Health Care Reform,
2011
University of Washington Tacoma
Health Care Reform, Jeffery J. Duffy
PPPA Paper Prize
Although one of the most medically-advanced nations in the world, the United States has lagged behind other nations in extending health care insurance to its citizens. This paper explores the issue of U.S. health care reform by tracing the history of reform efforts and examining factors and trends contributing to the rising cost of health care. Particular attention is given to the Patient Protection and Affordable Care Act (PPACA) and the controversies surrounding it. Based on this analysis, the author discusses several recurring barriers to health care reform and offers recommendations on how to overcome them.
Dental Service Utilization In An Academic Setting: An Analysis For Improved Oral Health,
2011
University of Kentucky
Dental Service Utilization In An Academic Setting: An Analysis For Improved Oral Health, Paula R. Sandford
MPA/MPP/MPFM Capstone Projects
The National Oral Health Surveillance System (NOHSS) is the result of a collaborative effort between the Centers for Disease Control and Prevention and the Association of State and Territorial Dental Directors which is designed to monitor aspects of oral health and disease on both a national and state level. The NOHSS ranks Kentucky at or near the bottom in most oral health indicators. The primary message of the Surgeon General’s May 2000 report on Oral Health in America was to emphasize the link between oral health and overall health including the effect on day‐to‐day activities such as work and school …
Sector-Switching In Transition Economies: A Case Study Of Kazakhstan's Health Care Sector,
2011
Claremont Graduate University
Sector-Switching In Transition Economies: A Case Study Of Kazakhstan's Health Care Sector, Dariga Chukmaitova
CGU Theses & Dissertations
The dissertation examines the economic and behavioral factors influencing 'sector-switching' in Kazakhstan's health care industry. Sector-switching involves doctors moving from the national to the private system, which is not well established, thereby raising questions about why the switch occurs. It addresses the question: why health care professionals in Kazakhstan switch from the public sector to similar jobs in the private or nonprofit sectors? This study addresses a key issue in public management (sector switching) and also offers insights into the dynamics of the transition from a centralized economy to a market economy. As such, its findings have `real-world' applications beyond …
Poor Nutrition Amidst Plenty,
2011
University of New England
Poor Nutrition Amidst Plenty, Dora Anne Mills
Maine Policy Review
Hunger and food insecurity is on the rise in Maine as are increases in obesity, heart disease, and diabetes, all linked to food choices. Old and young, immigrant and native, rural and urban—Mainers are experiencing a food emergency made graver by the economic recession and rising health costs. Dora Anne Mills writes about “poor nutrition amidst plenty,” its causes, consequences, and the programs and policies that address it
Food And The Urgency Of Now,
2011
U.S. Department of Agriculture
Food And The Urgency Of Now, Kevin W. Concannon
Maine Policy Review
Kevin W. Concannon, undersecretary for food and nutrition services in the U.S. Department of Agriculture, discusses the necessity for food and nutrition programs, both because of the increase in hunger in the country and because of the rise in obesity. He notes that the focus on local and healthier foods is important in addressing both hunger and poor nutrition.
Food Safety,
2011
University of Maine
Food Safety, Alfred A. Bushway, Beth Calder, Jason Bolton
Maine Policy Review
The authors describe the importance of food safety regulations and practices in this era of global food systems and illustrate some of the challenges facing Maine’s small food producers and processors.
Expanding Access To Safe Abortion And Post-Abortion Care: Recommendations Of A South Asia Regional Consultation,
2011
Population Council
Expanding Access To Safe Abortion And Post-Abortion Care: Recommendations Of A South Asia Regional Consultation, Population Council
Reproductive Health
A South Asia Regional Consultation, organized by the Population Council with representation from governments and key stakeholders of Bangladesh, India, Nepal, and Pakistan, was held in New Delhi, to discuss ways of expanding women’s access to safe abortion services. The Consultation deliberated on ways of expanding the provider base for safe induced abortion so as to overcome inadequate and inequitable access to safe abortion. They also looked to expand access to services for the management of incomplete abortion and complications of unsafe abortion that persist in the region and, thereby, to reduce morbidity and mortality resulting from unsafe abortion. In …
Health Insurance Reform And Intimations Of Citizenship,
2011
Georgetown University Law Center
Health Insurance Reform And Intimations Of Citizenship, Nan D. Hunter
Georgetown Law Faculty Publications and Other Works
This article considers the implications of the Patient Protection and Affordable Care Act (PPACA) for social meanings of civic belonging in American society and for possible new forms of individual engagement with the health care system. Once fully implemented, PPACA will have many of the governance characteristics of other social insurance systems, in that it will define membership in a collective undertaking, establish a mechanism for collective security against a shared risk, and channel, incentivize and penalize specific behaviors. The article considers the extent to which PPACA has the potential to also produce new narratives and understandings of social solidarity …
Snapshot 2011: Maine Workers With Disabilities,
2011
University of Southern Maine
Snapshot 2011: Maine Workers With Disabilities, Maine’S Commission On Disability And Employment, Choices Ceo Project
Disability & Aging
No abstract provided.
