Public Health Commons^™

Effect Of An Improved Biomass Stove On Acute Lower Respiratory Infections In Young Children In Rural Nepal: A Cluster-Randomised, Step-Wedge Trial, James M. Tielsch, Joanne Katz, Subarna K. Khatry, Laxman Shrestha, Patrick N. Breysse, Scott L. Zeger, +5 Additional Authors

Global Health Faculty Publications

Background

Acute lower respiratory infections (ALRI) are an important cause of death in young children in low income countries. High concentrations of fine particulate matter (PM2.5) indoors caused by open burning of biomass are associated with risk of ALRI. However, improved biomass stoves reduce emissions and might reduce the incidence of lower respiratory illness. A cluster-randomised, step-wedge, community-based trial was conducted to estimate the eff ect that a change from open burning of biomass to improved biomass stoves could have on rates of ALRI in children younger than 36 months in a rural area of southern Nepal.

Methods

Households were …

Law & Healthcare Newsletter, Vol. 23, No. 2, Spring 2016

Law & Health Care Newsletter

No abstract provided.

Sex, Milk, And Cookies: Tackling Sexual Health Promotion On A Catholic College Campus, Mary Franz

All College Thesis Program, 2016-2019

A great divide exists among parents, policy makers, educational institutions, and the public at large regarding how to prevent the negative consequences of sexual activity among young adults. Some educators believe that sex education programs should promote abstinence as the best behavioral goal for students; however, a more intense debate surrounds whether this should be the only message that adolescents receive about sex or just one element of a more comprehensive view of sexuality and informed sex choices. Catholic colleges face a particularly difficult challenge in deciding what information to provide to students and more significantly, which topics to avoid …

Promoting Access To Condoms For Youth In Mississippi Through Community Interventions, Harvard Law School Mississippi Delta Project

Delta Directions: Publications

This report is written in collaboration with Mississippi First to assist them in their efforts to increase access to condoms for adolescents and young adults in Mississippi, with a particular focus on the Delta Region. Spurred by high rates of teen pregnancy and sexually transmitted infections in the state, Mississippi First has long been working to empower Mississippi youth by giving them the knowledge and means to make informed decisions. In 2014, Mississippi First created the Mississippi Youth Council (“MYCouncil”) to “ensure that young people in Mississippi have a voice in the debate around their sexual and reproductive health, education, …

Tools And Methods For Zika Prevention In Cachoeira, Bahia, Florence Tesha

Independent Study Project (ISP) Collection

Zika virus, which is mainly transmitted by Aedes aegypti and Aedes albopictus mosquitoes, has become a major health threat in Brazil and other Latin American countries. Brazil is the country that is being most impacted with zika virus in addition to the existing mosquito-borne diseases of dengue and chikungunya. With the increase in zika virus infections, there have also been increasing numbers of infant brain abnormalities such as microcephaly associated to zika. International and local health institutions are working together to control and prevent zika transmission. This project aimed to investigate the various tools and methods employed by the Center …

Neglect Amidst The Zika Epidemic: A Case Study On The Reach Of Government Campaigns And Resources In Quilombo Community Praia Grande, Bahia, Jenna Sherman

Independent Study Project (ISP) Collection

In response to the ongoing Zika epidemic in Brazil, a nationwide campaign has recently been launched targeting the eradication of mosquitoes, preventing the contraction of Zika, and deterring pregnancies. Many remote areas of Brazil, however, may not be being reached by these campaigns or resources to the same extent as more urban or affluent areas of Brazil—despite the existence of the universal healthcare system Sistema Único de Saúde (SUS). My objective, therefore, is to assess which media and on-ground campaigns regarding Zika have reached the minute island town of Praia Grande—a rural fishing Quilombo community of approximately 2,000 occupants off …

Obstetric Violence Within The Brazilian Healthcare System: A Critical Analysis Of The Childbirth Narratives Of Tupinambá Indigenous Women From The Olivença, Ilhéus Community, Cassandra Fareira

