Digital Commons Network^™

Financing Global Health Governance: The World Health Organization, The Who Foundation, And The Shifting Landscape Of Development Financing, Johanny O. Reyes

Dissertations and Theses

This thesis analyzes the structural financing challenges facing the World Health Organization (WHO) and their implications for global health governance. It argues that WHO’s financial fragility is not merely a technical problem but the result of long-standing political and institutional choices that have shifted the Organization away from predictable public financing toward donor-driven, earmarked voluntary contributions. Drawing on WHO constitutional provisions, programme budget data, governance documents, and academic literature, the study traces the evolution of WHO’s financing model and examines how this transformation has constrained the Organization’s priority-setting authority, operational flexibility, and normative leadership.

The COVID-19 pandemic serves as a …

China-U.S Relations: Techno‑Nationalism, Strategic Entrapment, And Taiwan., Prince Y. Munya Mr.

Dissertations and Theses

Abstract

This thesis examines how China–U.S. relations evolved from a manageable strategic rivalry into a more rigid and increasingly difficult form of competition after the Obama administration’s “Pivot to Asia.” It argues that traditional explanations such as power transition theory alone cannot fully explain the deterioration of the relationship. Instead, the study introduces the concept of techno-nationalism, where technological leadership becomes tied to national identity, economic security, and geopolitical power, particularly in areas such as semiconductors, artificial intelligence, and supply-chain security. Through historical analysis and policy tracing, the thesis develops the concept of strategic entrapment to explain how both Washington …

Bridging The Gap: Predictors Of Alignment Of Parent And Caseworker Perceptions Of Engagement, Jianchao Lai, Michelle I. Graef

Center on Children, Families, and the Law: Faculty Publications

This study examined predictors of alignment between parents’ and caseworkers’ perceptions of family engagement in child welfare services. Using data from 2,274 Alternative Response (AR)–eligible families randomized to AR or Traditional Response, engagement was assessed across the domains of Receptivity, Buy-in, Worker-family Relationship, and Mistrust using a modified Yatchmenoff (2005) scale. Multinomial logistic regression models identified factors associated with agreement and discrepancy between ratings of family engagement within the parent and worker dyad. While both parents and workers valued engagement, workers were more likely to provide higher overall engagement ratings, although the direction of discrepancy varied across specific subscales. Greater …

Linking Social Entrepreneurship To Crime Reduction Among Young African Americans In Chicago’S South And West Sides, Grady C. Wheaton Jr.

All Student Theses and Dissertations

This study examined community members’ perceptions of social entrepreneurship as an employment-centered strategy for addressing youth violence among African Americans on Chicago’s South and West Sides. The study was guided by the following research question: Can social entrepreneurship be leveraged to reduce youth violence among African Americans on Chicago’s South and West Sides, as perceived by community members? Using Fillmore Laundry, a healthcare linen-processing social enterprise located in North Lawndale, as a case example, this quantitative, cross-sectional study collected survey data from 99 eligible community members recruited through community-based partnerships. The survey assessed perceived youth- and community-level program benefits, evaluations …

David John Farmer: A Scholarly Biography And Bibliography, Yali Pang, David John Farmer, Rosemary L. Farmer

VCU University History Books

This brief biography introduces Dr. David John Farmer, one of public administration’s most influential and imaginative thinkers. It traces his journey from student to scholar, showing how his groundbreaking work challenged the field to move beyond rigid traditions and embrace creativity, ethics, and reflection in public service. Written for both scholars and general readers, the biography reveals that Dr. Farmer’s career represents more than the accomplishments of a distinguished academic—it embodies the larger idea that public administration must move beyond technique to become a field grounded in imaginization, reflection, and humanity.

Hosts, Scouts, And Female Indentured Sexual Servitude In Contemporary Japan, Caroline Norma, Seiya Morita

Dignity: A Journal of Analysis of Exploitation and Violence

This article sweeps away glossy abstractions obscuring the indenturing of women in sexual servitude in Japan. These abstractions were generated by anthropologists writing in English in the first two decades of the 21^st century who inverted the relationship between perpetrator and victim to suggest that female customers exploited hosts. To overturn this view and expose the ‘gendered reality that [i]s really going on’ in Japan, this article differently explains from a feminist perspective how present-day host and scout businesses indenture Japanese women in sexual servitude. This role is one of both procuring victims as well as keeping young women …

Diagnosing The Discourse: How The Academy Of Breastfeeding Medicine Constructs And Constrains Treatment Of Tethered Oral Tissues, Mary E. Miller

