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This book reviews the experience of the MENA region with poverty and human development since the mid-1980s. It finds that poverty rates did not decline by much during this period while health and education indicators improved substantially. The stagnation of poverty rates is ascribed to the stagnation of the region?s economies during this period while the improvement in human indicators is likely due to several factors including improvement in the delivery of public health and education services.

Affluence and Poverty in the Middle East is an introduction to the political economy of the Middle East, focusing on its most salient features - persistent poverty and extreme inequality. El-Ghonemy analyses the factors influencing the region, including its unique historical, religious and cultural mix, as well as its economic foundations and forms of corruption. For each factor he employs case-studies drawn from throughout the region, from Turkey to Sudan and Morocco to Iran. In the final section El-Ghomeny discusses possible solutions to the challenges facing the region, including possible uses of a peace dividend, and the role of democracy.

Pre-pandemic the Middle East and North Africa was the only region in the world experiencing increases in poverty and declines in life satisfaction. This Report investigates how the COVID-19 pandemic changed the welfare of individuals and households in the region, by relying on phone surveys and micro-simulation exercises.

Offering insights and analysis in a field that has only recently come into existence, this book explores the ideals and institutions through which Middle Eastern societies—from the rise of Islam in the seventh century C.E. to the present day—have confronted poverty and the poor. By introducing new sources and presenting familiar ones with new questions, the contributors examine ideas about poverty and the poor, ideals and practices of charity, and state and private initiatives of poor relief over this extensive time span. They avoid easy generalizations about Islam and the Middle East as they seek to set the ideals and practices in comparative perspective.

This paper estimates the effects on rural education of the send-down movement during the Cultural Revolution, when about 16 million urban youth were mandated to resettle in the countryside. Using a county-level dataset compiled from local gazetteers and population censuses, we show that greater exposure to the sent-down youths significantly increased rural children’s educational achievement. This positive effect diminished after the urban youth left the countryside in the late 1970s but never disappeared. Rural children who interacted with the sent-down youths were also more likely to pursue more-skilled occupations, marry later, and have smaller families than those who did not.

As a conflict between two major agricultural powers, the Russia–Ukraine war has various negative socioeconomic impacts that are now being felt internationally and might worsen, notably, for global food security. If the war deepens, the food crisis will worsen, posing a challenge to many countries, especially those that rely on food imports, such as those in the Middle East and North Africa (MENA) region. Simultaneously, the war came at a bad time for global food markets because food prices were already high due to disruptions in the supply chain caused by the COVID-19 pandemic, strong global demand, and poor harvests in some countries. Understanding how conflict-related disruptions in global food and fertilizer markets might affect price and availability is critical for understanding the overall impact on global food security. Further, four months into the war, its implications for food security suggest that this review is timely, urgent, and highly needed. Accordingly, this paper aims to investigate the Russia–Ukraine war’s direct and indirect impact on global food security. The paper highlights that the war resulted in immediate and far-reaching cascading consequences on global food security: Ukrainian exports have stopped, conscription and population displacement have caused labor shortages, access to fertilizers is restricted, and future harvests are uncertain. First, Ukraine’s export capacity has been hampered. Secondly, conscription and population displacement caused labor shortages. Thirdly, access to vital agricultural products such as fertilizers is also constrained. The war may delay spring planting and winter crop harvesting. Further, the war has indirect and cascading effects. Indeed, rising fertilizer costs may reduce their use and crop yields. Moreover, as seen during the 2007–2008 food crisis, export restrictions and speculation are driving up international prices and worsening the situation. Furthermore, the war triggered a panic buying movement at country and individual levels. Finally, the war may jeopardize the implementation of the Sustainable Development Goals (SDGs), notably SDG 1 (No poverty), SDG 2 (Zero hunger), and DG 12 (Responsible consumption and production). However, the consequences of the war on food security are being exacerbated by a variety of underlying rigidities, vulnerabilities, and inefficiencies in global food systems. Accordingly, the transition toward healthy, equitable, and ecologically sustainable food systems must be strengthened by adopting urgent and long-term reforms and policies.

