3 research outputs found

    A Tale of Two States: What We Learn from California and Texas

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    Teen birth rates and teen pregnancy prevention strategies vary widely across individual states in the US, which has the highest overall teen birth rate among developed nations. California and Texas, the two most populous states currently accounting for a quarter of all teen births, have taken very different approaches to addressing adolescent reproductive health. This case study examines the racial/ethnic composition and socioeconomic factors of these two states from 1981 to 2008. State programs and policies implemented between 1991 and 2008 as well as changes in access to contraception and public–private partnerships are discussed. Based on the lessons learned from California, a similar multifaceted campaign in Texas may be effective in reducing teen births

    Choosing and Maintaining Programs for Sex Education in Schools: The CHAMPSS Model

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    Background: Despite effective solutions to reduce teen birth rates, Texas teen birth rates are among the highest in the nation. School districts can impact youth sexual behavior through implementation of evidence-based programs (EBPs); however, teen pregnancy prevention is a complex and controversial issue for school districts. Subsequently, very few districts in Texas implement EBPs for pregnancy prevention. Additionally, school districts receive little guidance on the process for finding, adopting, and implementing EBPs. Purpose: The purpose of this report is to present the CHoosing And Maintaining Programs for Sex education in Schools (CHAMPSS) Model, a practical and realistic framework to help districts find, adopt, and implement EBPs. Methods: Model development occurred in four phases using the core processes of Intervention Mapping: 1) knowledge acquisition, 2) knowledge engineering, 3) model representation, and 4) knowledge development. Results: The CHAMPSS Model provides seven steps, tailored for school-based settings, which encompass phases of assessment, preparation, implementation, and maintenance: Prioritize, Asses, Select, Approve, Prepare, Implement, and Maintain. Advocacy and eliciting support for adolescent sexual health are also core elements of the model. Conclusion: This systematic framework may help schools increase adoption, implementation, and maintenance for EBPs

    Climate Change Impacts on Rice Farming Systems in Northwestern Sri Lanka

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    Sri Lanka has achieved tremendous progress since 1950 in crop production and food availability. Yields grew at an impressive rate until leveling off in the mid-eighties. Sri Lanka's population is anticipated to grow in the coming decades, creating an ever-greater demand for food security on the household, sub-district, regional, and national scales.The agricultural sector in Sri Lanka is vulnerable to climate shocks. An unusual succession of droughts and floods from 2008 to 2014 has led to both booms and busts in agricultural production, which were reflected in food prices. In both instances, the majority of farmers and consumers were adversely affected.At present the rice-farming systems are under stress due to inadequate returns for the farmers and difficulty in coping with shocks due to climate, pests, and diseases, and prices for produce. There are government price-support mechanisms, fertilizer-subsidy schemes, and crop insurance schemes, but the levels of the supports are modest and often do not effectively reach the farmers
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