Estimating willingness to pay for maternal health services: The Kenya reproductive health voucher programme

As part of a broad evaluation of a reproductive health voucher programme aimed at determining its effect on health outcomes, a willingness to pay (WTP) study was conducted. The purpose of the study was to estimate WTP values for a broad range of reproductive health (RH) services namely: antenatal care (ANC), delivery, postnatal care (PNC) and family planning (FP) services. The study also sought to investigate the effect of the voucher programme on respondents’ stated WTP values for the RH services. Women utilizing RH services at both voucher and non-voucher facilities were asked about their WTP for the RH services and WTP values were elicited using a stated preferences method. The study found that women were willing to pay a positive price to access RH services. Results also point to a differential learning effect or experience of the voucher on WTP for ANC, PNC, FP and delivery services. Further analysis also highlights endowment and reference effects with the voucher cost impacting on stated WTP amounts. The findings point to the potential for designing a sliding scale payment mechanism with effective targeting of subsidies such as vouchers to the neediest segments of the population. This will allow potential service users to pay for services within their willingness and ability to pay while also freeing resources to cater for the neediest segments of the population.The reproductive health voucher programme is implemented by the Government of Kenya with major funding from the German Development Bank (KfW). The evaluation project was funded by the Bill & Melinda Gates Foundation and implemented by the Population Council in collaboration with the National Council for Population and Development (NCPD), the Ministry of Health and PriceWaterhouseCoopers

THE GLUON DISTRIBUTION AT SMALL x OBTAINED FROM A UNIFIED EVOLUTION EQUATION.

We solve a unified integral equation to obtain the $x, Q_T$ and $Q$ dependence of the gluon distribution of a proton in the small $x$ regime; where $x$ and $Q_T$ are the longitudinal momentum fraction and the transverse momentum of the gluon probed at a scale $Q$. The equation generates a gluon with a steep $x^{- \lambda}$ behaviour, with $\lambda \sim 0.5$, and a $Q_T$ distribution which broadens as $x$ decreases. We compare our solutions with, on the one hand, those that we obtain using the double-leading-logarithm approximation to Altarelli-Parisi evolution and, on the other hand, to those that we determine from the BFKL equation.Comment: LaTeX file with 10 postscript figures (uuencoded

BFKL versus HERA

The BFKL equation and the kT-factorization theorem are used to obtain predictions for F2 in the small Bjorken-x region over a wide range of Q**2. The dependence on the parameters, especially on those concerning the infrared region, is discussed. After a background fit to recent experimental data obtained at HERA and at Fermilab (E665 experiment), we find that the predicted, almost Q**2 independent BFKL slope lambda >= 0.5 appears to be too steep at lower Q**2 values. Thus there seems to be a chance that future HERA data can distinguish between pure BFKL and conventional field theoretic renormalization group approaches.Comment: 26 pages, 6 eps figures, LaTeX2e using epsfig.sty and amssymb.st

A unified BFKL and GLAP description of F2F_2 data

We argue that the use of the universal unintegrated gluon distribution and the $k_T$ (or high energy) factorization theorem provides the natural framework for describing observables at small x. We introduce a coupled pair of evolution equations for the unintegrated gluon distribution and the sea quark distribution which incorporate both the resummed leading $ln (1/x)$ BFKL contributions and the resummed leading $ln (Q^2)$ GLAP contributions. We solve these unified equations in the perturbative QCD domain using simple parametic forms of the nonperturbative part of the integrated distributions. With only two (physically motivated) input parameters we find that this $k_T$ factorization approach gives an excellent description of the measurements of $F_2 (x,Q^2)$ at HERA. In this way the unified evolution equations allow us to determine the gluon and sea quark distributions and, moreover, to see the x domain where the resummed $ln (1/x)$ effects become significant. We use $k_T$ factorization to predict the longitudinal structure function $F_L (x,Q^2)$ and the charm component of $F_2 (x,Q^2)$.Comment: 25 pages, LaTeX, 9 figure

A checklist of the hawkmoths (Lepidoptera: Sphingidae) of the Cayman Islands: with implications for the pollination of the ghost orchid \u3ci\u3eDendrophylax fawcettii \u3c/i\u3eRolfe (Orchidaceae: Angraecinae) and consideration of bat predation

