Digital Commons Network^™

Factors Associated With The Performance Of Essential Public Health Efforts At Primary Health Centers In Jember Regency, Griselda Ardelia Hibatullah, Nuryadi Nuryadi, Yennike Tri Herawati

Journal of Indonesian Health Policy and Administration

Performance assessment of primary health centers is essential to ensure the quality of healthcare services, including the delivery of essential public health efforts. The performance target for essential public health efforts in Jember Regency is set at ≥82%. This study aimed to analyze factors associated with the performance of essential public health efforts. The study employed an analytical cross-sectional design conducted from April to May 2025, with a sample of 37 out of 50 units selected through simple random sampling. Primary data were collected using questionnaires, while secondary data were obtained from primary health center (Pusat Kesehatan Masyarakat – …

Referral Patterns From Primary Care To Referral Care By Icd-10 Codes In Indonesia: Cross-Sectional Analysis Of National Claims Data (2017–2024), Della Dwi Ayu, Syarif Rahman Hasibuan, Putu Erma Pradnyani, Nisrina Widyasanti

Journal of Indonesian Health Policy and Administration

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each …

Optimizing Vitamin A Intervention: Strengthening Supplementation With Targeted Biscuit Fortification, Mayfa Yemima Simanjuntak, Nadia Amanda, Yuli Berliana Simanjuntak, Carissa Wityadarda, Lesta Livolina Simamora

Journal of Indonesian Health Policy and Administration

Vitamin A deficiency (VAD) remains a persistent public health challenge in Indonesia, particularly among children under five and breastfeeding mothers. This study aimed to analyze the distribution of vitamin A interventions and assess the potential of biscuit fortification as a complementary strategy. This study employs a literature review using the Health Policy Triangle (HPT) framework, examining policy context, content, key actors, and implementation processes related to vitamin A interventions. The analysis was conducted using secondary data from government reports, international agencies, and peer-reviewed literature published between 2018 and 2025, with comparative evidence from Vietnam, Bangladesh, and Ghana. The findings show …

On The Brink Of Silence: Ethnographic Perspectives On Hunting And Forest Life Among The Awa Guajá In Eastern Amazonia, Uirá Garcia

Tipití: Journal of the Society for the Anthropology of Lowland South America

The central theme of this article basically resides in the relationship established by indigenous peoples between their hunting practices and the forest. Indigenous ways of connecting ‘hunting’ and ‘forest’ necessarily pass through other modes of knowing, only marginally – if it all – dependent on vision. On the contrary, sounds, smells and even dreams are, for many South American indigenous collectives, more trustworthy indices than what the eye sees. This article divides into two parts. In the first, I set out the main ideas related to the anthropological study of hunting in Amazonia at a conceptual level. In the second, …

Making Noise Through Law: Indigenous Legal Mobilisation Against A Power Plant In “French” Guiana, Pierre Auzerau

Tipití: Journal of the Society for the Anthropology of Lowland South America

In so-called “French” Guiana, or Guyane, the Kali’na village of Atopo Wipi has fought for years against a hydrogen power plant being built on their land. Drawing on ethnographic fieldwork conducted between 2023 and 2024 in Guyane and Western Europe, where I collaborated with various stakeholders to support Atopo Wipi’s resistance to the power plant, my research focuses on the legal dimensions of the Kali’na’s struggle to protect their land. Specifically, this article examines how the Kali’na navigated different normative frameworks, including international human rights standards and French law, to fight the project. Through this analysis, I show how the …

El Amor En Los Tiempos Del Caucho. Pactos Matrimoniales Y Trabajo Coercitivo Entre Awajún Y Patrones En La Amazonía Peruana, Silvia Romio

Tipití: Journal of the Society for the Anthropology of Lowland South America

Este trabajo presenta un análisis etnohistórico de los cambios en la jefatura awajún del Alto Marañón a inicios del siglo XX, centrándose en sus relaciones de dependencia, poder y trabajo forzoso con los comerciantes mestizos, en su mayoría patrones del caucho establecidos en la zona. El ensayo describe la transformación gradual de las relaciones cotidianas con estos foráneos, quienes pasaron de ser simples aliados comerciales a convertirse en capitanes y, finalmente, en yernos-patrones mediante el matrimonio con una o más hijas del jefe indígena. A través de la figura del yerno-patrón, se produjo una progresiva incorporación del “blanco” a …

