Digital Commons Network^™

More Guns, Less Crime, By John R. Lott, Jr. , Kevin P. Latulip Jr.

Journal of Health Care Law and Policy

No abstract provided.

Intimate Partner Violence And Cervical Neoplasia, Ann L. Coker, Maureen Sanderson, Mary Kay Fadden, Lucia Pirisi

CRVAW Faculty Journal Articles

Intimate partner violence (IPV) is associated with a range of adverse physical health outcomes, including chronic and infectious diseases. An emerging literature suggests that partner violence and specifically sexual violence may be associated with an increased risk of cervical neoplasia. To assess the risk of preinvasive and invasive cervical cancer in a cross-sectional study of women screened for IPV by type, frequency and duration, 1152 women ages 18–65 were recruited from family practice clinics in 1997–1998. They were screened for IPV during a brief in-clinic interview, and health history and current status were assessed in a follow-up interview. Of 1152 …

Men As Supportive Partners In Reproductive Health: Moving From Rhetoric To Reality, Saraswati Raju, Ann Leonard

Reproductive Health

This book builds on presentations of the Workshop on Men as Supportive Partners in Reproductive and Sexual Health held in Kathmandu, Nepal, in 1998. By analyzing the experiences of nongovernmental organizations across India, this publication reviews important concerns that should inform the discourse on male partnership. The previous views of reaching men as contraceptive users and removing them as impediments to women’s efforts to control fertility are too limited. The argument is not whether men and women should use family planning, but rather the extent to which men can become supportive of women’s reproductive and sexual rights and actively take …

Sexual And Reproductive Health And Health Sector Reform In Latin America And The Caribbean: Challenges And Opportunities, Ana Langer, Gustavo Nigenda, Sandra G. Garcia, Rosario Valdez, Emanuel Orozco, Jennifer Catino

Reproductive Health

Most countries in Latin America and the Caribbean (LAC) are at varying stages of a reform process to improve the response capacity of health systems by upgrading the effectiveness and sustainability of programs and services. Changes promoted by the reform focus on priority health needs and underprivileged society groups. Some problems, such as sexual and reproductive health (SRH), can be tackled with cost-effective technologies. Reform projects offer a unique opportunity to reconsider policies, programs, and services aimed at facing the issues encompassed in the term SRH. Nonetheless, the formulation of a strategy and the identification of concrete measures represent a …

Surveillance For Waterborne-Disease Outbreaks--United States, 1997-1998., Rachel S. Barwick, Deborah A. Levy, Gunther F. Craun, Michael J. Beach, Rebecca L. Calderon

Journal Articles: Epidemiology

PROBLEM/CONDITION: Since 1971, CDC and the U.S. Environmental Protection Agency (EPA) have maintained a collaborative surveillance system for collecting and periodically reporting data relating to occurrences and causes of waterborne-disease outbreaks (WBDOs).

REPORTING PERIOD COVERED: This summary includes data from January 1997 through December 1998 and a previously unreported outbreak in 1996.

DESCRIPTION OF THE SYSTEM: The surveillance system includes data regarding outbreaks associated with drinking water and recreational water. State, territorial, and local public health departments are primarily responsible for detecting and investigating WBDOs and voluntarily reporting them to CDC on a standard form.

RESULTS: During 1997-1998, a total …

Balancing Public Health Against Individual Liberty: The Ethics Of Smoking Regulations, Thaddeus Mason Pope

Faculty Scholarship

Ten years ago, philosopher Robert E. Goodin published "No Smoking: The Ethical Issues." Goodin argued that the liberty of smokers can be justifiably limited for two reasons: to prevent harm to third persons and to prevent harm to smokers themselves under circumstances which make their decision to smoke substantially non-autonomous. In this article Thaddeus Pope reexamines the harm principle and the soft paternalism principle in light of more recent legal developments, gives them additional content, and carefully demarcates the justificatory scope of each. Pope also defines and defends a third liberty-limiting principle, hard paternalism, arguing that the liberty of smokers …

