Digital Commons Network^™

Service-Learning And Reflection In Dental Hygiene Education, Tiffany L. Finesilver

EWU Masters Thesis Collection

"Service-Learning (SL) is widely used in education today. Little is known about the use of SL pedagogy on dental hygiene students. SL in dental hygiene is an ideal teaching medium and use frequently; however, few studies have specifically studied if it is being done effectively. This study aimed to increase the knowledge available about SL in dental hygiene educational facilities and to discover if SL was being used appropriately in dental hygiene education. In order to accomplish this, the researcher first identified current definitions that educators have for SL classes and projects. Then, the SL programs/projects were evaluated for best …

Community And Household Management Strategies For Water Supply And Treatment In Rural And Peri-Urban Areas In The Developing World, Ryan William Schweitzer

USF Tampa Graduate Theses and Dissertations

Eighty percent of the 780 million people worldwide that access water from an unimproved source live in rural areas. In rural areas, water systems are often managed by community based organizations and many of these systems do not provide service at the designed levels. The Sustainability Analysis Tool developed in Chapter 2 can inform decision making, characterize specific needs of rural communities in the management of their water systems, and identify weaknesses in training regimes or support mechanisms. The framework was tested on 61 statistically representative geographically stratified sample communities with rural water systems in the Dominican Republic. The results …

Trends In Condom Use Among Female Sex Workers In Andhra Pradesh, India: The Impact Of A Community Mobilisation Intervention, Jennifer T. Erausquin, Monica Biradavolu, Elizabeth Reed, Rebekah Burroway, Kim M. Blankenship

Prevention and Community Health Faculty Publications

Background

Community mobilisation interventions for HIV prevention among female sex workers (FSWs) aim to organise FSWs for collective action and challenge the structures of power that underlie HIV risk. Assessing intervention impact is challenging because the importance of direct individual exposure to intervention components may decrease over time as change occurs at social-normative, policy and other structural levels. In this paper, the authors examine changes over time in consistent condom use among FSWs in Rajahmundry, Andhra Pradesh, the location of a long-standing community mobilisation intervention.

Methods

The authors analyse cross-sectional data collected among FSWs at three time points (n=2276) using …

Role Of Community Health Nurse In Earthquake Affected Areas, Saleema A. Gulzar, Zahid Ali Faheem, Rozina Karim Somani

School of Nursing & Midwifery

The role of Community Health Nurses (CHNs) outside the traditional hospital setting is meant to provide and promote the health care needs of the community. Such nurses can play a substantial role in the community setting including emergencies like disasters. This became evident after the earthquake of October 8, 2005 in Pakistan. The objective was to address the issues, faced by primary healthcare providers working in earthquake-affected areas focusing on participatory approach. The experience of the interventions done by CHN by a guided frame work (assessment, planning, implementation and evaluation components) is described. Issues identified by CHN included: lack of …

Kota Sehat Sebagai Bentuk Sustainable Communities Best Practice, Oedojo Soedirham

Kesmas

Kota Sehat merupakan proyek World Health Organization (WHO) yang diluncurkan pada pertengahan tahun 1980-an dengan mengambil tempat untuk yang pertama kali adalah kota-kota di Eropa. Konsep Kota Sehat adalah konsep lama sekaligus baru. “Lama” berarti telah lama manusia berusaha untuk membuat kota lebih sehat sejak awal peradaban perkotaan (urban civilization). “Baru” dalam manifestasinya sebagai satu sarana utama promosi kesehatan – kesehatan masyarakat baru (new public health) – dalam pencarian Sehat untuk Semua (Health for All). Hal tersebut dipandang sebagai “a means of legitimizing, nurturing, and supporting the process of community empowerment”. Artikel ini mengulas Kota Sehat dalam konteks sustainable communities. …

Eliminating Racial/Ethnic Health Disparities: Reconsidering Comparative Approaches, Shawn M. Bediako, Derek M. Griffith

