Digital Commons Network^™

Stakeholder, Organizational And Environmental Influences On Nursing Home Regulatory Enforcement : A New Perspective, Tamika R. Black

Legacy Theses & Dissertations (2009 - 2024)

This dissertation proposes a conceptual framework that integrates stakeholder and compliance theory and employs a multi-method approach to examine the influence of stakeholders, bureaucratic discretion and external environment on nursing home inspections and enforcement. Negative binomial regression analysis was conducted on a population of 655 nursing homes in New York to identify determinants of variation in compliance and enforcement (as measured by deficiency citations). As hypothesized, organizational characteristics (i.e., nursing home bed capacity, sponsorship, occupancy rates and Medicaid revenue) were significant predictors of regulatory compliance and quality of care. Nursing home complaints, the presence of family councils, political party of …

Parent-Child Communication On Sexual And Reproductive Health Matters: Perspectives Of Mothers And Fathers Of Youth In India, Shireen J. Jejeebhoy, K.G. Santhya

Poverty, Gender, and Youth

This report from the Population Council study “Youth in India: Situation and Needs” presents data from in-depth interviews with mothers and fathers of youth in six states of India regarding communication patterns. The content of parent-child—and parent-daughter—communication is typically intended to ensure that young people conform to prevailing social, gender, and relationship norms. This study, one of the first from India to probe parental perspectives, suggests that parents are indeed concerned about their children’s transition into sexual life, but are constrained by traditional norms, lack of information, and limited skills from communicating with and providing them the supportive environment needed …

Women's Economic Resources And Bargaining In Marriage: Does Egyptian Women's Status Depend On Earnings Or Marriage Payments?, Rania Salem

Poverty, Gender, and Youth

This working paper reports on a study using Egyptian survey data to determine whether the effect of women's work on their status is mediated by the material transactions that accompany marriage. This perspective posits that marriage payments made to the bride, as well as assets she herself brings to the marriage, enhance her bargaining position. Analysis of the 2006 Egypt Labor Market Panel Survey panel data is used to explore the associations between women’s labor market activity, earnings, absolute and proportional marriage payments, and a measure of women’s status within marriage, namely their decisionmaking power. Consistent with the existing literature, …

Addressing Sexual Violence And Hiv Risk Among Married Adolescent Girls In Rural Nyanza, Kenya, Chi-Chi Undie

Poverty, Gender, and Youth

Married adolescent girls form a large segment of Kenyan youth, yet they are largely overlooked by researchers and program managers concerned with the lives of adolescents. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected, compared with their unmarried sexually active counterparts. Research indicates that the risk of HIV infection following forced sex is likely higher than following consensual sex. Finding ways to tackle sexual violence and HIV infection simultaneously has therefore become a major public …

Un Seul Programme : Guide Pour Une Approche Pédagogique Unifiée De La Sexualité, Du Genre, Du Vih Et Des Droits Humains, International Sexuality And Hiv Curriculum Working Group, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

L'éducation sur la sexualité et le VIH peut aider les adolescents à développer leurs capacités à entretenir des relations saines et respectueuses et à se protéger contre les rapports sexuels non désirés et dangereux, les grossesses non désirées et les infections sexuellement transmissibles. Une étude du Population Council de la population de 2015 a révélé que les programmes d'éducation à la sexualité et au VIH qui traitent du genre et du pouvoir dans les relations intimes sont cinq fois plus susceptibles d'être efficaces que les programmes qui ne le font pas. Cependant, la plupart des programmes ne traitent pas encore …

Costos Del Matrimonio—Negociaciones Maritales En Países En Vías De Desarrollo, Sajeda Amin, Ashish Bajracharya

Poverty, Gender, and Youth

Durante las dos últimas décadas, el Population Council ha acumulado una cantidad de información sobre las causas y correlaciones del matrimonio infantil y documentó sus efectos adversos sobre el bienestar de las mujeres y niñas. En muchas partes de los países en vías de desarrollo, el hecho de comprender el matrimonio infantil es central a la hora de diseñar programas que promuevan transiciones saludables para la edad adulta. La investigación del Council subraya la importancia de los rituales y las prácticas de intercambio matrimonial en todo el mundo y documenta la variación considerable en estas prácticas. Promoción de transiciones a …

