Sample records for achieve millennium development

  1. The Use of ICT in Achieving the Millennium Development Goals (MDGs) in Universities

    ERIC Educational Resources Information Center

    Kaino, L. M.

    2012-01-01

    The contribution of Information and Communication Technology (ICT) in achieving the Millennium Development Goals (MDGs) and the contribution of higher education institutions in achieving these have been emphasized. This study sought to find out the extent to which university-based researches on ICTs addressed and impacted the three MDGs of gender…

  2. Chagas disease: an impediment in achieving the Millennium Development Goals in Latin America

    PubMed Central

    Franco-Paredes, Carlos; Von, Anna; Hidron, Alicia; Rodríguez-Morales, Alfonso J; Tellez, Ildefonso; Barragán, Maribel; Jones, Danielle; Náquira, Cesar G; Mendez, Jorge

    2007-01-01

    Background Achieving sustainable economic and social growth through advances in health is crucial in Latin America within the framework of the United Nations Millennium Development Goals. Discussion Health-related Millennium Development Goals need to incorporate a multidimensional approach addressing the specific epidemiologic profile for each region of the globe. In this regard, addressing the cycle of destitution and suffering associated with infection with Trypanosoma cruzi, the causal agent of Chagas disease of American trypanosomiasis, will play a key role to enable the most impoverished populations in Latin America the opportunity to achieve their full potential. Most cases of Chagas disease occur among forgotten populations because these diseases persist exclusively in the poorest and the most marginalized communities in Latin America. Summary Addressing the cycle of destitution and suffering associated with T. cruzi infection will contribute to improve the health of the most impoverished populations in Latin America and will ultimately grant them with the opportunity to achieve their full economic potential. PMID:17725836

  3. Achieving Millennium Development Goals 4 and 5 in India.

    PubMed

    Chatterjee, A; Paily, V P

    2011-09-01

    This review relates to achieving the Millennium Development Goals (MDGs), especially MDGs 4 and 5, by India by the year 2015. India contributes the maximum number of maternal deaths (68,000) to the global estimate of 358,000 maternal deaths annually. Infant mortality rate (IMR) is also high at 50 per 1000 (2009). Low budgetary spending on health, poverty, lower literacy, poor nutritional status, rural-urban divide and lack of trained workers in the health sector are cited as reasons for a high maternal mortality ratio and IMR. Increased spending by the Government of India on the health sector has started to show encouraging results. Recent assessments by world bodies like the World Health Organisation have given hope that MDGs 4 and 5 are achievable. © 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.

  4. The Millennium Development Goals: experiences, achievements and what's next.

    PubMed

    Lomazzi, Marta; Borisch, Bettina; Laaser, Ulrich

    2014-01-01

    The Millennium Development Goals (MDGs) are eight international development goals to be achieved by 2015 addressing poverty, hunger, maternal and child mortality, communicable disease, education, gender inequality, environmental damage and the global partnership. Most activities worldwide have focused on maternal and child health and communicable diseases, while less attention has been paid to environmental sustainability and the development of a global partnership. Up to now, several targets have been at least partially achieved: hunger reduction is on track, poverty has been reduced by half, living conditions of 200 million deprived people enhanced, maternal and child mortality as well as communicable diseases diminished and education improved. Nevertheless, some goals will not be met, particularly in the poorest regions, due to different challenges (e.g. the lack of synergies among the goals, the economic crisis, etc.). The post-2015 agenda is now under discussion. The new targets, whatever they will be called, should reflect today's political situation, health and environmental challenges, and an all-inclusive, intersectoral and accountable approach should be adopted.

  5. The Millennium Development Goals: experiences, achievements and what's next

    PubMed Central

    Lomazzi, Marta; Borisch, Bettina; Laaser, Ulrich

    2014-01-01

    The Millennium Development Goals (MDGs) are eight international development goals to be achieved by 2015 addressing poverty, hunger, maternal and child mortality, communicable disease, education, gender inequality, environmental damage and the global partnership. Most activities worldwide have focused on maternal and child health and communicable diseases, while less attention has been paid to environmental sustainability and the development of a global partnership. Up to now, several targets have been at least partially achieved: hunger reduction is on track, poverty has been reduced by half, living conditions of 200 million deprived people enhanced, maternal and child mortality as well as communicable diseases diminished and education improved. Nevertheless, some goals will not be met, particularly in the poorest regions, due to different challenges (e.g. the lack of synergies among the goals, the economic crisis, etc.). The post-2015 agenda is now under discussion. The new targets, whatever they will be called, should reflect today's political situation, health and environmental challenges, and an all-inclusive, intersectoral and accountable approach should be adopted. PMID:24560268

  6. The millennium development goals and tobacco control.

    PubMed

    Collishaw, Neil E

    2010-03-01

    The eight Millennium Development Goals were proposed by the UN Secretary-General in 2001. They are goals with measurable targets to be achieved by 2015 or earlier. The Goals were distilled from the 2000 United Nations Millennium Declaration, a sweeping statement of development values, principles, objectives and proposed actions. The Framework Convention on Tobacco Control (FCTC) is a demonstrable translation of some of the ideas in the Millennium Declaration into reality. With 165(i) Parties, the FCTC does more than just improve global tobacco control: * The FCTC contributes to achievement of many of the Millennium Development Goals, and benefits from success in implementation of the Goals in other sectors. * The treaty itself is a demonstration of strengthened international and national rule of law, central tenets of the Millennium Declaration. * The FCTC expands international law into the health sector and provides better balance of international law among economic, environmental, social and health sectors. The Millennium Declaration calls for a more equitable distribution of the benefits of globalization, and the FCTC delivers this result. * The FCTC provides a model for addressing other unsolved global problems through greater use of international law. Alcohol control and dietary improvements including greater control of empty calories in manufactured foods are examples of problems that may benefit from greater governance by international law. Were that to come to pass, those new treaties would also improve implementation of the Millennium Declaration and the Millennium Development Goals.

  7. Structural violence: a barrier to achieving the millennium development goals for women.

    PubMed

    Mukherjee, Joia S; Barry, Donna J; Satti, Hind; Raymonville, Maxi; Marsh, Sarah; Smith-Fawzi, Mary Kay

    2011-04-01

    In 2000, all 191 United Nations member states agreed to work toward the achievement of a set of health and development goals by 2015. The achievement of these eight goals, the Millennium Development goals (MDGs) is highly dependent on improving the status of women, who play a key role in health and education in families and communities around the world. Yet structural violence, defined as the systematic exclusion of a group from the resources needed to develop their full human potential, remains a significant barrier against women's development and threatens the achievement of the MDGs. Although sound evidence has long existed for improving women's survival, the will to address women's health concretely and holistically is only recently gaining the advocacy needed to change policy. Concrete examples of the integration of approaches to mitigate structural violence within the delivery of health services do exist and should be incorporated into global advocacy for women's health.

  8. Achieving Millennium Development Goals for Health: Building Understanding, Trust and Capacity to Respond

    PubMed Central

    Larson, Heidi J.

    2007-01-01

    Biomedical interventions promise achievement of health-related Millennium Development Goals provided social-, capacity- and knowledge-based constraints to scaling up and reaching marginalized people at risk, are addressed, and balance between prevention and treatment is struck. We argue for a new approach: multi-stakeholder capacity building and learning for empowerment: MuSCLE. MuSCLE is used as a way to frame three systemic weaknesses in traditional health science and policy approaches: 1) a lack of engagement with people at risk to build a collective understanding of the contexts of health problems; 2) a lack of multi-criteria evaluation of alternative interventions; and 3) a lack of attention paid to integrated capacity building. The MuSCLE framework responds in three ways: 1) Participatory assessment of the ecological, socio-cultural, economic and political contexts of health, identifying priorities using risk and vulnerability science, and modeling drivers; 2) Selection among intervention alternatives that makes ecological, socio-cultural, economic and political tradeoffs transparent; and 3) Integrated capacity building for sustainable and adaptive interventions. Literature and field lessons support the argument, and guidelines are set down. A MuSCLE approach argues for a transformation in health science and policy in order to achieve Millennium Development Goals for health. PMID:17399849

  9. Achieving Millennium Development Goals for health: building understanding, trust and capacity to respond.

    PubMed

    Downs, Timothy John; Larson, Heidi Jane

    2007-10-01

    Biomedical interventions promise achievement of health-related Millennium Development Goals provided social-, capacity- and knowledge-based constraints to scaling up and reaching marginalized people at risk, are addressed, and balance between prevention and treatment is struck. We argue for a new approach: multi-stakeholder capacity building and learning for empowerment: MuSCLE. MuSCLE is used as a way to frame three systemic weaknesses in traditional health science and policy approaches: (1) a lack of engagement with people at risk to build a collective understanding of the contexts of health problems, including social drivers; (2) a lack of multi-criteria evaluation of alternative interventions; (3) a lack of attention paid to integrated capacity building. The MuSCLE framework responds in three ways: (1) participatory assessment of the ecological, socio-cultural, economic and political contexts of health, identifying priorities using risk and vulnerability science, and modeling drivers; (2) selection among intervention alternatives that makes ecological, socio-cultural, economic and political tradeoffs transparent; (3) integrated capacity building for sustainable and adaptive interventions. Literature and field lessons support the argument, and guidelines are set down. A MuSCLE approach argues for a transformation in health science and policy in order to achieve Millennium Development Goals for health.

  10. Critical Issues around the Millennium Development Goals and Education

    ERIC Educational Resources Information Center

    Archer, David

    2005-01-01

    At the UN Millennium Assembly in 2000 global leaders committed themselves to eight Millennium Development Goals (MDGs). Seven of these goals were set for achievement in 2015, including the achievement of universal primary education. Only one goal was set for 2005: the achievement of gender parity in primary and secondary education. There was good…

  11. Health in the developing world: achieving the Millennium Development Goals.

    PubMed Central

    Sachs, Jeffrey D.

    2004-01-01

    The Millennium Development Goals depend critically on scaling up public health investments in developing countries. As a matter of urgency, developing-country governments must present detailed investment plans that are sufficiently ambitious to meet the goals, and the plans must be inserted into existing donor processes. Donor countries must keep the promises they have often reiterated of increased assistance, which they can easily afford, to help improve health in the developing countries and ensure stability for the whole world. PMID:15654410

  12. Innovative Approaches to Funding the Millennium Development Goals. OECD Development Centre Policy Brief, No. 24

    ERIC Educational Resources Information Center

    Reisen, Helmut

    2004-01-01

    At the United Nations Millennium Summit in September 2000, world leaders adopted the Millennium Development Goals (MDGs), which set targets for reducing poverty, hunger, disease, illiteracy, environmental degradation, and discrimination against women by 20151. The need for additional development funding, if the MDGs are to be achieved by 2015, is…

  13. Achieving Millennium Development Goals 4 and 5: a snapshot of life in rural India.

    PubMed

    Mullick, S S; Serle, E

    2011-09-01

    The case studies presented here illustrate the poignant reality of life for mothers and children in rural India. We highlight the challenges of achieving millennium development goals (MDGs) 4 and 5, by exploring the reasons behind maternal and childhood mortality using the three-delays model as a framework. Gender disparities, lack of empowerment of women, poor understanding of life-threatening illness, the inability to know when and where to seek help, security issues, deficiencies in understanding cultural perceptions, poorly equipped health facilities and a lack of skilled personnel are all highlighted. © 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.

  14. How political epidemiology research can address why the millennium development goals have not been achieved: developing a research agenda.

    PubMed

    Gil-González, D; Ruiz-Cantero, M T; Alvarez-Dardet, C

    2009-04-01

    The Millennium Development Goals (MDG) progress targets have not been met. Nevertheless, the United Nations (UN) has not yet undertaken in-depth review in order to discover the reasons behind this lack of progress in achieving the MDG. From a political epidemiology perspective, the intention here is to identify the political elements affecting the social factors impeding MDG fulfilment and, at the same time, to suggest future public policies and appropriate proposals that are both more coherent and supported by broader, empirical knowledge of the relevant issues.

  15. Millennium Development Goals: how public health professionals perceive the achievement of MDGs.

    PubMed

    Lomazzi, Marta; Laaser, Ulrich; Theisling, Mareike; Tapia, Leticia; Borisch, Bettina

    2014-01-01

    There have been various consultations on the Millennium Development Goals (MDGs) by different groups. However, even if it is clear that the health sector has led the development success of the MDGs, only a few MDG reports consider public health experts' points of view and these are mainly government driven. The World Federation of Public Health Associations (WFPHA) has executed a global survey to consult public health professionals worldwide concerning the implementation and achievements of the MDGs. The survey was conceived by WFPHA health professionals and promulgated online. Public health professionals and organisations dealing with MDGs responded to the survey. Content analysis was conducted to analyse the data. Survey participants attributed the highest importance worldwide to MDGs dealing with women, poverty and hunger reduction, and disease prevention and management. Moreover, they underlined the role of education, referring both to school children and professionals. In high and upper-middle income countries, environmental challenges also received considerable attention. Notably, respondents underlined that weak governance and unstable political situations, as well as the gap between professionals and politicians, were among the main causes that detracted from MDG achievements. The public health workforce felt it would be imperative to be included from the outset in the design and implementation of further goals. This implies that those professionals have to take an active part in the political process leading to a new and accountable framework.

  16. Achieving the health Millennium Development Goals for South Africa: challenges and priorities.

    PubMed

    Chopra, Mickey; Lawn, Joy E; Sanders, David; Barron, Peter; Abdool Karim, Salim S; Bradshaw, Debbie; Jewkes, Rachel; Abdool Karim, Quarraisha; Flisher, Alan J; Mayosi, Bongani M; Tollman, Stephen M; Churchyard, Gavin J; Coovadia, Hoosen

    2009-09-19

    15 years after liberation from apartheid, South Africans are facing new challenges for which the highest calibre of leadership, vision, and commitment is needed. The effect of the unprecedented HIV/AIDS epidemic has been immense. Substantial increases in mortality and morbidity are threatening to overwhelm the health system and undermine the potential of South Africa to attain the Millennium Development Goals (MDGs). However The Lancet's Series on South Africa has identified several examples of leadership and innovation that point towards a different future scenario. We discuss the type of vision, leadership, and priority actions needed to achieve such a change. We still have time to change the health trajectory of the country, and even meet the MDGs. The South African Government, installed in April, 2009, has the mandate and potential to address the public health emergencies facing the country--will they do so or will another opportunity and many more lives be lost?

  17. Millennium Development Goals: how public health professionals perceive the achievement of MDGs

    PubMed Central

    Lomazzi, Marta; Laaser, Ulrich; Theisling, Mareike; Tapia, Leticia; Borisch, Bettina

    2014-01-01

    Background There have been various consultations on the Millennium Development Goals (MDGs) by different groups. However, even if it is clear that the health sector has led the development success of the MDGs, only a few MDG reports consider public health experts’ points of view and these are mainly government driven. Designs The World Federation of Public Health Associations (WFPHA) has executed a global survey to consult public health professionals worldwide concerning the implementation and achievements of the MDGs. The survey was conceived by WFPHA health professionals and promulgated online. Public health professionals and organisations dealing with MDGs responded to the survey. Content analysis was conducted to analyse the data. Results Survey participants attributed the highest importance worldwide to MDGs dealing with women, poverty and hunger reduction, and disease prevention and management. Moreover, they underlined the role of education, referring both to school children and professionals. In high and upper-middle income countries, environmental challenges also received considerable attention. Notably, respondents underlined that weak governance and unstable political situations, as well as the gap between professionals and politicians, were among the main causes that detracted from MDG achievements. Conclusion The public health workforce felt it would be imperative to be included from the outset in the design and implementation of further goals. This implies that those professionals have to take an active part in the political process leading to a new and accountable framework. PMID:25249060

  18. State downsizing as a determinant of infant mortality and achievement of Millennium Development Goal 4.

    PubMed

    Palma-Solís, Marco Antonio; Alvarez-Dardet Díaz, Carlos; Franco-Giraldo, Alvaro; Hernández-Aguado, Ildefonso; Pérez-Hoyos, Santiago

    2009-01-01

    The aim of this study was to evaluate the worldwide effect of state downsizing policies on achievement of U.N. Millennium Development Goal 4 (MDG4) on infant mortality rates. In an ecological retrospective cohort study of 161 countries, from 1978 to 2002, the authors analyzed changes in government consumption (GC) as determining exposure to achievement of MDG4. Descriptive methods and a multiple logistic regression were applied to adjust for changes in gross domestic product, level of democracy, and income inequality. Excess infant mortality in the exposed countries, attributable to reductions in GC, was estimated. Fifty countries were found to have reduced GC, and 111 had increased GC. The gap in infant mortality rate between these groups of countries doubled in the study period. Non-achievement of MDG4 was associated with reductions in GC and increases in income inequality. The excess infant mortality attributable to GC reductions in the exposed countries from 1990 to 2002 was 4,473,348 deaths. The probability of achieving MDG4 seems to be seriously compromised for many countries because of reduced public sector expenditure during the last 25 years of the 20th century, in response to World Bank/International Monetary Fund Washington Consensus policies. This seeming contradiction between the goals of different U.N. branches may be undermining achievement of MDG4 and should be taken into account when developing future global governance policy.

  19. Doctoral Theses from Nursing Postgraduate Programs in Brazil and their Association with the Millennium Development Goals.

    PubMed

    Rodrigues, Rosalina Aparecida Partezani; Robazzi, Maria Lúcia do Carmo Cruz; Erdmann, Alacoque Lorenzini; Fernandes, Josicélia Dumet; de Barros, Alba Lucia Bottura Leite; Ramos, Flávia Regina Souza

    2015-01-01

    The Millennium Development Goals are centered around combatting poverty and other social evils all over the world. Thus, this study seeks to identify the Millennium Development Goals as an object of study in theses from Postgraduate Nursing Programs in Brazil scoring 5 (national excellence) and 6 or 7 (international excellence), and evaluate the association between the score for the program and achieving the Millennium Development Goals. Exploratory descriptive document research. Data were collected from the Notes on Indicators/Coordination for Higher Education Personnel Improvement for the 15 Postgraduate Nursing Courses scoring between 5 and 7 in the three-year-period of 2010/2012. of the 8 Millennium Development Objectives, 6 were dealt with in the theses. There was an association (Fisher's exact test p-value=0.0059) between the distribution of the theses and the program scores in relation to the Millennium Development Objectives (p-valor=0.0347)CONCLUSION: the doctoral theses were slightly related to the Millennium Development Objectives, covering the population's economic development, health conditions and quality of life. It is recommended that Postgraduate Programs in Nursing pay closer attention to the Millennium Development Objectives.

  20. Doctoral Theses from Nursing Postgraduate Programs in Brazil and their Association with the Millennium Development Goals

    PubMed Central

    Rodrigues, Rosalina Aparecida Partezani; Robazzi, Maria Lúcia do Carmo Cruz; Erdmann, Alacoque Lorenzini; Fernandes, Josicélia Dumet; de Barros, Alba Lucia Bottura Leite; Ramos, Flávia Regina Souza

    2015-01-01

    OBJECTIVES: The Millennium Development Goals are centered around combatting poverty and other social evils all over the world. Thus, this study seeks to identify the Millennium Development Goals as an object of study in theses from Postgraduate Nursing Programs in Brazil scoring 5 (national excellence) and 6 or 7 (international excellence), and evaluate the association between the score for the program and achieving the Millennium Development Goals. METHOD: Exploratory descriptive document research. Data were collected from the Notes on Indicators/Coordination for Higher Education Personnel Improvement for the 15 Postgraduate Nursing Courses scoring between 5 and 7 in the three-year-period of 2010/2012. RESULTS: of the 8 Millennium Development Objectives, 6 were dealt with in the theses. There was an association (Fisher's exact test p-value=0.0059) between the distribution of the theses and the program scores in relation to the Millennium Development Objectives (p-valor=0.0347) CONCLUSION: the doctoral theses were slightly related to the Millennium Development Objectives, covering the population's economic development, health conditions and quality of life. It is recommended that Postgraduate Programs in Nursing pay closer attention to the Millennium Development Objectives.. PMID:26312631

  1. Rural water supply and sanitation (RWSS) coverage in Swaziland: Toward achieving millennium development goals

    NASA Astrophysics Data System (ADS)

    Mwendera, E. J.

    An assessment of rural water supply and sanitation (RWSS) coverage in Swaziland was conducted in 2004/2005 as part of the Rural Water Supply and Sanitation Initiative (RWSSI). The initiative was developed by the African Development Bank with the aim of implementing it in the Regional Member Countries (RMCs), including Swaziland. Information on the RWSS sector programmes, costs, financial requirements and other related activities was obtained from a wide range of national documents, including sector papers and project files and progress reports. Interviews were held with staff from the central offices and field stations of Government of Swaziland (GOS) ministries and departments, non-governmental organizations (NGOs), bilateral and multilateral external support agencies, and private sector individuals and firms with some connection to the sector and/or its programmes. The assessment also involved field visits to various regions in order to obtain first hand information about the various technologies and institutional structures used in the provision of water supplies and sanitation services in the rural areas of the country. The results showed that the RWSS sector has made significant progress towards meeting the national targets of providing water and sanitation to the entire rural population by the year 2022. The assessment indicated that rural water supply coverage was 56% in 2004 while sanitation coverage was 63% in the same year. The results showed that there is some decline in the incidence of water-related diseases, such as diarrhoeal diseases, probably due to improved water supply and sanitation coverage. The study also showed that, with adequate financial resources, Swaziland is likely to achieve 100% coverage of both water supply and sanitation by the year 2022. It was concluded that in achieving its own national goals Swaziland will exceed the Millennium Development Goals (MDGs). However, such achievement is subject to adequate financial resources being

  2. Latin America and the Caribbean: Assessment of the Advances in Public Health for the Achievement of the Millennium Development Goals

    PubMed Central

    Mitra, Amal K.; Rodriguez-Fernandez, Gisela

    2010-01-01

    To improve health and economy of the world population, the United Nations has set up eight international goals, known as Millennium Development Goals (MDGs), that 192 United Nations member states and at least 23 international organizations have agreed to achieve by the year 2015. The goals include: (1) eradicating extreme poverty and hunger; (2) achieving universal primary education; (3) promoting gender equality; (4) reducing child mortality; (5) improving maternal health; (6) combating HIV/AIDS, malaria and other diseases; (7) ensuring environmental sustainability; and (8) developing a global partnership for development. Having been in the midway from the 2015 deadline, the UN Secretary-General urges countries to engage constructively to review progress towards the MDGs. This paper aims to evaluate advances in public health, with special reference to gender inequalities in health, health sector reform, global burden of disease, neglected tropical diseases, vaccination, antibiotic use, sanitation and safe water, nutrition, tobacco and alcohol use, indicators of health, and disease prevention in Latin America and the Caribbean region (LAC). The paper also identifies areas of deficits for the achievement of MDGs in LAC. PMID:20623022

  3. Latin America and the Caribbean: assessment of the advances in public health for the achievement of the Millennium Development Goals.

    PubMed

    Mitra, Amal K; Rodriguez-Fernandez, Gisela

    2010-05-01

    To improve health and economy of the world population, the United Nations has set up eight international goals, known as Millennium Development Goals (MDGs), that 192 United Nations member states and at least 23 international organizations have agreed to achieve by the year 2015. The goals include: (1) eradicating extreme poverty and hunger; (2) achieving universal primary education; (3) promoting gender equality; (4) reducing child mortality; (5) improving maternal health; (6) combating HIV/AIDS, malaria and other diseases; (7) ensuring environmental sustainability; and (8) developing a global partnership for development. Having been in the midway from the 2015 deadline, the UN Secretary-General urges countries to engage constructively to review progress towards the MDGs. This paper aims to evaluate advances in public health, with special reference to gender inequalities in health, health sector reform, global burden of disease, neglected tropical diseases, vaccination, antibiotic use, sanitation and safe water, nutrition, tobacco and alcohol use, indicators of health, and disease prevention in Latin America and the Caribbean region (LAC). The paper also identifies areas of deficits for the achievement of MDGs in LAC.

  4. [Primary health care and the millennium development goals].

    PubMed

    Faye, A; Bob, M; Fall, A; Fall, C

    2012-01-01

    Member countries of the World Health Organization (WHO) met in Alma Ata (8-12 September 1978) to define and advocate the implementation of primary health care (PHC) worldwide, above all, in developing countries, which had a real need to review their strategies for meeting the health needs of their populations. They did not suspect that 20 years later the vision they displayed would remain undeniably relevant. Here we examine the similarities and points of convergence of their declaration about PHC with the Millennium Development Goals that seek today to reduce poverty across the world. An exhaustive and analytic literature review was conducted to collect those similarities. Further analysis of the definitions, objectives, principles and recommendations of the Alma Ata Declaration and the Millennium Declaration reveals multiple dependencies and fundamental points of similarity between these two representations. Almost all states have pledged to achieve the eight MDG by 2015: to eradicate extreme poverty and hunger, achieve universal primary education, promote gender equality and empower women, reduce child mortality, improve maternal health, combat HIV/AIDS, malaria and other diseases, ensure environmental sustainability, and develop a global partnership for development. The Alma Ata conference defined primary health care as essential health care, based on practical methods and techniques that are both scientifically sound and socially acceptable, universally accessible to all individuals and all families of the community, through their full participation and at a cost that the community and countries can afford at all stages of their development in the spirit of self-reliance and self-determination. It is an integral part of economic and social development. The following principles are involved in the achievement of both primary health care and the MDG: social equity, community participation, and intersectorality. Public health is an essential condition of poverty

  5. Before Sustainable Development Goals (SDG): why Nigeria failed to achieve the Millennium Development Goals (MDGs).

    PubMed

    Oleribe, Obinna Ositadimma; Taylor-Robinson, Simon David

    2016-01-01

    World leaders adopted the UN Millennium Declaration in 2000, which committed the nations of the world to a new global partnership, aimed at reducing extreme poverty and other time-bound targets, with a stated deadline of 2015. Fifteen years later, although significant progress has been made worldwide, Nigeria is lagging behind for a variety of reasons, including bureaucracy, poor resource management in the healthcare system, sequential healthcare worker industrial action, Boko Haram insurgency in the north of Nigeria and kidnappings in the south of Nigeria. The country needs to tackle these problems to be able to significantly advance with the new sustainable development goals (SDGs) by the 2030 target date.

  6. Expert meeting on Child Growth and Micronutrient Deficiencies--New Initiatives for Developing Countries to Achieve Millennium Development Goals: executive summary report.

    PubMed

    Usfar, Avita A; Achadi, Endang L; Martorell, Reynaldo; Hadi, Hamam; Thaha, Razak; Jus'at, Idrus; Atmarita; Martianto, Drajat; Ridwan, Hardinsyah; Soekirman

    2009-01-01

    Undernutrition in early childhood has long-term physical and intellectual consequences. Improving child growth should start before the age of two years and be an integrated effort between all sectors, covering all aspects such as diet and nutrient intake, disease reduction, optimum child care, and improved environmental sanitation. To discuss these issues, the Indonesian Danone Institute Foundation organized an expert meeting on Child Growth and Micronutrient Deficiencies: New Initiatives for Developing Countries to Achieve Millennium Development Goals. The objective of the meeting was to have a retrospective view on child growth: lessons learned from programs to overcome under-nutrition in the developed countries and to relate the situation to the Indonesian context, as well as to discuss implications for future programs. Recommendations derived from the meeting include focus intervention on the window of opportunity group, re-activation of the Integrated Health Post at the village level, improvement of infant and young child feeding, expand food fortification intervention programs, strengthen supplementation programs with multi-micronutrient, and strengthening public and private partnership on food related programs.

  7. Before Sustainable Development Goals (SDG): why Nigeria failed to achieve the Millennium Development Goals (MDGs)

    PubMed Central

    Oleribe, Obinna Ositadimma; Taylor-Robinson, Simon David

    2016-01-01

    World leaders adopted the UN Millennium Declaration in 2000, which committed the nations of the world to a new global partnership, aimed at reducing extreme poverty and other time-bound targets, with a stated deadline of 2015. Fifteen years later, although significant progress has been made worldwide, Nigeria is lagging behind for a variety of reasons, including bureaucracy, poor resource management in the healthcare system, sequential healthcare worker industrial action, Boko Haram insurgency in the north of Nigeria and kidnappings in the south of Nigeria. The country needs to tackle these problems to be able to significantly advance with the new sustainable development goals (SDGs) by the 2030 target date. PMID:27795754

  8. The Contributions of Onchocerciasis Control and Elimination Programs toward the Achievement of the Millennium Development Goals

    PubMed Central

    Dunn, Caitlin; Callahan, Kelly; Katabarwa, Moses; Richards, Frank; Hopkins, Donald; Withers, P. Craig; Buyon, Lucas E.; McFarland, Deborah

    2015-01-01

    In 2000, 189 member states of the United Nations (UN) developed a plan for peace and development, which resulted in eight actionable goals known as the Millennium Development Goals (MDGs). Since their inception, the MDGs have been considered the international standard for measuring development progress and have provided a blueprint for global health policy and programming. However, emphasis upon the achievement of priority benchmarks around the “big three” diseases—namely HIV, tuberculosis (TB), and malaria—has influenced global health entities to disproportionately allocate resources. Meanwhile, several tropical diseases that almost exclusively impact the poorest of the poor continue to be neglected, despite the existence of cost-effective and feasible methods of control or elimination. One such Neglected Tropical Disease (NTD), onchocerciasis, more commonly known as river blindness, is a debilitating and stigmatizing disease primarily affecting individuals living in remote and impoverished areas. Onchocerciasis control is considered to be one of the most successful and cost-effective public health campaigns ever launched. In addition to improving the health and well-being of millions of individuals, these programs also lead to improvements in education, agricultural production, and economic development in affected communities. Perhaps most pertinent to the global health community, though, is the demonstrated effectiveness of facilitating community engagement by allowing communities considerable ownership with regard to drug delivery. This paper reviews the contributions that such concentrated efforts to control and eliminate onchocerciasis make to achieving select MDGs. The authors hope to draw the attention of public policymakers and global health funders to the importance of the struggle against onchocerciasis as a model for community-directed interventions to advance health and development, and to advocate for NTDs inclusion in the post 2015 agenda

  9. The Contributions of Onchocerciasis Control and Elimination Programs toward the Achievement of the Millennium Development Goals.

    PubMed

    Dunn, Caitlin; Callahan, Kelly; Katabarwa, Moses; Richards, Frank; Hopkins, Donald; Withers, P Craig; Buyon, Lucas E; McFarland, Deborah

    2015-05-01

    In 2000, 189 member states of the United Nations (UN) developed a plan for peace and development, which resulted in eight actionable goals known as the Millennium Development Goals (MDGs). Since their inception, the MDGs have been considered the international standard for measuring development progress and have provided a blueprint for global health policy and programming. However, emphasis upon the achievement of priority benchmarks around the "big three" diseases--namely HIV, tuberculosis (TB), and malaria--has influenced global health entities to disproportionately allocate resources. Meanwhile, several tropical diseases that almost exclusively impact the poorest of the poor continue to be neglected, despite the existence of cost-effective and feasible methods of control or elimination. One such Neglected Tropical Disease (NTD), onchocerciasis, more commonly known as river blindness, is a debilitating and stigmatizing disease primarily affecting individuals living in remote and impoverished areas. Onchocerciasis control is considered to be one of the most successful and cost-effective public health campaigns ever launched. In addition to improving the health and well-being of millions of individuals, these programs also lead to improvements in education, agricultural production, and economic development in affected communities. Perhaps most pertinent to the global health community, though, is the demonstrated effectiveness of facilitating community engagement by allowing communities considerable ownership with regard to drug delivery. This paper reviews the contributions that such concentrated efforts to control and eliminate onchocerciasis make to achieving select MDGs. The authors hope to draw the attention of public policymakers and global health funders to the importance of the struggle against onchocerciasis as a model for community-directed interventions to advance health and development, and to advocate for NTDs inclusion in the post 2015 agenda.

  10. Evaluation of Tuberculosis Situation in Economic Cooperation Countries in 2009; Achievement and Gaps toward Millennium Development Goals

    PubMed Central

    Moradi, Ghobad; Naieni, Kourosh Holakouie; Rashidian, Arash; Vazirian, Parviz; Mirzazadeh, Ali; Vaziri, Mohammad Reza Pour; Afzali, Hossein Malek

    2012-01-01

    Background: Evaluating the tuberculosis (TB) status of the Economic Cooperation Organization (ECO) member countries relation to goal 6-c of the third millennium, which includes that TB incidence, prevalence, and death rates should be halved by 2015, compared with their level in 1990. Methods: In 2009, we have critically reviewed the countries’ Millennium Development Goals (MDGs) reports and extracted the data from the surveillance system and published and unpublished data. The main stakeholders, from both governmental and international organizations in the country have been visited and interviewed by the research team as part of the data validation process. Results: The TB incidence is very heterogeneous among ECO countries, which differ from 21.7 in Iran to 230.7 per 100,000 in Tajikistan. TB incidence (per 100,000) is more than 100 in six countries and is from 50 to 100 in two countries and is less than 30 in two countries. Only in two countries the crude death rate (CDR) is higher than 70%. In seven countries the death rate is higher than 10 per 100,000. Two countries are among the 20 top world countries with the highest tuberculosis burden. Conclusion: There are some signs and signals indicating the bad condition of an ECO member including: incidence of more than 50 per 100000, CDR of less than 70%, death rate more than 10 per 100,000, and rating two member countries among 20 top countries with the highest burden in the world. Iran and Turkey could achieve MDGs by 2015, but if other countries do not prepare urgent intervention programs, they will not be able to fulfill the goals. PMID:22347602

  11. Nothing but the Truth? The United Nations and the Millennium Development Goals

    ERIC Educational Resources Information Center

    Porter, Shirley

    2014-01-01

    The United Nations established eight Millennium Development Goals (MDGs) in 2000, with the target for achievement set at 2015. On the UN website a special section is devoted to the MDGs. In this article the website as it was presented in late 2013 is examined. Although the website was easy to negotiate, it was difficult to ascertain any…

  12. Developing a Model of Compulsory Basic Education Completion Acceleration in Support of Millennium Development Goals in Magelang, Indonesia

    ERIC Educational Resources Information Center

    Sukarno; Haryati, Sri

    2015-01-01

    This article reports Year One of a two-year study to develop a model to accelerate compulsory basic education completion toward Millennium Development Goals (MDGs) in Magelang, Indonesia. The study focuses on five issues: (1) profile of MDGs in Magelang, (2) achievement of MDGs, (3) problems in MDGs implementation, (4) model of compulsary basic…

  13. Poverty, Education, Gender and the Millennium Development Goals: Reflections on Boundaries and Intersectionality

    ERIC Educational Resources Information Center

    Unterhalter, Elaine

    2012-01-01

    The article considers the Millennium Development Goals (MDGs) concerned with poverty, education and gender (MDG 1, MDG 2 and MDG 3). Despite considerable achievements associated with the MDG approach, which entails international and national target setting and monitoring, a sharp distinction between areas of social policy is entailed. In addition…

  14. Female genital mutilation and efforts to achieve Millennium Development Goals 3, 4, and 5 in southeast Nigeria.

    PubMed

    Lawani, Lucky O; Onyebuchi, Azubuike K; Iyoke, Chukwuemeka A; Okeke, Nwabunike E

    2014-05-01

    To determine the prevalence of female genital mutilation (FGM), the common forms of FGM, reasons for the practice, associated obstetric outcomes, and how these have affected efforts to achieve Millennium Development Goals (MDGs) 3, 4, and 5 in southeast Nigeria. A prospective descriptive study of parturients in southeast Nigeria was conducted from January to December 2012. All primigravid women attending delivery services at 2 health institutions during the study period were recruited, examined, and classified using the 2008 WHO classification for FGM. The mean age of the 516 participants was 27.24±4.80 years and most (66.3%) had undergone FGM. Type II FGM was the most common form, accounting for 59.6% of cases. Most FGM procedures were performed in infancy (97.1%) and for cultural reasons (60.8%). Women who had undergone FGM had significantly higher risk for episiotomy, perineal tear, hemorrhage, cesarean delivery, neonatal resuscitation, fresh stillbirth/early neonatal death, and longer hospitalization, with higher risk ratios associated with higher degrees of FGM. FGM is still a common practice in southeast Nigeria, where its association with adverse reproductive outcomes militates against efforts to achieve MDGs 3, 4, and 5. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  15. Millennium Development Goal 5 and adolescents: looking back, moving forward

    PubMed Central

    Vogel, Joshua P; Pileggi-Castro, Cynthia; Chandra-Mouli, Venkatraman; Pileggi, Vicky Nogueira; Souza, João Paulo; Chou, Doris; Say, Lale

    2015-01-01

    Since the Millennium Declaration in 2000, unprecedented progress has been made in the reduction of global maternal mortality. Millennium Development Goal 5 (MDG 5; improving maternal health) includes two primary targets, 5A and 5B. Target 5A aimed for a 75% reduction in the global maternal mortality ratio (MMR), and 5B aimed to achieve universal access to reproductive health. Globally, maternal mortality since 1990 has nearly halved and access to reproductive health services in developing countries has substantially improved. In setting goals and targets for the post-MDG era, the global maternal health community has recognised that ultimate goal of ending preventable maternal mortality is now within reach. The new target of a global MMR of <70 deaths per 100 000 live births by 2030 is ambitious, yet achievable and to reach this target a significantly increased effort to promote and ensure universal, equitable access to reproductive, maternal and newborn services for all women and adolescents will be required. In this article, as we reflect on patterns, trends and determinants of maternal mortality, morbidity and other key MDG5 indicators among adolescents, we aim to highlight the importance of promoting and protecting the sexual and reproductive health and rights of adolescents as part of renewed global efforts to end preventable maternal mortality. PMID:25613967

  16. Yemeni women's perceptions of own authority during childbirth: what does it have to do with achieving the Millennium Development Goals?

    PubMed

    Kempe, Annica; Theorell, Töres; Noor-Aldin Alwazer, Fatoom; Christensson, Kyllike; Johansson, Annika

    2013-10-01

    women's underutilisation of professional care during childbirth in many low-income countries is a serious concern in terms of achievement of maternal Millennium Development Goal 5. to explore women's perceived own authority within the modern and traditional spheres of childbirth in a high maternal mortality setting on the Arab peninsula. Yemen is a signatory to the Millennium Development Goals and one of 10 countries chosen for the United Nations Millennium Project. In Yemen, home birth has remained the norm for several decades in spite of high maternal mortality and morbidity rates. a multistage (stratified-purposive-random) sampling process was used. Two hundred and twenty women with childbirth experience in urban/rural Yemen were selected at random for interview. Answers to the question 'Did you feel that you were the authority during childbirth?' were analysed using qualitative content analysis. the governorates of Aden, Lahej, Hadramout, Taiz and Hodeidah. three main themes emerged from the analysis: (i) 'Being at the centre', including two categories 'being able to follow through on own wants' and its opposite 'to be under the authority of others'; (ii) 'A sense of belonging' with the categories 'belonging and support among women in the community' and 'the denial of support, the experience of separation' and (iii) 'Husband's role in childbirth' including one category 'opportunity to show authority over the husband'. Authority was experienced primarily among women within the traditional childbirth sector although a general complaint among women delivered by trained medical staff was the loss of own authority. these findings show that women's authority during childbirth is decreasing in the context of Safe Motherhood and the expansion of modern delivery care. This is likely to be an important reason why women underutilise professional care. Acquisition of knowledge from the traditional childbirth sector regarding how women exercise authority to facilitate

  17. Did Tanzania Achieve the Second Millennium Development Goal? Statistical Analysis

    ERIC Educational Resources Information Center

    Magoti, Edwin

    2016-01-01

    Development Goal "Achieve universal primary education", the challenges faced, along with the way forward towards achieving the fourth Sustainable Development Goal "Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all". Statistics show that Tanzania has made very promising steps…

  18. Millennium Restoration and Development Corp. Information Sheet

    EPA Pesticide Factsheets

    Millennium Restoration and Development Corp. (the Company) is located in St. Louis, Missouri. The settlement involves renovation activities conducted at property constructed prior to 1978, located in St. Louis, Missouri.

  19. An Update on the United Nations Millennium Development Goals.

    PubMed

    Campbell, Della Anne

    The United Nations Millennium Development Goals initiative, designed to meet the needs of the world's poorest, ended in 2015. The purpose of this article is to describe the progress made through the Millennium Development Goals and the additional work needed to address vulnerable populations worldwide, especially women and children. A description of the subsequent Sustainable Development Goals, enacted to address the root causes of poverty and the universal need for development for all people, is provided. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  20. [Crisis in human resources for health: millennium development goals for maternal and child health threatened].

    PubMed

    Beltman, Jogchum J; Stekelenburg, Jelle; van Roosmalen, Jos

    2010-01-01

    International migration of health care workers from low-income countries to the West has increased considerably in recent years, thereby jeopardizing the achievements of The Millennium Development Goals, especially number 4 (reduction of child mortality) and 5 (improvement of maternal health).This migration, as well as the HIV/AIDS epidemic, lack of training of health care personnel and poverty, are mainly responsible for this health care personnel deficit. It is essential that awareness be raised amongst donors and local governments so that staffing increases, and that infection prevention measures be in place for their health care personnel. Western countries should conduct a more ethical recruitment of health care workers, otherwise a new millennium development goal will have to be created: to reduce the human resources for health crisis.

  1. [Analysis of HIV/AIDS mortality in Mexico from 1990 to 2013: An assessment of the feasibility of millennium development goals by 2015].

    PubMed

    Bravo-García, Enrique; Ortiz-Pérez, Hilda

    We aimed to assess the feasibility of achieving the goal of Mexican AIDS mortality in the Millennium Development Goals, nationally and by state. For the period 1990-2013, we estimated annual rates of decline/increase in AIDS mortality according to five-year interval, using published data from the Mexican Instituto Nacional de Estadística y Geografía and Consejo Nacional de Población. Subsequently, we analyzed the feasibility of achieving the Millennium Development Goals target by 2015 by estimating the year in which the country and each state could achieve them. We estimated that only 13/32 states (40%) would achieve the goal established for AIDS mortality by Millennium Development Goals. Mexico, as a country, and the remaining 19 states (60%) did not will attain it. It is important to emphasize that seven states, rather than decrease, had an upward trend in mortality in the last five years analyzed. The free and universal access to antiretroviral treatment against HIV/AIDS has failed to reduce mortality as expected in Mexico. It is urgent to improve access to HIV testing by using more aggressive strategies. Also, it is necessary to apply interventions to link and retain persons in care until they are virologically suppressed.

  2. [Impact of female genital mutilation on the millennium goals].

    PubMed

    Ruiz, Ismael Jiménez; Martínez, María Pilar Almansa; Bravo, María Del Mar Pastor

    2015-01-01

    To relate the Female Genital Mutilation as a negative factor for the achievement of the Millennium Development Goals 1, 3, 4, 5 and 6. Data collection was through review literature review between in the years 2014 and 2015 in the databases Medline/PubMed, Web of Science, LILACS, SCIELO, Tesis Doctorales TESEO and in the webs of WOK, UNICEF, UNAF and WHO using the descriptors: female circumcision, millennium development goals, rights of women. Articles published between years 2010 y 2015, were included and finally 24 articles were selected. The Female Genital Mutilation is based on gender discrimination, and reinforces and encourages the circle of poverty. This practice causes physical complications that may affect the infant mortality and morbidity, complications in pregnancy and childbirth and there is a relationship between the practice and the transmission of human immunodeficiency virus. The fight against Female Genital Mutilation contributes to the achievement of five of the eight Millennium Goals.

  3. Do we have the right models for scaling up health services to achieve the Millennium Development Goals?

    PubMed

    Subramanian, Savitha; Naimoli, Joseph; Matsubayashi, Toru; Peters, David H

    2011-12-14

    There is widespread agreement on the need for scaling up in the health sector to achieve the Millennium Development Goals (MDGs). But many countries are not on track to reach the MDG targets. The dominant approach used by global health initiatives promotes uniform interventions and targets, assuming that specific technical interventions tested in one country can be replicated across countries to rapidly expand coverage. Yet countries scale up health services and progress against the MDGs at very different rates. Global health initiatives need to take advantage of what has been learned about scaling up. A systematic literature review was conducted to identify conceptual models for scaling up health in developing countries, with the articles assessed according to the practical concerns of how to scale up, including the planning, monitoring and implementation approaches. We identified six conceptual models for scaling up in health based on experience with expanding pilot projects and diffusion of innovations. They place importance on paying attention to enhancing organizational, functional, and political capabilities through experimentation and adaptation of strategies in addition to increasing the coverage and range of health services. These scaling up approaches focus on fostering sustainable institutions and the constructive engagement between end users and the provider and financing organizations. The current approaches to scaling up health services to reach the MDGs are overly simplistic and not working adequately. Rather than relying on blueprint planning and raising funds, an approach characteristic of current global health efforts, experience with alternative models suggests that more promising pathways involve "learning by doing" in ways that engage key stakeholders, uses data to address constraints, and incorporates results from pilot projects. Such approaches should be applied to current strategies to achieve the MDGs.

  4. The potential impact of plant biotechnology on the Millennium Development Goals.

    PubMed

    Yuan, Dawei; Bassie, Ludovic; Sabalza, Maite; Miralpeix, Bruna; Dashevskaya, Svetlana; Farre, Gemma; Rivera, Sol M; Banakar, Raviraj; Bai, Chao; Sanahuja, Georgina; Arjó, Gemma; Avilla, Eva; Zorrilla-López, Uxue; Ugidos-Damboriena, Nerea; López, Alberto; Almacellas, David; Zhu, Changfu; Capell, Teresa; Hahne, Gunther; Twyman, Richard M; Christou, Paul

    2011-03-01

    The eight Millennium Development Goals (MDGs) are international development targets for the year 2015 that aim to achieve relative improvements in the standards of health, socioeconomic status and education in the world's poorest countries. Many of the challenges addressed by the MDGs reflect the direct or indirect consequences of subsistence agriculture in the developing world, and hence, plant biotechnology has an important role to play in helping to achieve MDG targets. In this opinion article, we discuss each of the MDGs in turn, provide examples to show how plant biotechnology may be able to accelerate progress towards the stated MDG objectives, and offer our opinion on the likelihood of such technology being implemented. In combination with other strategies, plant biotechnology can make a contribution towards sustainable development in the future although the extent to which progress can be made in today's political climate depends on how we deal with current barriers to adoption.

  5. An appraisal of China's progress toward the Millennium Development Goals as they relate to children.

    PubMed

    Strand, Mark A; Fischer, Philip R

    2014-08-01

    Since their inception in 2000, the Millennium Development Goals (MDGs) have improved understanding of the global development process. Although the goals will not be significantly achieved on a global scale, each country has had accomplishments deserving of attention and analysis. With regard to the MDGs as they relate to children, China has made significant achievements, the deeper understanding of which might help in the process of refreshing the MDGs beyond 2015. China's accomplishments in economic development and human welfare, and the benefits this has brought to its children potentially teach lessons that can be modelled by other countries moving from low- to middle-income status.

  6. The millennium development goals and household energy requirements in Nigeria.

    PubMed

    Ibitoye, Francis I

    2013-01-01

    Access to clean and affordable energy is critical for the realization of the United Nations' Millennium Development Goals, or MDGs. In many developing countries, a large proportion of household energy requirements is met by use of non-commercial fuels such as wood, animal dung, crop residues, etc., and the associated health and environmental hazards of these are well documented. In this work, a scenario analysis of energy requirements in Nigeria's households is carried out to compare estimates between 2005 and 2020 under a reference scenario, with estimates under the assumption that Nigeria will meet the millennium goals. Requirements for energy under the MDG scenario are measured by the impacts on energy use, of a reduction by half, in 2015, (a) the number of household without access to electricity for basic services, (b) the number of households without access to modern energy carriers for cooking, and (c) the number of families living in one-room households in Nigeria's overcrowded urban slums. For these to be achieved, household electricity consumption would increase by about 41% over the study period, while the use of modern fuels would more than double. This migration to the use of modern fuels for cooking results in a reduction in the overall fuelwood consumption, from 5 GJ/capita in 2005, to 2.9 GJ/capita in 2015.

  7. Cervical cancer prevention and the Millennium Development Goals.

    PubMed

    Wittet, Scott; Tsu, Vivien

    2008-06-01

    The advent of new technologies such as the human papillomavirus (HPV) vaccine and HPV DNA tests--along with new insights into the appropriate use of low-resource technologies such as visual inspection of the cervix and treatment of cervical lesions with cryotherapy--have increased optimism about the potential for effective disease control in low-resource settings. Nevertheless, it is also important to ask ourselves how new health initiatives contribute, or fail to contribute, to major global undertakings such as achievement of the Millennium Development Goals (MDGs). While reproductive health in general, and cervical cancer prevention in particular, are not explicitly mentioned among the MDGs, they are implied; and it is certain that women cannot contribute to sustainable development without good health. The question is, in what ways do scaled-up cervical cancer prevention activities, including introduction of the new HPV vaccines and increased access to precancer screening and treatment, contribute to attainment of the MDGs?

  8. Assessing the Progress of Gender Parity in Education through Achieving Millennium Development Goals: A Case Study of Quetta District Balochistan

    ERIC Educational Resources Information Center

    Rashid, Abdul; Bibi, Zainab; Din, Siraj ud

    2012-01-01

    Using secondary data of Government Schools and literacy department for 10 years that is 2000-2010, this paper assesses the progress on the issue of gender equality within the framework of education related Millennium Development Goals (MDG) in district Quetta. The assessment is based on the selected indicators of goals by applying descriptive…

  9. Trend in infant mortality rate in Argentina within the framework of the Millennium Development Goals.

    PubMed

    Finkelstein, Juliana Z; Duhau, Mariana; Speranza, Ana

    2016-06-01

    Infant mortality rate (IMR) is an indicator of the health status of a population and of the quality of and access to health care services. In 2000, and within the framework of the Millennium Development Goals, Argentina committed to achieve by 2015 a reduction by two thirds of its 1990 infant mortality rate, and to identify and close inter-jurisdictional gaps. The objective of this article is to describe the trend in infant mortality rate in Argentina and interjurisdictional gaps, infant mortality magnitude and causes, in compliance with the Millennium Development Goals. A descriptive study on infant mortality was conducted in Argentina in 1990 and between 2000 and 2013, based on vital statistics data published by the Health Statistics and Information Department of the Ministry of Health of Argentina. The following reductions were confirmed: 57.8% in IMR, 52.6% in neonatal mortality rate and 63.8% in post-neonatal mortality rate. The inter-provincial Gini coefficient for IMR decreased by 27%. The population attributable risk decreased by 16.6% for IMR, 38.8% for neonatal mortality rate and 51.5% for post-neonatal mortality rate in 2013 versus 1990. A significant reduction in infant mortality and its components has been shown, but not enough to meet the Millennium Development Goals. The reduction in IMR gaps reached the set goal; however, inequalities still persist. Sociedad Argentina de Pediatría.

  10. Achieving the Millennium Development Goal for Under-five Mortality in Bangladesh: Current Status and Lessons for Issues and Challenges for Further Improvements

    PubMed Central

    Nury, Abu Taher Md. Sanaullah; Hossain, Md. Delwar

    2011-01-01

    The study assessed the achievements in, critically reviewed the relevant issues of, and put forward recommendations for achieving the target of the Millennium Development Goal relating to mortality of children aged less than five years (under-five mortality) in Bangladesh within 2015. To materialize the study objectives, a thorough literature review was done. Mortality of under-five children and infants decreased respectively to 65 from 151 and to 52 from 94 per 1,000 livebirths during 1990-2006. The immunization coverage increased from 54% to 81.9% during the same period. The projection shows that Bangladesh will achieve targeted reduction in under-five mortality and infant mortality within the time limit, except immunization coverage. Neonatal mortality contributed to the majority of childhood deaths. Contribution of neonatal mortality to child mortality was the highest. There were remarkable differences in child mortality by sex, division, and residence. To progress further for achieving the target of MDG relating to child mortality, some issues, such as lower use of maternal healthcare services, hazardous environmental effects on childhood illness, high malnutrition among children, shorter duration of exclusive breastfeeding practices, various child injuries leading to death, low healthcare-use of children, probable future threat of financial shortage, and strategies lacking area-wise focus on child mortality, need to be considered. Without these, the achievement of MDG relating to child mortality may not be possible within 2015. PMID:21608418

  11. An analysis of the potential for achieving the fourth millennium development goal in SSA with domestic resources.

    PubMed

    O'Hare, Bernadette; Makuta, Innocent

    2015-02-25

    The importance of good health is reflected in the fact that more than half of the eight Millennium Development Goals (MDGs) are aimed at improving health status. Goal 4 (MDG4) aims to reduce child mortality. The progress indicator for goal 4 is the under-five mortality rate (U5M), with a targeted reduction of two thirds by 2015 from 1990 levels. This paper seeks to compare the time (in years) Sub Saharan African (SSA) countries will take to reach their MDG4 target at the current rate of decline, and the time it could have taken to reach their target if domestic resources had not been lost through illicit financial flows, corruption and servicing of debt since 2000. We estimate the amount by which the Gross Domestic Product (GDP) per capita would increase (in percentage terms) if losses of resource through illicit financial flows, corruption and debt servicing, were reduced. Using the income elasticity of U5M, a metric which reports the percentage change in U5M for a one percent change in GDP per capita, we estimate the potential gains in the annual reduction of the under-five mortality if these resource losses were reduced. At the current rate of reduction in U5M, nine countries out of this sample of 36 SSA countries (25%) will achieve their MDG4 target by 2015. In the absence of the leakages (IFF, corruption and debt service) 30 out of 36 (83%) would reach their MDG4 target by 2015 and all except one country, Zimbabwe would have achieved their MDG4 by 2017 (97%). In view of the uncertainty of the legitimacy of African debts we have also provided results where we excluded debt repayment from our analysis. Most countries would have met MDG4 target by curtailing these outflows. In order to release latent resources in SSA for development, action will be needed both by African countries and internationally. We consider that stemming these outflows, and thereby reducing the need for aid, can be achieved with a more transparent global financial system.

  12. Financing of health systems to achieve the health Millennium Development Goals in low-income countries.

    PubMed

    Fryatt, Robert; Mills, Anne; Nordstrom, Anders

    2010-01-30

    Concern that underfunded and weak health systems are impeding the achievement of the health Millennium Development Goals in low-income countries led to the creation of a High Level Taskforce on Innovative International Financing for Health Systems in September, 2008. This report summarises the key challenges faced by the Taskforce and its Working Groups. Working Group 1 examined the constraints to scaling up and costs. Challenges included: difficulty in generalisation because of scarce and context-specific health-systems knowledge; no consensus for optimum service-delivery approaches, leading to wide cost differences; no consensus for health benefits; difficulty in quantification of likely efficiency gains; and challenges in quantification of the financing gap owing to uncertainties about financial commitments for health. Working Group 2 reviewed the different innovative mechanisms for raising and channelling funds. Challenges included: variable definitions of innovative finance; small evidence base for many innovative finance mechanisms; insufficient experience in harmonisation of global health initiatives; and inadequate experience in use of international investments to improve maternal, newborn, and child health. The various mechanisms reviewed and finally recommended all had different characteristics, some focusing on specific problems and some on raising resources generally. Contentious issues included the potential role of the private sector, the rights-based approach to health, and the move to results-based aid. The challenges and disagreements that arose during the work of the Taskforce draw attention to the many issues facing decision makers in low-income countries. International donors and recipient governments should work together to improve the evidence base for strengthening health systems, increase long-term commitments, and improve accountability through transparent and inclusive national approaches. Copyright 2010 Elsevier Ltd. All rights reserved.

  13. Meeting the millennium development goals in Sub-saharan Africa: what about mental health?

    PubMed

    Skeen, Sarah; Lund, Crick; Kleintjes, Sharon; Flisher, Alan

    2010-01-01

    Mental health is a crucial public health and development issue in sub-Saharan Africa (SSA), a region where little progress has been made towards achieving the Millennium Development Goals (MDGs). In this paper we argue that not only will limited progress in achieving these targets have a significant impact on mental health, but it will be impossible to achieve some of these aspirations in the absence of addressing mental health concerns. We consider the strong relationship of mental health with dimensions of human development represented in the MDGs, including reducing poverty, achieving universal primary education, decreasing child mortality rates, improving maternal health, HIV, environmental factors and improving the lives of those living in informal settlements. With these links in mind, we examine the mental health context in SSA settings and provide some specific examples of best practice for addressing mental health and the MDGs. It is recommended that the role of mental health interventions in accelerating the realization of the MDGs is investigated; further efforts are dedicated to probing the impact of different development projects upon mental health outcomes, and that mental health is declared a global development priority for the remainder of the MDG period and beyond.

  14. Using immunization delivery strategies to accelerate progress in Africa towards achieving the Millennium Development Goals.

    PubMed

    Clements, C John; Nshimirimanda, Deo; Gasasira, Alex

    2008-04-07

    Integration of health services brings together common functions within and between organizations to solve common problems, developing a commitment to a shared vision and goals, and using common technologies and resources to achieve these goals. Integration has been the frustrated rally call of Primary Health Care for 30 years. This paper discusses the process of integrating child survival strategies and other heath services with immunization in Africa. Immunization is arguably the most successful health programme throughout the continent, making it the logical vehicle for add-on services. Strong health systems are the best way of delivering cost-effective child survival interventions in a most sustainable manner. But the reality in many African countries is that health systems have been weak for a number of reasons. Joining additional cost-effective child survival interventions on to immunization services may provide the needed boost. The unacceptably high childhood mortality in parts of Africa makes it the ideal location to undertake this exercise. The urgency to scale-up child survival interventions that have proven cost-effective is especially important if the Millennium Development Goals (MDGs) are to be met by 2015. Africa has more to loose than most in failing to scale up to meet these goals, bearing as it does the highest burden of childhood mortality in the world. But so far, prospects do not look good for achieving MDG-4 for the countries with the highest mortality rates. The timeliness of this initiative towards integration could not be better. In the last five years, countries in Africa have received massive injections of financial resources for polio eradication and measles control as well as additional funding for a range of immunization-strengthening activities and the introduction of new and under-utilized vaccines. While the data to support integration are limited, the information to hand suggests the effectiveness of the strategy. Where

  15. Countdown to 2015: comparing progress towards the achievement of the health Millennium Development Goals in Ethiopia and other sub-Saharan African countries.

    PubMed

    Accorsi, Sandro; Bilal, Nejmudin Kedir; Farese, Pasquale; Racalbuto, Vincenzo

    2010-05-01

    Mid-way 2007 reports indicate that many low-income countries, at current rates of progress, are unlikely to reach the Millennium Development Goals (MDG) by 2015. In Ethiopia, a decline was observed in under-five mortality rates from 204 to 123 per 1000 live births between 1990 and 2005, showing good progress towards the achievement of MDG4. A downward trend was observed in the maternal mortality ratio; however, because of the high degree of sampling variability, it is not possible to reach any firm conclusion about the possibility of achieving MDG5. Regarding MDG6, good progress was observed in controlling HIV/AIDS and malaria, whereas MDG indicators related to tuberculosis are still below international standards. Therefore, performance was not uniform across programmes. In general, interventions that can be routinely scheduled, such as immunisation, had much higher coverage than those that rely on functional health systems and clinical services proximate to households with 24h availability, such as skilled care at birth. These mixed results highlight that, although MDGs focus on specific diseases and conditions, targets cannot be achieved without strengthening health systems. It is for this reason that the strategic health plan in Ethiopia is focusing on high-impact and cost-effective health interventions and on health systems strengthening. Copyright 2009 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

  16. The Economic and Human Development Costs of Missing the Millennium Development Goal on Gender Equity.

    ERIC Educational Resources Information Center

    Abu-Ghaida, Dina; Klasen, Stephan

    2004-01-01

    At the Millennium Summit, the world community pledged to promote gender equality and chose as a specific target the achievement of gender equity in primary and secondary education by the year 2005 in every country of the world. Based on the findings from a growing empirical literature that suggests that gender equity in education promotes economic…

  17. [HIV/AIDS spread and influence on other health-related Millennium Development Goals].

    PubMed

    Alban, Anita; Andersen, Nina Bjerglund

    2006-09-04

    HIV/AIDS is threatening the development of countries with high HIV prevalence. This article analyses the impact of HIV/AIDS on the Millennium Development Goals for Health. The analysis is based on a literature survey on the impact of HIV on child health, maternal mortality, tuberculosis and malaria. We find a strong correlation between HIV and child mortality and HIV and TB. We conclude that, in order to reach the Millennium Development Goals, health strategies must include a comprehensive and coordinated approach to fight major health problems including improved resource allocation.

  18. HIV and the Millennium Development Goals.

    PubMed

    Prendergast, Andrew J; Essajee, Shaffiq; Penazzato, Martina

    2015-02-01

    Millennium Development Goal (MDG) 6 has two HIV/AIDS commitments: to have halted and begun to reverse the spread of HIV/AIDS by 2015 and to ensure access to treatment among all those in need by 2010. Given the almost universal lack of access to HIV testing, prevention and treatment for children in high prevalence countries in 2000, the achievements of the past 15 years have been extraordinary, fuelled by massive donor investment, strong political commitment and ambitious global targets; however, MDG 6 is some way from being attained. Prevention of mother-to-child transmission (PMTCT) services have expanded enormously, with new infections among children falling by 58% between 2002 and 2013. There has been a shift towards initiation of lifelong antiretroviral therapy (ART) for pregnant and breastfeeding women, although low HIV testing rates in pregnancy, suboptimal PMTCT coverage and poor retention in care remain barriers to achieving HIV elimination among children. Early infant diagnosis has expanded substantially but, in 2013, only 44% of all HIV-exposed infants were tested before 2 months of age. Diagnosis of HIV, therefore, frequently occurs late, leading to delays in ART initiation. By the end of 2013, approximately 760 000 children were receiving ART, leading to 40% decline in AIDS-related mortality. However, only 24% of HIV-infected children were receiving ART, compared with 36% of adults, leading to a 'treatment gap'. In this review, we summarise progress and remaining challenges in reaching MDG 6 and discuss future strategies to achieve the ambitious goals of paediatric HIV elimination and universal access to treatment. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  19. [Economic factors related to the Millennium Development Goals: a literature review].

