents, which recreates the mood, the place, and the proper perspective in thehistory of madness.
Abstract: Michel Foucault takes the reader on a serendipitous journey in tracing the history of madness from the 16th to the 18th centuries. Utilizing original documents, the author recreates the mood, the place, and the proper perspective in the history of madness. Madness or folly is viewed as part of the human condition and to be examined and illuminated through one of its many facets. At the end of the Middle Ages madness was seen either as a tragic or comic phenomenon. The Renaissance, with Erasmus' Praise of Folly , demonstrated how imagination and its derivatives were to thinkers of that day. The French Revolution introduced the so-called medical approach. Madness is a ubiquitous phenomenon that has common roots not only in medicine but in poetry and tragedy. Shakespeare brilliantly describes psychological phenomena with even greater clarity than Tuke or Wills. The author weaves a fascinating history showing the changing pattern of

1,101 citations

Journal ArticleDOI
TL;DR: In this article, the authors leave blank a blank page intentionally left blank from inquiry to academic writing a text and reader aronson11e fm aronson 11e e m aronson et al.
Abstract: william cronon the trouble with wilderness or getting the trouble with wilderness or getting back to the wrong nature by william cronon print formatted version pdf in william cronon ed uncommon ground rethinking, jesse and frank james new world encyclopedia jesse woodson james was born in clay county missouri near the site of present day kearney his father robert james was a farmer and baptist minister, conqu te de l ouest wikip dia la conqu te de l ouest est le processus de colonisation par des populations essentiellement d origine europ enne et le gouvernement des tats unis au xix e, from inquiry to academic writing pdf free download this page intentionally left blank from inquiry to academic writing a text and reader aronson11e fm aronson11e fm 4

443 citations