Open Access. Powered by Scholars. Published by Universities.®
Social and Behavioral Sciences Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Institution
-
- Population Council (2372)
- The Texas Medical Center Library (1392)
- University of Kentucky (976)
- University of Nevada, Las Vegas (939)
- Walden University (900)
-
- Universitas Indonesia (869)
- Old Dominion University (815)
- Himmelfarb Health Sciences Library, The George Washington University (748)
- Boise State University (697)
- Gdansk University of Physical Education and Sport (690)
- Western Kentucky University (633)
- City University of New York (CUNY) (584)
- SIT Graduate Institute/SIT Study Abroad (538)
- Nova Southeastern University (507)
- Portland State University (493)
- Western Michigan University (484)
- University of Nebraska - Lincoln (482)
- The Beryl Institute (474)
- Western University (467)
- University of Arkansas, Fayetteville (458)
- Chapman University (407)
- University of Massachusetts Boston (356)
- WellBeing International (349)
- University of South Florida (316)
- University of North Florida (310)
- Loma Linda University (301)
- Santa Clara University (294)
- Southwestern Oklahoma State University (281)
- Wayne State University (277)
- Edith Cowan University (276)
- Keyword
-
- English (2094)
- Humans (1105)
- COVID-19 (749)
- Mental health (742)
- Reproductive Health (620)
-
- Female (571)
- Depression (520)
- Poverty Gender and Youth (511)
- Male (506)
- Health (503)
- Education (473)
- Family Planning (471)
- Public health (435)
- Adolescents (Female) (410)
- Youth (377)
- India (374)
- Adult (369)
- Women (345)
- Children (340)
- Psychology (332)
- Anxiety (313)
- Western Kentucky University (311)
- Maternal/Newborn/Child Health (310)
- Adolescent (300)
- Stress (298)
- Gender (291)
- Patient experience (289)
- Healthcare (287)
- Kenya (286)
- Physical activity (285)
- Publication Year
- Publication
-
- Reproductive Health (1206)
- Poverty, Gender, and Youth (853)
- Walden Dissertations and Doctoral Studies (816)
- Baltic Journal of Health and Physical Activity (690)
- International Journal of Physical Activity and Health (658)
-
- Faculty, Staff and Student Publications (497)
- Independent Study Project (ISP) Collection (490)
- Patient Experience Journal (474)
- Brain and Mind Institute Researchers' Publications (380)
- Center for Medical Ethics and Health Policy Staff Publications (380)
- Kesmas (359)
- Dissertations (315)
- Publications and Research (311)
- HIV and AIDS (306)
- USF Tampa Graduate Theses and Dissertations (291)
- Dissertations and Theses (274)
- Administrative Issues Journal (271)
- The Journal of Sociology & Social Welfare (260)
- Dissertations and Theses (Open Access) (255)
- Florida Public Health Review (255)
- WKU Administration Documents (253)
- Electronic Theses and Dissertations (251)
- Antioch University Dissertations & Theses (249)
- Psychology Faculty Publications (249)
- Loma Linda University Electronic Theses, Dissertations & Projects (239)
- Theses and Dissertations (238)
- Journal of Health Disparities Research and Practice (226)
- Jurnal Kajian Bimbingan dan Konseling (201)
- Masters Theses (195)
- International Journal of Aquatic Research and Education (192)
- Publication Type
Articles 29791 - 29820 of 33683
Full-Text Articles in Social and Behavioral Sciences
Marriage And Childbirth As Factors In School Exit: An Analysis Of Dhs Data From Sub-Saharan Africa, Cynthia B. Lloyd, Barbara Mensch
Marriage And Childbirth As Factors In School Exit: An Analysis Of Dhs Data From Sub-Saharan Africa, Cynthia B. Lloyd, Barbara Mensch
Poverty, Gender, and Youth
This paper explores the potential importance of marriage and childbirth as determinants of school-leaving in sub-Saharan Africa and identifies some of the common underlying factors that contribute to premature school-leaving and early marriage and childbearing. Results suggests that the reproductive health community should see early marriage as a central area of concern for adolescent reproductive health. Policies that inform parents about the value of starting their children in school on time are likely to have beneficial effects both for grade attainment and for adolescent reproductive health regardless of school quality.
