Digital Commons Network^™

A Qualitative Study Of Quality Of Care In Rural Karnataka, P.H. Reddy

Reproductive Health

The Third Five-Year Plan (1961–66) aimed at reducing the crude birth rate in India to 25 per 1,000 population by 1973, however this goal has not been achieved. Several other demographic goals were set later, to be achieved by specified years, but they were deferred or revised. One major reason for the failure to achieve these goals was thought to be the lack of adequate infrastructural facilities for the family welfare program, thus it was decided to improve the institution–population ratio. The primary objective of this study is to assess the quality of interaction between clients and providers, and the …

Lessons Learned From A Community-Based Distribution Programme In Rural Bihar, S. Parveen, M.E. Khan, John Townsend, Bella C. Patel

Reproductive Health

The state of Bihar in North India ranks near the bottom of the Indian states in terms of its demographic situation. The infant mortality rate as of 1991 was 69 per 1,000, and the contraceptive prevalence rate as of 1990 was 26 percent. Bihar ranks near the bottom among other states of India in almost all indicators of social and economic development. One reason for its low performance is weak management. Besides poverty, a poor communications network and lack of proper infrastructure further make the implementation of programs difficult. Workers have misconceptions about FP methods, and educational activities are poorly …

Improvements In Knowledge Of Norplant® Implants Acceptors: An Intervention Study In West Sumatra And West Java, Anthony Tan, Eman Mahdar, Faisal R. Djamal, Hafni Bachtiar, Jayanti Tuladhar, R. Hasan, R. Hasan, M. Hoesni

Reproductive Health

Previous studies on Norplant® implants in Indonesia have shown that there are a substantial number of implant acceptors, providers, fieldworkers, and volunteers who are unaware of the basic facts about Norplant. In addition, information, education, and communication materials are lacking for providers, fieldworkers, volunteers, and clients. With these issues in mind, the Training and Development Center for Biomedical and Human Reproduction Studies of the National Family Planning Coordinating Board launched an Operations Research intervention study with Study Groups on Human Reproduction from Andalas University, Padang, West Sumatra, and Padjajaran University, Bandung, West Java, with support from the Population Council. The …

Experience With The Dmpa Injectable Contraceptive: Findings From A Survey Of Dmpa Acceptors, Maria Carmela Patron, Marilou P. Costello

Reproductive Health

This report presents the results of a survey of 899 DMPA acceptors who availed of injectable contraceptive services from public health facilities under the Philippine Department of Health's (DOH) DMPA Reintroduction Program. The survey is part of the DMPA Monitoring and Follow-up Studies sponsored by the Population Council’s Manila office in response to a request by the DOH to provide operations research support to the program. Depot-medroxyprogesterone acetate (DMPA), commonly known as Depo-Provera, is a three-month injectable contraceptive. It was recently officially endorsed as a family planning (FP) program method by the DOH, following its approval by the Philippine Bureau …

Report On Norplant® Implants In Indonesia, Andrew A. Fisher, Soledad Diaz, Alejandro N. Herrin, Joedo Prihartono

Reproductive Health

At the request of the Indonesian National Family Planning Coordinating Board, the Population Council’s consultant team reviewed issues related to Norplant® implant service delivery in Indonesia and recommended specific areas for new initiatives, improvements, and further research. The team reviewed secondary sources on the subject and visited Indonesia from April 17–28, 1995. They talked with family planning (FP) officials and observers and made field visits to West Java and Yogyakarta. This report reviews important issues facing the national FP program, particularly regarding Norplant insertions and removals. Program approaches are included, as are an outline for a national assessment study that …

Dmpa Monitoring Study: Findings On Use And Continuation Rates, Population Council

Reproductive Health

This report presents the results of the DMPA Monitoring Study undertaken by Population Council, Manila, as a technical assistance project for the DMPA Reintroduction Program of the Department of Health. The primary objective of the study is to provide data on DMPA (injectable contraceptive) utilization and continuation rates that may be used to project the logistical needs of the program for the next four years (1995–1998). Availability of DMPA supplies, and information, education, and communication (IEC) materials on DMPA in the facilities were also monitored to provide some measure of the effectiveness of the distribution system. The study covers a …

