Digital Commons Network^™

Job Satisfaction Among Health Workers At Primary Health Care In Palembang City, Indonesia, Asmaripa Ainy, Merri Nurmala Sarri, Poppy Fujiyanti, Hartati Inaku, Tannia Tembo

Kesmas

Health workers at primary health care are the frontline providers of community health services. This study aimed to investigate the level of job satisfaction of health workers at primary health care in Palembang City, South Sumatra Province, Indonesia, and its influencing factors. Using a questionnaire developed by the authors' team, the study involved 257 samples. A total of 66.15% of respondents indicated high satisfaction, 21.79% reported moderate satisfaction, and 12.06% expressed dissatisfaction. A statistically significant correlation was found between knowledge, skills, income, promotion opportunities, work supervision, and relationships with colleagues and job satisfaction (p-value <0.001). The correlations were strong, with Spearman's rho of 0.822, 0.869, 0.912, 0.895, and 0.821, respectively. Statistical analysis of the Wilcoxon rank-sum and Kruskal-Wallis tests showed no significant differences in median satisfaction scores between sociodemographic groups (p-value 0.072 to 0.552>0.05). These findings showed that job …

Big Data As Potential Tool For Success In Developing Countries, Jean-Claude Pedjeu, Aurore J. Kamssu, Jeffrey S. Siepke-Sambo

Journal of African Policy Studies

Big data and the computer technology to analyze it are said to be one of the top 10 revolutions in the coming decade. While the developed world is making strides in the use of big data for decision making purposes, the Low-income countries (LIC) or poor countries and some medium-income countries (MIC) or developing countries are lacking behind in their collection and use of digital data to aid decision making. This is especially the case with many businesses and government agencies that have the potential to benefit in their policy designs and implementations from big data. The purpose of this …

How Mass Incarceration Has Destroyed African American Communities, Angeliki Karvounis

Themis: Research Journal of Justice Studies and Forensic Science

Beginning with the “Tough on Crime” movement of the 1970s, policies such as mandatory minimums, the War on Drugs, and the Three Strikes law have reinforced racial disparities in the criminal justice system. Multiple historical and systemic factors have contributed to the disproportionate imprisonment of African American individuals. This paper explores the long-term consequences of incarceration, including the erosion of family structures, the economic marginalization of affected communities, and the perpetuation of poverty and crime. The repercussions of parental incarceration on children and the challenges faced by formerly incarcerated individuals seeking reintegration into society are examples of the long-term consequences …

Addressing Socioeconomic Disparities In The Treatment Of Antimicrobial-Resistant Infections: The Role Of Pharmacists In Mitigating Barriers, Arin Wade, Danielle Egbujor, Anna Spalvieri, Owen Fox, Marisa Petrunich, Joshua Honaker, Samantha Mccord, Kasie Landin

Pharmacy and Wellness Review

Antimicrobial resistance is an escalating global threat driven by inappropriate antibiotic use and shaped by socioeconomic disparities. Social determinants of health, including limited healthcare access, poverty, low health literacy, and environmental conditions, contribute to higher rates of resistant infections and poorer treatment outcomes in underserved populations. Barriers such as pharmacy deserts, self-medication, and inadequate stewardship infrastructure amplify these risks. Pharmacists, as accessible and highly trained healthcare professionals, play a critical role in combating antimicrobial resistance by optimizing antibiotic use, delivering culturally competent education, and leading antimicrobial stewardship programs across settings. Community and clinical pharmacists are especially well positioned to bridge …

Negotiating Migration In The Mediterranean: A Comparative Study Of Morocco And Italy’S Border Policies And Their Humanitarian Impact On Irregular Migrants, Shennel Ep Henries

Master's Theses

Serving as both a barrier and a bridge that connects Africa and Europe, the Mediterranean is today the focal point of global controversies around migration, where humanitarian interests balance against border policing and meet securitization policies. This thesis examines the questions: How do irregular migrants adapt, interpret, and maneuver around securitized Moroccan and Italian migration policies, and what do their strategies tell us about the relationship between humanitarianism and securitization in Mediterranean bordering processes? Drawing on qualitative evidence, including expert interviews with organization employees and volunteers in Morocco and Italy (Fondazione Solidarietà Caritas, Nosotras Onlus, and Caritas Maroc), field observation, …

