Medicine and Health Commons^™

The Situation Analysis Approach To Assessing Family Planning And Reproductive Health Services: A Handbook, Robert A. Miller, Andrew A. Fisher, Kate Miller, Lewis Ndhlovu, Baker Ndugga Maggwa, Ian Askew, Diouratie Sanogo, Placide Tapsoba

Reproductive Health

Good family planning service delivery emphasizing both access and quality is key to the related goals of satisfying individual needs and achieving programmatic success. Situation Analysis (SA) provides a needed link between the manager and the client he or she is trying to serve. The data marshaled for SA offer a representative picture of how subsystems are working and provide a way to “see” the client’s experience. Situation Analyses assist managers in achieving the broadest management goal—that of efficient administration of a vital health care service while keeping in view the ultimate goal—providing good care for those who seek it. …

Nutritional And Food Situation Of Five Communities Of Canaviri, Colina Blanca, Villa Arriendo, Puente Arriba And Pocohata, Department Of La Paz, Bolivia, Juana F. Moraima Gonzáles Tapia

Theses and Dissertations

The following work seeks to address the necessity that the inhabitants of the impoverished regions in Bolivia experience, as is the case of the highland region of Paceno, which is the understanding of their nutritional and alimentary situation. We studied the communities of Canavari, Pocohata, Colina Blanca, Puente Arriba, and Villa Arriendo de la Provincia Ingavi, in the province of la Paz.
The studied variable was the nutritional sta te, having as parameters: physical and economical availability of the food, food consumption, nutritional habits, biological usage of the food, basic sanitary conditions, and the educationallevel of the heads of family. …

Nutritional Situation Of The Communities Pan De Azucar, Hancara, Villa Santa Chacoma And Hichuraya Grande, Department Of La Paz, Ingavi Province, Bolivia 1996, Teresa Beatriz Iglesias Sandoval

Theses and Dissertations

The present research work is a transverse and descriptive study, which had as its principal objective to determine the Food and Nutritional Situation of the communities of Villa Santa Chacoma, Hancara, Hichuraya Grande and Pan de Azucar of the Ingavi province of the department of the La Paz. The most relevant part of the study was in finding the elevated percentage of infant population that presents an elevated prevalence and different levels of malnutrition. In adults what calls the attention is the physical exhaustion and the loss of muscle tissue, this situation was seen as a consequence of poverty, food …

Food And Nutrition Situation In The Villa Santa Chacoma, Hancara, Hichuraya Grande And Pan De Azucar Communities Of The Ingavi Province In The Department Of La Paz, Bolivia 1996, Teresa Beatriz Iglesias Sandoval

Theses and Dissertations

A diagnosis of the Food and Nutrition situation was made of the populations of the communities of Villa Santa Chacoma, Hancara, Hichuraya Grande and Pan de Azúcar, pertaining to the Ingavi province of the La Paz department. The principle objective was to: identify the Nutritional Food Situation of these communities, the secondary objectives were to: Identify the nutritional state of the inhabitants of the communities, identify the physical availability of food, identify the habits of breastfeeding and supplementary feeding, identify the level of ingestion, establish the consumption of food and identify the level of education of householders; to these ends …

Downsizing The Massachusetts Mental Health System: The Politics Of Evasion, Richard A. Hogarty

New England Journal of Public Policy

For the past three decades the topic of the proper role of state mental hospitals has been vigorously debated as a major public policy issue in Massachusetts. The state has had two runs at hospital closings: the first between 1973 and 1981, when the deinstitutionalization policy flourished, the second between 1991 and 1993, when the privatization policy was developed. In making the case for this seismic shift, a governor's special commission concluded that the state had too many hospitals for too few patients at too high a cost. This study provides a detailed analysis of the problems that beset the …

Agenda: Seniors: Making It Happen In November. August 27, 1996.

Saffy Collection - All Textual Materials

A Caucus Briefing for Senior Delegates. Democratic National Committee. On Tuesday, August 27, 1996 at the Fairmont Hotel, International Ballroom. 10:00 AM-12:00 Noon.

Flyer: “Safeguarding And Strengthening Medicare And Medicaid.” President Bill Clinton. Clinton/Gore. August 21, 1996., Clinton/Gore '96 Primary Committee, Inc.

Saffy Collection - All Textual Materials

A Flyer promising that Clinton will maintain and extend Medicare and Medicaid support.