Antioch University Dissertations & Theses

While breastfeeding is recognized as fundamental to global public health, oral restrictions that can affect infant latch, milk transfer, and feeding efficiency warrant further examination within policy frameworks. This dissertation proposes an expanded conceptualization of tethered oral tissues (TOTs) that encompasses not only anatomical frenal restrictions but also fascial tensions, neuromuscular limitations, and other conditions restricting orofacial function that may be congenital or acquired. The purpose of this study was to critically examine how this clinical guidance document shapes understandings and responses to TOTs. Using Carol Bacchi’s “What’s the Problem Represented to Be?” approach, a critical discourse analysis of the …

Green Space: Investigation Into The Role Pocket Parks Play In Biodiversity And Human Well-Being, Jacalyn Speicher

Antioch University Dissertations & Theses

Natural communities and the birds that inhabit them are essential to the physical and emotional well-being of human residents in urban settings. The action research undertaken in this study addresses the social and environmental justice issues of equity, accessibility, and diversity afforded avian and human communities in the design of pocket parks within the urban landscape. As urbanization consumes the natural landscape, people and birds must adapt to the novel challenges of a changing environment. I studied 10 pocket parks identified in Center City, Philadelphia, Pennsylvania between January and June 2026. This time frame spanned the seasons from winter to …

Guide To The School Of Peace Studies Dean Papers (University Of San Diego), University Of San Diego School Of Peace Studies

University Records

The Joan B. Kroc School of Peace Studies at the University of San Diego was founded in 2007 under President Mary E. Lyons in order to expand the active peacebuilding mission of the Institute for Peace and Justice. With the creation of this school, the study of peace and justice at USD grew from a minor and small masters program run by another academic unit into an undergrad major and later graduate program centering on peace and justice, social innovation, humanitarian action, conflict management and resolution, and restorative justice. Father William R. Headley was selected as the inaugural dean of …

Assessing The Possibilities And Speculations Of Blended Teaching-Learning (Btl) Based On The Online Teaching-Learning (Otl) Experience During Covid-19 In Bangladesh, Nazmun Chaitee

Educational Leadership & Workforce Development Faculty Publications

This research paper investigates the potential and viability of implementing Blended Teaching Learning (BTL) in Bangladesh, drawing on the lessons learned from the COVID-19 Online Teaching Learning (OTL) practice experiences. The study specifically focuses on examining the advantages and challenges encountered by teachers and students in online classes during the pandemic. Through a mixed-methods approach, including questionnaire surveys, interviews, and focus group discussions (FGDs), data was collected from secondary-level teachers and students in Bangladesh. The findings highlight the dedicated efforts made by educators and students in embracing and adapting to online education during the COVID-19 crisis. Furthermore, the study identifies …

Association Between Internet Use For Health Information And Alzheimer’S Disease Diagnosis Among Older Adults With Diabetes In The United States: Examining Racial And Gender Disparities, Henry M. Zeidan

College of Graduate Studies: Theses & Dissertations

This study uses data from the National Health and Aging Trends Study (NHATS) Round 13, collected in 2024, to examine whether internet use for health information is associated with Alzheimer’s disease diagnosis among older adults with diabetes in the United States. Given the rising adoption of digital health, understanding who benefits from online health resources is increasingly important. The research also examines whether these associations differ across racial and gender groups, offering insight into potential disparities in digital health engagement and cognitive outcomes. Findings from this study will inform clinical practice, public health programming, and strategies to ensure equitable access …

An Ex-Post Analysis Framework For Assessing The Effectiveness And Driving Factors Of Green Building Certification Adoption: A Case Study Of Singapore, Hao Gu, Xiaoyu Jin, Fu Xiao, Maomao Hu, Clayton Miller

Research Collection College of Integrative Studies

Cities worldwide are adopting green building certification policies to meet sustainability and decarbonization targets in the building sector. However, the effectiveness of green certifications remains contested due to the difficulty of decomposing multiple influencing factors on building energy consumption. This study proposes an econometrics-based ex-post analysis framework to assess the effectiveness of green building certification policies in energy savings and identify driving factors by decomposing multiple influential factors. The proposed framework incorporates time-fixed effect models to examine factors driving the adoption of green building certifications, and causality analysis to quantify the effectiveness. Applying the framework to analyze a panel dataset …

Mediating Effect Of Social Determinants Of Health Between Race And Phthalate Biomarkers In Pregnancy, Tetsuya Kawakita, Misa Hayasaka, Carole Barake, Trinity Soto, Jillian Fleming, Amir Lueth, Stevens Danielle, Alfred Abuhamad, Ann Pryzybylska, Elena Sinkovskaya, Kelly K. Ferguson, George Saade

Department of Obstetrics & Gynecology Faculty Publications

Introduction

Prenatal phthalate exposure is linked to adverse reproductive and developmental outcomes and is consistently higher among non‐Hispanic Black compared to non‐Hispanic White pregnant individuals, yet the factors responsible for these disparities are poorly characterized. We sought to quantify Black–White differences in repeated urinary concentrations of phthalate biomarkers during pregnancy and to estimate the extent to which neighborhood‐level social determinants of health (SDoH) mediate these disparities.

