Strategic management of family planning programs

Program management has received insufficient attention among family planning leaders, possibly because of medical or demographic background of many leaders, a focus on other program priorities (such as sheer survival), the pressure to expand programs rapidly, and limited donor interest in the subject. As programs grow in complexity, the problems resulting from weak management systems become more obvious, and organizations are compelled to introduce rational systems. The more successful family planning programs have paid close attention to key aspects of management and have striven to continually improve their systems. According to the principles of strategic management, there is no single"best"solution to the various problems organizations face. Each organization must work out a response appropriate to a given situation. But managers should know more about possible options and their effectiveness in other settings. In family planning, a dearth of research on options - compounded by the fact that many programs do not collect basic information about program inputs and outputs - makes it difficult to analyze which programs work and why. Logistics management is the Achilles heel of family planning programs. Many programs experience depleted supplies of contraceptives in demand and oversupplies of others. Lack of contraceptives not only leads to pregnancies but erodes client trust in the service provider and undermines staff morale. Measures to improve logistics management are readily accessible. What is lacking is a commitment from high-level managers to introduce the needed changes. Staff development also merits more attention from managers, as high-caliber staff can make a big difference in program performance. Managers do not always have flexibility about staff recruitment, promotion, and retention, but they should strive for as much leverage as possible. Little research has been done on the impact of training, so managers should assess the relative effectiveness and costs of different approaches. The key factor seems to the relevance to the training content to the individual's job responsibilities.Health Monitoring&Evaluation,ICT Policyand Strategies,Agricultural Knowledge&Information Systems,Enterprise Development&Reform,Community Development and Empowerment

Feminist Collaboration in the Art Academy

Women\u27s activity in the visual arts both in and outside of the art institutions of Europe and the United States reveals a history of collaboration in artistic production and political activism This paper analyzes the effects of feminist collaboration upon the disciplines of art, the pedagogy of art, and the administration of art institutions. In Part I, the authors review the impact of feminist collaboration in art history, aesthetics, art criticism, and art production. Part II provides examples of collaborative experiences of women in higher education art institutions and in some art communities in the United States, Scandinavia, and Italy. Three conclusions emerged from the review: (a) Collaboration facilitated women\u27s entry into the visual arts; (b) collaborative dialogue has changed the academic structures of art criticism and art history, but collaboration has had a minimal effect in the areas of aesthetics and art production; and (c) collaboration has not resulted in a significant change in the administration or pedagogy of art institutions

Absorptive transport of amino acids by the rat colon.

The capacity of the colon to absorb microbially produced amino acids (AAs) and the underlying mechanisms of AA transport are incompletely defined. We measured the profile of 16 fecal AAs along the rat ceco-colonic axis and compared unidirectional absorptive AA fluxes across mucosal tissues isolated from the rat jejunum, cecum, and proximal colon using an Ussing chamber approach, in conjunction with 1H-NMR and ultra-performance liquid chromatography-mass spectrometry chemical analyses. Passage of stool from cecum to midcolon was associated with segment-specific changes in fecal AA composition and a decrease in total AA content. Simultaneous measurement of up to 16 AA fluxes under native luminal conditions, with correction for endogenous AA release, demonstrated absorptive transfer of AAs across the cecum and proximal colon at rates comparable (30-80%) to those across the jejunum, with significant Na+-dependent and H+-stimulated components. Expression profiling of 30 major AA transporter genes by quantitative PCR revealed comparatively high levels of transcripts for 20 AA transporters in the cecum and/or colon, with the levels of 12 exceeding those in the small intestine. Our results suggest a more detailed model of major apical and basolateral AA transporters in rat colonocytes and provide evidence for a previously unappreciated transfer of AAs across the colonic epithelium that could link the prodigious metabolic capacities of the luminal microbiota, the colonocytes, and the body tissues.NEW & NOTEWORTHY This study provides evidence for a previously unappreciated transfer of microbially generated amino acids across the colonic epithelium under physiological conditions that could link the prodigious metabolic capacities of the luminal microbiota, the colonocytes, and the body tissues. The segment-specific expression of at least 20 amino acid transporter genes along the colon provides a detailed mechanistic basis for uniport, heteroexchange, Na+-cotransport, and H+-cotransport components of colonic amino acid absorption

Embodying knowledge of breast cancer in a disembodied community?