Journal of Health Disparities Research and Practice

The focus on eliminating racial/ethnic health disparities has brought critical attention to the poor health status of minority populations. Assessing the health outcomes of racial minority groups by comparing them to a racial majority standard is valuable for identifying and monitoring health inequities, but may not be the most effective approach to identifying strategies that can be used to improve minority health outcomes. Health promotion planning models and public health history both suggest that minority health promotion is more likely to be derived from interventions rooted in culturally and historically grounded contextual factors. In this essay, we highlight limitations of …

Pastors’ Influence On Research-Based Health Programs In Church Settings, Shirley M. Timmons

Journal of Health Disparities Research and Practice

Churches, in the United States, are recognized essential players in addressing our mounting health and social service needs. Yet, even though they implement a relatively large number of programs, few are research-based. Focus groups were conducted with pastors from 11 Baptist churches in a small Southeastern town to explore factors that influence the implementation of research-based health programs. Transcripts were coded for domains resulting in four themes: congregant needs, shared programming ethics, common understanding of programming processes, and care for the church and congregation. Pastors value research and seek church-based programs that enhance the health of congregants. Yet, future study …

Expanding The Understanding Of The Social Determinants Of Health To Support Community Readiness For Change, Nandi A. Marshall

College of Graduate Studies: Theses & Dissertations

Addressing the Social Determinants of Health is critical if we truly want to achieve health equity. The World Health Organization's Commission on the Social Determinants of Health (2008) recognized the need to broaden the understanding of these determinants among the general public to facilitate change in communities. Using a concurrent transformative case study, this mixed methods design explored the potential increase in 1) awareness of the social determinants of health, 2) understanding of context and 3) organizational empowerment through the use of Photovoice and Action planning with a Rural Diabetes Community Coalition in Southeast Georgia. Engaging the coalition through these …

Repositioning Community-Based Family Planning In Ghana: A Case Study Of Community-Based Health Planning And Services (Chps), Stephen Ntsua, Placide Tapsoba, Gloria Quansah Asare, Frank K. Nyonator

Reproductive Health

The Population Council conducted a diagnostic appraisal of delivering family planning services using the community-based health planning and services (CHPS model) in Ghana. This study’s results indicate that the CHPS program is well appreciated by rural communities where it is operational. However, the study identified several developments with implications for service delivery: increased community health officer (CHO) workloads and concomitant reductions in outreach services and home visits by community health visitors (CHVs) have weakened the CHO-CHV working relationship, leaving both cadres working in isolation. CHPS has significantly improved health indices but its contribution to increasing family planning is limited and …

Community Midwifery Services In Kenya: Implementation Guidelines, Kenya Ministry Of Health

Reproductive Health

Community midwifery guidelines by the Kenya Minister for Health have been revised in order to standardize the implementation of community midwifery services as a strategy for improving skilled attendance in the provision of maternal and newborn health care at the community level. The revised guidelines address key policies that are outlined in the Kenya Health Policy regarding the provision of essential packages for health in line with the new constitution, Vision 2030, and the Community Health Strategy. The policy emphasizes a shift of focus to preventive and promotive health care; major strategies include improving access, realizing equity goals, and providing …

Building Capacity For Community-Based Participatory Research: Experiences From The Grand Valley State University Student Consulting Center, Stephen Borders

Michigan Journal of Public Health

No abstract provided.

Teen Stress And Substance Use Problems In Coös: Survey Shows Strong Community Attachment Can Offset Risk, Karen T. Van Gundy, Meghan L. Mills

Carsey Publications

This brief explores how social stress and community attachment are related to problem alcohol and drug use for girls and boys in Coös County, New Hampshire. The brief uses survey data from the Coös Youth Study, which includes self-reported information from 564 Coös youth who were in seventh and eleventh grades in 2008, and who were surveyed again one year later (in 2009) when they were in eighth and twelfth grades. Nearly one-fourth of youth in Coös County (22 percent of boys and 23 percent of girls) reported at least one alcohol or drug use related problem. The authors note …

Evaluating The Impact Of Social Determinants On Pedestrian Injury In Clark County, Nevada, Jonathon Lavalley, Courtney Ann Coughenour, Michelle Chino

Health Sciences Graduate Research

In order to understand the social determinants which may impact pedestrian injury rates in an urban, sprawling, western community we conducted an ecologic investigation to compare pedestrian crash rates by social determinants available for census tracts in Clark County, NV.