Facilitating Regulatory Approval Of Multipurpose Prevention Technologies For Sexual And Reproductive Health,
2011
Population Council
Facilitating Regulatory Approval Of Multipurpose Prevention Technologies For Sexual And Reproductive Health, Martha Brady
HIV and AIDS
This brief describes multipurpose prevention technologies (MPTs) that address women's sexual and reproductive health (SRH) needs, and how to go about facilitating regulatory approval of this technology. It outlines a strategic framework to examine current regulatory guidance, as well a product development pathway to bring MPTs to market.
What Regulatory Guidance Exists For Multipurpose Prevention Technologies (Mpts)? A Review Of Key Guidance Documents And Their Applicability To Mpts,
2011
Population Council
What Regulatory Guidance Exists For Multipurpose Prevention Technologies (Mpts)? A Review Of Key Guidance Documents And Their Applicability To Mpts, Martha Brady, Heeyoung Park
HIV and AIDS
This brief reviews regulatory guidance documents and how they may apply to multi-purpose technologies (MPTs). It examines guidance documents from the Food and Drug Administration (FDA), the European Medicines Agency (EMA) and the International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The brief concludes by anticipating increased interactions with US regulatory agencies in hopes of finding new regulatory pathways that address MPTs specifically.
Hiv Integrated Biological And Behavioural Surveillance Survey (Ibbss) 2010,
2011
Population Council
Hiv Integrated Biological And Behavioural Surveillance Survey (Ibbss) 2010, Federal Ministry Of Health
HIV and AIDS
This report by the Nigerian Federal Ministry of Health highlights the findings of an integrated biological and behavioral surveillance survey (IBBSS) in Nigeria among groups whose behaviors or occupations often place them at higher risk of contracting sexually transmitted infections, including HIV. The main objectives of the study were to assess the knowledge and beliefs of high-risk groups about STI and HIV, determine the prevalence of HIV infection among these groups, and obtain data that will permit identification of trends over time. Since the 2007 IBBSS survey report, a considerable number of interventions have commenced among the study groups.
Situation Assessment Of The Hiv Response Among Young People In Zambia,
2011
Population Council
Situation Assessment Of The Hiv Response Among Young People In Zambia, Sam Kalibala, Drosin Mulenga
HIV and AIDS
The main objective of this situational assessment is to compile and synthesize existing recent information on HIV and young people together with the current AIDS response for young people in Zambia—including programs, policies, and key partners—and to document gaps and challenges in the response. The assessment aims to further strengthen this response by all stakeholders including the Government of the Republic of Zambia, the UN, faith-based organizations, civil society organizations, donors, young people, and youth-led organizations. Recommendations include: amending and strengthening laws related to HIV programming for young people and involving them in design and implementation; offering health services, life …
First Generation Of Gender And Hiv Programs: Seeking Clarity And Synergy,
2011
Population Council
First Generation Of Gender And Hiv Programs: Seeking Clarity And Synergy, Judith Bruce, Nicole Haberland, Amy Joyce, Eva Roca, Tobey Nelson Sapiano
Poverty, Gender, and Youth
In the past decade, there have been expanding resources to address the underlying gender dimensions of HIV. This has been particularly urgent in sub-Saharan Africa as the female-to-male infection ratios in young populations has reached 3 to 1 and sometimes above. The phrase “gender and HIV” has become commonplace yet does not provide any specific guidance as to target audiences, content, or measurable results. It can include everything from microcredit programs for HIV-positive women, to workplace programs seeking to change negative male norms, to efforts to increase respect for diverse sexual and gender identities. This review, conducted by the Population …
National Efforts Toward Fgm-Free Villages In Egypt: The Evidence Of Impact,
2011
Population Council
National Efforts Toward Fgm-Free Villages In Egypt: The Evidence Of Impact, Ghada Barsoum, Nadia Rifaat, Omaima El-Gibaly, Nihal Elwan, Natalie Forcier
Poverty, Gender, and Youth
This report is a midterm evaluation and documentation of the process and approach of the FGM-Free Village Model implemented in Egypt by the National Council of Childhood and Motherhood with assistance from the Population Council. In a comparison of responses from women and men in intervention groups to those in nonintervention (control) villages, data analysis shows that the program has been successful in changing views and attitudes toward female genital mutilation (FGM). FGM is an entrenched generational practice, and eradicating it in a community requires concerted effort over an extended period of time. This evaluation strongly recommends that efforts be …