    PubMed

    Palma, Marco; Hernández, Ildefonso; Alvarez-Dardet, Carlos; Gil-González, Diana; Ruiz, María T; Medina, Manuel

    2009-08-01

    To systematize all the information published on the status of and progress made toward the Health-related Millennium Development Goals (HMDGs), as well as to understand associations with certain economic factors and the potential for success. A search was conducted for all scientific articles covering the Millennium Development Goals in general, published from 1 January 2000 to 31 August 2006, in the electronic databases of the EBSCO, CSA Illumina, Thomson Gale, SwetsWise, and BIREME. All original articles in English or Spanish that evaluated HMDG status, progress, and determinants were selected. The analysis evaluated the distribution of determinants of HMDG status or progress, the HMDGs referred to, the study type, the relationship between economic indicators and health, the study location, and the status and potential for attaining the HMDGs. The quality of the articles was also rated. Of the 304 original articles found, 114 (37.5%) covered one or more HMDGs. The most frequently addressed goals were those concerning infant and maternal mortality. Of the 39 articles that evaluated HMDGs and their association with economic variables, 13 dealt with economic factors related to equity, policy, or globalization. Economic and policy factors were most frequently associated with HMDG status or progress. There is a definitive trend toward measuring HMDG status and progress according to economic factors that reflect the population's condition. There is an information gap regarding government spending, international commerce, international aid, and global economic policy. The potential for achieving HMDGs in poor countries is low.

  20. Millennium Development Goals progress: a perspective from sub-Saharan Africa

    PubMed Central

    English, Mike; English, Rex; English, Atti

    2015-01-01

    Sub-Saharan Africa is a highly diverse geo-political region. Any brief discussion of the progress made over the last 15 years towards the Millennium Development Goals (MDGs) will therefore not do justice to the true complexity of context and events. Our focus will be MDG4—to reduce child mortality by 66% from 1990 levels. We will touch briefly on MDG1, to eradicate extreme poverty and hunger, MDG2, to achieve universal primary education, and MDG5, to improve maternal health, which are inextricably linked with child well-being. We will also draw on an eclectic mix of additional global indicators. Acknowledging the limitations of this approach, we first offer a summary of expected progress and then point to debates on future goals. PMID:25613971

  1. Learning for Development: The Commonwealth of Learning and the Millennium Development Goals

    ERIC Educational Resources Information Center

    Commonwealth of Learning, 2011

    2011-01-01

    World leaders, meeting at the United Nations in 2000, set eight Millennium Development Goals (MDGs) that aim to transform the condition of humankind in the 21st century. These Goals now guide the policies of governments and the priorities of development agencies. These eight goals are: (1) Eradicate extreme poverty and hunger; (2) Achieve…

  2. Successful behavioral health business development for the millennium.

    PubMed

    Pyrce, J M

    1998-08-01

    The business development framework for provider positioning, market share, and competition has significantly shifted in the late 1990s as providers prepare for the millennium. The use of the Marketing Four Ps is a helpful tool for providers to thoroughly evaluate their product/service viability, pricing objectives, promotional mix, and place accessibility, and will allow organizations to reposition in their marketplace, maximize market share, and develop new partnerships with previous competitors.

  3. [Health, equity, and the Millennium Development Goals].

    PubMed

    Torres, Cristina; Mújica, Oscar J

    2004-06-01

    In September 2000 representatives of 189 countries met for the Millennium Summit, which the United Nations convened in New York City, and adopted the declaration that provided the basis for formulating the Millennium Development Goals (MDGs). The eight goals are part of a long series of initiatives that governments, the United Nations system, and international financial institutions have undertaken to reduce world poverty. Three of the eight goals deal with health, so the health sector will be responsible for implementing, monitoring, and evaluating measures proposed to meet targets that have been formulated: to reduce by two-thirds the mortality rate in children under 5 years of age between 1990 and 2015; to reduce by three-quarters the maternal mortality rate between 1990 and 2015; and to halt and begin to reverse the spread of HIV/AIDS by the year 2015, as well as to halt and begin to reverse the incidence of malaria, tuberculosis, and other major diseases. The health sector must also work with other parties to achieve targets connected with two other of the goals: to improve access to affordable essential drugs, and to reduce the proportion of persons who do not have safe drinking water. Adopting a strategy focused on the most vulnerable groups-ones concentrated in locations and populations with the greatest social exclusion-would make possible the largest total reduction in deaths among children, thus reaching the proposed target as well as producing greater equity. In the Region of the Americas the principal challenges in meeting the MDGs are: improving and harmonizing health information systems; designing health programs related to the MDGs that bring together the set of services and interventions that have the greatest impact, according to the special characteristics of the populations who are intended to be the beneficiaries; strengthening the political will to support the MDGs; and guaranteeing funding for the measures undertaken to attain the MDGs.

  4. Issues of maternal health in Pakistan: trends towards millennium development goal 5.

    PubMed

    Malik, Muhammd Faraz Arshad; Kayani, Mahmood Akhtar

    2014-06-01

    Pakistan has third highest burden of maternal and children mortality across the globe. This grim situation is further intensified by flaws of planning and implementation set forth in health sector. Natural calamities (earth quakes, floods), disease outbreaks and lack of awareness in different regions of country also further aggravate this situation. Despite of all these limitations, under the banner of Millennium Development Goals (MDGs) a special focus and progress in addressing maternal health issue (set as goal 5) has been made over the last decade. In this review, improvement and short falls pertaining to Goal 5 Improve maternal health have been analyzed in relation to earlier years. A decline in maternal mortality ratio (MMR) (490 maternal deaths in 1990 to 260 maternal deaths per 100,000 women in 2010) is observed. Reduction in MMR by three quarters was not achieved but a decline from very high mortality to high mortality index was observed. Increase usage of contraceptives (with contraceptive prevalence rate of 11.8 in 1990 to 37 in 2013) also shed light on women awareness about their health and social issues. Based on progress level assessment (WHO guidelines),access of Pakistani women to universal reproductive health unit falls in moderate category in 2010 as compared to earlier low access in 1990. From the data it looks that still a lot of effort is required for achieving the said targets. However, keeping in view all challenges, Pakistan suffered in the said duration, like volatile peace, regional political instability, policy implementation constrains, population growth, this slow but progressive trend highlight a national resilience to address the havoc challenge of maternal health. These understandings and sustained efforts will significantly contribute a best possible accomplishment in Millennium Development Goal 5 by 2015.

  5. Developing an Educational Performance Indicator for New Millennium Learners

    ERIC Educational Resources Information Center

    Kang, Myunghee; Heo, Heeok; Jo, Il-Hyun; Shin, Jongho; Seo, Jeonghee

    2012-01-01

    Educational performance based on the learning outcomes of formal schooling in a future knowledge society could be significantly different from that of today. This study investigates the possibilities of developing an educational performance indicator for new-millennium learners (NMLs). The researchers conducted literature reviews, a meeting of…

  6. Alemtuzumab (Millennium/ILEX).

    PubMed

    Dumont, F J

    2001-01-01

    Alemtuzumab, a lymphocyte-depleting humanized monoclonal antibody, is being developed by Millennium Pharmaceuticals Inc and ILEX Oncology for the potential treatment of chronic lymphocytic leukemia (CLL) [274580]. The utility of the compound for treating bone marrow (BM) stem cell transplantation-associated graft-versus-host disease (GVHD) [372946] and for ex vivo purging of BM to remove malignant T-cells [244056] is also being investigated. Additional potential therapeutic areas for which clinical trials are planned or ongoing include vasculitis, multiple sclerosis [288762] and organ transplantation [338304]. A Biologics License Application (BLA) was filed with the FDA in December 1999 by ILEX and Millennium [351523], [351524], [373873]. The FDA accepted the application for filing in February 2000 [355775] and returned a complete response letter in June 2000 [372172]. Millennium and ILEX submitted a response to the FDA in August 2000 [379766]. Alemtuzumab has received Fast Track designation [304771] and orphan drug status from the FDA [288762], and the drug was reviewed by the FDA's Oncologic Drugs Advisory Committee on 14 December, 2000 [387228]. The committee voted 14 to 1 to recommend accelerated approval of alemtuzumab for patients with CLL who have been treated with alkylating agents and who have failed fludarabine therapy [393778], [393894]. In March 2000, Millennium and ILEX also submitted a Marketing Authorization Application (MAA) for alemtuzumab to the European Agency for the Evaluation of Medicinal Products (EMEA) [363595]. In October 2000, EMEA accepted the MAA for alemtuzumab under the agency's centralized approval procedure [387228]. Alemtuzumab was originally synthesized by Herman Waldmann and colleagues at Cambridge University and licensed to Burroughs Wellcome (BW) via the British Technology Group (BTG) [162622]. BW conducted phase I and II trials for a broad range of indications, but then discontinued development because of disappointing results

  7. Successes and challenges of the millennium development goals in Ethiopia: lessons for the sustainable development goals.

    PubMed

    Assefa, Yibeltal; Damme, Wim Van; Williams, Owain D; Hill, Peter S

    2017-01-01

    We analysed the performance of Ethiopia in achieving the health-related millennium development goals (MDGs) with the aim of acquiring lessons for the sustainable development goals (SDGs). Ethiopia achieved most of the health MDGs: a 67% reduction in under-five mortality, a 71% decline in maternal mortality ratio, a 90% decline in new HIV infections, a decrease in malaria-related deaths by 73% and a more than 50% decline in mortality due to tuberculosis. We argue that these achievements are due to implementation of a mix of comprehensive strategies within the health system and across other sectors of the government. Scaling up of interventions by disease control programmes (including the health extension programme) and strengthening of the health system have played important roles towards the achievements. These health gains could not have been realised without progress in the other MDGs: poverty reduction, education, access to safe drinking-water and peace and stability of the country. However, the gains were not equitable, with differences between urban and rural areas, among regions and socioeconomic strata. Ethiopia's remarkable success in meeting most of the targets of the health-related MDGs could be explained by its comprehensive and multisectoral approach for health development. The inequity gap remains a challenge that achieving the health-related SDGs requires the country to implement strategies, which specifically target more marginal populations and geographic areas. This also needs peace and stability, without which it is almost impossible to improve health.

  8. Emerging diseases and implications for Millennium Development Goals in Africa by 2015 - an overview.

    PubMed

    Aluwong, Tagang; Bello, Mohammed

    2010-01-01

    Emerging zoonotic diseases have assumed increasing fundamental importance in both public and animal health, as the last few years have seen a steady increase of new cases, each emerging from an unsuspected geographic area and causing serious problems, often leading to mortalities among animals and humans. The reasons for disease emergence or re-emergence are multiple and include certain major factors, such as expansion of the human population, climate change and globalisation of trade. Further contributing issues, such as the increased movement of animal species, microbial evolution, ecological disruption, changes in human behaviour, all imply that emerging diseases will not only continue to occur, but the rate of their emergence will also increase. These will constitute constraints for the attainment of the Millennium Development Goals by African Governments by 2015. There is no doubt that the current trend calls for more and stronger partnerships between national and international organisations, veterinary and medical communities, environmentalists, academics and policy-makers of various governments on the continent within the context of the global 'One Health' movement. This article attempts to analyse the impact of emerging diseases and the implications for the achievement of the Millennium Development Goals in Africa by the year 2015.

  9. Malaria and the Millennium Development Goals.

    PubMed

    Owens, Stephen

    2015-02-01

    Malaria, as a key disease of poverty, was singled out for special attention in the Millennium Project of 2000. Recent data suggest that malaria incidence and mortality are now declining all over the world. While these figures are cause for celebration, they must be interpreted carefully and with caution, particularly in relation to Africa. There are daunting challenges ahead for those working to achieve malaria eradication, not least of which is the poor quality of the data on which the work is based. In the absence of an affordable and fully effective vaccine, international funding for malaria control needs to be escalated still further. The money is essential to pay for universal access to a set of simple and proven interventions which would save the lives of millions of children over the next 15 years. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  10. Measuring progress toward the Millennium Development Goals and the missing millions.

    PubMed

    Carr-Hill, Roy A

    2013-01-01

    The 2015 target date for achieving the Millennium Development Goals (MDGs) is fast approaching, but there is very little discussion of the validity of the indicators used to measure progress. In particular, there has been little attention given to the problems that arise when assessments of progress are based on household surveys. These are inappropriate for obtaining information about the poorest of the poor. Typically, they omit by design those not in households because they are homeless; those who are in institutions; and mobile, nomadic or pastoralist populations; and, in practice, household surveys will typically under-represent those in fragile, disjointed or multiple occupancy households; and those in urban slums and insecure areas of a country. Those six subgroups constitute a pretty comprehensive ostensive definition of the "poorest of the poor." Between 300 and 500 million people--mainly in developing countries--will be missed worldwide from the sampling frames of household surveys.

  11. Can paying for results help to achieve the Millennium Development Goals? A critical review of selected evaluations of results-based financing.

    PubMed

    Oxman, Andrew D; Fretheim, Atle

    2009-08-01

    Results-based financing (RBF) refers to the transfer of money or material goods conditional on taking a measurable action or achieving a predetermined performance target. RBF is being promoted for helping to achieve the Millennium Development Goals (MDGs). We undertook a critical appraisal of selected evaluations of RBF schemes in the health sector in low and middle-income countries (LMIC). In addition, key informants were interviewed to identify literature relevant to the use of RBF in the health sector in LMIC, key examples, evaluations, and other key informants. The use of RBF in LMIC has commonly been a part of a package that may include increased funding, technical support, training, changes in management, and new information systems. It is not possible to disentangle the effects of financial incentives as one element of RBF schemes, and there is very limited evidence of RBF per se having an effect. RBF schemes can have unintended effects. When RBF schemes are used, they should be designed carefully, including the level at which they are targeted, the choice of targets and indicators, the type and magnitude of incentives, the proportion of financing that is paid based on results, and the ancillary components of the scheme. For RBF to be effective, it must be part of an appropriate package of interventions, and technical capacity or support must be available. RBF schemes should be monitored for possible unintended effects and evaluated using rigorous study designs. © 2009 Blackwell Publishing Asia Pty Ltd and Chinese Cochrane Center, West China Hospital of Sichuan University.

  12. Prevalence and determinants of stunting in under-five children in central Tanzania: remaining threats to achieving Millennium Development Goal 4.

    PubMed

    Semali, Innocent Antony; Tengia-Kessy, Anna; Mmbaga, Elia John; Leyna, Germana

    2015-11-21

    The Millennium Development Goal No 4 (MDG 4) requires countries to scale up interventions addressing malnutrition and other immediate determinants of burden of disease among children to reduce child mortality by two thirds by 2015, which is this year. Whereas globally some achievements have been registered, under-nourishment remains a significant problem in some developing countries such as Tanzania. This study set out to estimate the extent of stunting and its associated determinants to assess the progress made thus far towards achieving MDG 4 in Tanzania. A random sample of 678 households with under-five children was selected from two randomly selected wards of Kongwa district in Dodoma region, Tanzania. The WHO anthropometric calculator, which computes Z-scores using a reference population, was used to process the anthropometric measurement data taken from all the participants. Children with height for age Z-score of less than 2 were categorised as stunted and coded as 1 and the rest were coded as 0. Proportions of stunting were compared using the chi-square test to determine the association between stunting and the independent variables. Multivariate logistic regression analysis was carried out to determine the Adjusted Odds Ratio (AOR) of the independent determinants of stunting. The cut-off for significant association was set at p = 0.05. All these analyses used the STATA 12 software. About half (49.7 %) of the children were stunted. This stunting was associated with belonging to households where the head of family was young (<35 years) (AOR = 0.67, 95 % CI 0.47-0.96, p = 0.031), young age of the mothers (AOR = 1.54, 95 % CI 1.06-2.24, p = 0.023), and economic variables such as owning a cellular phone (AOR = 0.66, 96 % CI 0.46-0.94, p = 0.023). Stunting was highly prevalent in Kongwa district despite general improvements in child nutritional status at the national level. Household characteristics and economic status were found to

  13. Evaluation of Millennium Development Goals in Reduction of Maternal and Child Mortality in Narok County, Kenya

    ERIC Educational Resources Information Center

    Koini, Stellah Malaso

    2017-01-01

    Background: Millennium Development Goals are the 21st Century worlds' concern to improve human way of life by 2015. In Kenya the Millennium Development Goals for reduction of maternal and child mortality has been recently powered by the beyond zero initiative which started in the year 2014 with the aim of reducing mortality as well as contributing…

  14. Millennium Development Goals progress: a perspective from sub-Saharan Africa.

    PubMed

    English, Mike; English, Rex; English, Atti

    2015-02-01

    Sub-Saharan Africa is a highly diverse geo-political region. Any brief discussion of the progress made over the last 15 years towards the Millennium Development Goals (MDGs) will therefore not do justice to the true complexity of context and events. Our focus will be MDG4-to reduce child mortality by 66% from 1990 levels. We will touch briefly on MDG1, to eradicate extreme poverty and hunger, MDG2, to achieve universal primary education, and MDG5, to improve maternal health, which are inextricably linked with child well-being. We will also draw on an eclectic mix of additional global indicators. Acknowledging the limitations of this approach, we first offer a summary of expected progress and then point to debates on future goals. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  15. How Ethiopia achieved Millennium Development Goal 4 through multisectoral interventions: a Countdown to 2015 case study.

    PubMed

    Ruducha, Jenny; Mann, Carlyn; Singh, Neha S; Gemebo, Tsegaye D; Tessema, Negussie S; Baschieri, Angela; Friberg, Ingrid; Zerfu, Taddese A; Yassin, Mohammed; Franca, Giovanny A; Berman, Peter

    2017-11-01

    3 years before the 2015 deadline, Ethiopia achieved Millennium Development Goal 4. The under-5 mortality decreased 69%, from 205 deaths per 1000 livebirths in 1990 to 64 deaths per 1000 livebirths in 2013. To understand the underlying factors that contributed to the success in achieving MDG4, Ethiopia was selected as a Countdown to 2015 case study. We used a set of complementary methods to analyse progress in child health in Ethiopia between 1990 and 2014. We used Demographic Health Surveys to analyse trends in coverage and equity of key reproductive, maternal health, and child health indicators. Standardised tools developed by the Countdown Health Systems and Policies working group were used to understand the timing and content of health and non-health policies. We assessed longitudinal trends in health-system investment through a financial analysis of National Health Accounts, and we used the Lives Saved Tool (LiST) to assess the contribution of interventions towards reducing under-5 mortality. The annual rate of reduction in under-5 mortality increased from 3·3% in 1990-2005 to 7·8% in 2005-13. The prevalence of stunting decreased from 60% in 2000 to 40% in 2014. Overall levels of coverage of reproductive, maternal health, and child health indicators remained low, with disparities between the lowest and highest wealth quintiles despite improvement in coverage for essential health interventions. Coverage of child immunisation increased the most (21% of children in 2000 vs 80% of children in 2014), followed by coverage of satisfied demand for family planning by women of reproductive age (19% vs 63%). Provision of antenatal care increased from 10% of women in 2000 to 32% of women in 2014, but only 15% of women delivered with a skilled birth attendant by 2014. A large upturn occurred after 2005, bolstered by a rapid increase in health funding that facilitated the accelerated expansion of health infrastructure and workforce through an innovative community

  16. Efficiency in Reaching the Millennium Development Goals. World Bank Working Paper.

    ERIC Educational Resources Information Center

    Jayasuriya, Ruwan, Ed.; Wodon, Quentin, Ed.

    The Millennium Development Goals (MDGs) provide clear targets and areas of focus for international organizations such as the World Bank. At a conceptual level, to reduce poverty and hunger, to improve education and health indicators, and to promote gender equality and sustainable development, countries can either increase the resources they…

  17. Can paying for results help to achieve the Millennium Development Goals? Overview of the effectiveness of results-based financing.

    PubMed

    Oxman, Andrew D; Fretheim, Atle

    2009-05-01

    Results-based financing and pay-for-performance refer to the transfer of money or material goods conditional on taking a measurable action or achieving a predetermined performance target. Results-based financing is widely advocated for achieving health goals, including the Millennium Development Goals. We undertook an overview of systematic reviews of the effectiveness of RBF. We searched the Cochrane Library, EMBASE, and MEDLINE (up to August 2007). We also searched for related articles in PubMed, checked the reference lists of retrieved articles, and contacted key informants. We included reviews with a methods section that addressed the effects of any results-based financing in the health sector targeted at patients, providers, organizations, or governments. We summarized the characteristics and findings of each review using a structured format. We found 12 systematic reviews that met our inclusion criteria. Based on the findings of these reviews, financial incentives targeting recipients of health care and individual healthcare professionals are effective in the short run for simple and distinct, well-defined behavioral goals. There is less evidence that financial incentives can sustain long-term changes. Conditional cash transfers to poor and disadvantaged groups in Latin America are effective at increasing the uptake of some preventive services. There is otherwise very limited evidence of the effects of results-based financing in low- or middle-income countries. Results-based financing can have undesirable effects, including motivating unintended behaviors, distortions (ignoring important tasks that are not rewarded with incentives), gaming (improving or cheating on reporting rather than improving performance), widening the resource gap between rich and poor, and dependency on financial incentives. There is limited evidence of the effectiveness of results-based financing and almost no evidence of the cost-effectiveness of results-based financing. Based on the

  18. Free solar lanterns to below poverty line girls in India: a step toward achieving millennium development goals.

    PubMed

    Garg, Rajesh

    2014-01-01

    Development sectors like health cannot function in isolation. Intersectoral coordination between various departments helps in bringing a positive change in the health-seeking behavior of society in the long run. The decision by the Government of India to provide free solar lanterns (lamps) to the school-going girls of below poverty line families is a welcome step in this context. This initiative would help in reducing the number of school dropout girls and thus help in improving the health indicators that are directly related to women's education. Thus it is an initiative that will help in attainment of Millennium Development Goals through women's education and empowerment. Along with that, the environment-friendly approach will definitely have an impact on health of the girls by switching from kerosene/wood stoves to solar lantern light. Also this initiative would pave the path of real "intersectoral coordination" in the health sector in India that is marred with watertight functioning of various departments. There is an urgent need to popularize the scheme and involve different stakeholders like corporate houses, media, nongovernment organizations, multinational welfare agencies, and local governing bodies for ensuring the availability and utilization of solar lanterns in India.

  19. Big hopes for the children of the world: a review of the Millennium Development Goals.

    PubMed

    Keating, E M; Chock, M; Fischer, P R

    2011-01-01

    The Millennium Development Goals are a set of eight goals drafted by the United Nations in 2000 with the aim of improving the health and welfare of people worldwide. The goals provide specific targets to be met by 2015, using the 1990 basis as a standard. This review presents these goals as they relate to children, discussing progress and future aims. Although not all eight goals specifically address children, each has its own impact on global child health. Thus far, much progress has been made, but increased rates of improvement must be achieved in order to meet the goals by 2015 and improve the health of children worldwide.

  20. Millennium development goals and child undernutrition.

    PubMed

    Patwari, A K

    2013-05-08

    Reduction in prevalence of underweight children (under five years of age) has been included as an indicator for one of the targets to eradicate extreme poverty and hunger (Goal 1) of the Millennium Development Goals (MDGs). The most recent MDG report of 2012 indicates that the target of reducing extreme poverty by half has been reached five years ahead of the 2015 deadline but close to one third of children in Southern Asia were underweight. In India, at the historical rate of decline the proportion of underweight children below 3 years, required to be reduced to 26% by 2015, is expected to come down only to about 33%. With barely 3 years left for achieving MDGs, the level of commitment to reduce child undernutrition needs to be gauged and effectiveness of current strategies and programmes ought to be reviewed. Undernutrition in children is not affected by food intake alone; it is also influenced by access to health services, quality of care for the child and pregnant mother as well as good hygiene practices. Would the scenario be different if child undernutrition was a part of Goal 4 of MDGs? What difference it would have made in terms of strategies and programmes if reduction in undernutrition in children underfive was a target instead of an indicator? It is time for nutrition to be placed higher on the development agenda. A number of simple, cost-effective measures to reduce undernutrition in the critical period from conception to two years after birth are available. There is a need for choosing nutrition strategies relevant in Indian context. Experiences from other countries should lead India toward innovative nutritional strategies to reduce underfive undernutrition in the country- that too on a fast track.

  1. India at the crossroads of millennium development goals 4 and 5.

    PubMed

    Hazarika, Indrajit

    2012-05-01

    The current year marks the completion of two thirds of the period between the adoption of the millennium development goals (MDGs) and the target date of 2015. Although there has been some progress, it is incontestable that much more needs to be done. India contributes to 20% of births worldwide and has the highest proportion of children younger than 5 years. Global progress toward MDG 4 and 5 depends significantly on improvements in maternal and child health indicators in India. Although it has been reported that the country has made substantial progress, the pace has been slow and marred by vast regional variability. Certain states continue to have unacceptably high mortality and morbidity rates. This article provides a context to the current status of maternal and child health in India, highlights the achievements, and uses the available data effectively to emphasize the progress. The authors acknowledge the new initiatives and make recommendations for reinforcing the continuum of care.

  2. The effect of an integrated multisector model for achieving the Millennium Development Goals and improving child survival in rural sub-Saharan Africa: a non-randomised controlled assessment.

    PubMed

    Pronyk, Paul M; Muniz, Maria; Nemser, Ben; Somers, Marie-Andrée; McClellan, Lucy; Palm, Cheryl A; Huynh, Uyen Kim; Ben Amor, Yanis; Begashaw, Belay; McArthur, John W; Niang, Amadou; Sachs, Sonia Ehrlich; Singh, Prabhjot; Teklehaimanot, Awash; Sachs, Jeffrey D

    2012-06-09

    Simultaneously addressing multiple Millennium Development Goals (MDGs) has the potential to complement essential health interventions to accelerate gains in child survival. The Millennium Villages project is an integrated multisector approach to rural development operating across diverse sub-Saharan African sites. Our aim was to assess the effects of the project on MDG-related outcomes including child mortality 3 years after implementation and compare these changes to local comparison data. Village sites averaging 35,000 people were selected from rural areas across diverse agroecological zones with high baseline levels of poverty and undernutrition. Starting in 2006, simultaneous investments were made in agriculture, the environment, business development, education, infrastructure, and health in partnership with communities and local governments at an annual projected cost of US$120 per person. We assessed MDG-related progress by monitoring changes 3 years after implementation across Millenium Village sites in nine countries. The primary outcome was the mortality rate of children younger than 5 years of age. To assess plausibility and attribution, we compared changes to reference data gathered from matched randomly selected comparison sites for the mortality rate of children younger than 5 years of age. Analyses were done on a per-protocol basis. This trial is registered with ClinicalTrials.gov, number NCT01125618. Baseline levels of MDG-related spending averaged $27 per head, increasing to $116 by year 3 of which $25 was spent on health. After 3 years, reductions in poverty, food insecurity, stunting, and malaria parasitaemia were reported across nine Millennium Village sites. Access to improved water and sanitation increased, along with coverage for many maternal-child health interventions. Mortality rates in children younger than 5 years of age decreased by 22% in Millennium Village sites relative to baseline (absolute decrease 25 deaths per 1000 livebirths, p=0

  3. Violence against women and the Millennium Development Goals: facilitating women's access to support.

    PubMed

    Ellsberg, M

    2006-09-01

    Violence against women is a serious health and development concern, as well as a violation of women's human rights. Violence against women has a devastating effect on women's sexual and reproductive health, as well as the health of their children, and is rooted in gender inequality. Reducing violence against women is therefore a key strategy for the achievement of the Millennium Development Goals. Key lessons have emerged from more than two decades of experiences dealing with violence against women within the health sector. Interventions must go beyond training and curricula reform and utilize a system-wide approach, including changes in policies, procedures and attention to privacy and confidentiality. Providers must work together with other sectors, particularly at a community level, to strengthen local networks for support of survivors of violence. Prevention activities are critical, particularly those that seek to change cultural norms and laws that encourage violence and discriminate against women and girls.

  4. Taking stock of Myanmar's progress toward the health-related Millennium Development Goals: current roadblocks, paths ahead.

    PubMed

    Saw, Yu Mon; Win, Khine Lae; Shiao, Laura Wen-Shuan; Thandar, Moe Moe; Amiya, Rachel M; Shibanuma, Akira; Tun, Soe; Jimba, Masamine

    2013-09-11

    Myanmar is a developing country with considerable humanitarian needs, rendering its pursuit of the Millennium Development Goals (MDGs) an especially high priority. Yet progress to date remains under-examined on key fronts. Particularly within the three health-related MDGs (MDGs 4, 5, and 6), the limited data reported point to patchy levels of achievement. This study was undertaken to provide an overview and assessment of Myanmar's progress toward the health-related MDGs, along with possible solutions for accelerating health-related development into 2015 and beyond. The review highlights off-track progress in the spheres of maternal and child health (MDGs 4 and 5). It also shows Myanmar's achievements toward MDG 6 targets--in the areas of HIV/AIDS, malaria, and tuberculosis. Such achievements are especially notable in that Myanmar has been receiving the lowest level of official development assistance among all of the least developed countries in Asia. However, to make similar progress in MDGs 4 and 5, Myanmar needs increased investment and commitment in health. Toward moving forward with the post-2015 development agenda, Myanmar's government also needs to take the lead in calling for attention from the World Health Organization and its global development partners to address the stagnation in health-related development progress within the country. In particular, Myanmar's government should invest greater efforts into health system strengthening to pave the road to universal health coverage.

  5. Poverty reduction and Millennium Development Goals: recognizing population, health, and environment linkages in rural Madagascar.

    PubMed

    Gaffikin, Lynne; Ashley, Jeffrey; Blumenthal, Paul D

    2007-10-23

    The Millennium Development Goals (MDGs), committed to by all 191 United Nations member states, are rooted in the concept of sustainable development. Although 2007 (midway) reports indicated that programs are under way, unfortunately many countries are unlikely to reach their goals by 2015 due to high levels of poverty. Madagascar is one such example, although some gains are being made. Attempts of this island nation to achieve its MDGs, expressed most recently in the form of a Madagascar Action Plan, are notable in their emphasis on (1) conserving the country's natural resource base, (2) the effect of demographic trends on development, and (3) the importance of health as a prerequisite for development. Leadership in the country's struggle for economic growth comes from the president of the Republic, in part, through his "Madagascar Naturally" vision as well as his commitment to universal access to family planning, among other health and development interventions. However, for resource-limited countries, such as Madagascar, to get or stay "on track" to achieving the MDGs will require support from many sides. "Madagascar cannot do it alone and should not do it alone." This position is inherent in the eighth MDG: "Develop a global partnership for development." Apparently, it takes a village after all - a global one.

  6. Implementation of the Millennium Development Goals in Nigeria through Non-Formal Education Curriculum

    ERIC Educational Resources Information Center

    Akpama, Simon Ibor; Asor, Love Joseph; Erim, Costly M.; Adekola, G.

    2012-01-01

    Nigeria is a signatory to the Millennium Development Goals (MDGs) declaration but till now she has not made any significant milestones in actualizing these human development goals. In spite of the coordinated efforts towards mobilizing those in the formal education system to partially address its implementation challenges, serious gaps still exit…

  7. Tackling Millennium Development Goals (MDGs) 4 and 5: The National Health Insurance Scheme (NHIS) Approach in Nigeria.

    PubMed

    Mohammed, Shafiu; Dong, Hengjin

    2012-03-07

    Developing countries are devising various strategies and mechanisms to accelerate their speed towards the Millennium Development Goals (MDGs) by 2015. In Nigeria, different approaches have been used to address the tackling of health-related MDGs. One creative approach has been the implementation of the NHIS Maternal and Child Health (NHIS-MCH) Project. The project aims to speed up the achievement of MDGs 4 and 5 (reducing child mortality and improving maternal health) in the country. Little is known about the NHIS-MCH Project's design and health insurance coverage activities. Project planning and monitoring could be hampered by lack of technical and managerial skills of health insurance most especially at middle and local levels. Challenging debates continue to emanate on the project's sustainability.

  8. The Challenges of Attaining Millennium Development Goals in Education in Africa by 2015

    ERIC Educational Resources Information Center

    Ojogwu, C. N.

    2009-01-01

    Millennium Development Goals were established by the United Nations to help underdeveloped countries to overcome problems of illiteracy, poverty, low health status and quality of life. Much emphasis was placed on the attainment of MDG targets in education because of its pivotal role in national development. The targets include education for all…

  9. Discourse, ideas and power in global health policy networks: political attention for maternal and child health in the millennium development goal era.

    PubMed

    McDougall, Lori

    2016-05-18

    Maternal and child health issues have gained global political attention and resources in the past 10 years, due in part to their prominence on the Millennium Development Goal agenda and the use of evidence-based advocacy by policy networks. This paper identifies key factors for this achievement, and raises questions about prospective challenges for sustaining attention in the transition to the post-2015 Sustainable Development Goals, far broader in scope than the Millennium Development Goals. This paper relies on participant observation methods and document analysis to develop a case study of the behaviours of global maternal and child health advocacy networks during 2005-2015. The development of coordinated networks of heterogeneous actors facilitated the rise in attention to maternal and child health during the past 10 years. The strategic use of epidemiological and economic evidence by these networks enabled policy attention and promoted network cohesion. The time-bound opportunity of reaching the 2015 Millennium Development Goals created a window of opportunity for joint action. As the new post-2015 goals emerge, networks seek to sustain attention by repositioning their framing of issues, network structures, and external alliances, including with networks that lay both inside and outside of the health domain. Issues rise on global policy agendas because of how ideas are constructed, portrayed and positioned by actors within given contexts. Policy networks play a critical role by uniting stakeholders to promote persuasive ideas about policy problems and solutions. The behaviours of networks in issue-framing, member-alignment, and strategic outreach can force open windows of opportunity for political attention -- or prevent them from closing.

  10. Knowledge of Millennium Development Goals among University Faculty in Uganda and Kenya

    ERIC Educational Resources Information Center

    Wamala, Robert; Nabachwa, Mary Sonko; Chamberlain, Jean; Nakalembe, Eva

    2012-01-01

    This article examines the level of knowledge of the Millennium Development Goals (MDGs) among university faculty. The assessment is based on data from 197 academic unit or faculty heads randomly selected from universities in Uganda and Kenya. Frequency distributions and logistic regression were used for analysis. Slightly more than one in three…

  11. Pakistan and the Millennium Development Goals for Maternal and Child Health: progress and the way forward.

    PubMed

    Rizvi, Arjumand; Bhatti, Zaid; Das, Jai K; Bhutta, Zulfiqar A

    2015-01-01

    The world has made substantial progress in reducing maternal and child mortality, but many countries are projected to fall short of achieving their Millennium Development Goals (MDGs) 4 and 5 targets. The major objective of this paper is to examine progress in Pakistan in reducing maternal and child mortality and malnutrition over the last two decades. Data from recent national and international surveys suggest that Pakistan lags behind on all of its MDGs related to maternal and child health and, for some indicators especially related to nutrition, the situation has worsened from the baseline of 1990. Progress in addressing key social determinants such as poverty, female education and empowerment has also been slow and unregulated population growth has further compromised progress. There is a need to integrate the various different sectors and programmes to achieve the desired results effectively and efficiently as many of the determinants and influencing factors are outside the health sector.

  12. From the Millennium Development Goals to Sustainable Development Goals.: The response to the HIV epidemic in Indonesia: challenges and opportunities.

    PubMed

    Wijayanti, Fetty; Tarmizi, Siti Nadia; Tobing, Viny; Nisa, Tiara; Akhtar, Muhammad; Trihandini, Indang; Djuwita, Ratna

    2016-11-28

    Since the first case was reported in 1981, the Indonesian government and civil society have implemented many initiatives to respond to the HIV/AIDS epidemic. From an historical perspective, the country now has the means to rapidly diagnose cases of HIV infection and provide antiretroviral therapy. The concern expressed by international health agencies about a potential major HIV epidemic in the country has not been confirmed, as evidenced by a slowing down of the number cases. The threat from non-sterile needle sharing has been relatively well controlled through harm-reduction programmes; however, drug trafficking remains a challenge. It has reached worrying levels and involves law enforcement units at the forefront of the battle. In parallel, the level of condom use in high-risk behaviour groups seems unsuccessful in reducing infection rates, especially among heterosexuals. The lack of information and the high mobility of the groups at risk of acquiring HIV infection have created tremendous challenges for outreach programmes. Heterosexual transmission represents the most important route of transmission in the country. When reflecting on the country's 2014 Millennium Development Goals, condom use during high-risk sex only reaches 43.5%, and only 21.3% of young people have a comprehensive knowledge about HIV/AIDS. The 2030 Millennium Development Goal Agenda offers an opportunity to catch up on goals that still need to be achieved. Therefore, efforts are underway to try to halt the epidemic by 2030 and also to ensure that all high-risk populations are included in this effort.

  13. Addressing inequity to achieve the maternal and child health millennium development goals: looking beyond averages.

    PubMed

    Ruhago, George M; Ngalesoni, Frida N; Norheim, Ole F

    2012-12-27

    Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. We used the Lives Saved Tool (LiST) to estimate potential reductions in maternal and child mortality and the number of lives saved across wealth quintiles and between rural and urban settings. High impact maternal and child health interventions were modelled for a five-year scale up, by linking intervention coverage, effectiveness and cause of mortality using data from Tanzania. Concentration curves were drawn and the concentration index estimated to measure the equity impact of the scale up. In the poorest population quintiles in Tanzania, the lives of more than twice as many mothers and under-fives were likely to be saved, compared to the richest quintile. Scaling up coverage to equal levels across quintiles would reduce inequality in maternal and child mortality from a pro rich concentration index of -0.11 (maternal) and -0.12 (children) to a more equitable concentration index of -0,03 and -0.03 respectively. In rural areas, there would likely be an eight times greater reduction in maternal deaths than in urban areas and a five times greater reduction in child deaths than in urban areas. Scaling up priority maternal and child health interventions to equal levels would potentially save far more lives in the poorest populations, and would accelerate equitable progress towards maternal and child health MDGs.

  14. Taking stock of Myanmar’s progress toward the health-related Millennium Development Goals: current roadblocks, paths ahead

    PubMed Central

    2013-01-01

    Myanmar is a developing country with considerable humanitarian needs, rendering its pursuit of the Millennium Development Goals (MDGs) an especially high priority. Yet progress to date remains under-examined on key fronts. Particularly within the three health-related MDGs (MDGs 4, 5, and 6), the limited data reported point to patchy levels of achievement. This study was undertaken to provide an overview and assessment of Myanmar’s progress toward the health-related MDGs, along with possible solutions for accelerating health-related development into 2015 and beyond. The review highlights off-track progress in the spheres of maternal and child health (MDGs 4 and 5). It also shows Myanmar’s achievements toward MDG 6 targets – in the areas of HIV/AIDS, malaria, and tuberculosis. Such achievements are especially notable in that Myanmar has been receiving the lowest level of official development assistance among all of the least developed countries in Asia. However, to make similar progress in MDGs 4 and 5, Myanmar needs increased investment and commitment in health. Toward moving forward with the post-2015 development agenda, Myanmar’s government also needs to take the lead in calling for attention from the World Health Organization and its global development partners to address the stagnation in health-related development progress within the country. In particular, Myanmar’s government should invest greater efforts into health system strengthening to pave the road to universal health coverage. PMID:24025845

  15. Global Inequality, Capabilities, Social Justice: The Millennium Development Goal for Gender Equality in Education

    ERIC Educational Resources Information Center

    Unterhalter, E.

    2005-01-01

    The Millennium Development Goal (MDG) for gender equality in education by 2005 has been criticised for its grandiose ambition, its failure to adequately conceptualise the nature of gender inequality or the diverse forms this takes, the inadequate policies developed to put the goal into practice and the limited measurements used for monitoring. The…

  16. Addressing inequity to achieve the maternal and child health millennium development goals: looking beyond averages

    PubMed Central

    2012-01-01

    Background Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. Methods We used the Lives Saved Tool (LiST) to estimate potential reductions in maternal and child mortality and the number of lives saved across wealth quintiles and between rural and urban settings. High impact maternal and child health interventions were modelled for a five-year scale up, by linking intervention coverage, effectiveness and cause of mortality using data from Tanzania. Concentration curves were drawn and the concentration index estimated to measure the equity impact of the scale up. Results In the poorest population quintiles in Tanzania, the lives of more than twice as many mothers and under-fives were likely to be saved, compared to the richest quintile. Scaling up coverage to equal levels across quintiles would reduce inequality in maternal and child mortality from a pro rich concentration index of −0.11 (maternal) and −0.12 (children) to a more equitable concentration index of −0,03 and −0.03 respectively. In rural areas, there would likely be an eight times greater reduction in maternal deaths than in urban areas and a five times greater reduction in child deaths than in urban areas. Conclusions Scaling up priority maternal and child health interventions to equal levels would potentially save far more lives in the poorest populations, and would accelerate equitable progress towards maternal and child health MDGs. PMID:23270489

  17. The Ha Noi Expert Statement: recognition of maternal mental health in resource-constrained settings is essential for achieving the Millennium Development Goals.

    PubMed

    Fisher, Jane Rw; de Mello, Meena Cabral; Izutsu, Takashi; Tran, Tuan

    2011-01-07

    Mental health problems in women during pregnancy and after childbirth and their adverse consequences for child health and development have received sustained detailed attention in high-income countries. In contrast, evidence has only been generated more recently in resource-constrained settings.In June 2007 the United Nations Population Fund, the World Health Organization, the Key Centre for Women's Health in Society, a WHO Collaborating Centre for Women's Health and the Research and Training Centre for Community Development in Vietnam convened the first international expert meeting on maternal mental health and child health and development in resource-constrained settings. It aimed to appraise the evidence about the nature, prevalence and risks for common perinatal mental disorders in women; the consequences of these for child health and development and ameliorative strategies in these contexts.The substantial disparity in rates of perinatal mental disorders between women living in high- and low-income settings, suggests social rather than biological determinants. Risks in resource-constrained contexts include: poverty; crowded living situations; limited reproductive autonomy; unintended pregnancy; lack of empathy from the intimate partner; rigid gender stereotypes about responsibility for household work and infant care; family violence; poor physical health and discrimination. Development is adversely affected if infants lack day-to-day interactions with a caregiver who can interpret their cues, and respond effectively. Women with compromised mental health are less able to provide sensitive, responsive infant care. In resource-constrained settings infants whose mothers are depressed are less likely to thrive and to receive optimal care than those whose mothers are well.The meeting outcome is the Hanoi Expert Statement (Additional file 1). It argues that the Millennium Development Goals to improve maternal health, reduce child mortality, promote gender equality

  18. Millennium development goals and eye health.

    PubMed

    Faal, Hannah B

    2012-01-01

    In September 2000, world leaders made a commitment to build a more equitable, prosperous and safer world by 2015 and launched the Millennium Development Goals (MDGs). In the previous year, the World Health Organization and the International Agency for the Prevention of Blindness in partnership launched the global initiative to eliminate avoidable blindness by the year 2020-VISION 2020 the Right to Sight. It has focused on the prevention of a disability-blindness and recognized a health issue-sight as a human right. Both global initiatives have made considerable progress with synergy especially on MDG 1-the reduction of poverty and the reduction in numbers of the blind. A review of the MDGs has identified the need to address disparities within and between countries, quality, and disability. Noncommunicable diseases are emerging as a challenge to the MDGs and Vision 2020:0 the Right to Sight. For the future, up to and beyond 2015, there will be need for both initiatives to continue to work in synergy to address present and emerging challenges.

  19. Millennium development goals and eye health

    PubMed Central

    Faal, Hannah B

    2012-01-01

    In September 2000, world leaders made a commitment to build a more equitable, prosperous and safer world by 2015 and launched the Millennium Development Goals (MDGs). In the previous year, the World Health Organization and the International Agency for the Prevention of Blindness in partnership launched the global initiative to eliminate avoidable blindness by the year 2020–VISION 2020 the Right to Sight. It has focused on the prevention of a disability-blindness and recognized a health issue–sight as a human right. Both global initiatives have made considerable progress with synergy especially on MDG 1–the reduction of poverty and the reduction in numbers of the blind. A review of the MDGs has identified the need to address disparities within and between countries, quality, and disability. Noncommunicable diseases are emerging as a challenge to the MDGs and Vision 2020:0 the Right to Sight. For the future, up to and beyond 2015, there will be need for both initiatives to continue to work in synergy to address present and emerging challenges. PMID:22944751

  20. Five Ways the Sustainable Development Goals Are Better than the Millennium Development Goals and Why Every Educationalist Should Care

    ERIC Educational Resources Information Center

    Caprani, Lily

    2016-01-01

    For 15 years the millennium development goals (MDGs) were a guiding force for many issues affecting the lives of children and young people around the world. Agreed by UN member states in 2001, the eight MDGs were designed as a framework around which states were expected to develop policy priorities and shape their overseas aid spending plans. The…

  1. Limitations of the Millennium Development Goals: a literature review

    PubMed Central

    Fehling, Maya; Nelson, Brett D.; Venkatapuram, Sridhar

    2013-01-01

    With the Millennium Development Goals (MDGs) showing uneven progress, this review identifies possible limitations arising from the MDG framework itself rather than extrinsic issues. A multidisciplinary literature review was conducted with a focus on limitations in the formulation of the MDGs, their structure, content and implementation. Of 1837 MDG-related articles, 90 met criteria for analysis. Articles describe MDGs as being created by only a few stakeholders without adequate involvement by developing countries and overlooking development objectives previously agreed upon. Others claim MDGs are unachievable and simplistic, not adapted to national needs, do not specify accountable parties and reinforce vertical interventions. While MDGs have promoted increased health and well-being in many countries by recognising and deliberating on the possible constraints of the MDG framework, the post-2015 agenda may have even greater impact. Complex problems have simple, easy to understand, wrong answers (Henry Louis Mencken) PMID:24266508

  2. The millennium development goals and road traffic injuries: exploring the linkages in South Asia.

    PubMed

    Hyder, Adnan A; Ghaffar, Abdul

    2004-12-01

    In a major summit of the members of the United Nations (UN) in 2000, a Millennium Declaration was adopted which called for making the elimination of poverty and promotion of sustainable development a global priority. A road map was agreed upon to operationalize the declaration, and the Millennium Development Goals (MDG) were integrated within the document. The MDGs are now increasingly being used to assess the performance of countries, institutions and the global community. WHO declares that the MDGs provide "a set of outcomes that are relevant to the development of national health policy frameworks". It also states that although MDGs do not cover all the components of public health, when broadly interpreted "the goals provide an opportunity to address important cross-cutting issues and key constraints to health". Consistent with WHO's call for a broad interpretation of the MDGs, and building on the health linkages identified by WHO, this paper explores the linkages between the MDGs and the impact of road traffic injuries (RTI). This is done in the context of South Asia, one of the poorest and populated regions of the developing world.

  3. Contribution of Mexico's Universal Immunization Program to the Fourth Millennium Development Goal.

    PubMed

    Richardson, Vesta; Sánchez-Uribe, Edgar; Esparza-Aguilar, Marcelino; Esteves-Jaramillo, Alejandra; Suárez-Idueta, Lorena

    2014-04-01

    To identify and describe 1) progress achieved thus far in meeting the commitments of the Fourth Millennium Development Goal (MDG 4) in Mexico, mainly the contribution of the Universal Immunization Program (UIP) over the last 20 years, and 2) new opportunities for further reducing mortality among children under 5 years old. An observational, descriptive, retrospective study was carried out to examine registered causes of death in children under 5 between 1990 and 2010. Indicators were built according to the recommendations of the United Nations. In 2010, deaths among children under 5 decreased 64.3% compared to the baseline (1990) figure. Of the total deaths of the children under 5, the neonatal period was the most affected (52.8%), followed by the 1 to 11 months (30.9%), and the 12 to 59 months (16.2%) groups. A 34% overall mortality reduction was observed after the universalization of immunization against influenza, rotavirus, and pneumococcus in children under 5. Despite a significant reduction in under-5 mortality in Mexico over the last 20 years, largely due to the successes of the UIP, several challenges remain, particularly in improving preventive and curative services during pre- and postnatal care.

  4. Health inequities, environmental insecurity and the attainment of the millennium development goals in sub-Saharan Africa: the case study of Zambia.

    PubMed

    Anyangwe, Stella C E; Mtonga, Chipayeni; Chirwa, Ben

    2006-09-01

    The United Nations Millennium Development Goals (MDGs) are a series of 8 goals and 18 targets aimed at ending extreme poverty by 2015, and there are 48 quantifiable indicators for monitoring the process. Most of the MDGs are health or health-related goals. Though the MDGs might sound ambitious, it is imperative that the world, and sub-Saharan Africa in particular, wake up to the persistent and unacceptably high rates of extreme poverty that populations live in, and find lasting solutions to age-old problems. Extreme poverty is a cause and consequence of low income, food insecurity and hunger, education and gender inequities, high disease burden, environmental degradation, insecure shelter, and lack of access to safe drinking water and basic sanitation. It is also directly linked to unsound governance and inequitable distribution of public wealth. While many regions in the world will strive to attain the MDGs by 2015, most of the countries in sub-Saharan Africa, with major human development challenges associated with socio-economic disparities, will not. Zambia's MDG progress reports of 2003 and 2005 show that despite laudable political commitment and some advances made towards achieving universal primary education, gender equality, improvement of child health and management of the HIV/AIDS epidemic, it is not likely that Zambia will achieve even half of the goals. Zambia's systems have been weakened by high disease burden and excess mortality, natural and man-made environmental threats and some negative effects of globalization such as huge external debt, low world prices for commodities and the human resource "brain drain", among others. Urgent action must follow political will, and some tried and tested strategies or "quick wins" that have been proven to produce high positive impact in the short term, need to be rapidly embarked upon by Zambia and other countries in sub-Saharan Africa if they are to achieve the Millennium Development Goals.

  5. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals.

    PubMed

    Brown, Andrew N; Gilbert, Ben

    2014-01-01

    Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question 'What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?' We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of 'know-do' gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary

  6. Millennium Development Goals 4 and 5: Past and future progress.

    PubMed

    Gaffey, Michelle F; Das, Jai K; Bhutta, Zulfiqar A

    2015-10-01

    We review global and regional progress towards Millennium Development Goals (MDGs) 4 and 5 with respect to their indicators, drawing on the latest data available from the relevant United Nations inter-agency groups responsible for maternal and child mortality estimation, as well as recent reports from individual UN agencies and external monitoring groups reporting on MDG progress. We also draw on recent, comprehensive evidence syntheses to present an overview of a selection of existing effective interventions that, if collectively implemented at scale, would reduce maternal and child deaths well beyond the MDG target levels. We conclude with a summary of why and how a focus on maternal and child health in the post-2015 era should be maintained, as the global development agenda transitions from the MDGs to the Sustainable Development Goals. Copyright © 2015. Published by Elsevier Ltd.

  7. Assessing Household Solid Fuel Use: Multiple Implications for the Millennium Development Goals

    PubMed Central

    Rehfuess, Eva; Mehta, Sumi; Prüss-Üstün, Annette

    2006-01-01

    Objective The World Health Organization is the agency responsible for reporting the Millennium Development Goal (MDG) indicator “percentage of population using solid fuels.” In this article, we present the results of a comprehensive assessment of solid fuel use, conducted in 2005, and discuss the implications of our findings in the context of achieving the MDGs. Methods For 93 countries, solid fuel use data were compiled from recent national censuses or household surveys. For the 36 countries where no data were available, the indicator was modeled. For 52 upper-middle or high-income countries, the indicator was assumed to be < 5%. Results According to our assessment, 52% of the world’s population uses solid fuels. This percentage varies widely between countries and regions, ranging from 77%, 74%, and 74% in Sub-Saharan Africa, Southeast Asia, and the Western Pacific Region, respectively, to 36% in the Eastern Mediterranean Region, 16% in Latin America and the Caribbean and in Central and Eastern Europe. In most industrialized countries, solid fuel use falls to the < 5% mark. Discussion Although the “percentage of population using solid fuels” is classified as an indicator to measure progress towards MDG 7, reliance on traditional household energy practices has distinct implications for most of the MDGs, notably MDGs 4 and 5. There is an urgent need for development agendas to recognize the fundamental role that household energy plays in improving child and maternal health and fostering economic and social development. PMID:16507460

  8. Pakistan and the Millennium Development Goals for Maternal and Child Health: progress and the way forward.

    PubMed

    Rizvi, Arjumand; Bhatti, Zaid; Das, Jai K; Bhutta, Zulfiqar A

    2015-04-03

    The world has made substantial progress in reducing maternal and child mortality, but many countries are projected to fall short of achieving their Millennium Development Goals (MDGs) 4 and 5 targets. The major objective of this paper is to examine progress in Pakistan in reducing maternal and child mortality and malnutrition over the last two decades. Data from recent national and international surveys suggest that Pakistan lags behind on all of its MDGs related to maternal and child health and, for some indicators especially related to nutrition, the situation has worsened from the baseline of 1990. Progress in addressing key social determinants such as poverty, female education and empowerment has also been slow and unregulated population growth has further compromised progress. There is a need to integrate the various different sectors and programmes to achieve the desired results effectively and efficiently as many of the determinants and influencing factors are outside the health sector. Pakistan has to accelerate improvement of access to maternal health services, particularly contraception, emergency obstetric care and skilled birth attendance; the need to improve maternal and child nutrition cannot be over-emphasised.

  9. Challenges experienced by South Africa in attaining Millennium Development Goals 4, 5 and 6.

    PubMed

    Mulaudzi, Fhumulani M; Phiri, Seepaneng S; Peu, Doriccah M; Mataboge, Mmamakwa L S; Ngunyulu, Nkhensani R; Mogale, Ramadimetja S

    2016-05-06

    Despite progress made by other countries worldwide in achieving Millennium Development Goals (MDGs) 4, 5 and 6, South Africa is experiencing a challenge in attaining positive outcomes for these goals. To describe the challenges experienced by South Africa regarding the successful implementation of MDGs 4, 5 and 6. An integrative literature review was used to identify and synthesise various streams of literature on the challenges experienced by South Africa in attaining MDGs 4, 5 and 6. The integrative review revealed the following themes: (1) interventions related to child mortality reduction, (2) implementation of maternal mortality reduction strategies, and (3) identified barriers to zero HIV and TB infections and management. It is recommended that poverty relief mechanisms be intensified to improve the socio-economic status of women. There is a need for sectoral planning towards maternal health, and training of healthcare workers should emphasise the reduction of maternal deaths. Programmes addressing the reduction of maternal and child mortality rates, HIV, STIs and TB need to be put in place.

  10. Did the Millennium Development Goals Change Trends in Child Mortality?

    PubMed

    French, Declan

    2016-10-01

    There has been little assessment of the role the Millennium Development Goals (MDGs) have had in progressing international development. There has been a 41% reduction in the under-five mortality rate worldwide from 1990 to 2011 and an acceleration in the rate of reduction since 2000. This paper explores why this has occurred, and results for all developing countries indicate that it is not due to more healthcare or public health interventions but is driven by a coincidental burst of economic growth. Although the MDGs are considered to have played an important part in securing progress against poverty, hunger and disease, there is very little evidence to back this viewpoint up. A thorough analysis of the successes and failures of the MDGs is therefore necessary before embarking on a new round of global goals. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  11. ICTs and Indigenous Languages as Agents for the Actualization of Millennium Development Goals in Nigeria

    ERIC Educational Resources Information Center

    Olise, Festus Prosper

    2013-01-01

    This paper advocates for the use of Information and Communication Technologies (ICTs) and indigenous languages for the actualization of Millennium Development Goals (MDGs) in Nigeria because both tools are capable of transforming the rural and urban populace. It explores the MDGs so as to unravel the ways ICTs and indigenous languages can…

  12. Tuberculosis elimination in the post Millennium Development Goals era.

    PubMed

    Wejse, Christian

    2015-03-01

    The Millennium Development Goal for tuberculosis (TB) is to stop the increase in incidence and halve the mortality of TB between 1990 and 2015. This goal has now been reached on a global scale, although not in the most affected region of Africa. The new target is TB elimination, defined as one case of active TB per one million population per year, which is to be reached before 2050. This review will discuss the main tools in play, namely case-finding and new diagnostics, increased access and effectiveness of anti-TB therapy (directly observed therapy, short course (DOTS)), preventive therapy for latent infection, and vaccination. Each approach is discussed and a way forward in research and management is suggested. Copyright © 2014 The Author. Published by Elsevier Ltd.. All rights reserved.

  13. [Transition from Millennium Development Goals to Sustainable Development Goals from the perspective of the social determinants of health and health equity].

    PubMed

    Urbina-Fuentes, Manue; Jasso-Gutiérrez, Luis; Schiavon-Ermani, Raffaela; Lozano, Rafael; Finkelman, Jacobo

    2017-01-01

    The United Nations Declaration of 2000 agreed on eight millennium development goals (MDGs) to be met in 2015. The results show that poverty continues through population growth and advances in both rich and poor countries are threatened by economic crises and inequities in geographic areas and population groups within countries. In a globalized world with great social and economic inequalities, from the perspective of the social determinants of health (SDH), the relevance of the new 17 sustainable development goals (SDGs) is greater. Faced with the health challenges in our country to achieve SDGs, the symposium "The transition from MDGs to SDGs from the perspective of SDH and health equity" was presented at the XLIV Congress of the National Academy of Medicine. The presentations dealt with five important aspects of the transition in Mexico: background and context; the current state of the MDGs in childhood; the impact on gender equity and adolescent fertility; the health system and the theme of environmental health and were presented by Dr. Raffaela Schiavon, Jacobo Finkelman, Luis Jasso and Rafael Lozano.

  14. Forecasting the progress towards the target of Millennium Development Goal 1C in children under 5 years of age in Bangladesh.

    PubMed

    Hasan, Md Tanvir; Soares Magalhaes, Ricardo J; Williams, Gail M; Mamun, Abdullah A

    2015-07-01

    To estimate the average annual rates of reduction of stunting, underweight and wasting for the period 1996 to 2011, and to evaluate whether Bangladesh will be expected to achieve the target of Millennium Development Goal 1C of reducing the prevalence of underweight by half by 2015. We used five nationwide, cross-sectional, Demographic and Health Survey data sets to estimate prevalence of undernutrition defined by stunting, underweight and wasting among children under 5 years of age using the WHO child growth standards. We then computed the average annual rates of reduction of prevalence of undernutrition using the formula derived by UNICEF. Finally, we projected the prevalence of undernutrition for the year 2015 using the estimated average annual rates of reduction. Nationwide covering Bangladesh. Children under 5 years of age (n 28,941). The prevalence of stunting decreased by 18.8% (from 60.0% to 41.2%), underweight by 16.0% (from 52.2% to 36.2%) and wasting by 5.1% (from 20.6% to 15.5%) during 1996 to 2011. The overall average annual rates of reduction were 2.84%, 2.69 % and 2.47%, respectively, for stunting, underweight and wasting. We forecast that in 2015, the prevalence of stunting, underweight and wasting will be 36.7%, 32.5% and 14.0%, respectively, at the national level. The prevalence of undernutrition is likely to remain high in rural areas, in the Sylhet division and in the poorest wealth quintile. Bangladesh is likely to achieve the Millennium Development Goal 1C target of reducing the prevalence of underweight by half by 2015. However, it is falling behind in reducing stunting and further investment is needed to reduce individual, household and environmental determinants of stunting in Bangladesh.

  15. Meeting the 2015 Millennium Development Goals with new interventions for abused women.

    PubMed

    Karmaliani, Rozina; Shehzad, Shireen; Hirani, Saima Shams; Asad, Nargis; Akbar Ali Hirani, Shela; McFarlane, Judith

    2011-12-01

    In a developing country such as Pakistan, where illiteracy, poverty, gender differences, and health issues are prevalent, violence against women is a commonly observed phenomenon. The rising incidences of abuse among women indicate a need to introduce evidence-based community-derived interventions for meeting Millennium Developmental Goals by 2015. This article discusses the application of counseling, economic skills building, and microcredit programs as practical and effective interventions to improve the health outcomes of abused women and, therefore, improving maternal and child health in the Pakistani society. Copyright © 2011 Elsevier Inc. All rights reserved.

  16. Assessing the influence of knowledge translation platforms on health system policy processes to achieve the health millennium development goals in Cameroon and Uganda: a comparative case study.

    PubMed

    Ongolo-Zogo, Pierre; Lavis, John N; Tomson, Goran; Sewankambo, Nelson K

    2018-05-01

    There is a scarcity of empirical data on the influence of initiatives supporting evidence-informed health system policy-making (EIHSP), such as the knowledge translation platforms (KTPs) operating in Africa. To assess whether and how two KTPs housed in government-affiliated institutions in Cameroon and Uganda have influenced: (1) health system policy-making processes and decisions aiming at supporting achievement of the health millennium development goals (MDGs); and (2) the general climate for EIHSP. We conducted an embedded comparative case study of four policy processes in which Evidence Informed Policy Network (EVIPNet) Cameroon and Regional East African Community Health Policy Initiative (REACH-PI) Uganda were involved between 2009 and 2011. We combined a documentary review and semi structured interviews of 54 stakeholders. A framework-guided thematic analysis, inspired by scholarship in health policy analysis and knowledge utilization was used. EVIPNet Cameroon and REACH-PI Uganda have had direct influence on health system policy decisions. The coproduction of evidence briefs combined with tacit knowledge gathered during inclusive evidence-informed stakeholder dialogues helped to reframe health system problems, unveil sources of conflicts, open grounds for consensus and align viable and affordable options for achieving the health MDGs thus leading to decisions. New policy issue networks have emerged. The KTPs indirectly influenced health policy processes by changing how interests interact with one another and by introducing safe-harbour deliberations and intersected with contextual ideational factors by improving access to policy-relevant evidence. KTPs were perceived as change agents with positive impact on the understanding, acceptance and adoption of EIHSP because of their complementary work in relation to capacity building, rapid evidence syntheses and clearinghouse of policy-relevant evidence. This embedded case study illustrates how two KTPs influenced

  17. Assessing the influence of knowledge translation platforms on health system policy processes to achieve the health millennium development goals in Cameroon and Uganda: a comparative case study

    PubMed Central

    Lavis, John N; Tomson, Goran; Sewankambo, Nelson K

    2018-01-01

    Abstract There is a scarcity of empirical data on the influence of initiatives supporting evidence-informed health system policy-making (EIHSP), such as the knowledge translation platforms (KTPs) operating in Africa. To assess whether and how two KTPs housed in government-affiliated institutions in Cameroon and Uganda have influenced: (1) health system policy-making processes and decisions aiming at supporting achievement of the health millennium development goals (MDGs); and (2) the general climate for EIHSP. We conducted an embedded comparative case study of four policy processes in which Evidence Informed Policy Network (EVIPNet) Cameroon and Regional East African Community Health Policy Initiative (REACH-PI) Uganda were involved between 2009 and 2011. We combined a documentary review and semi structured interviews of 54 stakeholders. A framework-guided thematic analysis, inspired by scholarship in health policy analysis and knowledge utilization was used. EVIPNet Cameroon and REACH-PI Uganda have had direct influence on health system policy decisions. The coproduction of evidence briefs combined with tacit knowledge gathered during inclusive evidence-informed stakeholder dialogues helped to reframe health system problems, unveil sources of conflicts, open grounds for consensus and align viable and affordable options for achieving the health MDGs thus leading to decisions. New policy issue networks have emerged. The KTPs indirectly influenced health policy processes by changing how interests interact with one another and by introducing safe-harbour deliberations and intersected with contextual ideational factors by improving access to policy-relevant evidence. KTPs were perceived as change agents with positive impact on the understanding, acceptance and adoption of EIHSP because of their complementary work in relation to capacity building, rapid evidence syntheses and clearinghouse of policy-relevant evidence. This embedded case study illustrates how two KTPs

  18. The impact of the worldwide Millennium Development Goals campaign on maternal and under-five child mortality reduction: 'Where did the worldwide campaign work most effectively?'