Independent Study Project (ISP) Collection

The objective of this research project is to hear the personal narratives of Tupinambá Indigenous Brazilian women living in the Olivença community in Ilheus, Bahia regarding their experiences giving birth in order to discern the prevalence of various forms of obstetric violence within their experiences. In the context of this study the term "obstetric violence," derived from an extensive literature review, encompasses 1) physical abuse, 2) the unethical imposition of medical interventions, 3) the denial or lack of privacy, 4) undignified care which includes verbal abuse, 5) discrimination, 6) abandonment, neglect or the refusal to grant assistance, 7) detention in …

El Método Anticonceptivo Implante Subdérmico Para Prevenir La Repetición Del Embarazo Adolescente En La Provincia De Tucumán, Madelaine Hack

Independent Study Project (ISP) Collection

Información Contextual: El método anticonceptivo implante subdérmico se utiliza para prevenir la repetición del embarazo adolescente entre mujeres de 14 a 24 años de edad que no tienen cobertura de salud (es decir, sin cobertura de una obra-social o pre-paga) y que han tenido un evento obstétrico (parto o aborto) en los últimos 12 meses. La prevención del segundo embarazo adolescente es una línea estratégica sumamente importante porque la tasa de embarazo adolescente ha mantenido su valor cercano al 15% por los últimos 20 años. En el caso particular de la provincia de Tucumán, está presenta un contexto interesante lo …

The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis

Independent Study Project (ISP) Collection

The dai, once a prominent figure in Indian maternal health, now faces marginalization as the government of India adopts the goal of universal institutional delivery. Under pressure from international discourse that Skilled Birth Attendants (SBAs) were more effective at lowering Maternal Mortality Rate (MMR) than Traditional Birth Attendants (TBAs) like dais (World Health Organization), dai training was discontinued and left in the hands of NGOs, while concurrently women and ASHAs were monetarily incentivized for every institutional birth (Park, 419). Yet in rural, isolated, or hilly areas like Okhalakanda block in Uttarakhand, institutional delivery is a long way from universal—only …

A Qualitative Investigation On The Effects Of The Uttar Pradesh Population Policy On Women Who Undergo Sterilization In Bahraich, Uttar Pradesh, Anna Wadhwani

Independent Study Project (ISP) Collection

The effectiveness of population policies is widely disputed by the international development community and is under constant scrutiny. While these policies have the potential to positively affect reproductive and child health indicators, they often focus too heavily on macro-demographic family planning goals and fail to acknowledge socioeconomic determinants of fertility indicators, often making for ineffective policy. Furthermore, target-based approaches have the potential to negatively impact women’s family planning choices and the quality of care they receive. This study seeks to analyze how the Uttar Pradesh Population Policy affects the decision-making process and experiences of women who undergo sterilization procedures in …

The Dawn Of De-Extinction. Are You Ready? Ted Talk Annotated Resource List, Benjamin Paul Watson

Undergraduate Research Award

No abstract provided.

Better Together

DePaul Magazine

Faculty have taken full advantage of the university's innovative intercollegiate grant program, and the resulting research is as interesting and diverse as the collaborators themselves. What is resulting is research on "Patient and Primary Care Provider Perspectives on Recreational and Therapeutic Cannabis Use Within a Changing Socioculltural and Political Context;" a new minor in climate change science and policy; a new class, Communication, Coding and Entrepreneurship; brain inflammation research; and the project "Cosmology Meets Continental Philosophy: Natural Laws and Why There Is Something Rather Than Nothing"

Analyzing Shared Value And Social Business Principles: A Case Study Of Honeydrop Beverages And Seven Hills Foundation, Sarah Dys, Maya Grevatt, Brianna Mirabile

School of Professional Studies

Can the business world come together with the nonprofit world to create systems to lift low income women, children, and families out of poverty? The following report aims to show how the changing principles of business have the potential to serve international populations living on less than $2USD per day. For-profit organizations working with citizen sector organizations instead of giving charity provides a sustainable model to connect profit maximization with social good.