A Pedra Da Aldeia: Reativações Waiwai Entre A Antropologia E A Arqueologia De Longa Duração, Carlos Machado Dias Jr., Kanhera Renato Xerew, Alexandre Aniceto Souza, Jaime Xamen Wai Wai, Justino Sarmento Rezende, Claide De Paula Moraes

Tipití: Journal of the Society for the Anthropology of Lowland South America

O artigo analisa um episódio ocorrido na comunidade waiwai do Jatapuzinho, na Terra Indígena Trombetas-Mapuera, envolvendo o encontro do professor Renato Kanhera Waiwai com um antigo Pote de Pedra encontrado às margens do rio Jatapuzinho durante um período de estiagem. A partir de uma experiência etnográfica conduzida pelo próprio Kanhera, os autores refletem sobre os efeitos cosmopolíticos, históricos e ontológicos mobilizados pelo artefacto, articulando antropologia, arqueologia e perspectivas indígenas em um exercício de escrita coletiva. O texto argumenta que o Pote de Pedra não constitui apenas um vestígio arqueológico, mas um agente ativo na reativação de memórias, sonhos, narrativas e …

Leadership Experiences Of Gender-Diverse Managers In U.S. Libraries And Museums, Galen Jay Talis

Faculty Scholarship

This article explores how gender-diverse managers in U.S. libraries and museums experience leadership and perceive gender to influence leadership. In-depth interviews were conducted with five gender-diverse managers. Data were analyzed with inductive, semantic thematic analysis and a complementary, deductive analysis using Wharton’s multilevel gender framework. Participants described relational, pragmatic, point-person leadership—connecting and supporting people, coordinating work, and translating between units—while expressing ambivalence about formal and hierarchical roles. Most did not initially link leadership to gender; when prompted, they articulated gender’s influence at individual, interactional, and institutional levels. Gender discrimination and transphobia persist even in woman-dominated contexts, shaping decisions about visibility, …

Determinants Of Musculoskeletal Disorder In Formal And Informal Workers In Indonesia, Herlina J. El-Matury, Nabila Syahlan, Mohd Rafee B. Baharuddin

Kesmas

Musculoskeletal disorders (MSDs) are a leading cause of disability globally and are strongly influenced by occupational conditions. Evidence comparing MSD risk between formal and informal workers remains limited, particularly in developing countries. This study examined the association between individual and job-related factors with MSD symptoms among formal and informal workers in Indonesia. A cross-sectional study was conducted among 1,089 workers in North Sumatra Province, Indonesia, from August 2024 to December 2025. Participants were recruited using stratified convenience sampling from both the formal (office and health workers) and informal (drivers, traders, and farmers) sectors. MSD symptoms were assessed using the Nordic …

The Feasibility Of Long-Term Care Within Indonesia’S National Health Insurance Scheme: A Qualitative Study, Atikah Adyas, Wan Aisyiah Baros, Khaterina Kristina Manurung, Dedy Revelino, Dewi Susanna, Vetty Yulianty, Anita Pebrina Lubis, Arum Atmawikarta, Iis Sinsin Nuryasini, Ahmad Jet Alamin

Kesmas

The rising prevalence of chronic diseases and disabilities, along with the aging of the population, has reduced individual independence and increased the demand for long-term care (LTC). This study aimed to assess the feasibility of integrating home healthcare services into Indonesia’s National Health Insurance (NHI) scheme. A qualitative study using purposive sampling was conducted in Bandar Lampung, Yogyakarta, and Jakarta, Indonesia, selected based on disease burden, proportion of older adults, and regional development. Data was collected through in-depth interviews, focus group discussions, and observation between August and September 2024, involving 68 informants, including regulators, community members, and health facility staff. …

Transportation Deserts And Structural Mobility Access In New York City, John Cruz

Student Theses

This study examines structural mobility access across New York City census tracts by constructing a tract-level Mobility Access Index (MAI) that integrates employment accessibility, hospital accessibility, and first-mile subway walking burden using MTA GTFS transit data, NYC Taxi and Limousine Commission trip records, and US Census American Community Survey demographic estimates. Three OLS regression models, supplemented by Lasso, Elastic Net, and Random Forest specifications, test whether structural access gaps are associated with short-distance connector trip intensity and per-worker connector cost burden. Results show that MAI varies substantially across tracts, with high access concentrated in Manhattan and along major subway corridors. …

Landlord Participation In The Housing Choice Voucher Program, Donnecia Johnson

Walden Dissertations and Doctoral Studies

No abstract provided.

