Public Health Commons^™

Engaging Parents To Promote Girls' Transition To Secondary Education: Evidence From A Cluster Randomised Trial In Rural Gujarat, India, K.G. Santhya, A.J. Francis Zavier, Pallavi Patel, Neeta Shah

Poverty, Gender, and Youth

The Population Council and partners, with the support of the Human Dignity Foundation and the John D. and Catherine T. MacArthur Foundation, implemented a pilot intervention in India─Project Sankalp─to assess the acceptability and feasibility of engaging parents and communities to promote girls’ secondary education. The project's aim was to measure its effectiveness in improving adolescent girls’ transition to secondary education, their attendance at school, and learning outcomes. Findings show that the effect of Project Sankalp on creating an enabling environment for girls to pursue secondary education was mixed. On the positive side, the project showed success in raising girls’ educational …

Towards Effective Youth Participation, Magued Osman, Hanan Girgis

Poverty, Gender, and Youth

Egyptian youth amazed the world in 2011 during the 18 days of the January 25 revolution, and again in 2013 during the June 30 revolution, however this has not had a significant impact on their political and social participation. This brief aims to shed light on young people’s participation in the aftermath of these revolutions, which embodied their hopes for greater empowerment and participation. The brief uses data from the second round of the Survey of Young People in Egypt conducted by the Population Council in 2013/2014 in collaboration with the Central Agency for Public Mobilization and Statistics, and a …

Effects Of The Prachar Project's Reproductive Health Training Programme For Adolescents: Findings From A Longitudinal Study, Neelanjana Pandey, Shireen J. Jejeebhoy, Rajib Acharya, Santosh Kumar Singh, Mahesh Srinivas

Poverty, Gender, and Youth

The objective of this study was to better understand the longer-term effects of a three-day training program offered by Phase III of Pathfinder’s PRACHAR (Promoting Change in Reproductive Behaviour) program among adolescents in rural areas of selected districts of Bihar, India. This program focused on addressing adolescents’ need for information, contraceptive supplies, parental and community support, and a youth-friendly health system. Findings confirm that the training program was acceptable and useful to the young people exposed to it, and that it had a number of notable longer-term effects, observed even four years following its implementation; and they demonstrate the promise …

Invertir Cuando Vale La Pena: Revisión De Las Evidencias Para Trazar Un Rumbo De Investigación Y Acción Para Adolescentes Muy Jóvenes, Katharine Mccarthy, Martha Brady, Kelly Hallman

Poverty, Gender, and Youth

Desde 2006, ha habido un rápido crecimiento e interés en la población de adolescentes muy jóvenes y un conjunto de programas en expansión destinado a abordar sus necesidades sociales y de salud y desarrollo. El presente informe se basa en el ímpetu generado por los esfuerzos recientes en investigación y programas, y por la mayor cantidad de datos disponibles en la última década. El informe tiene como objetivo ser útil para quienes planean, administran, implementan, monitorean, evalúan, o financian investigación o programas relacionados con adolescentes jóvenes. Describe varias áreas clave que se beneficiarían con más experimentación y nuevas investigaciones. Un …

Investing When It Counts: Reviewing The Evidence And Charting A Course Of Research And Action For Very Young Adolescents, Katharine Mccarthy, Martha Brady, Kelly Hallman

Poverty, Gender, and Youth

Since 2006, there has been a burgeoning interest in the very young adolescent population and an ever-expanding array of programs aimed at addressing their social, health, and development needs. This report builds on the momentum generated from recent research and program efforts, and from the greater data available in the past decade. The report is intended to be helpful to anyone who plans, manages, implements, monitors, evaluates, or funds research or programs that involve young adolescent girls and boys. The report outlines several key areas that would benefit from more experimentation and new research. Central to this is the creation …

Investir Quand Cela Compte: Passer En Revue Les Preuves Et Établir Un Plan De Recherche Et D’Action Pour Les Très Jeunes Adolescents, Katharine Mccarthy, Martha Brady, Kelly Hallman