Flyer: “Protecting Our Seniors.” President Bill Clinton. Clinton/Gore. August 21, 1996., Clinton/Gore '96 Primary Committee, Inc

Saffy Collection - All Textual Materials

A Flyer detailing Clinton's policies on protecting Medicare and Medicaid, quality health care, and other issues related to senior citizens' concerns.

Alternative Healing, Mona Yousef Adly

Archived Theses and Dissertations

No abstract provided.

Puerto Ricans' Access To Health Care, Ralph Rivera

New England Journal of Public Policy

The shift toward cost containment in health policy over the past decade has had negative consequences for the most vulnerable populations in the country, namely, ethnic minorities, the poor, and the uninsured. The Puerto Rican population is significantly affected by this shift, yet little is known of their health care usage. This study investigates the extent to which Puerto Ricans' health care use is determined by the relationship between predisposing variables, enabling variables, need, and other contextual variables and probes the implications of the findings for health policy. The adult Puerto Rican subsample (n = 1598) of the Hispanic Health …

The Health Status And Lost Earnings Of Hispanic And Non-Hispanic Women, Janis Barry Figueroa

New England Journal of Public Policy

Based on data from the 1990 early release file of the Latino sample of the Panel Study of Income Dynamics (PSID), this article examines the loss of earnings suffered by disabled or health-limited Hispanic women workers. For comparative purposes, the author created an identical analysis based on a sample of black and white non-Hispanic women from the 1989 original-sample PSID. The research also considers the prevalence of poor health among Latinas to ascertain whether their lower labor-force participation, earnings, and number of hours worked can be associated with episodes of poor health. The empirical results show that Hispanic women are …

Premature Mortality Among U.S. Puerto Ricans, 1989, Annette B. Ramirez De Arellano

New England Journal of Public Policy

The indicator "years of potential life lost" (YPLL) points out the extent to which premature death among Puerto Ricans residing in the United States is a function of behaviors and social conditions. The computation of YPLL for various causes of death highlights the devastating effect of HIV infection, which emerges as the leading cause of premature death for both genders. Indeed, a 50 percent reduction in the HIV/AIDS death toll would save more years of potential life than the complete eradication of both cancer and diabetes. Accidents and homicides follow HTV as leading causes of YPLL.

This indicator also underscores …

Nutritional And Alimentative State Of The Canaviri, Pocohata, Colina Blanca, Puente Arriba And Villa Arriendo, Ingavi Province, Department Of La Paz - 1996, Juana F. Moraima Gonzles Tapia

Theses and Dissertations

The intent of the present work responds to the necessity of the settlers in depressed areas of La Paz's Altiplano in Bolivia of knowing the reality surrounding the unfolding of their lives. The focus takes into account only one part of all that weighs down on them: that part dealing with their nutritional and alimentative state. This study takes in the communities of Canaviri, Pocohata, Colina Blanca, Puente Arriba, and Villa Arriendo of the Ingavi Province in the Department of La Paz. The variable taken into account is the families' nutritional situation; these families possessing the same status in the …

Collection And Utilization Of Child Abuse Statistics In American Indian Communities, Michelle Chino

School of Public Health Faculty Research

Public health research in American Indian communities involves many complex issues that may both help and hinder the development of an effective research methodology and the collection, analysis, and utilization of data. These issues include: 1) the unique strengths and diversity of Indian cultures; 2) the complicated relationships that exist between federal, state, and tribal agencies; 3) the vast distances between communities and services that exist in rural areas; 4) extremely limited human and financial resources; 5) overlapping and often conflicting legal and jurisdictional authorities; and 6) an array of social issues including poverty, substance abuse, modernization, and assimilation. Defining …

Coalition Building: Moving Toward Effective Coalitional Strategies Of Hiv/Aids Prevention In Communities Of Color, Lisa Roland

Trotter Review

Despite the overwhelming burden carried by blacks and Latinos in terms of AIDS, it has become evident that in keeping with the general and historical pattern of discrimination reflected in funding, allocation of resources, policies etc., communities of color have received insufficient support to effectively address the problem at hand. Further compounding this dilemma, communities of color have fought against each other to secure funding for particular community programs. While looking at our individual, immediate, and entirely valid needs, many of us have at times failed to see the impact of our individual actions and attitudes on a broader picture.