Honeydrop Beverages is a company based out of New York that produces lemonade sweetened with honey. Their products do not contain any refined products, only using fresh and …

Nursing [Career Paper], Hannah Garrett

Undergraduate Research Award

No abstract provided.

The Feminization Of Hiv/Aids In Yunnan, China, Leah Pinckney

Independent Study Project (ISP) Collection

The feminization of HIV is a global phenomenon in which more women are becoming HIV-positive. This not only has tragic consequences for those women but also signifies how HIV transmission in China is changing. Increased sexual transmission has given HIV the ability to move from at-risk groups, such as intravenous drug users and commercial sex workers, to the general population. Despite China’s improved health policies and programs about HIV, this situation poses a serious public health issue allowed to perpetuate because of societal problems surrounding gender. These problems are compounded by socioeconomic inequality brought upon by economic change. While much …

Educación Del Paciente Para El Auto Cuidado De La Diabetes En El Centro De Salud De Primaria Atención: Villa Verde En Partido De Pilar, Buenos Aires, Ethan Leigner

Independent Study Project (ISP) Collection

Vivir con diabetes cambia toda la vida de una persona. Sin el conocimiento de su autocuidado, el paciente tiene poca oportunidad de seguir viviendo la vida que desean. Sin educación adecuada, los diabéticos probablemente desarrollarán complicaciones que pueden conducir a problemas de salud muy graves y costosos. La prevalencia de diabetes ha ido en aumento en Argentina, y una estrategia efectiva para educar a los pacientes en el autocuidado es más necesaria ahora que nunca. Con un proceso eficiente de orientar a los pacientes a través del autocuidado, Argentina puede manejar mejor a largo plazo el efecto de diabetes y …

A Comparative Study Of Women’S Health Care: Non-Syrian Refugee Women Living In Amman And Syrian Refugee Women Living In Refugee Camps, Megan Kerstein

Independent Study Project (ISP) Collection

The purpose of this study is to compare access and quality of women’s health care in Amman for non-Syrian refugee women and women’s health care in Syrian refugee camps. I also sought to understand how women’s health care could be improved in both Amman and in Syrian refugee camps. I hypothesized that Syrian refugee women in camps will have less access and lower quality women’s health care since refugee camps’ funding is limited, making medical equipment and women’s health care providers short. Since women in Amman often have more stable family situations and jobs, I thought they would have more …

Los Factores Influyentes En Las Perspectivas De Aborto De Los Estudiantes Universitarios En Santiago, Chile: Desde Lo Conservador A Lo Contrario, Victoria Albert

Independent Study Project (ISP) Collection

Research Question: What factors influence the pro-life and pro-choice perspectives of university students in Santiago, Chile? What are these perspectives? Objectives: The general objective of this study is to describe the pro-life and pro-choice perspectives on abortion held by university students in Santiago, Chile, and to describe how factors such as feminism, religion, and the right to life influence these views today. The specific objectives of this study are to define and analyze the way in which these factors work to influence students’ perspectives, as well as identify what percentage of students currently support various types of abortion.

Background: Chile …

Comparing Global Alcohol And Tobacco Control Efforts: Network Formation And Evolution In International Health Governance, Uwe Gneiting, Hans Peter Schmitz

School of Leadership and Education Sciences: Faculty Scholarship

Smoking and drinking constitute two risk factors contributing to the rising burden of non-communicable diseases in low- and middle-income countries. Both issues have gained increased international attention, but tobacco control has made more sustained progress in terms of international and domestic policy commitments, resources dedicated to reducing harm, and reduction of tobacco use in many high-income countries. The research presented here offers insights into why risk factors with comparable levels of harm experience different trajectories of global attention. The analysis focuses particular attention on the role of dedicated global health networks composed of individuals and organizations producing research and engaging …