Poverty, Gender, and Youth

Depuis 2006, on a pu constater un intérêt grandissant pour la population des très jeunes adolescents, ainsi qu’une expansion continue des programmes visant à répondre à leurs besoins sociaux, de santé, et de développement. Ce rapport s’appuie sur la dynamique engendrée par les recherches et les efforts récents déployés dans le cadre des programmes, et le volume plus important de données générées au cours de la dernière décennie. Le rapport se veut utile à toute personne chargée de planifier, gérer, mettre en œuvre, suivre, évaluer, ou financer des recherches ou des programmes impliquant les jeunes adolescents et adolescentes. Le rapport …

Adolescent Attitudes Toward And Perceptions Of Suicide, Stigma, And Help-Seeking Behavior, Julia M. Hollinger

PCOM Psychology Dissertations

Suicide is a leading cause of death for adolescents and represents a major national health concern (American Foundation for Suicide Prevention, [AFSP], 2015; (Centers for Disease Control [CDC], 2013). Because adolescents spend the majority of their day at school (Erbacher, Singer, & Poland, 2015), the effectiveness of school-based suicide prevention programs may be improved through better understanding of adolescents’ views on the subject of suicide and the factors that may influence participation in prevention efforts. The present study explored the attitudes and perceptions of seventh grade students from a suburban middle school in Pennsylvania, using archival survey data. Variables that …

Japanese Encephalitis: Assessing Disease Risk Due To Landscape Factors At Multiple Scales, Julia E. Metelka

Theses and Dissertations (Comprehensive)

Japanese Encephalitis is a mosquito-borne disease and is the leading cause of viral encephalitis in Asia. In many Asian countries, the geographical distribution of JE is dependent on a variety of human-environment interactions that can be conceptualized as a complex social-ecological system. The JE transmission cycle is influenced by a few primary human-landscape factors; the abundance and the spatial configuration of rice paddy fields (which provide habitat for the vector), the distribution of pig farms (which position the virus' amplifying host), and the location of a susceptible human population. Our models integrate population dynamics, landscape characteristics, and weather variables that …

Experiences Of Victimization And Health Care Access Among Non-Metropolitan Lgbtq+ Individuals, Ashley-Ann Marcotte

Theses and Dissertations (Comprehensive)

Lesbian, gay, bisexual, trans, and queer (LGBTQ+) individuals report substantial rates of violence, discrimination, and negative life events due to homophobia and transphobia and these experiences impact access to health care services and programs (Bauer et al, 2009; Grant, Mottet, Tanis, Harrison, & Keisling, 2010) These experiences result in LGBTQ+ communities needing services, programs, and social supports to provide safer spaces. Although it is well recognized that health care services are not a major determinant of health outcomes and yet use more than 60% of health spending (Canadian Institute for Health Information, 2014; Muzyka, Hodgson, & Prada, 2012). As such, …

The Disease Burden And The Extent Of Drug Therapy Problems In An Underserved Minority Population Receiving Medication Therapy Management At An Ambulatory Care Free Clinic, D. N. Ombengi, F. A. Ndemo, Ayman M. Noreddin, W. T. Harris

Pharmacy Faculty Articles and Research

Objective: To determine the common medical conditions, medications, and associated drug therapy problems in an underserved minority population receiving medication therapy management services at a large Community Free Clinic compared to the findings of the Minnesota Pharmaceutical Care Project.

Methods: Retrospective cohort study of a random sample of 60 minority patients referred for medication therapy management service at a Community Free Clinic from January 2012 to January 2014. Patient data including demographics, medication experience, past medical and medication history, medical conditions, active medications, allergies, immunization history and drug therapy was systematically evaluated to determine the most common conditions, …

We Have The Tools To End Hiv: Benefits, Barriers, And Solutions To Expanded Utilization Of Pre-Exposure Prophylaxis (Prep) In The Us Deep South, Jason Ervin, Allison Weller Tikare, Carolyn Mcallaster

Faculty Scholarship

No abstract provided.