University Of Texas At Tyler Catalog, 2006 - 2008, University Of Texas At Tyler
University Of Texas At Tyler Catalog, 2006 - 2008, University Of Texas At Tyler
Catalogs
No abstract provided.
Graduate Bulletin, 2006-2007 (2006), Minnesota State University Moorhead
Graduate Bulletin, 2006-2007 (2006), Minnesota State University Moorhead
Graduate Bulletins (Catalogs)
No abstract provided.
Information Literacy And Library Attitudes Of Occupational Therapy Students, Daniel G. Kipnis, Msi, Anthony J. Frisby, Phd
Information Literacy And Library Attitudes Of Occupational Therapy Students, Daniel G. Kipnis, Msi, Anthony J. Frisby, Phd
Academic Commons and Scott Memorial Library Staff Papers and Presentations
Information literacy, often described as a person's ability to effectively find and evaluate answers to questions using a variety of information resources, is of particular importance to health care workers. This paper presents the results of an information literacy survey presented to the occupational therapy (OT) students at Thomas Jefferson University during a series of required class activities. Also described are the authors' activities with the faculty and courses at Jefferson. The survey was made available to first-, second-, third-, and fourth-year occupational therapy students along with nursing students and pharmacy students. The survey is designed to identify research habits, …
Combined Inhibitory Effect Of Nisin With Edta Against Listeria Monocytogenes In Soy-Protein Edible Coating On Turkey Frankfurters Stored At 4°C And 10°C, Emily Bennett, T. Sivarooban, N. S. Hettiarachchy, M. G. Johnson
Combined Inhibitory Effect Of Nisin With Edta Against Listeria Monocytogenes In Soy-Protein Edible Coating On Turkey Frankfurters Stored At 4°C And 10°C, Emily Bennett, T. Sivarooban, N. S. Hettiarachchy, M. G. Johnson
Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences
Several food contamination outbreaks are linked to Listeria monocytogenes. More effective methods are needed to prevent the growth and recontamination of L. monocytogenes on ready-to-eat (RTE) food products. Therefore, the objectives of this study were to evaluate the inhibitory activities of nisin (10,000 IU/mL), EDTA (sodium Ethylenediaminetetraacetic acid: 1.6 mg/mL), and the combination of nisin (10,000 IU/mL) with EDTA 1.6 mg/mL either in brain-heart-infusion (BHI) media at 37°C for 72 h or in soy-protein edible coating on the surface of full-fat commercial turkey frankfurters against the cell populations of approximately 106 colony forming units (CFU/mL) of L. monocytogenes. The surface-inoculated …
Drying Of Post-Harvest Rough Rice With Silica Gel: A Preliminary Investigation, Stephen J. O'Brien, Terry J. Siebenmorgen
Drying Of Post-Harvest Rough Rice With Silica Gel: A Preliminary Investigation, Stephen J. O'Brien, Terry J. Siebenmorgen
Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences
Rice drying operations can encounter problems of over drying and losses in head rice yield (HRY) through the formation of fissures. Typical rice drying methods also utilize large volumes of expensive fossil fuels to dry the kernels. Drying of rice with a solid desiccant such as silica gel has several potential advantages that avoid some of these problems. Two cultivars of long-grain rough rice, ‘Cheniere’ and ‘Wells’ with harvest moisture contents of 17.8% and 22.0%, respectively, were dried over a 48-h period with various ratios of rough rice-to-silica gel. It was found that an intimate mixture of 3:1 rough rice …
A Holistic Self-Identity Model, Jacquelyne R. Joens
A Holistic Self-Identity Model, Jacquelyne R. Joens
Graduate Research Papers
Parents, educators, business leaders, political leaders, and mental health professionals all appreciate the impact positive self-esteem has on a person's ability to strive and grow. Self-esteem is a complex, multifaceted component of human existence. It is possible to identify and observe the result of a healthy self-esteem or even the outcome of a damaged self-esteem, but the term self-esteem may be antiquated and no longer exemplary of a complete picture of self. This paper examines research and attempts to define a multi-dimensional model of self-esteem, a Holistic Self-Identity Model, which will help to bring into focus the concept of self-identity …
Hazing: What Ohio High School Teachers, Coaches And Administrators Need To Know, Corinne M. Daprano, Meghan Kenney, Peter J. Titlebaum, Michael Triola
Hazing: What Ohio High School Teachers, Coaches And Administrators Need To Know, Corinne M. Daprano, Meghan Kenney, Peter J. Titlebaum, Michael Triola
Health and Sport Science Faculty Publications
Once thought to be primarily an issue of concern for university fraternities and sororities, hazing has emerged as a disturbing trend with an increase in the number of incidents involving high school student athletes. High school coaches, athletic administrators, and teachers must understand that initiation rites of sport teams can sometimes spiral out of control with grave legal and financial consequences for student athletes and school officials. The purposes of this article are to:
- Define hazing and review the history of anti-hazing legislation in the United States of America.
