Digital Commons Network^™

Innovative Financing Through Pay-For-Performance For Providers To Improve Quality Of Care In Bangladesh: Transforming Research Into Action, Md. Noorunnabi Talukder, Ubaidur Rob, Laila Rahman, Ismat Ara Hena

Reproductive Health

To improve access to and use of facility-based obstetric and newborn care, the Government of Bangladesh is implementing two innovative performance-based financing programs, namely demand-side financing (DSF) and pay-for-performance (P4P). With the purpose of identifying the lessons learned, limitations of the P4P and DSF models, and scopes for cross learning, a two-day workshop was organized in Dhaka. This workshop report, prepared by the Population Council, resulted in several recommendations to modify DSF and P4P schemes. In Bangladesh, the need for continuing performance-based financing programs to meet MDGs and other health indicators is beyond argument, but it is urgently required to …

A Pay-For-Performance Innovation Integrating The Quantity And Quality Of Care In Maternal, Newborn And Child Health Services In Bangladesh, Laila Rahman, Ubaidur Rob, Riad Mahmud, Azizul Alim, Ismat Ara Hena, Md. Noorunnabi Talukder, Md. Hafizur Rahman

Reproductive Health

The Population Council explored the possibilities of introducing a Pay-for-Performance (P4P) scheme in Bangladesh to improve maternal, newborn and child healthcare (MNCH) services. Based on the consultation and with guidance from the Government of Bangladesh, the Population Council and UNICEF provided technical assistance to the Directorate General of Health Services (DGHS) to test two P4P strategies for MNCH service providers to improve service volume and quality of care, and for poor clients to receive services subsidized through vouchers or coupons. The first strategy is a combination of pay-for-performance for providers and subsidized coupons for poor pregnant women, newborns, and under-five …

Levels, Trends And Determinants Of Contraceptive Use Among Adolescent Girls In Kenya, Francis Obare, Harriet Birungi, Chi-Chi Undie, Monica Wanjiru, Wilson Liambila, Ian Askew

Reproductive Health

In Kenya, recent trends in contraceptive use among currently married women aged 15–49 years show that after experiencing a stall between 1998 and 2003, the contraceptive prevalence rate (CPR) increased between 2003 and 2008–2009. Although the increase in CPR after 2003 is encouraging, there is limited understanding of how these changes affected adolescents, especially girls, given the unique sexual and reproductive health challenges that they face. This report is based on a secondary analysis of the Kenya Demographic and Health Surveys (KDHS) data to understand the trends, differentials, and determinants of contraceptive use among adolescent girls aged 15–19 years in …

Integrating Tuberculosis Case Finding And Treatment Into Postnatal Care, Charity Ndwiga, Harriet Birungi, Chi-Chi Undie, Shiphrah Kuria, Joseph Sitienei, Sam Ochola

Reproductive Health

Under the USAID funded FRONTIERS program, the Population Council conducted a study in six health facilities in Western Kenya that demonstrated that screening for TB within an antenatal care (ANC) setting is feasible and acceptable among the service providers. However, a major challenge remains: although TB detection is encouraged among ANC clients within the maternal and child health clinics in the country, providers in these settings fail to appreciate the need for a continuum of care from pregnancy through to the postnatal period. In order to address this gap, the APHIA II Operations Research Project developed and tested an intervention …

Increasing Access To Family Planning (Fp) And Reproductive Health (Rh) Services Through Task-Sharing Between Community Health Workers (Chws) And Community Mid-Level Professionals In Large-Scale Public-Sector Programs: A Literature Review To Help Guide Case Studies, James R. Foreit, Sarah Raifman

Reproductive Health

This literature review covers case studies related to community-based distribution of family planning programs, and community health worker (CHW) programs that included family planning and other reproductive health services. It offers essential processes and implications for additional operations research which look at constraints and factors critical to introducing new program procedures or strengthening existing ones.