Families In Focus: New Perspectives On Mothers, Fathers, And Children, Judith Bruce, Cynthia B. Lloyd, Ann Leonard, Patrice L. Engle, Niev Duffy

Poverty, Gender, and Youth

Despite the rhetoric of recent years lamenting the loss of the "traditional family," families have never fit nicely into any single model. "Family" may refer to people linked by marriage or kinship or to people claiming descent from common ancestors. People may form and extend families by adopting or fostering children, defining nonrelatives as family, or establishing consensual partnerships. Families are as adaptable as they are diverse, reconfiguring themselves over their life cycles and evolving to accommodate the myriad pressures of the external world. This book focuses on families with dependent children specifically—on the roles of mothers, fathers, and children, …

General Diagnosis Of Salitrón, A Village In San Juan Ermita, Department Of Chiquimula, Fredy Samuel Coronado López

Theses and Dissertations

This study reports on the development of a diagnostic tool to assess the current socio-economic and cultural conditions as well as physical and natural resources among the rural communities of Salitrón and San Juan Ermita, Chiquimula, Guatemala. This diagnostic tool revealed the current situation in these communities, especially in the population dedicated to agricultural production. Several alternative recommendations are provided to improve development projects in these communities. This project was made possible through the participation of CUNORI (Centro Universitario de Oriente) agricultural students.

Coping And Support Needs Of Family Caregivers Of Older Adults With A Developmental Disability, Caroline Cochrane

Theses and Dissertations (Comprehensive)

Due to the policy of deinstitutionalization there is a population of adults with a developmental disability who are aging in the community and who are living with their aging parents as caregivers. This study used a phenomenological, qualitative approach to gain an in-depth understanding of the experiences of these aging family caregivers of aging adults with a developmental disability. A literature review indicated that some sources of support and service needs have been identified for this population of caregivers, and that planning for the future of their adult child with a developmental disability was important to these caregivers. Six caregivers, …

The Biographic Impact Of An Hiv Diagnosis (Immune Deficiency), Leanne Carol Baird

Theses and Dissertations (Comprehensive)

No abstract provided.

The Effects Of Organizational Culture On Quality Of Life For Older Veterans, Michelle Diane Stone

Dissertations

The organizational culture in a Veteran's Administration Medical Center (VAMC) was described using triangulated methods which included both secondary quantitative survey data, and internal documentary data sources. The initial survey data collected, from staff and elder veterans revealed an overall positive perception from both samples regarding the quality of life for elder veterans living on extended care wards. The study investigated the extent to which the VAMC's organizational culture affected these perceptions of quality of life.

Documentary data were collected from a variety of VAMC sources regarding behaviors, ideologies, leadership trends, mechanisms of control, and the formal organizational structure. A …

Investigating The Age Effects Of Family Structure On Adolescent Marijuana Use, John P. Hoffmann

Faculty Publications

This study examines differences among older and younger adolescents in the influence of family structure, family relations, and peer relations on marijuana use. Data from a longitudinal sample of adolescents from the United States were stratified by age and used to assess these potential differences. Precise measures of family structure were constructed to account for the various manifestations of family forms. Multivariate analyses indicate that a recent divorce attenuates attachment among younger adolescents and leads to less family involvement among older adolescents. Moreover, older adolescents from stepparent families are less attached to their families. Changes in these family relationship variables …

The Young Adult Substance Abuse Clinic. A Program Evaluation: Process And Immediate Output, Kimberly Calderwood

Theses and Dissertations (Comprehensive)

ln this program evaluation, I present the demographic characteristics and underlying problems of YASAC’s clientele. The clients’ level of satisfaction regarding the services provided is also examined. A comparison of the results with YASAC's implementation objectives as well as its current goals and objectives helps to determine some of the clinic’s strengths and weaknesses. An extensive literature review provides the basis for six hypotheses used to address the following three questions: (1) whether clients involved with probation and parole differ from other clients in terms of successful completion of the program, (2) whether clients’ attitudes toward their alcohol and drug …

Southeast Asian Refugees In Canada: Gender Differences In Adaptation And Mental Health, Roger Gary Edwards

Theses and Dissertations (Comprehensive)

This thesis involves secondary analysis of epidemiological data concerning a large cohort of Southeast Asian refugees resettled in British Columbia, Canada, who were surveyed three times over a ten year period. Male-female differences in the mental health impact of adaptational demands, such as the acquisition of host language skills and securing employment were the focus for the thesis. The psychometric properties of the mental health scales used in the study demonstrated high internal consistencies and construct validity in both male and female samples. There was evidence to suggest that the external validity of the study was somewhat compromised by the …

