Dental Hygienists\u27 Contributions to Improving the Nation\u27s Oral Health Through School-Based Initiatives from 1970 Through 1999: A Historical Review

PURPOSE: The purpose of this literature review is to document the contributions dental hygienists have made over the past 3 decades to improve the nation\u27s oral health. This historical review encompasses selected literature that acknowledged dental Hygienists\u27 direct involvement in U.S. school-based or school-linked oral health programs from 1970-1999. METHODS: Five researchers independently searched MEDLINE, PubMed, and other electronic databases to identify relevant literature for the years 1970-1999. The search aimed to locate articles authored by or that documented dental Hygienists\u27 involvement as service provider in U.S. school-based oral health programs. For the purpose of this review, service provider was defined as educator, administrator, clinician, examiner, or any other unspecified service performed by a dental hygienist. RESULTS: Fifty-seven articles were retrieved, of which 36 (63%) directly linked dental hygienists to U.S. school-based activities. Twenty-seven articles specifically identified dental hygienists as service providers. Dental hygienists were listed as either primary or contributing author on 19 of these articles. CONCLUSION: The decade of the 1970s revealed very little literature documenting dental Hygienists\u27 involvement in U.S. school-based oral health programs. The 1970s, however, were instrumental in laying the foundation for service in the years that followed. As public health initiatives expanded in the 1980s, dental hygienists were identified in the largest number of papers as key personnel in the areas of education, management, service provider, and author. The decade of the 1990s yielded less literature than the 1980s, yet recognized dental Hygienists\u27 involvement in all aspects of oral health care delivery, program development and management, and authorship. The authors of this review theorize that dental hygienists were engaged in more school-based programs than reported and were involved in the authorship process more frequently than documented. Due to lack of credentials, or the omission of the words dental hygienist, RDH, or LDH, in favor of health care provider, auxiliary, or trained health care educator, it is unknown what portion of contributions made by dental hygienists remain undocumented

In name only: Water policy, the state, and ejidatario producers in northern Mexico

This dissertation constructs a political ecology of two modern irrigation communities in the northern Mexican state of Sonora. In assessing the impacts of the 1992 restructuring of Mexico's water policy, the study contributes to debates within geography about global economic integration, the transformation of the state-society relationship, the interface of ecological change with structural and political demands, and the prescription of decentralization, privatization, and free trade strategies for improving water management in developing countries. The dissertation investigates these questions: How have the restructuring of water and agricultural policy impacted local producers in irrigation districts in Sonora? How have small communal producers (e.g., ejidatarios) responded to the water reform package? An underlying assumption is that Sonoran producers in irrigation districts are among the nation's most-advantaged, given their proximity to U.S. markets, access to irrigation, technological package, and experience with commercial production. Mexico's water and agriculture policies are intended to allow the strongest, most efficient producers to become more competitive. I argue, however, that the water and agricultural reform package overall does not benefit Sonoran producers, and particularly disadvantages the ejidatario sector of farmers, due to a cost squeeze driven by rising water and input costs, retrenchment of state support, and loss of subsidies, among other factors. Most ejidatario producers have abandoned production and their water and land assets are being privatized. Despite this overall finding, some ejidatarios have found entrepreneurial ways to adapt their productive responses to the new challenges. The global-local linkages in the districts demonstrate that different free trade agreements can have distinct impacts on producers of different crops and transnational companies can pose challenges to water-strapped local communities. The prolonged drought has contributed to a water shortage that limits profitability of agriculture. The state's promotion of water consumptive, export crops is at odds with the demands of nature that dictate less intensive agriculture in arid regions like Sonora, with implications for the sustainability of commercial agriculture. A concept of water as a social good---rather than a purely economic good---needs to be resuscitated in order to satisfy the rural development needs of Mexico's ejidatario producers

On Lessons from Water Recharge Projects in Mexico: Science-Policy Collaboration and Stakeholder Participation

Analyzing collaborative practices among water governance institutions is key to generating timely information for stakeholders, policymakers, and researchers -as these are rethinking their goals and network structures to find the most productive avenues for collective work. This study draws on existing collaboration theories to characterize and analyze science-policy interactions between researchers, water managers, non-governmental organizations, and consultants who have participated or currently participate in water management and recharge projects in Mexico. We sampled 70 people that had worked or are working on water recharge projects in eight Mexican states in three broad regions: Baja California, Baja California Sur, Chihuahua, Sonora (northern); Estado de Mexico, San Luis Potosí, Mexico City (central); and Oaxaca (southern). Participants represented research institutions, non-governmental organizations, universities, federal, state, and municipal governments, and consultants. The data were collected using a mixed-methods approach (i.e., semi-structured interviews; online surveys). We identified science-policy interactions between researchers, policymakers, and non-governmental organizations critical to effectively developing and implementing water recharge projects. Our results find that trust and stakeholder participation are the most critical elements for building collaborative relationships. Finding ways to supersede structural challenges and promote science-policy collaboration among sectors and interagency with water management responsibilities will help achieve environmental and policy goals and increase water recharge development across Mexico

Metrics for assessing adaptive capacity and water security: Common challenges, diverging contexts, emerging consensus