Framing The Future: A Community Health Analysis Of The Pee Dee Region, Stephen Borders, Jean Anton, Rian Fontaine, Donielle Phillips, Treyton Ringer, Jessica Robinson, Caitlin Thompkins

Public Health

This report presents a comprehensive, data-driven analysis of community health across South Carolina’s Pee Dee region, encompassing Florence, Darlington, Chesterfield, Marlboro, Marion, and Dillon Counties. Using tract-level data from CDC PLACES, the U.S. Census, and the National Provider Identifier registry, it assesses chronic health conditions, health behaviors, and social determinants of health. The analysis incorporates the South Carolina Healthy Communities Index (SCHCI) and a Suitability Analysis to identify the region’s most disadvantaged communities. The findings highlight persistent disparities, particularly in rural counties, where high rates of poverty, chronic disease, and unmet basic needs intersect with limited access to care. Despite …

Climate Change Behind Prison Walls: Environmental Justice, Prison Abolition, And Social Welfare, Mia Moody

Student Theses 2015-Present

Unbeknownst to many, human rights violations occur on a large scale behind prison walls. This paper examines some of these violations, especially those exacerbated by climate change, through an environmental lense in order to emphasize the need for social welfare-based solutions in the abolition of the prison industrial complex. It also seeks to illustrate the connection between the environmental justice movement and the prison abolition movement so that marginalized peoples may be free from shouldering disproportionate effects of environmental hazards and imprisonment. This paper is introduced with a brief overview of the human rights violations occurring in prisons. Using quantitative …

The Lack Of Access To Quality Healthcare Delivery In Nigeria: Its Implications For The Nigerian Citizens, Tonyesima Furro

Journal of African Policy Studies

This study examines the lack of access to quality healthcare delivery for the broad majority of Nigerians using Primary Healthcare Centers (PHC) in Rivers State as a case study. The paper argues that corruption and mismanagement are the linchpins for the lack of access and the provision of quality healthcare delivery for the citizens of Nigeria. In spite of the nation's abundant resources and financial solvency due largely to oil revenues, there is very little awareness by successive leaderships both military and civilian rule of the need to confront the pressing problem of healthcare. As a consequence, today, a child …

Displacement And Refugeeism In Liberia And Guinea: Reality And Policy Choices, Veronica Nmoma

Journal of African Policy Studies

No abstract provided.

Key Issues Affecting Health Care Delivery Systems In Selected Sub-Saharan African Countries, Alemu Mammo

Journal of African Policy Studies

No abstract provided.

Assessing Bioterrorism Preparedness In Indonesia: Challenges And Strategic Frameworks For National Security, Toni Toni, Haliansyah Haliansyah

Journal of Terrorism Studies

Bioterrorism represents a growing global threat, necessitating robust preparedness frameworks to safeguard national security. This study aims to assess Indonesia's bioterrorism preparedness by identifying key challenges and proposing strategic frameworks for improvement. Using Structural Equation Modeling (SEM), this quantitative research examines the relationship between Government Capacity (independent variable), Crisis Management Effectiveness (intervening variable), and National Security Preparedness (dependent variable). A structured survey was distributed to key stakeholders, including public health officials, security experts, and policymakers, yielding 100 valid responses. Data analysis through SEM revealed that Government Capacity significantly influences Crisis Management Effectiveness, which in turn positively impacts National Security Preparedness. …

A Theoretical Model Of Participatory Team Science Training, Angela E. Jordan

Graduate Theses and Dissertations (2019 - present)

BACKGROUND: Teams have long been used to address major scientific and societal problems, and interdisciplinary teams are understood to be the best approach to complex systems-based problems like climate change. Engaged research collaborations incorporating community members as equal partners in research projects are recognized as both a means of advancing equity and justice in research, and also of improving the success of research translation by developing solutions with community use-value. The science of team science (TS) and community-engaged research (CEnR) have emerged as scholarly disciplines, with attempts to define competencies, skills, functioning, and success. A growing body of literature in …

State Case Count As An Indicator Of Successful Multistate Outbreak Investigation, Lorisa M. Pennell

Capstone Experience: Master of Public Health

Background/Objectives: Shiga-Toxin producing Escherichia coli (STEC) is a contaminant found in multiple food types and causes multistate outbreaks due to the industrialization of food production. In this report I examine the differences in outbreaks categorized by the regulating agency responsible in outbreak prevention and compare outbreak case counts when organized by positive outbreak investigation and response outcomes.