Critical Analysis Of Interventions Against Fgc In Egypt, Nahla G. Abdel-Tawab, Sahar Hegazi

Reproductive Health

Community-based programs designed to discourage the practice of female genital cutting (FGC) in Egypt started as early as the 1920s, however, NGOs seldom document the implementation, strengths, and weaknesses of each approach; or difficulties faced in implementation or ways of overcoming those difficulties. The present meta-assessment was designed by the Population Council to address these issues. Recommendations proposed to increase the effectiveness of anti-FGC interventions in Egypt include: conducting formative research to assess the needs of individuals/communities; using more participatory learning techniques in awareness-raising seminars and training workshops; focusing messages not only on the health hazards of FGC, but also …

Unmet Need For Family Planning In Developing Countries And Implications For Population Policy, John B. Casterline, Steven W. Sinding

Poverty, Gender, and Youth

Unmet need for family planning has been a core concept in international population discourse for several decades. In this paper we reevaluate its utility. We review the history of unmet need and the development of increasingly refined methods of its empirical measurement. We then turn to the main questions that have been raised about unmet need during the past decade, some of which concern the validity of the concept and others its role in the post-ICPD environment. The discussion draws heavily on empirical research conducted during the 1990s, much of it localized, in-depth studies combining quantitative and qualitative methodologies, that …

Some Preconditions For Fertility Decline In Bengal: History, Language Identity, And An Openness To Innovations, Alaka Malwade Basu, Sajeda Amin

Poverty, Gender, and Youth

This paper argues that looking solely for the immediate causes of reproductive change may fail to take into account not only the impact of policies and programs but the societal decision to adopt these policies and programs to begin with. The paper examines the historical origins and spread of ‘modern’ ideas in Bangladesh and the state of West Bengal in India. It concludes that a colonial history in which education and modernization processes took hold very early among the elite in the larger Bengal region was paradoxically accompanied by a strong allegiance to the Bengali language. This strong sense of …

Tactile Hazardous Material Information System (Thmis), Alejandro Ruiz

Theses

In today's work environment, many dangers exist around that can harm workers who are not aware of the hazards in their environment. If these workers happen to be visually impaired, then identifying those hazards with the present labeling systems would be difficult. The Hazardous Material Information System (HMIS) was chosen to be adapted with tactile patterns and numbers. The tactile patterns and numbers would not change the layout and intent of the HMIS, but enhance its effectiveness.

Five tactile patterns and five tactile numbers were designed to be recognizable and simple. The patterns and numbers were tested and observed to …

Analyse Comparative Des Principales Méthodes D'Évaluation Des Risques De Maux De Dos Et Préparation D'Une Grille D'Identification Des Facteurs De Risques, Robert Gilbert, Daniel Leblanc, Sylvie Nadeau

Rapports de recherche scientifique

L'objectif premier de cette recherche est de revoir, de façon critique et rigoureuse, la problématique des maux de dos et ses fondements. Pour ce faire, nous avons d'abord construit une grille d'analyse s'appuyant sur:

Il est évident que la cause immédiate (au sens des arbres de défaillances) des lésions au dos est l'effort, en principe répété ou non. C'est en ce sens que nous avons analysé les divers mécanismes lésionnels concernant les diverses structures du dos.

De ces analyses, la question fondamentale qui …

Élaboration D'Une Stratégie D'Échantillonnage Et D'Analyse Pour Les Principaux Procédés Produisant Ou Utilisant Des Dérivés Du Chrome Hexavalent, Notamment Les Chromates, Au Québec, Pierre Larivière, Claude Ostiguy, Guy Perrault, Marc-André Lavoie

Rapports de recherche scientifique

Ce travail vise à proposer différentes stratégies d’échantillonnage pour les principaux procédés produisant et utilisant des chromates au Québec. Elle vise de plus à classifier les différents produits du chrome hexavalent en fonction de leur solubilité ou de leur insolubilité afin de faciliter l’application du règlement.

