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Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson Jan 2017

Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson

Walden Dissertations and Doctoral Studies

Homelessness is a major social problem in the United States and this nation has the largest number of homeless women. Minority women appear to be more affected than other individuals. Specifically, they are more vulnerable, impoverished, and disenfranchised than all other groups in the nation. These factors affect their emotional well-being and ability to move toward and achieve sustainability. Particularly, African-American women are disproportionately represented in the homeless population, yet they have not been adequately examined in research studies and there are minimal empirical studies that focus on homeless African-American women. Beck's cognitive behavioral therapy (CBT) and Weiner's attribution theory …

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Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar Jan 2017

Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar

Walden Dissertations and Doctoral Studies

Despite an increasing number of healthy lifestyles throughout the country, Americans, including Native Hawaiians, keep gaining weight. Unlike several American lifestyles that have resulted in weight gain within the American population, the vegetarian lifestyle is a scientifically proven method for decreasing body weight and maintaining the weight loss for more than 1 year. This study aimed to compare the lifestyle patterns of 4 vegetarian lifestyles and 1 nonvegetarian lifestyle among Native Hawaiians aged 21 and older using their body mass index (BMI). This quantitative study utilized a correlational design, which is particularly suitable for examining the relationship of BMI to …

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Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom Jan 2017

Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom

Walden Dissertations and Doctoral Studies

Marketing decision makers often employ stereotypes in their advertising messages, but constant exposure to negative messages is offensive to older consumers and contributes toward ageism. The general problem is that many senior adults feel dissatisfied with advertising directed toward them and may not purchase products that they could otherwise enjoy. Based on the tenets of social identity theory, the purpose of this study was to explore the perceptions of a group of senior consumers toward the stereotypes used to portray older adult models featured in magazine advertisements by uncovering the factors that influence purchasing decisions and the stereotypes that are …

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Factors Influencing Doctors Ordering Of Clinical Lab Tests: A Qualitative Study, Lakshmanan Suresh Jan 2017

Factors Influencing Doctors Ordering Of Clinical Lab Tests: A Qualitative Study, Lakshmanan Suresh

Walden Dissertations and Doctoral Studies

Qualitative studies exploring the factors behind a doctor's decisions to order clinical laboratory blood testing are lacking. A better understanding of these factors can help in formulating interventions that could improve the quality of health care and limit costs. The purpose of this qualitative case series study was to identify factors that influence a doctor's decision to order routine clinical laboratory blood tests. Fifteen doctors from Western New York, working in different hospital settings, were interviewed. There were 5 doctors in each case type: major, community, and private hospitals. When analyzed by case, there was a difference between the three …

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Keeping The Children: Nonviolent Women Offenders In Two Michigan Residential Programs, Denise Smith Allen Jan 2017

Keeping The Children: Nonviolent Women Offenders In Two Michigan Residential Programs, Denise Smith Allen

Walden Dissertations and Doctoral Studies

Seventy-five percent of women offenders confined to prison, jails, or residential treatment programs are custodial parents of minor children at the time of their separation. Little is known, though, about how prosocial networks are used to address the effects of separation from children. Using Bui and Morash's conceptualization of the theory of gendered pathways, the purpose of this phenomenological study was to better understand, from the perspective of incarcerated women, the experience of using prosocial networks to cope with the effects of separation. Data were collected through interviews with 10 mothers from 2 residential treatment programs in Michigan. Interview data …

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Impact Of Telephone Call On Patient Satisfaction In Adult Oncology Patients, Victoria Maria Frazier-Warmack Jan 2017

Impact Of Telephone Call On Patient Satisfaction In Adult Oncology Patients, Victoria Maria Frazier-Warmack

Walden Dissertations and Doctoral Studies

Patient satisfaction is an ongoing action in which hospitals and health care providers are constantly seeking strategies to improve their satisfaction ratings. In the ambulatory oncology infusion setting, patient satisfaction is also a key metric that is being monitored, but actual patient satisfaction is unknown. Guided by Lewin's change theory and King's theory of goal attainment, the aim of this project was to use a strategy of conducting follow-up telephones calls to determine if patient satisfaction improved in an ambulatory oncology setting. A descriptive comparative approach was used to evaluate patient satisfaction before and after a telephone follow-up intervention. Participants …

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Determinants Of Hiv Screening Among Adults In New Jersey After Hurricane Sandy, Nathaniel R. Geyer Jan 2017

Determinants Of Hiv Screening Among Adults In New Jersey After Hurricane Sandy, Nathaniel R. Geyer

