Demography, Population, and Ecology Commons^™

Operations Research To Improve Postabortion (Pac) Services In Three Public Hospitals, Bolivia, Fernando Gonzales Salguero, Mariel Loayza

Reproductive Health

In the last five years, Pathfinder Bolivia has provided technical assistance, training and equipment to the Ministry of Health (MOH) to implement postabortion care (PAC) services in eight hospitals. They invited Frontiers in Reproductive Health (FRONTIERS) to provide the technical assistance and training for conducting operations research (OR) activities. This report describes the second stage of this collaborative effort as presented in a three-day workshop attended by providers and staff members of the participant hospitals. During the workshop, participants received OR training and developed draft OR proposals seeking to improve PAC service delivery problems identified during the first study. The …

Use Of Systematic Screening To Increase The Provision Of Reproductive Health Services In Bolivia, James R. Foreit, Ricardo Vernon, Patricia Riveros Hamel

Reproductive Health

The objective of this study was to determine if the use of a checklist to screen for unmet service needs could increase the number of services per visit provided to clients using rural Bolivian health facilities. Measurement included changes in services per visit before and after the introduction of the intervention, and a comparison of services received at screened and non-screened visits. Findings show that, to the degree that provider compliance can be secured, systematic screening of clients appears to be an effective method for reducing unmet health service needs. The findings of this study replicate those of other studies …

Willingness-To-Pay For Services Provided By The Clinical Services Improvement Project (Csi) In Egypt, John H. Bratt, Nahla G. Abdel-Tawab, Magdi A. Ibrahim, Mohammed Edress

Reproductive Health

Willingness-to-pay (WTP) surveys are increasingly used in reproductive health programs to predict the impact of price changes on revenues, utilization, and client profile. The FRONTIERS program worked with the Clinical Services Improvement (CSI) project and the Cairo Demographic Center to carry out a WTP survey in six CSI clinics in Egypt. The survey found that most clients would be willing to pay higher prices for CSI services, and WTP did not vary much by client economic status. However, predictive validity was low when all reasons for client discontinuation were included. WTP surveys have the potential to be useful tools for …

An Assessment Of Trends In The Use Of The Iud In Ghana: National Results Dissemination And Utilization, Ivy Osei, John Gyapong, Monica Wanjiru, Ian Askew

Reproductive Health

The overall aim of this study was to inform the Ghana Health Service, USAID, and other partners involved in providing family planning services in Ghana about future directions that could be taken to reinvigorate the IUD within the context of a family planning service based on the principles of free and informed choice. The Health Research Unit conducted the study, with technical assistance from FRONTIERS and funding from USAID. The findings showed that the declining interest in and use of the IUD as a family planning method could be attributed to several factors, including negative perceptions and false beliefs about …

Improving The Ghanaian Safe Motherhood Programme, Ivy Osei, Bertha Garshong, Gertrude Banahene, John Gyapong, Placide Tapsoba, Ian Askew, Clement Ahiadeke, Richard Killian, Edward Bonku, Perle Combary, William Sampson

Reproductive Health

Prior to the Ghana Ministry of Health scaling up the country’s Safe Motherhood program, they requested support from the Population Council’s USAID-funded Frontiers in Reproductive Health program to undertake an operations research study to evaluate and compare the cost-effectiveness of two training approaches and other performance improvement interventions. The study measured and compared changes in provider knowledge and skills and the costs of implementing a three-week residential vs. self-paced learning (SPL) approach. The SPL approach costs more per trainer than the traditional residential approach, both in financial costs alone and when opportunity costs are added, however, a cost-effectiveness analysis showed …

Improving Access To Long-Term Contraceptives In Rural Guatemala Through The Ministry Of Health, Edwin Montufar, Carlos Morales, Ricardo Vernon, Carlos Brambila, Jorge Solorzano

Reproductive Health

The purpose of this study was to test a model to train nurse auxiliaries at health centers and posts in Guatemala and to determine whether these providers could deliver adequate, cost-effective services. The training model consisted of: a) selection of nurse auxiliaries; b) two-day group training; c) on-the-job training, including work with actual clients at the trainees’ work centers; and d) certification of trainees who had conducted at least five quality insertions under supervision. This study has shown that nonprofessional health providers can effectively provide quality IUD services in Guatemala. The main recommendation derived from the project is to scale …

Expanding Access To Vasectomy Services In The Ministry Of Health Of Guatemala, Blanca De Rodriguez, Ricardo Vernon, Jorge Solorzano