- Describe hazing laws in the State of Ohio.
- Review current research …
How To Conduct A Coverage Exercise: A Rapid Assessment Tool For Programs And Services, Carey Meyers, Solene Lardoux
How To Conduct A Coverage Exercise: A Rapid Assessment Tool For Programs And Services, Carey Meyers, Solene Lardoux
Poverty, Gender, and Youth
A coverage exercise (CE) is a simple, low-cost, rapid assessment tool that can be used to profile who is reached by a given service or group of service providers or organizations with a common clientele operating within a particular geographic area. This tool was developed by the Population Council to assist programs servicing youth, but it can be used for other beneficiaries as well. A CE collects data on a variety of characteristics including gender, schooling status, living arrangements, work status, and marital status of those benefiting from a program or service. It also enables program staff and managers to …
Biruh Tesfa ('Bright Future'): A Program For Poor, Urban Girls At Risk Of Exploitation And Abuse In Addis Ababa, Ethiopia, Population Council
Biruh Tesfa ('Bright Future'): A Program For Poor, Urban Girls At Risk Of Exploitation And Abuse In Addis Ababa, Ethiopia, Population Council
Poverty, Gender, and Youth
Low-income and slum areas in urban sub-Saharan Africa attract large numbers of rural-urban migrants in search of work and educational opportunities. Many are adolescents from poor rural areas, who risk the hazards of life in the slums in hopes of carving out a better life. These girls arrive knowing little about life in dense urban centers, often with little or no education, and no family members or friends to turn to. Many new arrivals are initially absorbed into domestic work; some eventually drift into sex work either for lack of choice or in pursuit of better pay and fewer working …
Invertir Cuando Hacerlo Cuenta: Generando La Evidencia Base Para Politicas Y Programas Para Adolescentes Muy Jóvenes—Guía Y Juego De Herramientas, Erica Chong, Kelly Hallman, Martha Brady
Invertir Cuando Hacerlo Cuenta: Generando La Evidencia Base Para Politicas Y Programas Para Adolescentes Muy Jóvenes—Guía Y Juego De Herramientas, Erica Chong, Kelly Hallman, Martha Brady
Poverty, Gender, and Youth
No abstract provided.
Is This A Mirror I See Before Me?: Adolescent Girls Use Imaginal Writing To Re-Vision Life Experience: A Dissertation, Cameron L. Marzelli
Is This A Mirror I See Before Me?: Adolescent Girls Use Imaginal Writing To Re-Vision Life Experience: A Dissertation, Cameron L. Marzelli
Expressive Therapies Dissertations
This participant observer collective case study was an investigation of the ways in which an imaginal writing process might facilitate resilience in adolescent girls who had previously used writing to respond to challenging life experience.
Football Media Guide 2006, Indiana State University
Football Media Guide 2006, Indiana State University
Intercollegiate Athletics
No abstract provided.
Women's Basketball Media Guide 2006-2007, Indiana State University
Women's Basketball Media Guide 2006-2007, Indiana State University
Intercollegiate Athletics
No abstract provided.