Quantification of the disease burden caused by different risks informs prevention by providing an account of health loss different to that provided by a disease-by-disease analysis. No complete revision of global disease burden caused by risk factors has been done since a comparative risk assessment in 2000, and no previous analysis has assessed changes in burden attributable to risk factors over time. We estimated deaths and disability-adjusted life years (DALYs; sum of years lived with disability [YLD] and years of life lost [YLL]) attributable to the independent effects of 67 risk factors and clusters of risk factors for 21 regions in 1990 and 2010. We estimated exposure distributions for each year, region, sex, and age group, and relative risks per unit of exposure by systematically reviewing and synthesising published and unpublished data. We used these estimates, together with estimates of cause-specific deaths and DALYs from the Global Burden of Disease Study 2010, to calculate the burden attributable to each risk factor exposure compared with the theoretical-minimum-risk exposure. We incorporated uncertainty in disease burden, relative risks, and exposures into our estimates of attributable burden. In 2010, the three leading risk factors for global disease burden were high blood pressure (7·0% [95% uncertainty interval 6·2–7·7] of global DALYs), tobacco smoking including second-hand smoke (6·3% [5·5–7·0]), and household air pollution from solid fuels (4·3% [3·4–5·3]). In 1990, the leading risks were childhood underweight (7·9% [6·8–9·4]), household air pollution from solid fuels (HAP; 6·8% [5·5–8·0]), and tobacco smoking including second-hand smoke (6·1% [5·4–6·8]). Dietary risk factors and physical inactivity collectively accounted for 10·0% (95% UI 9·2–10·8) of global DALYs in 2010, with the most prominent dietary risks being diets low in fruits and those high in sodium. Several risks that primarily affect childhood communicable diseases, including unimproved water and sanitation and childhood micronutrient deficiencies, fell in rank between 1990 and 2010, with unimproved water and sanitation accounting for 0·9% (0·4–1·6) of global DALYs in 2010. However, in most of sub-Saharan Africa childhood underweight, HAP, and non-exclusive and discontinued breastfeeding were the leading risks in 2010, while HAP was the leading risk in south Asia. The leading risk factor in Eastern Europe, Andean Latin America, and southern sub-Saharan Africa in 2010 was alcohol use; in most of Asia, most of Latin America, North Africa and Middle East, and central Europe it was high blood pressure. Despite declines, tobacco smoking including second-hand smoke remained the leading risk in high-income north America and western Europe. High body-mass index has increased globally and it is the leading risk in Australasia and southern Latin America, and also ranks high in other high-income regions, North Africa and Middle East, and Oceania. Worldwide, the contribution of different risk factors to disease burden has changed substantially, with a shift away from risks for communicable diseases in children towards those for non-communicable diseases in adults. These changes are related to the ageing population, decreased mortality among children younger than 5 years, changes in cause-of-death composition, and changes in risk factor exposures. New evidence has led to changes in the magnitude of key risks including unimproved water and sanitation, vitamin A and zinc deficiencies, and ambient particulate matter pollution. The extent to which the epidemiological shift has occurred and what the leading risks currently are varies greatly across regions. In much of sub-Saharan Africa, the leading risks are still those associated with poverty and those that affect children. Bill & Melinda Gates Foundation.

Time availability has been recognized as a social determinant of health. However, the association between time poverty and smoking behavior remains to be fully investigated. The aim of this current study was to examine the association between time poverty and smoking behavior by gender, marital status, and childrearing status, which differentially affect time resource availability. We used data from a population-based survey in the greater Tokyo metropolitan area. Participants were men and women aged 25–50 years (N = 2500). Time poverty was defined as a shortage of preferred leisure time compared to actual scheduled leisure time. Descriptive statistics and modified Poisson regression analyses were conducted, and stratified by gender. The study revealed that time poverty may relate to the prevalence of current smoking among single mothers with preschool-age children. However, this trend was not found for men. The findings suggest that time poverty may be heterogeneously associated with smoking propensity depending on gender-bound social roles and resources, which deserves further research for targeting appropriate interventions for health equity.

