Digital Commons Network^™

Rural-Urban Disparities In Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans, Isabelle S Kusters, Amber B Amspoker, Kristen Frosio, Stephanie C Day, Giselle Day, Anthony Ecker, Julianna Hogan, Jan A Lindsay, Jay Shore

Center for Medical Ethics and Health Policy Staff Publications

Importance: American Indian/Alaska Native veterans experience a high risk for health inequities, including mental health (MH) care access. Rapid virtualization of MH care in response to the COVID-19 pandemic facilitated care continuity across the Veterans Health Administration (VHA), but the association between virtualization of care and health inequities among American Indian/Alaska Native veterans is unknown.

Objective: To examine differences in video telehealth (VTH) use for MH care between American Indian/Alaska Native and non-American Indian/Alaska Native veterans by rurality and urbanicity.

Design, setting, and participants: In this cohort study, VHA administrative data on VTH use among a veteran cohort that received …

El Programa Ampliado De Inmunización (Pai) Y La Confianza En La Vacunación De La Población En Argentina: Estudio De Caso En La Vacunación Contra El Virus Del Papiloma Humano (Vph). The Expanded Program On Immunization (Epi) And Vaccine Confidence In Argentina’S Population: A Case Study On The Human Papillomavirus (Hpv) Vaccine., Ana Tiscareño

Independent Study Project (ISP) Collection

En este estudio, se realizó una exploración del Programa Ampliado de Inmunización (PAI) en Argentina y como sus estrategias afectan los motivos a vacunarse o no en el país. Con un sistema de salud universal y gratuito, la gente en Argentina tiene el derecho a la salud que incluye la vacunación gratuita y obligatoria. Pero en el campo de la inmunización, no hay estudios sobre los otros factores que llevaban a las personas a adherir o no a la vacunación. Para cumplir los objetivos de la investigación, se utilizó un abordaje descriptivo cualitativo con un análisis de fuentes secundarias y …

Centros De Inclusión Social Bajo Gestión Asociada Y La Salud Mental De Las Personas En Situación De Calle, Kien Phan

Independent Study Project (ISP) Collection

Esta investigación se enfoca en analizar las acciones del gobierno de la Ciudad Autónoma de Buenos Aires (CABA) para abordar la salud mental de las personas en situación de calle en 2023. Se examina el estado actual de esta población, identificando factores clave y evaluando las medidas gubernamentales. El marco teórico aborda determinantes sociales y derechos humanos, subrayando la importancia de cambios legislativos para abordar la falta de vivienda. La metodología combina análisis de datos gubernamentales, estudios previos y entrevistas con profesionales de Centros de Inclusión Social. Las organizaciones de la sociedad civil, como Cáritas y la Asociación Civil Isauro …

Un Análisis De Los Programas De Asistencia Para Varones Que Han Ejercido Violencia De Género En La Área Metropolitana De Buenos Aires (Amba). An Analysis Of Programs Of Assistance For Men Who Have Committed Gender Violence In The Metropolitan Area Of Buenos Aires., Shreya Shrestha

Independent Study Project (ISP) Collection

La violencia de género es una forma de opresión que tiene graves consecuencias para mujeres, niños y niñas y personas LGBTQ+ tanto en Argentina como en el resto del mundo. Históricamente, las iniciativas de prevención en este tema se han centrado en la asistencia destinada a las víctimas de situaciones de violencia, incluyendo apoyo económico y legal. Sin embargo, el hecho de que casi todos los casos de violencia están cometidos por varones ha iniciado una nueva discusión en las últimas décadas sobre los vínculos entre la masculinidad hegemónica y la violencia, junto con estrategías preventivas con el objetivo de …

La Práctica De Interculturalidad Crítica: Un Caso De Estudio De La Ong Corporación La Matriz Y La Comunidad Migrante Haitiana En Barrio Puerto, Valparaíso, Annessa Ihde

Independent Study Project (ISP) Collection

Dadas las tensiones en torno al tema de la migración, donde se considera a los recién llegados como una amenaza para la sociedad, es vital comprender cómo las comunidades receptoras pueden promover y han promovido la inclusión de los migrantes. Un actor a menudo pasado por alto en la recepción e integración de los migrantes son las organizaciones no gubernamentales (ONG), que, especialmente en ausencia de una respuesta integral por parte del Estado, han asumido papeles cruciales de apoyo para los migrantes. Este estudio explorará las acciones y relaciones de la Corporación La Matriz, una ONG ubicada en el distrito …

Desapariciones De Migrantes En La Frontera: Un Análisis De Factores Influyentes, Reyna Krystal Blakeman

