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Culture, community networks, and HIV/AIDS outreach opportunities in a south Indian Siddha organization.

BACKGROUND: Gandeepam is an NGO in rural south India, with an HIV prevalence rate estimated at 2-7 times the national average. Aside from several outreach programs, Gandeepam practices Siddha medicine. OBJECTIVE: Evaluate Gandeepam's strengths and opportunities to promote HIV education. DESIGN: Three weeks of observing clinic practice, meeting patients, and discussing organizational structure. A survey of attitudes toward HIV was completed. RESULTS: Gandeepam reaches a broad cross-section of its community, and effectively disseminates information. No primary HIV prevention efforts were observed. CONCLUSION: Current strengths include an established network for information dissemination, and a strong community reputation. Tremendous social obstacles for disseminating effective HIV prevention messages remain.

Acquired Immunodeficiency Syndrome↗

The psychiatric emergency/crisis disposition and community networks.

Recent advances in techniques of rapid neuroleptization have enabled psychiatric emergency/crisis intervention staff to stabilize many acutely ill patients in a brief time period, frequently less than 24 hours. This has resulted in less need for hospital admissions and has challenged the mental health field to develop alternative disposition options. These options can be classified through a "hierarchy of crisis placements." From least to most restrictive in dispositional context these are: (1) the patient's family, (2) emergency housing, (3) a foster home, (4) the crisis hostel, (5) the 24-hour holding bed facility or intensive observation apartment, (6) the crisis bed unit, and (7) inpatient hospitalization. The psychiatric emergency/crisis intervention unit serves as a gateway for these dispositions following emergency treatment. Thus, a primary function of the unit is the advocacy for, and coordination of, dispositional services, including those provided by a variety of community resources. The unit serves as a networking center that plays a central role in facilitating dialogue between mental health and social assistance agencies, which in turn leads to better follow-up planning and care for the mentally ill while avoiding unnecessary hospitalization and institutionalization.

Antipsychotic Agents↗

Models for evolving community health information networks.

Community stakeholders, from hospital systems to independent physicians, from self-insured employers to managed health plans, from government agencies to consumers, require access to health information across the continuum of care. As the information highways for organizations and communities, health information networks and community health information networks have become the vehicles to address this growing health information imperative. Research identified more than 500 health information networks in all 50 states and most metropolitan markets. Health information networks vary widely in their definition, strategy, and operational status. Despite tumultuous change with both successes and failures, health information networks are indeed affecting health care delivery within enterprises and local communities, across regions, and on a national scale.

Community Networks↗

Predicting self-esteem, well-being, and distress in a cohort of gay men: the importance of cultural stigma, personal visibility, community networks, and positive identity.

Homosexual and bisexual men (N = 825) enrolled in the Multicenter AIDS Cohort Study in Chicago completed a 90-minute self-administered questionnaire that included the Rosenberg Self-Esteem Scale, a Well-Being Index, and the Hopkins Symptom Checklist. Participants indicated their experiences with gay stigma, their visibility as gay men, their involvement in the gay community, and their commitment to a positive gay identity. Data from this predominantly white, young, educated, and middle-class cohort are consistent with a structural model in which cultural stigma is negatively associated with positive self-perceptions. This within-group result contrasts sharply with between-group results that indicate our gay cohort was neither particularly low in global self-esteem nor high in psychological distress when compared to nonstigmatized samples.

Adaptation, Psychological↗

The EUVAC-NET project: creation and operation of a surveillance community network for vaccine preventable infectious diseases.

The EUVAC-NET network is in charge of the epidemiological surveillance and control of vaccine preventable diseases. It is coordinated by the SSI in Denmark, in collaboration with the ISS in Italy. The two main diseases targeted by the network are measles and pertussis. A collaboration is planned with the PHLS for the monitoring of Haemophilus influenzae b. EUVAC-NET includes the Member States of the European Union, and Iceland, Norway and Switzerland.

European Union↗

Harmonisation of the acute respiratory infection reporting system in the Czech Republic with the European community networks.

Respiratory virus activity is detected in Europe each winter, yet the precise timing and size of this activity is highly unpredictable. The impact of influenza infection and/or acute respiratory infection in European countries is continuously monitored through a variety of surveillance systems. All of these sources of information are used to assess the nature and extent of activity of influenza and other respiratory viruses, and to offer guidance on the prevention and control of morbidity and mortality due to influenza at a local, national and international level. The early warning system for a forthcoming influenza epidemic is mainly based on the use of a set of thresholds. In the Czech Republic, the acute respiratory infection (ARI) reporting system, with automated data processing, uses a statistical model for the early detection of unusual increased rates of the monitored indicators. The collected data consists of the number of ARI, the number of complications due to ARI and the population registered with the reporting general practitioners and paediatricians, all collected separately in five age groups. To improve the reporting system in the Czech Republic, clinical data on the weekly incidence of influenza-like illness (ILI) within the same population and the same age groups was started in January 2004. These data fit the European Commission's recently adopted ILI case definition and allows a better comparison of data with other countries in Europe, in particular those participating in EISS (European Influenza Surveillance Scheme).

Adolescent↗

Assessing the impact of community health information networks: a multisite field study of the Wisconsin Health Information Network.

Community health information networks (CHINs) have emerged as a promising new technology to generate cost reductions and support change in the health care industry. The proliferation of CHINs has been thwarted, however, by a conspicuous lack of evidence to support the claims of enhanced efficiency and effectiveness from CHIN participation. A recent study of the Wisconsin Health Information Network, the nation's first fully functioning CHIN, documents the benefits of this emerging technology. The findings reveal the potential for significant cost savings via electronic transmission of patient clinical and administrative information as well as enhancement of the quality of patient care.

Community Networks↗

Establishing the Canadian Community Monitoring Network.

Community-based ecosystem monitoring activities in Canada are increasing in response to a number of factors including: (i) the needs of decision-makers for timely information on local environmental changes; (ii) limited use of government monitoring data and information by decision makers: (iii) government cuts to monitoring programs; (iv) the increasingly recognized need to include stakeholders in planning and management processes; and (v) the desire of citizens to contribute to environmental protection. To date there has been no network coordination of community based monitoring in Canada. This paper reports on the establishment of the Canadian Community Monitoring Network by Environment Canada's Ecological Monitoring and Assessment Network Coordinating Office and the Canadian Nature Federation. Information on research prepared in support of network establishment is presented along with a discussion of the potential of the network.

Animals↗