Resemblance In Dietary Intakes Of Snacks, Sweets, Fruit, Vegetables, Energy, Macronutrients, And Selected Micronutrients Among Mother-Child Dyads From Families With Limited Incomes, Kathryn Wroten

LSU Master's Theses

The objective of these studies was to determine the association between dietary intakes of selected food groups, macronutrients, and micronutrients in mother-child dyads. This was a secondary analysis of data on low-income Black, Hispanic, and White children 3-5 years-old (y) participating in Head Start (HS) (n=650), and their mothers. Mothers served as a proxy for their child, and self-reported intake during a multiple-pass 24-hour recall interview for one weekend day. One weekend day was chosen since children attended HS during the week, and mothers may not know what their children consumed outside the home. Data were collected on children’s and …

Building Children's Liking And Preferences For Fruits And Vegetables Through School-Based Interventions, Anantha Padmaja Lakkakula

LSU Doctoral Dissertations

Children’s food preferences play a major role in their food choices and consumption. The objectives of these studies were to examine the relationship between children’s preferences for fruits and vegetables (FV) and their weight status and to increase children’s liking of FV by offering repeated opportunities to taste less liked items. A representative sample of elementary school children (1st, 3rd, 4th, and 5th grades) were recruited in the three interventions. In the first study, 341 fourth- and fifth-grade children (43% boys; 68% 4th graders) were measured for height and weight and completed a survey which sought their preferences for 38 …

Resistant Starch In The Diet Of Rodents Promotes An Increase In Fermentation And A Reduction In Body Fat In An Animal Model Of Dietary Obesity, Jason Andrew Charrier

LSU Master's Theses

In previous studies, in has been observed that the addition of resistant starch (RS) in the diet of rodents, a non-digestible fermentable fiber, promotes increases in markers of fermentation and improvements in body weight and body fat analysis when incorporated into low to moderate fat diets. This study investigated whether the same beneficial effects observed with RS addition in these lower fat diets could be obtained in a high fat diet, and if the type of fatty acid consumed in the diet makes a difference in markers of fermentation and body fat. Sprague Dawley rats (n=96) were fed as weight …

Estimation Of The Centre Of Mass From Motion Capture And Force Plate Recordings: A Study On The Elderly, Sebastien Cotton, Michele Vanoncini, Philippe Fraisse, Nacim Ramdani, Emel Demircan, Andrew P. Murray, Thierry Keller

Mechanical and Aerospace Engineering Faculty Publications

The estimation of the centre of mass position in humans is usually based on biomechanical models developed from anthropometric tables. This method can potentially introduce errors in studies involving elderly people, since the ageing process is typically associated with a modification of the distribution of the body mass. In this paper, an alternative technique is proposed, and evaluated with an experimental study on 9 elderly volunteers. The technique is based on a virtual chain, identified from experimental data and locating the subject's centre of mass. Its configuration defines the location of the centre of mass, and is a function of …

Identifying Opportunities And Challenges To Strengthen Union Level Facility For Providing Normal Delivery And Newborn Care Services: Findings From Policy Advocacy Activities, Md. Noorunnabi Talukder, Ubaidur Rob, A.K.M. Zafar Ullah Khan

Reproductive Health

The Population Council/Bangladesh, with assistance from the UK Department for International Development (DFID), organized a series of advocacy meetings and workshops that were carried out as part of a policy and systems research study titled “Strengthening Union Level Facility for Providing Normal Delivery and Newborn Care Services.” The Council held one consultative meeting, one stakeholders’ meeting, two experience-sharing workshops in Jamalpur and Thakurgaon, two local-level advocacy workshops in Kurigram and Habiganj, and two roundtable dialogues with journalists from Bengali and English newspapers. This document includes five reports: Strengthening HFWCs (Health and Family Welfare Centers) for Normal Delivery and Newborn Care …

The Relationship Of Race And Social Integration On The Health Status Of Older Adults In An Urban City, Thomas T. Jordan

Dissertations, Theses, and Capstone Projects

Durkheim argues that an individual is more vulnerable to self-destruction the more s/he is detached from the collective. This dissertation will explore the relative impact of social integration on older adults who have transitioned into their new roles in the social structure in relationship to their physical (obesity) and psychological (stress) health status. Additionally, the dissertation examines how social integration varies in its impact from one racial group to another, and how such variations influence the health status of the older adults who are members of these groups.