Improving The Counseling And Medical Care Of Postabortion Patients In Egypt, Population Council, Egyptian Fertility Care Society

Reproductive Health

This pilot study conducted in Cairo and Minya examined the effects of improving the medical care and counseling of post-abortion patients in Egypt. A pre-test/post-test, no control group study design was used to measure the effects of an intervention that upgraded physicians' clinical and interpersonal communication skills for the care of post-abortion patients, including counseling and family planning (FP). The study's surveys utilized direct interviews with staff working in the OB/GYN wards, structured observations of treatment procedures and counseling of post-abortion patients, and interviews with patients prior to discharge. Changes in the clinical management of post-abortion patients were introduced through …

Improving Community Based Family Planning Services And The Potential For Increasing Contraceptive Prevalence In Bangladesh, Amy Gale Dunston, Peter C. Miller

Reproductive Health

This report contains descriptions of 13 family planning (FP) projects recently implemented in Bangladesh. The results in terms of the contraceptive prevalence rate (CPR) are analyzed to investigate the degree to which improved FP service delivery in Bangladesh can increase contraceptive use in the present status of demand, investigate the programmatic factors most associated with increased prevalence, and make these projects more widely known. Criteria for inclusion included coverage of a geographic area where household distribution of contraceptive supplies was available, and where at least one measurement of CPR has been made through credible survey efforts since July 1988. The …

Support For Research, Dissemination, Utilization, And Policy In Bangladesh, Ubaidur Rob, Donna Nager

Reproductive Health

Through the initiative of the Family Planning Fortnight: Meeting the Future Challenges, held in December 1993, the Government of Bangladesh made a policy statement about the critical importance of dealing with the nation's population problem. The Fortnight provided the strategic framework for developing actions to strengthen the National Family Planning Program that would meet the country's population challenges. To initiate rapid action, the Family Planning Fortnight Steering Committee, under the chairmanship of the Secretary, Ministry of Health and Family Welfare, formed a working group to prepare a report that would capitalize on all earlier efforts and lay out a plan …

A Study Of User Perspectives On The Diaphragm In An Urban Indian Setting, T.K. Sundari Ravindran

Reproductive Health

This study attempted to examine user perspectives regarding the desirability of the diaphragm as a contraceptive method when included among other methods distributed freely through a family planning (FP) clinic. It sought to introduce on an experimental basis, the diaphragm into an ongoing and well-established FP clinic to increase contraceptive choice. This was primarily a qualitative study aimed at understanding women's perceptions about the risks and benefits, the reasons for use of the diaphragm, and the practical difficulties of using it effectively. It also studied the influence of service delivery factors in acceptance of this method. The study was part …

Follow-Up Study Among Iud Acceptors Of Java, R. Hasan M. Hoesni, M. Hasan, Anthony Tan, Jayanti Tuladhar, Jusuf S. Effendi, Bantuk Hadijanto, Pudjo Hartono

Reproductive Health

As of April 1993, an estimated 5.3 million women in Indonesia were using IUDs. In 1991, the IUD was the second most commonly used family planning method in Indonesia (13.4 percent). According to the Indonesia Demographic and Health Survey, in 1994 it became the third most commonly used method among currently married women (10.3 percent), primarily on the islands of Java and Bali. The National Family Planning Coordinating Board (BKKBN), in collaboration with the Faculties of Medicine, Diponegoro University in Semarang, Airlangga University in Surabaya, and BKS-Penfin in Bandung, conducted a "Follow-up Study Among IUD Acceptors of Java,” from November …

Current Experiences With Community-Based Distribution Of Family Planning In Kenya: A Review Prepared For Usaid/Kenya, Population Council

Reproductive Health

Kenya has been one of the leading countries worldwide in developing and implementing community-based distribution (CBD) programs as part of the national family planning (FP) program. CBD activities in Kenya are coordinated by the National Council for Population and Development, with support from USAID and other donor agencies. Kenya’s CBD program has been widely publicized because of its success in improving access to FP information and services, and its diversity of organizational structures. USAID would like to review the current situation and possible future directions before designing its CBD strategy for the next five-year bilateral project. The Africa OR/TA II …