Initial Evaluation Of Novel Preparations Of Bordetella Avium By Determination Of Antibody Response Titers, Joel Gallagher, Stacy Higgins, Luc Berghman, Billy Hargis
Initial Evaluation Of Novel Preparations Of Bordetella Avium By Determination Of Antibody Response Titers, Joel Gallagher, Stacy Higgins, Luc Berghman, Billy Hargis
Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences
The efficacy of killed vaccines generally is not equal to live vaccines. However, due to safety and ease of production, they remain a vital part of controlling and preventing diseases. In this study, the immune response to four different vaccination preparation techniques for the agent of bordetellosis of turkeys, Bordetella avium (BA), was compared. Preparation/inactivation techniques included (1) formalin inactivation, (2) opsonization of formalin-inactivated BA, (3) buffered acetic-acid BA inactivation, or (4) opsonization of buffered acetic-acid-inactivated BA. Non-adjuvated suspensions containing equal antigen mass were administered subcutaneously (0.2 mL) at day-of-hatch in all cases. For each treatment (N=40/treatment), plasma samples were …
Multiple Disadvantages Of Mayan Females: The Effects Of Gender, Ethnicity, Poverty, And Residence On Education In Guatemala, Kelly Hallman, Sara Peracca, Jennifer Catino, Marta Julia Ruiz
Multiple Disadvantages Of Mayan Females: The Effects Of Gender, Ethnicity, Poverty, And Residence On Education In Guatemala, Kelly Hallman, Sara Peracca, Jennifer Catino, Marta Julia Ruiz
Poverty, Gender, and Youth
Although access to primary education in Guatemala has increased in recent years, particularly in rural areas, levels of educational attainment and literacy remain among the lowest in Latin America. Inequalities in school access and grade attainment linked to ethnicity, gender, poverty, and residence remain. Age trends show that Mayan females are the least likely to ever enroll, and, if they do enroll, start school the latest and drop out earliest. Innovative programs for girls that combine instruction with social interaction in safe local community spaces may increase their educational attainment and their social networks and means of social support. In …
Living Up To Their Name: Profamilia Takes On Gender-Based Violence, Claudia Garcia-Moreno, Rachel E. Goldberg
Living Up To Their Name: Profamilia Takes On Gender-Based Violence, Claudia Garcia-Moreno, Rachel E. Goldberg
Poverty, Gender, and Youth
This issue of Quality/Calidad/Qualité describes the evolution of Profamilia through its work on gender-based violence in the Domincan Republic.Their project was conceived along two simultaneous paths: providing support services directly to women and girls who had experienced violence and initiating advocacy in the wider policy arena. Profamilia joined the commission that ultimately designed and promoted a law to increase protection against violence, especially domestic violence against women and children. Although the clinics now run a dynamic service program, the agency has also sustained its advocacy activities. Most of Profamilia’s advocacy work is undertaken in partnership with other NGOs or with …
Facts About Adolescents From The Demographic And Health Survey—Statistical Tables For Program Planning: Malawi 2000, Population Council
Facts About Adolescents From The Demographic And Health Survey—Statistical Tables For Program Planning: Malawi 2000, Population Council
Poverty, Gender, and Youth
The Population Council initiated its work on adolescents in the mid-1990s. At that time, those advocating greater attention to adolescent issues were concerned about adolescent fertility—particularly outside of marriage—and adolescent “risk-taking” behavior. As an international scientific organization with its mandate centered around the needs of developing countries, the Council sought a more nuanced and context-specific understanding of the problems confronting adolescents in the developing world. In working with colleagues inside and outside the Council, it became clear that information on adolescents, and the way data are organized, were limiting the ability to understand the diversity of their experiences or to …
Integrating Adolescent Livelihood Activities Within A Reproductive Health Programme For Urban Slum Dwellers In India, Population Council
Integrating Adolescent Livelihood Activities Within A Reproductive Health Programme For Urban Slum Dwellers In India, Population Council
Poverty, Gender, and Youth
Although a wide variety of livelihood programs for adult women exist in India, they rarely include adolescent girls. Of those that do, few employ rigorous scientific methods to evaluate program impact. This brief describes a project conducted in slum areas of Allahabad, in Uttar Pradesh. The Population Council, in collaboration with CARE-India, tested the feasibility and impact of adding four livelihoods and life-skill components to a reproductive health program for adolescent girls (both school-going and out-of-school) aged 14–19. Using a quasi-experimental pre- and post-test design that contrasted the experimental group with a comparison group of adolescents, the project investigated whether …