Reproductive Health

This project tested the effectiveness of a systemic model for introducing vasectomy in service delivery units of the Guatemalan Ministry of Health (MOH), which has four basic components: a) the self-selection of health units according to their response to an invitation to participate in the project; b) the development of a counseling and information model for potential clients; c) training and sensitizing of health teams; and d) on-site training of surgeons. The report concludes that the introduction model for vasectomy in the MOH centers was successful. A high proportion of hospitals that identified vasectomy candidates finished the process, and the …

Systematic Screening As A Strategy To Increase Services Integration And Revenues In Honduras, Ricardo Vernon, James R. Foreit, Fiorella Mancini, Suyapa Pavon, Jheisy Torres

Reproductive Health

This operations research study, undertaken by the Honduras Family Planning Association (Asociación Hondureña de Planificación de Familia—ASHONPLAFA), tested the effectiveness of systematic screening to increase the number of services and revenue per visit in a reproductive health program. Despite monitoring plans, provider compliance with the intervention was low; the overall proportion of clients screened was less than 11 percent, and the frequency of screening varied greatly by clinic contact point. Although the study did not show an increase in the mean number of services per client, the negative results could reasonably be attributed to lack of implementation of the intervention. …

Systematic Screening To Integrate Reproductive Health Services In India, N.P. Das, Urvi Shah, Varsha Chitania, Pratibha Patel, M.E. Khan, Anurag Mishra, James R. Foreit

Reproductive Health

This study, conducted in large public clinics and small health posts in the city of Vadodara, India, tested the effectiveness of a systematic screening technique in integrating reproductive health services at the provider level. The objective was to determine if women screened during clinic visits received more services, appointments, and referrals per visit than women who were not screened. Results show that in experimental group clinics the number of services per visit increased while control clinics experienced a slight decrease; the effect of systematic screening was smaller in health posts than in clinics. In experimental posts, services per visit increased …

Nursing Staff Dynamics And Implications For Maternal Health Provision In Public Health Facilities In The Context Of Hiv/Aids, Loveday Penn-Kekana, Duane Blaauw, Khin San Tint, Desiree Monareng, Jane Chege

Reproductive Health

This study, carried out in Limpopo, KwaZulu-Natal, and Mpumalanga provinces in South Africa, aimed to document nursing staff dynamics in maternal health services, and to explore the factors associated with these dynamics. The study found that a high percentage of nursing staff working in public facilities were demotivated, burnt out, and were considering leaving the facility where they were working. A range of factors, both financial and nonfinancial, were associated with nurses considering going overseas: inadequate pay, poor promotion, feeling unsupported by management, and having bad relationships at work were all associated with lack of organizational commitment. As a result …

Feasibility Of Introducing A Comprehensive Package Of Antenatal Care Services In Rural Public Clinics In South Africa, Jane Chege, Ian Askew, Nzwakie Mosery, Mbali Ndube-Nxumalo, Busi Kunene, Mags Beksinska, Janet Dalton, Ester Snyman, Wilem Sturm, Preshny Moodley

Reproductive Health

The Maternal, Child and Women’s Health Unit, in collaboration with the Population Council’s FRONTIERS in Reproductive Health (FRONTIERS) program, the Reproductive Health Research Unit of the University of Witwatersrand, and the Department of Medical Microbiology and Infectious Diseases of the Nelson Mandela School of Medicine, University of Natal, developed and then pilot-tested this revised model in KwaZulu-Natal, South Africa. The project’s objective was to develop and test an improved and integrated antenatal care program for public-sector clinics that would increase the range and quality of services received by pregnant women and improve their reproductive health behavior and status. Various problems, …

Using Systematic Screening To Increase Integration Of Reproductive Health Services Delivery In Senegal, Diouratie Sanogo, Ricardo Vernon, James R. Foreit, Awa M. Coll-Seck, Colonel Adama Adoye, Laty G. Ndoye, Cheikh Bamba Diop, Balla Mbacke Mboup, Omar Sarr

Reproductive Health

This study tested the systematic screening technique to increase the integration of reproductive health services in Senegal. The study took place in four urban health posts in the city of Dakar and three rural health posts in the district of Kebemer. A before and after design tested the hypothesis that the use of the systematic screening tool would result in more services received per client visit. In Dakar, services per visit increased significantly by 20 percent, while in Kebemer, services per visit also increased significantly by 35 percent. The study also examined several techniques to improve provider compliance with the …

Living Arrangement Patterns Among The Latino Population In New York City, Debora Upegui

Center for Latin American, Caribbean, and Latino Studies

Introduction: This study examines living arrangement patters of racial/ethnic groups in New York City as of the year 2000 – particularly Latinos.

