Development of materials on family planning and population education for use by Thai home economics extension workers

The specific objectives of the study were to: (1) develop and translate into the Thai language materials for selected lessons on family planning and population education for use by home economics extension workers; (2) obtain information concerning the useability and applicability of the six lesson materials from a group of students enrolled in home economics and faculty members at Kasetsart University, Bangkok, Thailand; (3) revise the materials on the basis of information gained from the students and faculty. The objectives for the six lessons were: 1. The participants will realize the quality of care given to children is related to the family size. 2. The participants will become aware of the relationship between family size and family well-being. 3. The participants will define the meaning of overpopulated. 4. The participants will recognize the relationship between family size and adequacy of material resources. 5. The participants will realize that every woman has a chance to choose and/or improve family life. 6. The participants will understand the meaning of family planning and the effects it has on the family

Beberapa Faktor yang Mempengaruhi Kepatuhan Bidan Desa dalam Pemberian Konseling KB Postpartum pada Ibu Pasca Persalinan di Kabupaten Semarang Tahun 2014

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Kesehatan Ibu dan Anak 2014 ABSTRAK Nugraheni Kusumawati Beberapa Faktor yang Mempengaruhi Kepatuhan Bidan Desa dalam Pemberian Konseling KB Postpartum pada Ibu Pasca Persalinan di Kabupaten Semarang Tahun 2014 xvii + 139 halaman + 37 tabel + 3 gambar + lampiran Kepatuhan bidan desa dalam pemberian konseling KB postpartum di Kabupaten Semarang masih sangat rendah. Jumlah PUS yang tidak ikut KB masih cukup banyak, yaitu 19.729 orang dan keikutsertaan KB baru pada PUS mengalami penurunan sebanyak 4.034 orang, sehingga belum bisa mencapai target KB yang diharapkan. Tujuan penelitian ini untuk menguji faktor-faktor apakah yang mempengaruhi kepatuhan bidan desa dalam pemberian konseling KB postpartum pada ibu pascapersalinan di Kabupaten Semarang. Metode penelitian observasional dengan metode survey dan pendekatan cross sectional. Instrumen penelitian menggunakan kuesioner dan check-list pada 70 bidan desa yang dipilih dengan Stratified Random Sampling. Analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan kepatuhan bidan desa dalam pemberian konseling KB postpartum pada ibu pasca persalinan masih rendah (54,3%). Karakteristik bidan desa: 77% berumur antara 18-40 tahun, pendidikan terakhir bidan desa 100% D III kebidanan, dan 66% masa kerja lebih dari lima tahun. Sebagian besar bidan desa berpengetahuan baik tentang KB postpartum (82,9%), memiliki motivasi rendah (51,4%), bersikap positif (62,9%), supervisi bidan koordinator masih kurang baik (54,3%), bidan desa masih kurang terampil dalam pemberian konseling KB postpartum (60%), dan sarana yang dimiliki bidan desa sudah lengkap (65,7%). Ada hubungan antara motivasi (p=0,0001), supervisi (p=0,005), dan keterampilan (p=0,021) dengan kepatuhan bidan desa dalam pemberian konseling KB postpartum. Tidak ada hubungan antara pengetahuan (p=1,000), sikap (p=0,491), dan sarana (p=0,812) dengan kepatuhan bidan desa dalam pemberian konseling KB postpartum. Variabel yang berpengaruh secara bersama-sama terhadap kepatuhan bidan desa dalam pemberian konseling KB postpartum adalah motivasi (ExpB=8,534), supervisi(ExpB=5,587), dan keterampilan (ExpB=3,382). Disarankan Dinas Kesehatan dan Puskesmas untuk lebih meningkatkan motivasi, supervisi, dan keterampilan bidan desa dalam pemberian konseling KB postpartum pada ibu pasca persalinan. Kata kunci : Faktor yang Mempengaruhi Bidan Desa, Konseling KB Postpartum Kepustakaan : 63 (1997 – 2013) Diponegoro University Faculty of Public Health Master’s Program in Public Health Majoring in Maternal and Child Health 2014 ABSTRACT Nugraheni Kusumawati Some Factors influencing the Obedience of Village Midwife in Providing Counselling of Postpartum Family Planning to Mothers after Childbirth in Semarang District in 2014 xvii + 139 pages + 37 tables + 3 figures + enclosures The obedience of village midwives in providing counselling of postpartum family planning in Semarang District was still low. Number of couples of childbearing age who did not follow family planning program was very large, namely 19,729 persons. In addition, new family planning acceptors among those couples decreased about 4,034 persons. Therefore, it had not achieved a target yet. This study aimed to analyze factors influencing the obedience of village midwives in providing counselling of postpartum family planning in Semarang District. This was observational research with survey method and cross-sectional approach. Research instrument used questionnaires and check-lists interviewed to 70 village midwives selected using Stratified Random Sampling. Furthermore, data were analyzed using bivariate analysis (Chi-Square test) and multivariate analysis (Logistic Regression test). The result of this research showed that most of the research participants had lack of obedience (54.3%). In addition, most of them had age ranging from 18 to 40 years old (77%), graduated from DIII Midwifery (100%), and had working period more than five years (66%). Furthermore, most of the respondents had good knowledge about postpartum family planning (82.9%), low motivation (51.4%), positive attitude (62.9%), lack of supervision by coordinator midwives (54.3%), lack of skill in providing postpartum family planning (60%), and complete means (65.7%). The variables of motivation (p=0.0001), supervision (p=0.005), and skill (p=0.021) had significant relationship with the obedience of village midwives in providing counselling of postpartum family planning. On the other hand, the variables of knowledge (p=1.000), attitude (p=0.491), and means (p=0.812) were not significant. Furthermore, the factors of motivation (Exp(B)=8.534), supervision (Exp(B)=5.587), and skill (Exp(B)=3.382) jointly significantly influenced the obedience of village midwives. As suggestions, District Health Office and health centers need to improve motivation, supervision, and skills of village midwives in providing counselling of postpartum family planning among mothers after childbirth. Key Words : Factors Influencing Village Midwife, Counselling of Postpartum Family Planning Bibliography : 63 (1997-2013