Évaluation De La Concentration De Fibres D'Amiante Émises Dans L'Air Ambiant De Bâtiments Scolaires, Chantal Dion, Guy Perrault

Rapports de recherche scientifique

Une démarche préventive a été initiée dans les écoles, en mars 1998, par le ministère de l'Éducation du Québec (MEQ) et le ministère de la Santé et des Services Sociaux (MSSS), afin d'évaluer les possibilités d'exposition à l'amiante. Un critère de gestion de 0, 01 fé¹/mL a été retenu par le MSSS pour identifier des sources possibles d'émission de fibres dans l'air des édifices publics.

L'objectif de la présente étude était de prélever un nombre significatif d'échantillons dans des locaux des bâtiments scolaires dont les matériaux floqués étaient très dégradés et d'évaluer les concentrations de fibres d'amiante dans …

Équipes Semi-Autonomes De Travail : Description Et Préoccupations De 12 Entreprises Manufacturières Québécoises, Mario Roy, Jean-Charles Guindon, Clotilde Pelletier

Rapports de recherche scientifique

L'organisation du travail en équipes semi-autonomes (ESA) vient bouleverser la répartition du pouvoir décisionnel au sein des entreprises. En plus de réaliser le travail, les membres des ESA assument des responsabilités qui sont dévolues aux contremaîtres ou superviseurs de premier niveau dans les organisations traditionnelles. Ce changement de rôle fait en sorte que les ESA deviennent un nouvel acteur dans la gestion de la santé et de la sécurité du travail des établissements. L'arrivée de ce nouvel acteur implique une répartition des responsabilités qui reste à être inventée dans les milieux visés puisque le rôle des ESA n'a évidemment pas …

Innovations Organisationnelles Et Sécurité Du Travail Dans Le Secteur Du Textile, Normand Laplante

Rapports de recherche scientifique

Plusieurs entreprises implantent des innovations diverses dans le but de maintenir ou d'accroître leur compétitivité et d'améliorer la qualité de leur production. Dans cette recherche, nous étudions plus particulièrement les stratégies d'implantation de changements organisationnels au sein de sept entreprises du secteur du textile et les impacts sur la sécurité des travailleurs. Ce rapport présente les relations entre le mode de gestion de la santé et sécurité du travail, son intégration au changement organisationnel et les performances des entreprises au chapitre de la santé et sécurité du travail. Ces performances sont évaluées à partir des statistiques de lésions professionnelles, des …

Caractérisation De L'Environnement Vibratoire Dans Différentes Catégories De Véhicules : Industriels, Utilitaires Et De Transport Urbain, Paul-Émile Boileau, Subhash Rakheja

Rapports de recherche scientifique

Des classes spectrales représentant l'environnement vibratoire dans l'habitacle de quatre catégories de véhicules (autobus urbains, chenillettes de déneigement, chariots élévateurs à conduite assise, chariots élévateurs à station debout) sont définies pour caractériser les vibrations agissant dans les directions longitudinale (axe x), latérale (axe y), verticale (axe z), ainsi qu'en roulis et en tangage (θ). Ces classes spectrales sont représentées en exprimant l'amplitude de la densité spectrale de puissance (DSP) en fonction de la fréquence entre 0. 5 et 40 Hz. Une équation mathématique est développée pour exprimer cette relation pour des conditions moyenne et sévère; la première étant basée sur …

Adolescent Girls' Livelihoods. Essential Questions, Essential Tools: A Report On A Workshop, Carey Meyers

Poverty, Gender, and Youth

This report, co-published by the Population Council and the International Center for Research on Women, describes a workshop convened in Cairo in 1999 to learn more about the nature of both younger and older adolescents' work experience, differentiate the particular needs and potentials of adolescent girls, and identify programs and policies that might have promise for supporting them.