Independent Study Project (ISP) Collection

La migración latinoamericana a los Estados Unidos ha sido prevalente durante casi un siglo. Con una cantidad cada vez mayor de migrantes cruzando la frontera, las medidas de la Patrulla Fronteriza se vuelven más estrictas mientras pasan los años. Pero las consecuencias de estas regulaciones han sido fatales para los migrantes, y han resultado en un aumento en la cantidad de muertes y desapariciones de migrantes. Sin embargo, se ha realizado poca investigación sobre el tema de las desapariciones de migrantes, lo que resulta en que los desafíos que enfrentan los migrantes al cruzar la frontera sean ignorados por los …

Los Porteadores Del Camino Inca: Conversaciones Y Perspectivas Sobre Los Efectos Del Turismo, Joshua Lipscomb

Independent Study Project (ISP) Collection

Este estudio investiga las condiciones de trabajo, experiencias y percepciones sobre el turismo de los porteadores del Camino Inca. Para ello, se realizó trabajo de campo y entrevistas en profundidad a los porteadores. También se entrevistó a guías y ex-porteadores con el objetivo de conocer sus condiciones laborales: seguros, salarios, peso transportado, nutrición, equipamiento, oportunidades de empleo, sensación de trato justo e impacto sociocultural. En este trabajo se sostiene que todas las partes implicadas: el gobierno peruano, las agencias de turismo y los propios turistas, tienen una clara responsabilidad de mejorar las condiciones de estos trabajadores. La investigación ha puesto …

Intelligence Versus Inferno: How Artificial Intelligence Can Be Used To Monitor And Manage Wildfires In Europe, Maxwell Feldman

Independent Study Project (ISP) Collection

Escalating wildfire occurrences in Europe, particularly in the southern Mediterranean region, are presenting significant challenges to socioeconomic, environmental, and ecosystem services. The increasing frequency and severity of these wildfires are straining resources and emphasizing the need for a better understanding of the relationship between suppression capacity and fire behavior in wildfire management. The following research addresses the urgent need for more proactive, knowledge-based, and technologically driven fire management strategies, throughout all four stages of wildfire response – fuel and land management, fire preparedness, fire suppression, and post-fire management. Artificial Intelligence (AI) is becoming increasingly significant in climate change adaptation, especially …

Surveillance Systems In Western Kenya: Methods, Perceptions, And Effectiveness, Marissa Duffy

Independent Study Project (ISP) Collection

Surveillance is an important tool in monitoring and evaluating infectious disease patterns and trends. Surveillance is vital because it aids public health officials and medical professionals in creating better prevention methods and efficiently managing outbreaks. Kenya is home to many noncommunicable diseases making it an important location to conduct disease surveillance. Within Kenya, each county has its own surveillance unit which tracks and controls outbreaks. In addition, government run surveillance systems were established to determine disease burden, incidence, and patterns in specific at-risk communities around Kenya. One of these major surveillance systems is Population-Based Infectious Disease Surveillance (PBIDS) which has …

Representations And Realities: Misali Island's Biodiversity In Hybrid Narratives, Justin Ross Whitney

Independent Study Project (ISP) Collection

Marine Protected Areas (MPAs) are complex organisms that ebb and flow between strict and unyielding conservation doctrines often at the cost of community engagement. Misali Island is different. Conceived and advocated for by community members, this organism has navigated a tumultuous tenure of environmental degradation, periods of high and low funding, and a looming tourism presence. On top of these challenges has been a growing fishing community attempting to share in the bounty of this shockingly biodiverse setting. This study sorts through the grey space of Misali Island by applying a hybrid narrative that interfaces the marine context of the …

Always Sunny In Zanzibar: Exploring Solar Power On The Island, Quinn Brannan

Independent Study Project (ISP) Collection

As Zanzibar continues along its developmental path, the island’s energy infrastructure takes on a central role in future plans for growth. Critically, as the population grows and tourist presence is predicted to increase, the island is presented with the combined problem of supplying a greater volume of energy, while also providing a more reliable source to its existing populace. In this study, I will examine existing solar energy systems for capacity, accessibility, and reliability, as well as evaluate their efficacy in providing a functional source of power, both now and in the future. I conduct interviews with assorted stakeholders in …

Minimum Exchange Rate And A Negative Interest Rate: The Swiss National Bank’S Unconventional Monetary Policy During Eurozone Volatility, Wally Bargeron

Independent Study Project (ISP) Collection

Monetary policy is one of the most important tools that a government has to influence its economy. This means the ability for a country to determine their own monetary policy is important to that country’s autonomy. Switzerland has consistently based its decisions on what would afford it the highest level of autonomy, including the decision not to join the European Union and subsequently the decision to retain their own currency.