Using Evidence To Improve Primary Health Care In Thai Nguyen Province,
2011
Population Council
Using Evidence To Improve Primary Health Care In Thai Nguyen Province, Population Council
Reproductive Health
In partnership with a number of local stakeholders, the Population Council Viet Nam is working to improve the evidence base available to health authorities and to use that evidence to improve health in Thai Nguyen Province. Building on cooperation between the Population Council and the Thai Nguyen Health Department, the project detailed in this report has three main elements: 1) developing a computerized information system to generate regular reports; 2) supporting research in the province to better understand health problems, health-seeking behavior, and health services; and 3) increasing the capability of managers and providers to better use the evidence generated. …
Scaling Up The Provision Of Family Planning Messages In Antenatal And Postpartum Services In Upper Egypt,
2011
Population Council
Scaling Up The Provision Of Family Planning Messages In Antenatal And Postpartum Services In Upper Egypt, Nahla G. Abdel-Tawab, Sally Saher
Reproductive Health
An operations research study by the Population Council’s FRONTIERS program in 20 facilities in Upper Egypt showed that integration of birth spacing messages into antenatal and postpartum care was feasible, acceptable to women and their husbands, and was associated with increased postpartum contraception. This report describes the initial and scale-up phases, their outcomes, challenges, and recommendations for improvement. In addition to successfully scaling up the program, the main achievement was securing the support and investment of senior MoHP officials at the central level, as well as the support and commitment of managers and supervisors at governorate and district levels. The …
A Pay-For-Performance Innovation Integrating The Quantity And Quality Of Care In Maternal, Newborn And Child Health Services In Bangladesh,
2011
Population Council
A Pay-For-Performance Innovation Integrating The Quantity And Quality Of Care In Maternal, Newborn And Child Health Services In Bangladesh, Laila Rahman, Ubaidur Rob, Riad Mahmud, Azizul Alim, Ismat Ara Hena, Md. Noorunnabi Talukder, Md. Hafizur Rahman
Reproductive Health
The Population Council explored the possibilities of introducing a Pay-for-Performance (P4P) scheme in Bangladesh to improve maternal, newborn and child healthcare (MNCH) services. Based on the consultation and with guidance from the Government of Bangladesh, the Population Council and UNICEF provided technical assistance to the Directorate General of Health Services (DGHS) to test two P4P strategies for MNCH service providers to improve service volume and quality of care, and for poor clients to receive services subsidized through vouchers or coupons. The first strategy is a combination of pay-for-performance for providers and subsidized coupons for poor pregnant women, newborns, and under-five …
Do State Policies Constrain Local Actors? The Impact Of English Only Laws On Language Instruction In Public Schools,
2010
Rice University
Do State Policies Constrain Local Actors? The Impact Of English Only Laws On Language Instruction In Public Schools, Melissa Marschall, Elizabeth Rigby, Jasmine Jenkins
Elizabeth Rigby
This study examines how instrumental and symbolic messages embedded in state law shape the practices of ‘street-level’ bureaucrats. Specifically, we investigate whether passage of state-level English Only laws influences the way English language learners are instructed in local public schools. Using data on state English Only laws from 1987-2004 and school-level data from the National Center for Educational Statistics, we find that instrumental aspects of English Only laws serve to constrain, but not eliminate, schools’ use of bilingual instruction, while those sending only symbolic messages are less constraining. Further, when state laws are vague in scope, adherence to the English …
Price Elasticity Of Expenditure Across Health Care Services,
2010
Yale University
Price Elasticity Of Expenditure Across Health Care Services, Fabian Duarte
Fabian Duarte
Policymakers in countries around the world are faced with rising health care costs and are debating ways to reform health care to reduce expenditures. Estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Using unique individual-level data compiled from administrative records from the Chilean private health insurance market, I estimate the price elasticity of expenditures across a variety of health care services. These rich data allow me to examine the heterogeneity of price elasticities across types of service and demographic groups. Using exogenous changes in price generated by changes made by the Chilean …