Walden Dissertations and Doctoral Studies

HIV screening is recommended to destigmatize the condition, prevent partner transmission, and postpone AIDS progression. However, determinants associated with implementation of opt-out HIV screening are not well understood. The purpose of the study was to examine determinants that predicted odds of HIV screening for persons impacted by Hurricane Sandy, and how these factors differed according to demographic characteristics, geographical attributes, health-related quality of life score, access-to-care, and health insurance status. The social ecologic model provided the framework for this multilevel cross-sectional study that included New Jersey data from the Behavior Risk Factor Surveillance System. Bivariate chi-square, simple logistic regression, and …

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Health Care Transition And Patient-Perceived Quality Of Life In Sickle Cell Disease, Karen Alicia Haynes Jan 2017

Health Care Transition And Patient-Perceived Quality Of Life In Sickle Cell Disease, Karen Alicia Haynes

Walden Dissertations and Doctoral Studies

Because of the high mortality rate of sickle cell disease (SCD) patients who do not continue care into adulthood, researchers have paid increasing attention to the health care transition experiences of SCD patients. However, a gap exists regarding patients' perspectives of care transition related to their quality of life. The purpose of this phenomenological study, guided by the biosocial-ecological systems model, was to explore the lived health care transition experiences of SCD patients in relation to their health-related quality of life. Data collection included open-ended interviews with 12 patients in the Southwestern United States. Colaizzi's (1978) method of phenomenological data …

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Evaluating Nurses' Self-Efficacy In Caring For Patients With Dementia, Wendy Hopkins Jan 2017

Evaluating Nurses' Self-Efficacy In Caring For Patients With Dementia, Wendy Hopkins

Walden Dissertations and Doctoral Studies

In 2011, 5 million Americans had dementia and this number is predicted to increase. As the number of people with dementia increases, the need for quality nursing care, education, and treatment for patients with dementia increases. To address the need, nurses not only must be prepared with the knowledge, skills, and abilities to care for patients with dementia, but they must also have the self-efficacy to provide quality care. The practice focused question guiding the project was to determine the level of self-efficacy for caring for dementia patients among long-term care nursing staff. Using Bandura's social cognitive theory, the purpose …

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Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath Jan 2017

Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath

Walden Dissertations and Doctoral Studies

As childhood obesity continues to increase, so do the comorbidities and related health issues, putting youth at a greater risk of developing adult-related diseases such as hypertension, Type 2 diabetes, and cardiovascular diseases. Current literature indicates that healthcare organizations have a significant role in the fight against this epidemic, yet most children's hospitals have no policy to accomplish this task. The purpose of this project was to develop a program proposal for a hospital-based, sustainable obesity program that will aid in improving patient and family awareness of the importance of maintaining an ideal body weight to decrease the incidences of …

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Music Teachers' Perceptions Of Targeted Professional Development, Julie Meadows Jan 2017

Music Teachers' Perceptions Of Targeted Professional Development, Julie Meadows

Walden Dissertations and Doctoral Studies

The fundamental purpose of teacher professional development programs is to improve instructional effectiveness and increase student learning. However, the target district offered no programs that focused on helping teachers develop strategies to meet state standards in music education. The purpose of this qualitative case study was to investigate elementary and middle school music educators' perceptions regarding the need for targeted professional development programs. Self-determination theory served as the foundation for this study. Research questions concerned participants' views of the impact of district professional development programs on their competency in enhancing students' musical skills and their decision-making and connectedness with other …

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Assessing Nurses' Demographic Cardiovascular Risk Factors And Pharmacogenetic Testing Knowledge And Acceptance, Stella Chibuzor Ohanuka Jan 2017

Assessing Nurses' Demographic Cardiovascular Risk Factors And Pharmacogenetic Testing Knowledge And Acceptance, Stella Chibuzor Ohanuka

Walden Dissertations and Doctoral Studies

The lack of knowledge of pharmacogenetic testing for cardiovascular disease (CVD), coupled with their increased risk for CVD, may impair nurses' cognitions and attitudes toward pharmacogenetic testing for CVD. The purpose of this quantitative cross-sectional correlational study, conducted with 230 RNs without CVD who worked in acute-care settings in Georgia, was to determine if their years of education, years of experience, and gender significantly influenced their perceived risk for CVD (Questions 1-3) and their perceived knowledge of pharmacogenetic testing for CVD (Questions 4-6), and if their perceived risk for CVD significantly influenced their acceptance of pharmacogenetic testing for CVD (Question …

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The Impact Of The Men Accepting Neophytes-Uplifting Pupils Community-Based Mentoring Program, Aisha Stephen Jan 2017