The Swiss National Bank retains the mandate to keep price levels (inflation) stable, but it is challenged by an appreciating currency. Because the Swiss Franc is a safe-haven currency, money …

Climate Change, Malnutrition, And Hiv: The Impact Of Food Insecurity On Hiv Response In Sub-Saharan Africa, Olivia Walshak

Independent Study Project (ISP) Collection

Climate change is a key driver of an unprecedented global food crisis, exacerbated by rising temperatures and the vulnerability of crop yields. Sub-Saharan Africa is particularly susceptible, and case studies demonstrate the fragility of food systems in the region, leading to severe food insecurity and famine in the face of climate shocks.

There are a variety of health implications, particularly the syndemic relationship between malnutrition and HIV. HIV interacts bidirectionally with malnutrition, creating a vicious cycle of poor clinical outcomes. Expanding access to antiretroviral therapy in Sub-Saharan Africa is hindered by rampant food insecurity, including inadequate food intake, reduced dietary …

Universal Health Coverage: A Basis For Pandemic Preparedness?, Merline Feero

Independent Study Project (ISP) Collection

Amid extensive research and reporting on the effects of COVID-19 on Universal Health Coverage (UHC) progress, this study explores an often neglected topic: the potential of UHC to contribute to the foundations of pandemic preparedness. Herein, quantitative analysis reveals that countries with higher UHC coverage tend to exhibit greater pandemic preparedness (as determined by the UHC Service Coverage Index and the Global Health Security Index). Complementary qualitative analysis is used to further illustrate and explain the correlation between UHC and pandemic preparedness using four case study countries, integrating literature reviews and relevant expert interviews. Through these methods, a clear tie …

Hidden Hurdles: Evaluating Informal Barriers To Primary Healthcare Access Among Undocumented Migrants In Switzerland, Arantxa Bonifaz Rosas

Independent Study Project (ISP) Collection

Undocumented migrants face heightened difficulties in accessing healthcare due to a combination of legal, financial, and social challenges. Informal barriers to accessing healthcare further exacerbate poor health outcomes among undocumented migrants. In Switzerland, where undocumented migrants have the right to health insurance, barriers to receiving healthcare continue to restrict their access to essential services, such as primary healthcare (PHC). Employing a meta-analysis approach, this qualitative study aimed to broaden existing research on informal barriers hindering access to PHC for undocumented migrants, with a particular focus on the Swiss context. The identified informal barriers centered around health insurance, fear of deportation, …

The Implications Of Politicizing Global Health Diplomacy In A Multipolar World, Haley Stock

Independent Study Project (ISP) Collection

This research paper is the result of an independent study project that details the implications of politicizing global health diplomacy. With a mixture of interviews, primary sources, and secondary sources, this project aims to explain how and why global health has become entrenched in politics in the world today. This paper explores the intersection between global health and foreign policy and analyzes the extent to which countries use medical interventions to achieve political and economic success. Medical interventions, like vaccines, have become increasingly significant, especially looking back at the recent pandemic. Therefore, this paper will also explore the complex nature …

The Legacy Of War: A Holistic Analysis Of Socio-Economic And Healthcare Resources For People Affected By Agent Orange In Việt Nam, Ashley Malone

Independent Study Project (ISP) Collection

The war between the United States of America and Northern Việt Nam lasting from 1955 to 1975 did not end with the removal of American troops from Vietnamese soil, but it rears its ugly head daily in the lives of those affected by Agent Orange and other various Rainbow Dioxins utilized as herbicides. This paper delves into the enduring legacy of the Resistance War Against America, specifically focusing on the socio-economic and medical ramifications for families and individuals affected by Agent Orange that persist half a century after its prohibition. The study scrutinizes the disparities in aid between American veterans …

Education To Employment: The Role Of University Career Guidance In Reducing Youth Unemployment In Jordan, Anoushka Saraf

Independent Study Project (ISP) Collection

This paper addresses the need for effective career guidance for university students, and sustainable post-graduation alumni support systems, to improve the employability of university graduates and reduce youth unemployment in Jordan. Through interviews and surveys, this paper will identify the key problems contributing to the skill mismatch between university graduates and the demands of the labor market. It will try and tackle how career centers can help their students develop soft skills like communication and teamwork, build a portfolio to differentiate themselves to employers, empower themselves with skills through online courses on software development, data science, research, and other technological …