A Comparative Study Of Primary Preventive Behaviors And Secondary Preventive Behaviors Among Michigan Adults, Jing Chang

Dissertations

Many researchers have documented the range and extent of the health preventive behaviors. However, previous studies have generally focused on either the contact with medical professionals (secondary preventive care) or compliance with their recommendations (primary preventive care). Some have treated the two types of behaviors as one and related them to social demographic characteristics and socio-structural conditions (e.g., access to medical service). There have been very few studies that have compared the two sets of preventive behaviors. This study takes a first step to explore the correlates of secondary preventive activities and compare them with the correlates of primary preventive …

The Impact Of Third Party Reimbursement On Occupational Therapy And Vision Rehabilitation Services: A Comparative Case Study, Tiehan Liu

Dissertations

This is a comparative case study of occupational therapy and vision rehabilitation services. The purpose of this study is to describe how environmental forces, especially third party reimbursement, shape occupational therapy in terms of organizational form, setting, procedure of services and documentation process. The study will further examine the current external and internal conditions under which vision rehabilitation professionals may develop third party payment, especially Medicare and Medicaid. Based on environment theories and the experience of occupational therapy, the potential impact of such reimbursement on vision rehabilitation services is discussed.

Three forms of data were used in this study: (1) …

Caring For Dementing And Nondementing Chronically Ill Elderly In Belgium: Modeling Salutogenic And Pathogenic Processes, Timothy John Gallagher

Dissertations

The predominant model in the study of stress and disease has been identified as the pathogenic orientation. The underlying assumption of this orientation is that stress is, by nature, disease causing. An alternative model is the salutogenic orientation (Antonovsky, 1979). Researchers using the salutogenic approach are concerned with explaining the origins of health. In the present study, a sample of Flemish caregivers {N = 126) to persons with chronic dementing and nondementing disorders is examined in order to detail how sense of coherence (a measure of personality disposition), the nature of patient pathology, demographic characteristics, coping resources, and perceived negative …

Attribution Of Stigma As A Function Of Disease And Mode Of Transmission, Alfred Maxdee Decker

Graduate Theses

The knowledge and attitudes of Odessa College health care students (N=114) towards hypothetical patients infected with human immunodeficiency virus (HIV) or hepatitis B virus (HBV) were measured via questionnaires. Transmission variables for infection were: anal sex with another man, injecting drug use, or blood transfusion. An Attribution Theory model was used to explain differences in knowledge and attitudes. Results suggest that students tend correctly to identify HBV as being more infectious than HIV and also to recognize that as future health care workers they are much more likely to die from HBV than HIV infection. In spite of this knowledge, …

War Crimes Of The 90s: Rape As A Strategy, Mary Guinan

School of Public Health Faculty Research

Historically, only men went to war. The winners took the losers' women and could rape, enslave, or kill them. As we moved into a more modern civilization, the rights of the winner over the women of the loser became less clear and were only vaguely documented. Even for modern war historians, what happens to the men on and off the battlefield is the main preoccupation. After all, women do not face combat and what happens to them seems unimportant. The rape of women by conquering armies has continued through all wars, but has rarely been considered a war crime, especially …

Older Americans' Attitudes Toward The Medicare Catastrophic Coverage Act Of 1988, Christine L. Day

Political Science Faculty Publications

Congress repealed the Medicare Catastrophic Coverage Act of 1988, which expanded Medicare benefits, after vigorous protests by groups of older people nationwide. Surveys show, however, that older Americans were deeply divided in their opinions. This study examines four explanations for divisions among the elderly on this issue: symbolic politics, socioeconomic status, distrust in government, and direct self-interest. The results of probit analysis indicate that high income, younger age (under 75), Republican partisanship, and distrust in government all contributed to older Americans' opposition to government catastrophic health care coverage. Direct self-interest—that is, perceived direct impact on one's own taxes and benefits—was …

Decade Of Denial: Teens And Aids In America, U.S. House Select Committee On Children, Youth And Families

All U.S. Government Documents (Utah Regional Depository)

Based on hearings, current research, and interviews with experts, including researchers, medical and service providers, AIDS educators, and youth who have been touched by the epidemic, this Select Committee report assesses the impact of the HIV epidemic on youth and identifies strategies policymakers and program planners might consider