Sanitation and Hygiene Behaviour Change at Scale: Understanding Slippage

As sanitation and hygiene programmes mature, the challenge shifts from bringing communities to ODF status to sustaining this status. In this context, many programmes are confronted with the issue of slippage. This concept refers to a return to previous unhygienic behaviours, or the inability of some or all community members to continue to meet all ODF criteria. This paper explores how to discern slippage nuances and patterns, strategies to address, pre-empt and mitigate it as well as alternative monitoring systems that capture the complexity of slippage more fully. The analysis and reflections are based on direct field experience, primarily from the GSF-supported programme in Madagascar. Moreover, the underpinning principle of the paper is that slippage is an expected aspect of behaviour change-oriented sanitation and hygiene interventions, especially those at scale, and not a sign of failure thereof

Breathlessness in the elderly during the last year of life sufficient to restrict activity

OBJECTIVES: Breathlessness is prevalent in older people. Symptom control at the end of life is important. This study investigated relationships between age, clinical characteristics and breathlessness sufficient to have people spend at least one half a day in that month in bed or cut down on their usual activities (restricting breathlessness) during the last year of life. DESIGN: Secondary data-analysis SETTING: General community PARTICIPANTS: 754 non-disabled persons, aged 70 and older. Monthly telephone interviews were conducted to determine the occurrence of restricting breathlessness. The primary outcome was the percentage of months with restricting breathlessness reported during the last year of life. RESULTS: Data regarding breathlessness were available for 548/589 (93.0%) decedents (mean age 86.7 years (range 71 to 106; males 38.8%). 311/548 (56.8%) reported restricting breathlessness at some time-point during the last year of life but no-one reported this every month. Frequency increased in the months closer to death irrespective of cause. Restricting breathlessness was associated with anxiety, (0.25 percentage point increase in months breathlessness per percentage point months reported anxiety, 95% CI 0.16 to 0.34, P<0.001), depression (0.14, 0.05 to 0.24, P=0.002) and mobility problems (0.07, 0.03 to 0.1, P=0.001). Percentage months of restricting breathlessness increased if chronic lung disease was noted at the most recent comprehensive assessment (6.62 percentage points, 95% CI 4.31 to 8.94, P<0.001), heart failure (3.34, 0.71 to 5.97, P<0.01), and ex-smoker status (3.01, 0.94 to 5.07, P=0.002), but decreased with older age (─0.19, ─0.37 to ─0.02, P=0.03). CONCLUSION: Restricting breathlessness increased in this elderly population in the months preceding death from any cause. Breathlessness should be assessed and managed in the context of poor prognosis

Positive Student Outcomes in Community Schools

Analyzes links between participation in community school supplemental programs in extended learning, family engagement, and support, and student outcomes such as English language development scores and attitudes about school. Makes policy recommendations

Cultures of career development: senior leaders' and early career teachers' views of career

Background The TDA-funded NQT Quality Improvement Study is a 4 year, England-wide longitudinal, combined methods study of both SLT and early career teachers (ECT's) views of key issues in the first few years of teaching. The first two phases of the study focussed on entry into the NQT year and the NQT year itself; the third phase looked at the second year of teaching. This paper utilises data from this third phase - particularly case study interviews with teachers and SLT members - to consider the issues of ECTs' careers and career development. The topic is of particular interest, since whilst the picture in terms of teacher supply and retention in the profession overall is much improved in recent years (for example, proportions of unfilled vacancies have declined according to DCSF data, and Smithers and Robinson (2003, 2004, 2005) found that the retention issue tailed off and stabilised over the period of their studies), it is clear that schools vary widely in their ability to recruit and retain staff in their early careers. This paper aims to explore these variations in different contexts and school cultures, to illuminate these differences. Research Questions This focus of this paper is to examine how SLT members in different contexts and cultures manage, and view, career development for ECTs in their schools and to compare these views with those of ECTs in the same schools

Investing in The Health and Well-Being of Young Adults

This report was prepared to assist federal, state, and local policy makers and program leaders, as well as employers, nonprofit organizations, and other community partners, in developing and enhancing policies and programs to improve young adults' health, safety, and well-being. The report also suggests priorities for research to inform policy and programs for young adults.Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large

Climate change governance

Climate change governance poses difficult challenges for contemporary political/administrative systems. These systems evolved to handle other sorts of problems and must now be adapted to handle emerging issues of climate change mitigation and adaptation. This paper examines long-term climate governance, particularly in relation to overcoming"institutional inertia"that hampers the development of an effective and timely response. It argues that when the influence of groups that fear adverse consequences of mitigation policies is combined with scientific uncertainty, the complexity of reaching global agreements, and long time frames, the natural tendency is for governments to delay action, to seek to avoid antagonizing influential groups, and to adopt less ambitious climate programs. Conflicts of power and interest are inevitable in relation to climate change policy. To address climate change means altering the way things are being done today - especially in terms of production and consumption practices in key sectors such as energy, agriculture, and transportation. But some of the most powerful groups in society have done well from existing arrangements, and they are cautious about disturbing the status quo. Climate change governance requires governments to take an active role in bringing about shifts in interest perceptions so that stable societal majorities in favor of deploying an active mitigation and adaptation policy regime can be maintained. Measures to help effect such change include: building coalitions for change, buying off opponents, establishing new centers of economic power, creating new institutional actors, adjusting legal rights and responsibilities, and changing ideas and accepted norms and expectations.Climate Change Mitigation and Green House Gases,Climate Change Economics,Environmental Economics&Policies,Science of Climate Change,Environment and Energy Efficiency

From Bureaucracy to Enterprise? The Changing Jobs and Careers of Managers in Telecommunications Service

This paper analyzes how organizational restructuring is affecting managerial labor markets. Drawing on field research from several Bell operating companies plus a detailed survey of managers in one company, this paper considers how organizational restructuring affects the employment levels, the nature of work, and the career trajectories of lower and middle level line managers. Does restructuring lead to a loss or managerial power and a convergence in the working conditions of managerial and nonmanagerial workers? Or, conversely, do managers stand to gain from the flattening of hierarchies and devolution of decision-making to lower organizational levels? The paper\u27s central argument is that a new vision of organization has taken hold – one that replaces bureaucracy with enterprise. This vision, however, entails sharp contradictions because it relies on two competing approaches to organizational reform: one that relies on decentralizing management to lower levels to enhance customer responsiveness; the other that relies on reengineering and downsizing to realize scale economies. While the first approach views lower and middle managers as central to competitiveness, the second views them as indirect costs to be minimized. The central question is whether or how the two approaches can be reconciled. The evidence from this case study shows that restructuring has had the unintended consequence of creating new organizational cleavages: between lower and middle level managers on the one hand, and top managers on the other

Outcome Evaluation of the work of the CGIAR Research Program on Water, Land and Ecosystems (WLE) on soil and water management in Ethiopia

In 2019, the CGIAR Research Program on Water, Land and Ecosystems (WLE) Leadership chose to evaluate WLE’s work in Ethiopia as one of its countries where it has had most success. The objectives of the evaluation are: To determine how and in what ways WLE contributed to the achievement of intended/unintended outcomes; Based on the findings of the evaluation, make recommendations of how WLE (and its partners) can become more effective in supporting soil and water management in Ethiopia; To serve as a participatory learning experience for WLE and its partners. This report describes the evaluation process, findings, conclusions and recommendations