A Framework On The Emergence And Effectiveness Of Global Health Networks, Jeremy Shiffman, Kathryn Quissell, Hans Peter Schmitz, David L. Pelletier, Stephanie L. Smith, David Berlan, Uwe Gneiting, David Van Slyke, Ines Mergel, Mariela Rodriguez, Gill Walt

School of Leadership and Education Sciences: Faculty Scholarship

Since 1990 mortality and morbidity decline has been more extensive for some conditions prevalent in low- and middle-income countries than for others. One reason may be differences in the effectiveness of global health networks, which have proliferated in recent years. Some may be more capable than others in attracting attention to a condition, in generating funding, in developing interventions and in convincing national governments to adopt policies. This article introduces a supplement on the emergence and effectiveness of global health networks. The supplement examines networks concerned with six global health problems: tuberculosis (TB), pneumonia, tobacco use, alcohol harm, maternal mortality …

The Global Health Network On Alcohol Control: Successes And Limits Of Evidence-Based Advocacy, Hans Peter Schmitz

School of Leadership and Education Sciences: Faculty Scholarship

Global efforts to address alcohol harm have significantly increased since the mid-1990s. By 2010, the World Health Organization (WHO) had adopted the non-binding Global Strategy to Reduce the Harmful Use of Alcohol. This study investigates the role of a global health network, anchored by the Global Alcohol Policy Alliance (GAPA), which has used scientific evidence on harm and effective interventions to advocate for greater global public health efforts to reduce alcohol harm. The study uses process-tracing methodology and expert interviews to evaluate the accomplishments and limitations of this network. The study documents how network members have not only contributed to …

The Emergence And Effectiveness Of Global Health Networks: Findings And Future Research, Jeremy Shiffman, Hans Peter Schmitz, David Berlan, Stephanie L. Smith, Kathryn Quissell, Uwe Gneiting, David Pelletier

School of Leadership and Education Sciences: Faculty Scholarship

Global health issues vary in the amount of attention and resources they receive. One reason is that the networks of individuals and organizations that address these issues differ in their effectiveness. This article presents key findings from a research project on the emergence and effectiveness of global health networks addressing tobacco use, alcohol harm, maternal mortality, neonatal mortality, tuberculosis and pneumonia. Although networks are only one of many factors influencing priority, they do matter, particularly for shaping the way the problem and solutions are understood, and convincing governments, international organizations and other global actors to address the issue. Their national-level …

Trends In Contraceptive Use, Type, And Distribution Following Implementation Of The Affordable Care Act, Frank A. Catrone

Master of Public Health Program Student Publications

Background: Over half of all births in the United States are the result of unintended pregnancies. Nearly one half of those women are using contraception incorrectly, and the rest are not using it at all. A major barrier to the use of highly effective methods of contraception is cost. One of the major goals of The Patient Protection and Affordable Care Act (ACA) was to make highly effective contraceptives available to all women at no cost.

Objective: To examine the changes in utilization and methods of contraception since the ACA was effected in 2012.

Methods: Comparisons were made on summary …

Doc Wayne Youth Services, Inc. Capstone Project Youth Employment And Mentoring, Bongani T. Jeranyama, Zhengjun Liu, Sarah Parsons

School of Professional Studies

In Boston, Massachusetts, young adults age 16-19 who have dropped out of high school have a very high unemployment rate of 43.8%. Additionally, in the United States of America the difference between a young adult with a high school diploma as opposed to a young adult without a high school diploma in terms of weekly income is $180 USD; between a young adult with a high school diploma versus a young professional with a bachelor’s degree is $433 USD. These numbers demonstrate the need for services that improve academic achievement, job readiness and preparedness, and youth mentorship for struggling young …

A Nonprofit Model In A For-Profit World: A Closer Look At Sheltered Workshops And Sustainability As An Employee Run Business, Bing Jang, Mitchell Perry, Nikolin Vangjeli, Laura Ducharme

