Public Health Commons^™

A Synthesis Of Research Findings On Quality Of Services In The Indian Family Welfare Programme, Gillian H.C. Foo

Reproductive Health

In recent years, there has been growing recognition among researchers and policymakers that the quality of care provided by family planning (FP) programs in developing countries is an important determinant of whether couples adopt contraception and continue as contraceptive users, or whether these programs are underutilized. A major initiative to identify and implement improvements in the quality of services within the Indian program calls for a systematic analysis, organization, and presentation of the available data to the policymakers and program managers concerned. Additional data is also required on issues such as user's perception of quality of care, the relative importance …

A Model Of Costs Of Rti Case Management Services In Uttar Pradesh, Saumya Ramarao, John Townsend, M.E. Khan

Reproductive Health

The Government of India has adopted a Reproductive and Child Health (RCH) approach as the basis of its new family welfare policy. One component of RCH is management of reproductive tract infections (RTIs). The Population Council's Asia and the Near East Operations Research and Technical Assistance (ANE OR/TA) Project, in collaboration with the State of Uttar Pradesh, Ministry of Health and Family Welfare, is conducting a study on the feasibility and cost of providing RTI case management at the primary-care level. The estimated annual cost of RTI case management at the district level would be about US$64,000. From the analysis, …

Inopal Ii Final Report, Population Council

Reproductive Health

The goal of the Population Council's “Investigación Operacional en Planificación Familiar y Atención Materno-Infantil para América Latina y el Caribe” (INOPAL) program was to conduct operations research and provide technical assistance to improve the coverage, quality, and sustainability of family planning (FP) services in Latin America and the Caribbean. INOPAL II was the successor to INOPAL I (1984–1989). Like its predecessor, INOPAL II was supported by a contract from the USAID Office of Population, when it was replaced by a new USAID-funded project, INOPAL III. INOPAL II objectives included: expanding access to FP services, improving the operations of programs by …

Male Involvement In Family Planning: A Challenge For The National Programme Workshop, National Institute Of Population Research And Training, Deutsche Gesellschaft Fur Technische Zusammenarbeit (Gtz), Population Council, Avsc International

Reproductive Health

The Bangladesh family planning (FP) program has achieved success in reducing fertility during the past decades, but male involvement is lagging behind. A two-day seminar on "Male Involvement in Family Planning: A Challenge for the National Programme" was held in Dhaka June 25–26, 1996. The objectives were to review research findings on methods currently used, determine male involvement policy and strategy, and formulate an action plan including IEC, counseling, and programmatic interventions. Speakers emphasized the need for more male involvement in FP and the prevailing misconceptions about male contraception that should be addressed with IEC programs. Participants felt that to …

Communications Needs Assessment In Egypt: Final Report, Sahar Hegazi

Reproductive Health

The recently approved dissemination strategy of the Population Council's ANE OR/TA Project aims to improve the communication process for diffusing study results, enhance their utilization, and institutionalize the operations research communications methods in each of the ANE OR/TA countries. A communications needs assessment was conducted to re-examine the target audiences, define the type of messages each responds to best, identify the most appropriate mix of media for transmitting those messages, and consolidate linkages with other communications professionals working within related fields. This exercise was conducted in Egypt between January and March 1996. The methodology was based on conducting in-depth interviews …

Indonesia Norplant® Removal Assessment Study, Andrew A. Fisher, Joedo Prihartono, Jayanti Tuladhar, Anthony Tan

Reproductive Health

The Indonesia Norplant® Removal Assessment Study was prepared for the World Bank and USAID/Indonesia. All women interviewed had Norplant (contraceptive implant) inserted for five or more years before the interview. For the entire sample, 8.2 percent had not yet had Norplant removed at the time of the interview. This report indicates a very high continuation rate for each Norplant insertion cohort from 1987 through 1991. Almost all Norplant users continue through the fourth year. Between the end of the fourth year and the end of the fifth year, there is a sharp drop in use from 90 percent to 66 …

Indonesia: Utilization Of Completed Operations Research Studies, Meiwita B. Iskandar, Subadra Indrawati