The Role Of Policy And The Built Environment On Children's In-School Physical Activity In The Mississippi Delta, Abigail Gamble

Electronic Theses and Dissertations

School environments provide an ideal setting for children to develop and adopt active living behaviors as a way of life. The primary purpose of this investigation was to describe state, district and school level policy regarding in-school physical activity, the school built environment and in-school physical activity of children ages 6 through 11 years in the Mississippi delta. A mixed-methods approach was used to garner a rich understanding of how current policy and the built environment influence in-school physical activity and weight status. Eleven public schools in three districts representing two counties in the Mississippi delta participated in this investigation. …

Pertussis In Ohio: A Descriptive Analysis Of The 2010 Columbus Outbreak And Patterns Of A Reemerging Childhood Disease, Christopher Rohde

Master of Public Health Program Student Publications

Objective: In 2010, Columbus, Ohio experienced the largest outbreak of pertussis that it has had in the past 25 years. Similar outbreaks are occurring across the nation on an increasing basis. This descriptive study examines the 2010 outbreak and describes the demographics of the affected population. Comparison is made to previous and current pertussis incidence in Ohio and outbreaks elsewhere in the United States. Contributing factors to the increasing occurrence of pertussis outbreaks are discussed.

Methods: Raw data was obtained from the Columbus Public Health epidemiology department and is gathered through the Ohio Disease Reporting System (ODRS). Pertussis cases are …

Evidence-Based Public Health Practices For Screening For Postpartum Depression, Roula Hilli

Master of Public Health Program Student Publications

Background: Five to 20 percent of the women worldwide suffer from Post Partum depression (PPD) which has serious negative impacts on the mother and her newborn. Although PPD is a preventive disease thorough screening using different tools, half of its cases are left undetected.

Purpose of the study: Is to find the best practice for PPD screening, which includes the best screening tool, best setting for screening, best administration period and the best cut-off score.

Methods: It is an Evidence-based Public Health (EBPH) review through a comparative study of 82 studies since 2005 that screened women for PPD in the …

Gaps And Strengths In Us Policies On Infant And Young Child Feeding: An Analysis Based On The Global Strategy On Infant And Young Child Feeding, Linda J. Smith

Master of Public Health Program Student Publications

This research project reviews the evidence on the significance of infant and young child feeding to public health goals, analyzes US policy documents in relationship to the Global Strategy using the World Breastfeeding Trends Initiative (WBTi) to quantify the findings into a national score, and then summarizes the gaps and strengths in US policies and makes recommendations. Using the WBTi scoring system, strengths for the US exist in national policy, Baby-Friendly Hospital Initiative, monitoring and evaluation, and complementary feeding. Mother support and community outreach, information and support were moderate. Gaps exist in policies on infant feeding in emergencies and for …

Relationships Between Central Obesity, Fructose Intake, And Non-Alcoholic Fatty Liver Disease In Overweight Hispanic Adolescents, Hector Reyes

Open Access Theses & Dissertations

Introduction: The purpose of this study was to evaluate whether central (visceral) fat measured as waist circumference and daily fructose intake were associated with measures of non-alcoholic fatty liver disease (NAFLD) in Hispanic overweight adolescents.

Methodology: Thirty four obese boys (n=15) and girls (n=19) between the ages of 13 and 18 years were measured for body composition, waist circumference, and dietary fructose intake. Fasting alanine (ALT) and aspartate (AST) aminotransferase levels in blood, ALT/AST ratio, and hepatic fat fraction (HFF) by magnetic resonance imaging were measured and used as surrogates for NAFLD. Pearson Product-Moment correlation analyses were used …

Dr. Youtube Is Ready To See You Now! Health Benefits Of Medical Videos On Youtube, Jordan A. Rosenberg

CMC Senior Theses

Chapter 1 will cover who is uploading the videos and how individuals navigate from professional to amateur videos and visa versa. The discussion will be in context of YouTube as a public sharing space that can contain personal information. A central advantage of YouTube as a space for health information is health communication. Chapter 2 will focus on social networking and the comments section, where patients voluntarily share their voice in an online medical community.