School of Professional Studies

Historically, society has tended to isolate and segregate individuals with intellectual and developmental disabilities. Despite improvements such forms of discrimination continue to be a serious social problem. On October 11, 2011, the Department of Justice began an investigation into several state’s systems of providing vocational services to individuals with intellectual and developmental disabilities. This action came about due to several states being out of compliance around Title II of the Americans with Disabilities Act (ADA). Title II of the ADA prohibits discrimination on the basis of disability for all services, programs and activities provided to the public by state and …

Building The United Health Services Palliative Medicine Service, Emily Tier

Capstone Projects 2015-Present

As part of UHS, the largest comprehensive healthcare system in the Southern Tier of New York State, the UHS Palliative Medicine Program serves patients with serious, chronic, and/or terminal illnesses, such as cancer, dementia, heart disease, and lung disease. Staffed by an interdisciplinary team of physicians, nurse practitioners, and social workers, the program takes a holistic approach to the management of these illnesses, with the goal of maximizing quality of life through the end of life. The program works to help patients at any age and at any stage of illness to: • Understand their options • Manage their symptoms, …

The Efficacy Of The Influenza Vaccine And The Implications On Vaccination Policy, Alexandra Dipietro

Honors Senior Capstone Projects

The purpose of this paper is to examine the efficacy of the influenza vaccine and its implication on vaccination policy as maintaining or increasing vaccination efficacy is important to public health intervention against this virus. To achieve this purpose a literature review will be conducted based on peer-reviewed research to examine current vaccination policy, efficacy of the influenza vaccine, approaches to improve efficacy, and the gap between vaccination policy and scientific evidence.

Suicidal Ideation In Patients Hospitalized For Emergency Medical Treatment Related To Physical Trauma: Effects Of Posttraumatic Stress And Depression, Erin E. Carney

Masters Theses & Specialist Projects

Survivors of physical trauma may be at increased risk for developing suicidal ideation and behavior both during and after their inpatient hospitalization for medical treatment of wounds. It remains to be understood why a population hospitalized for nonpsychiatric reasons may ultimately develop a desire to take their own life. The current study sought to answer this question by hypothesizing that symptoms of posttraumatic stress (PTS) and depression during the recovery period individually mediated the relationship between physical pain and suicidal ideation. Researchers assessed these relationships in 246 patients who were receiving emergency medical treatment for wounds associated with a physically …

Why Children, Adults And The Elderly Are Living On The Streets In Moroccan Cities And What Morocco Is Doing About It., Nora Charidah

Independent Study Project (ISP) Collection

The aim of this independent study project is to explore the determinants of homelessness in the cities of Morocco, more specifically in Rabat,Casablanca and Salé, and how Non-Governmental Organizations (NGO’s) are working to eradicate this epidemic. Poverty, Dysfunctional Families, Mental Illness and Addiction can all be causes as well as results of homelessness; all of these factors have the potential of seriously affecting individuals throughout the entirety of their life. Children, Adults and the Elderly are all affected by poverty throughout Morocco yet street children and the rural impoverished are the populations of the homeless where most research predominately focuses. …

Validity Of Home-Based Sonographic Diagnosis Of Obstetric Risk Factors By Auxiliary Nurse Midwives In Rural Nepal, Naoko Kozuki, Luke C. Mullany, Subarna K. Khatry, Ram Ghimire, Sharma Paudel, James M. Tielsch, +5 Additional Authors

Global Health Faculty Publications

Background

Approximately 2·3 million fetal, neonatal, or maternal deaths occur annually during the intrapartum period or on the day of birth. Several risk factors for intrapartum-related complications require ultrasonography for accurate diagnosis, but sonographic services are scarce in low-resource settings. In this study, we aimed to assess the feasibility of community-based ultrasonography conducted by auxiliary nurse midwives to identify basic obstetric risk factors, in rural Sarlahi District, Nepal. We aimed to assess the validity at which these health workers can detect noncephalic position, multiple gestation, and placenta previa and to explore whether sonographic diagnosis could improve outcomes for women with …