Methods: Data on Latinos and other racial/ethnic groups were obtained from the U.S. Census Bureau American Community Survey, reorganized for public use by the Minnesota Population Center, University of Minnesota, IPUMSusa. Cases in the dataset were weighted and analyzed to produce population estimates.

Results: New York State is the third ranking state in population and households in the country. Data for New York City (NYC) indicate that national patterns are not replicated when the number of family households …

Images Of God: The Effect Of Personal Theologies On Moral Attitudes, Political Affiliation, And Religious Behavior, Christoper Bader, Paul Froese

Sociology Faculty Articles and Research

Social scientists often explain religious effects in terms of religious group affiliations. Typically, researchers identify religious groups by denomination or some broader popular categorization, such as “fundamentalist” or “evangelical.” To capture religious differences more effectively, Steensland et al. (2000) propose an intricate classification of American denominations that takes into account the theology and historical development of various American religious traditions to predict individual attitudes and behaviors. We believe that equal care and attention should be devoted to the development of key measures of belief that may cross denominational lines. In this article, we propose one such measure: personal conceptions or …

An Exploratory Study On The Significance Of Outbound Travelling For The Older Persons In Hong Kong, Cheung Ming, Alfred Chan, David Rosser Phillips, Meng Soi, Florence Fong, Hon Yui, Eric Wong

APIAS Monograph 專題論文

Hong Kong has been experiencing demographic ageing with an increasing number of older population and prolonged life expectancy. It is projected that population will increase from 12% in 2004 to 24% in 2031 (Census and Statistics Department of Hong Kong, 2002). Older people in the future are expected to be wealthier and healthier and the potential demand for recreational activities will strongly be associated with this group. As highlighted in the Chief Executive of the HKSAR 2001 policy address, the future direction of elderly care and services is to improve the quality of life of older persons, ensuring that they …

Sorn Family: Sophat Sorn (Middle), Tammy Hunt

Cambodian American Stories

Sophat Sorn has a great love for his native country of Cambodia. On its soil, he learned great lessons in life and in loss. Sophat never wanted to leave Cambodia. However, he had no choice, as his family safety was threatened. On October 30th, 1991, Sophat and his family arrived in Petaluma, California to start a new life. Two weeks later, the family arrived in Stockton. Now, surrounded by his children, Sophat tells stories of his lost youth, homeland, friends and family left behind…

Lo Family: Shoua Lo (Middle), Amy E. Smith

Hmong American Stories

Coming-of-age can happen abruptly, through a single experience—or it can be a process. For Shoua Lo, a cheerful man who laughs easily, the process began at age 19, when he decided to marry and start a family of his own. For Americans of all ethnicities, starting a family is a rite of passage that can open the door of adulthood. When you have children of your own, it is harder to continue to think of yourself as a child. Shoua, born the second oldest in a family of seven sons and three daughters, knew very well what sort of responsibilities …

Lo Family: Teng Lo (Elder), Amy E. Smith

Hmong American Stories

“If you work like a slave first—eventually, you’ll get to eat and live like a leader. If you eat and live like a leader first—eventually, you’ll have to eat and live like a slave.”

These are words of wisdom, words that anyone can learn from. They’re words that Teng Lo has never forgotten. Now seventy years old, he has learned many things in life—but those words, spoken by his Hmong elders, are as meaningful today as when he first heard them, years ago and in a very different place, as a twelve-year-old boy.

Juanitas Family: Eudosia Juanitas (Elder), Tucker Corriveau

Filipino American Stories

Eudosia Juanitas is a registered nurse among a family of physicians, pharmacists and scientists. Upon first glance, it might appear that Eudosia simply took advantage of the opportunities presented to a woman in a privileged family. However, deeper inspection reveals a woman who has fought against difficult odds to create a life of realized dreams…

Carido Family: Camila Carido (Elder), G. Lee

Filipino American Stories

Camila Carido’s early years prepared her well for the adult responsibilities that were thrust upon her. Born in 1910, in the village of Hinundayan, Leyte in the Phillipine Islands, she and three sisters were left behind with their mother, Macaria, when her father emigrated to the U.S. Without a father in the house, mother and children had to fend for themselves in the coastal plains in the island where they lived…