Reproductive Health

In the past eight years, many operations research (OR) programs were implemented in Indonesia to increase the availability, accessibility, and acceptability of services desired by family planning (FP) users. OR has also been employed to improve quality and sustainability by studying the performance, efficiency, and effectiveness of services delivered by providers. Nonetheless, relatively little is known about the true effects of OR studies in identifying and solving program problems in order to support the planning and coordinating of a particular program. Measuring utilization of OR results is not simple. In 1989, USAID signed its last bilateral assistance agreement with the …

Lactational Amenhorrhoea Method For Birth Spacing In Uttar Pradesh, India: Supporting Technical Data, Leila Caleb-Varkey, John Townsend

Reproductive Health

Following the International Population and Development Conference in Cairo, there has been widespread consensus in the international community that family planning (FP) programs must be people-centered and focus not just on contraception, but on the reproductive health (RH) of men and women throughout their lives. This policy brief reviews the research and policy implications of promoting the Lactational Amenorrhea Method (LAM) as a component of FP counseling in India. The Government of India and the Population Council are using a pregnancy-based approach in Uttar Pradesh to improve the delivery of FP services through the rural primary health care system. Introducing …

Communications Needs Assessment: India, Sanjeev Kumar

Reproductive Health

“Needs assessment” refers to the process of assessing needs—of services, products, or information. The objectives of this communications needs assessment report are to identify policymakers and program managers’ specific information needs; to refine project audience segments according to information needs; and to assess current ANE OR/TA dissemination activities in India. Currently the ANE OR/TA Project is using many conventional and some innovative channels to reach a diverse audience, including: research summaries, final reports, policy briefs, working papers, personal communication with decisionmakers, workshops and seminars, OR home page on the Internet, and local and national media. To assess the information needs …

Proceedings Of The Operations Research Training Workshop: Mainstreaming Nfp In The Public Sector, August 15-18, 1996, Family Planning Service, Philippine Federation For Natural Family Planning, The Family Planning Operations Research And Training (Fport) Program, Population Council

Reproductive Health

This report summarizes the proceedings of the “Operations Research Training Workshop: Mainstreaming Natural Family Planning in the Public Sector,” held August 15-18, 1996, in Boracay, Aklan, Philippines. The workshop was sponsored by the Philippine Federation for Natural Family Planning (NFP), the Family Planning Service of the Department of Health, and the Family Planning Operations Research and Training (FPORT) Program of the Population Council, Manila. Program managers and health officials were trained in operations research (OR) to enhance their understanding and appreciation of OR and its role in integrating NFP technology in the public health sector. Results of several diagnostic and …

Dmpa Injectable Use: Findings From The 21-Month Dmpa Monitoring Study, Population Council

Reproductive Health

This report presents the results of the DMPA Monitoring Study undertaken by the Population Council, Manila, as a technical assistance project for the DMPA Reintroduction Program of the Department of Health. The primary objective is to provide data on DMPA utilization and continuation rates to project the logistical needs of the program during the next three years. Data on availability of DMPA supplies and IEC (information, education, and communication) materials relating to DMPA were also monitored to provide some measure of effectiveness of the program's distribution system. The study covers a 21-month observation period from April 1994 to December 1995 …

Proceedings Of The Operations Research Workshop For Lgu Health And Population Officials And Researchers, August 9-13, 1996, Family Planning Service, The Family Planning Operations Research And Training (Fport) Program, Population Council

Reproductive Health

This report summarizes the results of the training workshop for health and population officials and researchers who gathered in Boracay, Aklan, Philippines, on August 9-13, 1996, to discuss the tenets and applications of operations research (OR). This workshop was co-sponsored by the Family Planning Service of the Department of Health (DOH) and the Family Planning Operations Research and Training Program of the Population Council, Manila. Fourteen local government units (LGUs) were represented in the workshop: Benguet, Cagayan, Ilocos Sur, Tarlac, Quezon City, Capiz, Negros Oriental, Bacolod, Misamis Oriental, Davao del Sur, Davao City, Maguindanao, North Cotabato, and South Cotabato. They …

Women's Experiences Of Unwanted Pregnancy And Induced Abortion In Nigeria, Friday E. Okonofua, Clifford Odimegwu, Bisi Aina, Patrick H. Daru, Agnes Johnson

