OBJECTIVES OF SUSTAINABLE DEVELOPMENT AND CONDITIONS OF HEALTH RISK AREAS

DJONÚ, PATRICIA; RABELO, LAUDEMIRA SILVA; LIMA, PATRÍCIA VERÔNICA PINHEIRO SALES; SOUTO, MICHAEL VANDESTEEN SILVA; SABADIA, JOSE ANTÓNIO BELTRÃO; SUCUPIRA JUNIOR, PAULO RICARDO GORAYEB

doi:10.1590/1809-4422asoc0091r1vu18L3TD

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Featured Topics • Ambient. soc. 21 • 2018 • https://doi.org/10.1590/1809-4422asoc0091r1vu18L3TD copy

OBJECTIVES OF SUSTAINABLE DEVELOPMENT AND CONDITIONS OF HEALTH RISK AREAS¹ 1 . Work carried out with the support of the Higher Level Personnel Improvement Commission (CAPES). Express search results were developed in the period 2015-2017.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The paper analyses the relationship between sustainable development and health conditions in hazardous areas. Therefore, we conducted a survey in Bissau, capital of Guinea-Bissau, Africa. The main methodological procedures were the Disease Occurrence Index (DOI), Access Index Health Services (AIHS) and Sanitation Index (SI), which allowed the quantitative analysis of the relationship between health and sanitation with regard to the Sustainable Development Goals (SDG). The main results showed that the targets of Goal 3 - Sustainable Development, Health and Welfare - are threatened due to lack of sanitation infrastructure, low education and low income. In hazardous areas, as studied in the article, health demands permeate several SDG.

Keywords :
Sustainability; Health; Aggregate Indices

Analyzed appearance	indicators
Socioeconomic characteristics	Level of education of the household head
	Occupation of head of household
	Number of people living in the household
	Number of residents working
	Family income per capita / day
	Condition as to the possession of the residence
	residence time
	Number of children at home (under 12)
	Number of young people at home (between 13 and 18 years)
	Number of children in school
	Number of young people in school
	Access to durable goSDG (stove, refrigerator, TV, phone, computer, ...)
	Number of bedrooms
	bathroom of existence
Health conditions	health post of existence
	health care quality
	Care by health worker at home
	Frequency of residents to the clinic
	verified diseases at home
	Age of affected residents for diseases
	Disease symptoms observed among residents
	Disease Occurrence Index (DOI) -proxy the risks of residents to epidemiological diseases (aggregates the information on the occurrence of diseases in the household).
	Access Index Health Services (AIHS) -proxy the supply and quality of health services Mindará neighborhood (adds information relating to the health services available to residents).
Access to Sanitation Infrastructure Basic	Residence building type
	Final disposal of human waste
	Type of tank
	Fossa maintenance frequency
	Existence of solid waste collection
	Garbage collection existence
	Existence of points accumulated garbage in the streets or land nearby
	Final Destination trash
	Type of water supply
	Treatment of water
	Occurrence of flooding during the rainy season
	Basic Sanemanto index (SI) -proxy the sanitation condition in the households of the neighborhood Mindará (adds information concerning basic infrastructure necessary for the health of the population).

Aggregate index	Indicators	Operationalization
Disease Occurrence index (DOI)	Malaria case at home	YES = 1 and NO = 0
	Dengue case at home	YES = 1 and NO = 0
	Cholera case at home	YES = 1 and NO = 0
	Case of infectious diarrhea at home	YES = 1 and NO = 0
	Case of yellow fever at home	YES = 1 and NO = 0
	Case of typhoid fever at home	YES = 1 and NO = 0
	0 ≤ 1 ≤ DOI (the closer to 1 the higher the vulnerability of the household to the occurrence of disease)
Access Index Health Services (AIHS)	Access to health post	YES = 1 and NO = 0
	Good quality health care	YES = 1 and NO = 0
	home health care agent	YES = 1 and NO = 0
	0 ≤ HSAI ≤ 1 (the closer to 1 the greater the access of residents to health services)
Sanitation Index (SI)	Bathroom Existence of residence	YES = 1 and NO = 0
	Sewage existence in residence	YES = 1 and NO = 0
	Fossa maintenance realization	YES = 1 and NO = 0
	Existence of collection of solid waste by the city	YES = 1 and NO = 0
	Weekly rubbish collections	YES = 1 and NO = 0
	Garbage existence nearby home	YES = NO = 0 and 1
	Existence of tap water	YES = 1 and NO = 0
	Realization of some treatment of drinking water	YES = 1 and NO = 0
	Occurrence of flooding during the rainy season	YES = NO = 0 and 1
	0 ≤ 1 ≤ SI (the closer to 1 the better the basic household sanitation condition)

Disease	Children under 5 years	Between 5 and 18 years	Between 19 and 35 years	Between 36 and 50	Over 50 years	Total (%)
Malaria	5.2	40.7	21.5	17.8	14.8	100.0
Dengue	23.0	23.1	15.4	15.4	23.1	100.0
Cholera	0.0	33.4	33.3	33.3	0.0	100.0
Infectious diarrhea	10.0	55.0	25.0	0.0	10.0	100.0
Yellow fever	4.2	41.7	20.8	20.8	12.5	100.0
Typhoid fever	3.5	44.8	20.7	20.7	10.3	100.0

Disease Occurrence index (DOI)
household income per capita / day (US $)
Condition of destitution (<1US $ / day / person)	Condition of Extreme Poverty (≥ 1 US $ / person / day and <second US $ / person / day)	Above the extreme poverty condition (≥ 2 US $ / day / person)
0.223	0.151	0.143
Degree of Education
To elementary school	High school	Higher education
0.173	0.229	0.167
Mean values of the Health Services Access Index (HSAI)
household income per capita / day (US $)
Condition of destitution (<1US $ / day / person)	Condition of Extreme Poverty (≥ 1 US $ / day / person and <2US $ / day / person)	Above the extreme poverty condition (≥ 2 US $ / day / person)
0.534	0.495	0.476
Degree of Education
To elementary school	High school	Higher education
0.503	0.514	0,667

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[TFN1] Source: Elaborated from survey data.

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OBJECTIVES OF SUSTAINABLE DEVELOPMENT AND CONDITIONS OF HEALTH RISK AREAS1 1 . Work carried out with the support of the Higher Level Personnel Improvement Commission (CAPES). Express search results were developed in the period 2015-2017.

Abstract

OBJECTIVES OF SUSTAINABLE DEVELOPMENT AND CONDITIONS OF HEALTH RISK AREAS¹ 1 . Work carried out with the support of the Higher Level Personnel Improvement Commission (CAPES). Express search results were developed in the period 2015-2017.