Public Affairs, Public Policy and Public Administration Commons^™

A Review Of Psychosocial Support And The Challenges Faced In Disclosing Hiv Positive Status To Children In Kibera, Katherine Lesyna

Independent Study Project (ISP) Collection

The AIDS pandemic has become an increasingly global problem as well as an everyday reality for most people living in sub-Saharan Africa. In 2009, an estimation of the number of adults and children living with HIV/AIDS in sub-Saharan Africa totaled around 22.4 million.1 The people that have been affected most by the pandemic are women and children.
In Kenya, about 1.5 million people are infected with HIV, about 180,000 of them being children.2 While a lot has been done to reduce HIV infections and treat those who are infected, children have been left behind until recently. There is still much …

A Case Study Of Appendicitis At Antanimalandy Lutheran Hospital, Jennifer Gemmell

Independent Study Project (ISP) Collection

From the introduction:

The island of Madagascar houses a total of 19,159,000 people who spend only $34 per person per year on health care (“Madagascar,” 2008). The government claims to have “committed itself to the principle that good health is a right of each Malagasy citizen, and has made significant studies in the area of health care,” according to the country study for the Library of Congress. However, with political corruption, political crisis after political crisis, and lack of international support, the government does not dispense the funds necessary to support this commitment (Metz, 1994). For example, in 1976 the …

Finding The Right Fit: Unique Challenges Faced By Health Ngos In The Health System Of Lamu District, Lauren Hartel

Independent Study Project (ISP) Collection

This study examines how nongovernmental organizations and community-based organizations in Lamu District interact with the governmentally structured health care system at the district level. This is done through participatory observation, interviews and removed observation of NGOs, CBOs and government officials. From these observations, this study then identifies major challenges faced by health NGOs that inhibit them from performing to the best of their ability, and at times even compromise the health of the people they are trying to help. The results of this study show that in Lamu District, the most relevant challenges are continuity of care, dissemination of information, …

Breaking The Cycle Of Domestic Violence, Rebecca Bolden

Independent Study Project (ISP) Collection

Domestic violence is a serious problem that affects women all over the globe. It has been found that children who witness domestic violence in their homes are more likely to be involved in a violent relationship later on in life, perpetuating an intergenerational cycle of violence. This project aims to look at services that exist for women who suffer from domestic violence, in order to suggest future prevention strategies to end the cycle of violence. My methodology was interviewing four different organizations that exist in Salvador that support women who have suffered domestic violence as well as work to prevent …

Trapped In The Street: Defining The Health Care Use Of The Homeless Adult In Salvador, Bahia, Nicole Lunardi

Independent Study Project (ISP) Collection

Problem Statement

Homelessness is a universal problem. This population represents some of society’s most marginalized members who, paradoxically, need society’s help the most. In this study, data was collected in order to discern in which circumstances and how homeless people utilize medical care in order to better understand the concepts of self efficacy and self agency among this population.

Question and Hypothesis

In what circumstances and by what means does the adult homeless population seek medical attention?

Since the homeless population is marginalized by society, I believe that this population lacks the self efficacy and agency that is required to …