Gender Differences in Academic Surgery, Work-Life Balance, and Satisfaction

Background An increasing number of women are pursuing a career in surgery. Concurrently, the percentage of surgeons in dual-profession partnerships is increasing. We sought to evaluate the gender differences in professional advancement, work-life balance, and satisfaction at a large academic center. Materials and methods All surgical trainees and faculty at a single academic medical center were surveyed. Collected variables included gender, academic rank, marital status, family size, division of household responsibilities, and career satisfaction. Student t-test, Fisher's exact test, and chi-square test were used to compare results. Results There were 127 faculty and 116 trainee respondents (>80% response rate). Respondents were mostly male (77% of faculty, 58% of trainees). Women were more likely than men to be married to a professional (90% versus 37%, for faculty; 82% versus 41% for trainees, P < 0.001 for both) who was working full time (P < 0.001) and were less likely to be on tenure track (P = 0.002). Women faculty were more likely to be primarily responsible for childcare planning (P < 0.001), meal planning (P < 0.001), grocery shopping (P < 0.001), and vacation planning (P = 0.003). Gender-neutral responsibilities included financial planning (P = 0.04) and monthly bill payment (P = 0.03). Gender differences in division of household responsibilities were similar in surgical trainees except for childcare planning, which was a shared responsibility. Conclusions Women surgeons are more likely to be partnered with a full-time working spouse and to be primarily responsible for managing their households. Additional consideration for improvement in recruitment and retention strategies for surgeons might address barriers to equalizing these gender disparities

Married Couples’ Understandings of Family Planning and their Communication Processes

Faculty of Arts 9803428vThis dissertation examines husbands and wives’ understandings of family planning and communication processes. It examines family planning approval, knowledge of contraceptives and motivations for contraceptive use by husbands and wives. The study provides insights into these variables as held by husbands and wives and implications for contraceptive use. The dissertation also provides insights into the nature of communication processes while relating this to couples’ inconsistencies noted from quantitative data, their marital and reproductive history, and contraceptive use implications. The study uses KDHS 1998 survey Western Province couples’ data set that includes 176 married couples. The study further uses data from Focus Group Discussions conducted amongst husbands and wives in Vihiga District of Western Kenya. The study notes that variables such as contraceptive knowledge, approval of family planning and spousal family planning communication continue to have inconsistent and unclear relationship with contraceptive use. The study argues that these variables are not simply related to contraceptive use and need further examination using qualitative methodologies. The culture and political-economy of fertility conceptual framework and its various aspects of levels, process, causality, time and methodology is applied in the examination of husbands and wives’ understandings of family planning and contraceptive use communication between spouses. The findings of this study reveal that family planning understandings by husbands and wives including knowledge, attitudes and motivations for contraceptive use and spousal family planning communication are related to contraceptive use yet the relationship remains complex and can be understood through examining how different contextual levels and processes enhance varied notions of these factors as held by husbands and wives in relation to contraceptive use; the timing in terms of couples’ marital and reproductive history; the various socio-cultural and politicaleconomic processes surrounding the couples and the individual agency of the husband and wife in pursuing their fertility goals. While none of these factors adequately predicts contraceptive use on their own, an examination of husbands and wives within such a framework provides a better linkage to potential for contraceptive use or lack of it at married couple level. Thus while knowledge or approval of family planning perse fails to provide a clear or consistent link to contraceptive use, the study highlights the various notions of knowledge including individual husbands’ and wives’ perceptions about own knowledge of family planning; and differences in approval ranging from widespread general approval in line with community perceptions, twin perceptions of approval and disapproval common at individual level and disapproval of family planning and the fact that these may change across reproductive histories are factors within the concepts of family planning knowledge and approval that provide better understanding for potential for contraceptive use. The study therefore provides further insights regarding how husbands and wives understand variables commonly related to family planning and varied implications for contraceptive use. With regards to communication, the study underlines that spousal family planning communication is not simply linked to contraceptive use. Instead spousal family planning communication is a complex process informed partly by husbands’ and wives’ understandings of family planning; their perceptions of own knowledge regarding contraceptive methods; their various motivations for family planning involvement and their gender based relationship and perceptions of dominance. The study highlights various forms of spousal family planning communication processes and implications for contraceptive use. This study further argues that the potential of spousal family planning communication’ complex relationship with contraceptive use is related to the nature, timing, content of the communication processes and the agency of the individual husband and wife in influencing spousal family planning communication and decision making. The thesis ends with conclusions and provides recommendations for family planning programs and future studies while highlighting limitations of this study

