Female stress and birth seasonality in Tanzania.
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Longyan Prefecture in West Fujian has a long and noble tradition of folk painting. The local authorities have made use of all forms of art, including folk painting, to promote the implementation of the family planning program. Folk painters in Longyan Prefecture have fully displayed their talent in producing numerous paintings to increase the population awareness of the public, depict people's keenness to respond to calls by the government for practicing family planning, and show the progress they have made in integrating family planning with economic development in rural areas. Most painters are farmers, while some are grassroots government officials working in towns and townships. They applied this ancient form of art to serving the great cause of controlling population growth and improving the quality of life in the country. Selected paintings were exhibited first in Fujian Province and then in Beijing, and have won several awards. Some of them were shown in Britain, America, Denmark, and the Philippines.
This study investigates the efficiency of Area Agencies on Aging using Data Envelopment Analysis (DEA). Efficiency was calculated based on resources available and service units produced. Results demonstrated that extent of inefficiency in agencies and how efficiency of individual Area Agencies on Aging can be improved relative to their peer agencies. Analyses by organizational type, size, and rural-urban differences indicated governmental agencies and large agencies were more likely to be efficient. Rural agencies were about equally likely to be efficient as inefficient.
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There are many challenges to effectively and efficiently translating evidence into practice. Potential strategies include (1) training more evidence-based practitioners in the art and science of evidence-based medicine, (2) enhancing the quality and availability of systematic reviews, and (3) more effectively linking evidence-based practitioners and evidence users through comprehensive behavioral change initiatives. Herein we explore the third strategy and highlight the key elements of success for a program using behavioral change strategies. We present a clinical model based on clear understanding of the "problem," a systematic approach to diagnosis, selection of scientifically sound treatment options, and effective evaluation with appropriate modification of the treatment plan. A successful program begins with effective team leadership, the expression of a clinically compelling case for change, and commitment to the pursuit of perfection in the delivery of key evidence-based interventions. The team must then diagnose behavioral barriers to change, using a systematic approach based on a published rigorous differential diagnosis framework. This diagnostic step provides the foundation for selection of effective dissemination and implementation strategies (treatments) proven to improve processes of care and clinical outcomes. Finally the team must evaluate progress toward perfection, reviewing interim data and adjusting the treatment regimen to newly diagnosed barriers. We then present a specific project (improving pneumococcal immunization rates in our rural community) and interim results to demonstrate the use of the framework in the real world.
This article describes the S.H.A.R.E. model for collaborative programming that evolved from the joint Clarion, Edinboro, and Slippery Rock Universities graduate nursing programs. The five components of the model--students, administrative support, resources, educational technology, humor--are presented in relation to current organizational and leadership concepts that serve as their basis. The authors focus on the use of the model as a framework for meeting the educational and health care needs of rural Pennsylvanians through collaboration and shared interests.
PROBLEM ADDRESSED: Recruitment and retention of physicians appropriately trained for rural practice in Canada continues to be a serious challenge. We describe three integrated educational programs at the University of Alberta that aim to increase students' and residents' participation in rural health care and encourage them to take up practice in rural areas. OBJECTIVES OF PROGRAM: To expand and enrich rural educational experiences at undergraduate and postgraduate levels and to supplement family medicine postgraduate education with a third-year special-skills program for rural practice. MAIN COMPONENTS OF PROGRAM: Main components are sustained, reliable funding from the Government of Alberta for the Rural Physician Action Plan; adequate infrastructure to support the program; and commitment by university faculty, rural physicians, and communities. CONCLUSION: The rural-based educational programs have allowed more than 95% of medical students to gain experience in rural areas. The number of family medicine residents doing rural rotations has doubled, and the length of experiences in rural practice has increased fourfold. The third-year special-skills training for rural practice has expanded greatly, and at least 26 of 49 participants have gone on to enter rural practice. In more than 30 rural Alberta communities, 56 physicians have had an important influence on the training of medical students and family medicine residents.