The Disconnect In Female Labour Force Participation Policy In Egypt: Design And Implementation Gaps, Miral Mohamed Omran

Theses and Dissertations

This study investigates the disconnect between Egypt's ambitious female labor force participation (FLFP) policy goals in the National Strategy for the Empowerment of Egyptian Women 2030 and the declining indicators since its launch. Applying Van Meter and Van Horn's implementation framework, it analyzes the full policy process using qualitative interviews across government, civil society, and private sector actors involved in the national policy’s design and execution. Findings reveal structural failures, resource shortages, coordination gaps, leadership turnover, and donor-driven fragmentation, intensified by cultural norms and frontline resistance. Recommendations prioritize short-term administrative tweaks leveraging public sector downsizing for harmonization and rethinking the …

Resilience And Social Support On Depression Risk For Chronic Obstructive Pulmonary Disease Patients In South Tangerang, Indonesia, Adhityawarman Menaldi, Sali Rahadi Asih, Farah Ainul Mardhiyyah

Kesmas

Chronic obstructive pulmonary disease (COPD) is a major public health concern with psychosocial impacts, such as reduced resilience and depression. This study examined the moderating role of perceived social support on the relationship between resilience and depression among individuals diagnosed with COPD in South Tangerang, Indonesia. A quantitative cross-sectional study was conducted between January and February 2024 using self-administered questionnaires. Participants were adult patients with clinically diagnosed COPD, recruited from all public health centers (PHC) in South Tangerang. A total of 125 participants met the inclusion criteria and were included in the analysis. Participants had a mean age of 41.46±15.69 …

Generation Z And The Ai Misinformation Paradox: Understanding A New Digital Vulnerability, Cecilia Cooley, Elizabeth Sperber

DU Undergraduate Research Journal Archive

This paper asks: How and why is Generation Z more vulnerable to AI-generated misinformation and disinformation than older generations? Using a comparative review of recent empirical studies, survey data, and meta-analyses from 2019–2025, this paper synthesizes research on Gen Z’s exposure to and interaction with AI-produced content across social media platforms. Although it is commonly assumed that Gen Z ’s technological exposure and fluency make them better equipped to recognize false information, findings show the opposite: Gen Z is consistently outperformed by older cohorts in detecting AI-generated falsehoods. This vulnerability stems from three intersecting factors: (1) the sheer volume of …

King Of The Jungle: Comparative Analysis Of The Geopolitical Narratives Surrounding Fordlandia And A Proposed Resort Park In El Mirador, Rachel Jaeger

DU Undergraduate Research Journal Archive

Environmental geopolitics is a field of study in which narratives about the environment are analyzed to reveal the underlying motivations and objectives they support. Using Shannon O’Lear’s (2020) framework of environmental geopolitics, I conduct a comparative analysis of the narratives surrounding two distinct development projects: Henry Ford’s historical company town in the Brazilian Amazon, Fordlandia, and a proposed ecotourism resort park in El Mirador, Guatemala. Analysis of Fordlandia reveals a narrative of American frontierism and a man-versus-nature perspective that served to paint the environment as belligerent and thereby justify corporate control and Indigenous assimilation. Narratives surrounding El Mirador differ, representing …

Greenspace Access In The Denver Metro Region: Historical Housing Policy Impact On Modern Greenspace Distribution, Brody Petig, Susan Dagget

DU Undergraduate Research Journal Archive

Access to safe, high quality, urban green spaces is widely recognized as a determinant for physical health, mental well-being, and social cohesion. Existing literature has demonstrated that race, age, gender, and socioeconomic status frequently dictate the allocation of resources and shape disparities in access to greenspace. These disparities are also often reflective of historical housing policy and zoning decisions. This paper examines greenspace access in the Denver Metro Region (DMR) and the City and County of Denver (CCD) through a social justice lens, with particular attention to the relationship between historical housing policy and contemporary trends in greenspace distribution and …

Urban Removal: The Long-Term Impacts Of The Displacement Of Denver’S Auraria Neighborhood, Sophia Krout, Reginald A. Byron