The Ethical Issues Of Dumping Electronic Waste In India, Krista E. Dawson

Augustana Center for the Study of Ethics Essay Contest

Electronic waste, also referred to as “e-waste,” is all waste made from electronic products such as computers, mobile phones, digital music players, refrigerators, washing machines, and TV’s (Pinto, 2008). There is e-waste produced in the manufacturing process as well as the final disposal of the product. Although developed countries consume most electronics, it is increasingly common for countries that are still developing to possess electronic goods (Larrdis, 2011). Use of technology and connection to worldwide networking is a huge step for the progress of these countries, but having gained a “part” of the developed world without the associated infrastructure to …

Types Of Persuasive Message Promoting Blood Donation In Hong Kong, Pui Chuen Tam

Bachelor of Social Sciences – Senior Theses

Based on Ferguson, Farrell, & Lawrence (2008)’s study on persuasive messages promoting blood donation, this study has identified a characteristic of persuasive message that could influence Chinese participants’ behavioral intention to donate blood. Participants (N = 66) were randomly assigned to read one of the four messages with different focuses and framings. They then indicated their behavioral intention to donate blood after reading the messages. Two-way ANCOVA, with self-efficacy as covariate indicated that respondents after reading altruistic messages reported a higher intention to donate blood than those who read egoistic messages. Moreover, it is also revealed that within people with …

Water Sanitation And Waste Management In Latin America, Colombia, And Cartagena: A Study Of The Relationship Between Environment, Health, Poverty, And Policy, Andrea K. Sullivan

Honors Undergraduate Theses

The objective of this research is to identify the need for stricter environmental standards and regulations in three areas of study. Organized by their level of analysis, these areas are Latin America (at the System-Level-of Analysis), Colombia (at the State-Level-of-Analysis), and the city of Cartagena (at the Sub-National-Level of Analysis). This research was accomplished in two phases. The first involved conducting an exhaustive literature search of sources, germane to the objective, published in Spanish and English. The second featured a site inspection conducted over a 10-day period during the month of May 2016 to Cartagena, Colombia. The purpose of the …

Comprehensive Sexuality Education In Kentucky, Luciana D. Hockersmith

Theses and Dissertations--Community & Leadership Development

Discussions of sex education of any kind can be controversial in a given setting. Traditional approaches to sex education prompt debate regarding effectiveness. Key indicators central to the effectiveness of sex education continue to be rates of teen pregnancy and transmission of sexually transmitted diseases (STDs). With discontentment surrounding the effectiveness of “traditional approaches,” a more wide-ranging method is worthy of being explored. The curriculum approach of Comprehensive Sexuality Education (CSE) includes six key concepts, and subsequent sub-concepts, intended to provide a broad and even all-inclusive range of topics for a similarly broad and even all-inclusive range of ages of …

Competitive Food Policy Implementation In Kentucky Schools, Paula Gisler

Theses and Dissertations--Nursing

This study was designed to explore the literature on competitive food policy implementation (CFPI); examines demographic and school factors associated with CFPI; and explores the experiences of school leaders and staff in CFPI using a proposed theoretical framework to guide the research. Competitive foods are those sold in vending machines, a la carte settings, fundraisers, class parties and other venues which compete with foods offered through the national school lunch and breakfast programs. Competitive foods have traditionally been of low nutritional value and high energy density. CFPI may be effective in reducing student calorie intake and BMI. However, evaluation of …

Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza

Theses and Dissertations--Nutrition and Food Systems

Hispanics are more affected by diabetes than non-Hispanic whites and they tend to experience more severe complications. Research shows that although self-management is poor among ethnic minorities, it is even more so among Hispanics. The “Taking Ownership of Your Diabetes” (TOYD) program has been shown to be successful in helping individuals manage their diabetes. However, no work has been conducted with Hispanic audiences in Kentucky. TOYD program allows individuals to modify lifestyle risks and solve problems related to diabetes management. The program was translated from English to Spanish. Hispanics males and females between ages 19 to 75 years …

Findings From Landscape Analysis In Nigeria On Pre-Eclampsia/Eclampsia, Population Council

Reproductive Health

Maternal and newborn deaths due to pre-eclampsia and eclampsia (PE/E) are preventable, yet in Nigeria this is the most significant direct cause of maternal mortality. The Population Council conducted a landscape analysis on PE/E in 2015 in seven states in Nigeria. This brief details the findings on national policy awareness, service provider knowledge and skills, facility capacity and preparedness, quality of care and community knowledge and perceptions. The brief concludes with recommendations based on these findings.