Irex And The Community Solutions Program, John Porten

Kroc IPJ Research and Resources

The community of practice (CoP) made up of the alumni Community Solutions Program (CSP) caters to a diverse and globally distributed group of professionals in the peacebuilding, humanitarian and development fields. Facilitating such a community without substantial reliance on communications technology and distanced relationship-building would be impossible. Yet this kind of distanced practice community faces a trust hurdle: members will only contribute quality content if they believe others will do the same. This creates a classic “free-rider” problem that leads to the death of many distanced practice communities. Despite this challenge, the CSP alumni that make up the program’s community …

The Uganda Nextgen Framework: Guidelines For Intergenerational Peacebuilding, Briana Mawby, Noah Mirembe Gabigogo, Cassandra Barrett

Kroc IPJ Research and Resources

This report provides a practical framework for creating intergenerational peacebuilding partnerships drawn from the lived experiences of women peacebuilders across Uganda and outlines key considerations when addressing generational divides and gaps in peacebuilding efforts.

The report provides analysis drawn from the debates and discussions held between 2020 and 2023 as the cohort of peacebuilders engaged in the Uganda NextGen initiative worked across generations to create social change throughout the country. The framework provides a guide for others trying to create mutually beneficial and equitable peacebuilding partnerships among people of different generations.

الجامعات الخضراء كآلية لتطوير البنى التحتية المستدامة: دراسة عينة من تجارب جامعات عربية, فضيلة ب بوطورة, حيدر حميد بلاو, فاطمة الزهرة بوطورة, مقداد جاسم عبد مقداد جاسم عبد مقداد جاسم عبد

Muthanna Journal of Administrative and Economics Sciences

تهدف هذه الدراسة إلى إبراز مدى أهمية تبني مفهوم الجامعة الخضراء كآلية لتطوير البنى التحتية المستدامة من خلال تسليط الضوء إلى عينة من تجارب الجامعات العربية، وبينت الدراسة أن الجامعة تعد أداة أساسية من أجل التوعية وزرع الفكر الإيجابي وترسيخ الاهتمام بالجانب البيئي، وتوصلت الدراسة إلى أن الجامعة الخضراء تعد مؤسسة تعليمية تلبي حاجتها إلى الموارد الطبيعية، مثل الطاقة والمياه والمواد، دون المساس بقدرة الناس في البلدان الأخرى وكذلك الأجيال القادمة على تلبية احتياجاتهم الخاصة، كما تلعب الجامعة دورا محوريا في تحقيق الاستدامة من خلال وضع مبادئ التنمية المستدامة في جميع التخصصات الجامعية، وأيضا عن طريق التكوين الجامعي الذي يسعى …

Feminization Of Sri Lankan Doctors And Key Specialties: 2000 To 2020, Dileep De Silva, Pamila Adikari, Mihiri S. Rubasinghe, Udeni L. Seneviratne

Journal of Indonesian Health Policy and Administration

The study focused on the feminization of Sri Lankan generalist doctors in all major and selected minor specialties between 2000 and 2020. The study analyzed all relevant documents by exploring Sri Lanka's male-to-female doctor and specialist ratio over 20 years. This was determined by analyzing state medical faculty records from 1990 to 2020. For better clarity, the researchers analyzed the gender ratio changes in every five-year block from 1990 to 2020. Focus groups filled PGIM's gender data fields. Five-year medical students surged from 43% to 63% between 1990 and 2020. Linear trend analysis predicts 68% of female medical students by …

Sensitive Intervention Policy Recommendations To Reduce Stunting Rates Based On Spatial Analysis Of Sanitary Factors In Dki Jakarta Province 2021, Septiria Irawati, Ema Hermawati

Journal of Indonesian Health Policy and Administration

The purpose of this study was to describe the prevalence of stunting in children under five and the percentage of proper sanitation, as well as recommendations for priority areas for stunting control interventions in the Province of the Special Capital Region of Jakarta in 2021. This study used a descriptive approach to present an overview of the percentage of sanitation and prevalence of stunting in children under five by sub-district in 38 districts in DKI Jakarta. Data is displayed as a map to show distribution areas based on high, medium, and low categories. An overlay was made between the distribution …

Policy Implementation Analysis Of Spm Health Sector For Hypertension Sufferers In South Kalimantan Province, Indonesia In 2022, Anggi Asri Rusliana Dewi, Dumilah Ayuningtyas