Dental Service-Learning Curriculum And Community Outreach Programs Perception Vs. Practice, Barbara Gaeth

Professional Projects

The purpose of this study is to determine if the service-learning aspect of Marquette’s dental education enhances the dental students’ knowledge of the barriers to access to dental care for underserved populations. The goal of this study is to obtain feedback about service-learning in the MUSoD curriculum and disseminate the findings to others who teach service-learning in dental school curricula. MUSoD students have the opportunity to participate in multiple diverse outreach experiences throughout their four years of Dental School. Their attitudes toward service experiences and their perception of service-learning curriculum before and after they perform rotations will be recorded. Volunteers …

Motivation, Goal Orientation, Coaching, And Training Habits Of Women Ultrarunners, Rhonna Z. Krouse, Lynda Ransdell, Shelley M. Lucas, Mary Pritchard

Kinesiology Faculty Publications and Presentations

Ultrarunners participate in running events that exceed the 26.2 mile marathon distance (e.g., 50 K, 50-100 miles). Very little research exists on ultrarunners, especially women. The present study is a descriptive study detailing the motivation, goal orientation, demographic characteristics (e.g., age, job demands, family structure), training habits (e.g., hours per week of training), and coach utilization of women ultrarunners. Participants (N = 344) were recruited via the Ultra Listserve and four popular ultrarunning websites, and they completed a questionnaire on motivation, goal orientation, training, and coaching using Survey Monkey. General health orientation (mean + SD) (4.71 ± 1.06) and …

Using Mixed-Methods To Measure The Perception Of Community Capacity In An Academic-Community Partnership For A Walking Intervention, Charkarra Anderson-Lewis, Diana Cuy-Castellanos, Arnecca Byrd, Karen Zynda, Alicia Sample, Vickie Blakely Reed, Mary Beard, Latessa Minor, Kathleen Yadrick

Faculty Publications

H.U.B. City Steps is a 5-year community-based participatory research walking intervention designed to help lower blood pressure in a majority African American population in southern Mississippi via community collaboration and capacity building, increased walking, culturally tailored health education sessions, and motivational interviewing. Building community capacity for physical activity is a key component of this intervention. Qualitative and quantitative methods have been used to assess how project stakeholders perceive the community capacity-building efforts of the project. This article illustrates the baseline results of this mixed methods approach from the perspective of three groups of stakeholders: project researchers and staff, community advisory …

A Formative Evaluation For A Food Choices Intervention In A Mississippi Delta Community: A Focus Group Of Rural African American Adolescents, Jovan Chantrell Eugene Williams

Master's Theses

A needs assessment should be conducted to plan effective interventions. This study used a qualitative research approach to examine the eating patterns, food purchasing and preparation skills and practices, barriers and facilitators of dietary change, social and contextual influences on food choices, and preferences for communication and presentation channels and styles of low-income rural African American adolescents. Seven focus groups were conducted with a total of 33 participants, 21 girls and 12 boys, aged 13-18. Adolescents were grouped by age and gender. A moderator, who was trained in focus group methodology, conducted the session using a focus group discussion guide …

Assessment Of Prenatal Care And Perinatal Outcomes In Kasigau, Kenya, Allison Smith

Mahurin Honors College Capstone Experience/Thesis Projects

The World Health Organization (WHO) implemented the Millennium Declaration in 2000 to establish global health goals to be achieved by 2015. Two of these Millennium Development Goals (MDG’s) are directly related to maternal, neonatal and child health. Healthcare during the prenatal period can help achieve the WHO MDG’s for maternal health and child mortality. Evidence has shown that women in Kenya have limited access to prenatal care. This study focused on the prenatal care and postnatal outcome trends of the women in Kasigau, Kenya. Participants were surveyed in three villages (Rukanga, Makwasinyi, and Bhuguta) to determine if prenatal care was …