This dissertation employs data from the Brookdale Center for Healthy Aging and …

The Elder Economic Security Initiative™: The Elder Economic Security Standard™ Index For Iowa, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for Iowa’s older adults using the national WOW-GI National Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

The Elder Economic Security Initiative™: The Elder Economic Security Standard™ Index For Colorado, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for Colorado’s older adults using the national WOW-GI National Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

Running Identities And Interaction Ritual Chains, Jonathan Malonzo Dial

Electronic Theses and Dissertations

This thesis links two theories, Interaction Ritual Chains (IRC) with Identity Control Theory (ICT), through a multi-method study of group training programs for beginning runners. First, group training programs are identified as IRCs. Second, we see that IRCs produce identities within individuals which reflect the IRC's activities and its group members. Third, we look at how IRCs of varied strengths produce identities of varied strengths. Fourth, we compare different types of group training programs and their abilities to develop identities. Finally, we conclude that IRCs are mechanisms which individuals are able to use as part of the self-verification process.

Sons, Daughters, And Arab-American Family Dynamics: Does A Child's Gender Matter?, Sanaa Al Harahsheh

Wayne State University Dissertations

SONS, DAUGHTERS, AND ARAB-AMERICAN FAMILY DYNAMICS: DOES A CHILD'S GENDER MATTER?

by

SANAA ALHARAHSHEH

December 2011

Advisor: Dr. Mary Sengstock

Major: Sociology

Degree:Doctor of Philosophy

Gender differences exist in families in all societies and cultures, but expectations are often different from one society/culture to another. Children's gender and its implications for family behavior have recently received a great deal of scholarly attention, especially in western societies; however, the influence of a child's gender on Arab-American family dynamics has not been investigated. Therefore, this study is the first to examine the impact of the gender of the child in selected Arab-American …

A Cohort Study Of A History Of Gestational Diabetes Mellitus And The Risk Of Incident Type 2 Diabetes In Louisiana Women, Yujie Wang

LSU Master's Theses

Gestational diabetes mellitus (GDM) is one of the most common pregnancy complications. It has been shown that a history of GDM is associated with an increased risk of incident type 2 diabetes in women. In this project, we aim to investigate 1) the trend of GDM incidence in Louisiana State University Health Care Services Division (LSUHCSD) hospital system during 1997 to 2009; 2) the race-specific association between a history of GDM and the risk of incident type 2 diabetes and how the risk changes over years after the index pregnancy. We conducted a retrospective study among women aged 13-50 years. …

Factors That Contribute To Student Graduation And Dropout Rates: An In-Depth Study Of A Rural Appalachian School District, Ann Lyttle-Burns

Online Theses and Dissertations

There has been a wealth of research conducted on the national epidemic of high school dropouts spanning several decades. It is estimated that the class of 2009 cost the nation $335 billion in lost wages, taxes and productivity over their lifetimes (Alliance for Excellent Education, 2009). The citizenry of the country suffers not only because of the loss in revenue but also as a result of the education level of the population. Individuals who choose to drop out of high school are not prepared for the most basic minimum wage jobs available, much less well paying jobs that sustain livelihoods. …

Reality Television And Its Impact On Women's Body Image, Ayarza Manwaring

Online Theses and Dissertations

Previous research has found that both print media and television may affect the body image of young women. Tiggerman and Pickering (1996) found that it was not just the amount of television viewed, but the viewing of appearance focused shows that affected body image. Schooler, Ward, Merriwether and Caruthers (2004) came to the conclusion that women's viewing of shows with predominantly white casts lead to greater body dissatisfaction. To date, no investigations have looked at a new and popular genre, categorized as, `reality television'. The purpose of this study was examine the effects of viewing this new genre and its …

