10,423 research outputs found
Challenges to the Implementation of International Health Regulations (2005) on Preventing Infectious Diseases: Experience from Julius Nyerere International Airport, Tanzania.
The International Health Regulations (IHR) (2005) is a legal instrument binding all World Health Organization (WHO) member States. It aims to prevent and control public health emergencies of international concern. Country points of entry (POEs) have been identified as potential areas for effective interventions to prevent the transmission of infectious diseases across borders. The agreement postulates that member states will strengthen core capacities detailed in the IHR (2005), including those specified for the POE. This study intended to assess the challenges faced in implementing the IHR (2005) requirements at Julius Nyerere International Airport (JNIA), Dar es Salaam. A cross-sectional, descriptive study, employing qualitative methods, was conducted at the Ministry of Health and Social Welfare (MoHSW), WHO, and JNIA. In-depth interviews, focus group discussions (FGDs) and documentary reviews were used to obtain relevant information. Respondents were purposively enrolled into the study. Thematic analysis was used to generate study findings. Several challenges that hamper implementation of the IHR (2005) were identified: (1) none of the 42 Tanzanian POEs have been specifically designated to implement IHR (2005). (2) Implementation of the IHR (2005) at the POE was complicated as it falls under various uncoordinated government departments. Although there were clear communication channels at JNIA that enhanced reliable risk communication, the airport lacked isolated rooms specific for emergence preparedness and response to public health events. JNIA is yet to develop adequate core capacities required for implementation of the IHR (2005). There is a need for policy managers to designate JNIA to implement IHR (2005) and ensure that public health policies, legislations, guidelines, and practice at POE are harmonized to improve international travel and trade. Policy makers and implementers should also ensure that implementation of the IHR (2005) follow the policy implementation framework, particularly the contextual interaction theory which calls for the availability of adequate resources (inputs) and well-organized process for the successful implementation of the policy
The dilemmas of risk-sensitive development on a small volcanic island
In the Small Islands Developing State (SIDS) of St Vincent and the Grenadines in the Caribbean, the most destructive disasters in terms of human casualties have been the multiple eruptions of La Soufrière volcano situated in the north of St Vincent. Despite this major threat, people continue to live close to the volcano and national development plans do not include risk reduction measures for volcanic hazards. This paper examines the development options in volcanic SIDS and presents a number of conundrums for disaster risk management on the island of St Vincent. Improvements in monitoring of volcanic hazards and ongoing programmes to enhance communications systems and encourage community preparedness planning have increased awareness of the risks associated with volcanic hazards, yet this has not translated into more risk-informed development planning decisions. The current physical development plan in fact promotes investment in infrastructure in settlements located within the zone designated very high-hazard. However, this is not an anomaly or an irrational decision: severe space constraints in SIDS, as well as other historical social and economic factors, limit growth and options for low-risk development. Greater attention needs to be placed on developing measures to reduce risk, particularly from low-intensity hazards like ash, limiting where possible exposure to volcanic hazards and building the resilience of communities living in high-risk areas. This requires planning for both short- and longer-term impacts from renewed activity. Volcanic SIDS face multiple hazards because of their geography and topography, so development plans should identify these interconnected risks and options for their reduction, alongside measures aimed at improving personal preparedness plans so communities can learn to live with risk
Check cashers: moving from the fringes to the financial mainstream
Once relegated to the margins of the financial services industry, check cashing outlets (CCO's) are now more visible parts of the urban landscape. Check cashers offer convenient check clearing and bill payment services, mostly tailored to meet the needs of the "unbanked" in low-and moderate income communities. The industry has grown dramatically over the years and is generating new products and services to meet the needs of its niche clientele. While some argue that check cashers are offering marginalized lower income Americans more responsive products than those available from banks, consumer advocates and community groups disagree. They argue that CCO customers pay too much for basic payment services, and that a reliance on check cashers keeps these lower-income individuals form being integrated into the financial mainstream. Lesly Jean-Paul and Luxman Nathan examine industry trends and the reach of check cashers here in New England.Checks ; Unbanked
Vulnerability to Agricultural Drought in Western Orissa: A Case Study of Representative Blocks
The nature of vulnerability to agricultural drought in three study blocks of Bolangir district in western Orissa has been analysed. The indexing and vulnerability profile method have been used for assessing the nature of drought vulnerability, coping capacity and risk. The study has revealed that the three most influential biophysical factors of drought vulnerability are: rainfall variability, drought intensity and shortage of available waterholding capacity of soil and the three most influential socioeconomic factors are: low irrigation development, poor crop insurance coverage and smaller forest area. It is found that while drought risk varies widely across the study blocks and drought vulnerability and physical exposure to drought vary moderately, the coping capacity of study blocks differ marginally. However, the level of coping capacity has been found significantly lower than the level of drought risk and vulnerability in the study blocks.Drought, Drought vulnerability, Composite drought vulnerability index, Physical exposure index, Drought risk index, Agricultural and Food Policy, Q54, Q58, C43, O13,
Special Libraries, April 1926
Volume 17, Issue 4https://scholarworks.sjsu.edu/sla_sl_1926/1003/thumbnail.jp
Gender, Source Country Characteristics and Labor Market Assimilation among Immigrants: 1980-2000
We use 1980, 1990 and 2000 Census data to study the impact of source country characteristics on the labor supply assimilation profiles of married adult immigrant women and men. Women migrating from countries where women have high relative labor force participation rates work substantially more than women coming from countries with lower relative female labor supply rates, and this gap is roughly constant with time in the United States. These differences are substantial and hold up even when we control for wage offers and family formation decisions, as well as when we control for the emigration rate from the United States to the source country. Men's labor supply assimilation profiles are unaffected by source country female labor supply, a result that suggests that the female findings reflect notions of gender roles rather than overall work orientation. Findings for another indicator of traditional gender roles, source country fertility rates, are broadly similar, with substantial and persistent negative effects of source country fertility on the labor supply of female immigrants except when we control for presence of children, in which case the negative effects only become evident after ten years in the United States.fertility, labor supply, immigration, assimilation, gender
Wives, Warriors, and Womanhood: A Study of Women’s War Roles
Since starting the War, Diplomacy, and Society program, my interests have included a focus on the soldier’s experience in war, women’s changing roles in war, and the study of war journalism, ranging from World War II, the Cold War, to the Vietnam War. This thesis project is a culmination of these themes.