Managing Population-Environment Systems: Problems Of Institutional Design, Geoffrey Mcnicoll

Poverty, Gender, and Youth

In population–environment systems human activity is inherently part of the system rather than something to be minimized in order to maintain or restore “natural” environmental conditions. Issues arising in managing such systems are discussed in this paper. The system’s boundaries must be identified, defining its human participants and its ecological content. Procedures for monitoring demographic and environmental change in the system must be set up and consensus must be reached on how to evaluate that change.

Greater Investments In Children Through Women's Empowerment: A Key To Demographic Change In Pakistan?, Valerie L. Durrant, Zeba Sathar

Poverty, Gender, and Youth

Women’s status has received considerable attention as a significant factor in demographic behavior and outcomes in South Asia however, little research has addressed the links between women’s status and their investments in children. In this paper, we empirically investigate how women’s status on multiple levels is associated with demographic outcomes. Using data from the Pakistan Status of Women and Fertility Survey in rural Punjab, we confirm that empowered women, or those with higher status, are better able to make positive investments in their children, thus increasing their children’s chances of survival during infancy and increasing their likelihood of ever attending …

Schooling Opportunities For Girls As A Stimulus For Fertility Change In Rural Pakistan, Zeba Sathar, Cynthia B. Lloyd, Cem Mete, Minhaj Ul Haque

Poverty, Gender, and Youth

This paper tests Caldwell’s mass schooling hypothesis in the context of rural Pakistan. His hypothesis was that the onset of the fertility transition is closely linked to the achievement of “mass formal schooling” of boys and girls. Punjab and Northwest Frontier Province (NWFP) were selected for this study because they appear to be on the leading edge of the demographic transition-a transition that has only recently begun-as suggested by rapid recent increases in contraceptive practice. The study covered a range of rural villages or communities with very different socioeconomic and schooling conditions in order to examine the effects of both …

Peru: Managers Must Monitor Quality Of Care Regularly, Frontiers In Reproductive Health

Reproductive Health

In the late 1980s, Peru’s National Family Planning Program within the Ministry of Health (MOH) assigned method-specific targets to clusters of health facilities. In 1998, the MOH changed its policies to ensure that services responded to individual reproductive health needs and wishes. It eliminated method quotas, ended voluntary surgical contraception campaigns, and issued norms to ensure quality of care and informed choice. In 1999, the Population Council collaborated with the MOH to determine whether providers were complying with the new guidelines and, secondarily, to develop a monitoring system to assess compliance over time. As concluded in this brief, family planning …

Kenya: Identifying Rtis Remain Problematic: Prevention Is Essential, Frontiers In Reproductive Health

Reproductive Health

Since 1990, the Nakuru Municipal Council (Kenya) has implemented a multifaceted program to reduce the incidence of reproductive tract infections (RTIs), especially those that are sexually transmitted, including HIV/AIDS. Staff in the Council’s five health clinics use syndromic management guidelines, based on clients’ reported symptoms and clinical signs, to identify clients with RTIs. In 1998, the Population Council conducted a study to assess the accuracy of syndromic management and determine the best ways to integrate RTI management into existing antenatal (ANC) and family planning (FP) services. After an assessment of existing RTI services, 18 nurses from the five municipal clinics …

Kenya: L'Identification Des Iar Demeure Hasardeuse: La Prévention Est Primordiale, Frontiers In Reproductive Health

Reproductive Health

No abstract provided.

Peru: Tell Clients How To Use Their Chosen Method, Frontiers In Reproductive Health

Reproductive Health

In 1998, the Peruvian Ministry of Health (MOH) issued quality of care norms to ensure that family planning providers respond to clients’ reproductive health care needs and goals. In mid-1999, the Population Council collaborated with the MOH on a study to determine whether length of counseling sessions affects amount of information provided. The study focused on 19 health centers in 10 urban areas. Six simulated clients (women posing as clients) made a total of 114 visits to the health centers during June–July 1999. Each client was trained to say that she wanted to switch from the rhythm method to a …

Pérou: Informer Les Clients Sur Le Mode D'Utilisation De Leur Méthode De Choix, Frontiers In Reproductive Health

Reproductive Health

No abstract provided.