The Experience Of Menopause As Reported By Sedentary Women, April Elizabeth Ann Rietdyk

Walden Dissertations and Doctoral Studies

Limited research exists on the experiences of sedentary women as they transition through menopause. This gap creates difficulty for public health practitioners as they strive to develop resources, implement programs, or influence policy change at the community level for this group of marginalized women. Keeping women healthy throughout the aging process, including menopause, improves their quality of life and decreases the impact aging has on the health care system. This phenomenological study, through in-depth interviews, provided the opportunity for sedentary women to share their thoughts and experiences of menopause. Thirteen sedentary women between the ages of 40 and 60, experiencing …

An Examination Of Awareness Of Over-The-Counter Nonsteroidal Anti-Inflammatory Drugs And Adverse Events, Michelle Popa

Walden Dissertations and Doctoral Studies

The elderly population is among the fastest growing populations in the United States. Finding and consuming medications safely and effectively are challenging endeavors for this population. Nonsteroidal anti-inflammatory drugs (NSAIDs) are a widely consumed class of medications among the elderly population, with 70% of individuals consuming over-the-counter (OTC) NSAIDs once a week and 34% using them daily. The purpose of this quantitative study was to determine whether (a) patients are aware of the risks associated with the consumption of NSAIDs, and (b) there are differences in awareness based upon specific demographic characteristics and levels of patient-physician communication. The health belief …

Dead, Imprisoned, Relapsed The Fate Of Homeless Substance Abusers Two Decades Later, Rachel L. Rayburn

Electronic Theses and Dissertations

Guided and influenced by a famous follow-up study in criminology focused on desistance from crime, this dissertation studies desistance from crime, homelessness, and substance abuse. In the early 1990s, The New Orleans Homeless Substance Abusers Project (NOHSAP) was founded as an experiment funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) to uncover optimal treatment strategies for homeless alcoholics and drug addicts. The program ran for three years (1991-1993) and in those years, 670 homeless New Orleans men and women were admitted into treatment. Some of the original clients were followed for as long as 18 months, but …

A National Study Of Parental Involvement: Its Trends, Status And Effects On School Success, Alandra Washington

Dissertations

Parental involvement has been emphasized as a mechanism for improving our public schools. In this study the author inquired into (a) the trend and status of parental involvement and (b) whether parental involvement is associated with schools meeting accountability measures. Secondary analyses were conducted on multiple waves of nationally representative data collected by the National Center for Education Statistics (NCES) School and Staffing Surveys (SASS). Descriptive statistics, discriminant function analysis, logistic regression, among others, were used for the study.

The analyses on the trend and status of parental involvement indicated that there was a statistically significant increase in parental involvement …

Maternal Defense: Breastfeeding Heightens Aggression By Reducing Stress, Jennifer Hahn-Holbrook, Julianne Holt-Lunstad, Colin Holbrook, Sarah M. Coyne, E. Thomas Lawson

Psychology Faculty Articles and Research

Mothers in numerous species exhibit heightened aggression in defense of their young. This shift typically coincides with the duration of lactation in nonhuman mammals, which suggests that human mothers may display similarly accentuated aggressiveness while breast feeding. Here we report the first behavioral evidence for heightened aggression in lactating humans. Breast-feeding mothers inflicted louder and longer punitive sound bursts on unduly aggressive confederates than did formula-feeding mothers or women who had never been pregnant. Maternal aggression in other mammals is thought to be facilitated by the buffering effect of lactation on stress responses. Consistent with the animal literature, our results …

The Second-Generation Effects Of Microcredit In Western Guatemala, Jordyn Elizabeth Haught

Open Access Theses & Dissertations

Most microfinance institutions have assumed that positive second-generation effects follow involvement in microcredit, but the nature of these effects has been unclear since few scholars have directly focused their attention on them. To address this gap in the literature I conducted exploratory survey research in Western Guatemala in January 2011. I returned with 97 interviews conducted with 68 Guatemalans who had received a microloan at some point in their lives, and 29 who had never received a formal loan. In the sample of their 306 children, the parents of 94 had never received a loan, while the parents of 212 …