The Impact Of The Men Accepting Neophytes-Uplifting Pupils Community-Based Mentoring Program, Aisha Stephen

Walden Dissertations and Doctoral Studies

Effective mentoring programs are essential for African American youth to feel satisfaction and contribute to society, particularly in large urban communities. A need exists to study the impact of community-based mentoring programs in central Georgia, particularly those focused on male African Americans. Despite various mentoring programs, stakeholders know little about the elements of program impact for at-risk youths. Community mentoring programs frequently serve as a tool to minimize high dropout rates that often result from youth incarceration, expulsion, and suspension. The purpose of this study was to gain insight into the perceptions of mentors and administrative staff on the impact …

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Strategies Of Small Business Owners To Acquire Federal Government Contracts, Delores Ann Tyms Jan 2017

Strategies Of Small Business Owners To Acquire Federal Government Contracts, Delores Ann Tyms

Walden Dissertations and Doctoral Studies

Small business owners are not acquiring U.S. federal government contracts at the government established target rate. The government's small business procurement goals remain unmet, which represents an underutilized source of revenues for many small business owners. The purpose of this multiple case study was to explore strategies of 3 small business owners operating in the Washington, D.C., metropolitan area to acquire federal government contracts to increase profitability. The thematic findings were in the context of the resource-based view as the conceptual framework. The participants answered questions in semistructured interviews and provided organizational documents for review. Triangulation of multiple data sources …

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Employee Engagement Processes And Productivity Among Las Vegas Five-Star Hospitality Organizations, Robert White Jan 2017

Employee Engagement Processes And Productivity Among Las Vegas Five-Star Hospitality Organizations, Robert White

Walden Dissertations and Doctoral Studies

Employee disengagement creates an unhealthy working environment. Disengagement rates among Las Vegas hospitality industry organizations led to dissatisfaction among employees and resulted in low productivity and profitability. This qualitative descriptive study involved exploring employee engagement strategies that hospitality industry supervisors and managers used to implement programs, thereby solving the employee engagement problems of their organizations. The conceptual framework for the study was leader-member exchange theory. Twenty participants with 5 or more years of Las Vegas hospitality experience who had already successfully implemented engagement programs answered open-ended questions in semistructured interviews. Company documents constituted an additional data source. Analyzing the data …

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Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins Jan 2017

Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins

Walden Dissertations and Doctoral Studies

Changing demographics in the United States to a minority-majority culture require health care professionals who are culturally competent to provide appropriate care to patients. In a university in the Mid-Atlantic region of the United States, a gap existed between student education and the culturally competent professional practice of entry-level registered dietitians. Using Freire's notion of social justice and Vygotsky's constructivist theory as the conceptual frameworks, the purpose of this study was to explore educators' instructional strategies that promoted cultural competence in nutrition and dietetics education. The research questions examined how educators described the instructional practices they employed to promote cultural …

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Educators' Perceptions Of Best Practices For Increasing Literacy Among High-Poverty Students, Giuseppe Di Monte Jan 2017

Educators' Perceptions Of Best Practices For Increasing Literacy Among High-Poverty Students, Giuseppe Di Monte

Walden Dissertations and Doctoral Studies

The local problem addressed in this study was the low reading achievement of high-poverty fourth-grade students in a small rural school in the Mid-Atlantic region of the United States. The purpose of this instrumental case study was to examine the perceptions of the campus principal and teachers at a sampled high-poverty and high achieving elementary school to determine best practices for meeting literacy needs of high-poverty students. This knowledge is important because student success in reading achievement contributes to overall academic success. The neo-sociocultural conceptual paradigm of Wertsch, del Rio, and Alverez, which links cognitive and cultural learning processes, was …

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Common Psycholinguistic Themes In Mass Murderer Manifestos, Laura E. Hamlett Jan 2017

Common Psycholinguistic Themes In Mass Murderer Manifestos, Laura E. Hamlett

Walden Dissertations and Doctoral Studies

Mass murder in the United States is increasing, yet understanding of mass murderers is still relatively limited. Many perpetrators compose manifestos, which include journals, blogs, letters, videos, and other writings. Previous research has indicated that personal messages are of great social and psychological importance; however, there remains an important gap in the current literature regarding studies specific to these manifestos. As such, the purpose of this qualitative multiple case study was to provide greater understanding of mass murderers' motives and mindsets through psycholinguistic analysis of their recorded words. The constructivist conceptual framework enabled gathering, analyzing, interpreting, and reporting thematic language …