Quality Of Care In Family Planning Service Delivery In Kenya: Clients' And Providers' Perspectives, Lewis Ndhlovu

Reproductive Health

In recent years, the increasing number of organizations that have studied quality of care in international family planning (FP) programs demonstrates the importance the topic has acquired. To define quality of care in FP, the Bruce–Jain framework of six elements of care (choice of methods, information given to clients, technical competence, interpersonal relations, continuity and follow up, and appropriate constellation of services) have been used as the standard. However, what has been overlooked in this approach is the clients' perspectives of service quality. This study sought to narrow the gap in knowledge about the comparability and consistency in views between …

Day Of Dialogue On Contraceptive Methods For Today And Tomorrow: Developments, Prospects, And Issues, Population Council

Reproductive Health

This “aide-memoire” records the substance of the presentations and discussions of a Day of Dialogue—spanning two half-days on June 20–21, 1994—among representatives of the European donor community and the Population Council on “Contraceptive Methods for Today and Tomorrow: Developments, Prospects, and Issues.” The discussion covered how contraceptives are developed, prospects for new technology, areas of controversy surrounding current and potential methods, and ways to improve the process. This is the third Day of Dialogue the Population Council has been instrumental in organizing. The format for these meetings is simple and informal: Population Council staff and invited experts from other organizations …

Évaluation Clinique Expérimentale De La Validité D'Instruments Utilisés Pour Le Diagnostic De Lombalgies : Spinoscopie, Dynamométrie Triaxiale (B-200) Et Thermographie, En Regard De L'Examen Clinique, Richard Leclaire, John M. Esdaile, James Hanley, Michel Rossignol, Madeleine Bourdouxhe, Jean-Claude Jéquier, Karim Hajian-Tilaki

Rapports de recherche scientifique

Objectif général

Évaluer la validité de trois technologies, soit la spinoscopie, lа dynamométrie triaxiale (B-200) et la thermographie, pour diagnostiquer une lombalgie récente chez des travailleurs.

Objectifs spécifiques

Déterminer les caractéristiques diagnostiques de chacune des trois technologies avec et sans les données cliniques, comparer les technologies entre elles, évaluer l'influence de la motivation des sujets sur la précision diagnostique chacune et déterminer la reproductibilité des résultats selon chacun des utilisateurs des technologies.

Méthode

Dans un premier temps, une étude portant sur les valeurs normales de sujets sains (phase I) a été réalisée afin de permettre à chaque technologie de se …

Étude Des Paramètres Affectant L'Efficacité D'Atténuation Des Vibrations Par Un Siège Suspendu, Paul-Émile Boileau, Subhash Rakheja

Rapports de recherche scientifique

Les sièges à suspension comportent des caractéristiques de conception et d'ajustements variées établies en fonction de l'environnement vibratoire à atténuer et permettant aux sièges d'être adaptés à des conducteurs dont le poids et la taille sont différents. Or, il est bien connu que dans la pratique, les sièges ne sont que rarement ajustés par les conducteurs. Certains de ces ajustements, dont le réglage du poids, de la hauteur de l'assise, de l'angle d'inclinaison du dossier et du degré d'amortissement pourraient avoir une influence importante sur le degré d'atténuation réalisable dans des environnements vibratoires précis. De même, la façon d'évaluer le …

Évaluation De La Résistance Des Gants De Protection À La Coupure Suivant La Méthode Du Projet De Norme Pren 388, Jaime Lara, Renaud Daigle

Rapports de recherche scientifique

Les données de la CSST démontrent que sur les accidents indemnisés chaque année, près de 30% concernent des lésions aux membres supérieurs, dont 80% aux mains^[1]. Ces lésions sont principalement des coupures et des piqûres causés par la manipulation des pièces métalliques et des outils.

L'utilisation des gants de protection adaptés au type de travail réalisé et au type de risque mécanique pourrait diminuer le nombre ou la gravité des lésions.