A Methodology For Building Culture And Gender Norms Into Intervention: An Example From Mumbai, India, Kristin M. Kostick,, Stephen L. Schensul, Pertti Pelto

UCHC Articles - Research

This paper responds to the call for culturally relevant intervention research by introducing a methodology for identifying community norms and resources in order to more effectively implement sustainable interventions strategies. Results of an analysis of community norms, specifically attitudes toward gender equity, are presented from an HIV/STI research and intervention project in a low income community in Mumbai, India (2008–2012). Community gender norms were explored because of their relevance to sexual risk in settings characterized by high levels of gender inequity. This paper recommends approaches that interventionists and social scientists can take to incorporate cultural insights into formative assessments and …

Community Gardening, Motivation And Health Benefits., Noelle Corrigan

Students Learning with Communities

community gardens have been described as locally organized initiatives where land is used to produce food, flowers or both in an urban environment (Glover, 2003)' community gardens are diverse and may vary enornously in what they offer, according to local needs and circumstance (Ferris, Norman & Sempik, 2001)' Garden size is dependant on many factors, including location, land available gardening, demand, physical and time limitations of the gardeners and thus standard community garden size exists' community gardening is widespread in Britain and the united states' In Britain' the Federation of city Farms and community Gardens is the representative organization for …

Urban Community Gardening The Impact On Fruit And Vegetable Intake, Christina Purcell

Students Learning with Communities

Urban community gardens are local projects managed for and by members of the local community. They may be run in partnership with local authorities or as part of community development or regeneration schemes (Hale et al., 2011). The gardens exist primarily in urban areas and are often established in response to a local community's lack of open green space (Viljoen et al., 2005). The scale and format of the gardens may vary. Depending on the available land and support, urban community gardening projects can be relatively small and in Dublin they range from small disused residential gardens (Cabra Park, See …

Local Public Health System Partnerships: A Mixed Methods Multi-State Study, Priscilla A. Barnes

Dissertations

The purpose of this three-paper dissertation was to conduct a mixed methods multi-state examination of specific partnership-related activities among local public health systems (LPHSs) as well as to explore perceptions of LPHS practitioners regarding partnership practices.

In the first paper, secondary data analysis of questions from the National Public Health Performance Standards Program (NPHPSP, n = 110) was used to determine the frequency that partnership activities were conducted optimally (> 75% of the time) and whether any associations existed between three different partnership capacities. Activities were matched with relational, organizational, and programmatic capacities from the Collaborative Capacity Framework. Overall, 86% …

Communities, Birth Attendants And Health Facilities: A Continuum Of Emergency Maternal And Newborn Care (The Global Network's Emonc Trial), Omrana Pasha, Robert L. Goldenberg, Elizabeth M. Mcclure, Sarah Saleem, Shivaprasad S. Goudar, Fernando Althabe, Archana Patel, Fabian Esamai, Ana Garces, Elwyn Chomba, Manolo Mazariegos, Bhala Kodkany, Jose M. Belizan, Richard J. Derman, Patricia L. Hibberd, Waldemar A. Carlo, Edward A. Liechty, K. Michael Hambidge, Pierre Buekens, Dennis Wallace, Lisa Howard-Grabman, Suzanne Stalls, Marion Koso-Thomas, Alan H. Jobe, Linda L. Wright

Community Health Sciences

Background: Maternal and newborn mortality rates remain unacceptably high, especially where the majority of births occur in home settings or in facilities with inadequate resources. The introduction of emergency obstetric and newborn care services has been proposed by several organizations in order to improve pregnancy outcomes. However, the effectiveness of emergency obstetric and neonatal care services has never been proven. Also unproven is the effectiveness of community mobilization and community birth attendant training to improve pregnancy outcomes. Methods/Design: We have developed a cluster-randomized controlled trial to evaluate the impact of a comprehensive intervention of community mobilization, birth attendant training and …

