Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia

Background: Given that low- and middle-income countries (LMICs) in Asia still have high child mortality rates, improved monitoring using children's environmental health indicators (CEHI) may help reduce preventable deaths by creating healthy environments. Objectives: Thus, the aim of this study...

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Autores principales:	Eun Mi Jung, Eun Mee Kim, Minah Kang, Fiona Goldizen, Fiona Gore, Marie Noel Brune Drisse, Eun Hee Ha
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	Asia children's environmental health indicators diarrheal diseases insect-borne diseases low- and middle-income countries respiratory diseases Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d19ad39c1c2c493f9bc3c6ef031fdfa9
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spelling	oai:doaj.org-article:d19ad39c1c2c493f9bc3c6ef031fdfa92021-12-02T04:24:25ZChildren's Environmental Health Indicators for Low- and Middle-Income Countries in Asia2214-999610.1016/j.aogh.2017.10.013https://doaj.org/article/d19ad39c1c2c493f9bc3c6ef031fdfa92017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/166https://doaj.org/toc/2214-9996Background: Given that low- and middle-income countries (LMICs) in Asia still have high child mortality rates, improved monitoring using children's environmental health indicators (CEHI) may help reduce preventable deaths by creating healthy environments. Objectives: Thus, the aim of this study is to build a set of targeted CEHI that can be applied in LMICs in Asia through the CEHI initiative using a common conceptual framework. Methods: A systematic review was conducted to identify the most frequently used framework for developing CEHI. Due to the limited number of eligible records, a hand search of the reference lists and an extended search of Google Scholar were also performed. Based on our findings, we designed a set of targeted CEHI to address the children's environmental health situation in LMICs in Asia. The Delphi method was then adopted to assess the relevance, appropriateness, and feasibility of the targeted CEHI. Findings: The systematic review indicated that the Driving-Pressure-State-Exposure-Effect-Action framework and the Multiple-Exposures-Multiple-Effects model were the most common conceptual frameworks for developing CEHI. The Multiple-Exposures-Multiple-Effects model was adopted, given that its population of interest is children and its emphasis on the many-to-many relationship. Our review also showed that most of the previous studies covered upper-middle– or high-income countries. The Delphi results validated the targeted CEHI. The targeted CEHI were further specified by age group, gender, and place of residence (urban/rural) to enhance measurability. Conclusions</h3>Improved monitoring systems of children's environmental health using the targeted CEHI may mitigate the data gap and enhance the quality of data in LMICs in Asia. Furthermore, critical information on the complex interaction between the environment and children's health using the CEHI will help establish a regional environmental children's health action plan, named “The Children's Environment and Health Action Plan for Asia.”Eun Mi JungEun Mee KimMinah KangFiona GoldizenFiona GoreMarie Noel Brune DrisseEun Hee HaUbiquity PressarticleAsiachildren's environmental health indicatorsdiarrheal diseasesinsect-borne diseaseslow- and middle-income countriesrespiratory diseasesInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 530-540 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Asia children's environmental health indicators diarrheal diseases insect-borne diseases low- and middle-income countries respiratory diseases Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Asia children's environmental health indicators diarrheal diseases insect-borne diseases low- and middle-income countries respiratory diseases Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Eun Mi Jung Eun Mee Kim Minah Kang Fiona Goldizen Fiona Gore Marie Noel Brune Drisse Eun Hee Ha Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
description	Background: Given that low- and middle-income countries (LMICs) in Asia still have high child mortality rates, improved monitoring using children's environmental health indicators (CEHI) may help reduce preventable deaths by creating healthy environments. Objectives: Thus, the aim of this study is to build a set of targeted CEHI that can be applied in LMICs in Asia through the CEHI initiative using a common conceptual framework. Methods: A systematic review was conducted to identify the most frequently used framework for developing CEHI. Due to the limited number of eligible records, a hand search of the reference lists and an extended search of Google Scholar were also performed. Based on our findings, we designed a set of targeted CEHI to address the children's environmental health situation in LMICs in Asia. The Delphi method was then adopted to assess the relevance, appropriateness, and feasibility of the targeted CEHI. Findings: The systematic review indicated that the Driving-Pressure-State-Exposure-Effect-Action framework and the Multiple-Exposures-Multiple-Effects model were the most common conceptual frameworks for developing CEHI. The Multiple-Exposures-Multiple-Effects model was adopted, given that its population of interest is children and its emphasis on the many-to-many relationship. Our review also showed that most of the previous studies covered upper-middle– or high-income countries. The Delphi results validated the targeted CEHI. The targeted CEHI were further specified by age group, gender, and place of residence (urban/rural) to enhance measurability. Conclusions</h3>Improved monitoring systems of children's environmental health using the targeted CEHI may mitigate the data gap and enhance the quality of data in LMICs in Asia. Furthermore, critical information on the complex interaction between the environment and children's health using the CEHI will help establish a regional environmental children's health action plan, named “The Children's Environment and Health Action Plan for Asia.”
format	article
author	Eun Mi Jung Eun Mee Kim Minah Kang Fiona Goldizen Fiona Gore Marie Noel Brune Drisse Eun Hee Ha
author_facet	Eun Mi Jung Eun Mee Kim Minah Kang Fiona Goldizen Fiona Gore Marie Noel Brune Drisse Eun Hee Ha
author_sort	Eun Mi Jung
title	Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
title_short	Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
title_full	Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
title_fullStr	Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
title_full_unstemmed	Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
title_sort	children's environmental health indicators for low- and middle-income countries in asia
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/d19ad39c1c2c493f9bc3c6ef031fdfa9
work_keys_str_mv	AT eunmijung childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia AT eunmeekim childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia AT minahkang childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia AT fionagoldizen childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia AT fionagore childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia AT marienoelbrunedrisse childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia AT eunheeha childrensenvironmentalhealthindicatorsforlowandmiddleincomecountriesinasia
_version_	1718401275237761024

Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia

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