Sosa Family: Olivia Sosa (Middle), April Foster

Mexican American Stories

A young Olivia was told many things, “stand up straight,” “chew with your mouth closed” and other such demands. Often, requests such as those fall upon deaf ears. Olivia was also told to stay in school and get an education. This, she did not forget. These words have remained with her throughout her life. Graduating from University of the Pacific, Olivia has followed this advice as she continues learning as a successful business woman…

Nisby Family: John Nisby (Middle), Christina Conrardy

African American Stories

Imagine the sun shining high overhead. There is nothing but you, the bright blue sky and the musky smell of hay. You focus on the task at hand—bucking hay. Your physical exertion, combined with the knowledge of hard work, meld into a great sense of satisfaction and sweaty accomplishment. For young John, this imagined scene was a daily occurrence…

Juanitas Family: P. Felomina Hufana (Middle), Gina Beltrama

Filipino American Stories

Football games, pep rallies, basketball games, and dances—these are the memories that Felomina cherishes most about her past. Coming from a large family of seven children, there was always something going on in the Juanitas’ household. Attending cultural events, along with high school activities, was a significant part of life for Felomina and it is something that she still treasures today…

Wong Family: Debbie Nozuka (Youth), Riley Buck

Chinese American Stories

In October 1915, a brave man left his home country of China to come to America in search of something better in “Gum San,” the land of the “Golden Hills.” Because of this man, Debbie was given the opportunity to begin her life in the U.S. This man was her grandfather. “As a family, people share a unique bond, ” Debbie explains. “Even though I cannot communicate well with my…older relatives because of a language barrier, I cherish and value the time I spend with them…”

Canepa Family: Steven J. Canepa (Middle), Christopher Anderson

Italian American Stories

Many early Italian immigrants to Stockton were entrepreneurs and quite industrious. Steven’s grandfather was a partner in a thriving grocery/delicatessen, and his father founded Canepa’s car wash, which has remained a family business. As others from Steven’s generation, Italians had the choice either to begin their own careers or to join an established family enterprise. At the age of 10, Steven began helping out in his father's car wash business. After he began working, he noticed his family began to treat him more like an adult…

Hirata Family: Karen Cairel (Youth), April Foster

Japanese American Stories

For Karen Cairel, coming-of-age was a journey, involving many steps and the support of loving family ties. She treasures the model her grandmother provided showing her that adult life can be bright and positive. Karen’s religion of Buddhism and Japanese heritage provided the values that guided her to maturity. She remembers the support of parents who adjusted quickly as she began to make adult choices. In sum, she was warmly cared for as she made her way toward adulthood…

Lo Family: Toubee Yang (Middle), Andrew Gelber

Hmong American Stories

Toubee Yang is a Stockton citizen who traveled over the ocean from his birthplace to find a new home and culture that he now embraces. His life is memorable partly because of the experiences he has had traveling and learning about the culture of the United States. His story is about a family broken in the aftermath of the Vietnam War, of a child growing up in a nation that did not readily respect his heritage, and also as a refugee in a totally foreign environment…

Sosa Family: John J. Arguelles (Youth), George Kim

Mexican American Stories

In the U.S. the word machismo often connotes forceful, even aggressive behavior. Elsewhere, some see its meaning as the basic ability to take care of one’s self, to endure difficult times, and to build a family foundation. Machismo is a code that embraces self-mastery, courage, consistency, fair dealings and personal honesty. John achieved machismo, a mark of maturity, through his commitment to family, success in achieving goals despite adverse conditions, and pride in his Mexican heritage…

Podesta Family: Pamela Salmon (Middle), Chris Bauer

Italian American Stories

Pamela Salmon wants her children and grandchildren to know that farming is a wonderful way to bring families together and to feel closer to the earth. To Pam, farming is much more than a business. Its special rewards cannot be measured in dollars and cents…

Corral Family: Margaret Sanchez Corral (Middle), Lindsey Gaines

Native American Stories

Margaret Sanchez has spoken two languages for as long as she can remember, Spanish and English. This allowed her to appreciate her dual cultural heritage from a young age. She was born in French Camp in 1952 and raised in Stockton. She was the third oldest of eight children. Her father, a mechanic, had Northern Valley Yokut, Ohlone, and Miwak ancestors while her mother was of Mexican decent. Her grandparents on both sides of the family, were strong influences on her childhood; the family spoke both English and Spanish at home and served cuisine from both cultures...