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Assessing the Multiple Dimensions of Poverty: Data Mining Approaches to the 2004-14 Health and Demographic Surveillance System in Cuatro Santos, Nicaragua
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).ORCID iD: 0000-0002-3206-6528
Asociac Desarrollo Econ & Sostenible El Espino AP, Chinandega, Nicaragua;Nicaraguan Autonomous Natl Univ Leon UNAN Leon, Leon, Nicaragua.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. Pan Amer Hlth Org, Tegucigalpa, Honduras.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
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2020 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 7, article id 409Article in journal (Refereed) Published
Abstract [en]

We identified clusters of multiple dimensions of poverty according to the capability approach theory by applying data mining approaches to the Cuatro Santos Health and Demographic Surveillance database, Nicaragua. Four municipalities in northern Nicaragua constitute the Cuatro Santos area, with 25,893 inhabitants in 5,966 households (2014). A local process analyzing poverty-related problems, prioritizing suggested actions, was initiated in 1997 and generated a community action plan 2002-2015. Interventions were school breakfasts, environmental protection, water and sanitation, preventive healthcare, home gardening, microcredit, technical training, university education stipends, and use of the Internet. In 2004, a survey of basic health and demographic information was performed in the whole population, followed by surveillance updates in 2007, 2009, and 2014 linking households and individuals. Information included the house material (floor, walls) and services (water, sanitation, electricity) as well as demographic data (birth, deaths, migration). Data on participation in interventions, food security, household assets, and women's self-rated health were collected in 2014. A K-means algorithm was used to cluster the household data (56 variables) in six clusters. The poverty ranking of household clusters using the unsatisfied basic needs index variables changed when including variables describing basic capabilities. The households in the fairly rich cluster with assets such as motorbikes and computers were described as modern. Those in the fairly poor cluster, having different degrees of food insecurity, were labeled vulnerable. Poor and poorest clusters of households were traditional, e.g., in using horses for transport. Results displayed a society transforming from traditional to modern, where the forerunners were not the richest but educated, had more working members in household, had fewer children, and were food secure. Those lagging were the poor, traditional, and food insecure. The approach may be useful for an improved understanding of poverty and to direct local policy and interventions.

Place, publisher, year, edition, pages
FRONTIERS MEDIA SA , 2020. Vol. 7, article id 409
Keywords [en]
multidimensional poverty, capability approach, health and demographic surveillance, data mining, K-means clustering, poverty alleviation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-407298DOI: 10.3389/fpubh.2019.00409ISI: 000514381800001PubMedID: 32064243OAI: oai:DiVA.org:uu-407298DiVA, id: diva2:1416698
Funder
Swedish Research CouncilAvailable from: 2020-03-25 Created: 2020-03-25 Last updated: 2020-03-25Bibliographically approved

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Källestål, CarinaPérez, WiltonContreras, MarielaPersson, Lars-ÅkeEkholm Selling, Katarina
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