Formation Of Partnerships Among Young Women And Men In Pune District, Maharashtra, Population Council
Formation Of Partnerships Among Young Women And Men In Pune District, Maharashtra, Population Council
Poverty, Gender, and Youth
Aside from their educational attainment, economic activity levels, and age at marriage, little is known about the lives of young people in India, especially the extent to which and the contexts in which they form romantic, marital, and other partnerships or the nature of these partnerships. At a time when India's youth policy and reproductive and child health programs have acknowledged the need to focus on youth, it is central that these gaps in understanding are filled. The KEM Hospital Research Centre and the Population Council conducted a study in Maharashtra in 2003–05 to obtain information on romantic and sexual …
Youth In India: Situation And Needs Study, Population Council
Youth In India: Situation And Needs Study, Population Council
Poverty, Gender, and Youth
Youth aged 15–24 represent 20 percent of the Indian population. This cohort faces significant risks related to sexual and reproductive health (SRH), and many lack the knowledge and power to make informed SRH choices. Information on intimate partnerships among youth, female and male, married and unmarried, is sparse and evidence is practically nonexistent that identifies the factors that protect young people's ability to ensure safe SRH and their autonomy to make informed decisions. This brief describes a subnational study of young people's situation and needs that aims to fill these gaps. Six states were selected for study, representing different geographical …
Tap And Reposition Youth (Try) Program: Providing Social Support, Savings, And Microcredit Opportunities To Adolescent Girls At Risk For Hiv/Aids In Kenya, Joan Hall, Aleke Dondo, Jennefer Sebstad
Tap And Reposition Youth (Try) Program: Providing Social Support, Savings, And Microcredit Opportunities To Adolescent Girls At Risk For Hiv/Aids In Kenya, Joan Hall, Aleke Dondo, Jennefer Sebstad
Poverty, Gender, and Youth
This brief was commissioned by the Population Council to complement its two previous publications on the TRY project. The two previous publications contain data and information essential for understanding the project and its results, although they do not analyze the microfinance component in depth. In contrast, this brief was written by microfinance practitioners for a microfinance audience. In 1998, the Population Council and K-Rep (a Kenyan microfinance institution) developed a microfinance approach to address livelihood-strategy constraints for adolescent girls at risk for HIV/AIDS in an urban slum in Kenya. The initiative was named the Tap and Reposition Youth (TRY) program, …
Measuring Women's Work: A Methodological Exploration, Ray Langsten, Rania Salem
Measuring Women's Work: A Methodological Exploration, Ray Langsten, Rania Salem
Poverty, Gender, and Youth
In this working paper, the authors contrast two approaches to the measurement of women’s work applied to the same population of ever-married women. These women were interviewed on two occasions—first during the 2003 Interim Egypt DHS, and again during the Slow Fertility Transition (SFT) survey conducted in 2004. The DHS uses a standard keyword question to measure work, while the SFT employs an activities list question format. The authors argue that the widely used keyword approaches to measuring women’s work underestimate the level of female labor force activity. They demonstrate that the activities list approach captures a wider range of …
Earthquake Vulnerability Assessment Pakistan, 2005–06, Arshad Mahmood
Earthquake Vulnerability Assessment Pakistan, 2005–06, Arshad Mahmood
Poverty, Gender, and Youth
The 7.6-magnitude earthquake on October 8, 2005, caused a large number of deaths, and left more than 100,000 people injured and an estimated 3 million people displaced or homeless. To assist the Government of Pakistan in the preparation of a rehabilitation plan, the first step was to identify the vulnerable people living in the tent camps. The Population Council completed an assessment survey of the camps in the earthquake area. This assessment is distinctive from the surveys carried out previously, since it collects socio-demographic and vulnerability indicators about each individual. The assessment is useful in tracking the conditions of especially …
Investing When It Counts: Generating The Evidence Base For Policies And Programmes For Very Young Adolescents—Guide And Tool Kit, Erica Chong, Kelly Hallman, Martha Brady
Investing When It Counts: Generating The Evidence Base For Policies And Programmes For Very Young Adolescents—Guide And Tool Kit, Erica Chong, Kelly Hallman, Martha Brady
Poverty, Gender, and Youth
No abstract provided.