Meeting Women's Health Care Needs After Abortion, Dale Huntington

Reproductive Health

Women who seek emergency treatment for abortion complications—bleeding, infection, and injuries to the reproductive tract system—should be a priority group for reproductive health care programs. These women often receive poor-quality services that do not address their multiple health needs. They may be discharged without counseling on postoperative recuperation, family planning (FP), or other reproductive health (RH) issues. Women who have had an induced abortion due to an unwanted pregnancy are likely to have a repeat abortion unless they receive appropriate FP counseling and services. Preventing repeat unsafe abortions is important for RH programs because it saves women's lives, protects women’s …

Report On The International Symposium On Quality Of Care In China, Population Council

Reproductive Health

In 1995, China’s State Family Planning Commission (SFPC), the governmental agency charged with developing and implementing China’s population policy, issued an official call for the reorientation of the family planning program from a focus on demographic targets to meeting clients’ needs. In support of this reorientation effort, the SFPC selected six rural counties and five urban districts with comparatively good socioeconomic conditions as pilot sites for a quality-of-care experiment. This report provides a summary of an international symposium on quality of care held in Beijing from November 17–19, 1999. The symposium was sponsored by SFPC with the support of the …

An Assessment Of The Community Based Distribution Programs In Ghana, Jane Chege, Diouratie Sanogo, Ian Askew, Angela Bannerman, Steve Grey, Evam Kofi Glover, Francis Yankey, Joana Nerquaye-Tetteh

Reproductive Health

This study was carried out to describe the major NGO community-based distribution (CBD) programs in Ghana, and to assess in some detail the functioning, quality of care, and performance of the Planned Parenthood Association of Ghana (PPAG) program. The study showed that national coverage by the NGO programs is extensive—virtually all the 110 districts in the 10 regions have at least one program. However, coverage within districts is sparse, as each program covers only a few communities. The results have been communicated to the NGOs whose programs were included in the study and PPAG has already identified a number of …

Enhancing The Use Of Emergency Contraception In A Refugee Setting: Findings From A Baseline Survey In Kakuma Refugee Camps, Kenya, Esther G. Muia, Joyce Olenja

Reproductive Health

In August 1992, the International Rescue Committee (IRC) at the request of the United Nations, the United Nations High Commission for Refugees, and the Kenyan Government, initiated a primary health care program in the Kakuma Refugee Camp. Since then, the population of the camp has continued to grow, and activities have moved from a crisis to a maintenance phase. In January 1997, IRC assumed the additional responsibility of the camp hospital, bringing the entire health sector under their management. IRC's programs focus on maintaining and improving public health and promoting self-reliance, particularly of the most vulnerable communities. This project focuses …

Client-Centered Versus Traditional-Directive Educational Approach: A Randomized Study Of Exercises And Perceived Control Among Patients With Type 2 Diabetes, Melissa D. Olfert

Loma Linda University Electronic Theses, Dissertations & Projects

A patient’s adherence to self-management therapies in diabetes strongly influences health outcomes, health care utilization, and ultimately health care costs. Engaging in regular exercise therapy reduces risk factors associated with type 2 diabetes. The purpose of this randomized prospective study was to determine if a client-centered approach (CCA) toward diabetes education, verses a traditional-directive approach (TDA), would improve exercise participation, perceived control, intention to exercise, and glycemic control in patients with type 2 diabetes.

Fifty-nine type 2 patients were randomized into two groups: CCA and TDA. Diabetes education in the CCA group provided empowerment toward acquiring knowledge, skills, and responsibility …