Community Engagement for Health and Wellness in Aging Populations: Institute for Inclusion, Inquiry, and Innovation (iCubed)

The Virginia Commonwealth University (VCU) Institute for Inclusion, Inquiry and Innovation (iCubed) is a cutting-edge institute focused on creating collaborative connections between the university and Richmond through innovative academic and research programs. iCubed consists of six transdisciplinary cores which unite faculty members and students to work with key community members to develop holistic solutions to 21st century urban challenges. One of these cores, the Health and Wellness in Aging Populations (HWAP) core, was designed to educate and assist low-income older adults in becoming self-sufficient in navigating healthcare services. The HWAP core is centered within the Richmond Health and Wellness Program, an interprofessional care coordination and wellness service that serves Richmond’s low-income senior housing communities. As part of its inaugural mentorship program, iCubed created the Commonwealth Scholars Program (CSP) to pair academically talented undergraduate students with faculty members in the HWAP core to conduct research on aging populations in Richmond. As part of their responsibilities, the students were tasked with interviewing HWAP core faculty members to assess their perceptions of the core’s mission and progress. As such, the current study summarizes the findings from these interviews and offers guidelines for future directions. CSP conducted interviews with HWAP core faculty members (N=10) to establish a multiperspective vision of HWAP core objectives. Interviewed members come from the following VCU Departments: Family and Community Health Nursing/School of Nursing, Pharmacotherapy and Outcomes Science/School of Pharmacy, Family Medicine and Population Health/School of Medicine, Gerontology/School of Allied Health Professions, Adult Health and Nursing Systems, and Urban and Regional Studies, Planning/L. Douglas Wilder School of Government and Public Affairs. Each interview lasted approximately 10 minutes and was recorded into an electronic document. Themes from the interviews were identified and main themes are described. Coded themes indicated that the HWAP core aims to deliver care, offer education, and help aging clients navigate the healthcare system. Faculty members noted that HWAP core’s engagement with the community aims to build trust with community members and create lifelong partnerships. Findings indicated that the HWAP core has the potential to improve the quality of life for older adults and empower community members to maintain their independence and age in place. Future opportunities for the HWAP core include training older adults to become community health workers to be truly vested within the mission and actions of the core. In conclusion, the HWAP core aims to improve the lives of low-income older adults in Richmond and does so by connecting VCU researchers and students with community members.https://scholarscompass.vcu.edu/uresposters/1279/thumbnail.jp

Hospitalist involvement in family medicine residency training: A CERA study

BACKGROUND AND OBJECTIVES: Little is known about the impact of hospitalists on family medicine residencies. We surveyed family medicine residency directors to assess attitudes about hospitalists and their involvement in residency teaching. METHODS: Questions were included in the 2012 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of family medicine residency directors. Univariate statistics were used to describe programs, directors, and our questions on the use of hospitalists. Bivariate statistics were used to examine relationships between the use of hospitalists to teach and program characteristics. RESULTS: Forty-one percent (n=175) of residency directors completed the hospitalist section of the CERA survey. Sixty-six percent of residency programs were community based/university affiliated. The majority of directors who have, or are planning to develop, a hospitalist service currently use an internal medicine service (92.5%), followed by family medicine (39.1%), pediatrics (35.4%), OB/laborists (18.0%), and combined services (8.7%). The majority of programs with a hospitalist training track (or plans to develop one) indicated that this was for a family medicine service. Sixty percent of programs that have a hospitalist service involve hospitalists in teaching. Twenty percent of directors reported that hospitalists serve as family medicine faculty, and 63% viewed them as good educators. However, 85% reported no reduction in inpatient teaching by family medicine faculty despite using hospitalist teaching services. CONCLUSIONS: Hospitalists have a significant educational role in family medicine resident training. Further research is needed to explore how hospitalists and family medicine faculty can collaborate to promote enhanced efficiency and effectiveness as residency teachers