Spicing Up School Lunch: A Look At One School District's Attempts To Remedy America's Convoluted School Lunch Policies, Case Study Analysis Of Claremont Unified School District, Allison Mcelwee

CMC Senior Theses

The United States possesses a well intentioned but misguided lunch program, leaving children overfed but malnourished. Currently, a revolution is under way to transform programs around the country by incorporating locally grown and fresh ingredients, as well as integrating hands-on educational experiences with gardening and nutrition. The Claremont Unified School District (CUSD) makes up a group of schools that once heavily relied on unhealthy processed foods for providing lunch. Through a series of modifications in the past three years, CUSD’s program has been remodeled to feature more local produce and fresh ingredients, independent of USDA commodities or large scale agriculture. …

Les Coûts Du Mariage—Les Transactions Matrimoniales Dans Le Monde En Développement, Sajeda Amin, Ashish Bajracharya

Poverty, Gender, and Youth

Au cours des deux dernières décennies, le Population Council a receuilli une multitude d'informations sur les causes et les corrélats du mariage des enfants et documenté ses effets néfastes sur le bien-être des femmes et des filles. Dans de nombreuses régions du monde en développement, la compréhension du mariage des enfants est au coeur de la conception de programmes qui favorisent des transitions saines vers l'âge adulte. Les travaux de recherche du Population Council soulignent également l'importance des rituels et des pratiques d'échange matrimoniales dans le monde et éclairent les différences considérables entre ces pratiques. Promouvoir des transitions vers l'âge …

Ampliación De Programas Para Adolescentes Vulnerables: Experiencias, Entendimientos Y Evidencia, Martha Brady

Poverty, Gender, and Youth

El deseo de la comunidad de desarrollo internacional por aliviar la pobreza y mejorar los resultados de la salud presenta una oportunidad extraordinaria para transformar la vida de la gente joven, particularmente de las niñas. Ciclos de analfabetismo, escasas posibilidades de trabajo y aislamiento social pueden frenarse, pero requerirán de esfuerzos coordinados para alcanzar a una gran cantidad de niñas adolescentes vulnerables con programas sólidos construídos en base a los valores. El hecho de ampliar los programas piloto efectivos será crítico para lograr estos objetivos. A pesar de que hay un cuerpo de búsqueda en expansión alrededor de intervenciones de …

Sexual And Reproductive Health Of Young People In India: A Review Of Policies, Laws And Programmes, Shireen J. Jejeebhoy, K.G. Santhya

Poverty, Gender, and Youth

This paper synthesizes the key policies, laws, and programs in India that focus on or have implications for the sexual and reproductive health and rights of young people. It includes a summary of what is known about the sexual and reproductive health situation of young people, an assessment of the salient features of current policies, laws, and programs, and a discussion of the extent to which these policies, laws, and programs have responded to the sexual and reproductive health needs of young women and men. The review by the Population Council clearly shows that there is considerable recognition of the …

Supporting Married Girls: Calling Attention To A Neglected Group, K.G. Santhya, Annabel Erulkar

Poverty, Gender, and Youth

In the next ten years, if current patterns continue, more than 100 million girls will marry before the age of 18, according to Population Council analyses of United Nations country data. Child marriage—any marriage that occurs before age 18—is considered a human rights violation by international convention. Marriage transforms virtually all aspects of girls’ lives. Typically, girls who marry are moved from their familial home and village, lose contact with friends, initiate sexual activity with someone they barely know, and soon become mothers. In Bangladesh, Burkina Faso, Ethiopia, India, Nigeria, and elsewhere, the Council is undertaking research to better understand …

Leveling The Playing Field: Building Girls' Sports Programs And Creating New Opportunities, Martha Brady

Poverty, Gender, and Youth

From Afghanistan to Zimbabwe, more girls and women are participating in sports than ever before. Even in the most unlikely settings, girls are stepping onto playing fields, joining teams, and participating in ways that were unprecedented a decade ago. The burgeoning interest in girls’ and women’s sports around the globe provides an opportune moment to examine the role of sports in adolescent girls’ lives and build the evidence base for future programming and policy development. This brief reports on the collaboration between Population Council researchers and partners, including sports organizations, women’s groups, international development agencies, and ministries of youth, in …