Journal of Indonesian Health Policy and Administration

Hypertension is a major cardiovascular risk factor that causes disability throughout the world and among those who are not aware of their health condition, it is often referred to as the silent killer . The prevalence rate of hypertension in Indonesia is quite high. Based on Riskesdas (2018), South Kalimantan Province shows the highest prevalence of hypertension, but the percentage of hypertension sufferers who receive health services is still low. Banjarbaru City has the lowest percentage, namely 11.3% of the target of 100%. Health services for hypertension sufferers are included in the Minimum Service Standards (SPM) for the Health Sector …

Comprehending The Notion Of Publicness: Unexplored Dimensions And Future Research Initiatives, `Mujibur Rahman Khairul Muluk, Sajida Sajida, Gina De Nisa, Shinta Fatimah Durrety

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

This research delves into the multifaceted nature of publicness, offering insights into areas in the field of public administration. In times, the importance of publicness has grown significantly as it plays a role in shaping interactions among the public sector, private organizations, and civil society. Despite the available literature on publicness, there remain a few underexplored aspects that merit further investigation. This study reviewed the existing literature to identify and analyze gaps in research on publicness. By examining various perspectives, theoretical frameworks, and relevant aspects related to publicness, we discovered domains where scholarly discussions have notably lacked attention. The results …

The Global Research Trend In Information Governance, Entang Adhy Muhtar, Candradewini Candradewini, Budiman Rusli, Nina Karlina, Riki Satia Muharam

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The word “governance” has gained extensive usage in the business sector. Thus, “information governance” is not a new addition to the lexicon. This study aims to examine English articles on information governance written by international academics and published in Scopus-indexed journals by adopting bibliometric and content analyses. We conducted the content analysis using the VOSviewer program, which allows us to display keyword co-occurrence and bibliographic coupling of nations and sources. We identified 587 publications on information governance spanning the last 30 years. The most prolific publication platform is the Journal of the American Health Information Management Association (n=32). The most …

The Effects Of Vaccination Against Covid-19 Incidence: Is The Current Age-Priorities Appropriate?, Dian Ip Nugrahari, Nurhanifah Hamdah

Journal of Indonesian Health Policy and Administration

Age is an independent risk factor for COVID-19. Thus, the government of Indonesia prioritizes the elderly and adults with significant comorbidities for COVID-19 vaccination. To discover whether this policy is still appropriate, we evaluated the effects of vaccination against the COVID-19 incidence and infection risk.It was a retrospective cohort study of the NAR COVID-19 and Dashboard KPCPEN COVID-19 of the Depok City Health Department. The tests used to analyze the data were the chi-square and logistic regression tests. We discovered that there was a 92.7% total reduction in the COVID-19 infection rate with vaccination. The infection risk for COVID-19 in …

Health Policy Reform Through Strengthening Indonesia's Health Resilience System, Wahyu Sulistiadi

Journal of Indonesian Health Policy and Administration

The National Health System in Indonesia is developing and being discussed more seriously after entering the COVID-19 pandemic. With a national health system and several existing tools, Indonesia needed more time to be ready to face the challenges of that time. Upstream health policies should be optimized to mobilize resources and increase the nation's efforts to build a national resilience system. This paper was built using selected policy documents up-to-date and reliable literature. By reviewing empirical evidence, the author believes and shows the role of strengthening health policies in building a robust national health resilience system. Indonesia has several policies …

Turnover, Megan Paul, Sarah Stepanek

Umbrella Summaries

What is turnover?

The definition of turnover tends to somewhat vary in practice and research. The most common element is an employee leaving their job. Beyond that, turnover can be further defined as internal vs. external, voluntary vs. involuntary, functional vs. dysfunctional, and avoidable vs. unavoidable.

• Internal vs. external: Internal turnover means that the employee moves to a different job within the organization, whereas external means that the employee leaves the organization altogether. In child welfare, however, the “organization” may be defined as all of state or county government, which means that a lot of movement is considered internal.
• Voluntary …

Greater Nebraska Youth Survey: Understanding The Perceptions And Perspectives Of Nebraska’S Next Generation, Carrie Malek-Madani

CPAR Presents: A Data and Research Series for Community Impact

In January 2020, Nebraska Community Foundation began working with Center for Public Affairs Research at the University of Nebraska at Omaha to co-create a survey designed to explore young people’s perceptions of their Greater Nebraska hometowns. Now, after four years, more than 3,700 students have participated in our youth surveys. Over the last year, 980 students responded to the online survey which was administered in rural communities of varying sizes and geography between December 2022 and May 2023. The results of the 2023 Greater Nebraska Youth Survey begin to reveal the priorities, values, and desires of these individuals as well …