    PubMed

    Cha, Seungman

    2017-01-01

    As the Millennium Development Goals campaign (MDGs) came to a close, clear evidence was needed on the contribution of the worldwide MDG campaign. We seek to determine the degree of difference in the reduction rate between the pre-MDG and MDG campaign periods and its statistical significance by region. Unlike the prevailing studies that measured progress in 1990-2010, this study explores by percentage how much MDG progress has been achieved during the MDG campaign period and quantifies the impact of the MDG campaign on the maternal and under-five child mortality reduction during the MDG era by comparing observed values with counterfactual values estimated on the basis of the historical trend. The low accomplishment of sub-Saharan Africa toward the MDG target mainly resulted from the debilitated progress of mortality reduction during 1990-2000, which was not related to the worldwide MDG campaign. In contrast, the other regions had already achieved substantial progress before the Millennium Declaration was proclaimed. Sub-Saharan African countries have seen the most remarkable impact of the worldwide MDG campaign on maternal and child mortality reduction across all different measurements. In sub-Saharan Africa, the MDG campaign has advanced the progress of the declining maternal mortality ratio and under-five mortality rate, respectively, by 4.29 and 4.37 years. Sub-Saharan African countries were frequently labeled as 'off-track', 'insufficient progress', or 'no progress' even though the greatest progress was achieved here during the worldwide MDG campaign period and the impact of the worldwide MDG campaign was most pronounced in this region in all respects. It is time to learn from the success stories of the sub-Saharan African countries. Erroneous and biased measurement should be avoided for the sustainable development goals to progress.

  19. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals

    PubMed Central

    2014-01-01

    Objectives Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question ‘What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?’ Methods We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of ‘know-do’ gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. Results During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. Conclusion The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health

  20. Millennium Development Goals 4 and 5: progress and challenges.

    PubMed

    Bryce, Jennifer; Black, Robert E; Victora, Cesar G

    2013-10-16

    The Millennium Development Goals have galvanized efforts to improve child survival (MDG-4) and maternal health (MDG-5). There has been important progress on both MDGs at global level, although it now appears that few countries will reach them by the target date of 2015. There are known and efficacious interventions to address most of the major causes of these deaths, but important gaps remain. The biggest challenge is to ensure that all women and children have access to life-saving interventions. Current levels of intervention coverage are too low, representing missed opportunities. Providing services at the community level is an important emerging priority, but preventing maternal and neonatal deaths also requires access to health facilities. Readers of the Medicine for Global Health collection in BMC Medicine are urged to make maternal and child health one of their key concerns, even if they work on other topics.

  1. Gender equity and health: evaluating the impact of Millennium Development Goal Three on women's health in South Asia.

    PubMed

    Shannon, Geordan D; Im, Dana D; Katzelnick, Leah; Franco, Oscar H

    2013-01-01

    Researchers evaluated the progress of Millennium Development Goal Three, which promotes gender equity and empowering women, by assessing the targets for education, employment, and government, and their relation to women's health in South Asia. Researchers obtained data from the United Nations, Inter-Parliamentary Union, International Labor Organization, World Bank, and World Health Organization. First, they performed a literature review including manuscripts that quantified a Millenium Development Goal Three outcome in South Asia and were published after 1991. They derived women's health outcomes from World Health Organization databases. Spearman's rank test was used to evaluate the relationship between change in gender parity and change in women's health outcomes. South Asia's average primary education Gender Parity Index (defined as the ratio of girls to boys enrolled in primary, secondary, and tertiary education and expressed as a value between 0 and 1.0) improved from 0.73 (SD 0.34) to 0.92 (SD 0.13) between 2000 and 2008. Secondary and tertiary education had a lower Gender Parity Index (average 2008 Gender Parity Index 0.87 (SD 0.21) and 0.59 (SD 0.23), respectively), but had also improved from 2000 (average Gender Parity Index = 0.77, SD 0.38) to 2008 (average Gender Parity Index = 0.52, SD 0.11). An average proportion of 22.1% (SD 12.58) of women participated in waged, non-agricultural employment and 16.6% (SD 10.3) in national parliaments. No clear association was found between change in gender equity and women's health in South Asia between 2000 and 2008. Some progress has been made toward gender equity in South Asia, although the results have been mixed and inequities persist, especially in employment and government. While gender equity does not appear to have been related to female health outcomes, both must be addressed simultaneously as priority development targets and remain prerequisites to achieving the overall Millennium Development Goals

  2. Immobile Robots: AI in the New Millennium

    NASA Technical Reports Server (NTRS)

    Williams, Brian C.; Nayak, P. Pandurang

    1996-01-01

    A new generation of sensor rich, massively distributed, autonomous systems are being developed that have the potential for profound social, environmental, and economic change. These include networked building energy systems, autonomous space probes, chemical plant control systems, satellite constellations for remote ecosystem monitoring, power grids, biosphere-like life support systems, and reconfigurable traffic systems, to highlight but a few. To achieve high performance, these immobile robots (or immobots) will need to develop sophisticated regulatory and immune systems that accurately and robustly control their complex internal functions. To accomplish this, immobots will exploit a vast nervous system of sensors to model themselves and their environment on a grand scale. They will use these models to dramatically reconfigure themselves in order to survive decades of autonomous operations. Achieving these large scale modeling and configuration tasks will require a tight coupling between the higher level coordination function provided by symbolic reasoning, and the lower level autonomic processes of adaptive estimation and control. To be economically viable they will need to be programmable purely through high level compositional models. Self modeling and self configuration, coordinating autonomic functions through symbolic reasoning, and compositional, model-based programming are the three key elements of a model-based autonomous systems architecture that is taking us into the New Millennium.

  3. Free treatment, rapid malaria diagnostic tests and malaria village workers can hasten progress toward achieving the malaria related millennium development goals: the Médecins Sans Frontières experience from Chad, Sierra-Leone and Mali

    PubMed Central

    Tayler-Smith, Katie; Kociejowski, Alice; de Lamotte, Nadine; Gerard, Seco; Ponsar, Frederique; Philips, Mit; Zachariah, Rony

    2011-01-01

    Halving the burden of malaria by 2015 and ensuring that 80% of people with malaria receive treatment is among the health related targets of the Millennium Development Goals (MDGs). Despite political momentum toward achieving this target, progress is slow and many with malaria (particularly in poor and rural communities in Africa) are still without access to effective treatment. Finding ways to improve access to anti-malarial treatment in Africa is essential to achieve the malaria related and other MDG targets. During its work in Chad, Sierra Leone and Mali in the period 2004 to 2008, Médecins Sans Frontières showed that it was possible to significantly improve access to effective malaria treatment through: i) the removal of health centre level user fees for essential healthcare for vulnerable population groups, ii) the introduction of free community based treatment for children using malaria village workers to diagnose and treat simple malaria in communities where geographical and financial barriers limited access to effective malaria care, iii) the improved diagnosis and treatment of malaria using rapid diagnosis tests and artemisinin based combination therapy, at both health facilities and in the community. This paper describes and discusses these strategies and their related impact. PMID:28299053

  4. The Development of Emotional and Behavioral Self-Regulation and Their Effects on Academic Achievement in Childhood

    ERIC Educational Resources Information Center

    Edossa, Ashenafi Kassahun; Schroeders, Ulrich; Weinert, Sabine; Artelt, Cordula

    2018-01-01

    Self-regulation is an essential ability of children to cope with various developmental challenges. This study examines the developmental interplay between emotional and behavioral self-regulation during childhood and the relationship with academic achievement using data from the longitudinal Millennium Cohort Study (UK). Using cross-lagged panel…

  5. Millennium Mindsets.

    ERIC Educational Resources Information Center

    Kaye, Beverly L.

    1999-01-01

    Describes primary career mindsets that characterize the next millennium: inquirer, imaginer, player, congruence seeker, feedback junkie, reputation regulator, change chaser, trend tracker, alert anthropologist, global framer, accomplished juggler, ambiguity survivor, risk taker, anxiety appreciator, and aha! seeker. (Author/JOW)

  6. Can we achieve Millennium Development Goal 4? New analysis of country trends and forecasts of under-5 mortality to 2015.

    PubMed

    Murray, Christopher J L; Laakso, Thomas; Shibuya, Kenji; Hill, Kenneth; Lopez, Alan D

    2007-09-22

    Global efforts have increased the accuracy and timeliness of estimates of under-5 mortality; however, these estimates fail to use all data available, do not use transparent and reproducible methods, do not distinguish predictions from measurements, and provide no indication of uncertainty around point estimates. We aimed to develop new reproducible methods and reanalyse existing data to elucidate detailed time trends. We merged available databases, added to them when possible, and then applied Loess regression to estimate past trends and forecast to 2015 for 172 countries. We developed uncertainty estimates based on different model specifications and estimated levels and trends in neonatal, post-neonatal, and childhood mortality. Global under-5 mortality has fallen from 110 (109-110) per 1000 in 1980 to 72 (70-74) per 1000 in 2005. Child deaths worldwide have decreased from 13.5 (13.4-13.6) million in 1980 to an estimated 9.7 (9.5-10.0) million in 2005. Global under-5 mortality is expected to decline by 27% from 1990 to 2015, substantially less than the target of Millennium Development Goal 4 (MDG4) of a 67% decrease. Several regions in Latin America, north Africa, the Middle East, Europe, and southeast Asia have had consistent annual rates of decline in excess of 4% over 35 years. Global progress on MDG4 is dominated by slow reductions in sub-Saharan Africa, which also has the slowest rates of decline in fertility. Globally, we are not doing a better job of reducing child mortality now than we were three decades ago. Further improvements in the quality and timeliness of child-mortality measurements should be possible by more fully using existing datasets and applying standard analytical strategies.

  7. No Pending National Elections, Who Cares? What Newspaper Publications Reveal about Local Efforts Towards Millennium Development Goal 3

    ERIC Educational Resources Information Center

    Arku, Frank S.; Arku, Cynthia

    2013-01-01

    The Millennium Development Goals (MDGs) has become a catch phrase in development discourse. This study is an assessment of the MDG 3: to promote gender equality at all levels of education in Ghana. The Daily Graphic (a newspaper in Ghana) which is Ghana's prominent newspaper was reviewed from 2000 to 2011 to determine the frequency of articles…

  8. REDUCE CHILD MORTALITY AS A MILLENNIUM DEVELOPMENI GOAL IN ROMANIA.

    PubMed

    Duma, Olga-Odetta; Roşu, Solange Tamara; Petrariu, F D; Manole, M; Constantin, Brânduşa

    2016-01-01

    To assess the efforts made in Romania towards achieving the Goal 4 from MDGs--Reduce Child Mortality. A descriptive study about the deaths among Romanian children under five, between 2002 and 2015, from the perspective of the MDGs. To help track progress toward this commitment, following specific targets and indicators were developed: Target 1-Halve the mortality rate in children aged 1-4 years between 2002-2015; Target 2--Reduce infant mortality by 40% between 2002 and 2015; Target 3--Eliminate measles by 2007. The comparison allows establish the status (achieved or not) for each target. From 2002, the under-five mortality rate recorded a continuous descendent trend till now (20.8 to 10.3 under five deaths per 1000 inhabitants in 2013). The infant mortality rates declined from 17.3 to 8.5 deaths per 1,000 live births (2002-2013). Eliminating measles by 2007--was achieved one year later, because of the measles epidemic in 2005 and 2006. High vaccination rates have been maintained, with the proportion of children 1 year old vaccinated against measles reaching and being maintained at between 94-98%. Substantial progress has been made in Romania, in achieving the Millennium Development Goal no. 4. All the three targets were achieved. However, infant mortality still remains above the average of European Union (4 infant deaths per 1,000 live-births).

  9. South African child deaths 1990–2011: have HIV services reversed the trend enough to meet Millennium Development Goal 4?

    PubMed Central

    Kerber, Kate J.; Lawn, Joy E.; Johnson, Leigh F.; Mahy, Mary; Dorrington, Rob E.; Phillips, Heston; Bradshaw, Debbie; Nannan, Nadine; Msemburi, William; Oestergaard, Mikkel Z.; Walker, Neff P.; Sanders, David; Jackson, Debra

    2013-01-01

    Objective: To analyse trends in under-five mortality rate in South Africa (1990–2011), particularly the contribution of AIDS deaths. Methods: Three nationally used models for estimating AIDS deaths in children were systematically reviewed. The model outputs were compared with under-five mortality rate estimates for South Africa from two global estimation models. All estimates were compared with available empirical data. Results: Differences between the models resulted in varying point estimates for under-five mortality but the trends were similar, with mortality increasing to a peak around 2005. The three models showing the contribution of AIDS suggest a maximum of 37–39% of child deaths were due to AIDS in 2004–2005 which has since declined. Although the rate of progress from 1990 is not the 4.4% needed to meet Millennium Development Goal 4 for child survival, South Africa's average annual rate of under-five mortality decline between 2006 and 2011 was between 6.3 and 10.2%. Conclusion: In 2005, South Africa was one of only four countries globally with an under-five mortality rate higher than the 1990 Millennium Development Goal baseline. Over the past 5 years, the country has achieved a rate of child mortality reduction exceeded by only three other countries. This rapid turnaround is likely due to scale-up of prevention of mother-to-child transmission of HIV, and to a lesser degree, the expanded roll-out of antiretroviral therapy. Emphasis on these programmes must continue, but failure to address other aspects of care including integrated high-quality maternal and neonatal care means that the decline in child mortality could stall. PMID:23863402

  10. Millennium Graduates' Orientations to Higher Education

    ERIC Educational Resources Information Center

    Spronken-Smith, R. A.; Bond, C.; Buissink-Smith, N.; Grigg, G.

    2009-01-01

    This research examines graduates' orientations to higher education at the turn of the millennium. The focus is on "millennium graduates" since this cohort has experienced a time of radical reform in higher education. Twenty-four graduates were interviewed and four orientations to higher education were found: (A) gaining a qualification…

  11. Legislative Gaps in Implementation of Health related Millennium Development Goals: a case study from Pakistan.

    PubMed

    Manzoor, Rabia; Toru, Shehryar Khan; Ahmed, Vaqar

    2016-06-01

    Numerous health legislations concerning child mortality, maternal health and life-threatening diseases such as polio and tuberculosis are crafted in the health sector of Pakistan. A critical assessment of health legislations points to their in-effective or sub-optimal implementation. By engaging with the concept of public law, there is a strong relationship of public health and health legislations. While the basic purpose of health legislations is to craft and enforce essential health legislations for improving public health, an examination of health legislations across Pakistan indicate an extensive health engagement which is facing certain challenges indicating traditional health practices, enforcement constraints arising due to political compulsions and complexities, and systematic problems in the health sector, reflecting issue of governance. Through focus group discussions and in-depth interviews held with policy-makers, senior health officials private health entities and parliamentarian tasks forces on millennium development goals, this study engages with health-sector legislations. In so doing, it focuses on the problematic health sector and interventions. It is observed that unless an overarching legislative framework and a shift from programmatic approach to a human rights approach is adopted, the targets of millennium development goals 4, 5 and 6 would remain off-track in Pakistan.

  12. Countdown to 2015: will the Millennium Development Goal for child survival be met?

    PubMed Central

    Lawn, Joy E; Costello, Anthony; Mwansambo, Charles; Osrin, David

    2007-01-01

    The Millennium Development Goals (MDGs), ratified by most nations in 2000, set specific targets for poverty reduction, eradication of hunger, education, gender equality, health and environmental sustainability. MDG 4 aims to reduce child mortality with a target of reducing under‐five mortality rates by two thirds over the period 1990–2015. Over the last year, Live Aid, Make Poverty History, the G8 summits and prominent entertainers have directed unprecedented attention towards development and health. Africa particularly has been in the spotlight. Reports are published and commitments are made, but is there real progress? Are poor people being reached with essential health care? Who will hold leaders to account: celebrities, activists or health professionals? PMID:17515627

  13. The importance of using open source technologies and common standards for interoperability within eHealth: Perspectives from the Millennium Villages Project

    PubMed Central

    Borland, Rob; Barasa, Mourice; Iiams-Hauser, Casey; Velez, Olivia; Kaonga, Nadi Nina; Berg, Matt

    2013-01-01

    The purpose of this paper is to illustrate the importance of using open source technologies and common standards for interoperability when implementing eHealth systems and illustrate this through case studies, where possible. The sources used to inform this paper draw from the implementation and evaluation of the eHealth Program in the context of the Millennium Villages Project (MVP). As the eHealth Team was tasked to deploy an eHealth architecture, the Millennium Villages Global-Network (MVG-Net), across all fourteen of the MVP sites in Sub-Saharan Africa, the team recognized the need for standards and uniformity but also realized that context would be an important factor. Therefore, the team decided to utilize open source solutions. The MVP implementation of MVG-Net provides a model for those looking to implement informatics solutions across disciplines and countries. Furthermore, there are valuable lessons learned that the eHealth community can benefit from. By sharing lessons learned and developing an accessible, open-source eHealth platform, we believe that we can more efficiently and rapidly achieve the health-related and collaborative Millennium Development Goals (MDGs). PMID:22894051

  14. The impact of the worldwide Millennium Development Goals campaign on maternal and under-five child mortality reduction: ‘Where did the worldwide campaign work most effectively?’

    PubMed Central

    Cha, Seungman

    2017-01-01

    ABSTRACT Background: As the Millennium Development Goals campaign (MDGs) came to a close, clear evidence was needed on the contribution of the worldwide MDG campaign. Objective: We seek to determine the degree of difference in the reduction rate between the pre-MDG and MDG campaign periods and its statistical significance by region. Design: Unlike the prevailing studies that measured progress in 1990–2010, this study explores by percentage how much MDG progress has been achieved during the MDG campaign period and quantifies the impact of the MDG campaign on the maternal and under-five child mortality reduction during the MDG era by comparing observed values with counterfactual values estimated on the basis of the historical trend. Results: The low accomplishment of sub-Saharan Africa toward the MDG target mainly resulted from the debilitated progress of mortality reduction during 1990–2000, which was not related to the worldwide MDG campaign. In contrast, the other regions had already achieved substantial progress before the Millennium Declaration was proclaimed. Sub-Saharan African countries have seen the most remarkable impact of the worldwide MDG campaign on maternal and child mortality reduction across all different measurements. In sub-Saharan Africa, the MDG campaign has advanced the progress of the declining maternal mortality ratio and under-five mortality rate, respectively, by 4.29 and 4.37 years. Conclusions: Sub-Saharan African countries were frequently labeled as ‘off-track’, ‘insufficient progress’, or ‘no progress’ even though the greatest progress was achieved here during the worldwide MDG campaign period and the impact of the worldwide MDG campaign was most pronounced in this region in all respects. It is time to learn from the success stories of the sub-Saharan African countries. Erroneous and biased measurement should be avoided for the sustainable development goals to progress. PMID:28168932

  15. Analysis of the association between millennium development goals 4 & 5 and the physician workforce across international economic strata.

    PubMed

    Morley, Christopher P; Wang, Dongliang; Mader, Emily M; Plante, Kyle P; Kingston, Lindsey N; Rabiei, Azadeh

    2017-07-18

    The Millennium Development Goals (MDGs) are 8 international development goals voluntarily adopted by 189 nations. The goals included health related aims to reduce the under-five child mortality rate by two-thirds (MDG4), and to reduce the maternal mortality ratio by three-quarters (MDG5). To assess the relationship between the healthcare workforce and MDGs 4-5, we examined the physician workforces of countries around the globe, in terms of the Physician Density Level (PDL, or number of physicians per 1000 population), and compared this rate across a number of years to several indicator variables specified as markers of progress towards MDG4 and MDG5. Data for each variable of interest were obtained from the World Bank's Millennium Development Goals and World Development Indicators databases for 208 countries and territories from 2004 to 2014, representing a ten-year period for which the most information is available. We analyzed the relationships between MDG outcomes and PDL, controlling for national income levels and other covariates, using linear mixed model regression. Dependent variables were logarithmically transformed to meet assumptions necessary for multivariate analysis. In unadjusted models, an increase of every one physician per 1000 population (one unit change in PDL) lowered the risk of not being vaccinated for measles-mumps-rubella (MMR) to 29.3% (p < 0.001, 95% CI: 22.2%-38.7%) and for not receiving diphtheria-tetanus-pertussis (DTaP) vaccination rate decreased to 38.5% (p < 0.001, 95% CI: 28.7% - 51.7%). Maternal mortality rate decreased to 76.6% (p < 0.001, 95% CI: 74.3% - 79.0%), neonatal mortality decreased to 58.8% (p < 0.001, 95% CI: 54.8% - 63.2%) and under-5 mortality rate decreased to 52.1% (p < 0.001, 95% CI: 48.0% - 56.4%), with every one-unit change in PDL. Adjusted models tended to reflect unadjusted risk assessments. The maintenance and improvement of the health workforce is a vital consideration when assessing how to achieve

  16. Achieving Universal Primary Education by 2015: A Chance for Every Child.

    ERIC Educational Resources Information Center

    Bruns, Barbara; Mingat, Alain; Rakotomalala, Ramahatra

    Achievement of the second of the Millennium Development Goals (MDG)--universal primary education by 2015--is crucial, as education is one of the most powerful instruments for reducing poverty and inequality and for laying the foundation for sustained economic growth, effective institutions, and sound governance. This study assesses whether…

  17. Millennium development goals-knowledge and attainability as perceived by doctors: a case study.

    PubMed

    Adegboye, O A; Adeboye, M A; Erinle, S A; Nwachukwu, N D; Salawu, F K; Sajo, N J

    2011-01-01

    To audit the knowledge of doctors and evaluate their disposition toward the attainment of the Millennium Development Goals (MDGs). Semi-structured questionnaires requesting information about knowledge of the acronym "MDGs" were administered on willing doctors at three tertiary health centers: University of Ilorin Teaching Hospital, Federal Medical Centre, Bida, and Federal Medical Centre, Yola. Data were analyzed using frequency tables and simple statistical methods. One hundred and eighty-three doctors participated in the study, comprising 65 (35.5%) from Bida, 18 (9.8%) from Yola, and 100 (54.7%) from Ilorin, with a male to female ratio of 2:1 (P < 0.05). Thirty-nine respondents (21.3%) had no fore kowledge of MDG (P < 0.05). Only 77 (42.1%) of the respondents who had fore knowledge of "MDG" knew the number of goals to be eight (P < 0.05). Among those who had fore knowledge of MDG, only 34 comprising 15 (10.4%, Bida), 1 (0.7%, Yola), and 18 (12.5%, Ilorin) could correctly list a minimum of four of the MDGs (P < 0.05). Only 12 (8.3%) of the respondents believed that the MDGs are very achievable. There is an absolute need for more elaborate publicity on the MDGs among doctors as they are key players if attaining the MDGs is to be a reality.

  18. Private Schools and the Millennium Development Goal of Universal Primary Education: A Census and Comparative Survey in Hyderabad, India

    ERIC Educational Resources Information Center

    Tooley, James; Dixon, Pauline; Gomathi, S. V.

    2007-01-01

    Development literature suggests that private schools serving the poor are not part of the solution to meeting the Millennium Development Goal (MDG) of universal primary education. The study conducted a census and survey of schools in notified slums of Hyderabad, India, to contribute to the sparse literature on the nature and extent of private…

  19. Life in a landfill slum, children's health, and the Millennium Development Goals.

    PubMed

    Shibata, Tomoyuki; Wilson, James L; Watson, Lindsey M; Nikitin, Ivan V; Ansariadi; La Ane, Ruslan; Maidin, Alimin

    2015-12-01

    People living in slums can be considered left behind with regard to national successes in achieving Millennium Development Goals (MDGs). The objective of this study was to evaluate the living and working conditions of waste pickers and their children in a landfill slum located in the largest city in eastern Indonesia. A total of 113 people from the landfill slum and 1184 people from the general population participated in face-to-face interviews. Municipal solid waste (MSW) was analyzed for metals, metalloids and fecal indicator bacteria. Ambient air quality including particulate matter was measured in the landfill. Households in the landfill slum were 5.73 (p=0.04) times more likely to be below the international poverty line (MDG 1: Poverty) and 15.6 times (p<0.01) more likely to have no one in the household possessing a primary education (MDG 2: Universal Education), and 107 times (p<0.01) more likely not to have improved sanitation facilities (MDG 7: Environmental Sustainability) when compared to the general population. Diarrhea is one of the leading causes of death in children under five in Indonesia. Young children living in the landfill slum were 2.87 times (p=0.02) more likely to develop diarrhea than their general population counterparts. Other survey results and environmental measurements suggest that landfill slum children have additional adverse health effects (e.g. infections and poisoning). Poverty underlies several MDG issues that directly or indirectly affect child health. Therefore, eradicating extreme poverty will continue to be the most critical challenge for the MDGs beyond 2015. Copyright © 2015 Elsevier B.V. All rights reserved.

  20. Public Perception of the Millennium Development Goals on Access to Safe Drinking Water in Cross River State, Nigeria

    ERIC Educational Resources Information Center

    Eni, David D.; Ojong, William M.

    2014-01-01

    This study evaluated the public perception of Millennium Development Goals (MDGs) of environmental sustainability with focus on the MDG target which has to do with reducing the proportion of people without access to safe drinking water in Cross River State, Nigeria. The stratified and systematic sampling techniques were adopted for the study,…

  1. Holding a country countdown to 2015 conference on Millennium Development Goals (MDGs) - the Zambian experience.

    PubMed

    Mukonka, Victor M; Malumo, Sarai; Kalesha, Penelope; Nambao, Mary; Mwale, Rodgers; Mwinga, Kasonde; Katepa-Bwalya, Mary; Babaniyi, Olusegan; Mason, Elizabeth; Phiri, Caroline; Wamulume, Pauline K

    2014-01-21

    Initiatives such as the Country Countdown to 2015 Conference on Millennium Development Goals (MDGs) have provided countries with high maternal and child deaths like Zambia a platform to assess progress, discuss challenges and share lessons learnt as a conduit for national commitment to reaching and attaining the MDGs four and five. This paper discusses and highlights the process of holding a successful country countdown conference and shares Zambia's experience with other countries planning to organise country countdown to 2015 Conferences on MDGs.

  2. Impact of training on emergency resuscitation skills: Impact on Millennium Development Goals (MDGs) 4 and 5.

    PubMed

    Gülmezoglu, A Metin; Lawrie, Theresa A

    2015-11-01

    Although significant progress has been made towards Millennium Development Goal (MDG) 4 and 5 targets, maternal and neonatal mortality rates remain unacceptably high in low- and middle-income countries (LMICs). The potential for improvements in maternal and neonatal health outcomes with increased facility utilization in these countries is undermined by a lack of appropriate and timely treatment. Skilful emergency resuscitation can be the difference between life and death; therefore, training in emergency resuscitation is essential for health-care practitioners at all levels, with regular refresher sessions to ensure skill retention. Whilst there is little robust evidence on the impact of resuscitation training interventions on practitioner skills or patient outcomes, such training interventions are likely to have the greatest impact if integrated into a broader approach to improve the quality of care. Accelerated investments in training must go hand in hand with ensuring the availability of quality equipment and upgrading infrastructure to reduce the gap between current MDG status and what is achieved by the end of 2015; and to accelerate reductions in mortality rates beyond 2015 towards new Countdown targets. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. A Millennium Learning Goal for Education Post-2015: A Question of Outcomes or Processes

    ERIC Educational Resources Information Center

    Barrett, Angeline M.

    2011-01-01

    As the target year for the current Millennium Development Goal of universal completion of primary education approaches, three World Bank economists have proposed its replacement with a Millennium Learning Goal. This is part of a trend of increased privileging of learning outcomes. The proposal is assessed from the perspective of human rights-based…

  4. Carrot Soup, Magic Bullets, and Scientific Research for Education and Development

    ERIC Educational Resources Information Center

    Chabbott, Colette

    2007-01-01

    Following the UN Millennium Summit in 2000, the Millennium Development Goals (MDGs) set global sector specific development targets to be achieved by the year 2015. In this article, the author explores the role of health and education research in producing technological innovations and global policy options and goals, such as the MDGs. Here, she…

  5. Millennium bug

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    After global fears of computer snafus prompted billions of dollars of remedial action, the Y2K bug appears to have vanished with barely a trace. But on January l, taxonomists with the entomology division of Australia's Commonwealth Scientific and Industrial Research Organisation (CSIRO) reported the discovery of an insect whose scientific and common names will be the "millennium bug."

  6. Millennium bug

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    After global fears of computer snafus prompted billions of dollars of remedial action, the Y2K bug appears to have vanished with barely a trace. But on January l, taxonomists with the entomology division of Australia's Commonwealth Scientific and Industrial Research Organisation (CSIRO) reported the discovery of an insect whose scientific and common names will be the “millennium bug.”

  7. The Vanuatu medical supply system – documenting opportunities and challenges to meet the Millennium Development Goals

    PubMed Central

    Brown, Andrew; Gilbert, Ben

    2012-01-01

    Objectives: Limited human resources are widely recognised as a barrier to achieve health-related Millennium Development Goals. Availability of medical supplies and suitably trained health personnel are crucial to ensuring a well-functioning medical supply system. The objective of this paper is to identify the factors which influence the availability of medical supplies within the health facilities of Vanuatu. Methods: A qualitative triangulated strategy using semi-structured interviews, observational workplace surveys and semi-structured focus groups was developed. This research was approved by the Human Ethics Committee of the University of Canberra and was funded through a direct grant from the United Nations Population Fund Suva, Pacific sub regional office. Results: During two weeks of data collection, 21 interviews were conducted, observational workplace surveys were completed in 19 facilities and 22 personnel participated in three focus groups across three provinces. The interviewees had a wide range of primary professional groupings and were representative of the Vanuatu health workforce. A complex array of medical supply issues are described from within the three tiered structure of the medical supply system. Conclusion: The results of this research have further informed our understanding of the competencies required by healthcare personnel to conduct medical supply management activities effectively in Pacific Island countries. As a result of this research, a platform is provided for the government of Vanuatu to engage development partners to work toward a sustainable medical supply system. PMID:23093895

  8. Resource allocation in Pakistan's health sector: a critical appraisal and a path toward the Millennium Development Goals.

    PubMed

    Shaikh, Babar Tasneem; Ejaz, Irum; Mazhar, Arslan; Hafeez, Assad

    2013-01-01

    Pakistan is trying hard to sustain its progress toward the Millennium Development Goals. However, because of a lack of political commitment to innovative solutions to improve its financing mechanism, the health system is unable to provide even essential and basic services to the people. The country, with more than 70% of the population living on less than two US dollars a day, largely depends on direct taxes for its revenue. Because of inadequate financing, the quality of government services is inexcusably poor; therefore, a majority of people seek healthcare in the private sector. This has led to a horde of issues pertaining to equity, accessibility and fairness. High out-of-pocket expenses on health jeopardize a family's livelihood, pushing it into a vicious circle of poverty. In the wake of recent devolution, this paper presents options for future health financing that enables the provinces to exert their autonomy to safeguard the health of the most vulnerable in the country. Our recommendations follow the vision of the World Health Organization and the Commission on Macroeconomics and Health, to achieve universal health coverage and social protection for the poor. Copyright © 2013 Longwoods Publishing.

  9. The New Millennium Program power technology

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chmielewski, A.B.; Das, A.; Cassapakis, C.

    1996-12-31

    The New Millennium Program (NMP) has been established to accelerate the infusion of breakthrough technologies into NASA space science missions. The goal of this technology infusion is to fulfill the NASA vision of frequent, low-cost missions to deep space and to plant Earth. Power is one of the most important keys to cost-effective space science missions. The power subsystem comprises over 25 percent of the mass of a typical space orbiter type spacecraft. The problems of power will become even more acute in the new millennium as deep space missions are asked to go farther from the Sun and getmore » to their destinations faster. Several power technology proposals were submitted to the NMP through its Modular and Multifunctional Systems Integrated Product Development Team (IPDT). The proposals described in this paper received the most consideration and in several cases resulted in the technology being selected for flight on one of the NMP missions. The technologies discussed here are: SCARLET array, Light Flexible array, lithium ion battery, cold temperature battery, inflatable concentrators and a related technology -- Multifunctional Structures.« less

  10. Enhanced Formation Flying for the Earth Observing-1 (EO-1) New Millennium Mission

    NASA Technical Reports Server (NTRS)

    Folta, David; Quinn, David

    1997-01-01

    With scientific objectives for Earth observation programs becoming more ambitious and spacecraft becoming more autonomous, the need for new technical approaches on the feasibility of achieving and maintaining formations of spacecraft has come to the forefront. The trend to develop small low cost spacecraft has led many scientists to recognize the advantage of flying several spacecraft in formation, an example of which is shown in the figure below, to achieve the correlated instrument measurements formerly possible only by flying many instruments on a single large platform. Yet, formation flying imposes additional complications on orbit maintenance, especially when each spacecraft has its own orbit requirements. However, advances in automation proposed by GSFC Codes 550 and 712 allow more of the burden in maneuver planning and execution to be placed onboard the spacecraft, mitigating some of the associated operational concerns. The purpose of this analysis is to develop the fundamentals of formation flying mechanics, concepts for understanding the relative motion of free flying spacecraft, and an operational control theory for formation maintenance of the Earth Observing-1 (EO-l) spacecraft that is part of the New Millennium. Results of this development can be used to determine the appropriateness of formation flying for a particular case as well as the operational impacts. Applications to the Mission to Planet Earth (MTPE) Earth Observing System (EOS) and New Millennium (NM) were highly considered in analysis and applications. This paper presents the proposed methods for the guidance and control of the EO-1 spacecraft to formation fly with the Landsat-7 spacecraft using an autonomous closed loop three axis navigation control, GPS, and Cross link navigation support. Simulation results using various fidelity levels of modeling, algorithms developed and implemented in MATLAB, and autonomous 'fuzzy logic' control using AutoCon will be presented. The results of these

  11. Moving Toward Universal Health Coverage (UHC) to Achieve Inclusive and Sustainable Health Development: Three Essential Strategies Drawn From Asian Experience

    PubMed Central

    Xu, Ye; Huang, Cheng; Colón-Ramos, Uriyoán

    2015-01-01

    Binagwaho and colleagues’ perspective piece provided a timely reflection on the experience of Rwanda in achieving the Millennium Development Goals (MDGs) and a proposal of 5 principles to carry forward in post-2015 health development. This commentary echoes their viewpoints and offers three lessons for health policy reforms consistent with these principles beyond 2015. Specifically, we argue that universal health coverage (UHC) is an integrated solution to advance the global health development agenda, and the three essential strategies drawn from Asian countries’ health reforms toward UHC are: (1) Public financing support and sequencing health insurance expansion by first extending health insurance to the extremely poor, vulnerable, and marginalized population are critical for achieving UHC; (2) Improved quality of delivered care ensures supply-side readiness and effective coverage; (3) Strategic purchasing and results-based financing creates incentives and accountability for positive changes. These strategies were discussed and illustrated with experience from China and other Asian economies. PMID:26673477

  12. A Guide for Education in the Third Millennium.

    ERIC Educational Resources Information Center

    Whiddon, Tom; Wirth, Rex; Pool, Harbison

    This paper examines the philosophical approaches to knowledge that have governed education and concludes that a new paradigm is needed for the new millennium. Education is subdivided into a three-level hierarchy, including: (1) the accumulation of factoids as knowledge; (2) the development of knowledge into theories and models for the purpose of…

  13. 76 FR 69290 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ... countries to achieve lasting economic growth and poverty reduction. The Act requires the Millennium... to reduce poverty and generate economic growth in the country. These steps include the submission of... Dem. Rep. of the Congo Djibouti Ethiopia Gambia, The Ghana Guinea Guinea-Bissau Haiti Honduras India...

  14. Progress towards the Millennium Development Goals in a community of extreme poverty: local vs. national disparities in Peru.

    PubMed

    Gyorkos, Theresa W; Joseph, Serene A; Casapía, Martin

    2009-06-01

    Standard indicators are being used worldwide to track progress towards achieving the Millennium Development Goals (MDGs). These are usually at country level and do not accurately reflect within-country variability of progress towards the targets. This may lead to lack of attention and under-resourcing of the most vulnerable populations. Therefore, the objective of this study was to compare selected standard MDG indicators at country level and community level in Peru. As MDG indicators we selected: (i) moderate to severe and severe underweight in children under 5 years old; (ii) immunization against measles in 1-year olds; (iii) births attended by skilled health professionals and (iv) youth unemployment. Country-level data for Peru were obtained from United Nations published sources. Community-level data were obtained from a household survey conducted in 2005-2006 in Belén, a community of extreme poverty in the Amazon region. Belén indicators were consistently less favourable than country-level indicators, and indicators even differed between zones of high and low socioeconomic status within Belén itself. Compared to MDG indicators at the national level in Peru, the population of Belén experiences intra-country regional disparities in important health and social outcomes. Improving the coverage and quality of interventions and services in this community is essential. Other vulnerable populations in Peru should also be identified and targeted so that they can benefit from, and ultimately contribute to, progress in achieving the MDGs.

  15. Achieving Quality Education in Ghana: The Spotlight on Primary Education within the Kumasi Metropolis

    ERIC Educational Resources Information Center

    Boakye-Amponsah, Abraham; Enninful, Ebenezer Kofi; Anin, Emmanuel Kwabena; Vanderpuye, Patience

    2015-01-01

    Background: Ghana being a member of the United Nations, committed to the Universal Primary Education initiative in 2000 and has since implemented series of educational reforms to meet the target for the Millennium Development Goal (MDG) 2. Despite the numerous government interventions to achieve the MDG 2, many children in Ghana have been denied…

  16. Water recycling at the Millennium Dome.

    PubMed

    Hills, S; Smith, A; Hardy, P; Birks, R

    2001-01-01

    Thames Water is working with the New Millennium Experience Company to provide a water recycling system for the Millennium Dome which will supply 500 m3/d of reclaimed water for WC and urinal flushing. The system will treat water from three sources: rainwater--from the Dome roof greywater--from handbasins in the toilet blocks groundwater--from beneath the Dome site The treatment technologies will range from "natural" reedbeds for the rainwater, to more sophisticated options, including biological aerated filters and membranes for the greywater and groundwater. Pilot scale trials were used to design the optimum configuration. In addition to the recycling system, water efficient devices will be installed in three of the core toilet blocks as part of a programme of research into the effectiveness of conservation measures. Data on water usage and customer behaviour will be collected via a comprehensive metering system. Information from the Dome project on the economics and efficiency of on-site recycling at large scale and data on water efficient devices, customer perception and behaviour will be of great value to the water industry. For Thames Water, the project provides vital input to the development of future water resource strategies.

  17. Global Fund-supported programmes contribution to international targets and the Millennium Development Goals: an initial analysis.

    PubMed

    Komatsu, Ryuichi; Low-Beer, Daniel; Schwartländer, Bernhard

    2007-10-01

    The Global Fund to Fight AIDS, Tuberculosis and Malaria is one of the largest funders to fight these diseases. This paper discusses the programmatic contribution of Global Fund-supported programmes towards achieving international targets and Millennium Development Goals, using data from Global Fund grants. Results until June 2006 of 333 grants supported by the Global Fund in 127 countries were aggregated and compared against international targets for HIV/AIDS, tuberculosis and malaria. Progress reports to the Global Fund secretariat were used as a basis to calculate results. Service delivery indicators for antiretrovirals (ARV) for HIV/AIDS, case detection under the DOTS strategy for tuberculosis (DOTS) and insecticide-treated nets (ITNs) for malaria prevention were selected to estimate programmatic contributions to international targets for the three diseases. Targets of Global Fund-supported programmes were projected based on proposals for Rounds 1 to 4 and compared to international targets for 2009. Results for Global Fund-supported programmes total 544,000 people on ARV, 1.4 million on DOTS and 11.3 million for ITNs by June 2006. Global Fund-supported programmes contributed 18% of international ARV targets, 29% of DOTS targets and 9% of ITNs in sub-Saharan Africa by mid-2006. Existing Global Fund-supported programmes have agreed targets that are projected to account for 19% of the international target for ARV delivery expected for 2009, 28% of the international target for DOTS and 84% of ITN targets in sub-Saharan Africa. Global Fund-supported programmes have already contributed substantially to international targets by mid-2006, but there is a still significant gap. Considerably greater financial support is needed, particularly for HIV, in order to achieve international targets for 2009.

  18. Skills for the New Millennium. Paper Presentations: Session G.

    ERIC Educational Resources Information Center

    2000

    This document contains 14 papers from the skills for the new millennium section of an international conference on vocational education and training (VET) for lifelong learning in the information era. The following papers are included: "Research on Vocational Education and Training as a Field for Knowledge Development--Starting Points for the…

  19. Poised for the Millennium.

    ERIC Educational Resources Information Center

    Agron, Joe, Ed.

    1999-01-01

    Presents advice from five school administrators on how schools are meeting facility and business challenges in the new millennium. Issues discussed concern power needs, the Y2K computer problem, the explosion of new educational technology, school security, educational finance, and building deterioration. (GR)

  20. Passport to the Millennium.

    ERIC Educational Resources Information Center

    Yost, Mary Grace

    2001-01-01

    Describes a year-long social studies program called "Passport to the Millennium." Students "travel" around the world learning about the history, geography, culture, and economy of different countries. The program is appropriate for students in elementary to secondary grades. Includes a sample lesson plan. (CMK)

  1. Challenges in Achieving Food Security in India

    PubMed Central

    Upadhyay, R Prakash; Palanivel, C

    2011-01-01

    First Millennium Development Goal states the target of “Halving hunger by 2015”. Sadly, the recent statistics for India present a very gloomy picture. India currently has the largest number of undernourished people in the world and this is in spite of the fact that it has made substantial progress in health determinants over the past decades and ranks second worldwide in farm output. The causes of existing food insecurity can be better viewed under three concepts namely the: ‘traditional concept’ which includes factors such as unavailability of food and poor purchasing capacity; ‘socio-demographic concept’ which includes illiteracy, unemployment, overcrowding, poor environmental conditions and gender bias; ‘politico-developmental concept’ comprising of factors such as lack of intersectoral coordination and political will, poorly monitored nutritional programmes and inadequate public food distribution system. If the Millennium Development Goal is to be achieved by 2015, efforts to improve food and nutrition security have to increase considerably. Priority has to be assigned to agriculture and rural development along with promoting women empowerment, ensuring sustainable employment and improving environmental conditions (water, sanitation and hygiene). As the problem is multi-factorial, so the solution needs to be multi-sectoral. PMID:23113100

  2. Extent of Implementation of Minimum Standards of Basic Education for the Realisation of the Second Millennium Development Goal in Bayelsa State

    ERIC Educational Resources Information Center

    Ogochukwu, Emeka; Gbendu, Olaowei Godiva

    2015-01-01

    The study was carried out in Salga Education Zone of Bayelsa State specifically to determine the extent of implementation of the minimum standards for basic education in order to ensure the realization of the second millennium development goal. The study adopted the descriptive research design. The population of the study comprised of all the…

  3. 77 FR 68115 - Millennium Pipeline Company, L.L.C.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-15

    ...] Millennium Pipeline Company, L.L.C.; Notice of Application Take notice that on November 1, 2012, Millennium Pipeline Company, L.L.C. (Millennium), One Blue Hill Plaza, Seventh Floor, P.O. Box 1565, Pearl River, New... system to the existing interconnection with Algonquin Gas Transmission, L.L.C. in Ramapo, New York and...

  4. Hispanic Students and the Gates Millennium Scholarship Program: Promising Results Extending to the Third College Year

    ERIC Educational Resources Information Center

    Oseguera, Leticia; Denson, Nida; Hurtado, Sylvia

    2009-01-01

    Financing college is increasingly difficult for many college students and it can be especially difficult for low-income students. Using data from the Gates Millennium Scholarship Program, this study provides a portrait of the 1st and 3rd year experiences of a sample of both high achieving Hispanic scholarship recipients and non-recipients.…

  5. A World Fit for Children: Millennium Development Goals; Special Session on Children Documents; The Convention on the Rights of the Child.

    ERIC Educational Resources Information Center

    United Nations Children's Fund, New York, NY.

    In May 2002, participants at the United Nations General Assembly's Special Session on Children committed to a set of specific goals for children and youth and a basic framework for meeting these goals. This report compiles the commitments that were part of the Special Session: (1) the Millennium Development Goals, earlier pledged to by all 189…

  6. Reproductive health knowledge and practices among junior secondary school grade one students in Enugu State: threat to achieving millennium development goals in Nigeria.

    PubMed

    Nwaorgu, Obioma C; Onyeneho, Nkechi G; Okolo, May; Obadike, Ebele; Enibe, Gloria

    2008-08-01

    This was designed to provide background information for the implementation of family life and HIV/AIDS education in post primary schools in the Enugu State. A cross sectional survey of the reproductive health knowledge and practices of 412 junior secondary school pupils from 12 schools in Enugu State, Nigeria was undertaken using a uniform set of structured self-administered questionnaire. The results revealed that while the pupils demonstrated fair knowledge of human biology, they lacked knowledge of self-protective mechanisms as it related to sexual health. About (50%) of the participants reported that they have had sex, at the age of less than 11 years when they must have been in the primary school and most (89.3%) at age 11-14 years. Half (50.9%) of the respondents hold the belief that a girl would not get pregnant in her first sexual encounter. Statistically more of those who have ever had sex were betrayed this ignorance (p = 0.004). The boys were less certain about what constitutes the wrong ideas about reproductive health systems than the girls (p = 0.042). In the same vein, there was a difference (p < 0.0001) in the proportion of the rural residents, vis-a-vis their urban counterparts that could correctly identify the wrong ideas about human reproduction. This situation urgently calls for concerted efforts at addressing the poor reproductive health knowledge of these sexually active young people, for the millennium development goals (MDGs) target to be realized in Nigeria.

  7. Beyond the Millennium Development Goals: public health challenges in water and sanitation.

    PubMed

    Rheingans, R; Dreibelbis, R; Freeman, M C

    2006-01-01

    Over 1 billion people lack access to improved water sources and 2.6 billion lack access to appropriate sanitation, greatly contributing to the global burden of disease. The international community has committed to reducing by half the proportion of the world's population lacking access to water and sanitation as a part of the Millennium Development Goals (MDGs). However, the disease burden due to poor access, is borne primarily by the poorest countries and the poorest people within them. Simply reducing the proportion of people without adequate access will not automatically result in proportional reductions in the related disease burden. The public health challenge inherent in meeting the MDG targets is ensuring that improvements result in access to water and sanitation for the critical at-risk populations. Innovative approaches are required to ensure the availability of low-cost, simple, and locally acceptable water and sanitation interventions and integrating these approaches into existing social institutions, such as schools, markets, and health facilities.

  8. From Domination to Partnership: Meeting the UN Millennium Goals

    ERIC Educational Resources Information Center

    Eisler, Riane; Corral, Thais

    2005-01-01

    The UN Millennium goals envision a more just and sustainable future. This article explains why there is a need to shift from domination model to a partnership model in meeting the UN Millennium goals. The domination model is a configuration based on top-down rankings of control, while the partnership model is a configuration that can support a…

  9. Scaling up interventions to achieve global tuberculosis control: progress and new developments.

    PubMed

    Raviglione, Mario; Marais, Ben; Floyd, Katherine; Lönnroth, Knut; Getahun, Haileyesus; Migliori, Giovanni B; Harries, Anthony D; Nunn, Paul; Lienhardt, Christian; Graham, Steve; Chakaya, Jeremiah; Weyer, Karin; Cole, Stewart; Kaufmann, Stefan H E; Zumla, Alimuddin

    2012-05-19

    Tuberculosis is still one of the most important causes of death worldwide. The 2010 Lancet tuberculosis series provided a comprehensive overview of global control efforts and challenges. In this update we review recent progress. With improved control efforts, the world and most regions are on track to achieve the Millennium Development Goal of decreasing tuberculosis incidence by 2015, and the Stop TB Partnership target of halving 1990 mortality rates by 2015; the exception is Africa. Despite these advances, full scale-up of tuberculosis and HIV collaborative activities remains challenging and emerging drug-resistant tuberculosis is a major threat. Recognition of the effect that non-communicable diseases--such as smoking-related lung disease, diet-related diabetes mellitus, and alcohol and drug misuse--have on individual vulnerability, as well as the contribution of poor living conditions to community vulnerability, shows the need for multidisciplinary approaches. Several new diagnostic tests are being introduced in endemic countries and for the first time in 40 years a coordinated portfolio of promising new tuberculosis drugs exists. However, none of these advances offer easy solutions. Achievement of international tuberculosis control targets and maintenance of these gains needs optimum national health policies and services, with ongoing investment into new approaches and strategies. Despite growing funding in recent years, a serious shortfall persists. International and national financial uncertainty places gains at serious risk. Perseverance and renewed commitment are needed to achieve global control of tuberculosis, and ultimately, its elimination. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. The effect of illicit financial flows on time to reach the fourth Millennium Development Goal in Sub-Saharan Africa: a quantitative analysis.

    PubMed

    O'Hare, Bernadette; Makuta, Innocent; Bar-Zeev, Naor; Chiwaula, Levison; Cobham, Alex

    2014-04-01

    This paper sets out to estimate the cost of illicit financial flows (IFF) in terms of the amount of time it could take to reach the fourth Millennium Development Goal (MDG) in 34 African countries. We have calculated the percentage increase in gross domestic product (GDP) if IFFs were curtailed using IFF/GDP ratios. We applied the income (GDP) elasticity of child mortality to the increase in GDP to estimate the reduction in time to reach the fourth MDG in 34 African countries. children aged under five years. 34 countries in SSA. Reduction in time to reach the first indicator of the fourth MDG, under-five mortality rate in the absence of IFF. We found that in the 34 SSA countries, six countries will achieve their fourth MDG target at the current rates of decline. In the absence of IFF, 16 countries would reach their fourth MDG target by 2015 and there would be large reductions for all other countries. This drain on development is facilitated by financial secrecy in other jurisdictions. Rich and poor countries alike must stem the haemorrhage of IFF by taking decisive steps towards improving financial transparency.

  11. Mentoring for the New Millennium.

    PubMed

    Walker, William O; Kelly, Patrick C; Hume, Roderick F

    2002-12-01

    The challenges and benefits of a formal mentoring program are considered within the context of learning organizations: specifically, graduate medical education and professional development. While no single definition addresses every aspect of mentoring, this process is a distinct one with established traditions and expectations. The core requirements of attraction, action and affect remain and are essential for this adult developmental process to be successful. This paper's review of the literature supports the belief that mentoring has value, even into the next millennium, with some conceptual evolution. We are encouraging a paradigm shift from the traditional dyad model of mentoring to a triad model: organization, mentor, and protégé. The future development of outcome measures will be a necessary goal to demonstrate that both personal and organizational goals can coexist.

  12. Reflections on the maternal mortality millennium goal.

    PubMed

    Lawson, Gerald W; Keirse, Marc J N C

    2013-06-01

    Nearly every 2 minutes, somewhere in the world, a woman dies because of complications of pregnancy and childbirth. Every such death is an overwhelming catastrophe for everyone confronted with it. Most deaths occur in developing countries, especially in Africa and southern Asia, but a significant number also occur in the developed world. We examined the available data on the progress and the challenges to the United Nations' fifth Millennium Development Goal of achieving a 75 percent worldwide reduction in the maternal mortality by 2015 from what it was in 1990. Some countries, such as Belarus, Egypt, Estonia, Honduras, Iran, Lithuania, Malaysia, Romania, Sri Lanka and Thailand, are likely to meet the target by 2015. Many poor countries with weak health infrastructures and high fertility rates are unlikely to meet the goal. Some, such as Botswana, Cameroon, Chad, Congo, Guyana, Lesotho, Namibia, Somalia, South Africa, Swaziland and Zimbabwe, had worse maternal mortality ratios in 2010 than in 1990, partially because of wars and civil strife. Worldwide, the leading causes of maternal death are still hemorrhage, hypertension, sepsis, obstructed labor, and unsafe abortions, while indirect causes are gaining in importance in developed countries. Maternal death is especially distressing if it was potentially preventable. However, as there is no single cause, there is no silver bullet to correct the problem. Many countries also face new challenges as their childbearing population is growing in age and in weight. Much remains to be done to make safe motherhood a reality. © 2013, Copyright the Authors, Journal compilation © 2013, Wiley Periodicals, Inc.

  13. Sustaining the vision for Millennium Development Goal 6, to halt and reverse the spread of HIV/AIDS and other infections.

    PubMed

    Campbell, Della Dee; Moran, Barbara

    2010-01-01

    The purpose of Millennium Development Goal 6 is to halt and reverse the spread of HIV/AIDS, malaria, and other diseases and provide universal access to treatment for HIV/AIDS. In this article we describe progress made in meeting the targets for HIV/AIDS set for 2015 and the President's Emergency Plan for AIDS Relief. This funding is geared toward developing sustainable solutions with which to combat diseases that threaten our global community. © 2010 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  14. Capacity building in water demand management as a key component for attaining millennium development goals

    NASA Astrophysics Data System (ADS)

    Gumbo, Bekithemba; Forster, Laura; Arntzen, Jaap

    Successful water demand management (WDM) implementation as a component of integrated water resource management (IWRM) can play a significant role in the alleviation of poverty through more efficient use of available water resources. The urban population in Southern African cities is characterised by so-called ‘water poor’ communities who typically expend a high percentage of their household income on poor quality water. Usually they have no access to an affordable alternative source. Although WDM as a component of IWRM is not a panacea for poverty, it can help alleviate poverty by facilitating water services management by municipal water supply agencies (MWSAs) in the region. WDM is a key strategy for achieving the millennium development goals (MDGs) and, as such, should be given due attention in the preparation of national IWRM and water efficiency plans. Various studies in the Southern African region have indicated that capacity building is necessary for nations to develop IWRM and water-use efficiency plans to meet the targets set out in the MDGs. WDM education and training of water professionals and end-users is particularly important in developing countries, which are resource and information-access poor. In response to these findings, The World Conservation Union (IUCN) and its consulting partners, the Training and Instructional Design Academy of South Africa (TIDASA), and Centre for Applied Research (CAR) designed, developed and presented a pilot WDM Guideline Training Module for MWSAs as part of Phase II of IUCN’s Southern Africa regional WDM project. Pilot training was conducted in July 2004 in Lusaka, Zambia for a group of 36 participants involved in municipal water supply from nine Southern African countries. This paper looks at the links between building the capacity of professionals, operational staff and other role-players in the municipal water supply chain to implement WDM as part of broader IWRM strategies, and the subsequent potential for

  15. The Mars Millennium Project.

    ERIC Educational Resources Information Center

    National Aeronautics and Space Administration, Washington, DC.

    The countdown to a new century provides a unique opportunity to engage America's youth in charting a course for the future. The Mars Millennium Project challenges students across the nation to design a community yet to be imagined for the planet Mars. This interdisciplinary learning project aims to encourage K-12 students in classrooms and youth…

  16. Antenatal HIV Testing in Sub-Saharan Africa During the Implementation of the Millennium Development Goals: A Systematic Review Using the PEN-3 Cultural Model.

    PubMed

    Blackstone, Sarah R; Nwaozuru, Ucheoma; Iwelunmor, Juliet

    2018-01-01

    This study systematically explored the barriers and facilitators to routine antenatal HIV testing from the perspective of pregnant women in sub-Saharan Africa during the implementation period of the Millennium Development Goals. Articles published between 2000 and 2015 were selected after reviewing the title, abstract, and references. Twenty-seven studies published in 11 African countries were eligible for the current study and reviewed. The most common barriers identified include communication with male partners, patient convenience and accessibility, health system and health-care provider issues, fear of disclosure, HIV-related stigma, the burden of other responsibilities at home, and the perception of antenatal care as a "woman's job." Routine testing among pregnant women is crucial for the eradication of infant and child HIV infections. Further understanding the interplay of social and cultural factors, particularly the role of women in intimate relationships and the influence of men on antenatal care seeking behaviors, is necessary to continue the work of the Millennium Development Goals.

  17. Child malnutrition and the Millennium Development Goals: much haste but less speed?

    PubMed

    Oruamabo, Raphael S

    2015-02-01

    The Millennium Development Goals (MDGs) provide a framework for measuring the progress of nations. Several of these goals relate to child malnutrition, which remains an important contributor to child morbidity and mortality, accounting for approximately 45% of child deaths globally. A high proportion of undernourished children still live in Africa and parts of Asia, and the uneven rate of reduction in the prevalence of various types of child malnutrition among different income groups worldwide is worrying. Attempts to reduce child malnutrition should therefore begin from the grassroots by improving primary healthcare services in developing countries with particular focus on basic requirements. Adequate nutrition should be provided from birth, through infancy, preschool and early childhood to adolescence. The overall strategy should be one of careful and meticulous planning involving all development sectors with an emphasis on a bottom-up approach within a stable and disciplined polity; the MDGs will be only be useful if they are seen not as narrow objectives with unidirectional interventions but as multifaceted and co-ordinated. The setting of deadlines, whether 2015 or 2035, should not be emphasised so as to avoid hasty decision making. The top priority should be the implementation of the essential social services of basic education, primary healthcare, nutrition, reproductive health care, water and sanitation in partnership with the developed economies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  18. Integrative Approaches of Native and Foreign Scholars to Pedology in the Context of Views of the Third Millennium

    ERIC Educational Resources Information Center

    Kuzminsky, Anatoliy

    2016-01-01

    Problems of appearing and functioning of human study science, i.e. pedology, have been studied in the paper. Theoretical analysis of integrative approaches of native and foreign scholars to pedology in the context of views of the third millennium has been performed. Useful and positive achievements of this science as well as wrong ones determined…

  19. How states exerted power to create the Millennium Development Goals and how this shaped the global health agenda: Lessons for the sustainable development goals and the future of global health.

    PubMed

    Marten, Robert

    2018-04-26

    Since 2000, the eight Millennium Development Goals (MDGs) provided the framework for global development efforts transforming the field now known as global health. The MDGs both reflected and contributed to shaping a normative global health agenda. In the field of global health, the role of the state is largely considered to have diminished; however, this paper reasserts states as actors in the conceptualisation and institutionalisation of the MDGs, and illustrates how states exerted power and engaged in the MDG process. States not only sanctioned the MDGs through their heads of states endorsing the Millennium Declaration, but also acted more subtly behind the scenes supporting, enabling, and/or leveraging other actors, institutions and processes to conceptualise and legitimize the MDGs. Appreciating the MDGs' role in the conceptualisation of global health is particularly relevant as the world transitions to the MDGs' successor, the Sustainable Development Goals (SDGs). The SDGs' influence, impact and importance remains to be seen; however, to understand the future of global health and how actors, particularly states, can engage to shape the field, a deeper sense of the MDGs' legacy and how actors engaged in the past is helpful.

  20. Responding to the Gender and Education Millennium Development Goals in South Africa and Kenya: Reflections on Education Rights, Gender Equality, Capabilities and Global Justice

    ERIC Educational Resources Information Center

    Unterhalter, Elaine; North, Amy

    2011-01-01

    This paper explores understandings of gender equality and education and the nature of global goal and target setting, drawing on empirical data collected in central and local government departments in Kenya and South Africa reflecting on their implementation of Millennium Development Goal (MDG) 1, concerned with poverty, MDG 2, concerned with…

  1. Promoting equity to achieve maternal and child health.

    PubMed

    Thomsen, Sarah; Hoa, Dinh Thi Phuong; Målqvist, Mats; Sanneving, Linda; Saxena, Deepak; Tana, Susilowati; Yuan, Beibei; Byass, Peter

    2011-11-01

    Maternal and child mortality rates, the targets for two of the eight Millennium Development Goals, remain unacceptably high in many countries. Some countries have made significant advances in reducing deaths in pregnancy, childbirth, and childhood at the national level. However, on a sub-national basis most countries show wide disparities in health indices which are not necessarily reflected in national figures. This is a sign of inequitable access to and provision of health services. Yet there has been little attention to health equity in relation to the Millennium Development Goals. Instead, countries have focused on achieving national targets. This has led to an emphasis on utilitarian, as opposed to universalist, approaches to public health, which we discuss here. We recommend a policy of "proportionate universalism". In this approach, universal health care and a universal social policy are the ultimate goal, but in the interim actions are carried out with intensities proportionate to disadvantage. We also briefly describe an initiative that aims to promote evidence-based policy and interventions that will reduce inequity in access to maternal and child health care in China, India, Indonesia and Viet Nam. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  2. Evaluating ecological and economic benefits of a low-carbon industrial park based on millennium ecosystem assessment framework.

    PubMed

    Chen, Bin; He, Guoxuan; Yang, Jin; Zhang, Jieru; Su, Meirong; Qi, Jing

    2012-01-01

    The Millennium Ecosystem Assessment (MA) framework was modified with a special focus on ecosystem service values. A case study of a typical low-carbon industrial park in Beijing was conducted to assess the ecological and economic benefits. The total economic value of this industrial park per year is estimated to be 1.37 × 10(8) RMB yuan, where the accommodating and social cultural services are the largest two contributors. Due to the construction of small grasslands or green roofs, considerable environmental regulation services are also provided by the park. However, compared with an ecoindustrial park, carbon mitigation is the most prominent service for the low-carbon industrial park. It can be concluded that low-carbon industrial park construction is an efficacious way to achieve coordinated development of society, economy, and environment, and a promising approach to achieving energy saving and carbon reduction.

  3. Measuring Iran's success in achieving Millennium Development Goal 4: a systematic analysis of under-5 mortality at national and subnational levels from 1990 to 2015.