Programs To Address Child Marriage: Framing The Problem, Sajeda Amin

Poverty, Gender, and Youth

Eradicating child marriage has long been on the agenda of the United Nations and of individual countries. Indeed, all countries where child marriage occurs are signatories to international charters and covenants that discourage the practice. Despite these agreements, marriage before age 18—often without the young bride’s consent—persists. Population Council researchers are seeking to prevent child marriage and support married girls in several countries, including Bangladesh, Burkina Faso, Egypt, Ethiopia, Guatemala, India, Kenya, Nigeria, and Vietnam. Programs include expanding opportunities (education, livelihoods) for girls, especially those most at risk of early marriage, and working directly with gatekeepers to remove barriers that …

Costs Of Marriage—Marriage Transactions In The Developing World, Sajeda Amin, Ashish Bajracharya

Poverty, Gender, and Youth

Over the past two decades the Population Council has amassed a wealth of information on the causes and correlates of child marriage and documented its adverse effects on the well-being of women and girls. In many parts of the developing world, understanding child marriage is central to designing programs that promote healthy transitions to adulthood. Council research also underscores the importance of rituals and practices of marriage exchange around the globe and documents the considerable variation in these practices. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 35 synthesizes some broad themes that have emerged from research on …

Conception D'Un Programme Centré Sur Les Filles : Boîte À Outils Pour L'Elaboration, Le Renforcement Et L'Expansion De Programmes Destinés Aux Adolescentes, Karen Austrian, Dennitah Ghati

Poverty, Gender, and Youth

“Conception d’un programme centré sur les filles: Boîte à outils pour l’elaboration, le renforcement et l’expansion de programmes destinés aux adolescentes” est un ensemble d’outils et de directives pour renforcer les programmes destinés aux adolescentes dans les zones urbaines du Kenya. Basée sur les discussions d’une réunion de 2010 du Kenya Adolescent Girls’ Brain Trust, organisée par le Centre Binti Pamoja et le Population Council, la boîte à outils s’adresse à toute personne désireuse de travailler avec des adolescentes de 10 à 24 ans. Elle peut être utile au concepteur ou à l’exécutant d’un programme, à la personne chargée de …

First Generation Of Gender And Hiv Programs: Seeking Clarity And Synergy, Judith Bruce, Nicole Haberland, Amy Joyce, Eva Roca, Tobey Nelson Sapiano

Poverty, Gender, and Youth

In the past decade, there have been expanding resources to address the underlying gender dimensions of HIV. This has been particularly urgent in sub-Saharan Africa as the female-to-male infection ratios in young populations has reached 3 to 1 and sometimes above. The phrase “gender and HIV” has become commonplace yet does not provide any specific guidance as to target audiences, content, or measurable results. It can include everything from microcredit programs for HIV-positive women, to workplace programs seeking to change negative male norms, to efforts to increase respect for diverse sexual and gender identities. This review, conducted by the Population …

National Efforts Toward Fgm-Free Villages In Egypt: The Evidence Of Impact, Ghada Barsoum, Nadia Rifaat, Omaima El-Gibaly, Nihal Elwan, Natalie Forcier

Poverty, Gender, and Youth

This report is a midterm evaluation and documentation of the process and approach of the FGM-Free Village Model implemented in Egypt by the National Council of Childhood and Motherhood with assistance from the Population Council. In a comparison of responses from women and men in intervention groups to those in nonintervention (control) villages, data analysis shows that the program has been successful in changing views and attitudes toward female genital mutilation (FGM). FGM is an entrenched generational practice, and eradicating it in a community requires concerted effort over an extended period of time. This evaluation strongly recommends that efforts be …

Survey Of Young People In Egypt (Sype) 2009—Final Report, Population Council

Poverty, Gender, and Youth

This document contains the Final Report for SYPE 2009. Responding to a dearth of data on youth in Egypt, the Population Council conducted a comprehensive situation analysis of Egyptian adolescents and young people: the Survey of Young People in Egypt (SYPE) 2009, which covered a nationally representative sample of 15,029 young people aged 10-29. SYPE collected data on the five key life transitions of education, work, family formation; health; and civic and political participation. SYPE follows up an earlier survey conducted by the Population Council in 1997, The Adolescence and Social Change in Egypt (ASCE) survey. SYPE updates the results …