The first article examines the crucial nature of a soldier’s connection to the Home Front by analyzing a collection of letters between a soldier and his fiancé during World War II. Filled with declarations of love and occasional expressions of insecurity, these letters reveal the importance of a strong relationship to one’s morale, indicating that the ultimate responsibility for maintaining morale fell mainly on the individual soldier themselves. In the second article, I explore women’s critical roles in civil defense programs of the Cold War period, utilizing promotional material from the Federal Civil Defense Administration to demonstrate that their policies emphasizing home protection and nuclear preparedness were specifically constructed to appeal to American housewives. As the article argues, women proved integral to civil defense programs and embraced these policies to escape, if only metaphorically, from the restraints of domesticity, instilling a deeper sense of meaning and patriotic responsibility to their existing responsibilities. Finally, the third article includes an annotated syllabus for a 300-level class over a 15-week semester focused on the evolution of women as war correspondents from their experiences in World War II to the Vietnam War. Utilizing a variety of primary sources including letters, newspapers, and memoirs, as well as secondary sources, the syllabus aims to provide students with an understanding of women’s war correspondence work, including women’s changing roles in war, and their contributions to the field of journalism.
Collectively, this thesis project seeks to illustrate how women’s roles in war are intricately tied to deliberate constructions of militarized gender roles and expectations, shaping their wartime experiences and opportunities. By analyzing these gendered constructions, it emphasizes the critical connections constantly developing between war and society, leaving indelible imprints on the cultural, political, and social frameworks of each era
Distribution of selected healthcare resources for influenza pandemic response in Cambodia.
INTRODUCTION: Human influenza infection poses a serious public health threat in Cambodia, a country at risk for the emergence and spread of novel influenza viruses with pandemic potential. Prior pandemics demonstrated the adverse impact of influenza on poor communities in developing countries. Investigation of healthcare resource distribution can inform decisions regarding resource mobilization and investment for pandemic mitigation. METHODS: A health facility survey performed across Cambodia obtained data on availability of healthcare resources important for pandemic influenza response. Focusing on five key resources considered most necessary for treating severe influenza (inpatient beds, doctors, nurses, oseltamivir, and ventilators), resource distributions were analyzed at the Operational District (OD) and Province levels, refining data analysis from earlier studies. Resources were stratified by respondent type (hospital vs. District Health Office [DHO]). A summary index of distribution inequality was calculated using the Gini coefficient. Indices for local spatial autocorrelation were measured at the OD level using geographical information system (GIS) analysis. Finally, a potential link between socioeconomic status and resource distribution was explored by mapping resource densities against poverty rates. RESULTS: Gini coefficient calculation revealed variable inequality in distribution of the five key resources at the Province and OD levels. A greater percentage of the population resides in areas of relative under-supply (28.5%) than over-supply (21.3%). Areas with more resources per capita showed significant clustering in central Cambodia while areas with fewer resources clustered in the northern and western provinces. Hospital-based inpatient beds, doctors, and nurses were most heavily concentrated in areas of the country with the lowest poverty rates; however, beds and nurses in Non-Hospital Medical Facilities (NHMF) showed increasing concentrations at higher levels of poverty. CONCLUSIONS: There is considerable heterogeneity in healthcare resource distribution across Cambodia. Distribution mapping at the local level can inform policy decisions on where to stockpile resources in advance of and for reallocation in the event of a pandemic. These findings will be useful in determining future health resource investment, both for pandemic preparedness and for general health system strengthening, and provide a foundation for future analyses of equity in health services provision for pandemic mitigation planning in Cambodia
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