Methods

This secondary analysis used data from the Human Placenta Project Study, a prospective observational cohort study conducted at two academic institutions between 2016 and 2018. Eligible participants had singleton pregnancies, were recruited before …

Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler

Department of Medicine Faculty Publications

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that disproportionately affects women, African Americans, and individuals of biracial descent. It is associated with substantial physical and psychiatric morbidity, reducing quality of life.

Objective: This review analyzed disparities in treatment outcomes, disease progression, and healthcare access among HS patients based on insurance type.

Methods: Using PRISMA guidelines, a comprehensive literature search identified 7 studies meeting inclusion criteria. Owing to data heterogeneity, studies were qualitatively analyzed.

Results: Findings consistently demonstrated that Medicaid patients experienced worse outcomes than those with private insurance or Medicare. Medicaid patients had higher rates of comorbid …

Hunter. Hunted. Human: Warfighters' Emotional Responses To Weapons In Tactical & Strategic Context, Simon Mace

Graduate Studies Theses and Dissertations 2026

Human emotional responses to weapons have long been assumed to be relatively parsimonious, comprised predominately of aggression, anxiety, and fear responses. However, most research on this weapons effect has focused on civilians – who are notably more likely to be targeted by than to employ weapons. So, there is reason to speculate that emotional responses to weapons vary more than previously believed. This is significant for three reasons. First, positive emotional responses generate more desirable combat behaviors, specifically the willingness to engage adversaries. Second, negative emotional responses catalyze an unpredictable range of behaviors, many of which are tactically and operationally …

Show Me The Money: Candidate Attributes, Fundraising, And The Impact On Congressional Representation., Dhanya Nair

Graduate Studies Theses and Dissertations 2026

What explains women’s candidate emergence in congressional primaries? Does candidate education, experience, and background influence how voters donate to male and female candidates? Using an original dataset, I examine the circumstances under which women are more likely to enter a congressional primary.  This thesis accounts for the variation in candidate emergence across Congressional districts related to district partisanship, candidate quality and fundraising capacity.   The theory suggests that the persistent gap in representation is partly due to women self-selecting to run in districts that favor their candidacy.  Strategic entry serves as a buffer against perceived bias in fundraising and electability. Additionally, …

A Modular Virtual Reality Training Framework For Multi-Target Drone Defense, Susann Schleupner

Graduate Studies Theses and Dissertations 2026

Unmanned aerial systems (UAS), commonly referred to as drones, have become a rapidly growing challenge in modern military operations. In particular, the increasing use of small, agile, and low-cost systems—such as first-person-view (FPV) drones and coordinated multi-drone deployments—places high cognitive demands on operators, requiring rapid target detection, prioritization, and decision-making under time pressure.

Existing training approaches either rely on costly and logistically constrained live exercises or focus primarily on isolated piloting and shooting tasks, without sufficiently addressing these cognitive demands. At the same time, advances in commercial off-the-shelf (COTS) virtual reality (VR) hardware enable scalable, flexible, and repeatable training environments. …

Exploring Barriers And Facilitators Of Mental Health Treatment For Law Enforcement Officers: The Impact Of Police Occupational Culture, April Reed

Graduate Studies Theses and Dissertations 2026

Prior research has explored the impact of police culture on mental health stigma among law enforcement, however, a deeper understanding about how different aspects of police culture may inhibit or facilitate mental health treatment utilization is needed to inform policy and practice. This dissertation explores the relationship between police culture and mental health using a qualitative research design. Twenty-five (n=25) law enforcement officers from a county sheriff’s office in Central Florida were interviewed and participant observations were conducted during a three-month period. The present study sought to address the following research questions: What are the experiences of the job and …

How Did Covid-19 Affect Volunteer And Donor Management For Human Services Agencies? What Are The Lessons For Future Response?, Nina Yon