Reproductive Health

A population-based study was conducted to determine the prevalence and pattern of abortion use among women in two communities of Nigeria. The results show a high frequency of reports of unwanted pregnancy and induced abortion among the women. Furthermore they suggest that detailed information can be obtained on abortion in areas with restrictive laws if a sensitive approach to interviewing is adopted. The results presented in this report have implications as the Nigerian government begins designing a set of realistic policies and programs to address the high rate of morbidity and mortality associated with induced abortion in that country. The …

What's Sex Got To Do With It? Challenges For Incorporating Sexuality Into Family Planning Programs, Kirsten Moore, Judith F. Helzner

Reproductive Health

In February 1996, IPPF/WHR and the Population Council’s Ebert Program on Critical Issues in Reproductive Health jointly hosted a meeting on the challenge of incorporating sexuality into family planning. This report was compiled after organizers concluded that the ideas and strategies presented during the meeting merited wider recognition and debate within the family planning field. The meeting examined five myths that have prevented family planning and reproductive health services from dealing directly with issues of sexuality and gender. The report draws principally on the discussions from the meeting as well as on the perspectives of the organizers. The authors hope …

Les Rechutes De Lésions Professionnelles De 1991 : Une Analyse Des Données De La Csst : Résumé, Michèle Gervais, Jacques Cousin

Rapports de recherche scientifique

No abstract provided.

Évaluation Des Classes De Dos (Back-School) Dans Le Traitement Des Affections Vertébrales Lombaires Aiguës Par Étude Contrôlée Avec Randomisation, Richard Leclaire, Michel Dupuis, Roland Proulx, John M. Esdaile, Michel Rossignol, Samy Suissa

Rapports de recherche scientifique

No abstract provided.

Incidence Du Syndrome Du Canal Carpien Selon La Profession Sur L'Île De Montréal Et Distribution Des Facteurs De Risque, Michel Rossignol, Susan Stock, Louis Patry, Benedict Armstrong

Rapports de recherche scientifique

Chaque année, près de 1 adulte sur 1, 000 résidant à Montréal, subira une intervention chirurgicale pour le syndrome du canal carpien (SCC), ce qui représente aux alentours de 1, 000 personnes. Le ratio femme: homme est de trois pour un et l'incidence chez les femmes de plus de 45 ans est plus du double de la moyenne. Les personnes opérées pour le SCC rapportent des symptômes typiques du SCC, aux mains et aux poignets, qui évoluent depuis 2 ans en moyenne au moment de l'opération. La quasi-totalité de ces personnes rapportent des problèmes à effectuer des tâches de la …

Impact De L'Avance En Âge Sur Les Scénarios D'Accidents Et Les Indicateurs De Lésions Dans Le Secteur De La Santé Et Des Services Sociaux - Tome 2 : Figures, Esther Cloutier, Patrice Duguay

Rapports de recherche scientifique

No abstract provided.

Révision Des Catégories Professionnelles Utilisées Dans Les Études De L'Irsst Portant Sur Les Indicateurs Quinquennaux De Lésions Professionnelles, François Hébert, Patrice Duguay, Paul Massicotte, Micheline Lévy

Rapports de recherche scientifique

No abstract provided.

Impact De L'Avance En Âge Sur Les Scénarios D'Accidents Et Les Indicateurs De Lésions Dans Le Secteur De La Santé Et Des Services Sociaux - Tome 1 : Rapport Et Tableaux, Esther Cloutier, Patrice Duguay

Rapports de recherche scientifique

No abstract provided.

Issues In Essential Obstetric Care, Diana Measham, Virginia Kallianes

Reproductive Health

This report summarizes the proceedings of a meeting on essential obstetric care (EOC) convened by the Population Council on behalf of the Inter-Agency Group for Safe Motherhood (IAG). This technical meeting was held to clarify the definition of EOC, bridge the gap between research and program planning, and stimulate field-level activity. The president of the Population Council closed and summarized the meeting by noting that the IAG is making progress, but that work remains to be done. Progress will begin to occur more rapidly when we are able to prove that lives have been saved and to state definitively that …

Our Hearts Were Once Young And Gay: Health Care Rationing And The Elderly, George P. Smith Ii

Scholarly Articles

Although there exists no rigid guideline delineating society's obligation to provide health care, at a minimum Americans are entitled to an adequate level of care without excessive burdens being placed upon them. Fulfilling this ostensibly simple mandate, however, presents an enormous challenge. The need to allocate limited financial and human resources increasingly clashes with the moral desire to provide health care resources to elder Americans beyond their years of economic productivity. As a result, health care professionals face the difficult task of weighing against society's other priorities the efficiency of distributing limited health care resources to the elderly. This demand …

Mission Impossible? International Law And Infectious Diseases, David P. Fidler

Articles by Maurer Faculty

No abstract provided.