DU Undergraduate Research Journal Archive

In the early 1970s, the Auraria Center for Higher Education was developed, displacing a well-established Denver Latino neighborhood, which encompassed a 38-block district at the time, including 155 families, 49 single individuals, and 237 businesses, and clearing the way for the establishment of the Metropolitan State University of Denver, the University of Colorado Denver, and Denver Community College. The implementation of remedial measures for the displacement has fallen short of meeting the needs of displaced residents. The residents were promised affordable education through a program named the Displaced Aurarian Scholarship, which has similarly stated intentions of improving the educational attainment …

Exploring Opportunities To Integrate Climate Change Into Gross National Happiness For Bhutan And Its Application For Global Wellbeing-Centred Climate Resilient Development, Tashi Dorji, Angus Morrison-Saunders, David Blake

Research outputs 2022 to 2026

Climate change poses an increasing threat to human wellbeing, but despite this intricate relationship, addressing climate change rarely mainstreams wellbeing objectives. This study explores opportunities to integrate climate change into Bhutan’s development philosophy of Gross National Happiness (GNH) and examines how this experience can inform a wellbeing-centred global application through Climate Resilient Development (CRD). Using a qualitative design combining semi-structured interviews with 41 policy influencers in Bhutan, document analysis, and literature synthesis, this study identifies two complementary points of integration. The first involves identifying and then embedding climate-wellbeing stressors into the 9 domains and 33 GNH indicators used in the …

Crime, Economic Forces And Trucks Crossings In The Us–Mexico Border Region, René Cabral, André Varella Mollick, Eduardo Saucedo

Economics and Finance Faculty Publications

We investigate northbound loaded truck crossings from Mexico to the United States between 2015 and 2023. A weaker peso, exports and US industrial production positively affect loaded containers. Truck robberies at the municipal level show no statistically significant relationship with truck loadings, whereas truck robberies at the national and state levels present a negative, persistent association. Results suggest that Mexico–US trade would benefit from lower average Mexican crime rates. In addition to comparing Texas with other border states, this study documents the role of crime specific to the transportation sector as a negative relevant driver of truck crossings to the …

Direct Democracy In The Twenty-First Century: Massachusetts Open Town Meeting And Citizen Participation, Daniel W. Santos

Graduate Doctoral Dissertations

Town Meeting is a unique system of democratic governance that can be found only in New England towns, where it has been the primary form of local government for nearly four centuries. Town Meeting is a type of direct democracy where laws, policy, and decisions are made by a plurality of a town’s eligible voters acting as its legislative body. There is limited scholarship addressing Town Meeting, with much of the extant literature focusing on the benefits of the direct democracy aspect of this form of government. Town Meeting has been generally known to be poorly attended by citizens. The …

Narrative Construction In Post-Conflict Society: How Narratives Can Shape Conflict Perpetuation And Reconciliation Possibilities In Syria., Abigail H. Eid

Capstone Collection

In December 2024, Syria’s long-standing Assad regime was overthrown, and the country entered a new era of post-conflict reconstruction. This study explores the narratives Syrians in the diaspora are constructing about this regime change and the new era for Syrian society. To do so, semi-structured interviews were conducted with 16 Syrians in the diaspora of various backgrounds and analyzed using an inductive narrative analysis to see which themes emerged. The findings were further organized to understand how these narratives may contribute to perpetuating conflict or promoting peacebuilding and reconciliation. Based on the analysis, there are four main types of narratives …

The Shadow Corroboration Doctrine In Sexual Violence Cases, Chris Cox

University of Cincinnati Law Review

No abstract provided.

The Worker Voice Gap: How Much Say Do Workers Want—And How Much Do They Actually Experience?, Alexander Hertel-Fernandez, Thomas A. Kochan

Upjohn Institute Policy Papers

•The worker voice gap—the difference between the influence that workers want and what they experience—is very large. Nearly three-quarters of American workers want more voice at work than they currently have in three key areas: 1) compensation, 2) working conditions, and3) use of new technologies at work.

• The voice deficit is largest for compensation, but majorities of workers also express voice gaps over working conditions and the use of new technologies in their workplaces.