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The Effects Of Transitional Challenges On Ninth Grade School Dropouts, Merlene Leona Jones Jan 2017

The Effects Of Transitional Challenges On Ninth Grade School Dropouts, Merlene Leona Jones

Walden Dissertations and Doctoral Studies

The high dropout rate of the United States Virgin Islands school district's ninth-grade students is a major educational problem and the catalyst for a myriad of social problems. Ninth grade academies and extended school day intervention programs have benefited only the academically prepared students. This qualitative case study examined educators' perceptions of the challenges that led to the increased dropout rate of the district's ninth-grade students. Bandura's self-efficacy theory and Atkinson's motivational achievement theory formed the foundational pillars for this study. The research questions were focused on challenges that led to the increased dropout rate of ninth-grade students and the …

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Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households, Mari Varga Overlock Jan 2017

Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households, Mari Varga Overlock

Walden Dissertations and Doctoral Studies

Sibling relationship quality is affected by several variables, such as gender, age spacing, marital conflicts, parenting, and parent-child relationship, which simultaneously influence personality and developmental outcomes. Furthermore, sibling relationships can significantly influence the social climate of the family and vice versa. The objective of this study was to examine the effects of household composition (1-parent home vs. 2-parent home) and the number of years between siblings ages on sibling relationship quality, and to determine whether parental conflict response management strategies differ between single-parent and 2-parent homes. The participants were 124 adult mothers with at least 2 children. Participants provided demographic …

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A Quantitative Comparison Of Adult Children Of Alcoholics (Acoas) And Non-Acoas On Attachment, Carly Rodgers Jan 2017

A Quantitative Comparison Of Adult Children Of Alcoholics (Acoas) And Non-Acoas On Attachment, Carly Rodgers

Walden Dissertations and Doctoral Studies

Children who grow up in an environment where at least 1 parent is an alcoholic can experience behavioral and emotional problems that continue into adulthood. A critical literature gap concerning the relationship between attachment and adult child of an alcoholic (ACOA) status, as well as personal alcohol abuse and levels of hope, was identified. The purpose of this study was to gain a better understanding of the influence of having alcoholic parents on personal alcohol abuse, attachment, and hope among ACOAs. Informed by attachment theory, this cross-sectional study compared attachment among ACOAs and non-ACOAs and the impact of attachment on …

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Women In Stem: The Effect Of Undergraduate Research On Persistence, Jodi Christine Wilker Jan 2017

Women In Stem: The Effect Of Undergraduate Research On Persistence, Jodi Christine Wilker

Walden Dissertations and Doctoral Studies

The underrepresentation of women in science, technology, engineering, and math (STEM) careers constitutes a major issue in postsecondary science education. Perseverance of women in STEM is linked to a strong science identity. Experiential learning activities, such as undergraduate research, increase science identity and thus should help keep women in STEM. Most studies on research program development are from 4-year institutions, yet many women start at community colleges. The goal of this study was to fill this gap. Science identity and experiential learning theories provided the framework for this case study at a local institution (LECC). Semistructured interviews determined college science …

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Noise In The Icu, Fay Goode Jan 2017

Noise In The Icu, Fay Goode

Walden Dissertations and Doctoral Studies

Noise in the Intensive Care Unit (ICU) has been associated with patients experiencing psychological and physical disorders such as anxiety, sleep deprivation, and worsening of hypertension and diabetes. Researchers have suggested that the use of a noise reduction protocol can result in a decrease in noise in the ICU and a subsequent improvement in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. The research question for this project examined the effectiveness of a newly developed noise protocol in minimizing noise in the ICU, since the patients at the facility of study reported noise as being a nuisance that …

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Barriers To Switching Patients To Second-Line Antiretroviral Treatment Among Clinicians In Tanzania, Peter Charles Mgosha Jan 2017

Barriers To Switching Patients To Second-Line Antiretroviral Treatment Among Clinicians In Tanzania, Peter Charles Mgosha

Walden Dissertations and Doctoral Studies

Poor decision making among clinicians to transferring human immune deficiency virus (HIV) patients into second-line antiretroviral therapy (ART) has led to an increase in morbidity and mortality to people living with HIV (PLHIV). No clear barriers are known for clinicians not switching their patients. This is a descriptive qualitative research aimed to discover obstacles that influence clinicians' decision making to transferring patients into second-line ART despite higher level resistance to first-line ART. The researcher applied a participatory action research framework to solve the identified barriers with clinicians. Using the research questions the researcher explored reasons, perceived barriers and enabling factors …

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Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel Jan 2017

Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel

Walden Dissertations and Doctoral Studies

While a comorbid relationship between substance abuse and depression in Caucasian adults has been widely documented, comorbid substance abuse and depression in minorities remains unexplored, leaving a gap in knowledge concerning the treatment of these comorbid disorders in the fastest growing population in the United States. Cognitive behavior theory posits that specific stressors increase the likelihood of substance abuse. These factors may include structural discrimination experienced by minorities. This quantitative, pretest-posttest archival study examined the effects of a substance abuse treatment program in reducing comorbid depressive symptoms among 317 participants from 3 minority subgroups and a comparison nonminority group enrolled …

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Factors That Influence School Counselors' Intent To Use Online Counseling, Sarah Heather Golden Jan 2017

Factors That Influence School Counselors' Intent To Use Online Counseling, Sarah Heather Golden

Walden Dissertations and Doctoral Studies

Owing to advancements in technology, online counseling has become a viable option for counselors to provide counseling services to diverse populations. Despite the expansion of resources, a gap in research exists pertaining to a school counselor's intention to use online counseling. Furthermore, online counseling is an underused tool owing to a variety of unknowns, attitudes, ethical and legal concerns, and lack of training associated with online counseling. The underuse of online counseling becomes problematic because youth, who may be more receptive to support via the Internet, remain underserved if school counselors are not using this tool. The purpose for this …

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Phenomenological Investigation Of Parents' Decisions Regarding Group-Home Placement Of Adult Children With Intellectual Disabilities, Lashaunda Reese Kay Jan 2017

Phenomenological Investigation Of Parents' Decisions Regarding Group-Home Placement Of Adult Children With Intellectual Disabilities, Lashaunda Reese Kay

Walden Dissertations and Doctoral Studies

Parents of individuals with intellectual disabilities are confronted with challenging decisions regarding whether to place their adult child in a group-home. The research question for this study was to ascertain the lived experiences of parents confronted with this life altering decision. Limited research exists on parents who face this difficult life choice. The purpose of this study was to explore the lived experiences of parents of individuals with intellectual disabilities when contemplating residential placements. Ten participants from the north Atlantic coastline in the U.S. were recruited and shared their lived experiences during semi structured interviews. Utilizing qualitative methodology to undergird …

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Small To Medium Enterprise Business Leaders Managing Change, Shahriar Nazari Jan 2017

Small To Medium Enterprise Business Leaders Managing Change, Shahriar Nazari

Walden Dissertations and Doctoral Studies

Organizational change is necessary for businesses to survive and prosper. One of the main reasons organizational change is unsuccessful is the inadequate leadership style used by business leaders. The purpose of this multiple case study was to explore leadership strategies business leaders used to manage change. The target population comprised a purposeful sample of 15 business leaders from various businesses located in the metropolitan area of Southern California. The conceptual framework for this study was the transformational leadership theory, which holds that leaders can use inspiration and motivation to inspire employees, especially during times of organizational change. A pilot study …

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Health System Predictors Of Access To Maternal Health Medicines In Low And Middle Income Countries, Chinonso Esther Nnorom Jan 2017

Health System Predictors Of Access To Maternal Health Medicines In Low And Middle Income Countries, Chinonso Esther Nnorom

Walden Dissertations and Doctoral Studies

The strength of health systems predict access to medicines that prevent death from pregnancy related complications (essential maternal health medicines). But little is known about the relative impact of each health system building block on access. This quantitative cross-sectional study applied Ishikawa model to examine the relative effect of health systems governance, facilities, service delivery, financing and medicine procurement and distribution (independent variables), on availability, affordability and accessibility (dependent variables) of maternal health medicines in resource poor settings. Data analyzed was pulled from 37 WHO pharmaceutical country profiles and USAID MCHIP survey that assessed national programs for the prevention and …

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Safe Quality Food Certification And Producing Safe And Quality Food Products, Adeniyi Adedayo Odugbemi Jan 2017

Safe Quality Food Certification And Producing Safe And Quality Food Products, Adeniyi Adedayo Odugbemi

Walden Dissertations and Doctoral Studies

The food sector accounts for $1 of every $6 in the U.S. economy, with more than $700 billion in revenue every year. However, incidents of food safety and substandard quality continue to rise. Consumers are beginning to mistrust and have lower confidence in the food supply chain. Food manufacturers need to address this issue to remain profitable. One approach includes the introduction of food policy programs that allow for independent auditing and certifications such as the Safe Quality Food (SQF) certification. The SQF certification was established as a rigorous and credible benchmark for food handlers to enforce food safety and …

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