Analytical Perspectives On A Protohistoric Cache Of Ceramic Jars From The Lower Colorado Desert, James M. Bayman, Richard H. Hevly, Boma Johnson, Karl J. Reinhard, Richard Ryan

Karl Reinhard Publications

A cache of hermetically sealed ceramic jars found in the Lower Colorado Desert was examined using chronometric dating, pollen and macrofossil extraction, design analysis, and water retention experimentation. The cache apparently dates to the protohistoricfifteenth through seventeenth centuries. Findings from these studies contribute to knowledge in four problem areas: (1) ceramic jar function and use-history; (2) storage technology and caching behavior; (3) ceramic dating and chronology; and (4) symbolic iconography. Biotic remains from inside the jars document their use for transporting a variety of riverine and desert plants, before they were finally filled with flowers and seeds, and placed in …

An Epidemiologic Investigation Of The Possible Association Between Maternal Diabetes And Maternal Hypertension And Placental Infection With Ureaplasma Urealyticum., Richard Joseph Sinsky

All ETDs from UAB

No abstract provided.

Cancer In Northeast Louisiana: 1988-1992, Volume 8, Issue 9, Louisiana Tumor Registry, Vivien W. Chen, Patricia A. Andrews, Catherine N. Correa, Xiao-Cheng Wu, Lawrence S. Baum, Judith H. Thomas, Melanie Byargeon

Policy & Position Papers

Mission:

To collect and report complete, high-quality, and timely population-based cancer data in Louisiana to support cancer research, control, and prevention.

Vision:

To reduce suffering and death from cancer using information collected by the Louisiana Tumor Registry.

History:

Cancer registration in Louisiana began in 1947 at the Charity Hospital Tumor Registry in New Orleans. In 1974, as part of its Surveillance, Epidemiology and End Results (SEER) Program, the National Cancer Institute provided funds for a population-based cancer incidence and survival registry covering Jefferson, Orleans, and St. Bernard parishes. Five years later, the Louisiana Tumor Registry (LTR) was transferred to the …

The Effect Of Resistance Training For Cardiac Patients On Activities Of Daily Living, Amanda Clare Benson

Masters Theses

No abstract provided.

Determinants Of The New Entry Of Hmos Into A Medicare Risk Contract: A Resource Dependence-Diversification Model, Chih-Wen Pai

Theses and Dissertations

The purpose of this study is to examine the determinants of the new entry of an HMO into a Medicare risk contract using a resource dependence—diversification model. This study is conducted through a non-experimental, panel design With one year time lag. An HMO’s market is defined as the service area. The primary sample for this study is composed of 440 HMOS that do not have a Medicare risk contract as of January 1994.

Data for the variables are extracted from the 1994 and 1995 InterStudy and Group Health Association of America (GHAA) directories, the 1996 Area Resource File, the 1994 …

God's Perspectives On Health, P. Gerard Damsteegt

Faculty Publications

As Creator, God knows exactly what it takes to keep the humanbody in excellent health, and because health depends so much onour life-style, God is intimately concerned about how we live. Nowonder, then, that the Bible gives so much sound instruction onhow to maintain our health. As we study God’s Word, we come torealize that many of the current practices of preventive medicinecome straight from Him— medicine is finally catching up with thecounsels of Scripture. Let us take another look at what the Biblesays.

Globalization, International Law, And Emerging Infectious Diseases, David P. Fidler

Articles by Maurer Faculty

The global nature of the threat posed by new and reemerging infectious diseases will require international cooperation in identifying, controlling, and preventing these diseases. Because of this need for international cooperation, international law will certainly play a role in the global strategy for the control of emerging diseases. Recognizing this fact, the World Health Organization has already proposed revising the International Health Regulations. This article examines some basic problems that the global campaign against emerging infectious diseases might face in applying international law to facilitate international cooperation. The international legal component of the global control strategy for these diseases needs …