Methods: STEC Multistate outbreak data was obtained from the Center for Disease Control’s National Outbreak Reporting System (NORS) for outbreaks occurring from 2006-2023. Outbreaks were organized into those regulated by either the US Food and Drug Administration (FDA) or the US Department of …

The Burden Of Care: A Phenomenological Inquiry Into The Lived Experiences Of Homeless Shelter Administrators Leading Through The Pandemic And Lasting Implications On Program Operations, Marie Adele Wilson

Doctoral Dissertations and Projects

The theories guiding this study are Maslow's Hierarchy of Needs, conflict theory, and complex systems theory, which explain the relationship between the theory and resource limitations and acquisition, systems, and nature of acquiring human needs. The purpose of this phenomenological study is to describe homeless shelter administrators'/directors' experiences delivering services during the COVID-19 pandemic on the Eastern Coast of the United States and Texas. It further seeks to unravel how the pandemic informed the delivery of services and program administration related to homeless shelters and its impacts. The research questions sought to understand the impact of COVID-19 on delivering services …

How To Kill A Human: Creating An Immersive Learning Game, Théo Caldwell, Nathan Bonnell

OHSU-PSU School of Public Health Annual Conference

How to Kill a Human is an experiment in teaching through gameplay. The environmental crisis facing the planet, though denied by many, is a collection of well-documented historical environmental catastrophes. The purpose of this project was to design a method of relating the impacts of environmental systems on human health, highlighting the dangers of ill planned human tampering, by presenting hypothetical environmental catastrophes and then relating them to documented historical disasters. In pursuit of this goal, we designed a semi-collaborative game for three to six players with a suggested age rating of 10+, ideal for teaching individuals of middle school …

Investigation Of Sprinkler Requirements In One-Or-Two-Family Newly Constructed Homes, Courtney Catrillo

Walden Dissertations and Doctoral Studies

Multiple case studies and available data supported the effectiveness of residential fire sprinklers. Despite this, 48 states have not implemented a requirement for residential sprinklers in newly constructed homes and 46 have eliminated the requirement. The purpose of this study was to examine which states have adopted the recommendation and to what extent. This generic qualitative study is an exploration of the reasons behind the lack of adoption. Data from reports, charts, and tables from publicly available sources, including government and stakeholder websites, were analyzed using expected utility theory to compile a findings table. The results indicated that only Maryland …

Mitigating The Effects Of The Covid-19 Pandemic On Human Development: The Case Of Tortugas, Balanga City, Bataan, Patrick C. De Leon

Journal of Public Affairs and Development

This study aimed to analyze how Barangay Tortugas implemented its programs and projects to mitigate the adverse effects of the COVID-19 pandemic in the context of the three elements of human development (health, education, and access to resources). Data were gathered through key informant interviews using a structured questionnaire. Purposive sampling was used in selecting respondents comprised of eight barangay officials, the school principal, 13 teachers, and 60 beneficiaries of the Barangay Kitchen Station and the vaccination program. Results of the study showed that among the various programs and projects being implemented in the barangay, only three (3) were successful. …

Ethical Considerations For Sharing Aggregate Results From Pragmatic Clinical Trials, Stephanie R Morain, Abigail Brickler, Joseph Ali, Patricia Pearl O'Rourke, Kayte Spector-Bagdady, Benjamin Wilfond, Vasiliki Rahimzadeh, Caleigh Propes, Kayla Mehl, David Wendler

Center for Medical Ethics and Health Policy Staff Publications

A growing literature has explored the ethical obligations and current practices related to sharing aggregate results with research participants. However, no prior work has examined these issues in the context of pragmatic clinical trials. Several characteristics of pragmatic clinical trials may complicate both the ethics and the logistics of sharing aggregate results. Among these characteristics include that pragmatic clinical trials may affect the rights, welfare, and interests of not only patient-subjects but also clinicians, meaning that results may be owed to a broader range of groups than typically considered in other research contexts. In addition, some pragmatic clinical trials are …

Revving Up Or Stalling Out? Examining The Effectiveness Of Electric Vehicles In Combating Climate Change, Meghan E. Miller Termat

Villanova Environmental Law Journal (1991 - )

No abstract provided.