Adolescent Sexual And Reproductive Health Situation: Insights From The 2014 Kenya Demographic And Health Survey, Francis Obare, George Odwe, Harriet Birungi

Reproductive Health

The 2015 Kenya National Adolescent Sexual and Reproductive Health Policy recognized the importance of addressing adolescent sexual and reproductive health (SRH) needs for achieving the country’s development goals. Although estimates from the 2014 Kenya Demographic and Health Survey (DHS) show the country registered improvements in key reproductive, maternal, and child health outcomes, adolescent outcomes likely remain poor given the challenges associated with adequately addressing their sexual and reproductive health needs. This report presents findings of further analysis of the 2014 Kenya DHS on key SRH outcomes among adolescent girls and boys 15 to 19 years old in Kenya. Understanding the …

Développer Les Compétences De Protection Des Filles: Ensemble D’Outils Pour La Conception D’Un Programme, Population Council

Poverty, Gender, and Youth

Les adolescentes sont devenues une population cible clé pour les initiatives d'autonomisation, de santé et de développement dans les pays en développement. Cette collection d’outils est destinée aux organisations qui se sont engagées à étendre leurs programmes pour atteindre les sous-catégories de filles et jeunes femmes exclues: les filles les plus pauvres dans les communautés les plus pauvres; les filles âgées de 10 à 14 ans non scolarisées et n’habitant pas avec leur père ou leur mère; ou d’autres sous-catégories de jeunes filles qui sont tout simplement susceptibles d’être laissées pour compte. Cet ensemble contient des outils et des exercices …

Boîte À Outils: Renforcement Des Compétences, Judith Bruce, Sarah Engebretsen, Kimberly Glazer

Poverty, Gender, and Youth

Grâce à un processus appelé «conception intentionnelle», les outils d’apprentissage du Population Council aident à centraliser les besoins des filles. Ces outils s'appuient sur des preuves de la nécessité de maintenir les filles en bonne santé, de les intégrer socialement et de les préparer économiquement. La boîte à outils Renforcement des Compétences du Population Council aide les praticiens, les décideurs et les défenseurs à élaborer un contenu adapté, significatif et positif pour aider des sous-populations spécifiques de filles. La boîte à outils guide les praticiens à travers une série d'étapes qui doivent être suivies pour définir des cibles de bon …

Abriendo Oportunidades Para Alcanzar Mi Plan De Vida: Programa De 5 Meses—8 A 13 Años, Cecilia Garcés

Poverty, Gender, and Youth

Esta es la guía curricular del programa Abriendo Oportunidades del Population Council de Guatemala. Esta guía es para niñas de 8 a 13 años. Este programa de cinco meses ayuda a las niñas a desarrollar pasos para lograr su plan de vida, en módulos sobre los temas siguientes: llevarse bien con otras niñas; conocerse y valorarse a sí mismo; autoestima; derechos humanos; aprendiendo a ser mujer; la fertilidad y el embarazo; reconociendo el peligro; y la importancia del ahorro.

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This is the curriculum guide for the Abriendo Oportunidades program of the Population Council of Guatemala. This guide is for …

Adolescent Girls Empowerment Program (Agep): Savings Account, Population Council

Poverty, Gender, and Youth

Through the Adolescent Girls Empowerment Program (AGEP), the Population Council and partners implemented a social, health, and economic asset-building program for over 10,000 vulnerable adolescent girls aged 10–19 years in Zambia. The AGEP intervention was comprised of three major components: 1) safe spaces groups in which girls met once a week over the course of two years for training on sexual and reproductive health, life skills, and financial education; 2) a health voucher that girls could use at contracted private and public facilities for a package of general wellness and sexual and reproductive health services; and 3) a savings account …

Adolescent Girls Empowerment Programme In Zambia: Qualitative Evaluation Report, Zoe Duby, Chipo Natasha Zulu, Karen Austrian

Poverty, Gender, and Youth

The Adolescent Girls Empowerment Program (AGEP) reaches over 10,000 vulnerable girls 10–19 years old in five urban and five rural sites spread across four provinces in Zambia. The program works to build adolescent girls’ social, health, and economic assets, providing them with key skills and opportunities to help them transition from adolescence to adulthood in a healthy way. This report presents these valuable insight into the views and experiences of girls who were involved in the AGEP program, as well as the perceptions of program mentors, the girls’ parents, and community leaders. In addition, these findings highlight the areas in …