Graduate Studies Theses and Dissertations 2026

The COVID-19 pandemic created unprecedented challenges for human services agencies, disrupting the interdependent systems of volunteer engagement and donor support essential to nonprofit sustainability. This study integrates insights from literature, theory, and empirical analysis to examine how nonprofit organizations adapted their volunteer and donor management strategies during this prolonged crisis. Drawing on Contingency Theory and Resource Dependence Theory (RDT), the research explores how organizational structures and strategies evolved in response to shifting environmental conditions, health mandates, and resource constraints. Using a multiple-case qualitative design, data was collected from semi-structured interviews with 20 leaders representing five Central Florida human services agencies, …

A Scoping Review To Conceptualize Social Privilege For Studying Patients' Health Outcomes And Health Disparities, Elizabeth A. Brown, Priyanka Patel, Esther May B. Sarino, Vladimir Markovic, Carles Muntaner

Health Behavior, Policy & Management Faculty Publications

Background

The continued reliance on single-category self-reported demographic data (e.g., race/ethnicity) reflects conceptual limitations that hinder the study and understanding of health outcomes research. There is a pressing need for more precise measures of social privilege that conceptualize privilege and oppression while enabling the examination of their effects on health outcomes in the United States (US) healthcare system.

Objective

The purpose of this scoping review was to review the literature, determine how researchers have measured aspects of privilege and oppression, and develop a conceptual framework to study patients' social privilege in the US healthcare system and public health research.

Methods …

From Sparks To Insights: An Aggregate Analysis On Arson And Explosive Data Reporting Published By The Atf (2014-2024), Zahra A. Khan

Electronic Theses & Dissertations (2024 - present)

This thesis provides an aggregate assessment of arson and explosives incidents reported by the Bureau of Alcohol, Firearms, and Tobacco, from 2014 to 2024. This thesis is written to highlight trends, investigative outcomes, and evolving patterns of criminal activity. Analysis of the data reveals notable shifts in incident frequencies, data distributions, and case resolution rates. This suggests both emerging technologies and changing operational dynamics that have affected long-term trends in arson and explosive incidents. Variations in incident types and investigative outcomes underscore the interplay between law enforcement priorities, resource allocation, and reporting practices over the ten-year period. The study also …

Discord Is Still A Chord: A Mixed-Methods Analysis Of Discourse Networks, Brokerage, And The Fiscal Consequences Of Fracking Policy In The Delaware River Basin, In Hae Noh

Electronic Theses & Dissertations (2024 - present)

Beneath the policy debates of many environmental controversies lies a dynamic network of actors making claims, forming coalitions, and contesting policy discourses. Drawing on theories of discourse coalitions, discourse networks, network brokerage, and public finance, and using the Delaware River Basin hydraulic fracturing debate as a case study, this dissertation examines how discourse coalitions evolve, how discourse brokers shape coalition dynamics, and whether resulting policy decisions produce meaningful fiscal consequences. The first paper investigates how discourse coalitions shifted across three periods of the Delaware River Basin fracking debate, using a mix of methods integrating discourse network analysis, computational text analysis, …

Building Fiscal Resilience And Enhancing Social Equity In Disaster Mitigation At The Local Level, Hyoeun Kim

Electronic Theses & Dissertations (2024 - present)

As climate-related disasters are becoming more frequent and severe, local governments face growing pressure to manage disaster-related fiscal shocks. Although disaster mitigation and preparedness are widely recognized as cost-effective strategies for reducing future losses, local governments often lack the financial, political, and technical capacity to invest in them. Despite the importance of pre-disaster investment, mitigation and preparedness efforts continue to lag at the local level, and concerns remain that federal mitigation funding is not distributed equitably across communities. This has important implications for both equity and resilience because unequal access to mitigation resources can reinforce existing vulnerability to future natural …

Where Perspectives Meet: A Comparative Case Study Of How Participatory Practices Shape Deliberation During District-Level Educational Change, Gregory Vincent Massara

Electronic Theses & Dissertations (2024 - present)

Public education in the United States is socially and politically constructed, and ongoing reforms increasingly require collaborative engagement among diverse stakeholders amid heightened divisiveness. This mixed methods comparative case study examined how educational stakeholders make sense of one another’s perspectives during district-level collaborative work and the conditions that may foster conscientization, the critical reflection on one’s positionality. Two school districts developing a Profile of a Graduate (POG) and one engaged in deliberation about the relationship between public and charter schools within its community serve as comparative cases. The study triangulated meeting observations, a post-deliberation survey of stakeholders (N = 43), …