Probation Officer Perspectives Of Rehabilitation Programs In The Federal Bureau Of Prisons, Brandon Christopher Harper

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to better understand the federal probation officer's perspective of rehabilitation programs in the federal bureau of prisons. The following research question provided a guide: What are federal probation officers' perspectives regarding the success of rehabilitation programs offered in the federal bureau of prisons? Semi structured interviews were conducted with 10 employees of a federal probation office located in the southern United States. Interviews were conducted using Zoom and audio-recorded and transcribed to text files for thematic analysis. The main findings in this study included the need to tailor programs for prisoners to …

Sex And Labor Trafficking In Cambodia, Kaeli Rasnake

Helms School of Government Spring Public Policy Conference

Human trafficking affects some forty-nine million men, women, and children, with twenty-nine million within the Asian and Pacific region trapped in a web of forced labor, sexual exploitation, and coerced marriage. Human trafficking is now one of the world’s most lucrative organized crimes, generating more than $150 billion a year. Southeast Asia is a particularly vulnerable region, where weak enforcement mechanisms, poverty, and cross-border mobility create fertile ground for trafficking networks. Cambodia has been designated as a tier 3 nation in this region by the U.S. Department of State due to widespread issues of labor and sex trafficking. Tier 3 …

A Narrative Review Of The Covid-19 Infodemic And Censorship In Healthcare, Mitchell Liester, Sohaib Ashraf, Patricia Callisperis, Hector Carvallo, Shankara Chetty, Robert Enzenauer, Carlos Franco-Paredes, Raul Pineda, Panagis Polykretis, Rachel Wilkenson, Peter Mccullough

Secrecy and Society

Ideological and financial motivations have undermined science for decades. In this narrative review, we explore how organizations and governments used misinformation, disinformation, censorship, and secrecy to manage the COVID-19 pandemic. Various rationales for employing censorship and secrecy during the COVID-19 pandemic are examined including how organizations and governments create confusion about the risks associated with their products and blame avoidance to shift responsibility and to avoid accountability for their actions. Methods of censorship employed during the COVID-19 pandemic are reviewed, examples are provided, and the consequences of these actions are reviewed. Information included in this review was obtained from scientific …

Covid Cover-Up: Secrecy, Censorship And Suppression During The Pandemic, Brian Martin

Secrecy and Society

During the height of the COVID-19 pandemic, most health authorities, governments, and mass media organizations presented a single official view concerning lockdowns, masking, distancing, and vaccines. The methods used against contrary views can be classified into four types: flooding, ignoring, censoring, and attacking. The method of information flooding involves presenting dominant views in a unified front, overwhelming contrary views by volume and consistency. The method of ignoring includes the absence of research on alternative approaches, failure to report on research contrary to orthodoxy, and not mentioning challenging views. Censoring involves active measures to prevent the circulation of contrary information and …

Association Of Messenger Rna Coronavirus Disease 2019 (Covid-19) Vaccination And Reductions In Post Covid Conditions Following Severe Acute Respiratory Syndrome Coronavirus 2 Infection In A Us Prospective Cohort Of Essential Workers, Josephine Mak, Sana Khan, Amadea Britton, Spencer Rose, Lisa Gwynn, Katherine D Ellingson, Jennifer Meece, Leora R Feldstein, Harmony Tyner, Laura J Edwards, Matthew S Thiese, Allison Naleway, Manjusha Gaglani, Natasha Solle, Jefferey L Burgess, Julie Mayo Lamberte, Meghan Shea, Taryn Hunt-Smith, Alberto Caban-Martinez, Cynthia Porter, Ryan Wiegand, Ramona Rai, Kurt T Hegmann, James Hollister, Ashley Fowlkes, Meredith Wesley, Andrew L Philips, Patrick Rivers, Robin Bloodworth, Gabriella Newes-Adeyi, Lauren E W Olsho, Sarang K Yoon, Sharon Saydah, Karen Lutrick

Center for Medical Ethics and Health Policy Staff Publications

Background: Data are limited on whether vaccination reduces post COVID conditions (PCCs) risk after less severe nonhospitalized coronavirus disease 2019 (COVID-19). This study assessed whether COVID-19 vaccination protected against PCCs in persons with mild initial infections during Delta and Omicron variant predominance.