Few life experiences have a greater impact upon the sense of self than the diagnosis of a life-challenging illness. Breast cancer is such an illness, and the sudden transition from \u27well\u27 to \u27ill\u27 is unsettling for a person\u27s sense of knowing who they are in \u27their\u27 own body. What you know about your body, what others know about your body and what your biology knows about your body become suddenly problematic. This paper addresses what people know about their bodies before and after experiencing a breast cancer diagnosis by examining relevant theory and empirical data drawn from an online community for people with breast cancer, their families and supporters. In the Breast Cancer Click (BCC) online community members are encouraged to blog their breast cancer journey, engage in discussion forums, use a private messaging function to talk in real-time with each other and a breast care nurse, and to participate in live group chat. The records of all these activities have been used in a netnographic study which aims to examine the efficacy of this mutual support community. In this paper we present some of the material which has been created in the community’s activities to consider the embodied experience of breast cancer. Evidence from online community members is addressed to consider what a western cultural experience of breast cancer as captured by a disembodied online community can tell us about embodiment and embodied knowledge

Self-revelation in an online health community: Exploring issues around co-presence for vulnerable members

Problem: This paper addresses the implications of working with vulnerable groups in the context of an online health community when members move from co-presence online to co-presence offline. Theoretical Approach: The case study presented in this paper challenges the expectation that self-revelations are usually more common in online environments because of the anonymity and comfort experienced there. Methodology: Taking as its example the events in a research project designed to investigate the relative features of online communities and social network sites by using a ‘netnographic’ approach, this paper examines the introduction of live chat sessions with a view to building social and emotional involvement in community members who had been, to that point, somewhat disengaged. Findings: On the fourth live chat, shortly before Christmas, one community member suggested that they meet for a meal, effectively moving the co-presence from the online community into the offline world. This duly occurred the following week, but the situation did not develop as the research team members had envisioned and instead they found themselves dealing with a member who, in person, was revealed to be feeling suicidal. Conclusion: Addressing the case study in terms of the implications of co-presence and self-revelation in research settings, this paper goes on to describe the changes in policy and process instigated by the support organisation to prepare for other possible events of this nature

Creativity in an online community as a response to the chaos of a breast cancer diagnosis

No abstract available

Impaired Memory Cd8 T-Cell Responses Against an Immunodominant Retroviral Cryptic Epitope

The immunodominant cryptic epitope SYNTGRFPPL, encoded within open reading frame 2 of the LP-BM5 retroviral gag gene, is critical for protection against retroviral-induced pathogenesis. The goal of this study was to dissect the memory response against this unique immunodominant cryptic epitope. Unlike the protective acute effector population of SYNTGRFPPL-specific CD8 T cells, long-lived SYNTGRFPPL-specific CD8 T cells lacked the ability to protect susceptible mice infected with LP-BM5 retrovirus. Compared to memory CD8 T cells against a conventional epitope with similar MHC-I specificity, primed and restimulated using similar conditions, long-lived SYNTGRFPPL-specific CD8 T cells were impaired in their ability to recall against antigen, with reduced cytolytic capabilities and cytokine production. Since similar priming and restimulation regimes were utilized to generate each effector CD8 T cell population, this study has potentially broad implications with regard to the selection criteria of potent, highly conserved cryptic epitopes for use in epitope-based vaccines

Awakenings: An Equine Assisted Learning Research Project

Objective. The purpose of this pilot study was to determine if and how the Awakenings Equine Assisted Learning program was effective at improving the professionalism, confidence, communication skills and adaptability of students preparing for careers as Anesthesiologist Assistants. Background. Equine Assisted Learning (EAL) is a rapidly growing experiential model that utilizes horses to enhance participants\u27 awareness of their own non-verbal language, communication styles, projection of self-confidence and competence, and problem-solving abilities (Chandler, 2012; Green, 2012, 2013; Kane, 2012; Trotter, 2012). Methods. As a part of their regular educational and clinical rotations, first year students in the Anesthesiologist Assistant (AA) program participated in a 6- week training that included weekly, 2 -hour Equine Assisted Learning (EAL) sessions. Each session, the AA students participated in a 2- hour experiential equine assisted activity, specifically designed to address a certain target area necessary for their development as professionals in this field. The participants completed a pre and post assessment with 93 items that measured development as they relate to the EAL sessions. Results. The data was analyzed using t-tests, exploratory factor analysis, and qualitative self-reports. Confidence, empathy, awareness, and communication were the most significant factors. Conclusion. The qualitative data reinforced the quantitative findings that showed significant improvement in the objective factors as a result of the EAL sessions

Promoting VCU Community Solutions

This promotional project focuses on VCU Community Solutions — the new interdisciplinary initiative for education, research, and service. Since this initiative demonstrates the synergy that students, faculty, and community members can create by working together, the promotional video captures their perspectives. Through interviews and footage of community programs, the video shows how VCU Community Solutions engages university and community partners in addressing critical social issues — creating more imovative approaches by working together