Backgrounds Poverty is a complex and multifaceted global public health issue, particularly prevalent in Ethiopia, including the East Gojjam Zone. Previous studies on poverty have largely relied on unidimensional measures, providing limited evidence on multidimensional poverty (MP). Therefore, this study tried to assess the prevalence and identify the associated factors of MP among rural households in selected woredas of East Gojjam Zone, Northern Ethiopia. Methods A community-based cross-sectional study was conducted in the fall of 2020 in randomly selected woredas of East Gojjam zone, involving 770 rural households. Multistage cluster sampling was used, and data were collected through structured, interviewer-administered questionnaires covering eleven MP indicators. The global multidimensional poverty index (MPI) was applied to assess poverty status. The multivariable partial proportional odds model (PPOM) was employed to identify the associated factors of MP, and variables with a p-value < 0.05 were considered as significant. Results Among 770 rural households considered 37.27% (25.45% moderately and 11.82% severely) of them were classified as multidimensionally poor. The standard of living dimension accounted for the largest contribution to MP. Household head aged, 30–45years (AOR = 1.78, 95% CI: 1.01, 3.15) and those over 45 years (AOR = 2.75, 95% CI: 1.42, 5.33), weather condition( Kolla) (AOR = 1.79, 95%CI: 1.05, 3.07), experiencing drought in the preceding 12 months (AOR = 1.65, 95% CI: 1.12, 2.41), dependency ratio (AOR = 1.34, 95%CI: 1.13,1.59), and adult equivalence (AOR = 1.13, 95%CI: 1.07,1.19) were more likely to experience MP. Conversely, marital status (being married) (AOR = 0.36, 95%CI: 0.21, 0.64), woreda , Machakel (AOR = 0.56, 95%CI: 0.36, 0.86), Sinan (AOR = 0.53, 95%CI: 0.29, 0.95), and road accessibility in the village (AOR = 0.55, 95%CI: 0.37, 0.81) were significantly associated with lower odds of MP among rural households in the study area. Conclusion Approximately 37% of rural household’s experience moderate to severe MP, and living standards dimension accounted for the largest contribution. Various socio-demographic, agro-ecological, and related factors have been identified to rural MP. To address this issue, stakeholders should prioritize to promote climate-resilient agriculture and strengthening drought coping mechanisms. Furthermore, it is essential to account for the variations in poverty levels across different administrative units and ecological zones to effectively eradicate poverty among rural households.

Open access publication rates have been steadily increasing over time. In spite of this growth, academics in low income settings struggle to gain access to the full canon of research literature. While the vast majority of open access repositories and funding organizations with open access policies are based in high income countries, the geographic patterns of open access publication itself are not well characterized. In this study, we developed a computational approach to better understand the topical and geographical landscape of open access publications in the biomedical research literature. Surprisingly, we found a strong negative correlation between country per capita income and the percentage of open access publication. Open access publication rates were particularly high in sub-Saharan Africa, but vastly lower in the Middle East and North Africa, South Asia, and East Asia and the Pacific. These effects persisted when considering papers only bearing authors from within each region and income group. However, papers resulting from international collaborations did have a higher percentage of OA than single-country papers, and inter-regional collaboration increased OA publication for all world regions. There was no clear relationship between the number of open access policies in a region and the percentage of open access publications in that region. To understand the distribution of open access across topics of biomedical research, we examined keywords that were most enriched and depleted in open access papers. Keywords related to genomics, computational biology, animal models, and infectious disease were enriched in open access publications, while keywords related to the environment, nursing, and surgery were depleted in open access publications. This work identifies geographic regions and fields of research that could be priority areas for open access advocacy. The finding that open access publication rates are highest in sub-Saharan Africa and low income countries suggests that factors other than open access policy strongly influence authors' decisions to make their work openly accessible. The high proportion of OA resulting from international collaborations indicates yet another benefit of collaborative research. Certain applied fields of medical research, notably nursing, surgery, and environmental fields, appear to have a greater proportion of fee-for-access publications, which presumably creates barriers that prevent researchers and practitioners in low income settings from accessing the literature in those fields.