Methods: This study utilized a case-control design, nested within the HEROES-RECOVER cohort. Participants aged ≥18 years with test-confirmed severe acute respiratory syndrome coronavirus disease 2 (SARS-CoV-2) between 28 June 2021 and 14 September 2022 were surveyed for PCCs, defined by symptoms lasting >4 weeks after initial infection. Cases self-reported PCCs and controls self-reported no PCCs. The exposure was …

Tienen Alas, Pero No Las Pueden Usar: Stories Of Immigrants In Search Of Work Credentials, Jonathan Vega-Martinez, Maria M. Pache De Athayde, Fabián Torres-Ardila, Phillip Granberry

Gastón Institute Publications

This report presents the results of a qualitative research study, funded by the Latino Equity Fund of the Boston Foundation, aimed at understanding the challenges that highly skilled immigrants1 face when reentering their careers in Massachusetts.

Island Nation Duress: Simulating Passive Peer-To-Peer Bluetooth Communication During Disaster Relief, Jason K. Medeiros

Theses and Dissertations

Pacific Islands under U.S. jurisdiction are highly vulnerable to natural disasters, yet many lack the infrastructure to effectively respond and recover. Clear communication during and after such events is critical for evacuation, hazard awareness, and first responders’ coordination. This research explores a simulation-based approach using Bluetooth communication to relay messages across Guam, assessing its efficiency through statistical analysis. By examining regional differences and geographic impacts on Bluetooth messaging, the study aims to identify key factors that enhance peer-to-peer communication for timely and effective disaster response.

Revisiting What Constitutes A Neglected Tropical Disease?, Paul J Brindley, Peter J Hotez, Shaden Kamhawi

Center for Medical Ethics and Health Policy Staff Publications

PLOS Neglected Tropical Diseases (PLOS NTDs) publishes research devoted to pathogenesis and other clinical aspects, epidemiology, prevention, diagnosis, treatment, and control of the neglected tropical diseases (NTDs), as well as work relevant to public health policy. We define NTDs as poverty-promoting infectious diseases that can negatively impact the quality of life in rural areas and poor urban areas of low- and middle-income countries but which can also affect specific communities within high-income countries. The poverty-inducing effects of the NTDs operate by impairing child health and development, pregnancy outcomes for both mother and child, worker productivity, and quality of life. The …

Analysis Of Covid-19 Prevention And Control Policy Implementation In Islamic Boarding Schools In Dki Jakarta, Dickha Adi Wibowo, Fajar Ariyanti

Journal of Indonesian Health Policy and Administration

Indonesia, as one of the countries affected by COVID-19, has implemented various efforts to prevent the transmission of COVID-19. One effort that can be implemented is the implementation of COVID-19 prevention protocols. Apart from that, according to the COVID-19 Handling Task Force, Islamic boarding schools are locations with high mobility. This research aims to determine the implementation of policies related to the prevention and control of COVID-19 in Islamic boarding schools in the DKI Jakarta Province. This research used descriptive research with a qualitative approach, with the number of respondents being three Islamic boarding school leaders and students. The results …

Contextualizing Policy Adoption: A Case Study Of Tuberculosis Control Policy In Depok City, Tri Auri Putri Ayuningtyas, Adang Bachtiar

Journal of Indonesian Health Policy and Administration

This study analyzes the formulation and implementation process of Depok Mayor Regulation No. 61 of 2023 on Tuberculosis (TB) Control using Friedman’s legal system theory (1975) and the eight General Principles of Good Governance (Asas Umum Pemerintahan yang Baik – AUPB). The regulation provides a comprehensive framework, encompassing promotive, preventive, curative, and rehabilitative aspects to support TB control. The legal structure includes the establishment of a cross-sectoral Tuberculosis Control Acceleration Team, involving government agencies and community organizations. Findings reveal that while the regulation has fulfilled several AUPB principles, such as legal certainty, utility, and public interest, there are areas …

“Science Belongs Everywhere”: Outlooks On Post-Secondary Stem Education For Correctional Centers In Virginia, Shelita R. Augustus

Division of Strategic Enrollment Management and Student Success Publications

Virginia has an incarceration rate of 679 per 100,000 residents, the highest among independent democratic nations. This scoping review examines perspectives on post-secondary STEM education to promote STEM education within Virginia's correctional facilities, assesses programs to improve rehabilitation, reduce recidivism, and address systemic inequalities by developing the scientific potential of incarcerated individuals. The review finds that while STEM education in correctional facilities faces limitations, its potential benefits are being realized nationwide. Virginia has made strides through initiatives like House Bill 2158, which aims to expand higher education access for incarcerated individuals. Examples such as the programs at J. Sargeant Reynolds …