    PubMed

    Mohammadi, Younes; Parsaeian, Mahboubeh; Mehdipour, Parinaz; Khosravi, Ardeshir; Larijani, Bagher; Sheidaei, Ali; Mansouri, Anita; Kasaeian, Amir; Yazdani, Kamran; Moradi-Lakeh, Maziar; Kazemi, Elaheh; Aghamohamadi, Saeide; Rezaei, Nazila; Chegini, Maryam; Haghshenas, Rosa; Jamshidi, Hamidreza; Delavari, Farnaz; Asadi-Lari, Mohsen; Farzadfar, Farshad

    2017-05-01

    Child mortality as one of the key Millennium Development Goals (MDG 4-to reduce child mortality by two-thirds from 1990 to 2015), is included in the Sustainable Development Goals (SDG 3, target 2-to reduce child mortality to fewer than 25 deaths per 1000 livebirths for all countries by 2030), and is a key indicator of the health system in every country. In this study, we aimed to estimate the level and trend of child mortality from 1990 to 2015 in Iran, to assess the progress of the country and its provinces toward these goals. We used three different data sources: three censuses, a Demographic and Health Survey (DHS), and 5-year data from the death registration system. We used the summary birth history data from four data sources (the three censuses and DHS) and used maternal age cohort and maternal age period methods to estimate the trends in child mortality rates, combining the estimates of these two indirect methods using Loess regression. We also used the complete birth history method to estimate child mortality rate directly from DHS data. Finally, to synthesise different trends into a single trend and calculate uncertainty intervals (UI), we used Gaussian process regression. Under-5 mortality rates (deaths per 1000 livebirths) at the national level in Iran in 1990, 2000, 2010, and 2015 were 63·6 (95% UI 63·1-64·0), 38·8 (38·5-39·2), 24·9 (24·3-25·4), and 19·4 (18·6-20·2), respectively. Between 1990 and 2015, the median annual reduction and total overall reduction in these rates were 4·9% and 70%, respectively. At the provincial level, the difference between the highest and lowest child mortality rates in 1990, 2000, and 2015 were 65·6, 40·4, and 38·1 per 1000 livebirths, respectively. Based on the MDG 4 goal, five provinces had not decreased child mortality by two-thirds by 2015. Furthermore, six provinces had not reached SDG 3 (target 2). Iran and most of its provinces achieved MDG 4 and SDG 3 (target 2) goals by 2015. However, at the

  4. 76 FR 12134 - Notice of the March 23, 2011 Millennium Challenge Corporation Board of Directors Meeting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... MILLENNIUM CHALLENGE CORPORATION [MCC FR 11-02] Notice of the March 23, 2011 Millennium Challenge Corporation Board of Directors Meeting; Sunshine Act Meeting AGENCY: Millennium Challenge Corporation. [[Page 12135

  5. The post-millennium development goals agenda: include 'end to all wars' as a public health goal!

    PubMed

    Jayasinghe, Saroj

    2014-09-01

    The process of identifying global post-millennium development goals (post-MDGs) has begun in earnest. Consensus is emerging in certain areas (e.g. eliminating poverty) and conflicts and violence are recognized as key factors that retard human development. However, current discussions focus on tackling intra-state conflicts and individual-based violence and hardly mention eliminating wars as a goal. Wars create public health catastrophes. They kill, maim, displace and affect millions. Inter-state wars fuel intra-state conflicts and violence. The peace agenda should not be the monopoly of the UN Security Council, and the current consensus-building process setting the post-MDG agenda is a rallying point for the global community. The human rights approach will not suffice to eliminate wars, because few are fought to protect human rights. The development agenda should therefore commit to eliminating all wars by 2030. Targets to reduce tensions and discourage wars should be included. We should act now. © The Author(s) 2014.

  6. Poverty and development: pulling forces and the challenges for nursing in Africa.

    PubMed

    Klopper, Hester C

    2007-12-01

    In September 2000 the United Nations Millennium Declaration was adopted and endorsed by 189 countries, translating into eight Millennium Development Goals (MDGs) to be reached by 2015. At the midpoint between the MDG adoption in 2000 and the 2015 target date for achieving the goals, Sub-Saharan Africa (SSA) is not on track to achieve their MDGs. Poverty and development are pulling forces and impact on the ability to achieve the MDGs in SSA, thus the main purpose of this article is to participate in the debate concerning the global theme of poverty and development and the challenges for the nursing profession. In this article the concepts of poverty and development are explored, and the existing trends with specific reference to SSA are investigated. An evaluation of the present status of SSA in reaching the MDG's is examined and the article concludes with a discussion of the challenges for nursing in Africa.

  7. The effect of illicit financial flows on time to reach the fourth Millennium Development Goal in Sub-Saharan Africa: a quantitative analysis

    PubMed Central

    Makuta, Innocent; Bar-Zeev, Naor; Chiwaula, Levison; Cobham, Alex

    2014-01-01

    Objectives This paper sets out to estimate the cost of illicit financial flows (IFF) in terms of the amount of time it could take to reach the fourth Millennium Development Goal (MDG) in 34 African countries. Design We have calculated the percentage increase in gross domestic product (GDP) if IFFs were curtailed using IFF/GDP ratios. We applied the income (GDP) elasticity of child mortality to the increase in GDP to estimate the reduction in time to reach the fourth MDG in 34 African countries. Participants children aged under five years. Settings 34 countries in SSA. Main outcome measures Reduction in time to reach the first indicator of the fourth MDG, under-five mortality rate in the absence of IFF. Results We found that in the 34 SSA countries, six countries will achieve their fourth MDG target at the current rates of decline. In the absence of IFF, 16 countries would reach their fourth MDG target by 2015 and there would be large reductions for all other countries. Conclusions This drain on development is facilitated by financial secrecy in other jurisdictions. Rich and poor countries alike must stem the haemorrhage of IFF by taking decisive steps towards improving financial transparency. PMID:24334911

  8. Left endocarditis, changes in the new millennium.

    PubMed

    Noureddine-López, Mariam; de la Torre-Lima, Javier; Ruiz-Morales, Josefa; Gálvez-Acebal, Juan; Hidalgo-Tenorio, Carmen; de Alarcón González, César Arístides

    2018-05-25

    a description of infective left endocarditis at the turn of the millennium. A multicentre prospective study into the left endocarditis using data collected from the Andalusian cohort for the study of cardiovascular infections during 1984-2014. Of the 1,604 endocarditis cases collected, 382 belonged to G1 (group-1, period 1983-1999) and 1,222 to G2 (group-2, 2000-2014). Patients in the new millennium have a significantly higher mean age, have more comorbidity and concomitant diseases, and nosocomial and health-related endocarditis are more frequent, as well as complications. An increase in methicillin-resistant Staphylococcus aureus, Enterococcus sp., Gram-negative bacilli and Streptococcus bovis was noted. Regarding treatment, there is an increase in the use of cephalosporins and a decrease in penicillins; there is more surgery when admitted to hospital and less delay. Mortality stands at around 30% in both millennia. In the multivariate analysis, mortality was associated with: previous millennium (G1), age, Charlson index, renal failure and septic shock, and aetiologically with Staphylococcus aureus. Mortality remains stable, despite diagnostic and therapeutic improvements, because patients are older, have greater comorbidity, a closer relationship with the health care system (nosocomial) and microorganisms are more aggressive. Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

  9. Genetic testing: policy issues for the new millennium.

    PubMed

    Ronchi, E

    2001-01-01

    The purpose of this article is to provide a brief overview of the policy considerations underlying the Organization for Economic Cooperation and Development (OECD) workshop, "Genetic Testing: Policy Issues for the New Millennium," which was organised and hosted by the governments of the United Kingdom (UK) and Austria in Vienna, 23-25 February 2000, with the support of the European Commission (EC). It reviews the various topics presented at the meeting and offers a brief summary of its main conclusions.

  10. [A mid-term review of the Millennium Development Goals: where are we with the goals on health?].

    PubMed

    Kaddar, Miloud

    2009-01-01

    The eight Millennium Development Goals (MDGs) are the expressed commitment by world leaders to combat the most obvious forms of social inequality in the world: poverty, illiteracy and disease. The MDGs set health priorities and serve as markers of the most fundamental problems to solve: the maternal and child health high mortality, and the fight against major endemic diseases. Thus, health appears in three of the eight goals, and plays a decisive role in achieving the other MDGs such as the eradication of poverty and hunger, promotion of education and gender equality. While progress has been made in various domains and in numerous countries, enormous gaps and lack of funding remain. This is the case for infant mortality and HIV/AIDS, and even more so in the area of maternal mortality reduction especially in sub-Saharan Africa and Southeast Asia. The recent proliferation of forums and international partnerships for health have put at the forefront the targeted health-related MDG, increased financial resources for the benefit of poor countries but have made the architecture of global health even more fragmented and complex. Attempts to align on country priorities, needs and national health plans, and also to harmonize donors and partners' actions and funding according to the 2005 Paris Declaration principles, were difficult to actually materialize. The revitalization of primary health care and the strengthening of health systems are now back on the international and national health agenda.

  11. A nationwide quality improvement project to accelerate Ghana's progress toward Millennium Development Goal Four: design and implementation progress.

    PubMed

    Twum-Danso, Nana A Y; Akanlu, George B; Osafo, Enoch; Sodzi-Tettey, Sodzi; Boadu, Richard O; Atinbire, Solomon; Adondiwo, Ane; Amenga-Etego, Isaac; Ashagbley, Francis; Boadu, Eric A; Dasoberi, Ireneous; Kanyoke, Ernest; Yabang, Elma; Essegbey, Ivan T; Adjei, George A; Buckle, Gilbert B; Awoonor-Williams, J Koku; Nang-Beifubah, Alexis; Twumasi, Akwasi; McCannon, C Joseph; Barker, Pierre M

    2012-12-01

    The gap between evidence-based guidelines and practice of care is reflected, in low- and middle-income countries, by high rates of maternal and child mortality and limited effectiveness of large-scale programing to decrease those rates. We designed a phased, rapid, national scale-up quality improvement (QI) intervention to accelerate the achievement of Millennium Development Goal Four in Ghana. Our intervention promoted systems thinking, active participation of managers and frontline providers, generation and testing of local change ideas using iterative learning from transparent district and local data, local ownership and sustainability. After 50 months of implementation, we have completed two prototype learning phases and have begun regional spread phases to all health facilities in all 38 districts of the three northernmost regions and all 29 Catholic hospitals in the remaining regions of the country. To accelerate the spread of improvement, we developed 'change packages' of rigorously tested process changes along the continuum of care from pregnancy to age 5 in both inpatient and outpatient settings. The primary successes for the project so far include broad and deep adoption of QI by local stakeholders for improving system performance, widespread capacitation of leaders, managers and frontline providers in QI methods, incorporation of local ideas into change packages and successful scale-up to approximately 25% of the country's districts in 3 years. Implementation challenges include variable leadership uptake and commitment at the district level, delays due to recruiting and scheduling barriers, weak data systems and repeated QI training due to high staff turnover.

  12. Millennium Open Pit Mine, Alberta, Canada

    NASA Image and Video Library

    2007-11-26

    Near Fort McMurray, Alberta, Canada, on the east bank of the Athabasca River, are found the Steepbank and Millennium open pit mines. These images were acquired by NASA Terra satellite on September 22, 2000 and July 31, 2007.

  13. Access to potable water and sanitation in Cameroon within the context of Millennium Development Goals (MDGS).

    PubMed

    Ako, Andrew Ako; Shimada, Jun; Eyong, Gloria Eneke Takem; Fantong, Wilson Yetoh

    2010-01-01

    Cameroon has been fully engaged with the Millennium Development Goals (MDGs) since their inception in 2000. This paper examines the situation of access to potable water and sanitation in Cameroon within the context of the Millennium Development Goals (MDGs), establishes whether Cameroon is on the track of meeting the MDGs in these domains and proposes actions to be taken to bring it closer to these objectives. Based on analyzed data obtained from national surveys, government ministries, national statistical offices, bibliographic research, reports and interviews, it argues that Cameroon will not reach the water and sanitation MGDs. While Cameroon is not yet on track to meet the targets of the MDGs for water and sanitation, it has made notable progress since 1990, much more needs to be done to improve the situation, especially in rural areas. In 2006, 70% of the population had access to safe drinking water and the coverage in urban centres is 88%, significantly better than the 47% in rural areas. However, rapid urbanization has rendered existing infrastructure inadequate with periurban dwellers also lacking access to safe drinking water. Sanitation coverage is also poor. In urban areas only 58% of the population has access to improved sanitation facilities, and the rate in rural areas is 42%. Women and girls shoulder the largest burden in collecting water, 15% of urban and 18% rural populations use improved drinking water sources over 30 minutes away. Cameroon faces the following challenges in reaching the water and sanitation MDGs: poor management and development of the resources, coupled with inadequate political will and commitment for the long term; rapid urbanization; urban and rural poverty and regulation and legislative lapses. The authors propose that: bridging the gap between national water policies and water services; recognizing the role played by Civil Society Organizations (CSOs) in the attainment of MDGs; developing a Council Water Resource Management

  14. Universal health coverage and the health Sustainable Development Goal: achievements and challenges for Sri Lanka.

    PubMed

    de Silva, Amala; Ranasinghe, Thushara; Abeykoon, Palitha

    2016-09-01

    With state-funded health care that is free at the point of delivery, a sound primary health-care policy and widespread health-care services, Sri Lanka seems a good example of universal health coverage. Yet, health transition and disparities in provision and financing threaten this situation. Sri Lanka did well on the Millennium Development Goal health indicators, but the Sustainable Development Goal (SDG) for health has a wider purview, which is to "ensure healthy lives and promote well-being for all at all ages". The gender gap in life expectancy and the gap between life expectancy and healthy life expectancy make achievement of the health SDG more challenging. Although women and children do well overall, the comparative health disadvantage for men in Sri Lanka is a cause for concern. From a financing perspective, high out-of-pocket expenditure and high utilization of the private sector, even by those in the lowest income quintile, are concerns, as is the emerging "third tier", where some individuals accessing state health care that is free at the point of delivery actually bear some of the costs of drugs, investigations and surgery. This cost sharing is resulting in catastrophic health expenditure for individuals, and delays in and non-compliance with treatment. These concerns about provision and financing must be addressed, as health transition will intensify the morbidity burden and loss of well-being, and could derail plans to achieve the health SDG.

  15. Volunteer Service and Service Learning: Opportunities, Partnerships, and United Nations Millennium Development Goals.

    PubMed

    Dalmida, Safiya George; Amerson, Roxanne; Foster, Jennifer; McWhinney-Dehaney, Leila; Magowe, Mabel; Nicholas, Patrice K; Pehrson, Karen; Leffers, Jeanne

    2016-09-01

    This article explores approaches to service involvement and provides direction to nurse leaders and others who wish to begin or further develop global (local and international) service or service learning projects. We review types of service involvement, analyze service-related data from a recent survey of nearly 500 chapters of the Honor Society of Nursing, Sigma Theta Tau International (STTI), make recommendations to guide collaborative partnerships and to model engagement in global and local service and service learning. This article offers a literature review and describes results of a survey conducted by the STTI International Service Learning Task Force. Results describe the types of service currently conducted by STTI nursing members and chapters, including disaster response, service learning, and service-related responses relative to the Millennium Development Goals (MDGs). The needs of chapter members for information about international service are explored and recommendations for promoting global service and sustainability goals for STTI chapters are examined. Before engaging in service, volunteers should consider the types of service engagement, as well as the design of projects to include collaboration, bidirectionality, sustainability, equitable partnerships, and inclusion of the United Nations Sustainable Development Goals. STTI supports the learning, knowledge, and professional development of nurses worldwide. International service and collaboration are key to the advancement of the nursing profession. Culturally relevant approaches to international service and service learning are essential to our global organization, as it aims to impact the health status of people globally. © 2016 Sigma Theta Tau International.

  16. Drug discovery in the next millennium.

    PubMed

    Ohlstein, E H; Ruffolo, R R; Elliott, J D

    2000-01-01

    Selection and validation of novel molecular targets have become of paramount importance in light of the plethora of new potential therapeutic drug targets that have emerged from human gene sequencing. In response to this revolution within the pharmaceutical industry, the development of high-throughput methods in both biology and chemistry has been necessitated. This review addresses these technological advances as well as several new areas that have been created by necessity to deal with this new paradigm, such as bioinformatics, cheminformatics, and functional genomics. With many of these key components of future drug discovery now in place, it is possible to map out a critical path for this process that will be used into the new millennium.

  17. Linking Youth Development, Community Development and Social Change: Experiences from a Rural Eastern Cape Village

    ERIC Educational Resources Information Center

    Sotuku, N.; Duku, N.

    2012-01-01

    The Millennium Development Goal (MDG) 2, which is "Achieve Universal Education", puts emphasis on increasing enrolments and keeping children at school until they complete primary education. But the question continues to arise of the kind of education to which children are being given access: Is access commensurate with quality? This…

  18. The Millennium Villages Project: a retrospective, observational, endline evaluation.

    PubMed

    Mitchell, Shira; Gelman, Andrew; Ross, Rebecca; Chen, Joyce; Bari, Sehrish; Huynh, Uyen Kim; Harris, Matthew W; Sachs, Sonia Ehrlich; Stuart, Elizabeth A; Feller, Avi; Makela, Susanna; Zaslavsky, Alan M; McClellan, Lucy; Ohemeng-Dapaah, Seth; Namakula, Patricia; Palm, Cheryl A; Sachs, Jeffrey D

    2018-05-01

    The Millennium Villages Project (MVP) was a 10 year, multisector, rural development project, initiated in 2005, operating across ten sites in ten sub-Saharan African countries to achieve the Millennium Development Goals (MDGs). In this study, we aimed to estimate the project's impact, target attainment, and on-site spending. In this endline evaluation of the MVP, we retrospectively selected comparison villages that best matched the project villages on possible confounding variables. Cross-sectional survey data on 40 outcomes of interest were collected from both the project and the comparison villages in 2015. Using these data, as well as on-site spending data collected during the project, we estimated project impacts as differences in outcomes between the project and comparison villages; target attainment as differences between project outcomes and prespecified targets; and on-site spending as expenditures reported by communities, donors, governments, and the project. Spending data were not collected in the comparison villages. Averaged across the ten project sites, we found that impact estimates for 30 of 40 outcomes were significant (95% uncertainty intervals [UIs] for these outcomes excluded zero) and favoured the project villages. In particular, substantial effects were seen in agriculture and health, in which some outcomes were roughly one SD better in the project villages than in the comparison villages. The project was estimated to have no significant impact on the consumption-based measures of poverty, but a significant favourable impact on an index of asset ownership. Impacts on nutrition and education outcomes were often inconclusive (95% UIs included zero). Averaging across outcomes within categories, the project had significant favourable impacts on agriculture, nutrition, education, child health, maternal health, HIV and malaria, and water and sanitation. A third of the targets were met in the project sites. Total on-site spending decreased from US$132

  19. Setting the stage for equity-sensitive monitoring of the maternal and child health Millennium Development Goals.

    PubMed Central

    Wirth, Meg E.; Balk, Deborah; Delamonica, Enrique; Storeygard, Adam; Sacks, Emma; Minujin, Alberto

    2006-01-01

    OBJECTIVE: This analysis seeks to set the stage for equity-sensitive monitoring of the health-related Millennium Development Goals (MDGs). METHODS: We use data from international household-level surveys (Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS)) to demonstrate that establishing an equity baseline is necessary and feasible, even in low-income and data-poor countries. We assess data from six countries using 11 health indicators and six social stratifiers. Simple bivariate stratification is complemented by simultaneous stratification to expose the compound effect of multiple forms of vulnerability. FINDINGS: The data reveal that inequities are complex and interactive: inferences cannot be drawn about the nature or extent of inequities in health outcomes from a single stratifier or indicator. CONCLUSION: The MDGs and other development initiatives must become more comprehensive and explicit in their analysis and tracking of inequities. The design of policies to narrow health gaps must take into account country-specific inequities. PMID:16878225

  20. 5. annual clean coal technology conference: powering the next millennium. Vol.1

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1997-07-01

    The Fifth Annual Clean Coal Technology Conference focuses on presenting strategies and approaches that will enable clean coal technologies to resolve the competing, interrelated demands for power, economic viability, and environmental constraints associated with the use of coal in the post-2000 era. The program addresses the dynamic changes that will result from utility competition and industry restructuring, and to the evolution of markets abroad. Current projections for electricity highlight the preferential role that electric power will have in accomplishing the long-range goals of most nations. Increased demands can be met by utilizing coal in technologies that achieve environmental goals whilemore » keeping the cost- per-unit of energy competitive. Results from projects in the DOE Clean Coal technology Demonstration Program confirm that technology is the pathway to achieving these goals. The industry/government partnership, cemented over the past 10 years, is focused on moving the clean coal technologies into the domestic and international marketplaces. The Fifth Annual Clean Coal Technology Conference provides a forum to discuss these benchmark issues and the essential role and need for these technologies in the post-2000 era. This volume contains papers presented at the plenary session and panel sessions on; international markets for clean coal technologies (CCTs); role of CCTs in the evolving domestic electricity market; environmental issues affecting CCT deployment; and CCT deployment from today into the next millennium. In addition papers presented at the closing plenary session on powering the next millennium--CCT answers the challenge are included. Selected papers have been processed for inclusion in the Energy Science and Technology database.« less

  1. Spinoff 2001: Special Millennium Feature

    NASA Technical Reports Server (NTRS)

    2001-01-01

    For the past 43 years, NASA has devoted its facilities, labor force, and expertise to sharing the abundance of technology developments used for its missions with the nation's industries. These countless technologies have not only successfully contributed to the growth of the U.S. economy, but also to the quality of life on Earth. For the past 25 years, NASA's Spinoff publication has brought attention to thousands of technologies, products, and services that were developed as a direct result of commercial partnerships between NASA and the private business sector. Many of these exciting technologies included advances in ceramics, computer technology, fiber optics, and remote sensing. New and ongoing research at the NASA field centers covers a full spectrum of technologies that will provide numerous advantages for the future, many of which have made significant strides in the commercial market. The NASA Commercial Technology Network plays a large role in transferring this progress. By applying NASA technologies such as data communication, aircraft de-icing technologies, and innovative materials to everyday functions, American consumers and the national economy benefit. Moving forward into the new millennium, these new technologies will further advance our country's position as the world leader in scientific and technical innovation. These cutting-edge innovations represent the investment of the U.S. citizen in the Space Program. Some of these technologies are highlighted in Spinoff 2001, an example of NASA's commitment to technology transfer and commercialization assistance. This year's issue spotlights the commercial technology efforts of NASA's John F. Kennedy Space Center. Kennedy's extensive network of commercial technology opportunities has enabled them to become a leader in technology transfer outreach. This kind of leadership is exemplified through Kennedy's recent partnership with the State of Florida, working toward the development of the Space Experiment

  2. "COMPARE" Forum: The Post-2015 Education and Development Agenda

    ERIC Educational Resources Information Center

    Sayed, Yusuf; Sprague, Terra; Turner, David; Smith, Alan; Paulson, Julia; Shields, Robin; Shrestha, Purna Kumar; Unterhalter, Elaine; Vaughan, Rosie Peppin; Smail, Amy; Tungaraza, Frida; Sutherland, Margaret; Stack, Niamah; Barrett, Angeline M.; Bunwaree, Vasant K.; Alhawsawi, Sajjad; Hanna, Helen; Soudien, Crain; Motivans, Albert

    2013-01-01

    As the 2015 target date for achieving the Millennium Development Goals (MDGs) approaches, there are a growing number of processes, preparations and debates on what a post-2015 agenda and framework will look like. The United Nations Development Group (UNDG) (as chaired by the United Nations Development Programme) is leading the planning of efforts…

  3. Behavioral economics: the key to closing the gap on maternal, newborn and child survival for Millennium Development Goals 4 and 5?

    PubMed

    Buttenheim, Alison M; Asch, David A

    2013-05-01

    Millennium Development Goals (MDGs) 4 and 5 set ambitious targets to reduce maternal, newborn and child mortality by 2015. With 2015 fast approaching, there has been a concerted effort in the global health community to "close the gap" on the MDG targets. Recent consensus initiatives and frameworks have refocused attention on evidence-based, low-cost interventions that can reduce mortality and morbidity, and have argued for additional funding to increase access to and coverage of these life-saving interventions. However, funding alone will not close the gap on MDGs 4 and 5. Even when high-quality, affordable products and services are readily available, uptake is often low. Progress will therefore require not just money, but also advances in health-related behavior change and decision-making. Behavioral economics offers one way to achieve real progress by improving our understanding of how individuals make choices under information and time constraints, and by offering new approaches to make it easier for individuals to do what is in their best interest and harder to do what is not. We introduce five behavioral economic principles and demonstrate how they could boost efforts to improve maternal, newborn, and child health in pursuit of MDGs 4 and 5.

  4. Ethnic differences in longitudinal latent verbal profiles in the millennium cohort study*

    PubMed Central

    Kelly, Yvonne; Sacker, Amanda

    2016-01-01

    Background: Development of verbal skills during early childhood and school age years is consequential for children’s educational achievement and adult outcomes. We examine ethnic differences in longitudinal latent verbal profiles and assess the contribution of family process and family resource factors to observed differences. Methods: Using data from the UK Millennium Cohort Study and the latent profile analysis, we estimate longitudinal latent verbal profiles using verbal skills measured 4 times from age 3–11 years. We investigate the odds of verbal profiles by ethnicity (reported in infancy), and the extent observed differences are mediated by the home learning environment, family routines, and psychosocial environment (measured at age 3). Results: Indian children were twice as likely (OR = 2.14, CI: 1.37–3.33) to be in the high achieving profile, compared to White children. Socioeconomic markers attenuated this advantage to nonsignificance. Pakistani and Bangladeshi children were significantly more likely to be in the low performing group (OR = 2.23, CI: 1.61–3.11; OR = 3.37, CI: 2.20–5.17, respectively). Socioeconomic and psychosocial factors had the strongest mediating influence on the association between lower achieving profiles and Pakistani children, whereas for Bangladeshi children, there was mediation by the home learning environment, family routines, and psychosocial factors. Conclusion: Family process and resource factors explain ethnic differences in longitudinal latent verbal profiles. Family resources explain verbal advantages for Indian children, whereas a range of home environment and socioeconomic factors explain disparities for Pakistani and Bangladeshi children. Future policy initiatives focused on reducing ethnic disparities in children’s development should consider supporting and enhancing family resources and processes. PMID:27999155

  5. Household water treatment and the millennium development goals: keeping the focus on health.

    PubMed

    Clasen, Thomas F

    2010-10-01

    Waterborne diseases such as diarrhea are a major killer in low-income settings, particularly of young children. For those without access to safe drinking water, household water treatment, such as boiling, chlorinating, and filtering water in the home, when combined with safe storage (HWTS) can significantly improve water quality and prevent disease, thereby contributing to the child survival and other health priorities encompassed within the Millennium Development Goals (MDGs). There is uncertainly, however, about whether HWTS should count toward the MDG water target, which promotes "sustainable access to safe drinking water". This paper reviews the relevant research and concludes that it should not. Although HWTS can significantly improve water quality, it does not improve water quantity and access-key aspects of the MDG water target that are essential for optimal improvements in health and development. A policy that excludes HWTS from the MDG water target will discourage governments from diverting scarce public resources from comprehensive and long-term improvements in water supplies. At the same time, the health-oriented MDGs provide a sufficient case for scaling up effective and appropriate HWTS among target populations. Moreover, a health-based strategy for HWTS will help ensure that promotion of the intervention is driven by measurable improvements in outcomes rather than inputs, thus encouraging advances in both hardware and programmatic delivery that will make HWTS more effective, appropriate, and accessible to vulnerable populations.

  6. BMI Development and Early Adolescent Psychosocial Well-Being: UK Millennium Cohort Study

    PubMed Central

    Patalay, Praveetha; Montgomery, Scott; Sacker, Amanda

    2016-01-01

    BACKGROUND AND OBJECTIVES: The underlying influences on different patterns of BMI development are not well understood, and psychosocial outcomes linked to BMI development have been little investigated. Objectives were to identify BMI developmental trajectories across the first decade of life, examine early life predictors of trajectory membership, and investigate whether being on a particular BMI trajectory is associated with markers of psychosocial well-being. METHODS: We used latent class analysis to derive BMI trajectories by using data collected at ages 3, 5, 7, and 11 years on 16 936 participants from the Millennium Cohort Study. Regression models were used to estimate predictors of BMI trajectory membership and their psychosocial correlates. RESULTS: Four trajectories were identified: 83.8% had an average “stable” nonoverweight BMI, 0.6% were in a “decreasing” group, 13.1% had “moderate increasing” BMIs, and 2.5% had “high increasing” BMIs. Predictors of “moderate” and “high” increasing group membership were smoking in pregnancy (odds ratios [ORs] = 1.17 and 1.97, respectively), maternal BMI (ORs = 1.10 and 1.14), skipping breakfast (ORs = 1.66 and 1.76), nonregular bedtimes (ORs = 1.22 and 1.55). Children in the “moderate” and “high” increasing groups had worse scores for emotional symptoms, peer problems, happiness, body satisfaction, and self-esteem, and those in the “high increasing” group were more likely to have tried alcohol and cigarettes. CONCLUSIONS: Several potentially modifiable early life factors including smoking in pregnancy, skipping breakfast, and bedtime routines were important predictors of BMI development in the overweight and obese range, and high BMI growth was linked to worse psychosocial well-being. PMID:27940679

  7. From Millennium Development Goals to post-2015 sustainable development: sexual and reproductive health and rights in an evolving aid environment.

    PubMed

    Hill, Peter S; Huntington, Dale; Dodd, Rebecca; Buttsworth, Michael

    2013-11-01

    Using research from country case studies, this paper offers insights into the range of institutional and structural changes in development assistance between 2005 and 2011, and their impact on the inclusion of a sexual and reproductive health and rights agenda in national planning environments. At a global level during this period, donors supported more integrative modalities of aid - sector wide approaches, poverty reduction strategy papers, direct budgetary support - with greater use of economic frameworks in decision-making. The Millennium Development Goals brought heightened attention to maternal mortality, but at the expense of a broader sexual and reproductive health and rights agenda. Advocacy at the national planning level was not well linked to programme implementation; health officials were disadvantaged in economic arguments, and lacked financial and budgetary controls to ensure a connection between advocacy and action. With increasing competency in higher level planning processes, health officials are now refocusing the post-2015 development goals. If sexual and reproductive health and rights is to claim engagement across all its multiple elements, advocates need to link them to the key themes of sustainable development: inequalities in gender, education, growth and population, but also to urbanisation, migration, women in employment and climate change. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  8. Theoretical mechanics: crowd synchrony on the Millennium Bridge.

    PubMed

    Strogatz, Steven H; Abrams, Daniel M; McRobie, Allan; Eckhardt, Bruno; Ott, Edward

    2005-11-03

    Soon after the crowd streamed on to London's Millennium Bridge on the day it opened, the bridge started to sway from side to side: many pedestrians fell spontaneously into step with the bridge's vibrations, inadvertently amplifying them. Here we model this unexpected and now notorious phenomenon--which was not due to the bridge's innovative design as was first thought--by adapting ideas originally developed to describe the collective synchronization of biological oscillators such as neurons and fireflies. Our approach should help engineers to estimate the damping needed to stabilize other exceptionally crowded footbridges against synchronous lateral excitation by pedestrians.

  9. Vaccinology in the third millennium: scientific and social challenges

    PubMed Central

    Poland, Gregory A.; Whitaker, Jennifer A.; Poland, Caroline M.; Ovsyannikova, Inna G.; Kennedy, Richard B.

    2016-01-01

    The epidemiology of deaths due to vaccine-preventable diseases has been significantly and positively altered through the use of vaccines. Despite this, significant challenges remain in vaccine development and use in the third millennium. Both new (Ebola, Chikungunya, West Nile) and re-emerging diseases (measles, mumps, influenza) require the development of new or next-generation vaccines. The global aging of the population, and accumulating numbers of immunocompromised persons, will require new vaccine and adjuvant development to protect large segments of the population. After vaccine development, significant challenges remain globally in the cost and efficient use and acceptance of vaccines by the public. This article raises issues in these two areas and suggests a way forward that will benefit current and future generations. PMID:27039875

  10. Space Science for the Third Millennium

    NASA Technical Reports Server (NTRS)

    Frewing, Kent

    1996-01-01

    As NASA approaches the beginning of its fifth decade in 1998, and as the calendar approaches the beginning of its third millennium, America's civilian space agency is changing its historic ideas about conducting space science so that it will still be able to perform the desired scientific studies in an era of constrained NASA budgets.

  11. Development of an Ion Thruster and Power Processor for New Millennium's Deep Space 1 Mission

    NASA Technical Reports Server (NTRS)

    Sovey, James S.; Hamley, John A.; Haag, Thomas W.; Patterson, Michael J.; Pencil, Eric J.; Peterson, Todd T.; Pinero, Luis R.; Power, John L.; Rawlin, Vincent K.; Sarmiento, Charles J.; hide

    1997-01-01

    The NASA Solar Electric Propulsion Technology Applications Readiness Program (NSTAR) will provide a single-string primary propulsion system to NASA's New Millennium Deep Space 1 Mission which will perform comet and asteroid flybys in the years 1999 and 2000. The propulsion system includes a 30-cm diameter ion thruster, a xenon feed system, a power processing unit, and a digital control and interface unit. A total of four engineering model ion thrusters, three breadboard power processors, and a controller have been built, integrated, and tested. An extensive set of development tests has been completed along with thruster design verification tests of 2000 h and 1000 h. An 8000 h Life Demonstration Test is ongoing and has successfully demonstrated more than 6000 h of operation. In situ measurements of accelerator grid wear are consistent with grid lifetimes well in excess of the 12,000 h qualification test requirement. Flight hardware is now being assembled in preparation for integration, functional, and acceptance tests.

  12. Battling malaria iceberg incorporating strategic reforms in achieving Millennium Development Goals & malaria elimination in India

    PubMed Central

    Sharma, V. P.

    2012-01-01

    Malaria control in India has occupied high priority in health sector consuming major resources of the Central and State governments. Several new initiatives were launched from time to time supported by foreign aids but malaria situation has remained static and worsened in years of good rainfall. At times malaria relented temporarily but returned with vengeance at the local, regional and national level, becoming more resilient by acquiring resistance in the vectors and the parasites. National developments to improve the economy, without health impact assessment, have had adverse consequences by providing enormous breeding grounds for the vectors that have become refractory to interventions. As a result, malaria prospers and its control is in dilemma, as finding additional resources is becoming difficult with the ongoing financial crisis. Endemic countries must contribute to make up the needed resources, if malaria is to be contained. Malaria control requires long term planning, one that will reduce receptivity and vulnerability, and uninterrupted financial support for sustained interventions. While this seems to be a far cry, the environment is becoming more receptive for vectors, and epidemics visit the country diverting major resources in their containment, e.g. malaria, dengue and dengue haemorrhagic fevers, and Chikungunya virus infection. In the last six decades malaria has taken deep roots and diversified into various ecotypes, the control of these ecotypes requires local knowledge about the vectors and the parasites. In this review we outline the historical account of malaria and methods of control that have lifted the national economy in many countries. While battles against malaria should continue at the local level, there is a need for large scale environmental improvement. Global Fund for AIDS, Tuberculosis and Malaria has provided huge funds for malaria control worldwide touching US$ 2 billion in 2011. Unfortunately it is likely to decline to US$ 1

  13. Battling malaria iceberg incorporating strategic reforms in achieving Millennium Development Goals & malaria elimination in India.

    PubMed

    Sharma, V P

    2012-12-01

    Malaria control in India has occupied high priority in health sector consuming major resources of the Central and State governments. Several new initiatives were launched from time to time supported by foreign aids but malaria situation has remained static and worsened in years of good rainfall. At times malaria relented temporarily but returned with vengeance at the local, regional and national level, becoming more resilient by acquiring resistance in the vectors and the parasites. National developments to improve the economy, without health impact assessment, have had adverse consequences by providing enormous breeding grounds for the vectors that have become refractory to interventions. As a result, malaria prospers and its control is in dilemma, as finding additional resources is becoming difficult with the ongoing financial crisis. Endemic countries must contribute to make up the needed resources, if malaria is to be contained. Malaria control requires long term planning, one that will reduce receptivity and vulnerability, and uninterrupted financial support for sustained interventions. While this seems to be a far cry, the environment is becoming more receptive for vectors, and epidemics visit the country diverting major resources in their containment, e.g. malaria, dengue and dengue haemorrhagic fevers, and Chikungunya virus infection. In the last six decades malaria has taken deep roots and diversified into various ecotypes, the control of these ecotypes requires local knowledge about the vectors and the parasites. In this review we outline the historical account of malaria and methods of control that have lifted the national economy in many countries. While battles against malaria should continue at the local level, there is a need for large scale environmental improvement. Global Fund for AIDS, Tuberculosis and Malaria has provided huge funds for malaria control worldwide touching US$ 2 billion in 2011. Unfortunately it is likely to decline to US$ 1

  14. FIA Estimation in the New Millennium

    Treesearch

    Francis A. Roesch

    2001-01-01

    In the new millennium, Forest Inventory and Analysis (FIA) will deliver most of its database information directly to the users over the Internet. This assumption indicates the need for a GIS-based estimation system to support the information delivery system. Presumably, as the data set evolves, it will free FIA and the users from exclusive estimation within political...

  15. Private Schooling in Less Economically Developed Countries: Asian and African Perspectives

    ERIC Educational Resources Information Center

    Srivastava, Prachi, Ed.; Walford, Geoffrey, Ed.

    2007-01-01

    The increased marketisation and privatisation of schooling in economically developing countries struggling to achieve Education for All and Millennium Development Goals warrants a focused examination of the phenomenon. However, there is little work on the nature and extent of private provision in countries that, on the one hand, are striving to…

  16. Millennium development goals and oral health in cities in Southern Brazil.

    PubMed

    Bueno, Roberto Eduardo; Moysés, Samuel Jorge; Moysés, Simone Tetu

    2010-06-01

    To investigate social determinants of oral health, analysing the occurrence of associations between millennium development goals (MDG) indicators and oral health (OH) indicators. An ecological study was performed in two distinct phases. In Phase 1, MDG indicators and related covariates were obtained from the demographic census of the Brazilian Institute of Geography and Statistics, the Ministry of Health database and the 2000 Human Development Atlas, making up the whole set of independent variables. Principal component analysis was carried out for the independent variables showing the correlations among the variables comprising the main components, and generating a synthetic index allowing the performance of the cities to be known with regard to the MDG (MDG index). In Phase 2, the DMFT index (mean number of decay, missing or filled permanent teeth) and the CF index (prevalence of caries-free individuals), in 12 years old were obtained from the epidemiological survey undertaken in 2002-2003, in 49 cities in southern Brazil, and were analysed in relation to the MDG index using Spearman's correlation.   A statistically significant correlation was found for the DMFT and CF indices, respectively, with: the MDG index (R(2)=0.49 and 0.48; P = 0.00); the socioeconomic status of the population (R(2)= 0.12 and 0.12; P = 0.02); the socioenvironmental characteristics (R(2)=0.41 and 0.46; P= 0.00).   The MDG synthetic index of the cities analysed and the respective components relating to their socioeconomic and socioenvironmental status demonstrated a positive correlation with OH indicators. As such, intersectoral public policies based on population strategies that act on social determinants of general and oral health need to be integrated so as to impact on the MDG and OH outcomes. © 2010 John Wiley & Sons A/S.

  17. Ethnic differences in longitudinal latent verbal profiles in the millennium cohort study.

    PubMed

    Zilanawala, Afshin; Kelly, Yvonne; Sacker, Amanda

    2016-12-01

    Development of verbal skills during early childhood and school age years is consequential for children's educational achievement and adult outcomes. We examine ethnic differences in longitudinal latent verbal profiles and assess the contribution of family process and family resource factors to observed differences. Using data from the UK Millennium Cohort Study and the latent profile analysis, we estimate longitudinal latent verbal profiles using verbal skills measured 4 times from age 3-11 years. We investigate the odds of verbal profiles by ethnicity (reported in infancy), and the extent observed differences are mediated by the home learning environment, family routines, and psychosocial environment (measured at age 3). Indian children were twice as likely (OR = 2.14, CI: 1.37-3.33) to be in the high achieving profile, compared to White children. Socioeconomic markers attenuated this advantage to nonsignificance. Pakistani and Bangladeshi children were significantly more likely to be in the low performing group (OR = 2.23, CI: 1.61-3.11; OR = 3.37, CI: 2.20-5.17, respectively). Socioeconomic and psychosocial factors had the strongest mediating influence on the association between lower achieving profiles and Pakistani children, whereas for Bangladeshi children, there was mediation by the home learning environment, family routines, and psychosocial factors. Family process and resource factors explain ethnic differences in longitudinal latent verbal profiles. Family resources explain verbal advantages for Indian children, whereas a range of home environment and socioeconomic factors explain disparities for Pakistani and Bangladeshi children. Future policy initiatives focused on reducing ethnic disparities in children's development should consider supporting and enhancing family resources and processes. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association.

  18. The Role of Public Health Nutrition in Achieving the Sustainable Development Goals in the Asia Pacific Region.

    PubMed

    Binns, Colin; Lee, Mi Kyung; Low, Wah Yun; Zerfas, Alfred

    2017-10-01

    The Sustainable Development Goals (SDGs) replaced the Millennium Development Goals (MDCs) in 2015, which included several goals and targets primarily related to nutrition: to eradicate extreme poverty and hunger and to reduce child mortality and improve maternal health. In the Asia-Pacific Academic Consortium for Public Health (APACPH) member countries as a group, infant and child mortality were reduced by more than 65% between 1990 and 2015, achieving the MDG target of two-thirds reduction, although these goals were not achieved by several smaller countries. The SDGs are broader in focus than the MDGs, but include several goals that relate directly to nutrition: 2 (zero hunger-food), 3 (good health and well-being-healthy life), and 12 (responsible consumption and production-sustainability). Other SDGs that are closely related to nutrition are 4 and 5 (quality education and equality in gender-education and health for girls and mothers, which is very important for infant health) and 13 (climate action). Goal 3 is "good health and well-being," which includes targets for child mortality, maternal mortality, and reducing chronic disease. The Global Burden of Disease Project has confirmed that the majority of risk for these targets can be attributed to nutrition-related targets. Dietary Guidelines were developed to address public health nutrition risk in the Asia Pacific region at the 48th APACPH 2016 conference and they are relevant to the achievement of the SDGs. Iron deficiency increases the risk of maternal death from haemorrhage, a cause of 300000 deaths world-wide each year. Improving diets and iron supplementation are important public health interventions in the APACPH region. Chronic disease and obesity rates in the APACPH region are now a major challenge and healthy life course nutrition is a major public health priority in answering this challenge. This article discusses the role of public health nutrition in achieving the SDGs. It also examines the role of

  19. Achievement as Resistance: The Development of a Critical Race Achievement Ideology among Black Achievers

    ERIC Educational Resources Information Center

    Carter, Dorinda J.

    2008-01-01

    In this article, Dorinda Carter examines the embodiment of a critical race achievement ideology in high-achieving black students. She conducted a yearlong qualitative investigation of the adaptive behaviors that nine high-achieving black students developed and employed to navigate the process of schooling at an upper-class, predominantly white,…

  20. Examining the Psychometric Properties of the Achievement Goals Questionnaire among Nigerian Preservice Mathematics and Science Teachers

    ERIC Educational Resources Information Center

    Awofala, Adeneye O. A.; Arigbabu, Abayomi A.; Fatade, Alfred O.; Awofala, Awoyemi A.

    2013-01-01

    Introduction: The stability of the achievement goal orientation across different contexts has been a source of further research since the new millennium. Through theoretically-driven and empirically-based analyses, this study investigated the psychometric properties of the Elliot and McGregor 2x2 framework for achievement goal questionnaire within…

  1. Technology Development for Human Exploration Beyond LEO in the New Millennium IAA-13-3 Strategies and Plans for Human Mars Missions

    NASA Technical Reports Server (NTRS)

    Larson, William E.; Lueck, Dale E.; Parrish, Clyde F.; Sanders, Gerald B.; Trevathan, Joseph R.; Baird, R. Scott; Simon, Tom; Peters, T.; Delgado, H. (Technical Monitor)

    2001-01-01

    As we look forward into the new millennium, the extension of human presence beyond Low-Earth Orbit (LEO) looms large in the plans of NASA. The Agency's Strategic Plan specifically calls out the need to identify and develop technologies for 100 and 1000-day class missions beyond LEO. To meet the challenge of these extended duration missions, it is important that we learn how to utilize the indigenous resources available to us on extraterrestrial bodies. This concept, known as In-Situ Resource Utilization (ISRU) can greatly reduce the launch mass & cost of human missions while reducing the risk. These technologies may also pave the way for the commercial development of space. While no specific target beyond LEO is identified in NASA's Strategic Plan, mission architecture studies have been on-going for the Moon, Mars, Near-Earth Asteroids and Earth/Moon & Earth/Sun Libration Points. As a result of these studies, the NASA Office of Space Flight (Code M) through the Johnson and Kennedy Space Centers, is leading the effort to develop ISRU technologies and systems to meet the current and future needs of human missions beyond LEO and on to Mars. This effort also receives support from the NASA Office of Biological and Physical Research (Code U), the Office of Space Science (Code S), and the Office of Aerospace Technology (Code R). This paper will present unique developments in the area of fuel and oxidizer production, breathing air production, water production, C02 collection, separation of atmospheric gases, and gas liquefaction and storage. A technology overview will be provided for each topic along with the results achieved to date, future development plans, and the mission architectures that these technologies support.

  2. 77 FR 16838 - Notice to All Interested Parties of the Termination of the Receivership of 10079-Millennium State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... Receivership of 10079--Millennium State Bank of Texas, Dallas, TX Notice is hereby given that the Federal Deposit Insurance Corporation (``FDIC'') as Receiver for Millennium State Bank of Texas, Dallas, Texas... Receiver of Millennium State Bank of Texas, Dallas, Texas, on July 2, 2009. The liquidation of the...

  3. Voting Rights Issues in the New Millennium.

    ERIC Educational Resources Information Center

    Ryan, John Paul, Ed.

    2001-01-01

    This publication examines ways to teach about law in the liberal arts. This issue focuses on future voting rights issues by exploring the 2000 presidential election. Articles included are: "Voting Rights in the New Millennium" (Jason F. Kirksey); "Legal and Political Lessons from 'Bush v. Gore'" (David Schultz); "The…

  4. Statistics and the Canada Millennium Scholarship Foundation.

    ERIC Educational Resources Information Center

    Kirby, Dale

    2002-01-01

    Critiques the Canada Millennium Scholarship Foundation's claim that recent research indicates that "Canada must move beyond its focus on student financial assistance" as a means of ensuring access to postsecondary education since "three out of four Canadian youth cite non-financial reasons to explain why those chose not to pursue…

  5. Professional Counseling: Transitioning into the Next Millennium.

    ERIC Educational Resources Information Center

    Dixon, Charlotte G., Ed.; Emener, William G., Ed.

    The purpose of this book is to attempt to forecast the future of professional counseling as it transitions into the next millennium. It is designed to help professional counselors understand and prepare for future changes in the profession of counseling. Understanding the rationale and observable predictors of anticipated changes meaningfully…

  6. The new millennium program: Fast-track procurements

    NASA Astrophysics Data System (ADS)

    Metzger, Robert M.

    1996-11-01

    The National Aeronautics and Space Administration's (NASA's) New Millennium Program (NMP) has embarked on a technology flight-validation demonstration program to enable the kinds of missions that NASA envisions for the 21st century. Embedded in this program is the concept of rapid mission development supported by a fast-track procurement process. This process begins with the decision to initiate a procurement very early in the program along with the formation of a technical acquisition team. A close working relationship among the team members is essential to avoiding delays and developing a clear acquisition plan. The request for proposal (RFP) that is subsequently issued seeks a company with proven capabilities, so that the time allotted for responses from proposers and the length of proposals they submit can be shortened. The fast-track procurement process has been demonstrated during selection of NMP's industrial partners and has been proven to work.

  7. Maternal mortality as a Millennium Development Goal of the United Nations: a systematic assessment and analysis of available data in threshold countries using Indonesia as example

    PubMed Central

    Reinke, Evelyn; Supriyatiningsih; Haier, Jörg

    2017-01-01

    Background In 2015 the proposed period ended for achieving the Millennium Development Goals (MDG) of the United Nations targeting to lower maternal mortality worldwide by ~ 75%. 99% of these cases appear in developing and threshold countries; but reports mostly rely on incomplete or unrepresentative data. Using Indonesia as example, currently available data sets for maternal mortality were systematically reviewed. Methods Besides analysis of international and national data resources, a systematic review was carried out according to Cochrane methodology to identify all data and assessments regarding maternal mortality. Results Overall, primary data on maternal mortality differed significantly and were hardly comparable. For 1990 results varied between 253/100 000 and 446/100 000. In 2013 data appeared more conclusive (140–199/100 000). An annual reduction rate (ARR) of –2.8% can be calculated. Conclusion Reported data quality of maternal mortality in Indonesia is very limited regarding comprehensive availability and methodology. This limitation appears to be of general importance for the targeted countries of the MDG. Primary data are rare, not uniformly obtained and not evaluated by comparable methods resulting in very limited comparability. Continuous small data set registration should have high priority for analysis of maternal health activities. PMID:28400953

  8. Gender Disparities and Socio-Economic Factors on Learning Achievements in Agricultural Science in Rural and Urban Secondary Schools of Ogbomoso North Local Government Area of Oyo State, Nigeria

    ERIC Educational Resources Information Center

    Amao, S. R.; Gbadamosi, J.

    2015-01-01

    To contribute to the realization of the Millennium Development Goal (MDG) by the United Nations on the promotion of gender equity, the researchers sought to empirically verify the existence or otherwise of gender inequality in the agricultural and science achievement of urban and rural, male and female students in Ogbomoso North Local Government…

  9. Recent Trends in Maternal, Newborn, and Child Health in Brazil: Progress Toward Millennium Development Goals 4 and 5

    PubMed Central

    Matijasevich, Alicia; Requejo, Jennifer Harris; Giugliani, Elsa; Maranhão, Ana Goretti; Monteiro, Carlos A.; Barros, Aluísio J. D.; Bustreo, Flavia; Merialdi, Mario; Victora, Cesar G.

    2010-01-01

    We analyzed Brazil's efforts in reducing child mortality, improving maternal and child health, and reducing socioeconomic and regional inequalities from 1990 through 2007. We compiled and reanalyzed data from several sources, including vital statistics and population-based surveys. We also explored the roles of broad socioeconomic and demographic changes and the introduction of health sector and other reform measures in explaining the improvements observed. Our findings provide compelling evidence that proactive measures to reduce health disparities accompanied by socioeconomic progress can result in measurable improvements in the health of children and mothers in a relatively short interval. Our analysis of Brazil's successes and remaining challenges to reach and surpass Millennium Development Goals 4 and 5 can provide important lessons for other low- and middle-income countries. PMID:20724669

  10. Where Are You Going in the Next Millennium?

    ERIC Educational Resources Information Center

    Hay, LeRoy E.

    1999-01-01

    Public education should no longer reflect agricultural or industrial era learning modes. Third-millennium administrators must recognize certain societal trends: the "net generation" of students, predominance of technology, electronic schools, the information deluge and the democratization of information, the age of convenience and…

  11. Electronic Commerce: Government Services in the New Millennium.

    ERIC Educational Resources Information Center

    Maxwell, Terrence A., Ed.

    1998-01-01

    This newsletter features innovations in resource management and information technology to support New York State government. The newsletter contains the following six sections: (1) "Electronic Commerce: Government Services in the New Millennium" -- examining the need for government involvement in electronic commerce policy and…

  12. Can Lifelong Learning Be the Post-2015 Agenda for the Least Developed Countries?

    ERIC Educational Resources Information Center

    Regmi, Kapil Dev

    2015-01-01

    This paper discusses what approaches to "lifelong learning" should guide the post-2015 education agenda for the Least Developed Countries (LDCs) which refers to a group of 49 countries that are off-track in achieving most of the Millennium Development Goals (MDGs) and the Education for All goals. Reports prepared by major consultation…

  13. Health Research and Millennium Development Goals: Identifying the Gap From Public Health Perspective

    PubMed Central

    El Lawindi, Mona I.; Galal, Yasmine S.; Khairy, Walaa A.

    2016-01-01

    Assessing the research output within the universities could provide an effective means for tracking the Millennium Development Goals (MDGs) progress. This analytical database study was designed to assess the trend of research theses conducted by the Public Health Department (PHD), Faculty of Medicine, Cairo University during the period 1990 to 2014 as related to the: MDGS, Faculty and department research priority plans and to identify the discrepancies between researchers’ priorities versus national and international research priorities. A manual search of the theses was done at the Postgraduate Library using a specially designed checklist to chart adherence of each thesis to: MDGs, Faculty and department research plans (RPs). The theses’ profile showed that the highest research output was for addressing the MDGS followed by the PHD and Faculty RPs. Compliance to MDGs 5 and 6 was obvious, whereas; MDGs 2, 3, and 7 were not represented at all after year 2000. No significant difference was found between PH theses addressing the Faculty RPs and those which were not before and after 2010. A significantly lower percent of PH theses was fulfilling the PHD research priorities compared to those which were not after 2010. This study showed a definite decline in research output tackling the MDGS and PHD research priorities, with a non-significant increase in the production of theses addressing the Faculty RPs. The present study is a practical model for policy makers within the universities to develop and implement a reliable monitoring and evaluation system for assessment of research output. PMID:26652084

  14. Health Research and Millennium Development Goals: Identifying the Gap From Public Health Perspective.

    PubMed

    El Lawindi, Mona I; Galal, Yasmine S; Khairy, Walaa A

    2015-08-23

    Assessing the research output within the universities could provide an effective means for tracking the Millennium Development Goals (MDGs) progress. This analytical database study was designed to assess the trend of research theses conducted by the Public Health Department (PHD), Faculty of Medicine, Cairo University during the period 1990 to 2014 as related to the: MDGS, Faculty and department research priority plans and to identify the discrepancies between researchers' priorities versus national and international research priorities. A manual search of the theses was done at the Postgraduate Library using a specially designed checklist to chart adherence of each thesis to: MDGs, Faculty and department research plans (RPs). The theses' profile showed that the highest research output was for addressing the MDGS followed by the PHD and Faculty RPs. Compliance to MDGs 5 and 6 was obvious, whereas; MDGs 2, 3, and 7 were not represented at all after year 2000. No significant difference was found between PH theses addressing the Faculty RPs and those which were not before and after 2010. A significantly lower percent of PH theses was fulfilling the PHD research priorities compared to those which were not after 2010. This study showed a definite decline in research output tackling the MDGS and PHD research priorities, with a non-significant increase in the production of theses addressing the Faculty RPs. The present study is a practical model for policy makers within the universities to develop and implement a reliable monitoring and evaluation system for assessment of research output.

  15. Employee assistance programs in the new millennium.

    PubMed

    Masi, Dale A

    2005-01-01

    This article presents an overall view of Employee Assistance Programs (EAPs). Beginning with the history, this article describes various models and essential ingredients of EAPs. It then discusses current trends including integration with Work/Life, web-based services, EAP accreditation, and the growth of international programs. Several issues are discussed including the need for licensing done nationally rather than by states and the effect the lack of substance abuse and brief counseling education has had on the delivery of EAP services. Future directions for EAPs emphasize the importance of quality assurance and the development of performance measurements, performance guarantees, and outcome measurements. The formation of the Alliance for Employee Assistance Advancement, an organization of organizations, completes the description and shows a new direction for EAPs in the next millennium.

  16. Comparing progress toward the millennium development goal for under-five mortality in León and Cuatro Santos, Nicaragua, 1990–2008

    PubMed Central

    2014-01-01

    Background Social inequality in child survival hampers the achievement of Millennium Development Goal 4 (MDG4). Monitoring under-five mortality in different social strata may contribute to public health policies that strive to reduce social inequalities. This population-based study examines the trends, causes, and social inequality of mortality before the age of five years in rural and urban areas in Nicaragua. Methods The study was conducted in one rural (Cuatro Santos) and one urban/rural area (León) based on data from Health and Demographic Surveillance Systems. We analyzed live births from 1990 to 2005 in the urban/rural area and from 1990 to 2008 in the rural area. The annual average rate reduction (AARR) and social under-five mortality inequality were calculated using the education level of the mother as a proxy for socio-economic position. Causes of child death were based on systematic interviews (verbal autopsy). Results Under-five mortality in all areas is declining at a rate sufficient to achieve MDG4 by 2015. Urban León showed greater reduction (AARR = 8.5%) in mortality and inequality than rural León (AARR = 4.5%) or Cuatro Santos (AARR = 5.4%). Social inequality in mortality had increased in rural León and no improvement in survival was observed among mothers who had not completed primary school. However, the poor and remote rural area Cuatro Santos was on track to reach MDG4 with equitable child survival. Most of the deaths in both areas were due to neonatal conditions and infectious diseases. Conclusions All rural and urban areas in Nicaragua included in this study were on track to reach MDG4, but social stratification in child survival showed different patterns; unfavorable patterns with increasing inequity in the peri-urban rural zone and a more equitable development in the urban as well as the poor and remote rural area. An equitable progress in child survival may also be accelerated in very poor settings. PMID:24428933

  17. A review of global progress toward the Millennium Development Goal 1 Hunger Target.

    PubMed

    Fanzo, Jessica C; Pronyk, Paul M

    2011-06-01

    The hunger component of the first Millennium Development Goal (MDG) aims to reduce the proportion of people who suffer from hunger by half between 1990 and 2015. In low- and middle-income countries, progress has been mixed, with approximately 925 million people hungry and 125 million and 195 million children underweight and stunted, respectively. To assess global progress on the hunger component of MDG1 and evaluate the success of interventions and country programs in reducing undernutrition. We review global progress on the hunger component of MDG1, examining experience from 40 community-based programs as well as national efforts to move interventions to scale drawn from the published and gray literature, alongside personal interviews with representatives of governments and development agencies. Based on this review, most strategies being implemented and scaled are focusing on treatment of malnutrition and rooted within the health sector. While critical, these programs generally address disease-related effects and emphasize the immediate determinants of undernutrition. Other major strategies to tackle undernutrition rely on the production of staple grains within the agriculture sector. These programs address hunger, as opposed to improving the quality of diets within communities. Strategies that adopt multisectoral programming as crucial to address longer-term determinants of undernutrition, such as poverty, gender equality, and functioning food and health systems, remain underdeveloped and under-researched. This review suggests that accelerating progress toward the MDG1 targets is less about the development of novel innovations and new technologies and more about putting what is already known into practice. Success will hinge on linking clear policies with effective delivery systems in working towards an evidence-based and contextually relevant multisectoral package of interventions that can rapidly be taken to scale.

  18. Are we on course for reporting on the Millennium Development Goals in 2015?

    PubMed

    Rugg, Deborah; Marais, Hein; Carael, Michel; De Lay, Paul; Warner-Smith, Matthew

    2009-12-01

    At the 2001 United Nations General Assembly Special Session on HIV/AIDS (UNGASS), Member States agreed to regularly review progress made in national responses to HIV. This article provides (1) a brief overview of how the resultant global UNGASS reporting system was developed; (2) the origins, background, limitations and potential of that system; (3) an overview of the articles in this supplement; and (4) crosscutting institutional and methodological issues. United Nations Member States biennially provide The Joint United Nations Programme on HIV/AIDS (UNAIDS) with data on 25 core indicators of national responses to HIV, collected in Country Progress Reports. This article critically reviews and interprets these data in light of international political considerations and overall data needs. There has been a considerable improvement in response rates, accompanied by an increase in data quality and completeness. Both nationally and internationally, the UNGASS process is viewed as being more substantial and important than a reporting exercise to the United Nations General Assembly. The process has catalyzed the development of national monitoring systems and has created opportunities for civil society to monitor and challenge government commitments and deeds. Although the UNGASS global reporting system now comprises an unequaled wealth of data on HIV responses, collected from a broad range of countries, it cannot yet answer several critical questions about the progress and effectiveness of those responses. Evaluation studies that go beyond indicator monitoring are needed, but they will take time to design, fund, implement and interpret. In the meantime, this global monitoring system provides a good indication of the overall progress in the global response to HIV and whether Millennium Development Goal (MDG) 6 (to halt and reverse the HIV epidemic) is likely to be reached by 2015.

  19. Implementing the millennium development food security goals Challenges of the southern African context

    NASA Astrophysics Data System (ADS)

    Love, David; Twomlow, Steve; Mupangwa, Walter; van der Zaag, Pieter; Gumbo, Bekithemba

    The Millennium Development Goals’ target to halve the proportion of people who suffer from hunger is extremely important in southern Africa, where food security has become increasingly problematic over the last 20 years. One “quick-win” proposal is replenishment of soil nutrients for smallholder farmers, through free or subsidised chemical fertilisers. Other proposals include appropriate irrigation technology, improved inputs and interventions targeted at women. Analysis of over 10 years of agro-hydrological and agro-economic studies from southern African show that a different approach is required to interventions proposed. There are sustainability problems with free chemical fertiliser due to transport costs and ancillary costs. Furthermore, recent studies in Zimbabwe and Mozambique show that significant increases in yield can only be obtained when soil fertility management is combined with good crop husbandry, e.g. timely planting and weeding. Ongoing replenishment of fertility would be dependent on a continued free or subsidised fertiliser supply, and transport system. Increasing access to irrigation will help, but is not the only solution and cannot reach even a majority of farmers. It has been determined that short dryspells are often the major cause of low yields in sub-Saharan Africa. Soil-water conservation approaches, e.g. winter weeding and conservation tillage, can reduce risk and increase yield. The following specific recommendations are made for urgent interventions to contribute sustainably to food security in southern Africa: (i) To increases access to fertiliser, consider development of strong input markets at end-user level. (ii) Intensification of technology transfer, focusing on capacity building for transfer of existing technologies and much closer collaboration between state and NGO sectors, agronomists and water engineers. (iii) Increasing the uptake of soil-water conservation methods, including conservation tillage and weeding, and

  20. Last Millennium ENSO-Mean State Interactions in the Tropical Pacific

    NASA Astrophysics Data System (ADS)

    Wyman, D. A.; Conroy, J. L.; Karamperidou, C.