Family Planning and Reproductive Health Experiences of Latina Women in a United States Border City

Family planning and reproductive health services are essential protective factors against unwanted, unintended, or mistimed pregnancies. However, underserved women such as those who are low-income, uninsured, or geographically or linguistically isolated may not have optimal access to these essential services. This study explores the experiences of Latina women in a United States’ border city in accessing family planning care through focus group discussions. We conducted two focus groups with Latina women of reproductive age in a border town in the United States, n=16. Focus groups were conducted in Spanish and audio recorded for transcription. Two independent bilingual student researchers transcribed and translated the audio files for analysis. A team of one faculty member and two student researchers analyzed the translated transcripts using traditional content analysis for qualitative research until consensus was achieved on major themes. This study was approved under the Office of Human Research at George Washington University, in collaboration with the Human Subjects Research Council at Central Washington University. This study is currently in progress and undergoing the qualitative analysis of transcripts. The research team is currently collaborating to develop consensus on key themes that we will report regarding Latina women’s experiences with family planning care

Caring Minds

Greetings from Dean Patricia Starck New DNP program explores new frontiers of nursing Profile Joanne V. Hickey, PhD, APRN, BC, ACNP, FAAN, FCCM With assistance from PARTNERS scholarship, Family Practice Nurse pursues her dream through new DNP program School of Nursing offers training in geriatrics for nurses PARTNERS organization endows first professorship University of Texas Health Services planning to expand number of clinics Caring Leaders The Engine of Innovation: School of Nursing researchers part of $36 million NIH grant to spur innovation Johnson and Johnson gala spotlights nurses Chad and Heath LePray UT School of Nursing and Memorial Hermann Hospital create partnership with Chief of Advanced Practice position A Tribute to Frank Cole Faculty Scholarship Endowed Faculty Position

HUBUNGAN ANTARA FAKTOR PENGETAHUAN ISTRI DAN DUKUNGAN SUAMI TERHADAP KEJADIAN UNMET NEED KB PADA PASANGAN USIA SUBUR DI KELURAHAN SIANTAN TENGAH KECAMATAN PONTIANAK UTARA TAHUN 2014

Background: Unmet need for family planning is reproductive couple whowant to delay pregnancy or do not want to have more children, but do notusing any method of contraception. Among subdistricts in pontianak citythe highest prevalence of unmet need for family planning is found in NorthPontianak (18,97%). The highest number of reproductive couple is foundin Central Siantan (6326 couples). Wife’s knowledge and husband’ssupport are suggested to influence the incindence of unmet need forfamily planning. Objective: To determine the relationship between wife’sknowledge and husband’s support toward  the incidence of unmet need forfamily planning. Method: This research was an analytic study with crosssectionalapproach conducted from April to June 2014. As much as 96reproductive couple were included in this study. Data was analyzed usingChi-Square test. Result: There were relationship between wife’sknowledge and husband’s support toward the incidence of unmet need forfamily planning with p=0,000 and p=0,000, rescpectively. Conclusion:wife’s knowledge and husband’s support are related to unmet need forfamily planning.Keywords: unmet need for family planning, wife’s knowledge, husband’ssupport. 1. Medical School, Faculty of Medicine, Universitas Tanjungpura,Pontianak, West Kalimantan. 2. Departement of Public Health, Faculty of Medicine, UniversitasTanjungpura Pontianak, West Kalimantan. 3. Departement of Physiology, Faculty of Medicine, UniversitasTanjungpura, Pontianak, West Kalimantan

MS-152: Papers of Harold A. Dunkelberger ‘36

This collection includes materials relating to Harold A. Dunkelberger’s life and work in relation to Gettysburg College and the Lutheran Church, as well as his personal and family relationships. It contains notes and records used while he was a professor in and later head of the Religion Department, as well as information about aspects of College administration and alumni relations in which he was involved. Additionally, Gettysburg College publications for events with which Dunkelberger was not directly connected are present in the collection. Academic correspondence with faculty at Gettysburg and other institutions is included, as well as several pieces Dunkelberger reviewed prior to publication. Planning materials and minutes from a variety of conferences attended by Dunkelberger make up one series, as does memorabilia from the travels he undertook as part of his work. Special Collections and College Archives Finding Aids are discovery tools used to describe and provide access to our holdings. Finding aids include historical and biographical information about each collection in addition to inventories of their content. More information about our collections can be found on our website http://www.gettysburg.edu/special_collections/collections/.https://cupola.gettysburg.edu/findingaidsall/1130/thumbnail.jp