Consistency and Change: Districts’ Efforts to Engage Stakeholders Over Time

Background: Across families from all backgrounds, and for all students, when parents and the broader community engage in sustained systematic program improvements, schools and districts are more likely to focus on and maintain improvements. As a result, federal and state lawmakers have implemented engagement mandates. The ways in which these mandates are interpreted and implemented influence the success of the engagement practices. Research Design: We conducted a comparative case study and analyzed state representative survey data. Research Questions: How has Local Control Funding Formula (LCFF) local engagement played out over time? What has been learned? What may be facilitating and inhibiting “meaningful” engagement? Conclusions: Through the lens of democratic engagement, we find broad community and district leadership support for the ideals of community engagement. However, we also find that community engagement over time has generally lacked both depth and breadth and was specifically constrained for traditionally marginalized communities. Our analysis also identifies outlier districts that have established ways to implement broader and deeper engagement activities that focus on utilizing their communities as assets. Our research suggests that district leaders and educators need greater support to fully realize these democratic processes

Child malnutrition and recurrent flooding in rural eastern India: a community-based survey

Objectives This study aims to improve the understanding of the relationship between exposure to floods and malnutrition in children aged 6-59 months in rural India. Research has focused exclusively on Bangladeshi children, and few controlled epidemiological studies are available. Method A community-based cross-sectional study of child nutritional status was carried out in 14 flooded and 18 non-flooded villages of Jagatsinghpur district (Orissa) within one month of the September 2008 floods, and similarly affected by flooding in August 2006. Face-to-face interviews were conducted in 757 households in the flooded villages and 816 in the non-flooded communities. Data used in this study were from those households with children aged 6-59 months. In total, 191 and 161 children were measured, respectively. The association between various malnutrition indicators and the exposure to floods was assessed by univariate and multivariate logistic regression. Results Adjusted analyses revealed that children in flooded households were more likely stunted compared with those in non-flooded ones (adjusted prevalence ratio 1.60; 95% CI 1.05 to 2.44). The prevalence of underweight was also higher in children living in the flooded communities (adjusted prevalence ratio 1.86; 95% CI 1.04 to 3.30). Further analyses found that the 26-36-month flooded cohort, thus those children younger than 1 year during the precedent flood in August 2006, attained the largest difference in levels of stunting compared with the unexposed group of the same age. Conclusion Exposure to floods is associated with long-term malnutrition in these rural communities of Orissa, India. Children exposed to floods during their first year of life presented higher levels of chronic malnutrition. Long-term malnutrition prevention programmes after floods should be implemented in flood-prone areas

Exploring the barriers and facilitators to making healthy physical activity lifestyle choices among UK BAME adults during covid-19 pandemic: A study protocol

Past research has identified that individuals from BAME communities face health inequalities and report poorer outcomes from numerous health interventions. This study will explore some of the reasons with a focus on the perceptions towards physical activity in the lifestyle prevention of diseases. It will also seek to elicit a range of facilitators and barriers towards improving physical activity lifestyle choices amongst UK BAME adults, including but not limited to those in the individual, structural, environmental and social domains. Furthermore, it will consider the role of ethnicity and culture in the forming of physical activity lifestyle choices. This study was conducted to explore the facilitators and inhibitors of making healthy physical activity lifestyle choices amongst UK BAME adults during the COVID-19 pandemic. The study will involve 2 phases: a systematic review and a qualitative study phase. The systematic review will be conducted using the PECO (Population, Exposure, Comparison, and Outcome) framework and the preferred reporting items for systematic reviews and meta-analyses (PRISMA) strategy. The qualitative study will be a semi-structured online personal interview of a purposive sample of 12 UK BAME adults residing in Teesside, North East of England (UK). The findings obtained would be useful in designing culturally relevant interventions that seek to improve physical activity lifestyle choices for UK BAME adults and inform future policy guidelines in the UK

Environmental sustainability assessment of ready-made baby foods: Meals, menus and diets

Although there is a growing body of literature on the environmental impacts of food, virtually none of the studies has addressed baby foods. Therefore, this work explored the life cycle environmental impacts of different ready-made baby foods, both at the level of individual meals and their combinations within a weekly menu. Twelve different meals were considered, based on baby food products available on the UK market, spanning breakfast, lunch and dessert. Menus following four different diets – omnivorous, vegetarian, pescatarian and dairy-free – were also evaluated. The results showed that, on average, lunch meals had the highest impacts and desserts the lowest. Breakfast has either intermediate (wet porridge) or low (dry porridge) impacts. Among the lunch meals, spaghetti Bolognese and salmon risotto had the highest impacts and among the desserts, strawberry, raspberry and banana as well as apple, pear and banana purees had the lowest. The key hotspots across the meals were raw materials and packaging. Meals with more meat and cream were found to have higher impacts. Manufacturing also played a significant role for global warming potential as well as depletion of fossil resources and the ozone layer due to the fossil fuels used in the process. When the impacts were analysed per mass of baby food consumed weekly, the dairy-free diet had higher impacts than the other three, but the difference among them was relatively small. The trends changed when nutritional value was taken into account, with the dairy-free diet exhibiting considerably higher impacts per unit of energy content. In that case, the pescatarian diet became the best option for most impacts. There was little difference between the omnivore and vegetarian diets. It is expected that these results will be of interest to baby food manufacturers and consumers, helping them to make more informed manufacturing and purchasing decisions

Skills building seminar: Design for mental health integration through built environment interventions

Mental illness is associated with social exclusion and stigma more than most other health issues. This affects psychiatric facility provision (Chrysikou et al 2017), prevention and early treatment interventions. The planning and design of services both conceptually (service procedures, experience designs, campaigns and physically (e.g. buildings, products, interiors) could help change that. New approaches could build resilience by increasing access to and acceptance of mental health services and enable recovery as a constant process (Slade et al 2008). This intense skill- building workshop will use a role-game approach with cross-disciplinary methods from experience design and design thinking to foster innovative spatial concepts in a co-creative manner. This helps to build capacity and knowledge on exploring and developing innovative and disruptive concepts for public urban mental health. Focus is on spatial configuration, architectural and design aspects for services and mental health systems. The highly interactive seminar-workshop starts with two 5' presentations to set the theoretical multi-disciplinary stage. A third 5' presentation addresses issues addressed to the participants and presents the locus of the role play, i.e. Crete, chosen for its unique socio-spatial and systemic characteristics. A 5' presentation explains the scenario and stakeholder roles. The group session comprises a 50' long structured series of ideation and analysis methods based on a role-play-like schedule in which delegates act as service provider for a municipal client (Crete) that request an innovative mental health care solution for a specific urban context. Then 10' will be the closing session on the process by mapping the reflections of the process on a collective SWOT diagram

Do the national care trajectories diabetes and chronic care management in various European countries.

In order to improve quality of care for chronic conditions, in 2009 the National Institute for Health and Disability Insurance in Belgium created care trajectories (CTs) for diabetes mellitus type 2 (T2DM) and chronic kidney disease (CKD). A CT, formalised by a contract between patient, GP and specialist, aims to ensure integrated, evidence-based, multidisciplinary and structured care for chronic diseases in primary care.The ACHIL (Ambulatory Care Health Information Laboratory) study assesses whether inclusion in a CT leads to better quality of care for chronic disease, both over time and in comparison with other clinically comparable patients.</p