This checklist synthesises historic collections of Sphingidae (Lepidoptera) made during the summer months in the Cayman Islands in 1938 and 1975 with modern records drawn from a variety of sources. We report observations and collections made in all seasons of the year and provide natural history and larval food details. Four species, Phryxus caicus (Cramer) in all three islands, plus Isognathus rimosa (Grote), Enyo lugubris (Linnaeus), and Eumorpha satellitia (Linnaeus) in Grand Cayman only, are here reported as new records, for a total of 25 sphingid species occurring in the Cayman Islands. Seven species are new records for Grand Cayman, five are added for Little Cayman and two for Cayman Brac. Potential hawkmoth pollinators for the Cayman Islands endemic ghost orchid, Dendrophylax fawcettii Rolfe (Orchidaceae: Angraecinae) are reviewed and Cayman records of hawkmoths as prey of the big-eared bat Macrotus waterhousii minor Gundlach (Phyllostomidae) are discussed. The hawkmoths (Lepidoptera: Sphingidae) of the Cayman Islands are the only moths to have received more than passing treatment as a group in the published literature. The catalogue provided by Askew (1994) remains the most recent, and with one exception, is based only on collections made in the early rainy seasons of 1938 and 1975. The results of the Oxford University Biological Expedition to all three Cayman Islands, conducted between April and August 1938, were reported by Jordan (1940), and those of the Royal Society–Cayman Islands Government Expedition to Little Cayman in June–July 1975 by Askew (1980). These combined lists, to which Askew (1994) was able to add the 1911 specimen of Pachylia ficus (Linnaeus) from Grand Cayman deposited at the Natural History Museum, London by T.M. Savage English, resulted in a total of twenty-one species of Sphingidae reported from the Cayman Islands as of 1994. Since that time, insect collections have been established at the National Trust for the Cayman Islands, the Department of Environment and the Department of Agriculture. The authors have also made personal collections. Particularly since the advent of digital equipment, photographic images of hawkmoths made by resident and visiting naturalists have provided significant primary records and supplemental data. This checklist synthesises the historic collections and the modern records, reports occurrence for all months of the year, and provides natural history information where available. We assess the larval food plant availability, the affinities and permanence of the sphingid fauna of the islands

Deep inelastic events containing a forward photon as a probe of small xx dynamics

We calculate the rate of producing deep inelastic events containing an energetic isolated forward photon at HERA. We quantify the enhancement arising from the leading $\log 1/x$ gluon emissions with a view to using such events to identify the underlying dynamics.Comment: 11 pages, Latex, 7 ps figure

The description of F2 at small x incorporating angular ordering

We study the perturbative QCD description of the HERA measurements of $F_2 (x, Q^2)$ using a gluon distribution that is obtained from an evolution incorporating angular ordering of the gluon emissions, and which embodies both GLAP and BFKL dynamics. We compare the predictions with recent HERA data for $F_2$. We present estimates of the charm component $F_2^c (x, Q^2)$ and of $F_L (x, Q^2)$.Comment: 8 LaTeX pages + 4 uuencoded figure

Search for associated Higgs boson production using like charge dilepton events in p(p)over-bar collisions at root s=1.96 TeV

We present a search for associated Higgs boson production in the process p (p) over bar -> W/ZH -> l(+/-)l'(+/-) + X in ee, e mu, and mu mu final states. The search is based on data collected by the D0 experiment at the Fermilab Tevatron Collider at root s = 1.96 TeV corresponding to 5.3 fb(-1) of integrated luminosity. We require two isolated leptons (electrons or muons) with the same electric charge and additional kinematic requirements. No significant excess above background is observed, and we set 95% C. L. observed (expected) upper limits on ratio of the production cross section to the standard model prediction of 6.4 (7.3) for a Higgs boson mass of 165 GeV and 13.5 (19.8) for a mass of 115 GeV

Mutual heavy ion dissociation in peripheral collisions at ultrarelativistic energies

We study mutual dissociation of heavy nuclei in peripheral collisions at ultrarelativistic energies. Earlier this process was proposed for beam luminosity monitoring via simultaneous registration of forward and backward neutrons in zero degree calorimeters at Relativistic Heavy Ion Collider. Electromagnetic dissociation of heavy ions is considered in the framework of the Weizsacker-Williams method and simulated by the RELDIS code. Photoneutron cross sections measured in different experiments and calculated by the GNASH code are used as input for the calculations of dissociation cross sections. The difference in results obtained with different inputs provides a realistic estimation for the systematic uncertainty of the luminosity monitoring method. Contribution to simultaneous neutron emission due to grazing nuclear interactions is calculated within the abrasion model. Good description of CERN SPS experimental data on Au and Pb dissociation gives confidence in predictive power of the model for AuAu and PbPb collisions at RHIC and LHC.Comment: 46 pages with 7 tables and 13 figures, numerical integration accuracy improved, next-to-leading-order corrections include

Exploring the effectiveness of the output-based aid voucher program to increase uptake of gender-based violence recovery services in Kenya: a qualitative evaluation

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: Few studies in Africa have explored in detail the ability of output-based aid (OBA) voucher programs to increase access to gender-based violence recovery (GBVR) services. Methods: A qualitative study was conducted in 2010 and involved: (i) in-depth interviews (IDIs) with health managers, service providers, voucher management agency (VMA) managers and (ii) focus group discussions (FGDs) with voucher users, voucher non-users, voucher distributors and opinion leaders drawn from five program sites in Kenya. Results: The findings showed promising prospects for the uptake of OBA GBVR services among target population. However, a number of factors affect the uptake of the services. These include lack of general awareness of the GBVR services vouchers, lack of understanding of the benefit package, immediate financial needs of survivors, as well as stigma and cultural beliefs that undermine reporting of cases or seeking essential medical services. Moreover, accreditation of only hospitals to offer GBVR services undermines access to the services in rural areas. Poor responsiveness from law enforcement agencies and fear of reprisal from perpetrators also undermine treatment options and access to medical services. Low provider knowledge on GBVR services and lack of supplies also affect effective provision and management of GBVR services. Conclusions: The above findings suggest that there is a need to build the capacity of health care providers and police officers, strengthen the community strategy component of the OBA program to promote the GBVR services voucher, and conduct widespread community education programs aimed at prevention, ensuring survivors know how and where to access services and addressing stigma and cultural barriers.The Bill and Melinda Gates Foundatio