Towards Effective Youth Participation [Arabic], Magued Osman, Hanan Girgis

Poverty, Gender, and Youth

[In Arabic] Egyptian youth amazed the world in 2011 during the 18 days of the January 25 revolution, and again in 2013 during the June 30 revolution, however this has not had a significant impact on their political and social participation. This brief aims to shed light on young people’s participation in the aftermath of these revolutions, which embodied their hopes for greater empowerment and participation. The brief uses data from the second round of the Survey of Young People in Egypt conducted by the Population Council in 2013/2014 in collaboration with the Central Agency for Public Mobilization and Statistics, …

Addressing Adolescent Girls' Vulnerability To Hiv/Aids: Lessons From The Meri Life Meri Choice Project, Sunil Mehra, Rajesh R. Singh, Vandana Nair, K.G. Santhya, A.J. Francis Zavier

Poverty, Gender, and Youth

This report details findings from an assessment of the Meri Life Meri Choice (MLMC) project in India, implemented by MAMTA—Health Institute for Mother and Child, with the support of the Elton John AIDS Foundation. The MLMC project sought to reduce the vulnerability of rural adolescent girls to HIV by enhancing their knowledge about sexual and reproductive matters and equipping them with skills that enable them to address vulnerability to HIV; increasing their utilization of sexual and reproductive health services from the public sector; and developing a supportive environment that enables adolescent girls to adopt protective actions to reduce vulnerability to …

Building Girls' Protective Assets: A Collection Of Tools For Program Design, Population Council

Poverty, Gender, and Youth

Adolescent girls have become a key target population for empowerment, health, and development initiatives in low- and middle-income countries. This collection of tools is intended for organizations that are committed to extending their programs to reach excluded subpopulations of girls and young women—whether they are the poorest girls in the poorest communities, the 10–14-year-old girls who are out of school and not living with either parent, or another subpopulation of young girls who are likely to miss out. The collection contains tools and exercises to help programmers translate evidence on “what works” into girl-centered programming. The resources in this collection …

'Her Future Is Marriage': Young People's Attitudes Towards Gender Roles And The Gender Gap In Egypt, Maia Sieverding, Rasha Hassan

Poverty, Gender, and Youth

This report examines youth gender-role attitudes in Egypt using quantitative data, from the nationally representative Survey of Young People in Egypt 2009 and 2014, which provides a broad overview of youth gender-role attitudes throughout the country and among different subpopulations of youth. Qualitative data complements this analysis by offering a more in-depth view of how young people think about men and women’s roles in society and why they hold these beliefs. The findings also highlight the extent to which conservative attitudes of gender relations may influence practices even in the face of legal change. Gender-role attitudes are a deeply held …

Methodology: Reaching The Most Vulnerable Adolescent Girls, Population Council

Poverty, Gender, and Youth

The objective of the Adolescent Girls Empowerment Programme (AGEP) is to provide vulnerable adolescent girls with needed social, health, and economic assets that they can draw upon to overcome their vulnerabilities and expand their opportunities. As a component of the AGEP evaluation, a household census was conducted in 2013 in the areas where the program was to be implemented. The census revealed that a significant percentage of adolescent girls aged 10–19 contend with multiple levels of socioeconomic vulnerability that include—but are not limited to—geographic remoteness, social isolation, living without parents, living in low-income households, and not attending school. The analysis …

Delaying Child Marriage Through Community-Based Skills-Development Programs For Girls: Results From A Randomized Controlled Study In Rural Bangladesh, Sajeda Amin, Johana Ahmed, Jyotirmoy Saha, Md. Irfan Hossain, Eashita Haque

Poverty, Gender, and Youth

In Bangladesh, where efforts to prevent child marriage have focused on the enforcement of laws and policies, little research exists on what approaches work best to delay marriage and why. To help fill this evidence gap, in 2012 the Population Council and partners embarked on a four-year study to understand whether skills-building approaches to empower girls can delay marriage in three districts in southern Bangladesh where child marriage rates are high. The BALIKA project reported here is the first rigorously evaluated study to provide evidence on approaches to delay child marriage in Bangladesh. BALIKA results show that programs that educate …