    2017-12-01

    The nature and degree of interaction between the mean state of the tropical Pacific and ENSO remains an open question. Here we use high temporal resolution, tropical Pacific sea surface temperature (SST) records from the last millennium to investigate the relationship between ENSO and the tropical Pacific zonal sea surface temperature gradient (hereafter dSST). A dSST time series was created by standardizing, interpolating, and compositing 7 SST records from the western and 3 SST records from the eastern tropical Pacific. Propagating the age uncertainty of each of these records was accomplished through a Monte Carlo Empirical Orthogonal Function analysis. We find last millennium dSST is strong from 700 to 1300 CE, begins to weaken at approximately 1300 CE, and decreases more rapidly at 1700 CE. dSST was compared to 14 different ENSO reconstructions, independent of the records used to create dSST, to assess the nature of the ENSO-mean state relationship. dSST correlations with 50-year standard deviations of ENSO reconstructions are consistently negative, suggesting that more frequent, strong El Niño events on this timescale reduces dSST. To further assess the strength and direction of the ENSO-dSST relationship, moving 100-year standard deviations of ENSO reconstructions were compared to moving 100-year averages of dSST using Cohen's Kappa statistic, which measures categorical agreement. The Li et al. (2011) and Li et al. (2013) Nino 3.4 ENSO reconstructions had the highest agreement with dSST (k=0.80 and 0.70, respectively), with greater ENSO standard deviation coincident with periods of weak dSST. Other ENSO reconstructions showed weaker agreement with dSST, which may be partly due to low sample size. The consistent directional agreement of dSST with ENSO, coupled with the inability of strong ENSO events to develop under a weak SST gradient, suggests periods of more frequent strong El Niño events reduced tropical Pacific dSST on centennial timescales over the

  1. Towards good practice for health statistics: lessons from the Millennium Development Goal health indicators.

    PubMed

    Murray, Christopher J L

    2007-03-10

    Health statistics are at the centre of an increasing number of worldwide health controversies. Several factors are sharpening the tension between the supply and demand for high quality health information, and the health-related Millennium Development Goals (MDGs) provide a high-profile example. With thousands of indicators recommended but few measured well, the worldwide health community needs to focus its efforts on improving measurement of a small set of priority areas. Priority indicators should be selected on the basis of public-health significance and several dimensions of measurability. Health statistics can be divided into three types: crude, corrected, and predicted. Health statistics are necessary inputs to planning and strategic decision making, programme implementation, monitoring progress towards targets, and assessment of what works and what does not. Crude statistics that are biased have no role in any of these steps; corrected statistics are preferred. For strategic decision making, when corrected statistics are unavailable, predicted statistics can play an important part. For monitoring progress towards agreed targets and assessment of what works and what does not, however, predicted statistics should not be used. Perhaps the most effective method to decrease controversy over health statistics and to encourage better primary data collection and the development of better analytical methods is a strong commitment to provision of an explicit data audit trail. This initiative would make available the primary data, all post-data collection adjustments, models including covariates used for farcasting and forecasting, and necessary documentation to the public.

  2. Millennium development goal four and child health inequities in indonesia: a systematic review of the literature.

    PubMed

    Schröders, Julia; Wall, Stig; Kusnanto, Hari; Ng, Nawi

    2015-01-01

    Millennium Development Goal (MDG) 4 calls for reducing mortality of children under-five years by two-thirds by 2015. Indonesia is on track to officially meet the MDG 4 targets by 2015 but progress has been far from universal. It has been argued that national level statistics, on which MDG 4 relies, obscure persistent health inequities within the country. Particularly inequities in child health are a major global public health challenge both for achieving MDG 4 in 2015 and beyond. This review aims to map out the situation of MDG 4 with respect to disadvantaged populations in Indonesia applying the Social Determinants of Health (SDH) framework. The specific objectives are to answer: Who are the disadvantaged populations? Where do they live? And why and how is the inequitable distribution of health explained in terms of the SDH framework? We retrieved studies through a systematic review of peer-reviewed and gray literature published in 1995-2014. The PRISMA-Equity 2012 statement was adapted to guide the methods of this review. The dependent variables were MDG 4-related indicators; the independent variable "disadvantaged populations" was defined by different categories of social differentiation using PROGRESS. Included texts were analyzed following the guidelines for deductive content analysis operationalized on the basis of the SDH framework. We identified 83 studies establishing evidence on more than 40 different determinants hindering an equitable distribution of child health in Indonesia. The most prominent determinants arise from the shortcomings within the rural health care system, the repercussions of food poverty coupled with low health literacy among parents, the impact of low household decision-making power of mothers, and the consequences of high persistent use of traditional birth attendants among ethnic minorities. This review calls for enhanced understanding of the determinants and pathways that create, detain, and overcome inequities in child health in

  3. Millennium Development Goal Four and Child Health Inequities in Indonesia: A Systematic Review of the Literature

    PubMed Central

    Schröders, Julia; Wall, Stig; Kusnanto, Hari; Ng, Nawi

    2015-01-01

    Introduction Millennium Development Goal (MDG) 4 calls for reducing mortality of children under-five years by two-thirds by 2015. Indonesia is on track to officially meet the MDG 4 targets by 2015 but progress has been far from universal. It has been argued that national level statistics, on which MDG 4 relies, obscure persistent health inequities within the country. Particularly inequities in child health are a major global public health challenge both for achieving MDG 4 in 2015 and beyond. This review aims to map out the situation of MDG 4 with respect to disadvantaged populations in Indonesia applying the Social Determinants of Health (SDH) framework. The specific objectives are to answer: Who are the disadvantaged populations? Where do they live? And why and how is the inequitable distribution of health explained in terms of the SDH framework? Methods and Findings We retrieved studies through a systematic review of peer-reviewed and gray literature published in 1995-2014. The PRISMA-Equity 2012 statement was adapted to guide the methods of this review. The dependent variables were MDG 4-related indicators; the independent variable “disadvantaged populations” was defined by different categories of social differentiation using PROGRESS. Included texts were analyzed following the guidelines for deductive content analysis operationalized on the basis of the SDH framework. We identified 83 studies establishing evidence on more than 40 different determinants hindering an equitable distribution of child health in Indonesia. The most prominent determinants arise from the shortcomings within the rural health care system, the repercussions of food poverty coupled with low health literacy among parents, the impact of low household decision-making power of mothers, and the consequences of high persistent use of traditional birth attendants among ethnic minorities. Conclusion This review calls for enhanced understanding of the determinants and pathways that create

  4. A Review of Groundwater Arsenic Contamination in Bangladesh: The Millennium Development Goal Era and Beyond

    PubMed Central

    Yunus, Fakir Md.; Khan, Safayet; Chowdhury, Priyanka; Milton, Abul Hasnat; Hussain, Sumaira; Rahman, Mahfuzar

    2016-01-01

    Arsenic contamination in drinking water has a detrimental impact on human health which profoundly impairs the quality of life. Despite recognition of the adverse health implications of arsenic toxicity, there have been few studies to date to suggest measures that could be taken to overcome arsenic contamination. After the statement in 2000 WHO Bulletin that Bangladesh has been experiencing the largest mass poisoning of population in history, we researched existing literature to assess the magnitude of groundwater arsenic contamination in Bangladesh. The literature reviewed related research that had been initiated and/or completed since the implementation of the Millennium Development Goals (MDGs) under four domains: (1) extent of arsenic contamination; (2) health consequences; (3) mitigation and technologies and (4) future directions. To this means, a review matrix was established for analysis of previous literature based on these four core domains. Our findings revealed that several high-quality research articles were produced at the beginning of the MDG period, but efforts have dwindled in recent years. Furthermore, there were only a few studies conducted that focused on developing suitable solutions for managing arsenic contamination. Although the government of Bangladesh has made its population’s access to safe drinking water a priority agenda item, there are still pockets of the population that continue to suffer from arsenic toxicity due to contaminated water supplies. PMID:26891310

  5. A Review of Groundwater Arsenic Contamination in Bangladesh: The Millennium Development Goal Era and Beyond.

    PubMed

    Yunus, Fakir Md; Khan, Safayet; Chowdhury, Priyanka; Milton, Abul Hasnat; Hussain, Sumaira; Rahman, Mahfuzar

    2016-02-15

    Arsenic contamination in drinking water has a detrimental impact on human health which profoundly impairs the quality of life. Despite recognition of the adverse health implications of arsenic toxicity, there have been few studies to date to suggest measures that could be taken to overcome arsenic contamination. After the statement in 2000 WHO Bulletin that Bangladesh has been experiencing the largest mass poisoning of population in history, we researched existing literature to assess the magnitude of groundwater arsenic contamination in Bangladesh. The literature reviewed related research that had been initiated and/or completed since the implementation of the Millennium Development Goals (MDGs) under four domains: (1) extent of arsenic contamination; (2) health consequences; (3) mitigation and technologies and (4) future directions. To this means, a review matrix was established for analysis of previous literature based on these four core domains. Our findings revealed that several high-quality research articles were produced at the beginning of the MDG period, but efforts have dwindled in recent years. Furthermore, there were only a few studies conducted that focused on developing suitable solutions for managing arsenic contamination. Although the government of Bangladesh has made its population's access to safe drinking water a priority agenda item, there are still pockets of the population that continue to suffer from arsenic toxicity due to contaminated water supplies.

  6. 77 FR 19360 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-30

    ... report to Congress is provided in accordance with section 608(a) of the Millennium Challenge Act of 2003... report was initially published in September 2011. In December 2011, Congress enacted changes in MCC's FY... MILLENNIUM CHALLENGE CORPORATION [MCC 12-04] Report on Countries That Are Candidates for...

  7. The Millennium Development Goals Agenda: Constraints of Culture, Economy, and Empowerment in Influencing the Social Mobility of Pakistani Girls on Mathematics and Science Related Higher Education Courses in Universities in Pakistan

    ERIC Educational Resources Information Center

    Mujtaba, Tamjid; Reiss, Michael J.

    2015-01-01

    The third of the eight Millennium Development Goals is to promote gender equality and empower women. This article discusses the factors that are associated with 31 female higher education students' choices and aspirations to pursue education and careers in mathematics and science-related fields. The analysis is based on semistructured interviews.…

  8. 78 FR 52984 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... Millennium Challenge Account Eligibility in Fiscal Year 2014 and Countries That Would Be Candidates But For... during FY 2014. The report is set forth in full below. Dated: August 22, 2013. Melvin F. Williams, Jr... That Are Candidates for Millennium Challenge Account Eligibility for Fiscal Year 2014 and Countries...

  9. 3 CFR - Designation of Officers of the Millennium Challenge Corporation To Act as Chief Executive Officer...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 3 The President 1 2013-01-01 2013-01-01 false Designation of Officers of the Millennium Challenge Corporation To Act as Chief Executive Officer of the Millennium Challenge Corporation Presidential Documents... an acting CEO of the MCC. Sec. 3. Judicial Review. This memorandum is not intended to, and does not...

  10. Can the Millennium Development Goals database be used to measure the effects of globalisation on women's health in Sub-Saharan Africa? A critical analysis.

    PubMed

    Wamala, Sarah; Breman, Anna; Richardson, Matt X; Loewenson, Rene

    2010-03-01

    Africa has had poor returns from integration with world markets in globalisation, has experienced worsening poverty and malnutrition and has high burdens of HIV and communicable disease, with particular burdens on women. It is therefore essential to describe the impact of globalisation on women's health. Indicators such as the Millennium Development Goals (MDGs) are presented as having a major role in measuring this impact, but an assessment of the adequacy of aggregate national indicators used in monitoring the MDGs for this purpose is lacking. The Millennium Development Goals' panel database 2000 to 2006 was used to investigate the association between globalisation and women's health in Sub-Saharan Africa based on various determinants of heath. Out of the 148 countries classified as developing countries, 48 were in Sub-Saharan Africa. Results suggest that developing countries are becoming more integrated with world markets through some lowering of trade barriers. At the same time, women's occupational roles are changing, which could affect their health status. However, it is difficult to measure the impact of globalisation on women's health from the MDG database. First, data on trade liberalization is aggregated at the regional level and does not hold any information on individual countries. Second, too few indicators in the MDG database are disaggregated by sex, making it difficult to separate the effects on women from those on men. The MDG database is not adequate to assess the effects of globalisation on women's health in Sub-Saharan Africa. We recommend that researchers aim to address this research question to find other data sources or turn to case studies. We hope that results from this study will stimulate research on globalisation and health using reliable sources.

  11. 75 FR 10822 - Notice of the March 24, 2010 Millennium Challenge Corporation Board of Directors Meeting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-09

    ... MILLENNIUM CHALLENGE CORPORATION [MCC FR 10-03] Notice of the March 24, 2010 Millennium Challenge... and Date: 10 a.m. to 12 p.m., Wednesday, March 24, 2010. Place: Department of State, 2201 C Street, NW... consideration of classified information and the meeting will be closed to the public. Dated: March 5, 2010...

  12. Critical Thinking for the New Millennium: A Pedagogical Imperative.

    ERIC Educational Resources Information Center

    Lee, Andrew Ann Dinkins

    The pedagogical imperative to prepare students to become critical thinkers, critical readers, and critical writers for the coming millennium necessitates a comprehensive college discourse on critical thinking. The paper cites seminars and workshops that incorporate theoretical and practical dimensions of teaching critical-analytical thinking…

  13. Squashing the Millennium Bug: A Year 2000 Compliance Guide for Elementary/Secondary Schools and School Districts.

    ERIC Educational Resources Information Center

    Root, Mark; Carlson, Robert; Dexter, David; Karinch, Samantha; Kaplan, Heather

    This guide was developed to assist the nation's elementary and secondary schools and school districts address their Year 2000 (Y2K) problem. The guide is divided into three sections: Squashing the Millennium Bug Step-by-Step; Remediating Specific Types of Systems; and Appendix. The first chapter presents the following steps for tackling the Year…

  14. Effect of bottle height and aspiration rate on postocclusion surge in Infiniti and Millennium peristaltic phacoemulsification machines.

    PubMed

    Ward, Matthew S; Georgescu, Dan; Olson, Randall J

    2008-08-01

    To assess how flow and bottle height affect postocclusion surge in the Infiniti (Alcon, Inc.) and Millennium (Bausch & Lomb) peristaltic machines. John A. Moran Eye Center Clinical Laboratories, University of Utah, Salt Lake City, Utah. Postocclusion anterior chamber depth changes were measured in human eye-bank eyes using A-scan. Surge was simulated by clamping the aspiration tubing and releasing it at maximum vacuum. In both machines, surge was measured (1) with aspiration held constant at 12 mL/min and bottle heights at 60, 120, and 180 cm and (2) with bottle height held constant at 60 cm and aspiration rates at 12, 24, and 36 mL/min. Surge decreased approximately 40% with each 60 cm increase in bottle height in the Infiniti. It was constant at all bottle heights in the Millennium. At 12 and 24 mL/min aspiration rates, surge in the Millennium was less than half that in the Infiniti (P<.001). Postocclusion surge decreased linearly with increasing bottle height in the Infiniti system and was relatively constant with increasing bottle height in the Millennium system. The Millennium may offer a more stable phacoemulsification platform with respect to surge at a higher aspiration rate.

  15. Linking exposures and health outcomes to a large population-based longitudinal study: the Millennium Cohort Study.

    PubMed

    Smith, Tyler C

    2011-07-01

    To describe current efforts and future potential for understanding long-term health of military service members by linking the Millennium Cohort Study data to exposures and health outcomes. The Millennium Cohort Study launched in 2001, before September 11 and the start of combat operations in Afghanistan and Iraq. Other substantial Department of Defense (DoD) health, personnel, and exposure databases are maintained in electronic form and may be linked by personal identifiers. More than 150,000 consenting members comprise the Millennium Cohort from all services, and include active duty, Reserve, and National Guard current and past members, and represent demographic, occupational, military, and health characteristics of the U.S. military. These prospective data offer symptom assessment, behavioral health, and self-reported exposures that may complement and fill gaps in capability presented by other DoD electronic health and exposure data. In conjunction with Millennium Cohort survey data, prospective individual-level exposure and health outcome assessment is crucial to understand and quantify any long-term health outcomes potentially associated with unique military occupational exposures.

  16. Water resources in the next millennium

    NASA Astrophysics Data System (ADS)

    Wood, Warren

    As pressures from an exponentially increasing population and economic expectations rise against a finite water resource, how do we address management? This was the main focus of the Dubai International Conference on Water Resources and Integrated Management in the Third Millennium in Dubai, United Arab Emirates, 2-6 February 2002. The invited forum attracted an eclectic mix of international thinkers from five continents. Presentations and discussions on hydrology policy/property rights, and management strategies focused mainly on problems of water supply, irrigation, and/or ecosystems.

  17. Technology readiness levels for the new millennium program

    NASA Technical Reports Server (NTRS)

    Moynihan, P. I.; Minning, C. P.; Stocky, J. F.

    2003-01-01

    NASA's New Millennium Program (NMP) seeks to advance space exploration by providing an in-space validating mechanism to verify the maturity of promising advanced technologies that cannot be adequately validated with Earth-based testing alone. In meeting this objective, NMP uses NASA Technology Readiness Levels (TRL) as key indicators of technology advancement and assesses development progress against this generalized metric. By providing an opportunity for in-space validation, NMP can mature a suitable advanced technology from TRL 4 (component and/or breadboard validation in laboratory environment) to a TRL 7 (system prototype demonstrated in an Earth-based space environment). Spaceflight technology comprises a myriad of categories, types, and functions, and as each individual technology emerges, a consistent interpretation of its specific state of technological advancement relative to other technologies is problematic.

  18. Comparison of simulated and reconstructed variations in East African hydroclimate over the last millennium

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Klein, Francois; Goosse, Hugues; Graham, Nicholas E.

    The multi-decadal to centennial hydroclimate changes in East Africa over the last millennium are studied by comparing the results of forced transient simulations by six general circulation models (GCMs) with published hydroclimate reconstructions from four lakes: Challa and Naivasha in equatorial East Africa, and Masoko and Malawi in southeastern inter-tropical Africa. All GCMs simulate fairly well the unimodal seasonal cycle of precipitation in the Masoko–Malawi region, while the bimodal seasonal cycle characterizing the Challa–Naivasha region is generally less well captured by most models. Model results and lake-based hydroclimate reconstructions display very different temporal patterns over the last millennium. Additionally, theremore » is no common signal among the model time series, at least until 1850. This suggests that simulated hydroclimate fluctuations are mostly driven by internal variability rather than by common external forcing. After 1850, half of the models simulate a relatively clear response to forcing, but this response is different between the models. Overall, the link between precipitation and tropical sea surface temperatures (SSTs) over the pre-industrial portion of the last millennium is stronger and more robust for the Challa–Naivasha region than for the Masoko–Malawi region. At the inter-annual timescale, last-millennium Challa–Naivasha precipitation is positively (negatively) correlated with western (eastern) Indian Ocean SST, while the influence of the Pacific Ocean appears weak and unclear. Although most often not significant, the same pattern of correlations between East African rainfall and the Indian Ocean SST is still visible when using the last-millennium time series smoothed to highlight centennial variability, but only in fixed-forcing simulations. Furthermore, this means that, at the centennial timescale, the effect of (natural) climate forcing can mask the imprint of internal climate variability in large

  19. Comparison of simulated and reconstructed variations in East African hydroclimate over the last millennium

    DOE PAGES

    Klein, Francois; Goosse, Hugues; Graham, Nicholas E.; ...

    2016-07-13

    The multi-decadal to centennial hydroclimate changes in East Africa over the last millennium are studied by comparing the results of forced transient simulations by six general circulation models (GCMs) with published hydroclimate reconstructions from four lakes: Challa and Naivasha in equatorial East Africa, and Masoko and Malawi in southeastern inter-tropical Africa. All GCMs simulate fairly well the unimodal seasonal cycle of precipitation in the Masoko–Malawi region, while the bimodal seasonal cycle characterizing the Challa–Naivasha region is generally less well captured by most models. Model results and lake-based hydroclimate reconstructions display very different temporal patterns over the last millennium. Additionally, theremore » is no common signal among the model time series, at least until 1850. This suggests that simulated hydroclimate fluctuations are mostly driven by internal variability rather than by common external forcing. After 1850, half of the models simulate a relatively clear response to forcing, but this response is different between the models. Overall, the link between precipitation and tropical sea surface temperatures (SSTs) over the pre-industrial portion of the last millennium is stronger and more robust for the Challa–Naivasha region than for the Masoko–Malawi region. At the inter-annual timescale, last-millennium Challa–Naivasha precipitation is positively (negatively) correlated with western (eastern) Indian Ocean SST, while the influence of the Pacific Ocean appears weak and unclear. Although most often not significant, the same pattern of correlations between East African rainfall and the Indian Ocean SST is still visible when using the last-millennium time series smoothed to highlight centennial variability, but only in fixed-forcing simulations. Furthermore, this means that, at the centennial timescale, the effect of (natural) climate forcing can mask the imprint of internal climate variability in large

  20. Multi-proxy dating the 'Millennium Eruption' of Changbaishan to late 946 CE

    NASA Astrophysics Data System (ADS)

    Oppenheimer, Clive; Wacker, Lukas; Xu, Jiandong; Galván, Juan Diego; Stoffel, Markus; Guillet, Sébastien; Corona, Christophe; Sigl, Michael; Di Cosmo, Nicola; Hajdas, Irka; Pan, Bo; Breuker, Remco; Schneider, Lea; Esper, Jan; Fei, Jie; Hammond, James O. S.; Büntgen, Ulf

    2017-02-01

    Ranking among the largest volcanic eruptions of the Common Era (CE), the 'Millennium Eruption' of Changbaishan produced a widely-dispersed tephra layer (known as the B-Tm ash), which represents an important tie point for palaeoenvironmental studies in East Asia. Hitherto, there has been no consensus on its age, with estimates spanning at least the tenth century CE. Here, we identify the cosmogenic radiocarbon signal of 775 CE in a subfossil larch engulfed and killed by pyroclastic currents emplaced during the initial rhyolitic phase of the explosive eruption. Combined with glaciochemical evidence from Greenland, this enables us to date the eruption to late 946 CE. This secure date rules out the possibility that the Millennium Eruption contributed to the collapse of the Bohai Kingdom (Manchuria/Korea) in 926 CE, as has previously been hypothesised. Further, despite the magnitude of the eruption, we do not see a consequent cooling signal in tree-ring-based reconstructions of Northern Hemisphere summer temperatures. A tightly-constrained date for the Millennium Eruption improves the prospect for further investigations of historical sources that may shed light on the eruption's impacts, and enhances the value of the B-Tm ash as a chronostratigraphic marker.

  1. SCARLET Photovoltaic Concentrator Array Selected for Flight Under NASA's New Millennium Program

    NASA Technical Reports Server (NTRS)

    Piszczor, Michael F., Jr.

    1997-01-01

    The NASA Lewis Research Center continues to demonstrate its expertise in the development and implementation of advanced space power systems. For example, during the past year, the NASA New Millennium Program selected the Solar Concentrator Array with Refractive Linear Element Technology (SCARLET) photovoltaic array as the power system for its Deep Space-1 (DS-1) mission. This Jet Propulsion Laboratory (JPL) managed DS-1 mission, which represents the first operational flight of a photovoltaic concentrator array, will provide a baseline for the use of this technology in a variety of future government and commercial applications. SCARLET is a joint NASA Lewis/Ballistic Missile Defense Organization program to develop advanced photovoltaic array technology that uses a unique refractive concentrator design to focus sunlight onto a line of photovoltaic cells located below the optical element. The general concept is based on previous work conducted at Lewis under a Small Business Innovation Research (SBIR) contract with AEC-Able Engineering, Inc., for the Multiple Experiments to Earth Orbit and Return (METEOR) spacecraft. The SCARLET II design selected by the New Millennium Program is a direct adaptation of the smaller SCARLET I array built for METEOR. Even though SCARLET I was lost during a launch failure in October 1995, the hardware (designed, built, and flight qualified within 6 months) provided invaluable information and experience that led to the selection of this technology as the primary power source for DS-1.

  2. New millennium program ST6: autonomous technologies for future NASA spacecraft

    NASA Technical Reports Server (NTRS)

    Chmielewski, Arthur B.; Chien, Steve; Sherwood, Robert; Wyman, William; Brady, T.; Buckley, S.; Tillier, C.

    2005-01-01

    The purpose of NASA's New Millennium Program (NMP) is to validate advanced technologies in space and thus lower the risk for the first mission user. The focus of NMP is only on those technologies which need space environment for proper validation. The ST6 project has developed two advanced, experimental technologies for use on spacecraft of the future. These technologies are the Autonomous Sciencecraft Experiment and the Inertial Stellar Compass. These technologies will improve spacecraft's ability to: make decisions on what information to gather and send back to the ground, determine its own attitude and adjust its pointing.

  3. Role of Teacher Education in the Achievement of MDGs

    ERIC Educational Resources Information Center

    Kaur, Amardeep; Singh, Kulwinder

    2014-01-01

    The Millennium Development Goals (MDGs) which include eight goals have been framed to address the world's major development challenges by 2015. In India, considerable progress has been reported to be made in the field of basic universal education, gender equality in education, economic growth and other human development related aspects. Even…

  4. Literacy for the New Millennium. Volume 1: Early Literacy

    ERIC Educational Resources Information Center

    Guzzetti, Barbara J., Ed.

    2007-01-01

    Living in an age of communication, literacy is an extremely integral part of our society. We are impacted by literature during our infancy, childhood, adolescence, and adulthood. "Literacy for the New Millennium" includes information from specialists in the field who discuss the influence of popular culture, media, and technology on…

  5. Intelligent robot trends and predictions for the new millennium

    NASA Astrophysics Data System (ADS)

    Hall, Ernest L.; Mundhenk, Terrell N.

    1999-08-01

    An intelligent robot is a remarkably useful combination of a manipulator, sensors and controls. The current use of these machines in outer space, medicine, hazardous materials, defense applications and industry is being pursued with vigor but little funding. In factory automation such robotics machines can improve productivity, increase product quality and improve competitiveness. The computer and the robot have both been developed during recent times. The intelligent robot combines both technologies and requires a thorough understanding and knowledge of mechatronics. In honor of the new millennium, this paper will present a discussion of futuristic trends and predictions. However, in keeping with technical tradition, a new technique for 'Follow the Leader' will also be presented in the hope of it becoming a new, useful and non-obvious technique.

  6. The "Developing" Achievement Gap: Colombian Voucher Reform

    ERIC Educational Resources Information Center

    Stern, Jonathan M. B.

    2014-01-01

    The achievement gap in many developing countries is defined in terms of rich/poor and public/private. The prevailing explanation for the "developing" achievement gap is an underfunded, inefficient, and/or inadequately supplied public school sector. Via an analysis of a Colombian voucher experiment, this article examines the extent to…

  7. Staff Development and Student Achievement: Making the Connection.

    ERIC Educational Resources Information Center

    Weathersby, Jeanie; Harkreader, Steve

    This study examined connections between staff development and student achievement in order to develop a base of knowledge for improving Georgia's staff development. The study asked whether differences in how districts and schools provided staff development for teachers accounted for some of the variation in student achievement across Georgia…

  8. The New Millennium Program Space Technology 5 (ST-5) Mission

    NASA Technical Reports Server (NTRS)

    Webb, Evan H.; Carlisle, Candace C.; Slavin, James A.

    2005-01-01

    The Space Technology 5 (ST-5) Project is part of NASA's New Millennium Program. ST-5 will consist of a constellation of three 25kg microsatellites. The mission goals are to demonstrate the research-quality science capability of the ST-5 spacecraft; to operate the three spacecraft as a constellation; and to design, develop and flight-validate three capable microsatellites with new technologies. ST-5 will be launched by a Pegasus XL into an elliptical polar (sun-synchronous) orbit. The three-month flight demonstration phase, beginning in March 2006, will validate the ability to perform science measurements, as well as the technologies and constellation operations. ST-5's technologies and concepts will enable future microsatellite science missions.

  9. 75 FR 71144 - Notice of Availability of Record of Decision for the Solar Millennium, LLC, Amargosa Farm Road...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... 241A; 11-08807; TAS:14X5017] Notice of Availability of Record of Decision for the Solar Millennium, LLC, Amargosa Farm Road Solar Energy Project AGENCY: Bureau of Land Management, Interior. ACTION: Notice of... (ROD) for the Solar Millennium, LLC, Amargosa Farm Road Solar Energy Project Environmental Impact...

  10. Millennium Cohort Study: A Department of Defense Research Project

    Science.gov Websites

    Milco Logo service logos Home Start Survey About the Study FAQ Resources Endorsements Infographics Awards Press Collaboration Study Topics Update Contact Info Contact Us Memorial Day 2018 carousel panel MedicalXpress Logo UT San Diego Logo Click on logos to view content associated with the Millennium Cohort Study

  11. Achievement Motivation Development Project. Final Report.

    ERIC Educational Resources Information Center

    McClelland, Dave C.; Alschuler, Alfred S.

    Two efforts were made to develop achievement motivation in school children and to observe the effect of such training on their behavior in and out of school. These studies were undertaken because: (1) Achievement motivation might help children think more seriously about their work habits and career planning; (2) It might improve the grades of…

  12. Emerging Infectious Diseases, Antimicrobial Resistance and Millennium Development Goals: Resolving the Challenges through One Health.

    PubMed

    Asokan, G V; Kasimanickam, R K

    2013-01-01

    Most emerging infectious diseases are zoonoses, which could severely hamper reaching the targets of millennium development goals (MDG). Five out of the total eight MDG's are strongly associated with the Emerging Infectious Diseases (EIDs). Recent emergence and dissemination of drug-resistant pathogens has accelerated and prevent reaching the targets of MDG, with shrinking of therapeutic arsenal, mostly due to antimicrobial resistance (AMR). World Health Organization (WHO has identified AMR as 1 of the 3 greatest threats to global health. Until now, methicillin-resistant staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) have been observed in hospital-acquired infections. In India, within a span of three years, New Delhi metallo-β-lactamase prevalence has risen from three percent in hospitals to twenty- fifty percent and is found to be colistin resistant as well. Routine use of antimicrobials in animal husbandry accounts for more than 50% in tonnage of all antimicrobial production to promote growth and prophylaxis. This has consequences to human health and environmental contamination with a profound impact on the environmental microbiome, resulting in resistance. Antibiotic development is now considered a global health crisis. The average time required to receive regulatory approval is 7.2 years. Moreover, the clinical approval success is only 16%. To overcome resistance in antimicrobials, intersectoral partnerships among medical, veterinary, and environmental disciplines, with specific epidemiological, diagnostic, and therapeutic approaches are needed. Joint efforts under "One Health", beyond individual professional boundaries are required to stop antimicrobial resistance against zoonoses (EID) and reach the MDG.

  13. Pancreas transplantation: The Wake Forest experience in the new millennium.

    PubMed

    Rogers, Jeffrey; Farney, Alan C; Orlando, Giuseppe; Iskandar, Samy S; Doares, William; Gautreaux, Michael D; Kaczmorski, Scott; Reeves-Daniel, Amber; Palanisamy, Amudha; Stratta, Robert J

    2014-12-15

    . The overall incidence of acute rejection was 29% in SKPT and 27.5% in SPT recipients (P = NS). Lower rates of acute rejection and major infection were evidenced in SKPT patients receiving alemtuzumab induction therapy. Comparable kidney and pancreas graft survival rates were observed in AA and non-AA recipients despite a higher prevalence of a "type 2 diabetes" phenotype in AA. Results comparable to those achieved in insulinopenic diabetics were found in the transplantation of type 2 diabetics with detectable C-peptide levels. In the new millennium, acceptable medium-term outcomes can be achieved in SKPT and SPTs as nearly 2/3rds of patients are insulin independent following pancreas transplantation.

  14. Pancreas transplantation: The Wake Forest experience in the new millennium

    PubMed Central

    Rogers, Jeffrey; Farney, Alan C; Orlando, Giuseppe; Iskandar, Samy S; Doares, William; Gautreaux, Michael D; Kaczmorski, Scott; Reeves-Daniel, Amber; Palanisamy, Amudha; Stratta, Robert J

    2014-01-01

    acute and chronic rejection. The overall incidence of acute rejection was 29% in SKPT and 27.5% in SPT recipients (P = NS). Lower rates of acute rejection and major infection were evidenced in SKPT patients receiving alemtuzumab induction therapy. Comparable kidney and pancreas graft survival rates were observed in AA and non-AA recipients despite a higher prevalence of a “type 2 diabetes” phenotype in AA. Results comparable to those achieved in insulinopenic diabetics were found in the transplantation of type 2 diabetics with detectable C-peptide levels. CONCLUSION: In the new millennium, acceptable medium-term outcomes can be achieved in SKPT and SPTs as nearly 2/3rds of patients are insulin independent following pancreas transplantation. PMID:25512802

  15. Crises in EFL Proficiency and Teacher Development in the Context of International Donation and Transformation Discourses

    ERIC Educational Resources Information Center

    Birbirso, Dereje Tadesse

    2014-01-01

    Since 2000, Ethiopia has been working to come out of social crises, modernise itself and achieve the Millennium Development Goals. Although provided with billions of dollars by the West and their international agents, little has been changed and the crises seem never to abate, especially in the educational system. This study, thus, critically…

  16. Racial Disparities in New Millennium Schools: Implications for School Counselors

    ERIC Educational Resources Information Center

    LeBeauf, Ireon

    2008-01-01

    This article explores the role of race in new millennium schools and its impact on students. Multicultural, psycho-social, and academic issues are addressed, and interventions for school counselors are discussed. Racially correlated disparities in K-12 education are apparent in: test scores, grades, retention and drop-out rates, identification for…

  17. Millennium Open Pit Mine, Alberta, Canada

    NASA Technical Reports Server (NTRS)

    2007-01-01

    Near Fort McMurray, Alberta, Canada, on the east bank of the Athabasca River, are found the Steepbank and Millennium mines. These open pit mines produce oil sands that are processed to recover bitumen, and then upgrade it to refinery-ready raw crude oil, and diesel fuel.

    The ASTER images were acquired September 22, 2000 and July 31, 2007, cover an area of 22.5 x 25.5 km, and are located near 57 degrees north latitude, 111.5 degrees west longitude.

    The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.

  18. Achievement Goal Profiles and Developments in Effort and Achievement in Upper Elementary School

    ERIC Educational Resources Information Center

    Hornstra, Lisette; Majoor, Marieke; Peetsma, Thea

    2017-01-01

    Background: The multiple goal perspective posits that certain combinations of achievement goals are more favourable than others in terms of educational outcomes. Aims: This study aimed to examine longitudinally whether students' achievement goal profiles and transitions between profiles are associated with developments in self-reported and…

  19. Efficacy of Cruise Control in controlling postocclusion surge with Legacy and Millennium venturi phacoemulsification machines.

    PubMed

    Wade, Matthew; Isom, Ryan; Georgescu, Dan; Olson, Randall J

    2007-06-01

    To determine the efficacy of the Cruise Control surge-limiting device (Staar Surgical) with phacoemulsification machines known to have high levels of surge. John A. Moran Eye Center Clinical Laboratories. In an in vitro study, postocclusion anterior chamber depth changes were measured in fresh phakic human eye-bank eyes using the Alcon Legacy and Bausch & Lomb Millennium venturi machines in conjunction with the Staar Cruise Control device. Both machines were tested with 19-gauge non-Aspiration Bypass System tips at high-surge settings (500 mm Hg vacuum pressure, 75 cm bottle height, 40 mL/min flow rate for the Legacy) and low-surge settings (400 mm Hg vacuum pressure, 125 cm bottle height, 40 mL/min flow rate for the Legacy). Adjusted parameters of flow, vacuum, and irrigation were used based on previous studies to create identical conditions for each device tested. The effect of the Cruise Control device on aspiration rates was also tested with both machines at the low-surge settings. At the high setting with the addition of Cruise Control, surge decreased significantly with the Legacy but was too large to measure with the Millennium venturi. At the low setting with the addition of Cruise Control, surge decreased significantly with both machines. Surge with the Millennium decreased from more than 1.0 mm to a mean of 0.21 mm +/- 0.02 (SD) (P<.0001). Surge with the Legacy decreased from a mean of 0.09 +/- 0.02 mm to 0.05 +/- 0 mm, a 42.9% decrease (P<.0001). The Millennium had the highest surge and aspiration rate before Cruise Control and the greatest percentage decrease in the surge and aspiration rates as a result of the addition of Cruise Control. In the Legacy machine, the Cruise Control device had a statistically and clinically significant effect. Cruise Control had a large effect on fluidics as well as surge amplitude with the Millennium machine. The greater the flow or greater the initial surge, the greater the impact of the Cruise Control device.

  20. Drivers of inequality in Millennium Development Goal progress: a statistical analysis.

    PubMed

    Stuckler, David; Basu, Sanjay; McKee, Martin

    2010-03-02

    Many low- and middle-income countries are not on track to reach the public health targets set out in the Millennium Development Goals (MDGs). We evaluated whether differential progress towards health MDGs was associated with economic development, public health funding (both overall and as percentage of available domestic funds), or health system infrastructure. We also examined the impact of joint epidemics of HIV/AIDS and noncommunicable diseases (NCDs), which may limit the ability of households to address child mortality and increase risks of infectious diseases. We calculated each country's distance from its MDG goals for HIV/AIDS, tuberculosis, and infant and child mortality targets for the year 2005 using the United Nations MDG database for 227 countries from 1990 to the present. We studied the association of economic development (gross domestic product [GDP] per capita in purchasing-power-parity), the relative priority placed on health (health spending as a percentage of GDP), real health spending (health system expenditures in purchasing-power-parity), HIV/AIDS burden (prevalence rates among ages 15-49 y), and NCD burden (age-standardised chronic disease mortality rates), with measures of distance from attainment of health MDGs. To avoid spurious correlations that may exist simply because countries with high disease burdens would be expected to have low MDG progress, and to adjust for potential confounding arising from differences in countries' initial disease burdens, we analysed the variations in rates of change in MDG progress versus expected rates for each country. While economic development, health priority, health spending, and health infrastructure did not explain more than one-fifth of the differences in progress to health MDGs among countries, burdens of HIV and NCDs explained more than half of between-country inequalities in child mortality progress (R(2)-infant mortality = 0.57, R(2)-under 5 mortality = 0.54). HIV/AIDS and NCD burdens were also

  1. Development and use of the generic WHO/CDC logic model for vitamin and mineral interventions in public health programmes

    PubMed Central

    De-Regil, Luz Maria; Peña-Rosas, Juan Pablo; Flores-Ayala, Rafael; del Socorro Jefferds, Maria Elena

    2015-01-01

    Objective Nutrition interventions are critical to achieve the Millennium Development Goals; among them, micronutrient interventions are considered cost-effective and programmatically feasible to scale up, but there are limited tools to communicate the programme components and their relationships. The WHO/CDC (Centers for Disease Control and Prevention) logic model for micronutrient interventions in public health programmes is a useful resource for planning, implementation, monitoring and evaluation of these interventions, which depicts the programme theory and expected relationships between inputs and expected Millennium Development Goals. Design The model was developed by applying principles of programme evaluation, public health nutrition theory and programmatic expertise. The multifaceted and iterative structure validation included feedback from potential users and adaptation by national stakeholders involved in public health programmes' design and implementation. Results In addition to the inputs, main activity domains identified as essential for programme development, implementation and performance include: (i) policy; (ii) products and supply; (iii) delivery systems; (iv) quality control; and (v) behaviour change communication. Outputs encompass the access to and coverage of interventions. Outcomes include knowledge and appropriate use of the intervention, as well as effects on micronutrient intake, nutritional status and health of target populations, for ultimate achievement of the Millennium Development Goals. Conclusions The WHO/CDC logic model simplifies the process of developing a logic model by providing a tool that has identified high-priority areas and concepts that apply to virtually all public health micronutrient interventions. Countries can adapt it to their context in order to support programme design, implementation, monitoring and evaluation for the successful scale-up of nutrition interventions in public health. PMID:23507463

  2. Sustainable Health Development Goals (SHDG): breaking down the walls

    PubMed Central

    Oleribe, Obinna Ositadimma; Crossey, Mary Margaret Elizabeth; Taylor-Robinson, Simon David

    2015-01-01

    The world's governments failed to achieve the Health for All 2000 goals from the Alma Ata Declaration of 1978. Although a lot of milestones have been covered since 2000, the world's governing authorities are unlikely to achieve the current Millennium Development Goals (MDGs) which expire by the end of this year. The inability to achieve these goals may be linked to the multiplicity of health-related directives and fragmentation of health systems in many countries. However, with the proposed 17 sustainability development goals, health has only one universal aim: to ensure healthy lives and promote wellbeing for all at all ages. Accomplishing this will require a focus on health systems (system-thinking), commonization of services and full integration of services with total dismantling of vertical programs across the world. PMID:26966502

  3. Sustainable Health Development Goals (SHDG): breaking down the walls.

    PubMed

    Oleribe, Obinna Ositadimma; Crossey, Mary Margaret Elizabeth; Taylor-Robinson, Simon David

    2015-01-01

    The world's governments failed to achieve the Health for All 2000 goals from the Alma Ata Declaration of 1978. Although a lot of milestones have been covered since 2000, the world's governing authorities are unlikely to achieve the current Millennium Development Goals (MDGs) which expire by the end of this year. The inability to achieve these goals may be linked to the multiplicity of health-related directives and fragmentation of health systems in many countries. However, with the proposed 17 sustainability development goals, health has only one universal aim: to ensure healthy lives and promote wellbeing for all at all ages. Accomplishing this will require a focus on health systems (system-thinking), commonization of services and full integration of services with total dismantling of vertical programs across the world.

  4. New Space Industries for the Next Millennium

    NASA Technical Reports Server (NTRS)

    Smitherman, D. V., Jr. (Compiler)

    1998-01-01

    New Space Industries For the Next Millennium is a final report of the findings from the New Space Industries Workshop held in Washington, DC, in February 1998. The primary purpose of this workshop was to identify what must be done to develop new markets, and to generate plans, milestones and new organizational relationships designed to facilitate the goal of space development. This document provides a summary report on the results of that workshop and is not intended as a statement of NASA or government policy. Previous studies had shown great potential for the development of new markets in space (e.g., travel and entertainment, space solar power, satellite and space transfer services, research and development in space, space manufacturing, and space resources), and a great need for coordination and formation of infrastructures (e.g., space transportation, space business parks, and space utilities), to facilitate the growth of new space businesses. The New Space Industries Workshop brought together government, academia, and industry participants from several previous studies and other professionals interested in the development of space for commercial purposes. Their participation provided input into the role of government and industry in space development as well as the technology needs that will enable space development. The opening of the frontier of space, not just to government missions but to private individuals and commercial business, is a challenge of overarching importance. It is our hope that the workshop and this final report continue in earnest the process of identifying and overcoming the barriers to large-scale public access and development of space in the early years of the next century.

  5. Sustainable water management in rural and peri-urban areas: what technology do we need to meet the UN millennium development goals?

    PubMed

    Wilderer, P A

    2005-01-01

    Installation of advanced urban water management systems is one of the most important first steps in the attempt to overcome poverty on earth, outbreak of diseases, crime and even terrorism. Because world wide application of traditional water supply, sewerage and wastewater treatment technology requires financial resources which are basically not available within a reasonable short time frame novel solutions must be found, developed and implemented. The combination of high-tech on-site treatment of the various waste streams generated in households, enterprises and industrial sites, and reuse of the valuable materials obtained from the treatment plants, including the purified water, is one of the options which is investigated by various groups of researchers and technology developers, nowadays. This concept may help meeting the UN Millennium Development Goals, provided people are ready to accept this new way of dealing with household wastes. Education is necessary to build up the foundation which modern water technology can be based upon. In parallel, tailored modifications are to be considered to satisfy the specific demands of local communities. In this context, female participation appears to be extremely important in the decision making process.

  6. Standardizing evaluation process: Necessary for achieving SDGs - A case study of India.

    PubMed

    Srivastava, Alok

    2018-05-09

    A set of 17 Sustainable Development Goals (SDGs) adopted by the United Nations General Assembly in September 2015 are to be implemented and achieved in every country from the year 2016 to 2030. In Indian context, all these goals are very relevant and critical, as India missed the target on many components of the Millennium Development Goals (MDGs). The author strongly feels that one of the key reasons was lack of an in-built robust system for measuring the progress and achievements of MDGs. Monitoring and Evaluation of programmes and schemes, aiming at different SDGs, in a robust and regular manner is therefore need of the hour. A National evaluation policy (NEP) would set the tone in the right direction from the very beginning for achieving SDGs. The paper taking India as a case study discusses different critical factors pertinent for having a well laid down national level policy towards standardizing evaluation. Using real examples under different components of an evaluation policy, the paper discusses and questions the credibility and acceptance of the present evaluation system in place. The paper identifies five core mantras or pre-requisites of a national evaluation guideline. The paper emphasizes the importance of an evaluation policy in India and other countries as well, to provide authentic data gathered through a well-designed evaluation process and take corrective measures well on time to achieve SDGs. Copyright © 2018 Elsevier Ltd. All rights reserved.

  7. A Review of Literature to Understand the Complexity of Equity, Ethics and Management for Achieving Public Health Goals in India

    PubMed Central

    Garg, Pankaj; Nagpal, Jitender

    2014-01-01

    In the context of inadequate public spending on health care in India (0.9% of the GDP); government liberalized its policies in the form of subsidized lands and tax incentives, resulting in the mushrooming of private hospitals and clinics in India. Paradoxically, a robust framework was not developed for the regulation of these health care providers, resulting in disorganized health sector, inadequate financing models, and lack of prioritization of services, as well as a sub-optimal achievement of the Millennium Development Goals (MDG). We systematically reviewed the evidence base regarding regulation of private hospitals, applicability of private-public mix, state of health insurance and effective policy development for India, while seeking lessons on regulation of private health systems, from South African (a developing country) and Australian (a developed country) health care systems. PMID:24701465

  8. Sustainable development goals and the human resources crisis.

    PubMed

    Freer, Joseph

    2017-01-01

    Achieving universal health coverage by 2030 requires that lessons from the Millennium Development Goals must be heeded. The most important lesson is that the workforce underpins every function of the health system, and is the rate-limiting step. The three dimensions that continue to limit the success of the development agenda are availability, distribution and performance of health workers - and the Sustainable Development Goals cannot be achieved without addressing all three. Hence, the traditional response of scaling up supply is inadequate: a paradigm shift is required in the design of systems that can properly identify, train, allocate and retain health workers. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  9. The Challenges for Peace Educators at the End of a Millennium.

    ERIC Educational Resources Information Center

    Brock-Utne, Birgit

    1996-01-01

    Analyzes two questions: challenges for peace educators and goals of peace education at the end of the millennium. Discusses the meaning and content of peace education and methods of teaching peace studies. Argues for increased multicultural awareness, envisionment of peaceful alternatives to present society, and increased racial and gender…

  10. 75 FR 24943 - Millennium Pipeline Company, LLC; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... at a tie-in at Chambers Road near Horseheads, New York to an interconnection with the facilities of... to Gary A. Kruse, Vice President--General Counsel and Secretary, Millennium Pipeline Company, LLC...

  11. The Impact of ICT Use on New Millennium Learners' Educational Performance

    ERIC Educational Resources Information Center

    Kang, Myunghee; Heo, Heeok; Kim, Minjeong

    2011-01-01

    Purpose: The purpose of this study is to investigate the impact of information and communication technology (ICT) use on the educational performance of new millennium learners (NMLs). Even though many factors might influence individual performance besides ICT use itself, the research focus was on the relationship between the behavioral patterns of…

  12. Literacy for the New Millennium. Volume 2: Childhood Literacy. Praeger Perspectives

    ERIC Educational Resources Information Center

    Guzzetti, Barbara J., Ed.

    2007-01-01

    Living in an age of communication, literacy is an extremely integral part of our society. We are impacted by literature during our infancy, childhood, adolescence, and adulthood. "Literacy for the New Millennium" includes information from specialists in the field who discuss the influence of popular culture, media, and technology on…

  13. Literacy for the New Millennium. Volume 4: Adult Literacy. Praeger Perspectives

    ERIC Educational Resources Information Center

    Guzzetti, Barbara J., Ed.

    2007-01-01

    Living in an age of communication, literacy is an extremely integral part of our society. We are impacted by literature during our infancy, childhood, adolescence, and adulthood. "Literacy for the New Millennium" includes information from specialists in the field who discuss the influence of popular culture, media, and technology on…

  14. Drivers of Inequality in Millennium Development Goal Progress: A Statistical Analysis

    PubMed Central

    Stuckler, David; Basu, Sanjay; McKee, Martin

    2010-01-01

    Background Many low- and middle-income countries are not on track to reach the public health targets set out in the Millennium Development Goals (MDGs). We evaluated whether differential progress towards health MDGs was associated with economic development, public health funding (both overall and as percentage of available domestic funds), or health system infrastructure. We also examined the impact of joint epidemics of HIV/AIDS and noncommunicable diseases (NCDs), which may limit the ability of households to address child mortality and increase risks of infectious diseases. Methods and Findings We calculated each country's distance from its MDG goals for HIV/AIDS, tuberculosis, and infant and child mortality targets for the year 2005 using the United Nations MDG database for 227 countries from 1990 to the present. We studied the association of economic development (gross domestic product [GDP] per capita in purchasing-power-parity), the relative priority placed on health (health spending as a percentage of GDP), real health spending (health system expenditures in purchasing-power-parity), HIV/AIDS burden (prevalence rates among ages 15–49 y), and NCD burden (age-standardised chronic disease mortality rates), with measures of distance from attainment of health MDGs. To avoid spurious correlations that may exist simply because countries with high disease burdens would be expected to have low MDG progress, and to adjust for potential confounding arising from differences in countries' initial disease burdens, we analysed the variations in rates of change in MDG progress versus expected rates for each country. While economic development, health priority, health spending, and health infrastructure did not explain more than one-fifth of the differences in progress to health MDGs among countries, burdens of HIV and NCDs explained more than half of between-country inequalities in child mortality progress (R 2-infant mortality  = 0.57, R 2-under 5 mortality  = 0

  15. Exocrine drainage in vascularized pancreas transplantation in the new millennium

    PubMed Central

    El-Hennawy, Hany; Stratta, Robert J; Smith, Fowler

    2016-01-01

    The history of vascularized pancreas transplantation largely parallels developments in immunosuppression and technical refinements in transplant surgery. From the late-1980s to 1995, most pancreas transplants were whole organ pancreatic grafts with insulin delivery to the iliac vein and diversion of the pancreatic ductal secretions to the urinary bladder (systemic-bladder technique). The advent of bladder drainage revolutionized the safety and improved the success of pancreas transplantation. However, starting in 1995, a seismic change occurred from bladder to bowel exocrine drainage coincident with improvements in immunosuppression, preservation techniques, diagnostic monitoring, general medical care, and the success and frequency of enteric conversion. In the new millennium, pancreas transplants are performed predominantly as pancreatico-duodenal grafts with enteric diversion of the pancreatic ductal secretions coupled with iliac vein provision of insulin (systemic-enteric technique) although the systemic-bladder technique endures as a preferred alternative in selected cases. In the early 1990s, a novel technique of venous drainage into the superior mesenteric vein combined with bowel exocrine diversion (portal-enteric technique) was designed and subsequently refined over the next ≥ 20 years to re-create the natural physiology of the pancreas with first-pass hepatic processing of insulin. Enteric drainage usually refers to jejunal or ileal diversion of the exocrine secretions either with a primary enteric anastomosis or with an additional Roux limb. The portal-enteric technique has spawned a number of newer and revisited techniques of enteric exocrine drainage including duodenal or gastric diversion. Reports in the literature suggest no differences in pancreas transplant outcomes irrespective of type of either venous or exocrine diversion. The purpose of this review is to examine the literature on exocrine drainage in the new millennium (the purported

  16. Acid sulfate soils and human health--a Millennium Ecosystem Assessment.

    PubMed

    Ljung, Karin; Maley, Fiona; Cook, Angus; Weinstein, Philip

    2009-11-01

    Acid sulfate soils have been described as the "nastiest soils on earth" because of their strong acidity, increased mobility of potentially toxic elements and limited bioavailability of nutrients. They only cover a small area of the world's total problem soils, but often have significant adverse effects on agriculture, aquaculture and the environment on a local scale. Their location often coincides with high population density areas along the coasts of many developing countries. As a result, their negative impacts on ecosystems can have serious implications to those least equipped for coping with the low crop yields and reduced water quality that can result from acid sulfate soil disturbance. The Millennium Ecosystem Assessment called on by the United Nations in 2000 emphasised the importance of ecosystems for human health and well-being. These include the service they provide as sources of food and water, through the control of pollution and disease, as well as for the cultural services ecosystems provide. While the problems related to agriculture, aquaculture and the environment have been the focus of many acid sulfate soil management efforts, the connection to human health has largely been ignored. This paper presents the potential health issues of acid sulfate soils, in relation to the ecosystem services identified in the Millennium Ecosystem Assessment. It is recognised that significant implications on food security and livelihood can result, as well as on community cohesiveness and the spread of vector-borne disease. However, the connection between these outcomes and acid sulfate soils is often not obvious and it is therefore argued that the impact of such soils on human well-being needs to be recognised in order to raise awareness among the public and decision makers, to in turn facilitate proper management and avoid potential human ill-health.

  17. Acquisition of Maternal Education and Its Relation to Single-Word Reading in Middle Childhood: An Analysis of the Millennium Cohort Study

    ERIC Educational Resources Information Center

    King, Thomas; McKean, Cristina; Rush, Robert; Westrupp, Elizabeth M.; Mensah, Fiona K.; Reilly, Sheena; Law, James

    2017-01-01

    Maternal education captured at a single time point is commonly employed as a predictor of a child's cognitive development. In this article, we ask what bearing the acquisition of additional qualifications has upon reading performance in middle childhood. This was a secondary analysis of the United Kingdom's Millennium Cohort Study, a cohort of…

  18. Vision-21: Space Travel for the Next Millennium

    NASA Technical Reports Server (NTRS)

    Landis, Geoffrey A. (Editor)

    1990-01-01

    The papers from this symposium, that was held at the NASA Lewis Research Center on April 3-4, 1990, are presented. The theme selected for the symposium was space travel for the next millennium. It was hoped that the participants would allow their focus to consider possible advances in technologies for space travel not just for currently envisioned projects, but for possibilities beyond the next generation and the next thousand years. About half of the contributed papers focussed on propulsion and the other half on other issues related to space travel.

  19. The imperative of functional integration for achievement of MDGs.

    PubMed

    Mohamud, Khalif Bile

    2009-09-01

    Pakistan launched its Maternal, Neonatal and Child Health (MNCH) programme in 2006 in collaboration with the World Health Organization (WHO) and other partners to bridge gaps and upscale interventions aimed at reducing mortality and achieving the Millennium Development Goals (MDGs). The country will have an uphill task in meeting by 2020, the 2015 targets set for attainment of MDGs 4 and 5. The current Contraceptive Prevalence Rate (CPR) level of 30% is considerably below the 60% target set for 2020 and the current Total Fertility Rate (TFR), estimated at 4, is significantly higher than the set target of 2.1. Similarly, the Infant Mortality Rate (IMR) of 78 per 1,000 live births is lagging behind the MDG target of 40 per 1,000 live births, while the Maternal Mortality Ratio (MMR) of 276 per 105 live births is higher than the MDG target of 140 per 105 live births. With the rural population at an added disadvantage by reporting 82% and 40% higher MMR and IMR respectively-relative to the population of urban and major cities-reducing the current population growth rate of about 1.7% to 1.3% in the envisaged limited timeframe appears challenging. To overcome these programmatic impediments, the existing fragmentation in implementation of MNCH/Reproductive Health (RH) and Family Planning (FP) services needs to be urgently addressed. To respond to this call, the ministries of Health and Population made a joint commitment at the end of 2008 to bring about functional integration by delivering the MNCH/RH/FP services in a unified manner and by setting up effective institutional, strategic and operational mechanisms that can enhance the implementation process. To significantly reduce IMR and MMR and improve RH/FP outcomes, the two ministries must challenge the status quo and promote the coordination of health and population policies, improve MNCH/RF and FP management practices including monitoring and supervision, deploy, train and motivate the health workforce and strengthen

  20. Passive fire building protection system evaluation (case study: millennium ict centre)

    NASA Astrophysics Data System (ADS)

    Rahman, Vinky; Stephanie

    2018-03-01

    Passive fire protection system is a system that refers to the building design, both regarding of architecture and structure. This system usually consists of structural protection that protects the structure of the building and prevents the spread of fire and facilitate the evacuation process in case of fire. Millennium ICT Center is the largest electronic shopping center in Medan, Indonesia. As a public building that accommodates the crowd, this building needs a fire protection system by the standards. Therefore, the purpose of this study is to evaluate passive fire protection system of Millennium ICT Center building. The study was conducted to describe the facts of the building as well as direct observation to the research location. The collected data is then processed using the AHP (Analytical Hierarchy Process) method in its weighting process to obtain the reliability value of passive fire protection fire system. The results showed that there are some components of passive fire protection system in the building, but some are still unqualified. The first section in your paper

  1. Women at the Millennium, Accomplishments and Challenges Ahead. Facts on Working Women.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    To benefit from new millennium opportunities, women should take advantage of the burgeoning information technology revolution and growth in other mathematics- and science-based occupations. Among occupations, professional jobs will increase the fastest and add the most employment. Among industries, the computer and data processing services…

  2. Girls' Access to Education in China: Actors, Cultures and the Windmill of Development Management. CREATE Pathways to Access. Research Monograph No. 39

    ERIC Educational Resources Information Center

    Wang, Xiaojun Grace

    2010-01-01

    The world has a mixed record towards achieving EFA [Education for All] and the MDGs [Millennium Development Goals] in relation to the targets on gender equity in basic education. For researchers and practitioners, this raises the question of which factors influence the processes leading to the improvement of access and quality of girls' education…

  3. Toward an Essential Ethic for Teaching Science in the New Millennium.

    ERIC Educational Resources Information Center

    Hays, Irene de la Bretonne

    The purpose of this study was to identify and explore values and views that might underlie an essential ethic for teaching science in the new millennium. With such an ethic, teachers may be better able to prepare young people to form and fully participate in communities that restore and sustain Earth. Reviewed in the literature for this study were…

  4. Fluidics and heat generation of Alcon Infiniti and Legacy, Bausch & Lomb Millennium, and advanced medical optics sovereign phacoemulsification systems.

    PubMed

    Floyd, Michael S; Valentine, Jeremy R; Olson, Randall J

    2006-09-01

    To study heat generation, vacuum, and flow characteristics of the Alcon Infiniti and Bausch & Lomb Millennium with results compared with the Alcon Legacy and advanced medical optics (AMO) Sovereign machines previously studied. Experimental study. Heat generation with continuous ultrasound was determined with and without a 200-g weight. Flow and vacuum were determined from 12 to 40-ml/min in 2-ml/min steps. The impact of a STAAR Cruise Control was also tested. Millennium created the most heat/20% of power (5.67 +/- 0.51 degrees C unweighted and 6.80 +/- 0.80 degrees C weighted), followed by Sovereign (4.59 +/- 0.70 degrees C unweighted and 5.65 +/- 0.72 degrees C weighted), Infiniti (2.79 +/- 0.62 degrees C unweighted and 3.96 +/- 0.31 degrees C weighted), and Legacy (1.99 +/- 0.49 degrees C unweighted and 4.27 +/- 0.76 degrees C weighted; P < .0001 for all comparisons between machines except Infiniti vs Legacy, both weighted). Flow studies revealed that Millennium Peristaltic was 17% less than indicated (P < .0001 to all other machines), and all other machines were within 3.5% of indicated. Cruise Control decreased flow by 4.1% (P < .0001 for same machine without it). Millennium Venturi had the greatest vacuum (81% more than the least Sovereign; P < .0001), and Cruise Control increased vacuum in a peristaltic machine 35% more than the Venturi system (P < .0001). Percent power is not consistent in regard to heat generation, however, flow was accurate for all machines except Millennium Peristaltic. Restriction with Cruise Control elevates unoccluded vacuum to levels greater than the Venturi system tested.

  5. DMCA Section 104 Report: A Report of the Register of Copyrights Pursuant to [Section] 104 of the Digital Millennium Copyright Act.

    ERIC Educational Resources Information Center

    Library of Congress, Washington, DC. Copyright Office.

    As required under section 104 of Public Law No. 105-304, this Report evaluates the effects of title I of the Digital Millennium Copyright Act (DMCA) of 1998 and the development of electronic commerce and associated technology on the operation of sections 109 and 117 of title 17, U.S.C. It also evaluates the relationship between existing and…

  6. Community College Faculty Development Program and Student Achievement

    ERIC Educational Resources Information Center

    Perez, Aaron M.; McShannon, Judy; Hynes, Pat

    2012-01-01

    Community college administrators look for strategies to help students. GRASP (Gaining Retention and Achievement for Students Program) is a semester-long faculty development program that coaches community college instructors about simple, effective teaching strategies that promote student academic achievement. GRASP is founded on the belief that…

  7. Obesity and Associated Adverse Health Outcomes Among U.S. Military Members and Veterans: Findings from the Millennium Cohort Study

    DTIC Science & Technology

    2016-06-27

    Obesity and Associated Adverse Health Outcomes Among US Military Members and Veterans: Findings from the Millennium Cohort Study Toni Rush1,2,3...Cynthia A. LeardMann3, and Nancy F. Crum-Cianflone1,3,4 Objective: To assess the prevalence of obesity and associated health outcomes among US service...members and veterans. Methods: Data from three survey cycles (2001–2008) of the Millennium Cohort Study were used to examine the prevalence of obesity

  8. Progress towards millennium development goal 1 in northern rural Nicaragua: Findings from a health and demographic surveillance site

    PubMed Central

    2012-01-01

    Background Millennium Development Goal 1 encourages local initiatives for the eradication of extreme poverty. However, monitoring is indispensable to insure that actions performed at higher policy levels attain success. Poverty in rural areas in low- and middle-income countries remains chronic. Nevertheless, a rural area (Cuatro Santos) in northern Nicaragua has made substantial progress toward poverty eradication by 2015. We examined the level of poverty there and described interventions aimed at reducing it. Methods Household data collected from a Health and Demographic Surveillance System was used to analyze poverty and the transition out of it, as well as background information on family members. In the follow-up, information about specific interventions (i.e., installation of piped drinking water, latrines, access to microcredit, home gardening, and technical education) linked them to the demographic data. A propensity score was used to measure the association between the interventions and the resulting transition from poverty. Results Between 2004 and 2009, poverty was reduced as a number of interventions increased. Although microcredit was inequitably distributed across the population, combined with home gardening and technical training, it resulted in significant poverty reduction in this rural area. Conclusions Sustainable interventions reduced poverty in the rural areas studied by about one- third. PMID:22894144

  9. Progress towards Millennium Development Goal 1 in northern rural Nicaragua: findings from a health and demographic surveillance site.