Tap And Reposition Youth (Try): Providing Social Support, Savings, And Microcredit Opportunities For Young Women In Areas With High Hiv Prevalence, Annabel Erulkar, Judith Bruce, Aleke Dondo, Jennefer Sebstad, James K. Matheka, Arjmand Banu Khan, Anne Gathuku
Tap And Reposition Youth (Try): Providing Social Support, Savings, And Microcredit Opportunities For Young Women In Areas With High Hiv Prevalence, Annabel Erulkar, Judith Bruce, Aleke Dondo, Jennefer Sebstad, James K. Matheka, Arjmand Banu Khan, Anne Gathuku
Poverty, Gender, and Youth
Tap and Reposition Youth (TRY) was a multiphase initiative undertaken by the Population Council and K-Rep Development Agency (KDA), the oldest and largest microfinance institution in Kenya. The overall aim of the project was to reduce adolescents’ vulnerabilities to adverse social and reproductive health outcomes, including HIV infection, by improving their livelihoods options. The project was launched in low-income and slum areas of Nairobi, Kenya, where rates of HIV infection are alarming and where young women are disproportionately affected.
Tap And Reposition Youth (Try): Providing Social Support, Savings, And Microcredit Opportunities For Young Women In Areas With High Hiv Prevalence, Annabel Erulkar, Judith Bruce, Erica Chong, Aleke Dondo, Jennefer Sebstad, James K. Matheka, Arjmand Banu Khan, Anne Gathuku
Tap And Reposition Youth (Try): Providing Social Support, Savings, And Microcredit Opportunities For Young Women In Areas With High Hiv Prevalence, Annabel Erulkar, Judith Bruce, Erica Chong, Aleke Dondo, Jennefer Sebstad, James K. Matheka, Arjmand Banu Khan, Anne Gathuku
Poverty, Gender, and Youth
Nairobi, Kenya is home to one of the largest slum populations in sub-Saharan Africa. Adolescents living in these slums, especially girls, are cut off from the potentially protective environments of school and family and lack safe economic opportunities. Unemployment is a major concern for adolescent girls, and desperate circumstances force them to survive however they can: 21 percent of sexually active girls aged 15–19 report exchanging sex for money or gifts. This heightened vulnerability is reflected in rates of HIV infection. In response to these circumstances, the Population Council and microfinance institution K-Rep Development Agency collaborated on the implementation of …
Influencing Girls' Lives: Acceptability And Effectiveness Of A Livelihoods Skill Building Intervention In Gujarat, Sewa, Sewa Academy, Shveta Kalyanwala, Rajib Acharya, Sunetra Deshpande
Influencing Girls' Lives: Acceptability And Effectiveness Of A Livelihoods Skill Building Intervention In Gujarat, Sewa, Sewa Academy, Shveta Kalyanwala, Rajib Acharya, Sunetra Deshpande
Poverty, Gender, and Youth
The Self Employed Women’s Association (SEWA), a key Indian micro-finance nongovernmental organization, in partnership with the Population Council, undertook a pilot livelihoods skill-building program to support adolescent girls aged 13–19 years (mostly unmarried, in school and out of school). Like other such programs, this livelihoods program focused on exposing girls to new ideas, building social networks, exposing them to the world around them, and providing the technical skills needed to enhance their access to income generating opportunities. The study’s findings are mixed, but suggest that a life and livelihoods skill-building intervention program for girls is acceptable to adolescents (and their …
Poverty, Wealth Inequality, And Health Among Older Adults In Rural Cambodia, Zachary Zimmer
Poverty, Wealth Inequality, And Health Among Older Adults In Rural Cambodia, Zachary Zimmer
Poverty, Gender, and Youth
This working paper examines the distribution of household wealth and tests whether associations exist between wealth inequality and health outcomes among older adults living in one of the world’s poorest regions, rural Cambodia. Results confirm difficult economic conditions among most elderly in rural Cambodia. This study suggests there is some validity to generalizing the relationship between wealth inequality and health to extremely poor populations and that a very small difference in wealth makes a relatively large difference in regard to the association with health among those living in impoverished surroundings.
Assessment Of District Health Supervisory System, Pakistan Initiative For Mothers And Newborns (Paiman)
Assessment Of District Health Supervisory System, Pakistan Initiative For Mothers And Newborns (Paiman)
Reproductive Health
The Pakistan Initiative for Mothers and Newborns (PAIMAN) is a five-year project designed to reduce the country's maternal and neonatal mortality by making sure women have access to skilled birth attendants during childbirth and throughout the postpartum period. PAIMAN developed a community-based approach that provides a continuum of care to mothers and newborns through supportive linkages from home care to hospital-based care. Various assessments of the district health system suggest that it suffers from weaknesses that impair its efficiency, quality, and impact. Inefficient and ineffective supervision is one of the most important factors for the health sector’s poor performance. Effective, …