Child Development And Child Rearing In Ciudad Juárez, México Colonias: Economic, Social, And Cutural, Alma Angelica Hernandez

Open Access Theses & Dissertations

Supporting the development of healthy children is a goal for parents. Proper development becomes a challenge when children do not receive adequate health care, educational enrichment, and housing. These challenges are amplified by the continuous rise in violence in the U.S.- México border region. This study looks specifically at child development and child rearing practices in two poor colonias (neighborhoods) in Ciudad Juárez (Chihuahua, México). It relies on and extends from a project conducted by Gente a favor de gente and funded by the Paso del Norte Health Foundation. There were 2 phases in this study: a quantitative phase (N=151) …

Alcohol Production And Consumption Throughout U.S. History, And More Particularly In El Paso, Texas, As It Relates To Social Norms Theory, Jennifer Matthews

Open Access Theses & Dissertations

This thesis traces the history of alcohol production and consumption throughout U.S. history by following the course of the four major periods of relative equilibrium in social norms that the country has experienced. It uses this socio-historiography as a platform to understand how national trends in alcohol production and consumption were experienced along the border in El Paso, Texas, in a very unique fashion. The thesis aspires to augment El Paso's pride and sense of identity by building on knowledge of local history, customs, and norms.

Perceptions Of Disabilities Amongst The Tarahumara In Northern Mexico, Carolyn Raynor Trussell

Open Access Theses & Dissertations

This research focuses on the perceptions of disability amongst the Tarahumara, known amongst themselves as the Rarámuri, in the Sierra Madre region of Northern Chihuahua. This population of individuals has typically lived in isolated areas in communities in the Sierra Madre where medical and specialized educational services were rare. The purpose of this study was to explore the perceptions, knowledge and beliefs related to disabilities, as well as the access and beliefs related to educational and medical services.

The study focused on the individual and the society to examine how bodily conceptions influence perceptions of others. The target group for …

A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant

Antioch University Dissertations & Theses

The purpose of this research is to investigate the support needs of young families living with and beyond a parental diagnosis of cancer. The sample includes 56 participants comprised of 31 professional stakeholders and 25 patient stakeholders affiliated with the Charles R. Wood Cancer Center. It was hypothesized there would be differences in how the groups of stakeholders rated needs in terms of importance, satisfaction, and utilization. Differences in ratings are thought to be barriers to effective program development. While not a formal research hypothesis, it was anticipated other program development barriers germane to naturalistic clinical settings would emerge from …

The Uses Of Expertise: Science, Medicine And Body/Self-Fashioning, Amanda J. Counts

Master's Theses

This paper draws on empirical evidence collected from pro-anorexia websites and qualitative interviews with dieters to develop an analysis of the uses of medical and scientific expertise in processes of body- and self-fashioning. It builds on previous work by examining how `lay publics' refashion expertise in order to use it for new purposes, sometimes contradictory to the purposes of medicine itself. Four distinct groups are analyzed: Women diagnosed with anorexia; women diagnosed with EDNOS (Eating Disorder Not Otherwise Specified); dieters using traditional methods of caloric restricting; and dieters using a new method called Primal Dieting. Overall, respondents indicated an ambivalence …

Anxiety, Knowledge And Help: A Model For How Black And White College Students Search For Hiv/Aids Information On The Internet, Kim Smith

The Qualitative Report

Using the "think aloud" protocol, which allows for the collection of data in real time, the researcher audio taped comments from 13 white college students from a predominately white university in the Southeastern United States and 15 black students from a predominately black university, as they explained how they searched for HIV/AIDS information on the Internet. A grounded theory analysis of the tapes revealed a three-stage model that students progressed through as they searched for HIV/AIDS information on the Internet. That model also revealed that all of the white students searched for general information about HIV/AIDS on the Internet, while …