    PubMed

    Pérez, Wilton; Blandón, Elmer Zelaya; Persson, Lars-Åke; Peña, Rodolfo; Källestål, Carina

    2012-08-15

    Millennium Development Goal 1 encourages local initiatives for the eradication of extreme poverty. However, monitoring is indispensable to insure that actions performed at higher policy levels attain success. Poverty in rural areas in low- and middle-income countries remains chronic. Nevertheless, a rural area (Cuatro Santos) in northern Nicaragua has made substantial progress toward poverty eradication by 2015. We examined the level of poverty there and described interventions aimed at reducing it. Household data collected from a Health and Demographic Surveillance System was used to analyze poverty and the transition out of it, as well as background information on family members. In the follow-up, information about specific interventions (i.e., installation of piped drinking water, latrines, access to microcredit, home gardening, and technical education) linked them to the demographic data. A propensity score was used to measure the association between the interventions and the resulting transition from poverty. Between 2004 and 2009, poverty was reduced as a number of interventions increased. Although microcredit was inequitably distributed across the population, combined with home gardening and technical training, it resulted in significant poverty reduction in this rural area. Sustainable interventions reduced poverty in the rural areas studied by about one-third.

  10. New Achievements in Technology Education and Development

    ERIC Educational Resources Information Center

    Soomro, Safeeullah, Ed.

    2010-01-01

    Since many decades Education Science and Technology has an achieved tremendous recognition and has been applied to variety of disciplines, mainly Curriculum development, methodology to develop e-learning systems and education management. Many efforts have been taken to improve knowledge of students, researchers, educationists in the field of…

  11. Expanding Access and Opportunity: The Impact of the Gates Millennium Scholars Program

    ERIC Educational Resources Information Center

    Ramsey, Jennifer

    2010-01-01

    In 1999, the Bill & Melinda Gates Foundation began an innovative scholarship program that provides full financial support to low-income minority students across the United States. The Gates Millennium Scholars (GMS) program has already awarded more than 10,000 scholarships to exceptional students, with the ultimate goal of funding at least…

  12. Chronic urticaria in adults: state-of-the-art in the new millennium*

    PubMed Central

    Criado, Paulo Ricardo; Criado, Roberta Facchini Jardim; Maruta, Celina Wakisaka; dos Reis, Vitor Manoel Silva

    2015-01-01

    Chronic urticaria has been explored in several investigative aspects in the new millennium, either as to its pathogenesis, its stand as an autoimmune or auto-reactive disease, the correlation with HLA-linked genetic factors, especially with class II or its interrelation with the coagulation and fibrinolysis systems. New second-generation antihistamines, which act as good symptomatic drugs, emerged and were commercialized over the last decade. Old and new drugs that may interfere with the pathophysiology of the disease, such as cyclosporine and omalizumab have been developed and used as treatments. The purpose of this article is to describe the current state of knowledge on aspects of chronic urticaria such as, pathophysiology, diagnosis and the current therapeutic approach proposed in the literature. PMID:25672302

  13. Achievement goal profiles and developments in effort and achievement in upper elementary school.

    PubMed

    Hornstra, Lisette; Majoor, Marieke; Peetsma, Thea

    2017-12-01

    The multiple goal perspective posits that certain combinations of achievement goals are more favourable than others in terms of educational outcomes. This study aimed to examine longitudinally whether students' achievement goal profiles and transitions between profiles are associated with developments in self-reported and teacher-rated effort and academic achievement in upper elementary school. Participants were 722 fifth-grade students and their teachers in fifth and sixth grade (N = 68). Students reported on their achievement goals and effort in language and mathematics three times in grade 5 to grade 6. Teachers rated students' general school effort. Achievement scores were obtained from school records. Goal profiles were derived with latent profile and transition analyses. Longitudinal multilevel analyses were conducted. Theoretically favourable goal profiles (high mastery and performance-approach goals, low on performance-avoidance goals), as well as transitions from less to more theoretically favourable goal profiles, were associated with higher levels and more growth in effort for language and mathematics and with stronger language achievement gains. Overall, these results provide support for the multiple goal perspective and show the sustained benefits of favourable goal profiles beyond effects of cognitive ability and background characteristics. © 2017 The Authors. British Journal of Education Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

  14. SU-F-T-366: Dosimetric Parameters Enhancement of 120-Leaf Millennium MLC Using EGSnrc and IAEA Phase-Space Data

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Haddad, K; Alopoor, H

    Purpose: Recently, the multileaf collimators (MLC) have become an important part of any LINAC collimation systems because they reduce the treatment planning time and improves the conformity. Important factors that affects the MLCs collimation performance are leaves material composition and their thickness. In this study, we investigate the main dosimetric parameters of 120-leaf Millennium MLC including dose in the buildup point, physical penumbra as well as average and end leaf leakages. Effects of the leaves geometry and density on these parameters are evaluated Methods: From EGSnrc Monte Carlo code, BEAMnrc and DOSXYZnrc modules are used to evaluate the dosimetric parametersmore » of a water phantom exposed to a Varian xi for 100cm SSD. Using IAEA phasespace data just above MLC (Z=46cm) and BEAMnrc, for the modified 120-leaf Millennium MLC a new phase space data at Z=52cm is produces. The MLC is modified both in leaf thickness and material composition. EGSgui code generates 521ICRU library for tungsten alloys. DOSXYZnrc with the new phase space evaluates the dose distribution in a water phantom of 60×60×20 cm3 with voxel size of 4×4×2 mm3. Using DOSXYZnrc dose distributions for open beam and closed beam as well as the leakages definition, end leakage, average leakage and physical penumbra are evaluated. Results: A new MLC with improved dosimetric parameters is proposed. The physical penumbra for proposed MLC is 4.7mm compared to 5.16 mm for Millennium. Average leakage in our design is reduced to 1.16% compared to 1.73% for Millennium, the end leaf leakage suggested design is also reduced to 4.86% compared to 7.26% of Millennium. Conclusion: The results show that the proposed MLC with enhanced dosimetric parameters could improve the conformity of treatment planning.« less

  15. Hemispherically Asymmetric Volcanic Forcing of Tropical Hydroclimate During the Last Millennium

    NASA Technical Reports Server (NTRS)

    Colose, Christopher M.; Legrande, Allegra N.; Vuille, Mathias

    2016-01-01

    Volcanic aerosols exert the most important natural radiative forcing of the last millennium. State-of-the-art paleoclimate simulations of this interval are typically forced with diverse spatial patterns of volcanic forcing, leading to different responses in tropical hydroclimate. Recently, theoretical considerations relating the intertropical convergence zone (ITCZ) position to the demands of global energy balance have emerged in the literature, allowing for a connection to be made between the paleoclimate simulations and recent developments in the understanding of ITCZ dynamics. These energetic considerations aid in explaining the well-known historical, paleoclimatic, and modeling evidence that the ITCZ migrates away from the hemisphere that is energetically deficient in response to asymmetric forcing. Here we use two separate general circulation model (GCM) suites of experiments for the last millennium to relate the ITCZ position to asymmetries in prescribed volcanic sulfate aerosols in the stratosphere and related asymmetric radiative forcing. We discuss the ITCZ shift in the context of atmospheric energetics and discuss the ramifications of transient ITCZ migrations for other sensitive indicators of changes in the tropical hydrologic cycle, including global streamflow. For the first time, we also offer insight into the large-scale fingerprint of water isotopologues in precipitation (delta sup 18 Op) in response to asymmetries in radiative forcing. The ITCZ shifts away from the hemisphere with greater volcanic forcing. Since the isotopic composition of precipitation in the ITCZ is relatively depleted compared to areas outside this zone, this meridional precipitation migration results in a large-scale enrichment (depletion) in the isotopic composition of tropical precipitation in regions the ITCZ moves away from (toward). Our results highlight the need for careful consideration of the spatial structure of volcanic forcing for interpreting volcanic signals in

  16. Associations between maternal experiences of racism and early child health and development: findings from the UK Millennium Cohort Study.

    PubMed

    Kelly, Yvonne; Becares, Laia; Nazroo, James

    2013-01-01

    Emerging evidence suggests that experienced racism might help explain observed ethnic inequalities in early child health and development. There are few studies outside the US context and none that consider mothers' experiences of racism in relation to a range of early childhood health and developmental markers. The authors used cross-sectional data from the UK Millennium Cohort Study on 2136 mothers and their 5-year-old children from ethnic minority groups. Measures of racism tapped two dimensions of mothers' experience: perceived frequency of racist attacks in residential area and interpersonal racism. Markers of child health and development were obesity; socioemotional difficulties; cognitive: verbal, non-verbal and spatial ability test scores. There was a suggestion that the mothers' experience of interpersonal racism was associated with an increased risk of obesity ('received insults' OR=1.47; 'treated unfairly' OR=1.57; 'disrespectful treatment by shop staff' OR=1.55), but all CIs crossed 1.0, and size estimates were attenuated on further statistical adjustment. Perception of racism in the residential area was associated with socioemotional difficulties (fully adjusted coefficient=1.40, SE=0.47) and spatial abilities (fully adjusted coefficient=-1.99, SE=0.93) but not with verbal or non-verbal ability scores. Maternal experiences of racist insults were associated with non-verbal ability scores (fully adjusted coefficient=-1.70, SE=0.88). The results suggest that mothers' experienced racism is linked to markers of early child health and development. Interventions that aim to improve early child development and address ethnic health inequalities need to incorporate approaches to tackling racism at all levels of society.

  17. European summer heatwaves and North Atlantic weather regimes in the last Millennium

    NASA Astrophysics Data System (ADS)

    Alvarez Castro, Maria del Carmen; Trasancos, Romain; Yiou, Pascal

    2015-04-01

    The European summer heatwaves have been increasing in frequency and magnitude in the past decades. A higher confidence in future changes in such extremes necessitates to have a better knowledge about extremes behavior in the past climate. The last millennium is well documented in terms of climate forcings. Modelling efforts have provided a wealth of climate simulations covering the last millennium. We want to exploit such data in order to assess how models simulate extreme summer heatwaves. The surface temperature and precipitation are closely related to atmospheric patterns. It has been shown that rainy winter/spring seasons reduce the frequency of hot summer days whereas dry seasons can be followed by summers with high or low frequency of hot days. In this poster, we show the relation between winter/spring precipitation with the frequency of hot days in the 10 hottest summers in Europe and Southern Europe during the Medieval Warm Period (MWP 1150-1250), the Little Ice Age (LIA 1650-1750), and the historical-present period (1850-2005). We first focus on a millennium simulations with the IPSL model (IPSL-CM5). We use daily temperature, precipitation, and SLP data from CMIP5 (Coupled Model Intercomparison Project phase 5) and a couple of IPSL simulations with diferents forcings. Summer weather regimes has been computed as well for NCEP sea level pressure data in order to compare observations with the same period (1948-2005) in CMIP5 and IPSL simulations outputs. We discuss and present the results comparing the effects of hydrological deficits in the preceding season, and the occurrence of specific weather regimes, during the hottest summers over Europe and SouthWestern Europe. This analysis compares differents climate forcings simulations.

  18. Renal surgery in the new millennium.

    PubMed

    Delvecchio, F C; Preminger, G M

    2000-11-01

    In the not too distant future, the minimally invasive renal surgeon will be able to practice an operation on a difficult case on a three-dimensional virtual reality simulator, providing all attributes of the real procedure. The patient's imaging studies will be imported into the simulator to better mimic particular anatomy. When confident enough of his or her skills, the surgeon will start operating on the patient using the same virtual reality simulator/telepresence surgery console system, which will permit the live surgery to be conducted by robots hundreds of miles away. The robots will manipulate miniature endoscopes or control minimally or noninvasive ablative technologies. Endoscopic/laparoscopic footage of the surgical procedure will be stored digitally in optical disks to be used later in telementoring of a surgery resident. All this and more will be possible in the not so distant third millennium.

  19. Professionals with Delivery Skills: Backbone of the Health System and Key to Reaching the Maternal Health Millennium Development Goal

    PubMed Central

    Wirth, Meg

    2008-01-01

    The attainment of the fifth Millennium Development Goal requires adequate national reserves of skilled birth attendants. Nurses, midwives, and their equivalents form the frontline of the formal health system are a critical element of global efforts to reduce ill-health and poverty in the poorest areas of the world. Planning and policies supporting these cadres of workers must be placed high on the development agenda and championed by key international and national players. This article first sets forth an argument for the equity and efficiency of nurses, midwives, and their equivalents as the cadre largely responsible for maternal health. Second, it traces the root causes of neglect of this critical cadre, including a vacuum in political will in the context of poverty, lack of protections for frontline workers, the historical political position of the field of midwifery, lack of a pipeline of secondary school graduates, and gender inequity. Investment in the largely female cadre that cares for the majority of the world’s poorer women has simply not been a high enough priority. Key policy recommendations include harnessing political will and adequate metrics, protection of frontline workers’ safety and livelihoods, ensuring an adequate pipeline with a focus on girls’ education and donor support for training and professional organizations. The fifth and final policy recommendation is a call for unified international support of rapid scale-up of cadres of delivery care workers. PMID:18581610

  20. Rapid climate fluctuations over the past millennium: evidence from a lacustrine record of Basomtso Lake, southeastern Tibetan Plateau

    PubMed Central

    Li, Kai; Liu, Xingqi; Herzschuh, Ulrike; Wang, Yongbo

    2016-01-01

    Abrupt climate changes and fluctuations over short time scales are superimposed on long-term climate changes. Understanding rapid climate fluctuations at the decadal time scale over the past millennium will enhance our understanding of patterns of climate variability and aid in forecasting climate changes in the future. In this study, climate changes on the southeastern Tibetan Plateau over the past millennium were determined from a 4.82-m-long sediment core from Basomtso Lake. At the centennial time scale, the Medieval Climate Anomaly (MCA), Little Ice Age (LIA) and Current Warm Period (CWP) are distinct in the Basomtso region. Rapid climate fluctuations inferred from five episodes with higher sediment input and likely warmer conditions, as well as seven episodes with lower sediment input and likely colder conditions, were well preserved in our record. These episodes with higher and lower sediment input are characterized by abrupt climate changes and short time durations. Spectral analysis indicates that the climate variations at the centennial scale on the southeastern Tibetan Plateau are influenced by solar activity during the past millennium. PMID:27091591

  1. Measles Vaccination Supports Millennium Development Goal 4: Increasing Coverage and Increasing Child Survival in Northern Ghana, 1996-2012.

    PubMed

    Welaga, Paul; Hodgson, Abraham; Debpuur, Cornelius; Aaby, Peter; Binka, Fred; Azongo, Daniel; Oduro, Abraham

    2018-01-01

    study, our findings suggest that measles vaccination, administered in the recommended sequence, is associated with improved child survival and may have contributed importantly to the mortality decline toward the achievement of Millennium Development Goal 4.

  2. The New Millennium and an Education That Captures the Basic Spirit of Science.

    ERIC Educational Resources Information Center

    Bybee, Rodger W.

    This document discusses reflections of the old and new millennium on education that capture the basic spirit of science. The explanation includes basic scientific ideas in physical sciences, earth systems, solar system and space; living systems; basic scientific thinking; the basic distinction between science and technology; basic connections…

  3. Modeling walker synchronization on the Millennium Bridge.

    PubMed

    Eckhardt, Bruno; Ott, Edward; Strogatz, Steven H; Abrams, Daniel M; McRobie, Allan

    2007-02-01

    On its opening day the London Millennium footbridge experienced unexpected large amplitude wobbling subsequent to the migration of pedestrians onto the bridge. Modeling the stepping of the pedestrians on the bridge as phase oscillators, we obtain a model for the combined dynamics of people and the bridge that is analytically tractable. It provides predictions for the phase dynamics of individual walkers and for the critical number of people for the onset of oscillations. Numerical simulations and analytical estimates reproduce the linear relation between pedestrian force and bridge velocity as observed in experiments. They allow prediction of the amplitude of bridge motion, the rate of relaxation to the synchronized state and the magnitude of the fluctuations due to a finite number of people.

  4. Contribution of the Greenland Ice Sheet to Sea-Level over the Next Millennium

    NASA Astrophysics Data System (ADS)

    Aschwanden, A.; Fahnestock, M. A.; Truffer, M.

    2017-12-01

    The contribution of Greenland's outlet glaciers to sea-level remains a wild card in global sea level predictions but progress in mapping ice thickness combined with high-resolution flow modeling now allow to revisit questions about the long-term stability of the ice sheet. Here we present the first outlet glacier resolving assessment of Greenland's contribution to sea-level over the next millennium. We find that increased ice discharge resulting from acceleration of outlet glaciers due to ice melt at tidewater glacier margins dominates mass loss during the 21st century. However, as the ice sheet surfaces lowers, surface melt increases and over the course of the millennium, the relative contribution of ice discharge to total mass loss decreases. By the end of the 22nd century, most outlet glaciers in the north-west will have retreated out of tide-water, while in south-east enhanced precipitation partially offsets high ice discharge. The outlet glaciers of the central west coast, most notably Jakobshavn Isbrae, play a key role in dynamic mass loss due to their submarine connection to the interior reservoir. We find that coast-ward advection of cold ice from the interior counteracts outlet glacier acceleration by increasing ice viscosity and thereby reducing vertical shearing. Under the RCP 8.5 scenario, the ice margin in north and north-east Greenland retreats far enough to reach the vast interior where the subglacial topography is below sea level. This leads to a dramatic retreat in the second part of the millenium, and Greenland could shrink to 10% of its current volume by the end of the millennium.

  5. Planning for successful outcomes in the new millennium.

    PubMed

    Matthews, P

    2000-02-01

    The complexity of the health care environment will increase in the next millennium. Organizations must adopt an approach of selecting outcomes management solutions that are focused on data capture, analysis, and comparative reviews and reporting. They must decisively and creatively implement, in a phased approach, integrated solutions from existing robust systems, while considering future systems targeted for implementation. Outcomes management solutions must be integrated with the organization's information systems strategic plan. The successful organization must be able to turn business-critical data into information that supports both business and clinical decision-making activities. In short, health care organizations will have to become information-driven.

  6. Whatever Happened to Postmodernism in Higher Education? No Requiem in the New Millennium

    ERIC Educational Resources Information Center

    Bloland, Harland G.

    2005-01-01

    This article concerns the usefulness of postmodernity for illuminating change in higher education associated with the new millennium. Overarching is the notion that history is not a smooth, rational, progressive unfolding of events but a series of ruptures and fragmenting disjunctures. This article asserts that when viewed in epochal terms, the…

  7. Gendering the millennium: globalising women.

    PubMed

    Afshar, H

    2000-08-01

    As the century has just changed for the Western calendar it should be borne in mind that for a vast part of the world the centuries are rolling at a different time and under different conditions. So, although we live and trade in a "global village", we are yet divided by time, space, and ideologies. The hope is that the 21st century will enable us to have a closer look at each other and that the global networks, the web sites, and the electronic mailing systems, will work as a bridge rather than as a new means of widening the gaps. This article is a plea for a better understanding of the different priorities and views that Islamist women have of themselves, of their place in history, and what it is that they need to fight for. It is also a call for the universality of sisterhood and a wish that the solidarity that was forged in the latter part of the 20th century will not be fragmented into smithereens in the new millennium.

  8. The field of affectiveology at the new millennium: clinically relevant advances as reflected in books (1998-2007).

    PubMed

    Akiskal, Hagop

    2008-04-01

    This brief review summarizes what in the view of the writer represent 10 illustrative authored monographs (as contrasted to edited texts) reflecting the transition of the field of affectiveology into the new millennium. The choice of these books is meant to emphasize the breadth of our field, embracing among others normal emotional life, the clinical descriptive approach, evolutionary biology, genetics, neurobiology, and therapeutics. I may have had some penchant for the unusual--and in this sense this is a very personal list--but my intention was to highlight new developments which are shaping our field.

  9. Health Impact of US Military Service in a Large Population-Based Military Cohort: Findings of the Millennium Cohort Study, 2001-2008

    DTIC Science & Technology

    2011-01-01

    427. 26. Smith TC, Wingard DL, Ryan MA, Kritz- Silverstein D, Slymen DJ, Sallis JF, for the Millennium Cohort Study Team: Prior assault and... Silverstein D, for the Millennium Cohort Study Team: New onset and persistent symptoms of post- traumatic stress disorder self reported after deployment...deployed to the 2003 Iraq war: a cohort study. Lancet 2006, 367(9524):1731-1741. 41. Smith TC, Wingard DL, Ryan MAK, Kritz- Silverstein D, Slymen DJ, Sallis

  10. Achievement Motivation Development Project. Final Report. Appendix IV, Part 2.

    ERIC Educational Resources Information Center

    McClelland, David C.; Alschuler, Alfred S.

    The Achievement Motivation Development Project is described. The Project has culminated in the development of course materials designed explicitly to promote aspects of psychological growth. As such, it is viewed as but one thrust in an emerging psychological education movement. Achievement motivation is defined as a way of planning, a set of…

  11. Extending the 2 x 2 Achievement Goal Framework: Development of a Measure of Scientific Achievement Goals

    ERIC Educational Resources Information Center

    Deemer, Eric D.; Carter, Alice P.; Lobrano, Michael T.

    2010-01-01

    The current research sought to extend the 2 x 2 achievement goal framework by developing and testing the Achievement Goals for Research Scale (AGRS). Participants (N = 317) consisted of graduate students in the life, physical, and behavioral sciences. A principal components analysis (PCA) extracted five components accounting for 72.59% of the…

  12. Financial wellness awareness: A step closer to achieve Millennium Development Goals for Pakistan

    PubMed Central

    Rehman, Rehana; Katpar, Shahjahan; Khan, Rakhshaan; Hussain, Mehwish

    2015-01-01

    Objective: To explore financial wellness (FW) awareness amongst public and private sector medical college students of Karachi. Methods: A cross sectional questionnaire based survey was conducted on medical students from 3 public and 5 private sector medical colleges of Karachi from February 2011 to December 2011. All ethnic groups having age range of 18-23 years were included. A questionnaire tailored from wellness wheel evaluated the responses of FW on a four point Likert’s scale ranging from 0-3(never, sometimes, mostly, and always). Factor analysis explored common FW factors among both public and private sector medical college (MC) students. Results: Private MC Students were better in terms of making short and long terms financial goals compared to students in public sector. The students of public MC were more focused to make and restricting to given budgets (p=0.05). The FW element of keeping savings in bank account was responded more by private MC candidates (P < 0.0001) but was spent thrift as well (P < 0.0001). Factor analysis revealed two factors; ‘Financial Security Wellness’ which was better in Private MC Students (p=0.001) and ‘Care towards Expenses Wellness” in which results were not significant. Conclusion: Both groups of medical college students lacked FW awareness element in terms of caring towards financial expenses. The awareness of importance of financial security was practiced better by private MC students in terms of making short and long term financial goals and keeping savings in bank accounts. They were however deficient in the knowledge of making and restricting themselves to budgets. PMID:25878613

  13. Financial wellness awareness: A step closer to achieve Millennium Development Goals for Pakistan.

    PubMed

    Rehman, Rehana; Katpar, Shahjahan; Khan, Rakhshaan; Hussain, Mehwish

    2015-01-01

    To explore financial wellness (FW) awareness amongst public and private sector medical college students of Karachi. A cross sectional questionnaire based survey was conducted on medical students from 3 public and 5 private sector medical colleges of Karachi from February 2011 to December 2011. All ethnic groups having age range of 18-23 years were included. A questionnaire tailored from wellness wheel evaluated the responses of FW on a four point Likert's scale ranging from 0-3(never, sometimes, mostly, and always). Factor analysis explored common FW factors among both public and private sector medical college (MC) students. Private MC Students were better in terms of making short and long terms financial goals compared to students in public sector. The students of public MC were more focused to make and restricting to given budgets (p=0.05). The FW element of keeping savings in bank account was responded more by private MC candidates (P < 0.0001) but was spent thrift as well (P < 0.0001). Factor analysis revealed two factors; 'Financial Security Wellness' which was better in Private MC Students (p=0.001) and 'Care towards Expenses Wellness" in which results were not significant. Both groups of medical college students lacked FW awareness element in terms of caring towards financial expenses. The awareness of importance of financial security was practiced better by private MC students in terms of making short and long term financial goals and keeping savings in bank accounts. They were however deficient in the knowledge of making and restricting themselves to budgets.

  14. Faculty Development and Achievement: A Faculty's View.

    ERIC Educational Resources Information Center

    Braskamp, Larry A.; And Others

    The way that 48 faculty at a major research university view their professional aspirations, achievement, and career conflicts between their professional activities and personal relationships was evaluated. In addition, a conceptual framework of faculty development using three professorial ranks as three qualitatively different stages of…

  15. Photochemical Phenomenology Model for the New Millennium

    NASA Technical Reports Server (NTRS)

    Bishop, James; Evans, J. Scott

    2001-01-01

    The "Photochemical Phenomenology Model for the New Millennium" project tackles the issue of reengineering and extension of validated physics-based modeling capabilities ("legacy" computer codes) to application-oriented software for use in science and science-support activities. While the design and architecture layouts are in terms of general particle distributions involved in scattering, impact, and reactive interactions, initial Photochemical Phenomenology Modeling Tool (PPMT) implementations are aimed at construction and evaluation of photochemical transport models with rapid execution for use in remote sensing data analysis activities in distributed systems. Current focus is on the Composite Infrared Spectrometer (CIRS) data acquired during the CASSINI flyby of Jupiter. Overall, the project has stayed on the development track outlined in the Year 1 annual report and most Year 2 goals have been met. The issues that have required the most attention are: implementation of the core photochemistry algorithms; implementation of a functional Java Graphical User Interface; completion of a functional CORBA Component Model framework; and assessment of performance issues. Specific accomplishments and the difficulties encountered are summarized in this report. Work to be carried out in the next year center on: completion of testing of the initial operational implementation; its application to analysis of the CASSINI/CIRS Jovian flyby data; extension of the PPMT to incorporate additional phenomenology algorithms; and delivery of a mature operational implementation.

  16. Education Finance in the New Millennium. Yearbook of the American Education Finance Association, 2001.

    ERIC Educational Resources Information Center

    Chaikind, Stephen, Ed.; Fowler, William J., Ed.

    This yearbook reaffirms the connections between the field of education finance and the wider education community. Among the topics it examines are curricula reform, outcome assessment, accountability, community control, and privatization. Twelve chapters include: (1) "Education Finance in the New Millennium: Overview and Summary" (Stephen Chaikind…

  17. Development of Online Raw Achievement Battery Test for Primary Level

    ERIC Educational Resources Information Center

    Hanif, Maria; Khan, Tamim Ahmed; Masroor, Uzma; Amjad, Amira

    2017-01-01

    Achievement test is a mechanism to measure student's knowledge and abilities. Numerous categories of achievement tests have been developed by different scholars and psychologists. Since they do not directly consider curriculum adopted during the course of study of students, they do not reflect truly upon the achievements of students. We propose an…

  18. International Inequalities: Algebraic Investigations into Health and Economic Development

    ERIC Educational Resources Information Center

    Staats, Susan; Robertson, Douglas

    2009-01-01

    The Millennium Project is an international effort to improve the health, economic status, and environmental resources of the world's most vulnerable people. Using data associated with the Millennium Project, students use algebra to explore international development issues including poverty reduction and the relationship between health and economy.…

  19. Diarrhoeal diseases in developing countries: a situational analysis.

    PubMed

    Kumar, S G; Subitha, L

    2012-01-01

    Recent data showed that there is no much reduction in diarrhoea related morbidity in developing countries. This is important in view of the Millennium Developmental Goal (MDG) to be achieved by 2015. This study reviewed and analyzed after gathering the recent literature information from Pubmed, internet and other sources. The authors discussed public health issues related to diarrhoeal diseases that include problem burden, determinants, intervention strategies, management, prevention and recent developments for control of diarrhoea among under-five children in developing countries. The study emphasizes the need for strengthening of comprehensive diarrhoeal disease prevention strategy at primary level including improvement of water quality, hygiene and sanitation, along with provision of oral rehydration solution and zinc supplements, and research in the field of vaccine and cost effective interventions.

  20. Health impact of US military service in a large population-based military cohort: findings of the Millennium Cohort Study, 2001-2008

    PubMed Central

    2011-01-01

    Background Combat-intense, lengthy, and multiple deployments in Iraq and Afghanistan have characterized the new millennium. The US military's all-volunteer force has never been better trained and technologically equipped to engage enemy combatants in multiple theaters of operations. Nonetheless, concerns over potential lasting effects of deployment on long-term health continue to mount and are yet to be elucidated. This report outlines how findings from the first 7 years of the Millennium Cohort Study have helped to address health concerns related to military service including deployments. Methods The Millennium Cohort Study was designed in the late 1990s to address veteran and public concerns for the first time using prospectively collected health and behavioral data. Results Over 150 000 active-duty, reserve, and National Guard personnel from all service branches have enrolled, and more than 70% of the first 2 enrollment panels submitted at least 1 follow-up survey. Approximately half of the Cohort has deployed in support of operations in Iraq and Afghanistan. Conclusion The Millennium Cohort Study is providing prospective data that will guide public health policymakers for years to come by exploring associations between military exposures and important health outcomes. Strategic studies aim to identify, reduce, and prevent adverse health outcomes that may be associated with military service, including those related to deployment. PMID:21281496

  1. Integrated Tree-Ring-Radiocarbon High-Resolution Timeframe to Resolve Earlier Second Millennium BCE Mesopotamian Chronology.

    PubMed

    Manning, Sturt W; Griggs, Carol B; Lorentzen, Brita; Barjamovic, Gojko; Ramsey, Christopher Bronk; Kromer, Bernd; Wild, Eva Maria

    2016-01-01

    500 years of ancient Near Eastern history from the earlier second millennium BCE, including such pivotal figures as Hammurabi of Babylon, Šamši-Adad I (who conquered Aššur) and Zimrilim of Mari, has long floated in calendar time subject to rival chronological schemes up to 150+ years apart. Texts preserved on clay tablets provide much information, including some astronomical references, but despite 100+ years of scholarly effort, chronological resolution has proved impossible. Documents linked with specific Assyrian officials and rulers have been found and associated with archaeological wood samples at Kültepe and Acemhöyük in Turkey, and offer the potential to resolve this long-running problem. Here we show that previous work using tree-ring dating to place these timbers in absolute time has fundamental problems with key dendrochronological crossdates due to small sample numbers in overlapping years and insufficient critical assessment. To address, we have integrated secure dendrochronological sequences directly with radiocarbon (14C) measurements to achieve tightly resolved absolute (calendar) chronological associations and identify the secure links of this tree-ring chronology with the archaeological-historical evidence. The revised tree-ring-sequenced 14C time-series for Kültepe and Acemhöyük is compatible only with the so-called Middle Chronology and not with the rival High, Low or New Chronologies. This finding provides a robust resolution to a century of uncertainty in Mesopotamian chronology and scholarship, and a secure basis for construction of a coherent timeframe and history across the Near East and East Mediterranean in the earlier second millennium BCE. Our re-dating also affects an unusual tree-ring growth anomaly in wood from Porsuk, Turkey, previously tentatively associated with the Minoan eruption of the Santorini volcano. This tree-ring growth anomaly is now directly dated ~1681-1673 BCE (68.2% highest posterior density range), ~20

  2. Integrated Tree-Ring-Radiocarbon High-Resolution Timeframe to Resolve Earlier Second Millennium BCE Mesopotamian Chronology

    PubMed Central

    Griggs, Carol B.; Lorentzen, Brita; Barjamovic, Gojko; Ramsey, Christopher Bronk; Kromer, Bernd; Wild, Eva Maria

    2016-01-01

    500 years of ancient Near Eastern history from the earlier second millennium BCE, including such pivotal figures as Hammurabi of Babylon, Šamši-Adad I (who conquered Aššur) and Zimrilim of Mari, has long floated in calendar time subject to rival chronological schemes up to 150+ years apart. Texts preserved on clay tablets provide much information, including some astronomical references, but despite 100+ years of scholarly effort, chronological resolution has proved impossible. Documents linked with specific Assyrian officials and rulers have been found and associated with archaeological wood samples at Kültepe and Acemhöyük in Turkey, and offer the potential to resolve this long-running problem. Here we show that previous work using tree-ring dating to place these timbers in absolute time has fundamental problems with key dendrochronological crossdates due to small sample numbers in overlapping years and insufficient critical assessment. To address, we have integrated secure dendrochronological sequences directly with radiocarbon (14C) measurements to achieve tightly resolved absolute (calendar) chronological associations and identify the secure links of this tree-ring chronology with the archaeological-historical evidence. The revised tree-ring-sequenced 14C time-series for Kültepe and Acemhöyük is compatible only with the so-called Middle Chronology and not with the rival High, Low or New Chronologies. This finding provides a robust resolution to a century of uncertainty in Mesopotamian chronology and scholarship, and a secure basis for construction of a coherent timeframe and history across the Near East and East Mediterranean in the earlier second millennium BCE. Our re-dating also affects an unusual tree-ring growth anomaly in wood from Porsuk, Turkey, previously tentatively associated with the Minoan eruption of the Santorini volcano. This tree-ring growth anomaly is now directly dated ~1681–1673 BCE (68.2% highest posterior density range), ~20

  3. Star Messenger: Galileo at the Millennium

    NASA Astrophysics Data System (ADS)

    White, R. E.

    1999-05-01

    Smith College has recently established the Louise B. and Edmund J. Kahn Liberal Arts Institute to foster interdisciplinary scholarship among the faculty. In the 1999-2000 academic year, the Kahn Institute is sponsoring a project entitled "Star Messenger: Galileo at the Millennium." The project will explore the impact of the astronomical discoveries of Galileo and his contemporaries on the Renaissance world-view and also use Galileo's experience as a lens for examining scientific and cultural developments at the symbolic juncture represented by the year 2000. Seven faculty fellows and 10-12 student fellows will participate in a year-long colloquium pursuing these themes, aided by the participation of some five Visiting Fellows. The inaugural public event will be a symposium on the historical Galileo, with presentation by three noted scholars, each of whom will return to campus for a second meeting with the Kahn colloquium. Additional events will include an exhibit of prints, artifacts, and rare books related to Galileo and his time, an early music concert featuring music composed by Galileo's father, and a series of other events sponsored by diverse departments and programs, all related to the broad themes of the Galileo project. The culminating events will be the premiere of a new music theater work, which will encapsulate the insights of the colloquium about human reactions to novel insights about the world, and a symposium presenting the research results of faculty and student fellows. The symposium will feature a capstone lecture by an visionary scholar projecting the implication of historical and contemporary trends into the future.

  4. The US Department of Defense Millennium Cohort Study: career span and beyond longitudinal follow-up.

    PubMed

    Smith, Tyler C

    2009-10-01

    To describe current and future career-span health research in the US Department of Defense Millennium Cohort Study. Collaborating with all military service branches and the Department of Veterans Affairs, the Millennium Cohort Study launched in 2001, before September 11 and the start of deployments in Afghanistan and Iraq, to conduct coordinated strategic research to determine any effects of military occupational and deployment-related exposures, on long-term health. More than 150,000 consenting members represent demographic, occupational, military, and health characteristics of the US military. More than 70% of the first two panels have submitted follow-up questionnaires and >50% have deployed since 2001. Prospective cohort data have identified subgroups of military populations at higher risk or more resilient to decrements in mental and physical health. Continued career span and beyond follow-up will answer long-term health questions related to military service.

  5. Water governance: learning by developing adaptive capacity to incorporate climate variability and change.

    PubMed

    Kashyap, A

    2004-01-01

    There is increasing evidence that global climate variability and change is affecting the quality and availability of water supplies. Integrated water resources development, use, and management strategies, represent an effective approach to achieve sustainable development of water resources in a changing environment with competing demands. It is also a key to achieving the Millennium Development Goals. It is critical that integrated water management strategies must incorporate the impacts of climate variability and change to reduce vulnerability of the poor, strengthen sustainable livelihoods and support national sustainable development. UNDP's strategy focuses on developing adaptation in the water governance sector as an entry point within the framework of poverty reduction and national sustainable development. This strategy aims to strengthen the capacity of governments and civil society organizations to have access to early warning systems, ability to assess the impact of climate variability and change on integrated water resources management, and developing adaptation intervention through hands-on learning by undertaking pilot activities.

  6. Building health research systems to achieve better health

    PubMed Central

    Hanney, Stephen R; González Block, Miguel A

    2006-01-01

    Health research systems can link knowledge generation with practical concerns to improve health and health equity. Interest in health research, and in how health research systems should best be organised, is moving up the agenda of bodies such as the World Health Organisation. Pioneering health research systems, for example those in Canada and the UK, show that progress is possible. However, radical steps are required to achieve this. Such steps should be based on evidence not anecdotes. Health Research Policy and Systems (HARPS) provides a vehicle for the publication of research, and informed opinion, on a range of topics related to the organisation of health research systems and the enormous benefits that can be achieved. Following the Mexico ministerial summit on health research, WHO has been identifying ways in which it could itself improve the use of research evidence. The results from this activity are soon to be published as a series of articles in HARPS. This editorial provides an account of some of these recent key developments in health research systems but places them in the context of a distinguished tradition of debate about the role of science in society. It also identifies some of the main issues on which 'research on health research' has already been conducted and published, in some cases in HARPS. Finding and retaining adequate financial and human resources to conduct health research is a major problem, especially in low and middle income countries where the need is often greatest. Research ethics and agenda-setting that responds to the demands of the public are issues of growing concern. Innovative and collaborative ways are being found to organise the conduct and utilisation of research so as to inform policy, and improve health and health equity. This is crucial, not least to achieve the health-related Millennium Development Goals. But much more progress is needed. The editorial ends by listing a wide range of topics related to the above

  7. CenteringPregnancy-Africa: a pilot of group antenatal care to address Millennium Development Goals.

    PubMed

    Patil, Crystal L; Abrams, Elizabeth T; Klima, Carrie; Kaponda, Chrissie P N; Leshabari, Sebalda C; Vonderheid, Susan C; Kamanga, Martha; Norr, Kathleen F

    2013-10-01

    . preliminary data suggest that CP-Africa is feasible in resource-constrained, low-literacy, high-HIV settings in sub-Saharan Africa. By improving the quality of ANC delivery, midwives have an opportunity to make a contribution towards Millennium Development Goals (MDG) targeting improvements in child, maternal and HIV-related health outcomes (MDGs 4, 5 and 6). A clinical trial is needed to establish efficacy. CP-Africa also has the potential to reduce job-related stress and enhance job satisfaction for midwives in low income countries. If CP can be transferred with fidelity to process in sub-Saharan Africa and retain similar results to those reported in clinical trials, it has the potential to benefit pregnant women and their infants and could make a positive contribution to MGDs 4, 5 and 6. © 2013 Elsevier Ltd. All rights reserved.

  8. Schooling Entrepreneurs: Entrepreneurship, Governmentality and Education Policy in Sweden at the Turn of the Millennium

    ERIC Educational Resources Information Center

    Dahlstedt, Magnus; Hertzberg, Fredrik

    2012-01-01

    Departing from Michel Foucault's concept of governmentality, the focus of this article is the introduction of entrepreneurial education in Swedish education policy at the turn of the millennium. We analyze the various meanings attached to the concepts of "entrepreneur" and "entrepreneurship" in education policy documents, as…

  9. Behind the Public Face of Kew: Education and Conservation in the Millennium Seed Bank

    ERIC Educational Resources Information Center

    McFarlane, Angela

    2010-01-01

    At its Wakehurst Place garden in West Sussex, the Royal Botanic Gardens, Kew, has established the UK home of one of the world's largest conservation projects, the Millennium Seed Bank (MSB) partnership, a global project to conserve biodiversity by collecting and preserving seeds. This article describes what the MSB partnership does, how seeds are…

  10. Development of intelligent robots - Achievements and issues

    NASA Astrophysics Data System (ADS)

    Nitzan, D.

    1985-03-01

    A flexible, intelligent robot is regarded as a general purpose machine system that may include effectors, sensors, computers, and auxiliary equipment and, like a human, can perform a variety of tasks under unpredictable conditions. Development of intelligent robots is essential for increasing the growth rate of today's robot population in industry and elsewhere. Robotics research and development topics include manipulation, end effectors, mobility, sensing (noncontact and contact), adaptive control, robot programming languages, and manufacturing process planning. Past achievements and current issues related to each of these topics are described briefly.

  11. Governing by Partnerships: Dilemmas in Swedish Education Policy at the Turn of the Millennium

    ERIC Educational Resources Information Center

    Dahlstedt, Magnus

    2009-01-01

    In recent years, governing through partnerships has become more and more common and is today reflected in a range of policy areas. In the following article, governing through partnerships is analysed in Swedish education policy around the turn of the millennium, where the notion of partnership has had a large impact. Using as its point of…

  12. Forced Atlantic Multidecadal Variability Over the Past Millennium

    NASA Astrophysics Data System (ADS)

    Halloran, P. R.; Reynolds, D.; Scourse, J. D.; Hall, I. R.

    2016-02-01

    Paul R. Halloran, David J. Reynolds, Ian R. Hall and James D. Scourse Multidecadal variability in Atlantic sea surface temperatures (SSTs) plays a first order role in determining regional atmospheric circulation and moisture transport, with major climatic consequences. These regional climate impacts range from drought in the Sahel and South America, though increased hurricane activity and temperature extremes, to modified monsoonal rainfall. Multidecadal Atlantic SST variability could arise through internal variability in the Atlantic Meridional Overturning Circulation (AMOC) (e.g., Knight et al., 2006), or through externally forced change (e.g. Booth et al., 2012). It is critical that we know whether internal or external forcing dominates if we are to provide useful near-term climate projections in the Atlantic region. A persuasive argument that internal variability plays an important role in Atlantic Multidecadal Variability is that periodic SST variability has been observed throughout much of the last millennium (Mann et al., 2009), and the hypothesized external forcing of historical Atlantic Multidecadal Variability (Booth et al., 2012) is largely anthropogenic in origin. Here we combine the first annually-resolved millennial marine reconstruction with multi-model analysis, to show that the Atlantic SST variability of the last millennium can be explained by a combination of direct volcanic forcing, and indirect, forced, AMOC variability. Our results indicate that whilst climate models capture the timing of both the directly forced SST and forced AMOC-mediated SST variability, the models fail to capture the magnitude of the forced AMOC change. Does this mean that models underestimate the 21st century reduction in AMOC strength? J. Knight, C. Folland and A. Scaife., Climate impacts of the Atlantic Multidecadal Oscillation, GRL, 2006 B.B.B Booth, N. Dunstone, P.R. Halloran et al., Aerosols implicated as a prime driver of twentieth-century North Atlantic climate

  13. Sexual and reproductive health and rights in the sustainable development goals and the post-2015 development agenda: less than a year to go.

    PubMed

    Haslegrave, Marianne

    2014-11-01

    Since the International Conference on Population and Development (ICPD) in Cairo in 1994 there have been significant achievements in moving towards the goal of sexual and reproductive health and rights. Yet there have also been disappointments, as demonstrated in the Millennium Development Goals, even though in 2007 a target on reproductive health was added. Most recently, the 20-year review of the implementation of the ICPD Programme of Action, ICPD Beyond 2014, has taken place, which has moved forward the sexual and reproductive health and rights agenda. But, the main arena for future negotiations has changed and the UN is in the process of negotiating the post-2015 development agenda and the sustainable development goals (SDGs). This paper assesses what has been taking place since 2013 and provides information as to how the process for the post-2015 development agenda and the SDGs are likely to move forward. An understanding of what has been achieved, the processes as they are now proceeding and their future development are important for moving towards the ultimate goal of achieving sexual and reproductive health and rights in the next 15 years. Copyright © 2014 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  14. The beginning of metallurgy in the southern Levant: a late 6th millennium CalBC copper awl from Tel Tsaf, Israel.

    PubMed

    Garfinkel, Yosef; Klimscha, Florian; Shalev, Sariel; Rosenberg, Danny

    2014-01-01

    The beginning of metallurgy in the ancient Near East attracts much attention. The southern Levant, with the rich assemblage of copper artifacts from the Nahal Mishmar cave and the unique gold rings of the Nahal Qanah cave, is regarded as a main center of early metallurgy during the second half of the 5th millennium CalBC. However, a recently discovered copper awl from a Middle Chalcolithic burial at Tel Tsaf, Jordan Valley, Israel, suggests that cast metal technology was introduced to the region as early as the late 6th millennium CalBC. This paper examines the chemical composition of this item and reviews its context. The results indicate that it was exported from a distant source, probably in the Caucasus, and that the location where it was found is indicative of the social status of the buried individual. This rare finding indicates that metallurgy was first diffused [corrected] to the southern Levant through exchange networks and only centuries later involved local productionThis copper awl, the earliest metal artifact found in the southern Levant, indicates that the elaborate Late Chalcolithic metallurgy developed from a more ancient tradition.

  15. The Beginning of Metallurgy in the Southern Levant: A Late 6th Millennium CalBC Copper Awl from Tel Tsaf, Israel

    PubMed Central

    Garfinkel, Yosef; Klimscha, Florian; Shalev, Sariel; Rosenberg, Danny

    2014-01-01

    The beginning of metallurgy in the ancient Near East attracts much attention. The southern Levant, with the rich assemblage of copper artifacts from the Nahal Mishmar cave and the unique gold rings of the Nahal Qanah cave, is regarded as a main center of early metallurgy during the second half of the 5th millennium CalBC. However, a recently discovered copper awl from a Middle Chalcolithic burial at Tel Tsaf, Jordan Valley, Israel, suggests that cast metal technology was introduced to the region as early as the late 6th millennium CalBC. This paper examines the chemical composition of this item and reviews its context. The results indicate that it was exported from a distant source, probably in the Caucasus, and that the location where it was found is indicative of the social status of the buried individual. This rare finding indicates that metallurgy was first defused to the southern Levant through exchange networks and only centuries later involved local production. This copper awl, the earliest metal artifact found in the southern Levant, indicates that the elaborate Late Chalcolithic metallurgy developed from a more ancient tradition. PMID:24671185

  16. 77 FR 21111 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-09

    ... economic growth and poverty reduction. The Act requires the Millennium Challenge Corporation (MCC) to take... freedom, and (iii) investments in its people; and (b) considering the opportunity to reduce poverty and...* Haiti Tanzania Honduras Timor-Leste India Togo Indonesia Tuvalu Iraq Uganda Kenya Vanuatu Kiribati...

  17. Development and Validation of Economics Achievement Test for Secondary Schools

    ERIC Educational Resources Information Center

    Eleje, Lydia Ijeoma; Abanobi, Chidiebere Christopher; Obasi, Emma

    2017-01-01

    Economics achievement test (EAT) for assessing senior secondary two (SS2) achievement in economics was developed and validated in the study. Five research questions guided the study. Twenty and 100 mid-senior secondary (SS2) economics students was used for the pilot testing and reliability check respectively. A sample of 250 students randomly…

  18. Biotech crops: imperative for achieving the millenium development goals and sustainability of agriculture in the climate change era.

    PubMed

    Husaini, Amjad M; Tuteja, Narendra

    2013-01-01

    Biotechnological intervention in the development of crops has opened new vistas in agriculture. Central to the accomplishment of the Millennium Development Goals (MDGs), biotech-agriculture is essential in meeting these targets. Biotech crops have already made modest contributions toward ensuring food and nutrition security by reducing losses and increasing productivity, with less pesticide input. These crops could help address some of the major challenges in agriculture-based economies created by climate change. Projections of global climate change expect the concentration of greenhouse gases to increase, aridization of the environment to increase, temperature fluctuations to occur sharply and frequently, and spatial and temporal distribution of rainfall to be disturbed-all of which will increase abiotic stress-related challenges to crops. Countering these challenges and to meet the food requirement of the ever-increasing world population (expected to reach 9 billion by 2030) we need to (1) develop and use biotech crops for mitigating adverse climatic changes; (2) develop biotech crops resilient to adverse environmental conditions; and (3) address the issues/non-issues raised by NGO's and educate the masses about the benefits of biotech crops.

  19. Back to the future: what would the post-2015 global development goals look like if we replicated methods used to construct the Millennium Development Goals?

    PubMed

    Brolan, Claire E; Lee, Scott; Kim, David; Hill, Peter S

    2014-04-03

    The Millennium Development Goals (MDGs) were 'top-down' goals formulated by policy elites drawing from targets within United Nations (UN) summits and conferences in the 1990s. Contemporary processes shaping the new post-2015 development agenda are more collaborative and participatory, markedly different to the pre-MDG era. This study examines what would the outcome be if a methodology similar to that used for the MDGs were applied to the formulation of the post-2015 development goals (Post-2015DGs), identifying those targets arising from UN summits and conferences since the declaration of the MDGs, and aggregating them into goals. The UN Department of Economic and Social Affairs (DESA) list of major UN summits and conferences from 2001 to 2012 was utilised to examine targets. The DESA list was chosen due to the agency's core mission to promote development for all. Targets meeting MDG criteria of clarity, conciseness and measurability were selected and clustered into broad goals based on processes outlined by Hulme and Vandemoortele. The Post-2015DGs that were identified were formatted into language congruent with the MDGs to assist in the comparative analysis, and then further compared to the 12 illustrative goals offered by the UN High-Level Panel of Eminent Persons on the Post-2015 Development (High-Level Panel) Agenda's May 2013 report. Ten Post-2015DGs were identified. Six goals expressly overlapped with the current MDGs and four new goals were identified. Health featured prominently in the MDG agenda, and continues to feature strongly in four of the 10 Post-2015DGs. However the Post-2015DGs reposition health within umbrella agendas relating to women, children and the ageing. Six of the 10 Post-2015DGs incorporate the right to health agenda, emphasising both the standing and interconnection of the health agenda in DESA's summits and conferences under review. Two Post-2015DGs have been extended into six separate goals by the High-Level Panel, and it is these

  20. The Internet and the menopause consultation: menopause management in the third millennium.

    PubMed

    Cumming, Grant P; Currie, Heather

    2005-09-01

    The Internet was born in 1969; it was originally developed so that computers could share information on research and development in the scientific and military fields. The original Internet consisted of four university computers networked in the United States. Email became available two years later. The infant Internet initially required complex computing knowledge to be used. However, this was all to change with the development of the World Wide Web in the early 1990s, which made the Internet much more widely accessible. The Internet has since grown at a phenomenal rate and has evolved into a global communications tool. It is by nature anarchic, in that it is an unrestricted broadcast medium. Although this lack of censorship is a strength, it is also a weakness. The quality of information available on the Web is variable and discernment is required. With the growth of e-health, medicine and its allied specialties are faced with the challenges of providing their services in a novel way while maintaining the first principle of medicine, primum non nocere (first, do no harm). This provision of e-health care is in its infancy and this review explores issues arising from the use of the Internet as a medium for organizing menopausal health care in the third millennium.

  1. Development of Achievement Test: Validity and Reliability Study for Achievement Test on Matter Changing

    ERIC Educational Resources Information Center

    Kara, Filiz; Celikler, Dilek

    2015-01-01

    For "Matter Changing" unit included in the Secondary School 5th Grade Science Program, it is intended to develop a test conforming the gains described in the program, and that can determine students' achievements. For this purpose, a multiple-choice test of 48 questions is arranged, consisting of 8 questions for each gain included in the…

  2. Reading Development and Achievement of 4th-Grade Hmong Students

    ERIC Educational Resources Information Center

    Mahowald, Megan; Loughnane, Megan

    2016-01-01

    Researchers and practitioners alike have noted that Hmong students in the United States do not achieve as well as their monolingual peers and other bilingual students. The current mixed-methods study is designed to describe reading development and achievement of 4th-grade Hmong students in one large, urban school district. This study explores the…

  3. Improving Student Achievement in Math and Science

    NASA Technical Reports Server (NTRS)

    Sullivan, Nancy G.; Hamsa, Irene Schulz; Heath, Panagiota; Perry, Robert; White, Stacy J.

    1998-01-01

    As the new millennium approaches, a long anticipated reckoning for the education system of the United States is forthcoming, Years of school reform initiatives have not yielded the anticipated results. A particularly perplexing problem involves the lack of significant improvement of student achievement in math and science. Three "Partnership" projects represent collaborative efforts between Xavier University (XU) of Louisiana, Southern University of New Orleans (SUNO), Mississippi Valley State University (MVSU), and the National Aeronautics and Space Administration (NASA), Stennis Space Center (SSC), to enhance student achievement in math and science. These "Partnerships" are focused on students and teachers in federally designated rural and urban empowerment zones and enterprise communities. The major goals of the "Partnerships" include: (1) The identification and dissemination of key indices of success that account for high performance in math and science; (2) The education of pre-service and in-service secondary teachers in knowledge, skills, and competencies that enhance the instruction of high school math and science; (3) The development of faculty to enhance the quality of math and science courses in institutions of higher education; and (4) The incorporation of technology-based instruction in institutions of higher education. These goals will be achieved by the accomplishment of the following objectives: (1) Delineate significant ?best practices? that are responsible for enhancing student outcomes in math and science; (2) Recruit and retain pre-service teachers with undergraduate degrees in Biology, Math, Chemistry, or Physics in a graduate program, culminating with a Master of Arts in Curriculum and Instruction; (3) Provide faculty workshops and opportunities for travel to professional meetings for dissemination of NASA resources information; (4) Implement methodologies and assessment procedures utilizing performance-based applications of higher order

  4. 77 FR 53917 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-04

    ... poverty reduction. The Act requires the Millennium Challenge Corporation (MCC) to take a number of steps... its people; and (b) considering the opportunity to reduce poverty and generate economic growth in the... India Indonesia Iraq Kenya Kiribati Kyrgyz Republic Lao PDR Lesotho Liberia Malawi Mauritania Micronesia...

  5. A 2000-year European Mean Summer Temperature Reconstruction from the PAGES 2k Regional Network and Comparison to Millennium-Length Forced Model Simulations

    NASA Astrophysics Data System (ADS)

    Smerdon, J. E.; Büntgen, U.; Ljungqvist, F. C.; Esper, J.; Fernández-Donado, L.; Gonzalez-Rouco, F. J.; Luterbacher, J.; McCarroll, D.; Wagner, S.; Wahl, E. R.; Wanner, H.; Werner, J.; Zorita, E.

    2012-12-01

    A reconstruction of mean European summer (JJA) land temperatures from 138 B.C.E. to 2003 C.E. is presented and compared to 37 forced transient simulations of the last millennium from coupled General Circulation Models (CGCMs). Eleven annually resolved tree-ring and documentary records from ten European countries/regions were used for the reconstruction and compiled as part of the Euro_Med working group contribution to the PAGES 2k Regional Network. Records were selected based upon their summer temperature signal, annual resolution, and time-continuous sampling. All tree-ring data were detrended using the Regional Curve Standardization (RCS) method to retain low-frequency variance in the resulting mean chronologies. The calibration time series was the area-weighted JJA temperature computed from the CRUTEM4v dataset over a European land domain (35°-70°N, 10°W-40°E). A nested 'Composite-Plus-Scale' reconstruction was derived using nine nests reflecting the availability of predictors back in time. Each nest was calculated by standardizing the available predictor series over the calibration interval, and subsequently calculating a weighted composite in which each proxy was multiplied by its correlation with the target index. The CPS methodology was implemented using a resampling scheme that uses 104 years for calibration. The initial calibration period extended from 1850-1953 C.E. and was incremented by one year until reaching the final period of 1900-2003 C.E., yielding a total of 51 reconstructions for each nest. Within each calibration step, the 50 years excluded from calibration were used for validation. Validation statistics across all reconstruction ensemble members within each nest indicate skillful reconstructions (RE: 0.42-0.64; CE: 0.26-0.54) and are all above the maximum validation statistics achieved in an ensemble of red noise benchmarking experiments. Warm periods in the derived reconstruction during the 1st, 2nd, and 7th-12th centuries compare to

  6. Changes of climate regimes during the last millennium and the twenty-first century simulated by the Community Earth System Model

    NASA Astrophysics Data System (ADS)

    Huang, Wei; Feng, Song; Liu, Chang; Chen, Jie; Chen, Jianhui; Chen, Fahu

    2018-01-01

    This study examines the shifts in terrestrial climate regimes using the Köppen-Trewartha (K-T) climate classification by analyzing the Community Earth System Model Last Millennium Ensemble (CESM-LME) simulations for the period 850-2005 and CESM Medium Ensemble (CESM-ME), CESM Large Ensemble (CESM-LE) and CESM with fixed aerosols Medium Ensemble (CESM-LE_FixA) simulations for the period 1920-2080. We compare K-T climate types from the Medieval Climate Anomaly (MCA) (950-1250) with the Little Ice Age (LIA) (1550-1850), from present day (PD) (1971-2000) with the last millennium (LM) (850-1850), and from the future (2050-2080) with the LM in order to place anthropogenic changes in the context of changes due to natural forcings occurring during the last millennium. For CESM-LME, we focused on the simulations with all forcings, though the impacts of individual forcings (e.g., solar activities, volcanic eruptions, greenhouse gases, aerosols and land use changes) were also analyzed. We found that the climate types changed slightly between the MCA and the LIA due to weak changes in temperature and precipitation. The climate type changes in PD relative to the last millennium have been largely driven by greenhouse gas-induced warming, but anthropogenic aerosols have also played an important role on regional scales. At the end of the twenty-first century, the anthropogenic forcing has a much greater effect on climate types than the PD. Following the reduction of aerosol emissions, the impact of greenhouse gases will further promote global warming in the future. Compared to precipitation, changes in climate types are dominated by greenhouse gas-induced warming. The large shift in climate types by the end of this century suggests possible wide-spread redistribution of surface vegetation and a significant change in species distributions.

  7. Sustaining Health for Wealth: Perspectives for the Post-2015 Agenda: Comment on "Improving the World's Health Through the Post-2015 Development Agenda: Perspectives From Rwanda".

    PubMed

    Armah, Bartholomew K

    2015-06-06

    The sustainable development goals (SDGs) offer a unique opportunity for policy-makers to build on the millennium development goals (MDGs) by adopting more sustainable approaches to addressing global development challenges. The delivery of health services is of particular concern. Most African countries are unlikely to achieve the health MDGs, however, significant progress has been made particularly in the area of child and maternal health due in part to significant external support. The weak global recovery, and persistent inequalities in access to healthcare, however, call into question the sustainability of the achievements made. Building on the principles articulated in Binagwaho and Scott, this commentary argues that addressing inequalities and promoting more integrated approaches to health service delivery is vital for consolidating and sustaining the health sector achievements in Africa. © 2015 by Kerman University of Medical Sciences.

  8. Implications of high amplitude atmospheric CO2 fluctuations on past millennium climate change

    NASA Astrophysics Data System (ADS)

    van Hoof, Thomas; Kouwenberg, Lenny; Wagner-Cremer, Friederike; Visscher, Henk

    2010-05-01

    Stomatal frequency analysis of leaves of land plants preserved in peat and lake deposits can provide a proxy record of pre-industrial atmospheric CO2 concentration complementary to measurements in Antarctic ice cores. Stomatal frequency based CO2 trends from the USA and NW European support the presence of significant CO2 variability during the first half of the last millennium (Kouwenberg et al., 2005; Wagner et al., 2004; van Hoof et al., 2008). The timing of the most significant perturbation in the stomata records (1200 AD) is in agreement with an observed CO2 fluctuation in the D47 Antarctic ice-core record (Barnola et al., 1995; van Hoof et al., 2005). The amplitude of the stomatal frequency based CO2 changes (> 34ppmv) exceeds the maximum amplitude of CO2 variability in the D47 ice core (< 10 ppmv). A modelling experiment taking into account firn-densification based smoothing processes in the D47 ice core proved, however, that the amplitude difference between the stomata record and the D47 ice-core can be explained by natural smoothing processes in the ice (van Hoof et al., 2005). This observation gives credence to the existence of high-amplitude CO2 fluctuations during the last millennium and suggests that high resolution ice core CO2 records should be regarded as a smoothed representation of the atmospheric CO2 signal. In the present study, potential marine and terrestrial sources and sinks associated with the observed atmospheric CO2 perturbation will be discussed. The magnitude of the observed CO2 variability implies that inferred changes in CO2 radiative forcing are of a similar magnitude as variations ascribed to other forcing mechanisms (e.g. solar forcing and volcanism), therefore challenging the IPCC concept of CO2 as an insignificant preindustrial climate forcing factor. References Barnola J.M., M. Anklin, J. Porcheron, D. Raynaud, J. Schwander and B. Stauffer 1995. CO2 evolution during the last millennium as recorded by Antarctic and Greenland ice

  9. A gastroenterological list for the millennium.

    PubMed

    Janowitz, H D; Abittan, C S; Fiedler, L M

    1999-12-01

    To determine the 10 most significant advances in gastroenterology during this century as we approach the millennium, the authors polled 50 distinguished active clinicians and leading researchers in the field, including workers in liver disease and the pathology of the gut and its associated glands. Forty-five persons (90%) responded and listed 58 different items. These were then organized into four groups: group A, with 10 categories that received between 42 and 11 votes; group B, with 10 categories that received between 10 and 3 votes; group C, with 3 items receiving 2 votes each; and group D, with the remaining 14 items receiving 1 vote each. The respondents did not indicate their choices in rank order. The top 10 leading choices (group A, containing between 42 and 11 votes) included Helicobacter pylori, fiberoptic endoscopy, gastrointestinal imaging by radiograph and computed tomographic scan, Australia antigen including vaccines for hepatitis A and B, the molecular basis of colon cancer, liver transplantation, laparoscopic-assisted surgery, therapy for peptic ulcer disease including H2-receptor antagonists and proton pump inhibitors, the discovery of gastrointestinal hormones beginning with secretin, and lastly the discovery of the role for gluten in celiac disease.

  10. 75 FR 52990 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... poverty reduction. The Act requires the Millennium Challenge Corporation (MCC) to take a number of steps...) investments in its people; and (b) considering the opportunity to reduce poverty and generate economic growth.... Guinea Bissau 20. Guyana 21. Haiti 22. Honduras 23. India 24. Kenya 25. Kiribati 26. Kyrgyz Republic 27...

  11. 75 FR 63503 - Notice of Availability of Final Environmental Impact Statement for the Solar Millennium, Amargosa...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... for the Solar Millennium, Amargosa Farm Road Solar Power Project, Nye County, NV AGENCY: Bureau of... Amargosa Farm Road Solar Power Project, Nye County, Nevada, and by this notice is announcing its availability. DATES: The BLM will not issue a final decision on the Amargosa Farm Road Solar Power Project for...