After The Aid Boom: Government Responses To The Global Health Agenda And Political Commitment In Low- And Middle-Income Countries, Sana Abdelkarim

Electronic Theses & Dissertations (2024 - present)

How do governments respond to the global health agenda? Does external health assistance translate to sustained domestic political commitment in low- and middle-income countries? Over the past three decades, development assistance for health has expanded, accompanied by international agreements emphasizing country ownership, alignment, and domestic resource mobilization. Yet domestic fiscal commitment to health remains uneven across countries. These questions have become more pressing as the global aid landscape enters a period of contraction, with a significant decline in development assistance, including health financing, raising concerns about the sustainability of health systems that have become reliant on external support.  This raises …

Negotiating Quality: A Critical Discourse Analysis Of American Higher Education Policy, John A. Foisy

Electronic Theses & Dissertations (2024 - present)

This qualitative study examined how institutional quality is constructed, communicated, and negotiated through the accreditation process in U.S. higher education. Drawing on a multiple case study design, the research analyzed accreditation-related documents from eight institutions undergoing reaffirmation, including self-study reports, peer review team reports, Commission action letters, and institutional responses. The study was guided by three research questions: (a) What institutional signals of quality are evidenced in self-studies? (b) In what ways does the accreditation process represent a negotiation between accreditors and institutions? (c) What implied views of institutional quality emerge from accreditation discourse?

The study employed a multilayered analytical …

Imagining Genomics And Population Health In 2050: Anticipating Future Research, Policy, And Governance Needs, Bartha Maria Knoppers, Yann Joly, Ma Apos N H Zawati, Habiba Alsafar, Jeffrey C Barrett, Laura Blackburn, Brian Hon-Yin Chung, Martina C Cornel, Edward S Dove, David Glazer, Calvin Wai-Loon Ho, Muin J Khoury, Anna C F Lewis, Anneke Lucassen, Peter F R Mills, Colin Mitchell, Nicola Mulder, Ainsley J Newson, Anthony Ng, Paul D P Pharoah, Vasiliki Rahimzadeh, Megan C Roberts, Saskia C Sanderson, Jeffrey M Skopek, Ron Zimmern, Eric M Meslin

Center for Medical Ethics and Health Policy Staff Publications

No abstract provided.

Organ Chips And Translational Research: Identifying And Examining New Ethical Issues, Melanie Jeske

Center for Medical Ethics and Health Policy Staff Publications

Organ chips, also known as organ-on-a-chip devices, tissue chips, or microphysiological systems, have emerged over the last decade as a promising translational technology amidst growing concern about the translational crisis between laboratory research and patient bedside. Pointing to high rates of failure between nonhuman animal models and safety and efficacy in humans, organ chips and similar new approach methods have attracted substantial public and private investment. As human-cell-based alternatives to animal models, organ chips promise more predictive, efficient, and ethical platforms for pharmaceutical and toxicity testing. Engineered cultivation systems that enable cells to assemble into tissue-like structures (e.g. kidney, brain, …

Putting The L In Elsi: Legal Methods For Bioethics Research, Anya E R Prince, Benjamin Berkman, Donald Ford, Dov Fox, Christi Guerrini, Amy Koopmann, Natalie Ram, Jessica L Roberts, Kayte Spector-Bagdady, Sonia Suter

Center for Medical Ethics and Health Policy Staff Publications

Lawyers and law professors are increasingly involved in interdisciplinary scientific teams and grant research to answer ethical, legal and policy questions related to biomedical topics. Yet, the methods that lawyers use to conduct legal research and analysis are not always familiar to scientists and social scientists conducting peer review of a proposed project with legal aims or a publication reporting a legal study. To better facilitate interdisciplinary ethical, legal, and social implications collaboration, there is a need to better explain how legal research methodologies can provide robust tools to address a range of nuanced biomedical questions. This paper explores …

Can I Get A Witness? The Ethical Dimensions Of Family Presence In Patient Suffering, Jennifer Blumenthal-Barby, Trevor M Bibler, Holland Kaplan, Adam Omelianchuk, Joanna Smolenski

Center for Medical Ethics and Health Policy Staff Publications

For patients who are suffering, the bedside presence of a family member can provide comfort, and many people hold that there is moral value in being present with a conscious, suffering patient. Yet what is the moral significance of the absence of family members when a patient is minimally conscious or unconscious and not aware of their absence? Clinicians are often troubled when family members and surrogate decision-makers who are able to spend a significant amount of time at an unconscious, seriously ill patient's bedside do not do so. Clinicians feel frustrated that they must bear the burden of witnessing …