Our Health Matters: Promoting The Health Of Sexual Minority Women In The New Media Landscape, Brenda Kane

Electronic Theses and Dissertations

The shifts occurring in the mediascape and the field of public health offer new opportunities for promoting the health and wellness of sexual minority women. As a population that has historically been underserved by the healthcare system, sexual minority women face multiple barriers to achieving positive health outcomes. They are often less likely to access preventive healthcare services and more likely to engage in risky behaviors that are detrimental to health than heterosexual women. Despite the significant health disparities among sexual minority women, studying this population has not been a priority in health research and there is little research-based evidence …

Too Much Free Time: Coos County Youth Who Are Least Involved In Out-Of-School Activities Are Most Likely To Use Drugs And Alcohol, Erin H. Sharp

Carsey Publications

Carsey Institute researchers are seeing links between the self-reported substance use and involvement in out-of-school activities. As part of a ten-year tracking survey of high school students in Coos County, New Hampshire, this brief finds that those most involved with constructive activities report the least amount of substance abuse.

Help In A Haystack: Youth Substance Abuse And Mental Health Services In The North Country, Meghan L. Mills

Carsey Publications

A new brief from Nordblom Fellow Meghan Mills at the Carsey Institute finds that youth in New Hampshire's North Country have challenges in accessing support for substance abuse and mental health issues. Mills also finds that the providers face unique challenges, from getting referrals to hiring professionals, all while working without a functional network.

Community Needs Assessment Of Mayasandra Village, Karnataka, India, Alexander Hernandez Holl

MPA/MPP/MPFM Capstone Projects

No executive summary.

Developing A Community Clinic To Address The Health Needs As Experienced By A Small Rural Village In Sierra Leone, Doris K. Acton

Theses and Graduate Projects

Developing countries experience a disproportionate amount of health care inequities due to extreme poverty, lack of education, minimal resources and marginalization from health care services. Additionally, barriers such as access, availability and affordability prevent people from seeking care. Development of community based clinics can help to address the health disparities that the people of these countries often experience. Utilizing Madeleine Leininger's Culture Care Theory and the Sunrise Enabler provide a framework on which to develop clinics and health care programs in ways that are culturally congruent and acceptable. This paper addresses the health needs of Manonkoh, a small village in …

Agenda: World Energy Justice Conference And Appropriate Technology Arcade, University Of Colorado Boulder. Center For Energy & Environmental Security, University Of Colorado Boulder. School Of Law

World Energy Justice Conference (October 23-24)

The 2009 CEES Energy Justice Conference took place at the University of Colorado Law School on October 23rd and 24th, 2009. It featured 11 sessions, more than 40 speakers, and attracted over 200 attendees. The Conference brought together leading international and U.S. decision-makers in politics, engineering, public health, law, business, economics, and innovators in the sciences to explore how best to address the critical needs of the energy-oppressed poor (EOP) through long-term interdisciplinary action, information sharing, and deployment of appropriate sustainable energy technologies (ASETs).

The Colorado Journal of International Environmental Law & Policy (CJIELP) at the University of Colorado Law …

Responsibility For Disease Management On Rusinga Island: Reconciling The Limitations Of External Aid And The Role Of Community-Based Initiatives, Allyson Russell

Independent Study Project (ISP) Collection

Rusinga Island has been on the receiving end of many non-governmental and government-run health interventions. Though ample money has been invested in disease control, malaria and HIV/AIDS transmission and death rates remain higher than in any other location in Kenya. This study employs the use of interviews, both formal and informal, focus group discussions and observation in order to discover possible factors which have confounded the success of previous disease management programs. The study seeks the community's perspective on these programs as well as ideas for community-based, bottom-up strategies which might be able to curb the high rates of malaria …