  12. Latest Pleistocene crustal cannibalization at Baekdusan (Changbaishan) as traced by oxygen isotopes of zircon from the Millennium Eruption

    NASA Astrophysics Data System (ADS)

    Cheong, Albert Chang-sik; Sohn, Young Kwan; Jeong, Youn-Joong; Jo, Hui Je; Park, Kye-Hun; Lee, Youn Soo; Li, Xian-Hua

    2017-07-01

    The silicic volcanism of Baekdusan (Changbaishan), which is on the border between North Korea and China, was initiated in the Late Pleistocene and culminated in the 10th century with a powerful (volcanic explosivity index = 7) commendite-trachyte eruption commonly referred to as the "Millennium Eruption." This study presents oxygen isotope data of zircon in trachydacitic pumices ejected during the Millennium Eruption, together with whole-rock geochemical and Sr-Nd-Pb isotopic data that manifest once again the A-type and EM1 affinities of the Millennium Eruption magma. The zircon crystals, dated by previous studies at ca. 12-9 ka, show a moderate inter-grain variation in δ18O from 3.69‰ to 5.03‰. These values are consistently lower than the normal mantle range, and interpreted to have resulted from the digestion of meteoric-hydrothermally altered intracaldera rocks in the shallow magma chamber beneath Baekdusan just prior to the crystallization of the zircons, rather than from derivation from low-δ18O sources deep in the mantle. The whole-rock geochemical/isotopic considerations suggest that the magma mainly self-cannibalized the earlier erupted volcanic carapace around the magma chamber. This study highlights the usefulness of zircon oxygen isotopes for characterizing past volcanic activity that has now been commonly eroded away and implies that the generation of Yellowstone-type low-δ18O magma is not a rare phenomenon in large-volume silicic eruptions.

  13. Quantifying Proxy Influence in the Last Millennium Reanalysis

    NASA Astrophysics Data System (ADS)

    Hakim, G. J.; Anderson, D. N.; Emile-Geay, J.; Noone, D.; Tardif, R.

    2017-12-01

    We examine the influence of proxies in the climate field reconstruction known as the Last Millennium Reanalysis (Hakim et al. 2016; JGR-A). This data assimilation framework uses the CCSM4 Last Millennium simulation as an agnostic prior, proxies from the PAGES 2k Consortium (2017; Sci. Data), and an offline ensemble square-root filter for assimilation. Proxies are forward modeled using an observation model ("proxy system model") that maps from the prior space to the proxy space. We assess proxy impact using the method of Cardinali et al. (2004; QJRMS), where influence is measured in observation space; that is, at the location of observations. Influence is determined by three components: the prior at the location, the proxy at the location, and remote proxies as mediated by the spatial covariance information in the prior. Consequently, on a per-proxy basis, influence is higher for spatially isolated proxies having small error, and influence is lower for spatially dense proxies having large error. Results show that proxy influence depends strongly on the observation model. Assuming the proxies depend linearly on annual mean temperature yields the largest per-proxy influence for coral d18O and coral Sr/Ca records, and smallest influence for tree-ring width. On a global basis (summing over all proxies of a given type), tree-ring width and coral d18O have the largest influence. A seasonal model for the proxies yields very different results. In this case we model the proxies linearly on objectively determined seasonal temperature, except for tree proxies, which are fit to a bivariate model on seasonal temperature and precipitation. In this experiment, on a per-proxy basis, tree-ring density has by far the greatest influence. Total proxy influence is dominated by tree-ring width followed by tree-ring density. Compared to the results for the annual-mean observation model, the experiment where proxies are measured seasonally has more than double the total influence (sum over

  14. Weather and extremes in the last Millennium - a challenge for climate modelling

    NASA Astrophysics Data System (ADS)

    Raible, Christoph C.; Blumer, Sandro R.; Gomez-Navarro, Juan J.; Lehner, Flavio

    2015-04-01

    Changes in the climate mean state are expected to influence society, but the socio-economic sensitivity to extreme events might be even more severe. Whether or not the current frequency and severity of extreme events is a unique characteristic of anthropogenic-driven climate change can be assessed by putting the observed changes in a long-term perspective. In doing so, early instrumental series and proxy archives are a rich source to investigate also extreme events, in particular during the last millennium, yet they suffer from spatial and temporal scarcity. Therefore, simulations with coupled general circulation models (GCMs) could fill such gaps and help in deepening our process understanding. In this study, an overview of past and current efforts as well as challenges in modelling paleo weather and extreme events is presented. Using simulations of the last millennium we investigate extreme midlatitude cyclone characteristics, precipitation, and their connection to large-scale atmospheric patterns in the North Atlantic European region. In cold climate states such as the Maunder Minimum, the North Atlantic Oscillation (NAO) is found to be predominantly in its negative phase. In this sense, simulations of different models agree with proxy findings for this period. However, some proxy data available for this period suggests an increase in storminess during this period, which could be interpreted as a positive phase of the NAO - a superficial contradiction. The simulated cyclones are partly reduced over Europe, which is consistent with the aforementioned negative phase of the NAO. However, as the meridional temperature gradient is increased during this period - which constitutes a source of low-level baroclincity - they also intensify. This example illustrates how model simulations could be used to improve our proxy interpretation and to gain additional process understanding. Nevertheless, there are also limitations associated with climate modeling efforts to

  15. Developing and Improving Modified Achievement Level Descriptors: Rationale, Procedures, and Tools

    ERIC Educational Resources Information Center

    Quenemoen, Rachel; Albus, Debra; Rogers, Chris; Lazarus, Sheryl

    2010-01-01

    Some states are developing alternate assessments based on modified achievement standards (AA-MAS) to measure the academic achievement of some students with disabilities (Albus, Lazarus, Thurlow, & Cormier, 2009; Lazarus, Thurlow, Christensen, & Cormier, 2007). These assessments measure the same content as the general assessment for a given…

  16. Completion of a Full Course of Primary Schooling among All Children Everywhere by 2015: A Case of Sub-Saharan Africa

    ERIC Educational Resources Information Center

    Wamala, Robert

    2013-01-01

    Achieving the United Nations Millennium Development Goals (MDGs) remains a major challenge, particularly in developing countries. Specifically, achieving the target of completing a full course of primary schooling among all children, which is goal two, is a major challenge for Sub-Saharan Africa. Though literature consensually suggests that the…

  17. Genome medicine: gene therapy for the millennium, 30 September-3 October 2001, Rome, Italy.

    PubMed

    Gruenert, D C; Novelli, G; Dallapiccola, B; Colosimo, A

    2002-06-01

    The recent surge of DNA sequence information resulting from the efforts of agencies interested in deciphering the human genetic code has facilitated technological developments that have been critical in the identification of genes associated with numerous disease pathologies. In addition, these efforts have opened the door to the opportunity to develop novel genetic therapies to treat a broad range of inherited disorders. Through a joint effort by the University of Vermont, the University of Rome, Tor Vergata, University of Rome, La Sapienza, and the CSS Mendel Institute, Rome, an international meeting, 'Genome Medicine: Gene Therapy for the Millennium' was organized. This meeting provided a forum for the discussion of scientific and clinical advances stimulated by the explosion of sequence information generated by the Human Genome Project and the implications these advances have for gene therapy. The meeting had six sessions that focused on the functional evaluation of specific genes via biochemical analysis and through animal models, the development of novel therapeutic strategies involving gene targeting, artificial chromsomes, DNA delivery systems and non-embryonic stem cells, and on the ethical and social implications of these advances.

  18. Massive Halos in Millennium Gas Simulations: Multivariate Scaling Relations

    NASA Astrophysics Data System (ADS)

    Stanek, R.; Rasia, E.; Evrard, A. E.; Pearce, F.; Gazzola, L.

    2010-06-01

    The joint likelihood of observable cluster signals reflects the astrophysical evolution of the coupled baryonic and dark matter components in massive halos, and its knowledge will enhance cosmological parameter constraints in the coming era of large, multiwavelength cluster surveys. We present a computational study of intrinsic covariance in cluster properties using halo populations derived from Millennium Gas Simulations (MGS). The MGS are re-simulations of the original 500 h -1 Mpc Millennium Simulation performed with gas dynamics under two different physical treatments: shock heating driven by gravity only (GO) and a second treatment with cooling and preheating (PH). We examine relationships among structural properties and observable X-ray and Sunyaev-Zel'dovich (SZ) signals for samples of thousands of halos with M 200 >= 5 × 1013 h -1 M sun and z < 2. While the X-ray scaling behavior of PH model halos at low redshift offers a good match to local clusters, the model exhibits non-standard features testable with larger surveys, including weakly running slopes in hot gas observable-mass relations and ~10% departures from self-similar redshift evolution for 1014 h -1 M sun halos at redshift z ~ 1. We find that the form of the joint likelihood of signal pairs is generally well described by a multivariate, log-normal distribution, especially in the PH case which exhibits less halo substructure than the GO model. At fixed mass and epoch, joint deviations of signal pairs display mainly positive correlations, especially the thermal SZ effect paired with either hot gas fraction (r = 0.88/0.69 for PH/GO at z = 0) or X-ray temperature (r = 0.62/0.83). The levels of variance in X-ray luminosity, temperature, and gas mass fraction are sensitive to the physical treatment, but offsetting shifts in the latter two measures maintain a fixed 12% scatter in the integrated SZ signal under both gas treatments. We discuss halo mass selection by signal pairs, and find a minimum mass

  19. Sustainable Development Goals and the Ongoing Process of Reducing Maternal Mortality.

    PubMed

    Callister, Lynn Clark; Edwards, Joan E

    Innovative programs introduced in response to the Millennium Development Goals show promise to reduce the global rate of maternal mortality. The Sustainable Development Goals, introduced in 2015, were designed to build on this progress. In this article, we describe the global factors that contribute to maternal mortality rates, outcomes of the implementation of the Millennium Development Goals, and the new, related Sustainable Development Goals. Implications for clinical practice, health care systems, research, and health policy are provided. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  20. 77 FR 41779 - Millennium Pipeline Company, LLC; Notice of Intent To Prepare an Environmental Assessment for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-16

    ... operate a 15,900 horsepower compressor station and associated appurtenant facilities in the Town of... existing compressor station in Corning, New York and the planned Hancock Compressor Station. According to... Station; About 260 feet of 36-inch-diameter pipeline for suction from the existing Millennium mainline and...

  1. Navigating laparoscopic surgery into the next decade in developing countries - a personal perspective.

    PubMed

    Udwadia, Tehemton E

    2007-01-01

    Over 500 years ago, Vasco de Gama navigated from west to east, from Lisbon in Portugal to Calicut in India, in an epic voyage that lasted over 1 year (Fig. 1). This voyage was perhaps the greatest historic and, certainly, the greatest navigational achievement of the last millennium. For better or for worse, it catalysed a series of events that forever changed not only the history, but also the geography of the world. In our plans to navigate endoscopic surgery into the next decade in developing countries, we too should endeavour to change both the history and the geography of surgery. This talk traces a journey over 34 years of effort to spread laparoscopic surgery into developing countries.

  2. Ethnic Identity, Epistemological Development, and Academic Achievement in Underrepresented Students

    ERIC Educational Resources Information Center

    Pizzolato, Jane Elizabeth; Chaudhari, Prema; Murrell, Ennad Dyana; Podobnik, Sharon; Schaeffer, Zachary

    2008-01-01

    Through 2 related studies, we investigated the relation between ethnic identity, epistemological development, and achievement among students of color. Findings suggest that the three variables are related, with ethnic identity and epistemological development together contributing to explaining variance in college GPA almost as well as a…

  3. Back to the future: what would the post-2015 global development goals look like if we replicated methods used to construct the Millennium Development Goals?

    PubMed Central

    2014-01-01

    Background The Millennium Development Goals (MDGs) were ‘top-down’ goals formulated by policy elites drawing from targets within United Nations (UN) summits and conferences in the 1990s. Contemporary processes shaping the new post-2015 development agenda are more collaborative and participatory, markedly different to the pre-MDG era. This study examines what would the outcome be if a methodology similar to that used for the MDGs were applied to the formulation of the post-2015 development goals (Post-2015DGs), identifying those targets arising from UN summits and conferences since the declaration of the MDGs, and aggregating them into goals. Methods The UN Department of Economic and Social Affairs (DESA) list of major UN summits and conferences from 2001 to 2012 was utilised to examine targets. The DESA list was chosen due to the agency’s core mission to promote development for all. Targets meeting MDG criteria of clarity, conciseness and measurability were selected and clustered into broad goals based on processes outlined by Hulme and Vandemoortele. The Post-2015DGs that were identified were formatted into language congruent with the MDGs to assist in the comparative analysis, and then further compared to the 12 illustrative goals offered by the UN High-Level Panel of Eminent Persons on the Post-2015 Development (High-Level Panel) Agenda’s May 2013 report. Results Ten Post-2015DGs were identified. Six goals expressly overlapped with the current MDGs and four new goals were identified. Health featured prominently in the MDG agenda, and continues to feature strongly in four of the 10 Post-2015DGs. However the Post-2015DGs reposition health within umbrella agendas relating to women, children and the ageing. Six of the 10 Post-2015DGs incorporate the right to health agenda, emphasising both the standing and interconnection of the health agenda in DESA’s summits and conferences under review. Two Post-2015DGs have been extended into six separate goals by the

  4. Explaining changes in child health inequality in the run up to the 2015 Millennium Development Goals (MDGs): The case of Zambia.

    PubMed

    Hangoma, Peter; Aakvik, Arild; Robberstad, Bjarne

    2017-01-01

    Child health interventions were drastically scaled up in the period leading up to 2015 as countries aimed at meeting the 2015 target of the Millennium Development Goals (MDGs). MDGs were defined in terms of achieving improvements in average health. Significant improvements in average child health are documented, but evidence also points to rising inequality. It is important to investigate factors that drive the increasing disparities in order to inform the post-2015 development agenda of reducing inequality, as captured in the Sustainable Development Goals (SDGs). We investigated changes in socioeconomic inequality in stunting and fever in Zambia in 2007 and 2014. Unlike the huge literature that seeks to quantify the contribution of different determinants on the observed inequality at any given time, we quantify determinants of changes in inequality. Data from the 2007 and 2014 waves of the Zambia Demographic and Health Survey (DHS) were utilized. Our sample consisted of children aged 0-5 years (n = 5,616 in 2007 and n = 12,714 in 2014). We employed multilevel models to assess the determinants of stunting and fever, which are two important child health indicators. The concentration index (CI) was used to measure the magnitude of inequality. Changes in inequality of stunting and fever were investigated using Oaxaca-type decomposition of the CI. In this approach, the change in the CI for stunting/fever is decomposed into changes in CI for each determinant and changes in the effect-measured as an elasticity-of each determinant on stunting/fever. While average rates of stunting reduced in 2014 socioeconomic inequality in stunting increased significantly. Inequality in fever incidence also increased significantly, but average rates of fever did not reduce. The increase in the inequality (CI) of determinants accounted for the largest part (42.5%) of the increase in inequality of stunting, while the increase in the effect of determinants explained 35% of the increase. The

  5. The Relationship between Stream Placement and Teachers' Judgements of Pupils: Evidence from the Millennium Cohort Study

    ERIC Educational Resources Information Center

    Campbell, Tammy

    2017-01-01

    This paper tests the hypothesis that stream placement influences teacher judgements of pupils, thus investigating a route through which streaming by "ability" may contribute to inequalities. Regression modelling of data for 800+ 7-year-olds taking part in the Millennium Cohort Study examines whether teachers' reported perceptions of…

  6. Ranking of tree-ring based temperature reconstructions of the past millennium

    NASA Astrophysics Data System (ADS)

    Esper, Jan; Krusic, Paul J.; Ljungqvist, Fredrik C.; Luterbacher, Jürg; Carrer, Marco; Cook, Ed; Davi, Nicole K.; Hartl-Meier, Claudia; Kirdyanov, Alexander; Konter, Oliver; Myglan, Vladimir; Timonen, Mauri; Treydte, Kerstin; Trouet, Valerie; Villalba, Ricardo; Yang, Bao; Büntgen, Ulf

    2016-08-01

    Tree-ring chronologies are widely used to reconstruct high-to low-frequency variations in growing season temperatures over centuries to millennia. The relevance of these timeseries in large-scale climate reconstructions is often determined by the strength of their correlation against instrumental temperature data. However, this single criterion ignores several important quantitative and qualitative characteristics of tree-ring chronologies. Those characteristics are (i) data homogeneity, (ii) sample replication, (iii) growth coherence, (iv) chronology development, and (v) climate signal including the correlation with instrumental data. Based on these 5 characteristics, a reconstruction-scoring scheme is proposed and applied to 39 published, millennial-length temperature reconstructions from Asia, Europe, North America, and the Southern Hemisphere. Results reveal no reconstruction scores highest in every category and each has their own strengths and weaknesses. Reconstructions that perform better overall include N-Scan and Finland from Europe, E-Canada from North America, Yamal and Dzhelo from Asia. Reconstructions performing less well include W-Himalaya and Karakorum from Asia, Tatra and S-Finland from Europe, and Great Basin from North America. By providing a comprehensive set of criteria to evaluate tree-ring chronologies we hope to improve the development of large-scale temperature reconstructions spanning the past millennium. All reconstructions and their corresponding scores are provided at http://www.blogs.uni-mainz.de/fb09climatology.

  7. Spatiotemporal drought variability of the eastern Tibetan Plateau during the last millennium

    NASA Astrophysics Data System (ADS)

    Deng, Yang; Gou, Xiaohua; Gao, Linlin; Yang, Meixue; Zhang, Fen

    2017-09-01

    Tibetan Plateau is the headwater region of many major Asian rivers and very susceptive to climate change. Therefore, knowledge about climate and its spatiotemporal variability in this area is very important for ecological conservation, water resource management and social development. The aim of this study was to reconstruct and analyze the hydroclimate variation on eastern Tibetan Plateau (ETP) over many centuries and explore possible forcing factors on regional hydroclimate variability. We used 118 tree-ring chronologies from ETP to reconstruct the gridded May-July Standardized Precipitation Evapotranspiration Index for the ETP over the last millennium. The reconstruction was developed using an ensemble point-by-point reconstruction method, and a searching region method was used to locate the candidate tree-ring chronologies. The reconstructions have nicely captured the spatial and temporal features of the regional drought variation. The drought variations in south and north of 32.5°N are notably different, which may be related to the divergence influence of North Atlantic Oscillation on the climate systems in the south and north, as well as differences in local climate. Spectral analysis and series comparison suggest that the drought variation in the northeastern Tibetan Plateau has been possibly influenced by solar activity on centurial and longer time scale.

  8. Scaling-Up Successfully: Pathways to Replication for Educational NGOs

    ERIC Educational Resources Information Center

    Jowett, Alice; Dyer, Caroline

    2012-01-01

    Non-government organisations (NGOs) are big players in international development, critical to the achievement of the Millennium Development Goals (MDGs) and constantly under pressure to "achieve more". Scaling-up their initiatives successfully and sustainably can be an efficient and cost effective way for NGOs to increase their impact across a…

  9. Prevalence of Parent-Reported ASD and ADHD in the UK: Findings from the Millennium Cohort Study

    ERIC Educational Resources Information Center

    Russell, Ginny; Rodgers, Lauren R.; Ukoumunne, Obioha C.; Ford, Tamsin

    2014-01-01

    The UK prevalence of parent-reported autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) were estimated from the Millennium Cohort Study. Case definition was if a doctor or health care professional had ever told parents that their child had ASD and/or ADHD. Data were collected in 2008/2009 for 14,043 children. 1.7%…

  10. Integrating tobacco control into health and development agendas.

    PubMed

    Reddy, K Srinath; Yadav, Amit; Arora, Monika; Nazar, Gaurang P

    2012-03-01

    Tobacco use is one of the major risk factors for non-communicable diseases, with a profound impact on resource-poor low-income and middle-income countries such as India, where tobacco use is high and where socioeconomic as well as health inequalities are rampant. Effective implementation of the Framework Convention on Tobacco Control requires multisectoral efforts that can fructify through integration of tobacco control into broader health and development agendas such as food and water security, environment, the right to education and human rights. The global tobacco control community will need to explore innovative partnerships beyond its traditional confines and build a global coalition that supports tobacco control by partnering with others having convergent concerns on common determinants. A firm political commitment and intersectoral coordination between government and non-government agencies is paramount in order to implement effective tobacco control programmes. Integration of tobacco control into other health and development agendas as described in this paper has the potential to contribute to the achievement of all the eight United Nations Millennium Development Goals. This paper explores why the whole of government should accord a high priority to tobacco control, and how this integration could be achieved.

  11. The first influenza pandemic of the new millennium

    PubMed Central

    Neumann, Gabriele; Kawaoka, Yoshihiro

    2011-01-01

    Please cite this paper as: Neumann G, Kawaoka Y. (2011) The first influenza pandemic of the new millennium. Influenza and Other Respiratory Viruses DOI: 10.1111/j.1750‐2659.2011.00202.x. In the spring of 2009, a novel influenza A virus of the H1N1 subtype emerged that transmitted efficiently among humans; by June of 2009, the outbreak reached pandemic status. The pandemic virus possesses six viral RNA segments from so‐called triple reassortant swine viruses that emerged in North American pig populations in the late 1990s and two viral RNA segments from Eurasian avian‐like swine influenza viruses. Most human infections with the virus have been mild; however, severe and fatal infections occurred among certain risk groups, but also among those without any known risk factors. Here, we summarize the evolutionary, epidemiological, clinical, and molecular findings on the pandemic virus. We also discuss the arsenal of antiviral compounds and vaccines available to prevent and treat infections with the virus. PMID:21477134

  12. Probiotics in the third millennium.

    PubMed

    Gorbach, S L

    2002-09-01

    Probiotics are "living microorganisms which upon ingestion in certain numbers exert health benefits beyond inherent general nutrition". Since 1987, when the first publication on the properties of the Lactobacillus GG was done, overall, there have been over 200 publications in peer-reviewed scientific journals. This paper will report the status and the prospectus of probiotics research at the beginning of the Third Millennium. Probiotics have proven benefits in treatment and prevention of rotavirus diarrhoea in children and reduction of antibiotic-associated intestinal side-effects. Interesting results have recently been published regarding food allergies and atopic eczema in children. Prevention of vaginitis and of travellers' diarrhoea have also been reported. Promising results are being reported in patients with inflammatory bowel disease, cystic fibrosis, dental caries and irritable bowel syndrome. It has also been suggested that probiotics could enhance oral vaccine administration, and that they may help treatment against Helicobacter pylori infection, but further studies are needed. Future areas of research regard probiotics' role in the process of carcinogenesis, given their influence on the gut microflora, and as immune modulators in autoimmune disorders. The possibility of introducing appropriate genes to the probiotics to make them produce various compounds is also under investigation. However, there is still confusion in the minds of the authorities over whether a probiotic is a drug, a food, or a dietary supplement. The challenge is to continue research to define the appropriate uses of probiotics and discover new applications which will bring benefit to humankind.

  13. A position statement on mental health in the post-2015 development agenda

    PubMed Central

    2014-01-01

    Background The Millennium Development Goals have guided development co-operation in the 15 years up to 2015, achieving some significant progress in the priorities on which they focused. As the framework for the post-2015 development agenda is negotiated, this article reviews the evidence for the place of mental health in broader development issues that have already been outlined in the run-up to 2015. Discussion If mental health is going to be recognised as having an essential role in development, there needs to be a consensus on priorities for advocacy. Various key issues emerged from a survey of stakeholders in the Movement for Global Mental Health (MGMH), leading to a Position Statement, which is now available for use by advocates. The priorities that emerged were increasing access to mental health services, and addressing human rights abuse, stigma, and exclusion. Summary Mental health is a cross-cutting issue, and including it in frameworks for action will increase the likelihood of achieving global priorities for development such as poverty reduction, economic development, improved health, and ensuring the most vulnerable in society are not left behind. PMID:25050137

  14. The New Environment for Development Evaluation

    ERIC Educational Resources Information Center

    Picciotto, Robert

    2007-01-01

    The millennium development goals have created new challenges for development evaluation. The main unit of account has shifted to the country level. Evaluation ownership must move from donor agencies to developing countries. The recognition that rich countries have development obligations is opening up evaluation frontiers beyond aid. A…

  15. Modeling of severe persistent droughts over eastern China during the last millennium

    NASA Astrophysics Data System (ADS)

    Peng, Y.; Shen, C.; Cheng, H.; Xu, Y.

    2014-05-01

    We use proxy data and modeled data from 1000 year model simulations with a variety of climate forcings to examine the occurrence of severe event of persistent drought over eastern China during the last millennium and diagnose the mechanisms. Results show that the model was able to roughly simulate most of these droughts over the study area during the last millennium such as those that occurred during the periods of 1123-1152, 1197-1223, 1353-1363, 1428-1449, 1479-1513, and 1632-1645. Our analyses suggest that these six well-captured droughts may caused by the East Asian summer monsoon (EASM) weakening. Study on the wavelet transform and spectral analysis reveals these events occurred all at the statistically significant 15-35-year timescale. A modeled data intercomparison suggests the possibility that solar activity may be the primary driver in the occurrence of the 1129-1144, 1354-1365, 1466-1491 and 1631-1648 droughts as identified by the model. However another possibility that these events may be related to internal variability cannot be excluded. Although the El Niño-Southern Oscillation (ENSO) plays an important role in monsoon variability, a temporally consistent relationship between the droughts and SST pattern in the Pacific Ocean could not be found either in the modeled or proxy data. Our analyses also indicate that large volcanic eruptions play a role as an amplifier in the drought of 1631-1648 and caused the droughts of 1830-1853 and 1958-1976, which was identified by the model.

  16. Stability of ENSO and Its Tropical Pacific Teleconnections over the Last Millennium

    NASA Technical Reports Server (NTRS)

    Lewis, Sophie; Legrande, A. N.

    2015-01-01

    Determining past changes in the amplitude, frequency and teleconnections of the El Nio Southern Oscillation (ENSO) is important for understanding its potential sensitivity to future anthropogenic climate change. Palaeo-reconstructions from proxy records provide long-term information of ENSO interactions with the background climatic state through time. However, it remains unclear how ENSO characteristics have changed through time, and precisely which signals proxies record. Proxy interpretations are underpinned by the assumption of stationarity in relationships between local and remote climates, and often utilise archives from single locations located in the Pacific Ocean to reconstruct ENSO histories. Here, we investigate the stationarity of ENSO teleconnections using the Last Millennium experiment of CMIP5 (Coupled Model Intercomparison Project phase 5) (Taylor et al., 2012). We show that modelled ENSO characteristics vary on decadal- to centennial-scales, resulting from internal variability and external forcings, such as tropical volcanic eruptions. Furthermore, the relationship between ENSO conditions and local climates across the Pacific basin varies throughout the Last Millennium. Results show the stability of teleconnections is regionally dependent and proxies may reveal complex changes in teleconnected patterns, rather than large-scale changes in base ENSO characteristics. As such, proxy insights into ENSO likely require evidence to be synthesised over large spatial areas in order to deconvolve changes occurring in the NINO3.4 region from those pertaining to proxy-relevant local climatic variables. To obtain robust histories of the ENSO and its remote impacts, we recommend interpretations of proxy records should be considered in conjunction with palaeo-reconstructions from within the Central Pacific

  17. Health care financing and utilization of maternal health services in developing countries.

    PubMed

    Kruk, Margaret E; Galea, Sandro; Prescott, Marta; Freedman, Lynn P

    2007-09-01

    The Millennium Development Goals call for a 75% reduction in maternal mortality between 1990 and 2015. Skilled birth attendance and emergency obstetric care, including Caesarean section, are two of the most important interventions to reduce maternal mortality. Although international pressure is rising to increase donor assistance for essential health services in developing countries, we know less about whether government or the private sector is more effective at financing these essential services in developing countries. We conducted a cross-national analysis to determine the association between government versus private financing of health services and utilization of antenatal care, skilled birth attendants and Caesarean section in 42 low-income and lower-middle-income countries. We controlled for possible confounding effects of total per capita health spending and female literacy. In multivariable analysis, adjusting for confounders, government health expenditure as a percentage of total health expenditure is significantly associated with utilization of skilled birth attendants (P = 0.05) and Caesarean section (P = 0.01) but not antenatal care. Total health expenditure is also significantly associated with utilization of skilled birth attendants (P < 0.01) and Caesarean section (P < 0.01). Greater government participation in health financing and higher levels of health spending are associated with increased utilization of two maternal health services: skilled birth attendants and Caesarean section. While government financing is associated with better access to some essential maternal health services, greater absolute levels of health spending will be required if developing countries are to achieve the Millennium Development Goal on maternal mortality.

  18. Strategies of blind children to achieve cognitive development. A qualitative study.

    PubMed

    Bei, Elsa I; Oiberman, Alicia; Teisseire, Daniela; Barres, Jorgelina

    2018-06-01

    Studying the cogni t ive development of blind children is particularly interesting in itself and because it provides intervention guidelines. The etiology of blindness is heterogeneous but this does not hinder the possibility of establishing the characteristics typical of its development. If these children acquire language at approximately 2 years, it means the last stage of sensorimotor intelligence has been achieved. To determine the strategies that blind infants and toddlers adopt during the sensorimotor period to achieve an adequate level of development. Population and method. The study was carried out in students from a public Special Education School of the Autonomous City of Buenos Aires. This was a qualitative study for the identification of coincidences to define strategies. Blind children aged 3 months to 3 years were observed. The analysis unit was each significant segment of the "directed play" sessions conducted in a Gesell chamber and guided by the stimulation therapist. Thirty-four children were included and 55 observations were made. Children's "modes of action" were categorized as significant features of a strategy. Four thematic focuses and four stages were identified and chronologically supported with acquisitions that were considered "organizers." The assessment showed that 71% of children achieved an adequate cognitive development for their age. Systematizing strategies will help to develop an instrument to detect delays and define intervention guidelines. Sociedad Argentina de Pediatría.

  19. The Millennium Cohort: A 21-Year Contribution to the Understanding of Military and Veterans’ Health

    DTIC Science & Technology

    2009-12-10

    syndrome (15 items) • Other anxiety syndrome (6 items) • Eating disorders (4 items; binge and bulimia nervosa) Has your doctor or other health...The Millennium Cohort: a 21-Year Contribution to the Understanding of Military and Veterans’ Health Second Annual Trauma Stress Disorders ...AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES Presented at The Second Annual Trauma Spectrum Disorders

  20. The U.S. Department of Defense Millennium Cohort Study: Career Span and Beyond Longitudinal Follow-Up

    DTIC Science & Technology

    2009-10-01

    PHQ*) Caffeine and fast food intake (2 questions) Strength and duration of physical activity (1 question with 3 items; NHIS *) Daily physical activity...Complementary and Alternative Medicine; NHIS , National Health Interview Survey; NHANES, National Health and Nutrition Examination Survey; SF36-V, Short...USAMRMC) Military Operational Medicine Research Pro- gram (MOMRP). The Millennium Cohort Study requires considerable financial and logistical support that

  1. Can Professional Development Programs Help Close the Achievement Gap?

    ERIC Educational Resources Information Center

    Brahler, C. Jayne; Bainbridge, William L.; Stevens, Margaret

    2004-01-01

    This paper explores the question of whether it is possible to design professional development programs for teachers that can significantly improve student test results and reduce the achievement gap for students. The Dayton (Ohio) Foundation and the Montgomery County (Ohio) Educational Service Center, sponsors of The Miami Valley Teacher/…

  2. Challenges Facing Higher Education at the Millennium. American Council on Education/Oryx Press Series on Higher Education.

    ERIC Educational Resources Information Center

    Hirsch, Werner Z., Ed.; Weber, Luc E., Ed.

    This collection of 17 essays focuses on the major changes that higher education needs to make so that it can effectively pursue teaching and research and significantly contribute public service in a rapidly changing world. The essays include: (1) "Survey of the Main Challenges Facing Higher Education at the Millennium" (Luc E. Weber);…

  3. Westerly jet stream and past millennium climate change in Arid Central Asia simulated by COSMO-CLM model

    NASA Astrophysics Data System (ADS)

    Fallah, Bijan; Sodoudi, Sahar; Cubasch, Ulrich

    2016-05-01

    This study tackles one of the most debated questions around the evolution of Central Asian climate: the "Puzzle" of moisture changes in Arid Central Asia (ACA) throughout the past millennium. A state-of-the-art Regional Climate Model (RCM) is subsequently employed to investigate four different 31-year time slices of extreme dry and wet spells, chosen according to changes in the driving data, in order to analyse the spatio-temporal evolution of the moisture variability in two different climatological epochs: Medieval Climate Anomaly (MCA) and Little Ice Age (LIA). There is a clear regime behavior and bimodality in the westerly Jet phase space throughout the past millennium in ACA. The results indicate that the regime changes during LIA show a moist ACA and a dry East China. During the MCA, the Kazakhstan region shows a stronger response to the westerly jet equatorward shift than during the LIA. The out-of-phase pattern of moisture changes between India and ACA exists during both the LIA and the MCA. However, the pattern is more pronounced during the LIA.

  4. Pacific and Atlantic influences on Mesoamerican climate over the past millennium

    NASA Astrophysics Data System (ADS)

    Stahle, D. W.; Burnette, D. J.; Diaz, J. Villanueva; Heim, R. R.; Fye, F. K.; Paredes, J. Cerano; Soto, R. Acuna; Cleaveland, M. K.

    2012-09-01

    A new tree-ring reconstruction of the Palmer Drought Severity Index (PDSI) for Mesoamerica from AD 771 to 2008 identifies megadroughts more severe and sustained than any witnessed during the twentieth century. Correlation analyses indicate strong forcing of instrumental and reconstructed June PDSI over Mesoamerica from the El Niño/Southern Oscillation (ENSO). Spectral analyses of the 1,238-year reconstruction indicate significant concentrations of variance at ENSO, sub-decadal, bi-decadal, and multidecadal timescales. Instrumental and model-based analyses indicate that the Atlantic Multidecadal Oscillation is important to warm season climate variability over Mexico. Ocean-atmospheric variability in the Atlantic is not strongly correlated with the June PDSI reconstruction during the instrumental era, but may be responsible for the strong multidecadal variance detected in the reconstruction episodically over the past millennium. June drought indices in Mesoamerica are negatively correlated with gridded June PDSI over the United States from 1950 to 2005, based on both instrumental and reconstructed data. Interannual variability in this latitudinal moisture gradient is due in part to ENSO forcing, where warm events favor wet June PDSI conditions over the southern US and northern Mexico, but dryness over central and southern Mexico (Mesoamerica). Strong anti-phasing between multidecadal regimes of tree-ring reconstructed June PDSI over Mesoamerica and reconstructed summer (JJA) PDSI over the Southwest has also been detected episodically over the past millennium, including the 1950-1960s when La Niña and warm Atlantic SSTs prevailed, and the 1980-1990s when El Niño and cold Atlantic SSTs prevailed. Several Mesoamerican megadroughts are reconstructed when wetness prevailed over the Southwest, including the early tenth century Terminal Classic Drought, implicating El Niño and Atlantic SSTs in this intense and widespread drought that may have contributed to social

  5. Anthrax vaccination in the Millennium Cohort: validation and measures of health.

    PubMed

    Smith, Besa; Leard, Cynthia A; Smith, Tyler C; Reed, Robert J; Ryan, Margaret A K

    2007-04-01

    In 1998, the United States Department of Defense initiated the Anthrax Vaccine Immunization Program. Concerns about vaccine-related adverse health effects followed, prompting several studies. Although some studies used self-reported vaccination data, the reliability of such data has not been established. The purpose of this study was to compare self-reported anthrax vaccination to electronic vaccine records among a large military cohort and to evaluate the relationship between vaccine history and health outcome data. Between September 2005 and February 2006 self-reported anthrax vaccination was compared to electronic records for 67,018 participants enrolled in the Millennium Cohort Study between 2001 and 2003 using kappa statistics. Multivariable modeling investigated vaccination concordance as it pertains to subjective health (functional status) and objective health (hospitalization) metrics. Greater than substantial agreement (kappa=0.80) was found between self-report and electronic recording of anthrax vaccination. Of all participants with electronic documentation of anthrax vaccination, 98% self-reported being vaccinated; and of all participants with no electronic record of vaccination, 90% self-reported not receiving a vaccination. There were no differences between vaccinated and unvaccinated participants in overall measures of health. Only the subset of participants who self-reported anthrax vaccination, but had no electronic confirmation, differed from others in the cohort, with consistently lower measures of health as indicated by Medical Outcomes Study 36-Item Short Form Health Survey for Veterans (SF-36V) scores. These results indicate that military members accurately recall their anthrax vaccinations. Results also suggest that anthrax vaccination among Millennium Cohort participants is not associated with self-reported health problems or broad measures of health problems severe enough to require hospitalization. Service members who self

  6. Florida Current surface temperature and salinity variability during the last millennium

    NASA Astrophysics Data System (ADS)

    Lund, David C.; Curry, William

    2006-06-01

    The salinity and temperature of the Florida Current are key parameters affecting the transport of heat into the North Atlantic, yet little is known about their variability on centennial timescales. Here we report replicated, high-resolution foraminiferal records of Florida Current surface hydrography for the last millennium from two coring sites, Dry Tortugas and the Great Bahama Bank. The oxygen isotopic composition of Florida Current surface water (δ18Ow) near Dry Tortugas increased 0.4‰ during the course of the Little Ice Age (LIA) (˜1200-1850 A.D.), equivalent to a salinity increase of 0.8-1.5. On the Great Bahama Bank, where surface waters are influenced by the North Atlantic subtropical gyre, δ18Ow increased by 0.3‰ during the last 200 years. Although a portion (˜0.1‰) of this shift may be an artifact of anthropogenically driven changes in surface water ΣCO2, the remaining δ18Ow signal implies a 0.4-1 increase in salinity after 200 years B.P. The simplest explanation of the δ18Ow data is southward migration of the Atlantic Hadley circulation during the LIA. Scaling of the δ18Ow records to salinity using the modern low-latitude δ18Ow-S slope produces an unrealistic reversal in the salinity gradient between the two sites. Only if δ18Ow is scaled to salinity using a high-latitude δ18Ow-S slope can the records be reconciled. Variable atmospheric 14C paralleled Dry Tortugas δ18Ow, suggesting that solar irradiance paced centennial-scale migration of the Inter-Tropical Convergence Zone and changes in Florida Current salinity during the last millennium.

  7. Critical thinking in health professions education: summary and consensus statements of the Millennium Conference 2011.

    PubMed

    Huang, Grace C; Newman, Lori R; Schwartzstein, Richard M

    2014-01-01

    Critical thinking is central to the function of health care professionals. However, this topic is not explicitly taught or assessed within current programs, yet the need is greater than ever, in an era of information explosion, spiraling health care costs, and increased understanding about metacognition. To address the importance of teaching critical thinking in health professions education, the Shapiro Institute for Education and Research and the Josiah Macy Jr. Foundation jointly sponsored the Millennium Conference 2011 on Critical Thinking. Teams of physician and nurse educators were selected through an application process. Attendees proposed strategies for integrating principles of critical thinking more explicitly into health professions curricula. Working in interprofessional, multi-institutional groups, participants tackled questions about teaching, assessment, and faculty development. Deliberations were summarized into consensus statements. Educational leaders participated in a structured dialogue about the enhancement of critical thinking in health professions education and recommend strategies to teach critical thinking.

  8. Drugs and development: the global impact of drug use and trafficking on social and economic development.

    PubMed

    Singer, Merrill

    2008-12-01

    Locating development efforts within the context of globalism and global drug capitalism, this article examines the significant health and social impact both legal and illegal drugs have on international development efforts. The paper takes on an issue that is generally overlooked in the development debate and is not much addressed in the current international development standard, the Millennium Development Goals, and yet is one that places serious constraints on the ability of underdeveloped nations to achieve improvement. The relationship between psychotropic or "mind/mood altering" drugs and sustainable development is rooted in the contribution that the legal and illegal drug trade makes to a set of barriers to development, including: (1) interpersonal crime and community violence; (2) the corruption of public servants and the disintegration of social institutions; (3) the emergence of new or enhanced health problems; (4) the lowering of worker productivity; (5) the ensnarement of youth in drug distribution and away from productive education or employment; (6) the skewing of economies to drug production and money laundering. The paper emphasizes the need for new approaches for diminishing the burden placed by drugs on development.

  9. Public private partnership in in-service training of physicians: the millennium development goal 6-partnership for African clinical training (M-PACT) approach.

    PubMed

    Oleribe, Obinna Ositadimma; Salako, Babatunde Lawal; Akpalu, Albert; Anteyi, Emmanuel; Ka, Mamadou Mourtalla; Deen, Gibrilla; Akande, Temilola; Abellona U, Mei Ran; Lemoine, Maud; McConnochie, Mairi; Foster, Matthew; Walker, Richard; Taylor-Robinson, Simon David; Jawad, Ali

    2018-01-01

    in-service training of healthcare workers is essential for improving healthcare services and outcome. The Millennium Development Goal (MDG) 6 Partnership for African Clinical Training (M-PACT) program was an innovative in-service training approach designed and implemented by the Royal College of Physicians (RCP) and West African College of Physicians (WACP) with funding from Eco Bank Foundation. The goal was to develop sustainable capacity to tackle MDG 6 targets in West Africa through better postgraduate medical education. Five training centres were establised: Nigeria (Abuja, Ibadan), Ghana (Accra), Senegal (Dakar) and Sierra Leone (Freetown) for training 681 physicians from across West Africa. A curriculum jointly designed by the RCP-WACP team was used to deliver biannual 5-day training courses over a 3-year period. Of 602 trained in clinical medicine, 358 (59.5%) were males and 535 (88.9%) were from hosting countries. 472 (78.4%) of participants received travel bursaries to participate, while 318 (52.8%) were residents in Internal Medicine in the respective institutions. Accra had the highest number of participants (29.7%) followed by Ibadan, (28.7%), Dakar, (24.9%), Abuja, (11.0%) and Freetown, (5.6%). Pre-course clinical knowledge scores ranged from 35.1% in the Freetown Course to 63.8% in Accra Course 1; whereas post-course scores ranged from 50.5% in the Freetown course to 73.8% in Accra course 1. M-PACT made a positive impact to quality and outcome of healthcare services in the region and is a model for continued improvement for healthcare outcomes, e.g malaria, HIV and TB incidence and mortality in West Africa.

  10. Impact of volcanic eruptions on the climate of the 1st millennium AD in a comprehensive climate simulation

    NASA Astrophysics Data System (ADS)

    Wagner, Sebastian; Zorita, Eduardo

    2015-04-01

    The climate of the 1st millennium AD shows some remarkable differences compared to the last millennium concerning variation in external forcings. Together with an orbitally induced increased solar insolation during the northern hemisphere summer season and a general lack of strong solar minima, the frequency and intensity of large tropical and extratropical eruptions is decreased. Here we present results of a new climate simulation carried out with the comprehensive Earth System Model MPI-ESM-P forced with variations in orbital, solar, volcanic and greenhouse gas variations and land use changes for the last 2,100 years. The atmospheric model has a horizontal resolution of T63 (approx. 125x125 km) and therefore also allows investigations of regional-to-continental scale climatic phenomena. The volcanic forcing was reconstructed based on a publication by Sigl et al. (2013) using the sulfate records of the NEEM and WAIS ice cores. To obtain information on the aerosol optical depth (AOD) these sulfate records were scaled to an established reconstruction from Crowley and Unterman (2010), which is also a standard forcing in the framework of CMIP5/PMIP3. A comparison between the newly created data set with the Crowley and Unterman dataset reveals that the new reconstruction shows in general weaker intensities, especially of the large tropical outbreaks and fewer northern hemispheric small-to-medium scale eruptions. However, the general pattern in the overlapping period is similar. A hypothesis that can be tested with the simulation is whether the reduced volcanic intensity of the 1st millennium AD contributed to the elevated temperature levels over Europe, evident within a new proxy-based reconstruction. On the other hand, the few but large volcanic eruptions, e.g. the 528 AD event, also induced negative decadal-scale temperature anomalies. Another interesting result of the simulation relates to the 79 AD eruption of the Vesuvius, which caused the collapse of the city of

  11. Area and Family Effects on the Psychopathology of the Millennium Cohort Study Children and Their Older Siblings

    ERIC Educational Resources Information Center

    Flouri, Eirini; Tzavidis, Nikos; Kallis, Constantinos

    2010-01-01

    Background: To model and compare contextual (area and family) effects on the psychopathology of children nested in families nested in areas. Method: Data from the first two sweeps of the UK's Millennium Cohort Study were used. The final study sample was 9,630 children clustered in 6,052 families clustered in 1,681 Lower-layer Super Output Areas.…

  12. Climate variability in China during the last millennium based on reconstructions and simulations

    NASA Astrophysics Data System (ADS)

    García-Bustamante, E.; Luterbacher, J.; Xoplaki, E.; Werner, J. P.; Jungclaus, J.; Zorita, E.; González-Rouco, J. F.; Fernández-Donado, L.; Hegerl, G.; Ge, Q.; Hao, Z.; Wagner, S.

    2012-04-01

    Multi-decadal to centennial climate variability in China during the last millennium is analysed. We compare the low frequency temperature and precipitation variations from proxy-based reconstructions and palaeo-simulations from climate models. Focusing on the regional responses to the global climate evolution is of high relevance due to the complexity of the interactions between physical mechanisms at different spatio-temporal scales and the potential severity of the derived multiple socio-economic impacts. China stands out as a particularly interesting region, not only due to its complex climatic features, ranging from the semiarid northwestern Tibetan Plateau to the tropical monsoon southeastern climates, but also because of its wealth of proxy data. However, comprehensive assessments of proxy- and model-based information about palaeo-climatic variations in China are, to our knowledge, still lacking. In addition, existing studies depict a general lack of agreement between reconstructions and model simulations with respect to the amplitude and/or occurrence of warmer/colder and wetter/drier periods during the last millennium and the magnitude of the 20th century warming trend. Furthermore, these works are mainly focused on eastern China regions that show a denser proxy data coverage. We investigate how last millennium palaeo-runs compare to independent evidences from an unusual large number of proxy reconstructions over the study area by employing state-of-the-art palaeo-simulations with multi-member ensembles from the CMIP5/PMIP3 project. This shapes an ideal frame for the evaluation of the uncertainties associated to internal and intermodel model variability. Preliminary results indicate that despite the strong regional and seasonal dependencies, temperature reconstructions in China evidence coherent variations among all regions at centennial scale, especially during the last 500 years. The spatial consistency of low frequency temperature changes is an

  13. Sexually Harassing Behavior against Adolescent Girls in Rural Bangladesh: Implications for Achieving Millennium Development Goals

    ERIC Educational Resources Information Center

    Alam, Nurul; Roy, Swapan K.; Ahmed, Tahmeed

    2010-01-01

    This study examines the extent and type of sexually harassing behavior or intimidations unmarried adolescent girls experienced on their way to school, college or social visits and type of perpetrators in victims' view in rural Bangladesh using data of the 2004 National Nutrition Programme baseline survey. The survey collected self-reported data on…

  14. Millennium Development Goal 1: poverty, hunger and decent work in Southeast Asia.

    PubMed

    Renwick, Neil

    2011-01-01

    This article considers three questions: 1) what progress has been made in achieving MDG1 targets?; 2) what challenges remain?; and 3) what more could and should be done? To examine these questions, the article assesses the progress of Southeast Asia in seeking to achieve MDG1. It argues that the region is 'on track' to achieve MDG 1 targets, although significant challenges such as inequality remain. Economic growth, significant structural change and incorporation into global value chains have contributed to MDG progress. However, this is a double-edged sword as exposure to global economic turbulence can increase. The longer-term reduction of poverty, inequality and social exclusion is a question of empowerment of local producers within value chains-a shift in economic power and control through pro-poor strategies strong enough to effect substantive structural change. The article outlines key concepts; identifies the main characteristics of Southeast Asian poverty; outlines what more needs to be done; and concludes by reprising the article's findings and weighing the prospects for 2010-15 and beyond.

  15. Collaboration with HEIs: A Key Capacity Building Block for the Uganda Water and Sanitation Public Sector

    ERIC Educational Resources Information Center

    Kayaga, Sam

    2007-01-01

    The capacity of public service staff in developing countries is crucial for achieving the Millennium Development Goals. Literature from developed countries shows that, working with higher education institutions (HEIs), industries have improved their human resource capacity through continuing professional development. This paper reports on research…

  16. Explaining changes in child health inequality in the run up to the 2015 Millennium Development Goals (MDGs): The case of Zambia

    PubMed Central

    Hangoma, Peter; Aakvik, Arild; Robberstad, Bjarne

    2017-01-01

    Background Child health interventions were drastically scaled up in the period leading up to 2015 as countries aimed at meeting the 2015 target of the Millennium Development Goals (MDGs). MDGs were defined in terms of achieving improvements in average health. Significant improvements in average child health are documented, but evidence also points to rising inequality. It is important to investigate factors that drive the increasing disparities in order to inform the post-2015 development agenda of reducing inequality, as captured in the Sustainable Development Goals (SDGs). We investigated changes in socioeconomic inequality in stunting and fever in Zambia in 2007 and 2014. Unlike the huge literature that seeks to quantify the contribution of different determinants on the observed inequality at any given time, we quantify determinants of changes in inequality. Methods Data from the 2007 and 2014 waves of the Zambia Demographic and Health Survey (DHS) were utilized. Our sample consisted of children aged 0–5 years (n = 5,616 in 2007 and n = 12,714 in 2014). We employed multilevel models to assess the determinants of stunting and fever, which are two important child health indicators. The concentration index (CI) was used to measure the magnitude of inequality. Changes in inequality of stunting and fever were investigated using Oaxaca-type decomposition of the CI. In this approach, the change in the CI for stunting/fever is decomposed into changes in CI for each determinant and changes in the effect—measured as an elasticity—of each determinant on stunting/fever. Results While average rates of stunting reduced in 2014 socioeconomic inequality in stunting increased significantly. Inequality in fever incidence also increased significantly, but average rates of fever did not reduce. The increase in the inequality (CI) of determinants accounted for the largest part (42.5%) of the increase in inequality of stunting, while the increase in the effect of determinants

  17. Overview of NASA's Pulsed Plasma Thruster Development Program

    NASA Technical Reports Server (NTRS)

    Pencil, Eric J.; Kamhawi, Hani; Arrington, Lynn A.

    2004-01-01

    NASA's Pulsed Plasma Thruster Program consists of flight demonstration experiments, base research, and development efforts being conducted through a combination of in-house work, contracts, and collaborative programs. The program receives sponsorship from Energetics Project, the New Millennium Program, and the Small Business Innovative Research Program. The Energetics Project sponsors basic and fundamental research to increase thruster life, improve thruster performance, and reduce system mass. The New Millennium Program sponsors the in-orbit operation of the Pulsed Plasma Thruster experiment on the Earth Observing 1 spacecraft. The Small Business Innovative Research Program sponsors the development of innovative diamond-film capacitors, piezoelectric ignitors, and advanced fuels. Programmatic background, recent technical accomplishments, and future activities for each programmatic element are provided.

  18. The Role of Mediators in the Development of Longitudinal Mathematics Achievement Associations.

    PubMed

    Watts, Tyler W; Duncan, Greg J; Chen, Meichu; Claessens, Amy; Davis-Kean, Pamela E; Duckworth, Kathryn; Engel, Mimi; Siegler, Robert; Susperreguy, Maria I

    2015-01-01

    Despite research demonstrating a strong association between early and later mathematics achievement, few studies have investigated mediators of this association. Using longitudinal data (n = 1,362), this study tested the extent to which mathematics self-concepts, school placement, executive functioning, and proficiency in fractions and division account for the association between mathematics achievement in first grade and at age 15. As hypothesized, a strong longitudinal association between first-grade and adolescent mathematics achievement was present (β = .36) even after controlling for a host of background characteristics, including cognitive skills and reading ability. The mediators accounted for 39% of this association, with mathematics self-concept, gifted and talented placement, and knowledge of fractions and division serving as significant mediators. © 2015 The Authors. Child Development © 2015 Society for Research in Child Development, Inc.

  19. Effect of Teachers' Professional Development from Mathforward™ on Students' Math Achievement

    ERIC Educational Resources Information Center

    Hill, Kristina K.; Bicer, Ali; Capraro, Robert M.

    2017-01-01

    MathForward™, developed in 2004-2005 in cooperation with the Richardson (TX) Independent School District, was implemented nationwide in 2007. The program integrates TI technology and professional development while focusing on student achievement and teacher efficacy. This study investigated the effect of the MathForward™ program on student…

  20. Accounting for water quality in monitoring access to safe drinking-water as part of the Millennium Development Goals: lessons from five countries.

    PubMed

    Bain, Rob E S; Gundry, Stephen W; Wright, Jim A; Yang, Hong; Pedley, Steve; Bartram, Jamie K

    2012-03-01

    To determine how data on water source quality affect assessments of progress towards the 2015 Millennium Development Goal (MDG) target on access to safe drinking-water. Data from five countries on whether drinking-water sources complied with World Health Organization water quality guidelines on contamination with thermotolerant coliform bacteria, arsenic, fluoride and nitrates in 2004 and 2005 were obtained from the Rapid Assessment of Drinking-Water Quality project. These data were used to adjust estimates of the proportion of the population with access to safe drinking-water at the MDG baseline in 1990 and in 2008 made by the Joint Monitoring Programme for Water Supply and Sanitation, which classified all improved sources as safe. Taking account of data on water source quality resulted in substantially lower estimates of the percentage of the population with access to safe drinking-water in 2008 in four of the five study countries: the absolute reduction was 11% in Ethiopia, 16% in Nicaragua, 15% in Nigeria and 7% in Tajikistan. There was only a slight reduction in Jordan. Microbial contamination was more common than chemical contamination. The criterion used by the MDG indicator to determine whether a water source is safe can lead to substantial overestimates of the population with access to safe drinking-water and, consequently, also overestimates the progress made towards the 2015 MDG target. Monitoring drinking-water supplies by recording both access to water sources and their safety would be a substantial improvement.

  1. Buying results? Contracting for health service delivery in developing countries.

    PubMed

    Loevinsohn, Benjamin; Harding, April

    To achieve the health-related Millennium Development Goals, the delivery of health services will need to improve. Contracting with non-state entities, including non-governmental organisations (NGOs), has been proposed as a means for improving health care delivery, and the global experience with such contracts is reviewed here. The ten investigated examples indicate that contracting for the delivery of primary care can be very effective and that improvements can be rapid. These results were achieved in various settings and services. Many of the anticipated difficulties with contracting were either not observed in practice or did not compromise contracting's effectiveness. Seven of the nine cases with sufficient experience (greater than 3 years' elapsed experience) have been sustained and expanded. Provision of a package of basic services by contractors costs between roughly US3 dollars and US6 dollars per head per year in low-income countries. Contracting for health service delivery should be expanded and future efforts must include rigorous evaluations.

  2. Boreal spring precipitation variability in the cold arid western Himalaya during the last millennium, regional linkages, and socio-economic implications

    NASA Astrophysics Data System (ADS)

    Yadava, Akhilesh K.; Bräuning, Achim; Singh, Jayendra; Yadav, Ram R.

    2016-07-01

    Precipitation in the monsoon shadow zone of the western Himalayan region, largely under the influence of mid-latitude westerlies, is the dominant regional socioeconomic driver. Current knowledge of long-term regional precipitation variability is scarce due to spatially and temporally limited weather and high-resolution proxy climate records. We developed the first boreal spring precipitation reconstruction for the western Himalaya covering the last millennium (1030-2011 C.E.). The annually resolved reconstruction is based on a large tree-ring data set of Himalayan cedar (Cedrus deodara) and neoza pine (Pinus gerardiana) from 16 ecologically homogeneous moisture stressed settings in Kinnaur, western Indian Himalaya. The precipitation reconstruction revealed persistent long-term spring droughts from the 12th to early 16th century C.E. and pluvial from the late 16th century C.E. to recent decades. The late 15th and early 16th centuries (1490-1514 C.E.) displayed the driest episode, with precipitation being ∼15% lower than the long-term mean. The early 19th century (1820-1844 C.E.) was the wettest period of the past millennium, with mean precipitation ∼13% above the long-term mean. The reconstructed boreal spring precipitation from the western Himalaya revealed large-scale consistency with hydrological records from westerly dominated regions in Central Asia, indicating synoptic-scale changes in atmospheric circulation during the major part of the Medieval and Little Ice Age periods. Protracted droughts in Central Asia could have caused severe contraction of the regional economy, as indicated by striking coherence of reconstructed drought periods and historic social upheavals and invasions of India from Central and Western Asian invaders. Vulnerability to climatic extremes underpins the need to develop a better understanding of the temporal and spatial variability in regional hydroclimate in order to devise viable water resource management plans.

  3. Postnatal paternal depressive symptoms associated with fathers' subsequent parenting: findings from the Millennium Cohort Study.

    PubMed

    Nath, Selina; Russell, Ginny; Ford, Tamsin; Kuyken, Willem; Psychogiou, Lamprini

    2015-12-01

    Impaired parenting may lie on the causal pathway between paternal depression and children's outcomes. We use the first four surveys of the Millennium Cohort Study to investigate the association between paternal depressive symptoms and fathers' parenting (negative, positive and involvement). Findings suggest that postnatal paternal depressive symptoms are associated with fathers' negative parenting. This has implications for the design of intervention programmes for parents with depression and young children. © The Royal College of Psychiatrists 2015.

  4. Promoting Academic Achievement and Identity Development among Diverse High School Students

    ERIC Educational Resources Information Center

    Rodriguez, James L.; Jones, Evangelina Bustamante; Pang, Valerie Ooka; Park, Cynthia D.

    2004-01-01

    This paper describes how a university outreach program promotes academic achievement and identity development among culturally diverse tenth-grade students. The primary goal of the outreach program is to advance students' engagement and competency in mathematics and science learning. A secondary goal of the program is to promote the development of…

  5. Achieving success: assessing the role of and building a business case for technology in healthcare.

    PubMed

    Neumann, C L; Blouin, A S; Byrne, E M

    1999-01-01

    As the healthcare market continues to evolve, technology will play an increasingly important role in an integrated delivery system's ability to provide high-quality, cost-effective care. Healthcare leaders must be proactive and forward thinking about their technology investments. The financial investment for technology innovation can be significant. Therefore, it is important that healthcare executives deliberately design the role of technology and develop a consistent method for evaluating, identifying, and prioritizing technology investments. The article begins by describing technology's role in a healthcare organization as a window to the organization, a key driver of business strategy, and a high-performance enabler, and it develops a seven-step process for building a business case to ensure that an organization's technology investments are wise, well-reasoned, and will provide value to its customers. In addition, the article discusses the importance of combining people and process reengineering with new technology to exponentially increase the value to an organization. Healthcare leaders must understand the multiple roles of technology and consistently develop a business case when making technology investment decisions. Organizations driven by such an understanding will have a robust infrastructure of enabling technology designed to integrate people and process elements with technology to achieve the goals and initiatives of the organization. These organizations will lead the healthcare industry into the next millennium.

  6. SCARLET: Design of the Fresnel concentrator array for New Millennium Deep Space 1

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Murphy, D.M.; Eskenazi, M.I.

    1997-12-31

    The primary power for the JPL New Millennium Deep Space 1 spacecraft is a 2.6 kW concentrator solar array. This paper surveys the design and analysis employed to combine line-focus Fresnel lenses and multijunction (GaInP{sub 2}/GaAs/Ge) solar cells in the second-generation SCARLET (Solar Concentrator Array with Refractive Linear Element Technology) system. The array structure and mechanisms are reviewed. Discussion is focused on the lens and receiver, from the optimizations of optical efficiency and thermal management, to the design issues of environmental extremes, reliability, producibility, and control of pointing error.

  7. The development, past achievements, and future directions of brain PET

    PubMed Central

    Jones, Terry; Rabiner, Eugenii A

    2012-01-01

    The early developments of brain positron emission tomography (PET), including the methodological advances that have driven progress, are outlined. The considerable past achievements of brain PET have been summarized in collaboration with contributing experts in specific clinical applications including cerebrovascular disease, movement disorders, dementia, epilepsy, schizophrenia, addiction, depression and anxiety, brain tumors, drug development, and the normal healthy brain. Despite a history of improving methodology and considerable achievements, brain PET research activity is not growing and appears to have diminished. Assessments of the reasons for decline are presented and strategies proposed for reinvigorating brain PET research. Central to this is widening the access to advanced PET procedures through the introduction of lower cost cyclotron and radiochemistry technologies. The support and expertize of the existing major PET centers, and the recruitment of new biologists, bio-mathematicians and chemists to the field would be important for such a revival. New future applications need to be identified, the scope of targets imaged broadened, and the developed expertize exploited in other areas of medical research. Such reinvigoration of the field would enable PET to continue making significant contributions to advance the understanding of the normal and diseased brain and support the development of advanced treatments. PMID:22434067

  8. Team Sports Achievement and Self-Esteem Development among Urban Adolescent Girls

    ERIC Educational Resources Information Center

    Pedersen, Sara; Seidman, Edward

    2004-01-01

    In this study we investigate the contribution of achievement in team sports to adolescent girls' self-esteem development. Adolescent girls (N = 247) from racially and ethnically diverse backgrounds were surveyed as part of a larger study investigating the development of poor urban youth. Participants responded to items tapping global self-esteem,…

  9. The contribution of spatial ability to mathematics achievement in middle childhood.

    PubMed

    Gilligan, Katie A; Flouri, Eirini; Farran, Emily K

    2017-11-01

    Strong spatial skills are associated with success in science, technology, engineering, and mathematics (STEM) domains. Although there is convincing evidence that spatial skills are a reliable predictor of mathematical achievement in preschool children and in university students, there is a lack of research exploring associations between spatial and mathematics achievement during the primary school years. To address this question, this study explored associations between mathematics and spatial skills in children aged 5 and 7years. The study sample included 12,099 children who participated in both Wave 3 (mean age=5; 02 [years; months]) and Wave 4 (mean age=7; 03) of the Millennium Cohort Study. Measures included a standardised assessment of mathematics and the Pattern Construction subscale of the British Ability Scales II to assess intrinsic-dynamic spatial skills. Spatial skills at 5 and 7years of age explained a significant 8.8% of the variation in mathematics achievement at 7years, above that explained by other predictors of mathematics, including gender, socioeconomic status, ethnicity, and language skills. This percentage increased to 22.6% without adjustment for language skills. This study expands previous findings by using a large-scale longitudinal sample of primary school children, a population that has been largely omitted from previous research exploring associations between spatial ability and mathematics achievement. The finding that early and concurrent spatial skills contribute to mathematics achievement at 7years of age highlights the potential of spatial skills as a novel target in the design of mathematics interventions for children in this age range. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  10. Association of Child Poverty, Brain Development, and Academic Achievement

    PubMed Central

    Hair, Nicole L.; Hanson, Jamie L.; Wolfe, Barbara L.; Pollak, Seth D.