•Although voice gaps are relatively widespread, women tend to report larger voice gaps than men, and younger and middle-aged workers tend to report larger gaps …

Reconstruction And Repatriation Of Looted Cultural Heritage Property Ownership Mechanism, Yichi Zhang

Pepperdine Policy Review

The displacement of cultural artifacts through conflict, colonization, and illicit trafficking has created profound gaps in humanity's shared heritage. This paper examines the systemic barriers to cultural property restitution and proposes a structured dispute resolution framework as the primary remedy. Drawing on the social, nonmarket, and economic values of cultural heritage, the study establishes why repatriation extends beyond legal formality into questions of identity, sovereignty, and collective memory. A review of existing international instruments, including the 1954 Hague Convention, the 1970 UNESCO Convention, and the ICPRCP, reveals persistent enforcement gaps and jurisdictional inconsistencies that impede meaningful restitution. Comparative case studies …

The Monopoly Of Violence In Iraq: The Emergence Of The Islamic Resistance Of Iraq, Mobilization Of The Pmf, And The Future Of State Stability, Alexis Thomas

Pepperdine Policy Review

Iraq's fragile state faces threats from multiple factors including Iranian influence within the Popular Mobilization Forces and Iraq's political system, the decentralized nature of the PMF, and potential violence surrounding critical national elections. Formed during the 2014 ISIS war, the PMF is an umbrella organization consisting of various militias broadly aligned with Grand Ayatollah Sistani, Muqtada al-Sadr, or former Iranian Supreme Leader Khamenei. Since October 7, 2023, Iranian-backed PMF militias operating under the Islamic Resistance of Iraq have conducted attacks against Israeli and American targets, threatening to drag Iraq into regional conflict. PMF-affiliated parties achieved considerable success in the 2025 …

The Capital Gap: Mitigating Banking Barriers For Nonprofit Providers In Mental Health And Educational Systems, Jinhee Lee, Josefina Martinez

Pepperdine Policy Review

Nonprofit organizations are vital contributors to public welfare, yet they are systematically excluded from conventional banking systems, creating a liquidity crisis that undermines their capacity to deliver essential services. This paper discusses the structural issues of the banking sector that hinder nonprofits in acquiring credit and explains how this problem can be solved. Specifically, it aims at investigating liquidity constraints faced by schools providing mental health services and education programs. With the help of information asymmetry and relationship lending theories, the paper explains why traditional credit approaches cannot work, considering the distinctive features of the financial model of mission-oriented institutions. …

Let Freedom Read: Exploring Mississippi’S Defiance Of National Book Banning Trends, Olivia S. Hoover

Undergraduate Honors Theses

Why have book bans have surged so dramatically across the United States in recent years, especially as they have become a defining political project for conservative lawmakers? At the center of this uptick in book bans lies a confusing puzzle: while book bans overwhelmingly occur in Republican-dominated states, Mississippi, despite its conservative political landscape, has seen almost none, even as states like Florida have enacted more than a thousand in a single year. Much of the existing scholarship on book bans focuses on national patterns of them or on the lawmakers and advocacy groups driving these bans, leaving a gap …

A Stadium In Our Backyard: Community Participation In Stadia Redevelopment Projects, Sofia Zazueta

Master's Theses

The Santiago Bernabeu in Madrid, Spain and the Chase Center in San Francisco, California are two stadium redevelopment projects that exemplify the stakeholder dynamics that come into play when developers pitch a multipurpose stadium located a few blocks away from people’s backyards. Urban development patterns must be in constant evolution to meet the needs and demands of the current generations. In cities, stadia redevelopment projects have entered the picture to reimagine the role that these structures once played. The stadium once used for the sole purpose of holding matches has become a venue that now hosts different events such as …

Justice On Autopilot: Comparing Predictive Litigation And Data Justice In Bay Area Municipal Governments, Darris M. Thomas

Master's Projects and Capstones

This Capstone project examines how Bay Area municipal governments, specifically the City and County of San Francisco, Alameda County, San Mateo County, and Santa Clara County, are adopting and governing predictive litigation technologies, and what these practices reveal about the possibilities and limitations of data justice in advancing racial equity, transparency, and public accountability. Drawing on a qualitative, comparative case study methodology analyzing procurement contracts, AI governance policies, California Public Records Act (CPRA) disclosures, and semi-structured interviews gathered across fifteen municipal legal institutions, the research applies an interdisciplinary theoretical framework synthesizing John Rawls’s distributive fairness, Nancy Fraser’s recognition justice, Tom …