15th Annual HIGHER Ground Women\u27s Leadership Conference Booklet

The practice of leadership is most often understood within the context of relationships inside organizations and institutions. The boundaries that dictated our lives months before have all but dissolved, prompting the need to reconsider our definition of leadership, where it takes place, and who controls it. Circumstances and opportunities have required women to readjust their expectations and what is expected of them. While the past 18-months took a physical, emotional, social, and political toll on many families, it has also provided a moment for reflection, resignation, recovery, and reimagination of what our lives could be beyond this moment. It has forced a shift in our notion of leadership and allowed us to reconsider our roles and worth at home and work. Opportunities have emerged from an uncertain environment for leaders to reflect on how we capitalize on the leadershifts that have transpired over the last year to pivot forward

Improving access to emergency contraception pills through strengthening service delivery and demand generation: A systematic review of current evidence in low and middle-income countries

© 2014 Dawson et al. Objectives: Emergency contraception pills (ECP) are among the 13 essential commodities in the framework for action established by the UN Commission on Life-Saving Commodities for Women and Children. Despite having been on the market for nearly 20 years, a number of barriers still limit women's access to ECP in low- and middle-income countries (LMIC) including limited consumer knowledge and poor availability. This paper reports the results of a review to synthesise the current evidence on service delivery strategies to improve access to ECP.Methods: A narrative synthesis methodology was used to examine peer reviewed research literature (2003 to 2013) from diverse methodological traditions to provide critical insights into strategies to improve access from a service delivery perspective. The studies were appraised using established scoring systems and the findings of included papers thematically analysed and patterns mapped across all findings using concept mapping.Findings: Ten papers were included in the review. Despite limited research of adequate quality, promising strategies to improve access were identified including: advance provision of ECP; task shifting and sharing; intersectoral collaboration for sexual assault; m-health for information provision; and scale up through national family planning programs.Conclusion: There are a number of gaps in the research concerning service delivery and ECP in LMIC. These include a lack of knowledge concerning private/commercial sector contributions to improving access, the needs of vulnerable groups of women, approaches to enhancing intersectoral collaboration, evidence for social marketing models and investment cases for ECP

Workforce interventions to improve access to emergency contraception pills: A systematic review of current evidence in low- and middle-income countries and recommendations for improving performance Health systems and services in low and middle income settings

© 2015 Dawson et al.; licensee BioMed Central. Background: Emergency contraceptive pills (ECP) are one of the 13 essential commodities addressed by the UN Commission on Life-Saving Commodities for Women and Children. Although ECP have been available for 20 years, a number of barriers still limit women's access ECP in low and middle-income countries (LMIC). The workforce who prescribe or dispense ECP are diverse reflecting the varied contexts where ECP are available across the health, commercial and justice sectors and in the community. No reviews currently exist that examine the roles and experiences of the workforce that provide ECP in LMIC. Method: We present a narrative synthesis of research to: identify provider factors that facilitate and constraint access to ECP; assess the effectiveness of associated interventions and; explore associated health system issues in LMIC. A search of bibliographic databases, meta-indexes and websites was undertaken to retrieve peer reviewed and grey literature. Literature was screened and identified documents examined to appraise quality. Results: Thirty-seven documents were included in the review. Studies focused on formal health workers revealing knowledge gaps concerning the role of private sector and non-health providers who increasingly provide ECP. Data from the findings section in the documents were coded under 4 themes: provider knowledge; provider attitudes and beliefs; provider practice and provider training. The analysis revealed provider knowledge gaps, less than favourable attitudes and practice issues. The findings provide limited insight into products prescribed and/or dispensed, the frequency of provision, and information and advice offered to consumers. Pre and in-service training needs were noted. Conclusion: As the provision of ECPs shifts from the clinic-based health sector to increasing provision by the private sector, the limited understanding of provider performance and the practice gaps revealed in this review highlight the need to further examine provider performance to inform the development of appropriate workforce interventions. A standardized approach to assessing performance using agreed outcomes measures may serve to ensure a systematic way forward that is inclusive of the diverse workforce that deliver ECP. Recommendations are outlined to enhance the performance of providers to improve access to ECP. A framework is offered to help guide this process with indicators

16th Annual HIGHER Ground Women\u27s Leadership Conference

Seizing Tomorrow, Today, challenges participants to develop a practice of Prospective Reflection- a deliberate practice of strategic foresight to aid in facing the challenges and opportunities that exist beyond us. Prospective reflection is unique because it forces us to capitalize on this time of era-defining moments and to imagine what is possible. Today\u27s conference will aid you in translating your values into actions, your dreams into reality, and your hopes into happens. Delivered through a high-impact combination of short, narrative-driven lectures, interactive panels, and individualized strategic reflection activities, the day will culminate in an action plan for moving your leadership forward. By the end of the program, participants will have the strategies and tools to identify the values, dreams, hopes, and actions that will strategically influence tomorrow\u27s outcomes; set future-focused intentions about their personal and professional lives; take control of their own \u27big picture\u27 regarding professional development and career advancement

Cold gas as an ice diagnostic toward low mass protostars

Up to 90% of the chemical reactions during star formation occurs on ice surfaces, probably including the formation of complex organics. Only the most abundant ice species are however observed directly by infrared spectroscopy. This study aims to develop an indirect observational method of ices based on non-thermal ice desorption in the colder part of protostellar envelopes. For that purpose the IRAM 30m telescope was employed to observe two molecules that can be detected both in the gas and the ice, CH3 OH and HNCO, toward 4 low mass embedded protostars. Their respective gas-phase column densities are determined using rotational diagrams. The relationship between ice and gas phase abundances is subsequently determined. The observed gas and ice abundances span several orders of magnitude. Most of the CH3OH and HNCO gas along the lines of sight is inferred to be quiescent from the measured line widths and the derived excitation temperatures, and hence not affected by thermal desorption close to the protostar or in outflow shocks. The measured gas to ice ratio of ~10-4 agrees well with model predictions for non-thermal desorption under cold envelope conditions and there is a tentative correlation between ice and gas phase abundances. This indicates that non-thermal desorption products can serve as a signature of the ice composition. A larger sample is however necessary to provide a conclusive proof of concept.Comment: accepted by A&A letters, 10 pages including 5 figure