Lors du choix d'un gant de protection, il faut tenir compte du niveau de protection offert par le matériau. La norme AFNOR NF S 75-001, sur les …

Analyse Des Accidents Survenus Durant Une Année Dans Trois Centres Hospitaliers, Marie St-Vincent, Chantal Tellier, Thierry Petitjean-Roget

Rapports de recherche scientifique

Le but du projet présenté est de mieux documenter et comprendre les mécanismes d'accidents du personnel soignant en milieu hospitalier, surtout les accidents de manutention. L'originalité de l'étude réside dans la nature des données recueillies pour décrire le processus accidentel. Au contraire de plusieurs études antérieures, les accidents ont été décrits non pas sur la base des rapports d'accidents usuels mais à partir d'un questionnaire spécialement développé pour enrichir la description des circonstances d'accidents. Ce projet fait suite à une première étude où l'on a développé et validé un logiciel de recueil et d'analyse de données d'accidents (du personnel soignant) …

Évaluation Des Programmes De Sécurité Du Travail Dans Des Petites Et Moyennes Entreprises, Diane Berthelette, Frédéric Planché

Rapports de recherche scientifique

Notre étude porte sur les programmes de sécurité du travail, implantés par des petites et moyennes entreprises (P. M. E.) du secteur du caoutchouc et des produits en matière plastique. Il s'agit d'une recherche évaluative dont l'objectif principal est d'expliquer la variation du taux d'incidence des accidents de travail, en fonction des caractéristiques 1) des activités et 2) des ressources humaines consacrées aux programmes de sécurité du travail, par les entreprises. Nous tentons également de mesurer l'effet des dimensions de l'organisation de travail sur le taux d'incidence des accidents de travail. Il importe de préciser que le taux d'incidence des …

Expérimentation D'Un Dispositif Limiteur De Portée Pour Grues Mobiles Et Évaluation Des Distances Aux Lignes Électriques, Joseph-Jean Paques, Réal Bourbonnière, Daniel Imbeau, Sylvie Bergeron

Rapports de recherche scientifique

En continuation avec le projet de développement d'un limiteur de portée pour grue mobile, cette expérimentation a été faite afin, d'une part, d'évaluer la précision de grutiers d'expérience à juger de distance séparant des éléments de leur grue d'une ligne électrique et d'autre part, de vérifier l'adaptation de certains paramètres fonctionnels du dispositif limiteur de portée à la façon dont les opérateurs utilisent la grue et au comportement de la grue elle-même.

Deux méthodes d'évaluation des distances ont été comparées, une libre et l'autre imposée. Les résultats montrent que les grutiers sont généralement peu précis lorsqu'ils évaluent à vue d'œil …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Rampur, S.K.G. Dastidar, Tausif Alam Khan, B.P. Thiagrajan, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

The Government of India and the United States Agency for International Development began the Innovations in Family Planning Services Project (IFPS) in Uttar Pradesh under the management of the State Innovations in Family Planning Services Agency (SIFPSA). The goal was to reduce the fertility rate in Uttar Pradesh by accelerating family planning (FP) services at the district level through innovative approaches. IFPS’s main objectives were to increase access to FP services, improve the quality of FP services, and promote contraceptive use. Initially 15 districts were selected for the Baseline Survey in Uttar Pradesh (BSUP). The baseline information collected will be …

Attachment Theory And Self-Disclosure Of Hiv Status, Amy H. Grimshaw

Psychology Theses & Dissertations

This study examined the influence of attachment style on self-disclosure of HIV seropositive status. Subjects were classified according to Bartholomew's model of adult attachment (i.e., secure, preoccupied, fearful, or dismissing). Steps were then taken to assess differences in the subjects' willingness to disclose their HIV seropositive status, the communication style chosen for disclosure, the subjects' perceptions of the importance of disclosing their HIV seropositive status, and the feared negative consequences of disclosure. To increase generalizability subjects were asked to assess their self-disclosure to three types of target persons: lover, same-sex friend, and opposite-sex friend. Attachment style significantly affected perceived importance …

A Comparative Study Of Visual Problems Between Video Display Terminal Operators In A Developed And A Developing Country, Blessing F. Adeoye

Masters Theses

The work presented in this research study examined the visual problems between Video Display Terminal (VDT) operators in a developed and a developing country. Specifically, this study compared the responses of a group of 67 VDT operators in Nigeria and the United States of America. The study addressed the following questions that have remained unanswered for many years: 1. What are the most common VDT visual hazards? 2. Are these problems the same in the USA and Nigeria? 3. Are these visual problems work related? To accomplish this research study, a survey eliciting opinions of computer operators about the visual …

The Implementation Of A Needleless Iv System And Its Impact In Needlestick Injuries, Renée Gadilhe Childers

College of Graduate Studies: Theses & Dissertations (1964–2006)

No abstract provided.

