Socioeconomic development, family planning, and fertility in Taiwan.
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The problem of chronic undernutrition and its direct and indirect effects, especially in Africa are multi-faceted and integrated, and have roots in socio-economic, cultural, environmental, political, technological and other factors. In this scenario, the immediate victims are children, especially those under 5 years of age. There seems to be a vicious cycle of maternal malnutrition, infant death and high fertility as well as malnutrition, ill-health and low agricultural productivity in Africa. These make the situation serious and chronic. It means that the structures which bring about this problem need critical re-evaluation, particularly in terms of increased agricultural productivity, both in quantity and quality, and normal nutritional status. Increased production of staple and supplementary foods is now a widespread need in the African continent, as is population control. Experience has shown that nutrition is a complex and interacting phenomenon which is very much influenced by policies that affect socio-economic structures. Since the problem of hunger and malnutrition is a structural problem, nutrition may be regarded as an integral part of development planning. Higher priority may be given, therefore, to food and nutrition planning and their subsequent integration into national development plans, especially by taking into consideration the vulnerable groups which are the children in the population (Idusogie, 1977).
In this article, we propose a methodology to be used by emergency medicine faculty members who are interested in career planning and faculty development on an individual basis. The basic competencies needed by faculty and methods of setting goals are described. Educational courses, workshops, seminars, and self-study strategies that can be used to provide the basic competencies and meet defined goals are described, including the advantages and disadvantages of each method, the time commitment, and needed resources. The advantage of this methodology is the ability to customize a program to meet individual needs and fit into the constraints of available time and monetary resources.
This reviews the efforts of the Centers for Disease Control and Prevention to integrate effective health communication into its programs that are designed to change behaviors. Although the 10-step framework for developing and implementing the Centers' health communication programs is both practical and comprehensive, it is suggested that a reversal of steps 2 and 3 is a more logical sequence, is more consistent with the literature and, more importantly, could avoid misapplications of the framework by less experienced practitioners. Comment is also made on the dynamic nature of health communication planning and development, a point not made explicit in the Centers' framework.
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The government of India is paying increasingly more attention to family planning in the country. For the years 1969-1974, the so-called Fourth Development Plan Period, the budget for family planning and population control is nearly 12 times that for the previous 5-year period. A total of $432.75 million has been appropriated for family planning and population control during the Fourth Development Plan. A large percentage of this money has been marked for research and development of new methods and means for the most practical family planning and fertility control. Most of this research is coordinated by the Indian Council of Medical Research. Fertility control in India consists of public education, family counseling, and direct medical aid.
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The authors describe the use of community development theory to assess the need for a community-based, nurse-managed primary care clinic. A community development model provided the framework for citizen participation in identifying collective health needs of public housing residents. The model facilitated the following: 1) planning for delivery of culturally appropriate primary care services that respond to health needs perceived by community residents; 2) ensuring acceptability and use of services; and 3) empowering residents to take responsibility for their own health. This article focuses on the assessment phase of the model and meeting the perceived needs of community residents.
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During life-changing events, people turn to spirituality for comfort, hope, and relief. This article raises nurses' awareness of and intent to provide spiritual care for children and families as part of overall quality care. Essential nursing knowledge for the development of a plan of care that includes the child's spirituality, religion, and culture, developmental stage, age-appropriate spiritual care activities, and the needs of the family are presented.
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