The rapid pace of climate and environmental changes requires some degree of adaptation, to forestall or avoid severe impacts. Adaptive capacity and water security are concepts used to guide the ways in which resource managers plan for and manage change. Yet the assessment of adaptive capacity and water security remains elusive, due to flaws in guiding concepts, paucity or inadequacy of data, and multiple difficulties in measuring the effectiveness of management prescriptions at scales relevant to decision-making. We draw on conceptual framings and empirical findings of the articles in this special issue and seek to respond to key questions with respect to metrics for the measurement, governance, information accessibility, and robustness of the knowledge produced in conjunction with ideas related to adaptive capacity and water security. Three overarching conclusions from this body of work are (a) systematic cross-comparisons of metrics, using the same models and indicators, are needed to validate the reliability of evaluation instruments for adaptive capacity and water security, (b) the robustness of metrics to applications across multiple scales of analysis can be enhanced by a “metrics plus” approach that combines well-designed quantitative metrics with in-depth qualitative methods that provide rich context and local knowledge, and (c) changes in the governance of science-policy can address deficits in public participation, foster knowledge exchange, and encourage the co-development of adaptive processes and approaches (e.g., risk-based framing) that move beyond development and use of static indicators and metrics.The guest editors, and authors of this paper, would like to thank the editors and editorial board of Current Opinions in Environmental Sustainability for their encouragement of this special issue. We are grateful to our funders including the National Oceanic and Atmospheric Administration (NOAA) [grant number NA11OAR4310143] and Climate Assessment for the Southwest, Institute of the Environment, University of Arizona, for their support. We gratefully acknowledge partial support from the Inter-American Institute for Global Change Research (IAI) for project CRN3056, which is supported by the National Science Foundation (NSF) grant GEO-1128040, and from the International Water Security Network, funded by Lloyd’s Register Foundation, a charitable foundation in the United Kingdom helping to protect life and property by supporting engineering related education, public engagement, and the application of research. Additional support was provided by NSF grant DEB-1010495 and by the International Centre for Integrated Mountain Development (ICIMOD) via the Himalayan Adaptation, Water and Resilience (HI-AWARE) consortium under the Collaborative Adaptation Research Initiative in Africa and Asia (CARIAA) with financial support from the UK Government's Department for International Development and the International Development Research Centre, Ottawa, Canada; and by the Morris K. and Stewart L. Udall Foundation.24 month embargo; Available online 28 November 2016.This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Transboundary Water Governance Scholarship: A Critical Review

Governing and managing the allocation and use of freshwater has always been a complex and fraught undertaking. The challenges to effective and equitable management have been exacerbated by rising pressures on supplies caused by such drivers as population growth, urbanization and climate change. Moreover, vast quantities of water straddle international and other boundaries—four-fifths of the world’s largest river basins and hundreds of aquifers span such borders. This further complicates management and governance, which is subject to disparate legal, political, administrative, financial, cultural and diplomatic conditions. Recognition in the literature and in practice of ‘transboundariness’ dates to the 1970s and has grown since. The authors trace the evolution of transboundary water scholarship and identify five framings used in transboundary water governance and management: conflict and cooperation; hydropolitics; hydrodiplomacy; scale; and disciplinary approaches. Transboundary water management initiatives can be viewed through three broad strands: interventions, advancements in governance strategies and democratization of data and information for strengthening science–policy interaction. The authors close with a discussion of future directions for transboundary water governance and management, emphasizing the need for additional research on how to deal with climate-related and other mounting challenges

The Human Right to Water in Mexico: Challenges and Opportunities

This article analyses Mexico's 2012 constitutional guarantee of the human right to water and the new General Water Law that is required to implement it. Mexico has struggled to find consensus regarding a new law, but none has as yet been adopted. We examine three key questions regarding the 2012-2019 period: How is the human right to water defined in the Mexican context? What is the legal and institutional framework for implementing it? What are the opportunities and challenges involved in institutionalising it in light of the proposed water legislation? This research is based on a literature review, participation and observation at public forums, and in-depth interviews with key actors. Two principal legal proposals emerged in 2015, contrasting a technocratic approach with a socially inclusive one; neither was adopted but both remain relevant to the current discourse. The 2018 election re-energised social mobilisation around the right to water, and the government launched a new process for developing legal proposals. Using legal geography and political ecology as theoretical framings, we find that the new law creates opportunities for transforming access to water for marginalised communities, yet faces social, political and structural obstacles. Despite the challenges, the constitutional guarantee of the right to water is a positive foundation for democratising water governance in Mexico.Open access articleThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

The Lancet NCDI Poverty Commission: bridging a gap in universal health coverage for the poorest billion

For the poorest of our world, non-communicable diseases and injuries (NCDIs) account for more than a third of their burden of disease; this burden includes almost 800000 deaths annually among those aged younger than 40 years, more than HIV, tuberculosis, and maternal deaths combined. • Despite already living in abject poverty, between 19 million and 50 million of the poorest billion spend a catastrophic amount of money each year in direct out-of-pocket costs on health care as a result of NCDIs. • Progressive implementation of affordable, cost-effective, and equitable NCDI interventions between 2020 and 2030 could save the lives of more than 4·6 million of the world’s poorest, including 1·3 million who would otherwise die before the age of 40 years. • To avoid needless death and suffering, and to reduce the risk of catastrophic health spending, essential NCDI services must be financed through pooled, public resources, either from increased domestic funding or external funds. • National governments should set and adjust priorities based on the best available local data on NCDIs and the specific needs of the worst off. • International development assistance for health should be augmented and targeted to ensure that the poorest families affected by NCDIs are included in progress towards universal health care