Tuberculosis And The Power Of The State: Toward The Development Of Rational Standards For The Review Of Compulsory Public Health Powers, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This article uses tuberculosis as the paradigm for exploring rational standards for the exercise of compulsory public health powers. Extant doctrine in disability and constitutional law provides a lens for examining judicial review of state interventions. The author first sets out the central epidemiological and biological aspects of tuberculosis to demonstrate the strength of the governmental interest in curtailing the epidemic. Second, he examines the interventions of testing, screening, and confinement of persons with tuberculosis, where he focuses on two congregate settings--correctional and health care facilities--that present substantial health risks and are principal foci for the exercise of state intervention. …

The Resurgent Tuberculosis Epidemic In The Era Of Aids: Reflections On Public Health, Law, And Society, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

The resurgence of tuberculosis and the rise in drug-resistant cases is neither inexplicable nor unexpected, but rather is the predictable outcome of a complex configuration of biological, social, and behavioral factors that have converged in America over the past decade. This article examines the biological, social, and behavioral causes of the epidemic, and suggests a comprehensive public health strategy for curtailing tuberculosis and other infectious diseases. When thoughtfully conceived, public health strategies can be implemented that are consistent with the limitations that both constitutional law and disability law place on the authority of the state. While traditional concepts of public …

Immunisation Delay In The 0-18 Month Age Group In The Kimberley Region Of Western Australia, Anne Mahony

Theses : Honours

In two separate complementary exploratory descriptive studies the cover and timing of vaccine administration to children in the 0-18 month age group in the remote Kimberley Region of Western Australia were quantified, and reasons for delay in vaccine administration were investigated. The adapted PRECEDE model was used to guide the research and to integrate and interpret the findings. Study One: Three separate computer immunisation databases were combined to provide the first validated age-appropriate infant immunisation data in Western Australia. For the first time in WA, the timing of administration of vaccines was investigated, and for the first time in Australia, …

The Supply Of Needles And Syringes To Injecting Drug Users : Attitudes And Practices Of Pharmacists In Western Australia, Heather June Newbey

Theses : Honours

Since 1986 in Western Australia many pharmacists have been supplying needles and syringes to injecting drug users as part of the governments's harm minimisation policy to prevent the spread of HIVI AIDS and other blood-borne viruses, particularly the more recently recognised hepatitis C. This practice was technically illegal, although officially condoned, until May 1994. Adequate baseline data not was available concerning needle and syringe supply or the attitudes of pharmacists concerning this issue. In this study a mail survey of Western Australian community pharmacists was conducted to determine the proportion of pharmacists currently supplying needles and syringes to injecting drug …

Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur

Theses : Honours

Hepatitis B is a major, largely undiagnosed disease in the community and nurses working in doctors' surgeries (practice nurses) undertake many clinical tasks which may expose them to the Hepatitis B virus. Using the Health Belief Model as the theoretical framework, the purpose of this correlational-descriptive study was to determine what actions are taken, by practice nurses in Western Australia to protect themselves against Hepatitis B, and to what extent their health beliefs contribute to those actions. A response rate of 59% (118) was obtained from an anonymous, confidential questionnaire sent to a random sample of 200 practice nurses in …

A Mathematical Model To Describe Haemophilus Influenzae Type B Within Western Australia, Kevin Dennis

Theses: Doctorates and Masters

This work is primarily aimed at determining the effect that an immunisation policy Is likely to have on the incidence of Haemophllus influenzae Type B (HIB) and systematic HIB in Western Australia. There was a significant effort made to collect data pertinent to the estimation of parameter values but since HIB has only been a notifiable disease since 1992, there was a distinct lack of relevant data available. Private communication with individual’s such as Dr Jeffrey Hanna and Dr Beryl Wild resulted in practical information being obtained that was used to estimate certain parameters. The deterministic mathematical models within the …