Secondhand Smoke Exposure in Lao People’s Democratic Republic: Results From the 2015 National Adult Tobacco Survey

Objectives: Second-hand smoke (SHS) exposure causes >600,000 deaths annually worldwide, however, information regarding SHS exposure in Lao People’s Democratic Republic (Lao PRD) is limited; we report SHS exposure prevalence at home, inside workplaces, and indoor public spaces in Lao PDR.Methods: Data were from the 2015 Lao National Adult Tobacco Survey, a nationally representative sample of 7,562 participants aged ≥15 years recruited through a stratified 2-stage cluster sampling approach.Results: 88.3% (83.9% of non-smokers) reported SHS exposure at home and 63.0% (54.0% of non-smokers) at workplaces. Among non-smokers, women had greater exposure at home than men (86.6 vs. 77.0%). Lower education levels were associated with exposure at home or the workplace. 99.2% reported SHS exposure at any public place; specifically for restaurants/food stores 57.7%, government offices 56.2%, public transport 31.6%, and health care facilities 11.7%.Conclusion: SHS exposure at home and workplace in Lao PDR is among the highest in South-East Asia. Comprehensive smoke-free policies at government-owned workplaces and facilities, stricter enforcement of these smoke-free policies, and strategies to encourage smoke-free environments at homes and in public places are urgently needed.

Acceptance of New Land-Use Activities by Hmong and Khmu Ethnic Groups: A Case Study in Northern Lao People’s Democratic Republic

Reducing emissions from deforestation and forest degradation (REDD+) to address climate change has historically included little evaluation of how heterogeneous local communities respond to REDD+ interventions and new land-use activities. We assessed differences in the acceptance of new land-use activities as a function of livelihoods of the Hmong and Khmu ethnic groups in northern Lao People’s Democratic Republic, where REDD+ was implemented between 2011 and 2018. Our socioeconomic data, collected by a questionnaire-based survey and focal group discussions, showed that the Hmong more effectively incorporated support from REDD+ than the Khmu because the Hmong owned grazing land. Our findings highlight the importance of understanding the capabilities and characteristics of each ethnic group when implementing new land-use activities (i.e., designing and implementing alternative livelihoods) within a target area to ensure distributional equity in heterogeneous communities. Such a consideration should be included in land-use policy and also be a part of the social safeguards in the land-use sector.

Menstrual health and factors associated with school absence among secondary school girls in Luang Prabang Province, Lao People’s Democratic Republic: A cross-sectional study

In Lao People’s Democratic Republic (Lao PDR), information on school sanitation and menstrual health among secondary school girls is limited. This study aimed to explore knowledge and practices surrounding menstrual health and to identify factors associated with school absence due to menstruation among secondary school girls in Lao PDR. The study involved 1,366 girls from grade 9 to grade 12 in six secondary schools in Luang Prabang Province. Data on socio-demographics and menstrual health of the girls and data on school toilets was collected. Logistic regression analysis was performed to identify the factors associated with school absence due to menstruation. The mean age was 15.8 years old. The average age of menarche was 12.9 years old. Of 1,366 girls, 64.6% were shocked or ashamed when they reached menarche and 31.8% had been absent from school due to menstruation in the six months before this study was conducted. Factors associated with school absence due to menstruation were age ≥ 16 years old (AOR = 1.79, 95% CI 1.37–2.34), higher income (AOR = 2.38, 95% CI 1.16–4.87), menstrual anxiety (AOR = 1.55, 95% CI 1.09–2.20), using painkillers (AOR = 4.79, 95% CI 2.96–7.76) and other methods (AOR = 2.82, 95% CI 1.86–4.28) for dysmenorrhea, and disposing used pads in places other than the school’s waste bins (AOR = 1.34, 95% CI 1.03–1.75). Living with relatives (AOR = 0.64, 95% CI 0.43–0.95) and schools outside the city (AOR = 0.59, 95% CI 0.38–0.90) were significantly less associated with school absence. Although the association between school toilets and school absence was not examined, the results of this study suggest that school toilets should be gender-separated and equipped with waste bins in the toilet. Furthermore, menstrual education should start at elementary schools and teacher training on menstrual health should be promoted.

Ecology of Gamebirds in Namha National Protected Area, Lao People’s Democratic Republic

Using camera-trap data, we describe the ecology and occupancy of several species of gamebirds while assessing associations at Namha National Protected Area (Lao People’s Democratic Republic). We detected three species of Arborophila Partridges, albeit in low numbers. Red Junglefowl Gallus gallus show typical diurnal activity, and we provide a record of a male–female pair commensally associated with a boar Sus scrofa. Silver Pheasants Lophura nycthemera have sex ratios slightly favoring females, and are mostly solitary; we provide novel findings of male age structure and rectrix molt. Gray Peacock Pheasants Polyplectron bicalcaratum sex ratios also favor females; males are recorded displaying as early as late February, while daily activity is somewhat bimodal, and we provide novel findings of male age structure. Analysis of the association between occupancy and 14 environmental covariates indicated that Silver Pheasant and Gray Peacock-Pheasant were associated with rougher terrain, and Red Junglefowl had higher occupancy far from well-groomed trails used for tourism. We discuss our results by comparing and contrasting our findings with other studies, and consider implications for conservation in the region.

Effective Aid Coordination: A Case Study of Lao People's Democratic Republic

<p>The purpose of this research is to find what is "effective aid coordination" particularly drawing from the case study of Lao People's Democratic Republic and lessons from Vietnam and Timor Leste. The study proposes that a solution to the problem of poor delivery of ODA is that the development industry must improve its ODA spending systems and incorporate aid budgets into the national budget and development plans. It is vital to encourage national governments to lead their own development agenda and support development according to local priorities. The results suggest that it is not just a matter of coordinating aid effectively, but the aid industry needs the right capacity and people to be involved. Capacity building is much needed within the recipient national offices as well as many of the international donor agencies. This would allow the local government to take the lead and prioritise the commitments signed in the Paris Declaration, the Vientiane Declaration and the Millennium Development Goals. It is recommended by many practitioners that the number of agencies working in decision making processes in the aid effectiveness agenda in Laos should be limited to reduce transaction costs and promote clear communication within the development community. However different environments such as Timor Leste, suggests that civil society should be involved more and that donor agencies should not take the lead in aid delivery.</p>