Empowering Adolescent Girls In Rural Bangladesh: Kishori Abhijan, Sajeda Amin

Poverty, Gender, and Youth

In 2001, UNICEF initiated a pilot intervention to test whether livelihoods opportunities could ameliorate early marriage and other adverse outcomes for girls in rural Bangladesh. Kishori Abhijan (“Adolescent Girls’ Adventure”) aimed to lower school dropout rates, increase girls’ independent economic activity, and raise the age at which girls marry. Life-skills training consisted of enhancing self-esteem and leadership skills and providing education related to gender roles and discrimination, health and nutrition, and legislation and legal rights, particularly early marriage and girls’ and women’s rights. Livelihoods training included vocational skills. As noted in Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief …

Costing And Economic Analysis Of Strengthening Union Level Facility For Providing Normal Delivery And Newborn Care Services In Bangladesh, Sushil Ranjan Howlader

Reproductive Health

For a long time, the reduction of the maternal mortality ratio has constituted a major challenge for the health, nutrition, and population sector of Bangladesh. The objectives of this Population Council study is to estimate the costs of the additional inputs required for strengthening Health and Family Welfare Centers (HFWC) for providing normal delivery and newborn care services, the cost-effectiveness, and the financial implications of the addition of capacity. Results clearly show that the benefit-cost ratio for the intervention will be quite high. Some additional measures on the demand side should thus adopted. Intensive behavior change communication activities including interpersonal …

Shaping Demand And Practices To Improve Family Health Outcomes In Northern India: A Framework For Behavior Change Communication, Population Council

Reproductive Health

An initiative from the Population Council could help in developing a comprehensive communication strategy to improve reproductive, maternal, newborn, and child health, and nutrition outcomes in Uttar Pradesh and other northern states of India. The identification of key barriers to and facilitating factors for selected target behaviors that have a direct bearing on maternal and child health could go a long way in packaging specific messages for different stakeholders, such as women, husbands, elder family members, opinion makers in the community, and frontline health workers. One of the key deliverables of this publication is to fill an important knowledge gap …

Survey Of Domestic And Work Life Experience And Reproductive Health Of Women Workers Of Selected Industrial Compounds In Ha Noi, Nguyen Thi Van Anh, Nguyen Hong Phuong

Reproductive Health

The Population Council Viet Nam and local stakeholders undertook a collaborative project in Ha Noi entitled “Improving the health care response to gender-based violence.” The study’s objectives were: 1) to assess the knowledge and experience of female workers about gender-based violence; 2) to assess knowledge and practice of women workers on reproductive health focusing on abortion; and 3) to make recommendation for the Ha Noi Health Service to improve the women workers’ knowledge on gender-based violence, choice of contraceptive method, reproductive health care, and abortion. The women factory workers, who have higher levels of education than their peers in the …

Increasing Access To Safe Abortion In Rural Maharashtra: Outcomes Of A Comprehensive Abortion Care Model, Shireen J. Jejeebhoy, A.J. Francis Zavier, Rajib Acharya, Shveta Kalyanwala

Reproductive Health

This assessment of a Comprehensive Abortion Care (CAC) model was conducted by the Population Council on behalf of the Consortium for Safe Abortions in India. The goal of the Consortium is to increase access to legal, safe, and comprehensive abortion services, including post-abortion family planning, in the public health system, and especially among the rural poor. This report describes the CAC model implemented in Aurangabad district, Maharashtra, and examines the extent to which the model improved (a) the availability and quality of abortion services in public sector facilities, and (b) women’s awareness and experiences with regard to abortion services. It …

Increasing Access To Safe Abortion In Rural Rajasthan: Outcomes Of A Comprehensive Abortion Care Model, Shireen J. Jejeebhoy, A.J. Francis Zavier, Rajib Acharya, Shveta Kalyanwala

Reproductive Health

This report describes an assessment by the Population Council of the Comprehensive Abortion Care (CAC) model implemented in Tonk district, Rajasthan. Findings highlight that at the time of the baseline survey, the availability of abortion services was limited; also evident was the poor quality of abortion-related care. Given this context, and given the short duration of implementation, the changes achieved by the intervention are promising. The district-level CAC model succeeded in strengthening facilities, training providers, and increasing women’s access to safe abortion services at the Primary Health Centre level. Community-level activities were less successful, attributable to a considerable extent to …