RESUMO
OBJECTIVE: To measure the demand for health insurance policy with special focus on maternity services among working women. METHODS: The cross-sectional study was conducted in Lahore, Pakistan, from October 15 to November 15, 2018, after approval from the Punjab Economic Research Institute, and comprised public and private school teachers of reproductive age. The primary data was collected using a structured questionnaire. Logit model was used to determine the factors affecting the interest level in maternal health insurance. RESULTS: Of the 110 teachers, 54 (49 %) were from private schools and 56 (51%) from public schools. The overall age range was 21-49 years, with 64 (58%) aged 31-40 years. Also, 79 (72%) teachers had completed 16 years of education. Of the total, 63 (57%) respondents were willing to buy maternal health insurance. Income, age, awareness and the type of preceding delivery were important determinants of the willingness to pay for maternal health insurance. CONCLUSION: Providing full insurance coverage during maternity was expected to give financial relief and to also ensure better health conditions of the teachers on re-joining the work.
Assuntos
Seguro Saúde , Saúde Reprodutiva , Adulto , Estudos Transversais , Emprego , Feminino , Humanos , Pessoa de Meia-Idade , Paquistão , Gravidez , Adulto JovemRESUMO
First attempt has been made to find the effects of foreign direct investment on environmental pollution and economic growth, in addition to finding the determinants of foreign direct investment inflows in Pakistan using the annual data set for the period of 1980-2014. Simultaneous equation model has been used to find relation between the variables of concern. Results from technique and composition effects show that increase in economic growth leads towards more pollution emissions. Scale effect shows stock of capital and labor have positive effect on the economic growth of Pakistan while pollution has negative effect on growth. In case of capital accumulation effect, economic growth and foreign direct investment have positive and significant effect on stock of capital. Although increase in economic growth increases pollution, however, economic growth declines as pollution crosses a certain limit. Foreign direct investment is also found positively related with pollution.
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Desenvolvimento Econômico , Poluição Ambiental , Internacionalidade , Investimentos em Saúde , PaquistãoRESUMO
The main objective of this study was to capture farmers' perceptions and adaptations to climate change in agriculture sector. Along with this, it also identified farmers' adaptations to perceived climate change. Binary logit models were applied on data of 386 farmers, collected from three different agro-ecological zones of Punjab, Pakistan, to present a comprehensive analysis of different adaptation strategies missing in the existing literature. The coefficients of a binary logit model only explain the direction of change; therefore, to see the magnitude of change, marginal effects were also estimated. Findings revealed that farmers perceived climate change and opted different adaptation strategies. Results of binary logit models described age, education, farming experience, landholding, access to climate information, access to credit facilities, and access to extension services as important determinants of adaptation. This research also found lack of access to climate information, lack of irrigation resources, and knowledge about appropriate adaptations as key constraints in adaptation process. This situation can be improved by enhancing institutional support and capacity. It is suggested that improved agricultural education with better access to climate information and extension services affects the farmers' well-being directly and hence is good for the economy of Pakistan.
Assuntos
Mudança Climática , Fazendeiros , Agricultura , Humanos , Paquistão , PercepçãoRESUMO
The present study was designed to investigate the effects of disease on time spent by family and hired labor on farm activities. The effect of illness on cost incurred on farm activities and revenue earned from agriculture has also been examined in detail. The reason behind choosing malaria is because of its strong association with the quality of surrounding environment especially in the case of farm workers who are compelled to work in the environmental conditions quite suitable for the transmission of malaria. The effects of health shocks due to malaria are segregated according to three stages of production: land preparation, field management, and harvesting stages. Simultaneous equation model was employed using cross-sectional data collected from 252 farm workers through a pre-tested questionnaire. Farmers' living environment was found to be contributing in the spread of disease. Results also show that malaria affects labor time at harvesting stage as it is more labor-intensive stage of production. We find that malaria significantly affects the health of farm workers and their families forcing farm families to substitute family labor with hired labor. Further, the cost incurred on cure of disease significantly adds to the cost on agricultural production. This consequently leads to a substantial reduction in revenue. The effect of the cost incurred on prevention and cure of disease was also found negative on revenue. The study suggests that, in order to make farmers more productive, there should be malaria interventions specifically targeting the health of farmers. It is also suggested that, for successful malaria interventions especially in irrigated areas, the magnitude of the disease on different stages of production should be given due consideration.