    2015-01-01

    IMPORTANCE Children living in poverty generally perform poorly in school, with markedly lower standardized test scores and lower educational attainment. The longer children live in poverty, the greater their academic deficits. These patterns persist to adulthood, contributing to lifetime-reduced occupational attainment. OBJECTIVE To determine whether atypical patterns of structural brain development mediate the relationship between household poverty and impaired academic performance. DESIGN, SETTING, AND PARTICIPANTS Longitudinal cohort study analyzing 823 magnetic resonance imaging scans of 389 typically developing children and adolescents aged 4 to 22 years from the National Institutes of Health Magnetic Resonance Imaging Study of Normal Brain Development with complete sociodemographic and neuroimaging data. Data collection began in November 2001 and ended in August 2007. Participants were screened for a variety of factors suspected to adversely affect brain development, recruited at 6 data collection sites across the United States, assessed at baseline, and followed up at 24-month intervals for a total of 3 periods. Each study center used community-based sampling to reflect regional and overall US demographics of income, race, and ethnicity based on the US Department of Housing and Urban Development definitions of area income. One-quarter of sample households reported the total family income below 200% of the federal poverty level. Repeated observations were available for 301 participants. EXPOSURE Household poverty measured by family income and adjusted for family size as a percentage of the federal poverty level. MAIN OUTCOMES AND MEASURES Children’s scores on cognitive and academic achievement assessments and brain tissue, including gray matter of the total brain, frontal lobe, temporal lobe, and hippocampus. RESULTS Poverty is tied to structural differences in several areas of the brain associated with school readiness skills, with the largest influence

  11. Association of Child Poverty, Brain Development, and Academic Achievement.

    PubMed

    Hair, Nicole L; Hanson, Jamie L; Wolfe, Barbara L; Pollak, Seth D

    2015-09-01

    Children living in poverty generally perform poorly in school, with markedly lower standardized test scores and lower educational attainment. The longer children live in poverty, the greater their academic deficits. These patterns persist to adulthood, contributing to lifetime-reduced occupational attainment. To determine whether atypical patterns of structural brain development mediate the relationship between household poverty and impaired academic performance. Longitudinal cohort study analyzing 823 magnetic resonance imaging scans of 389 typically developing children and adolescents aged 4 to 22 years from the National Institutes of Health Magnetic Resonance Imaging Study of Normal Brain Development with complete sociodemographic and neuroimaging data. Data collection began in November 2001 and ended in August 2007. Participants were screened for a variety of factors suspected to adversely affect brain development, recruited at 6 data collection sites across the United States, assessed at baseline, and followed up at 24-month intervals for a total of 3 periods. Each study center used community-based sampling to reflect regional and overall US demographics of income, race, and ethnicity based on the US Department of Housing and Urban Development definitions of area income. One-quarter of sample households reported the total family income below 200% of the federal poverty level. Repeated observations were available for 301 participants. Household poverty measured by family income and adjusted for family size as a percentage of the federal poverty level. Children's scores on cognitive and academic achievement assessments and brain tissue, including gray matter of the total brain, frontal lobe, temporal lobe, and hippocampus. Poverty is tied to structural differences in several areas of the brain associated with school readiness skills, with the largest influence observed among children from the poorest households. Regional gray matter volumes of children below 1

  12. Modeling of severe persistent droughts over eastern China during the last millennium

    NASA Astrophysics Data System (ADS)

    Peng, Y.; Shen, C.; Cheng, H.; Xu, Y.

    2013-11-01

    We use proxy data and modeled data from 1000 yr model simulations with a variety of climate forcings to examine the occurrence of severe events of persistent drought over eastern China during the last millennium and to diagnose the mechanisms. Results show that the model was able to simulate many aspects of the low-frequency (periods greater than 10 yr) variations of precipitation over eastern China during the last millennium, including most of the severe persistent droughts such as those in the 1130s, 1200s, 1350s, 1430s, 1480s, and the late 1630s-mid-1640s. These six droughts are identified both in the proxy data and in the modeled data and are consistent with each other in terms of drought intensity, duration, and spatial coverage. Our analyses suggest that monsoon circulation can lock into a drought-prone mode that may last for years to decades and supports the suggestion that generally reduced monsoon in eastern Asia were associated with the land-sea thermal contrast. Study on the wavelet transform and spectral analysis reveals six well-captured events occurred all at the drought stages of statistically significant 15-35 yr timescale. A modeled data intercomparison suggests that solar activity is the primary driver in the occurrence of the 1130s, 1350s, 1480s, and late 1630s-mid-1640s droughts. Although the El-Niño-Southern Oscillation (ENSO) plays an important role in monsoon variability, a temporally consistent relationship between the droughts and SST pattern in the Pacific Ocean could not be found in the model. Our analyses also indicate that large volcanic eruptions play a role as an amplifier in the drought of 1635-1645 and caused the model to overestimate the decreasing trends in summer precipitation over eastern China during the mid-1830s and the mid-1960s.

  13. Problems Faced by Distance Learners in Using Web-Based Facilities

    ERIC Educational Resources Information Center

    Dharankar, Madhavi

    2012-01-01

    Countries like India are engaged in exploring appropriate ways of tackling the urgent problem of educating their large and growing populations in relatively little time and with limited resources. Against this background, achieving universal primary education is a major concern. If this Millennium Development Goal is to be achieved, the…

  14. Enhancing Student Outcomes through Mentoring, Peer Counselling and Parental Involvement

    ERIC Educational Resources Information Center

    Sottie, Cynthia Akorfa; Dubus, Nicole; Sossou, Marie-Antoinette

    2013-01-01

    The government of Ghana has designed various initiatives to achieve the Millennium Development Goals on education and the Education for All goals. Despite these initiatives, student outcomes continue to be poorer than desired. Although access to education has improved, student dropout remains a problem and student scores on achievement tests…

  15. Gender Equality in Education: Definitions and Measurements

    ERIC Educational Resources Information Center

    Subrahmanian, R.

    2005-01-01

    International consensus on education priorities accords an important place to achieving gender justice in the educational sphere. Both the Dakar 'Education for All' goals and the Millennium Development goals emphasise two goals, in this regard. These two goals are distinguished as gender parity goals [achieving equal participation of girls and…

  16. Comparing the Global Charcoal Database with Burned Area Trends from an Offline Fire Model Driven by the NCAR Last Millennium Ensemble

    NASA Astrophysics Data System (ADS)

    Schaefer, A.; Magi, B. I.; Marlon, J. R.; Bartlein, P. J.

    2017-12-01

    This study uses an offline fire model driven by output from the NCAR Community Earth System Model Last Millennium Ensemble (LME) to evaluate how climate, ecological, and human factors contributed to burned area over the past millennium, and uses the Global Charcoal Database (GCD) record of fire activity as a constraint. The offline fire model is similar to the fire module within the NCAR Community Land Model. The LME experiment includes 13 simulations of the Earth system from 850 CE through 2005 CE, and the fire model simulates burned area using LME climate and vegetation with imposed land use and land cover change. The fire model trends are compared to GCD records of charcoal accumulation rates derived from sediment cores. The comparisons are a way to assess the skill of the fire model, but also set up a methodology to directly test hypotheses of the main drivers of fire patterns over the past millennium. The focus is on regions selected from the GCD with high data density, and that have lake sediment cores that best capture the last millennium. Preliminary results are based on a fire model which excludes burning cropland and pasture land cover types, but this allows some assessment of how climate variability is captured by the fire model. Generally, there is good agreement between modeled burned area trends and fire trends from GCD for many regions of interest, suggesting the strength of climate variability as a control. At the global scale, trends and features are similar from 850 to 1700, which includes the Medieval Climate Anomaly and the Little Ice Age. After 1700, the trends significantly deviate, which may be due to non-cultivated land being converted to cultivated. In key regions of high data density in the GCD such as the Western USA, the trends agree from 850 to 1200 but diverge from 1200 to 1300. From 1300 to 1800, the trends show good agreement again. Implementing processes to include burning cultivated land within the fire model is anticipated to

  17. Food security politics and the Millennium Development Goals.

    PubMed

    McMichael, Philip; Schneider, Mindi

    2011-01-01

    This article reviews proposals regarding the recent food crisis in the context of a broader, threshold debate on the future of agriculture and food security. While the MDGs have focused on eradicating extreme poverty and hunger, the food crisis pushed the hungry over the one billion mark. There is thus a renewed focus on agricultural development, which pivots on the salience of industrial agriculture (as a supply source) in addressing food security. The World Bank's new 'agriculture for development' initiative seeks to improve small-farmer productivity with new inputs, and their incorporation into global markets via value-chains originating in industrial agriculture. An alternative claim, originating in 'food sovereignty' politics, demanding small-farmer rights to develop bio-regionally specific agro-ecological methods and provision for local, rather than global, markets, resonates in the IAASTD report, which implies agribusiness as usual ''is no longer an option'. The basic divide is over whether agriculture is a servant of economic growth, or should be developed as a foundational source of social and ecological sustainability. We review and compare these different paradigmatic approaches to food security, and their political and ecological implications.

  18. Information Technology, Mathematics Achievement and Educational Equity in Developed Economies

    ERIC Educational Resources Information Center

    Tan, Cheng Yong; Hew, Khe Foon

    2017-01-01

    The present study examined how access to home and school IT resources impacted student mathematics achievement. Data comprised 144,395 secondary school students from 7,308 schools in 22 developed economies who participated in the Programme for International Student Assessment (PISA) 2012. Results of hierarchical linear modelling showed that after…

  19. The Kosovo Education for Sustainable Development's Role in Promoting the Decade of Education for Sustainable Development in Kosovo

    ERIC Educational Resources Information Center

    Beka, Arlinda

    2015-01-01

    The Republic of Kosovo declared its independence in 2008 following almost a decade of administration by the United Nations Mission in Kosovo. During the United Nations administration the first initiatives towards Education for Sustainable Development (ESD) were taken, particularly with the Millennium Development Goals agenda. Following the idea of…

  20. Education, Development and Poverty Reduction: A Literature Critique

    ERIC Educational Resources Information Center

    Cremin, Peadar; Nakabugo, Mary Goretti

    2012-01-01

    The concept of development has evolved from an exclusive focus on economic growth towards an interrelated, even integrated approach involving progress across a range of disciplines such as health, education, economics and agriculture. The Millennium Development Goals (MDGs) are rooted in this evolved conception of development. A concerted global…

  1. Developing an Adequately Specified Model of State Level Student Achievement with Multilevel Data.

    ERIC Educational Resources Information Center

    Bernstein, Lawrence

    Limitations of using linear, unilevel regression procedures in modeling student achievement are discussed. This study is a part of a broader study that is developing an empirically-based predictive model of variables associated with academic achievement from a multilevel perspective and examining the differences by which parameters are estimated…

  2. An Analysis of Determinants of Under-5 Mortality across Countries: Defining Priorities to Achieve Targets in Sustainable Developmental Goals.

    PubMed

    Acheampong, Michael; Ejiofor, Chukwudi; Salinas-Miranda, Abraham

    2017-06-01

    Objectives The end of the era of millennium development goals (MDGs) ushered in the sustainable development goals (SDGs) with a new target for the reduction of under-five mortality rates (U5MR). Although U5MR decreased globally, the reduction was insufficient to meet MDGs targets because significant socioeconomic inequities remain unaddressed across and within countries. Thus, further progress in achieving the new SDGs target will be hindered if there is no adequate prioritization of important socioeconomic, healthcare, and environmental factors. The objective of this study was to assess factors that account most for the differences in U5MR between countries around the globe. Methods We conducted an ordinary least squares (OLS) regression-based prioritization analysis of socioeconomic, healthcare, and environmental variables from 109 countries to understand which factors explain the differences in U5MR best. Results All indicators examined individually affected differences in U5MR between countries. However, the results of multivariate OLS regression showed that the most important factors that accounted for the differences were, in order: fertility rate, total health expenditure per capita, access to improved water and sanitation, and female employment rate. Conclusions To achieve the new global target for U5MR, policymakers must focus on certain priority areas, such as interventions that address access to affordable maternal healthcare services, educational programs for mothers, especially those who are adolescents, and safe drinking water and sanitation.

  3. The Last Millennium Reanalysis: Improvements to proxies and proxy modeling

    NASA Astrophysics Data System (ADS)

    Tardif, R.; Hakim, G. J.; Emile-Geay, J.; Noone, D.; Anderson, D. M.

    2017-12-01

    The Last Millennium Reanalysis (LMR) employs a paleoclimate data assimilation (PDA) approach to produce climate field reconstructions (CFRs). Here, we focus on two key factors in PDA generated CFRs: the set of assimilated proxy records and forward models (FMs) used to estimate proxies from climate model output. In the initial configuration of the LMR [Hakim et al., 2016], the proxy dataset of [PAGES2k Consortium, 2013] was used, along with univariate linear FMs calibrated against annually-averaged 20th century temperature datasets. In an updated configuration, proxy records from the recent dataset [PAGES2k Consortium, 2017] are used, while a hierarchy of statistical FMs are tested: (1) univariate calibrated on annual temperature as in the initial configuration, (2) univariate against temperature as in (1) but calibration performed using expert-derived seasonality for individual proxy records, (3) as in (2) but expert proxy seasonality replaced by seasonal averaging determined objectively as part of the calibration process, (4) linear objective seasonal FMs as in (3) but objectively selecting relationships calibrated either on temperature or precipitation, and (5) bivariate linear models calibrated on temperature and precipitation with objectively-derived seasonality. (4) and (5) specifically aim at better representing the physical drivers of tree ring width proxies. Reconstructions generated using the CCSM4 Last Millennium simulation as an uninformed prior are evaluated against various 20th century data products. Results show the benefits of using the new proxy collection, particularly on the detrended global mean temperature and spatial patterns. The positive impact of using proper seasonality and temperature/moisture sensitivities for tree ring width records is also notable. This updated configuration will be used for the first generation of LMR-generated CFRs to be publicly released. These also provide a benchmark for future efforts aimed at evaluating the

  4. Going Beyond the Millennium Ecosystem Assessment: An Index System of Human Well-Being

    PubMed Central

    Yang, Wu; Dietz, Thomas; Kramer, Daniel Boyd; Chen, Xiaodong; Liu, Jianguo

    2013-01-01

    Understanding the linkages between ecosystem services (ES) and human well-being (HWB) is crucial to sustain the flow of ES for HWB. The Millennium Ecosystem Assessment (MA) provided a state-of-the-art synthesis of such knowledge. However, due to the complexity of the linkages between ES and HWB, there are still many knowledge gaps, and in particular a lack of quantitative indicators and integrated models based on the MA framework. To fill some of these research needs, we developed a quantitative index system to measure HWB, and assessed the impacts of an external driver – the 2008 Wenchuan Earthquake – on HWB. Our results suggest that our proposed index system of HWB is well-designed, valid and could be useful for better understanding the linkages between ES and HWB. The earthquake significantly affected households' well-being in our demonstration sites. Such impacts differed across space and across the five dimensions of the sub-index (i.e., the basic material for good life, security, health, good social relations, and freedom of choice and action). Since the conceptual framework is based on the generalizable MA framework, our methods should also be applicable to other study areas. PMID:23717635

  5. Flight Software Implementation of the Beacon Monitor Expreiment On the NASA New Millennium Deep Space 1 (DS-1) Mission

    NASA Technical Reports Server (NTRS)

    Foster, R.; Schlutsmeyer, A.

    1997-01-01

    A new technology that can lower the cost of mission operations on future spacecraft will be tested on the NASA New Millennium Deep Space 1 (DS-1) Mission. This technology, the Beacon Monitor Experiment (BMOX), can be used to reduce the Deep Space Network (DSN) tracking time and its associated costs on future missions.

  6. The Determinants of School Achievement in Developing Countries: A Review of the Research.

    ERIC Educational Resources Information Center

    Simmons, John; Alexander, Leigh

    The goal of the review is to identify the factors which promote student cognitive achievement as measured by several studies conducted in developing countries. The major tool of analysis which measures the relationship between the school inputs, like teacher quality and school facilities, and cognitive achievement is the educational production…

  7. The Prevalence, Development and Domain Specificity of Elementary School Students' Achievement Goal Profiles

    ERIC Educational Resources Information Center

    Jansen in de Wal, Joost; Hornstra, Lisette; Prins, Frans J.; Peetsma, Thea; van der Veen, Ineke

    2016-01-01

    This study's aim was to examine the prevalence, development and domain specificity of fifth- and sixth-grade elementary school students' achievement goal profiles. Achievement goals were measured for language and mathematics among 722 pupils at three points in time. These data were analysed through latent profile analysis and latent transition…

  8. A millennium of metallurgy recorded by lake sediments from Morococha, Peruvian Andes.

    PubMed

    Cooke, Colin A; Abbott, Mark B; Wolfe, Alexander P; Kittleson, John L

    2007-05-15

    To date, information concerning pre-Colonial metallurgy in South America has largely been limited to the archaeological record of artifacts. Here, we reconstruct a millennium of smelting activity in the Peruvian Andes using the lake-sediment stratigraphy of atmospherically derived metals (Pb, Zn, Cu, Ag, Sb, Bi, and Ti) and lead isotopic ratios (206Pb/ 207Pb) associated with smelting from the Morococha mining region in the central Peruvian Andes. The earliest evidence for metallurgy occurs ca. 1000 A.D., coinciding with the fall of the Wari Empire and decentralization of local populations. Smelting during this interval appears to have been aimed at copper and copper alloys, because of large increases in Zn and Cu relative to Pb. A subsequent switch to silver metallurgy under Inca control (ca. 1450 to conquest, 1533 A.D.) is indicated by increases in Pb, Sb, and Bi, a conclusion supported by further increases of these metals during Colonial mining, which targeted silver extraction. Rapid development of the central Andes during the 20th century raised metal burdens by an order of magnitude above previous levels. Our results represent the first evidence for pre-Colonial smelting in the central Peruvian Andes, and corroborate the sensitivity of lake sediments to pre-Colonial metallurgical activity suggested by earlier findings from Bolivia.

  9. Quality Science Teacher Professional Development and Student Achievement

    NASA Astrophysics Data System (ADS)

    Dubner, J.

    2007-12-01

    Studies show that socio-economic background and parental education accounts for 50-60 percent of a child's achievement in school. School, and other influences, account for the remaining 40-50 percent. In contrast to most other professions, schools require no real apprenticeship training of science teachers. Overall, only 38 percent of United States teachers have had any on-the-job training in their first teaching position, and in some cases this consisted of a few meetings over the course of a year between the beginning teacher and the assigned mentor or master teacher. Since individual teachers determine the bulk of a student's school experiences, interventions focused on teachers have the greatest likelihood of affecting students. To address this deficiency, partnerships between scientists and K-12 teachers are increasingly recognized as an excellent method for improving teacher preparedness and the quality of science education. Columbia University's Summer Research Program for Science Teachers' (founded in 1990) basic premise is simple: teachers cannot effectively teach science if they have no firsthand experience doing science, hence the Program's motto, "Practice what you teach." Columbia University's Summer Research Program for Science Teachers provides strong evidence that a teacher research program is a very effective form of professional development for secondary school science teachers and has a direct correlation to increased student achievement in science. The author will present the methodology of the program's evaluation citing statistically significant data. The author will also show the economic benefits of teacher participation in this form of professional development.

  10. A Comparison of the PRIME-MD PHQ-9 and PHQ-8 in a Large Military Prospective Study, the Millennium Cohort Study

    DTIC Science & Technology

    2013-03-14

    2007. Smallpox vaccination: comparison of self-reported and electronic vaccine records in the Millennium Cohort Study. Human. Vaccine 3, 6. Oquendo...Kim, H.M., McCarthy, J.F., Austin, K.L., Hoggatt, K.J., Walters, H., Valenstein, M., 2007. Suicide mortality among individuals receiving treatment

  11. Accounting for water quality in monitoring access to safe drinking-water as part of the Millennium Development Goals: lessons from five countries

    PubMed Central

    Bain, Rob ES; Wright, Jim A; Yang, Hong; Pedley, Steve; Bartram, Jamie K

    2012-01-01

    Abstract Objective To determine how data on water source quality affect assessments of progress towards the 2015 Millennium Development Goal (MDG) target on access to safe drinking-water. Methods Data from five countries on whether drinking-water sources complied with World Health Organization water quality guidelines on contamination with thermotolerant coliform bacteria, arsenic, fluoride and nitrates in 2004 and 2005 were obtained from the Rapid Assessment of Drinking-Water Quality project. These data were used to adjust estimates of the proportion of the population with access to safe drinking-water at the MDG baseline in 1990 and in 2008 made by the Joint Monitoring Programme for Water Supply and Sanitation, which classified all improved sources as safe. Findings Taking account of data on water source quality resulted in substantially lower estimates of the percentage of the population with access to safe drinking-water in 2008 in four of the five study countries: the absolute reduction was 11% in Ethiopia, 16% in Nicaragua, 15% in Nigeria and 7% in Tajikistan. There was only a slight reduction in Jordan. Microbial contamination was more common than chemical contamination. Conclusion The criterion used by the MDG indicator to determine whether a water source is safe can lead to substantial overestimates of the population with access to safe drinking-water and, consequently, also overestimates the progress made towards the 2015 MDG target. Monitoring drinking-water supplies by recording both access to water sources and their safety would be a substantial improvement. PMID:22461718

  12. Engineering Education in Bangladesh--An Indicator of Economic Development

    ERIC Educational Resources Information Center

    Chowdhury, Harun; Alam, Firoz

    2012-01-01

    Developing nations including Bangladesh are significantly lagging behind the millennium development target due to the lack of science, technology and engineering education. Bangladesh as a least developing country has only 44 engineers per million people. Its technological education and gross domestic product growth are not collinear. Although…

  13. Skill Achievement and Returns in Developing Countries: Evidence from Adult Skills Surveys

    ERIC Educational Resources Information Center

    Chua, Kenn

    2017-01-01

    Using novel adult skills surveys, this article analyses cross-country patterns in skill achievement and labour market returns, comparing the outcomes for a subset of developing countries with the results previously found for high-income economies. Apart from displaying lower average cognitive skills, developing countries also exhibit wider…

  14. Interannual variability in global mean sea level estimated from the CESM Large and Last Millennium Ensembles

    DOE PAGES

    Fasullo, John T.; Nerem, Robert S.

    2016-10-31

    To better understand global mean sea level (GMSL) as an indicator of climate variability and change, contributions to its interannual variation are quantified in the Community Earth System Model (CESM) Large Ensemble and Last Millennium Ensemble. Consistent with expectations, the El Niño/Southern Oscillation (ENSO) is found to exert a strong influence due to variability in rainfall over land (PL) and terrestrial water storage (TWS). Other important contributors include changes in ocean heat content (OHC) and precipitable water (PW). The temporal evolution of individual contributing terms is documented. The magnitude of peak GMSL anomalies associated with ENSO generally are of themore » order of 0.5 mm·K -1 with significant inter-event variability, with a standard deviation (σ) that is about half as large The results underscore the exceptional rarity of the 2010/2011 La Niña-related GMSL drop and estimate the frequency of such an event to be about only once in every 75 years. In addition to ENSO, major volcanic eruptions are found to be a key driver of interannual variability. Associated GMSL variability contrasts with that of ENSO as TWS and PW anomalies initially offset the drop due to OHC reductions but short-lived relative to them. Furthermore, responses up to 25 mm are estimated for the largest eruptions of the Last Millennium.« less

  15. Interannual variability in global mean sea level estimated from the CESM Large and Last Millennium Ensembles

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fasullo, John T.; Nerem, Robert S.

    To better understand global mean sea level (GMSL) as an indicator of climate variability and change, contributions to its interannual variation are quantified in the Community Earth System Model (CESM) Large Ensemble and Last Millennium Ensemble. Consistent with expectations, the El Niño/Southern Oscillation (ENSO) is found to exert a strong influence due to variability in rainfall over land (PL) and terrestrial water storage (TWS). Other important contributors include changes in ocean heat content (OHC) and precipitable water (PW). The temporal evolution of individual contributing terms is documented. The magnitude of peak GMSL anomalies associated with ENSO generally are of themore » order of 0.5 mm·K -1 with significant inter-event variability, with a standard deviation (σ) that is about half as large The results underscore the exceptional rarity of the 2010/2011 La Niña-related GMSL drop and estimate the frequency of such an event to be about only once in every 75 years. In addition to ENSO, major volcanic eruptions are found to be a key driver of interannual variability. Associated GMSL variability contrasts with that of ENSO as TWS and PW anomalies initially offset the drop due to OHC reductions but short-lived relative to them. Furthermore, responses up to 25 mm are estimated for the largest eruptions of the Last Millennium.« less

  16. The Sustainable Development Goal for Urban Sanitation: Africa's Statistical Tragedy Continues?

    PubMed

    Buckley, Robert M; Kallergis, Achilles

    2018-06-01

    Sanitation delivery in the urban areas of sub-Saharan African countries has been a chronic issue, particularly difficult to tackle. Under the Millennium Development Goals, the sanitation target in urban sub-Saharan Africa was missed by a wide margin and witnessed almost no improvement. After 2 years of review, the WHO/UNICEF Joint Monitoring Programme published a new measure of access to sanitation as a baseline for the Sustainable Development Goals. There are a number of improvements in the new measure. However, despite the improvements, the new measure continues to be characterized by an important flaw: it continues to disregard how shared toilet facilities contribute towards the SDG sanitation target. As a result, the new measure does not indicate whether progress is being made in low-income urban areas where a large number of households rely on shared sanitation; nor does it provide a goal that can be achieved in cities of the poorest countries over the measurement period. But, its most egregious failing is that it directs resources towards investments which will often fail cost/benefit tests. In sum, it is not a surprise that a Working Group recommended that the measure should be changed to include some shared facilities. Following the Working Group's recommendation would have avoided the adverse consequences of continued reliance on a key component of the methodology used for monitoring sanitation improvements under the Millennium Development Goals. The paper discusses the limitations of this methodology in the context of urban sub-Saharan Africa, where current sanitation conditions are seriously lacking, and the significant future urban population growth will add more pressure for the delivery of vital sanitation services.

  17. The Aegean in the Early 7th Millennium BC: Maritime Networks and Colonization.

    PubMed

    Horejs, B; Milić, B; Ostmann, F; Thanheiser, U; Weninger, B; Galik, A

    The process of Near Eastern neolithization and its westward expansion from the core zone in the Levant and upper Mesopotamia has been broadly discussed in recent decades, and many models have been developed to describe the spread of early farming in terms of its timing, structure, geography and sociocultural impact. Until now, based on recent intensive investigations in northwestern and western Anatolia, the discussion has mainly centred on the importance of Anatolian inland routes for the westward spread of neolithization. This contribution focuses on the potential impact of east Mediterranean and Aegean maritime networks on the spread of the Neolithic lifestyle to the western edge of the Anatolian subcontinent in the earliest phases of sedentism. Employing the longue durée model and the concept of 'social memory', we will discuss the arrival of new groups via established maritime routes. The existence of maritime networks prior to the spread of farming is already indicated by the high mobility of Epipalaeolithic/Mesolithic groups exploring the Aegean and east Mediterranean seas, and reaching, for example, the Cyclades and Cyprus. Successful navigation by these early mobile groups across the open sea is attested by the distribution of Melian obsidian. The potential existence of an additional Pre-Pottery Neolithic (PPN) obsidian network that operated between Cappadocia/Cilicia and Cyprus further hints at the importance of maritime coastal trade. Since both the coastal and the high seas networks were apparently already well established in this early period, we may further assume appropriate knowledge of geographic routes, navigational technology and other aspects of successful seafaring. This Mesolithic/PPN maritime know-how package appears to have been used by later groups, in the early 7th millennium calBC, exploring the centre of the Anatolian Aegean coast, and in time establishing some of the first permanent settlements in that region. In the present paper, we

  18. Climate Forcing Reconstructions for Use in PMIP Simulations of the Last Millennium (v1.0)

    NASA Technical Reports Server (NTRS)

    Schmidt, Gavin A.; Jungclaus, J.H.; Steinhilber, F.; Vieira, L. E. A.; Ammann, C. M.; Bard, E.; Braconnot, P.; Crowley, T. J.; Delayque, G.; Joos, F.; hide

    2011-01-01

    Simulations of climate over the Last Millennium (850-1850 CE) have been incorporated into the third phase of the Paleoclimate Modelling Intercomparison Project (PMIP3). The drivers of climate over this period are chiefly orbital, solar, volcanic, changes in land use/land cover and some variation in greenhouse gas levels. While some of these effects can be easily defined, the reconstructions of solar, volcanic and land use-related forcing are more uncertain. We describe here the approach taken in defining the scenarios used in PMIP3, document the forcing reconstructions and discuss likely implications.

  19. THE DEVELOPMENT OF A STANDARDIZED ACHIEVEMENT TEST FOR SMALL GASOLINE ENGINE INSTRUCTION.

    ERIC Educational Resources Information Center

    EBBERT, J. MARVIN

    THE PURPOSE OF THE STUDY WAS TO DEVELOP A STANDARDIZED, MULTIPLE-CHOICE ACHIEVEMENT TEST ON THE OPERATION, CARE, AND MAINTENANCE OF SMALL GASOLINE ENGINES. OBJECTIVES AND A UNIT OUTLINE WERE DEVELOPED WITH THE COOPERATION OF 75 INDIANA VOCATIONAL AGRICULTURE TEACHERS. A PANEL SUGGESTED MODIFICATIONS, AND THE REFINED OBJECTIVES AND OUTLINE WERE…

  20. Variations in the width of the Indo-Pacific tropical rain belt over the last millennium: synthesis of stalagmite proxy records and climate model simulations

    NASA Astrophysics Data System (ADS)

    Ummenhofer, Caroline; Denniston, Rhawn

    2017-04-01

    The seasonal north-south migration of the intertropical convergence zone defines the tropical rain belt (TRB), a region of enormous terrestrial biodiversity and home to 40% of the world's population. The TRB is dynamic and has been shown to shift south as a coherent system during periods of Northern Hemisphere cooling. However, recent studies of Indo-Pacific hydroclimate suggest that during the Little Ice Age (AD 1400-1850), the TRB in this region contracted rather than being displaced uniformly southward. This behaviour is not well understood, particularly during climatic fluctuations less pronounced than those of the Little Ice Age, the largest centennial-scale cool period of the last millennium. Using state-of-the-art climate model simulations conducted as part of the Last Millennium Ensemble with the Community Earth System Model (CESM), we evaluate variations in the width of the Indo-Pacific TRB, as well as movements in the position of its northward and southward edges, across a range of timescales over the pre-Industrial portion of the last millennium (AD 850-1850). The climate model results complement a recent reconstruction of late Holocene variability of the Indo-Pacific TRB, based on a precisely-dated, monsoon-sensitive stalagmite reconstruction from northern Australia (cave KNI-51), located at the southern edge of the TRB and thus highly sensitive to variations at its southern edge. Integrating KNI-51 with a record from Dongge Cave in southern China allows a stalagmite-based TRB reconstruction. Our results reveal that rather than shifting meridionally, the Indo-Pacific TRB expanded and contracted over multidecadal/centennial time scales during the late Holocene, with symmetric weakening/strengthening of summer monsoons in the Northern and Southern Hemispheres of the Indo-Pacific (the East Asian summer monsoon in China and the Australian summer monsoon in northern Australia). Links to large-scale climatic conditions across the Indo-Pacific region

  1. The impact of globalisation, free trade and technology on food and nutrition in the new millennium.

    PubMed

    McMichael, P

    2001-05-01

    The millennium promises a dramatic politicisation of the food question. In addition to the prominent issues of food security, hunger and nutrition, bioengineering, food safety and quality, there are related issues of environmental sustainability, power, sovereignty and rights. All these issues are deeply implicated in the current corporate form of globalisation, which is transforming historic global arrangements by subordinating public institutions and the question of food security to private solutions. The present paper questions the self-evident association between globalisation and nutritional improvement.

  2. Self-Beliefs and Behavioural Development as Related to Academic Achievement in Canadian Aboriginal Children

    ERIC Educational Resources Information Center

    Baydala, Lola; Rasmussen, Carmen; Birch, June; Sherman, Jody; Wikman, Erik; Charchun, Julianna; Kennedy, Merle; Bisanz, Jeffrey

    2009-01-01

    The authors explored the relationship between measures of self-belief, behavioural development, and academic achievement in Canadian Aboriginal children. Standardized measures of intelligence are unable to consistently predict academic achievement in students from indigenous populations. Exploring alternative factors that may be both predictive…

  3. Annually resolved North Atlantic marine climate over the last millennium

    NASA Astrophysics Data System (ADS)

    Reynolds, D. J.; Scourse, J. D.; Halloran, P. R.; Nederbragt, A. J.; Wanamaker, A. D.; Butler, P. G.; Richardson, C. A.; Heinemeier, J.; Eiríksson, J.; Knudsen, K. L.; Hall, I. R.

    2016-12-01

    Owing to the lack of absolutely dated oceanographic information before the modern instrumental period, there is currently significant debate as to the role played by North Atlantic Ocean dynamics in previous climate transitions (for example, Medieval Climate Anomaly-Little Ice Age, MCA-LIA). Here we present analyses of a millennial-length, annually resolved and absolutely dated marine δ18O archive. We interpret our record of oxygen isotope ratios from the shells of the long-lived marine bivalve Arctica islandica (δ18O-shell), from the North Icelandic shelf, in relation to seawater density variability and demonstrate that solar and volcanic forcing coupled with ocean circulation dynamics are key drivers of climate variability over the last millennium. During the pre-industrial period (AD 1000-1800) variability in the sub-polar North Atlantic leads changes in Northern Hemisphere surface air temperatures at multi-decadal timescales, indicating that North Atlantic Ocean dynamics played an active role in modulating the response of the atmosphere to solar and volcanic forcing.

  4. Financial Strain, Parental Smoking, and the Great Recession: An Analysis of the UK Millennium Cohort Study.

    PubMed

    McKenna, Caoimhe S; Law, Catherine; Pearce, Anna

    2017-11-07

    During the recent "Great Recession," many families in the United Kingdom experienced increased financial strain (FS). The aim of this study was to determine if increases in FS, occurring over the period of the "Great Recession," were associated with increased risks of persistent and relapsed tobacco use among parents. We analyzed the Millennium Cohort Study, a longitudinal study of 18819 children born in the United Kingdom between 2000 and 2002. Surveys at 7 (T1, 2008) and 11 years (T2, 2012) spanned the "Great Recession." Three measures of increased FS were defined; "became income poor" (self-reported household income dropped below the "poverty line" between T1 and T2); "developed difficulty managing" (parental report of being "financially comfortable" at T1 and finding it "difficult to manage" at T2); "felt worse off" (parental report of feeling financially "worse off" at T2, compared to T1). Poisson regression was used to estimate risk ratios (RR), adjusted RRs (aRR), and 95% confidence intervals for three outcomes: "persistent tobacco use," "new reported tobacco use," and "relapsed tobacco use." Parents in households which "became income poor" over the period of the "Great Recession" were significantly more likely to report "persistent tobacco use" (aRR = 2.17 [1.83-2.57]) or "new reported tobacco use" (aRR = 1.72 [1.04-2.83]). Ninety-five percent of "new reported tobacco users" had evidence of prior tobacco use suggesting the majority were "relapsed tobacco users." Similar patterns were seen for those who "developed difficulty managing" and "felt worse off." Increased tobacco use among financially strained families has the potential to widen inequalities and undermine the public health policies that have had positive impacts on tobacco consumption in the United Kingdom. While several studies have shown that FS is associated with a higher prevalence of tobacco use, heavier smoking, and relapsed tobacco use, most of this work used cross-sectional data and none

  5. Vegetation and climate history during the last millennium derived from Anggertu Lake, Tengger Desert

    NASA Astrophysics Data System (ADS)

    Duan, F.; An, C.; Zhao, Y.; Wang, W.; Cao, Z.

    2017-12-01

    Studying the climate changes during the last millennium can help us to understand current relationship between human-social activities and natural environment changes, and improve projections of future climate. Pollen assemblages, loss-on-ignition (LOIorg at 550 °C) and grain size data collected from sediment core (AGE15A) from the center of Anggertu lake (eastern Tengger Desert, Inner Mongolia) are presented to reconstruct regional vegetation and climate history during the last millennium. Results show that: 1) desert or desert steppe dominated by Artemisia and Amaranthaceae expanded around this region during the period of 988 1437 A.D., indicating a generally dry climate condition with two short humid periods (1003 1082 A.D. and 1388 1437 A.D). These two wet periods are characterized by relatively high vegetation cover and bio-productivity, reflected by high pollen concentrations and LOIorg. Increase in the steppe or meadow vegetation communities (Poaceae, Cyperaceae) and vegetation cover during the period of 1437 2015 A.D. suggest a wetting trend, as also indicated by gradually finer grain size. The relatively high LOI indicate a high bio-productivity during this interval. And then unstable lacustrine environment was found with frequent fluctuations in pollen concentration and grain size since 1842 A.D.. 2) This study recorded a relatively dry Medieval Warm Period (MWP; 1082 1388 A.D.) and a wet Little Ice Age (LIA; 1437 1842 A.D.), which is generally consistent with climate characteristics in arid central Asia (ACA). 3) Increased Amaranthaceae and high abundance of Poaceae were related to overgrazing and agricultural activities at that time to some extent. Thus vegetation evolution of the lake region was influenced by human activities and climate changes.

  6. Modeling of severe persistent droughts over eastern China during the last millennium

    NASA Astrophysics Data System (ADS)

    Peng, Y.

    2013-12-01

    We use proxy data and model data from 1000-yr model simulations with a variety of climate forcings to examine the occurrence of severe events of persistent drought over eastern China during the last millennium and diagnose the mechanisms. Results show that the model was able to simulate many aspects of the low-frequency (periods greater than 10 yr) variations of precipitation over eastern China during the last millennium, including much of the severe persistent droughts such as the 1130s drought, 1200s drought, 1350s drought, 1430s drought, 1480s drought and the drought of the late 1630s-mid 1640s. These six droughts both identified in the proxy data and model data are consistent with each other in terms of drought intensity, duration, and spatial coverage. Our analyses suggest that monsoon circulation can lock into a drought-prone mode that may last for years to decades and supports the suggestion that generally reduced monsoon in East Asia were associated with the land-sea thermal contrast. Study on the wavelet transform and spectral analysis reveals six well-captured events occurred all at the drought stages of statistically significant 15-35 yr time scale. A model data inter-comparison suggests that the solar activity are the primary driver of the 1130s drought, 1350s drought, 1480s drought and the drought of the late 1630s-mid 1640s occurrence, while the drought of 1430s was mainly caused by the internal variability of the climate system. Although the El-Niño Southern Oscillation (ENSO) plays an important role in monsoon variability, a temporally consistent relationship between the droughts and SST pattern in Pacific Oceans could not be found in the model. Our analyses also indicate that large volcanic eruptions play as amplifier in the drought of 1635-1645 and caused the model overestimates the decreasing trends in summer precipitation over eastern China during the mid-1830s and the mid-1960s.

  7. What role for the home learning environment and parenting in reducing the socioeconomic gradient in child development? Findings from the Millennium Cohort Study.

    PubMed

    Kelly, Y; Sacker, A; Del Bono, E; Francesconi, M; Marmot, M

    2011-09-01

    Early child health and development (ECD) is important for health in later life. Objectives were to (1) examine the extent of socioeconomic inequality in markers of ECD at ages 3 and 5 years; (2) examine whether the ECD-income gap widens between these ages; (3) assess the contribution of the home learning environment, family routines and psychosocial environment to observed inequalities in ECD. Data on socioemotional difficulties, and tests of cognitive ability in 3-year-old (n=15 382) and 5-year-old (n=15 042) children from the UK Millennium Cohort Study were used. Children in the highest income group were less likely to have socioemotional difficulties compared with those in the lowest income group at 3 and 5 years (2.4% vs 16.4% and 2.0% vs 15.9%, respectively) and had higher mean scores: age 3 'school readiness' 114 versus 99; verbal ability 54 versus 48, and age 5: verbal ability 60 versus 51, non-verbal ability 58 versus 54 and spatial ability 54 versus 48 (all p<0.001). The income gap in verbal ability scores widened between ages 3 and 5 (Wald test, p=0.04). Statistical adjustment for markers of home learning, family routines and psychosocial environments did more to explain the income gap in socioemotional difficulties than in cognitive test scores. Our results suggest that relationships between family income and markers of ECD are amenable to change. The role of home learning, family routines and psychosocial environmental factors are potentially important in closing income gaps in ECD.

  8. Effects of Developed Electronic Instructional Medium on Students' Achievement in Biology

    ERIC Educational Resources Information Center

    Chinna, Nsofor Caroline; Dada, Momoh Gabriel

    2013-01-01

    The study investigated the effects of developed electronic instructional medium (video DVD instructional package) on students' achievement in Biology. It was guided by two research questions and two hypotheses, using a quasi-experimental, pretest-postest control group design. The sample comprised of 180 senior secondary, year two students from six…

  9. A Guatemalan Speleothem Record Of Climate Of The Past Millennium

    NASA Astrophysics Data System (ADS)

    Miller, T.; Winter, A.; Burnett, A.; Haug, G. H.; Kelly, M. J.; Edwards, R.

    2012-12-01

    A 32-cm active stalagmite collected in 2007 in eastern Guatemala near the Belize border began growing in ~1000 AD, and provides a near continuous record of the past 1000 years. The cave was at 350 m asl, and 23C. 15 U/Th MC ICPMS dates were used to establish the growth model, and almost 1000 δ18O stable isotope samples have been analyzed at sub-annual resolution. The GUXI-1 speleothem grew at a rate of 0.35mm/y from ~1000 to ~1450, when it tilted 25 mm/ 11 degrees from its original axis, possibly related to seismic events of the Motagua River plate margin to the south. Growth continued on the angled upside as a transparent calcite, but with restricted deposition rates from ~1460 to 1650: this reduction was likely due to the time to re-create a more suitable site for deposition, but also to environmental conditions on the surface. After 1660 to the present, GUXI-1 grew steadily along a new axis, much faster at 0.58mm/yr than its pre-tilt rate. The δ18 oxygen isotopes of the deposited calcite are construed as a rainfall proxy, influenced by the amount effect of the tropics. The values range from -4 ‰ to -2.75‰, showing four major regimes over the millennium, and indicating several periods of drought [less-negative δ18O]. Prior to tilting, the Guatemala stalagmite displayed a trend of increasing precipitation following its inception, until it was tilted. Average δ18O was -3.4‰. The record during the ~1450-1660 tilt suggests a period of aridity, but from 1700-1800 precipitation was increasing again as δ18O reached its most negative mean values of ~ -3.6‰, and growth rate was also at its highest. A very abrupt drop in δ18O [0.2 ‰] occurred in 1816 (the year of a major nearby earthquake and a year after the Tambora mega-eruption), and continued as a long-term drying trend to the present, though with a sharp central peak and 2 troughs. This drying trend was also accompanied by a 1/3 decrease in growth rate. A new δ18O mean of -3.1‰ is higher than that

  10. Developing an Achievement Test for the Subject of Sound in Science Education

    ERIC Educational Resources Information Center

    Sözen, Merve; Bolat, Mualla

    2016-01-01

    The purpose of this study is to develop an achievement test which includes the basic concepts about the subject of sound and its properties in middle school science lessons and which at the same time aims to reveal the alternative concepts that the students already have. During the process of the development of the test, studies in the field and…

  11. How Effective Have Thirty Years of Internationally Driven Conservation and Development Efforts Been in Madagascar?

    PubMed

    Waeber, Patrick O; Wilmé, Lucienne; Mercier, Jean-Roger; Camara, Christian; Lowry, Porter P

    2016-01-01

    Conservation and development are intricately linked. The international donor community has long provided aid to tropical countries in an effort to alleviate poverty and conserve biodiversity. While hundreds of millions of $ have been invested in over 500 environmental-based projects in Madagascar during the period covered by a series of National Environmental Action Plans (1993-2008) and the protected areas network has expanded threefold, deforestation remains unchecked and none of the eight Millennium Development Goals (MDGs) established for 2000-2015 were likely be met. Efforts to achieve sustainable development had failed to reduce poverty or deliver progress toward any of the MDGs. Cross-sectorial policy adjustments are needed that (i) enable and catalyze Madagascar's capacities rather than deepening dependency on external actors such as the World Bank, the International Monetary Fund and donor countries, and that (ii) deliver improvements to the livelihoods and wellbeing of the country's rural poor.

  12. Cross-country analysis of strategies for achieving progress towards global goals for women's and children's health.

    PubMed

    Ahmed, Syed Masud; Rawal, Lal B; Chowdhury, Sadia A; Murray, John; Arscott-Mills, Sharon; Jack, Susan; Hinton, Rachael; Alam, Prima M; Kuruvilla, Shyama

    2016-05-01

    To identify how 10 low- and middle-income countries achieved accelerated progress, ahead of comparable countries, towards meeting millennium development goals 4 and 5A to reduce child and maternal mortality. We synthesized findings from multistakeholder dialogues and country policy reports conducted previously for the Success Factors studies in 10 countries: Bangladesh, Cambodia, China, Egypt, Ethiopia, the Lao People's Democratic Republic, Nepal, Peru, Rwanda and Viet Nam. A framework approach was used to analyse and synthesize the data from the country reports, resulting in descriptive or explanatory conclusions by theme. Successful policy and programme approaches were categorized in four strategic areas: leadership and multistakeholder partnerships; health sector; sectors outside health; and accountability for resources and results. Consistent and coordinated inputs across sectors, based on high-impact interventions, were assessed. Within the health sector, key policy and programme strategies included defining standards, collecting and using data, improving financial protection, and improving the availability and quality of services. Outside the health sector, strategies included investing in girls' education, water, sanitation and hygiene, poverty reduction, nutrition and food security, and infrastructure development. Countries improved accountability by strengthening and using data systems for planning and evaluating progress. Reducing maternal and child mortality in the 10 fast-track countries can be linked to consistent and coordinated policy and programme inputs across health and other sectors. The approaches used by successful countries have relevance to other countries looking to scale-up or accelerate progress towards the sustainable development goals.

  13. Why I Believe I Achieve Determines Whether I Achieve

    ERIC Educational Resources Information Center

    Siegle, Del; McCoach, D. Betsy; Roberts, Anne

    2017-01-01

    The beliefs and values students hold toward themselves, given tasks, and achievement itself can influence what tasks students seek, and whether they are able to obtain them. On the basis of previous research on underachievement and motivation, we developed the Achievement Orientation Model (AOM) to explore the issue of student achievement. The…

  14. In Search of Remedy to Secondary School Dropout Pandemic in Kenya: Role of the Principal

    ERIC Educational Resources Information Center

    Achoka, J. S. K.

    2007-01-01

    As a nation, Kenya hopes to achieve Education for All (EFA) by the year 2015. This is an uphill task given the various challenges in the education sector. The year 2015 is also significant globally because it is the target year for the fulfillment of the eight-millennium goals. Kenya looks forward to have her people achieve the millennium goals…

  15. On the Development of Perfectionism: The Longitudinal Role of Academic Achievement and Academic Efficacy.

    PubMed

    Damian, Lavinia E; Stoeber, Joachim; Negru-Subtirica, Oana; Băban, Adriana

    2017-08-01

    Although perfectionism is a prominent personality disposition, only a few longitudinal studies have investigated how perfectionism develops. Theoretical models and qualitative studies have posited that academic success is a developmental antecedent of perfectionism. Yet, quantitative studies tend to interpret the cross-sectional relationships as academic success being an outcome of perfectionism. In light of these gaps in the literature, the present study was the first to investigate the longitudinal relationships between perfectionistic strivings, perfectionistic concerns, academic achievement, and academic efficacy by examining academic success as an antecedent of perfectionism. The study examined 487 adolescents (aged 12-19 years, 54% female) using a cross-lagged longitudinal design with three time points spaced 4-5 months apart. Results showed that academic achievement predicted relative increases in both perfectionistic strivings and perfectionistic concerns, even when including academic efficacy. In addition, academic efficacy predicted relative increases in perfectionistic strivings. This is the first study to show that academic achievement is a common factor in the development of perfectionistic strivings and perfectionistic concerns, whereas academic efficacy plays a role only in the development of perfectionistic strivings. Implications of the findings for the development of perfectionism are discussed. © 2016 Wiley Periodicals, Inc.

  16. Radiology system evolution in the new millennium.

    PubMed

    Nauert, R C

    2001-01-01

    For many decades the practice of radiology grew slowly in America and was largely a secondary function under the control of hospitals. In more recent times it has vastly expanded its array of diagnostic, interventional, and therapeutic abilities. There is increasing consumer logic for direct access. Motivations have grown to create large independent entities with broadly diverse capabilities in order to succeed in the new millennium. Most regional markets are evolving rapidly in terms of managed care penetration, health system formation, physician practice consolidation and aggressive purchaser behavior by employers and consumers. To understand the enormity of healthcare evolution, it is useful to look at the industry's paradigm shifts in recent decades. Virtually every aspect of organizational infrastructure, delivery approaches, and the business environment has evolved markedly during the past fifty years. These changes will accelerate. To succeed financially, radiology groups must strengthen their market positions, technical capabilities, continuums of care and geographic dominance. Equally important is the wisdom of diversifying incomes into related services and businesses that provide additional related revenues. Key factors for successful development include facility market growth, full coverage of managed care contracts, high efficiency and aggressive diversification. A fully evolved system generates significant revenues and profitability by protecting and strengthening its financial position in this environment. That is accomplished through the development of strategically located radiology groups, aggressive alliances with medical practices in allied disciplines, and managed radiology departments and facilities for partner health systems. Organizational success ultimately depends on the ability to accept capitated payments under risk-bearing arrangements. The strategic business plan should be organized with the appropriate levels of detail needed to

  17. Representations of ECT in English-Language Film and Television in the New Millennium.

    PubMed

    Matthews, Avery Madeleine; Rosenquist, Peter B; McCall, William Vaughn

    2016-09-01

    The aim of the study was to survey the media landscape to determine whether visual depictions of electroconvulsive therapy (ECT) are becoming more or less medically accurate in the new millennium. English-language film and television shows depicting ECT were analyzed for patient demographics, administrator roles, indication, consent, anesthesia, paralytics, bite block, lead placement, electroencephalogram, and outcome. Thirty-nine ECT scenes were viewed, and just 3 included all 5 essential tools of modern ECT: anesthesia, paralytic, electrodes, electroencephalogram, and a bite block. Media depictions of ECT do not reflect current practice. Too often, ECT is portrayed as a torture technique rather than an evidenced-based therapy, and even in a therapeutic setting, it is too often shown with outdated techniques.

  18. An ecosystem services framework to support both practical conservation and economic development.

    PubMed

    Tallis, Heather; Kareiva, Peter; Marvier, Michelle; Chang, Amy

    2008-07-15

    The core idea of the Millennium Ecosystem Assessment is that the human condition is tightly linked to environmental condition. This assertion suggests that conservation and development projects should be able to achieve both ecological and social progress without detracting from their primary objectives. Whereas "win-win" projects that achieve both conservation and economic gains are a commendable goal, they are not easy to attain. An analysis of World Bank projects with objectives of alleviating poverty and protecting biodiversity revealed that only 16% made major progress on both objectives. Here, we provide a framework for anticipating win-win, lose-lose, and win-lose outcomes as a result of how people manage their ecosystem services. This framework emerges from detailed explorations of several case studies in which biodiversity conservation and economic development coincide and cases in which there is joint failure. We emphasize that scientific advances around ecosystem service production functions, tradeoffs among multiple ecosystem services, and the design of appropriate monitoring programs are necessary for the implementation of conservation and development projects that will successfully advance both environmental and social goals. The potentially bright future of jointly advancing ecosystem services, conservation, and human well-being will be jeopardized unless a global monitoring effort is launched that uses the many ongoing projects as a grand experiment.

  19. Elementary School Principals' Knowledge of Literacy Development and Instruction and Students' Reading Achievement

    ERIC Educational Resources Information Center

    Sherrill, Carol A.

    2009-01-01

    The purpose of this dissertation was to determine if the knowledge of literacy development and reading instruction practices an elementary school principal possesses impacts the level of reading achievement of his/her students. Principals' scores on an assessment of knowledge of literacy development and instruction were compared to students'…

  20. Breast feeding and child behaviour in the Millennium Cohort Study.

    PubMed

    Heikkilä, Katriina; Sacker, Amanda; Kelly, Yvonne; Renfrew, Mary J; Quigley, Maria A

    2011-07-01

    To examine whether breast feeding is associated with behavioural development in children aged 5 years. The authors used data from a large, prospective, nationally representative UK cohort, the Millennium Cohort Study. 10 037 mother-child pairs from white ethnic background (9525 term and 512 preterm children) were included in the analyses. Duration of breast feeding (at all or exclusively) was ascertained from parental interview at study baseline, when the children were aged 9 months. Child behaviour was assessed using a parent-completed questionnaire, the Strengths and Difficulties Questionnaire (SDQ). The authors used logistic regression to investigate the associations of breastfeeding duration with abnormal parent-rated SDQ total and subscores at age 5 in term and preterm children separately. Abnormal SDQ scores were less common in term children (n=1129/9525, 12%) than pre-term (n=78/512, 15%) children. Term children breast fed for 4 months or longer (n=2741/9525, 29%) had lower odds of an abnormal total SDQ score (multivariable-adjusted OR compared with never breastfed children (n=3292/9525, 35%) 0.67, 95% CI: 0.54 to 0.83). This effect was similar for all the SDQ subscores. In preterm children, longer duration of breast feeding was generally associated with lower odds of abnormal SDQ total and subscores but the effect estimates were imprecise. The associations between exclusive breast feeding and abnormal SDQ scores were similar to those of any breast feeding and abnormal SDQ scores. The findings suggest that, at least in term children, longer duration of breast feeding is associated with fewer parent-rated behavioural problems in children aged 5 years.

  1. Combating the "other diseases" of MDG 6: changing the paradigm to achieve equity and poverty reduction?

    PubMed

    Molyneux, David H

    2008-06-01

    This paper suggests that the 'other diseases' of Millennium Development Goal 6 (MDG 6) are ignored by policy-makers and politicians who overfocus on unachievable objectives and targets around the 'big three' diseases of HIV, tuberculosis (TB) and malaria, which if the planet was viewed by aliens would be seen as the only diseases that existed on the planet. The diseases of the majority of the poor represent 'low hanging fruit' for control and elimination and opportunities are ignored despite the availability of cheap or donated drugs and ample evidence that such interventions are effective and reduce incidence, as well as mortality and morbidity. The time frame available to achieve the MDGs of some 7-8 years requires a re-evaluation of what can be done with the tools available now and which can address the problems faced by the majority of poor people afflicted by disabling conditions which together represent a global burden greater than malaria or TB. The author considers also the volume of research relevant to the MDGs and their achievement is distorted by the focus on high tech end research which cannot be delivered by 2015 and that in terms of the 90:10 gap in research relevant to the problems of the poorest the real gap is 99:1. The concepts of distortion of donor funding for diseases of MDG 6 for implementation of largely curative interventions which do not reduce incidence as well as research which addresses problems that cannot reach poor people in the time frame to 2015 is emphasised. New paradigms are required if any impact on MDG 6 is to be achieved recognising the needs of the majority via an equitable distribution of funding.

  2. A multi-decadal study of Polar and Atlantic Water changes on the North Iceland shelf during the last Millennium

    NASA Astrophysics Data System (ADS)

    Perner, Kerstin; Moros, Matthias; Simon, Margit; Berben, Sarah; Griem, Lisa; Dokken, Trond; Wacker, Lukas; Jansen, Eystein

    2017-04-01

    The region offshore North Iceland is known to be sensitive to broad scale climatic and oceanographic changes in the North Atlantic Ocean. Changes in surface and subsurface water conditions link to the varying influence of Polar-sourced East Icelandic Current (EIC) and Atlantic-sourced North Irminger Icelandic Current (NIIC). Cold/fresh Polar waters from the East Greenland Current feed the surface flowing EIC, while warm/saline Subpolar Mode Waters (SPMW) from the Irminger Current (IC) feed the subsurface flowing NIIC. Here, we present a new and well-dated multi-proxy record that allows high-resolution reconstruction of surface and subsurface water mass changes on the western North Iceland shelf. An age-depth model for the last Millennium has been developed based on the combined information from radionuclide measurements (137Cs, 210Pb) dating, 25 AMS 14C radiocarbon dates, and identified Tephra horizons. Our dating results provide further support to previous assumptions that North of Iceland a conventional reservoir age correction application of 400 years (ΔR=0) is inadequate (e.g., Eikíksson et al., 2000; Wanamaker Jr. et al., 2012). The combined evidence from radionuclide dating and the identified Tephra horizons point to a ΔR of c. 360 years during the last Millennium. Our benthic and planktic foraminiferal assemblage and stable oxygen isotope (18O) record of Neogloboquadrina pachyderma s. (NPS) resolve the last Millennium at a centennial to multi-decadal resolution. Comparison of abundance changes of the Atlantic Water related species Cassidulina neoteretis and NPS, as well as the 18O record agree well with the instrumental data time series from the monitoring station Hunafloi nearby. This provides further support that our data is representative of relative temperature and salinity changes in surface and subsurface waters. Hence, this new record allows a more detailed investigation on the timing of Polar (EIC) and Atlantic (NIIC, IC) Water contribution

  3. A 2000-yr-long multi-proxy lacustrine record from eastern Baffin Island, Arctic Canada reveals first millennium AD cold period

    NASA Astrophysics Data System (ADS)

    Thomas, Elizabeth K.; Briner, Jason P.; Axford, Yarrow; Francis, Donna R.; Miller, Gifford H.; Walker, Ian R.

    2011-05-01

    We generate a multi-proxy sub-centennial-scale reconstruction of environmental change during the past two millennia from Itilliq Lake, Baffin Island, Arctic Canada. Our reconstruction arises from a finely subsectioned 210Pb- and 14C-dated surface sediment core and includes measures of organic matter (e.g., chlorophyll a; carbon-nitrogen ratio) and insect (Diptera: Chironomidae) assemblages. Within the past millennium, the least productive, and by inference coldest, conditions occurred ca. AD 1700-1850, late in the Little Ice Age. The 2000-yr sediment record also reveals an episode of reduced organic matter deposition during the 6th-7th century AD; combined with the few other records comparable in resolution that span this time interval from Baffin Island, we suggest that this cold episode was experienced regionally. A comparable cold climatic episode occurred in Alaska and western Canada at this time, suggesting that the first millennium AD cold climate anomaly may have occurred throughout the Arctic. Dramatic increases in aquatic biological productivity at multiple trophic levels are indicated by increased chlorophyll a concentrations since AD 1800 and chironomid concentrations since AD 1900, both of which have risen to levels unprecedented over the past 2000 yr.

  4. Filling the Eastern European gap in millennium-long temperature reconstructions

    PubMed Central

    Büntgen, Ulf; Kyncl, Tomáš; Ginzler, Christian; Jacks, David S.; Esper, Jan; Tegel, Willy; Heussner, Karl-Uwe; Kyncl, Josef

    2013-01-01

    Tree ring–based temperature reconstructions form the scientific backbone of the current global change debate. Although some European records extend into medieval times, high-resolution, long-term, regional-scale paleoclimatic evidence is missing for the eastern part of the continent. Here we compile 545 samples of living trees and historical timbers from the greater Tatra region to reconstruct interannual to centennial-long variations in Eastern European May–June temperature back to 1040 AD. Recent anthropogenic warming exceeds the range of past natural climate variability. Increased plague outbreaks and political conflicts, as well as decreased settlement activities, coincided with temperature depressions. The Black Death in the mid-14th century, the Thirty Years War in the early 17th century, and the French Invasion of Russia in the early 19th century all occurred during the coldest episodes of the last millennium. A comparison with summer temperature reconstructions from Scandinavia, the Alps, and the Pyrenees emphasizes the seasonal and spatial specificity of our results, questioning those large-scale reconstructions that simply average individual sites. PMID:23319641

  5. The critical loads concept: milestone or millstone for the new millennium?

    PubMed

    Cresser, M S

    2000-04-17

    The significance of the introduction of the critical loads concept in the closing decades of the 20th century is considered critically, both in the context of its potential in planning pollution abatement strategies over a range of regional spatial and temporal scales and in terms of its more general impact upon atmospheric pollution effects research. Based upon perceived strengths and shortcomings of the concept and of the ways in which it has thus far been applied, a brief assessment is made also of its possible role in the opening decade of the new millennium. It is concluded that the validity of some of the fundamental underpinning concepts and of the data being used for their application could, and should, be questioned. Nevertheless, environmental pollution management and abatement policy planning will continue to require application of the critical loads concept or something very similar, both in existing and novel areas of application, for the sustainable management of soil and water resources in the long term.

  6. Teleconnection stationarity, variability and trends of the Southern Annular Mode (SAM) during the last millennium

    NASA Astrophysics Data System (ADS)

    Dätwyler, Christoph; Neukom, Raphael; Abram, Nerilie J.; Gallant, Ailie J. E.; Grosjean, Martin; Jacques-Coper, Martín; Karoly, David J.; Villalba, Ricardo

    2017-11-01

    The Southern Annular Mode (SAM) is the leading mode of atmospheric interannual variability in the Southern Hemisphere (SH) extra-tropics. Here, we assess the stationarity of SAM spatial correlations with instrumental and paleoclimate proxy data for the past millennium. The instrumental period shows that temporal non-stationarities in SAM teleconnections are not consistent across the SH land areas. This suggests that the influence of the SAM index is modulated by regional effects. However, within key-regions with good proxy data coverage (South America, Tasmania, New Zealand), teleconnections are mostly stationary over the instrumental period. Using different stationarity criteria for proxy record selection, we provide new austral summer and annual mean SAM index reconstructions over the last millennium. Our summer SAM reconstructions are very robust to changes in proxy record selection and the selection of the calibration period, particularly on the multi-decadal timescale. In contrast, the weaker performance and lower agreement in the annual mean SAM reconstructions point towards changing teleconnection patterns that may be particularly important outside the summer months. Our results clearly portend that the temporal stationarity of the proxy-climate relationships should be taken into account in the design of comprehensive regional and hemispherical climate reconstructions. The summer SAM reconstructions show no significant relationship to solar, greenhouse gas and volcanic forcing, with the exception of an extremely strong negative anomaly following the AD 1257 Samalas eruption. Furthermore, reconstructed pre-industrial summer SAM trends are very similar to trends obtained by model control simulations. We find that recent trends in the summer SAM lie outside the 5-95% range of pre-industrial natural variability.

  7. A THOUSAND SHADOWS OF ANDROMEDA: ROTATING PLANES OF SATELLITES IN THE MILLENNIUM-II COSMOLOGICAL SIMULATION

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ibata, Rodrigo A.; Martin, Nicolas F.; Ibata, Neil G.

    In a recent contribution, Bahl and Baumgardt investigated the incidence of planar alignments of satellite galaxies in the Millennium-II simulation and concluded that vast, thin planes of dwarf galaxies, similar to that observed in the Andromeda galaxy (M31), occur frequently by chance in Λ-cold dark matter cosmology. However, their analysis did not capture the essential fact that the observed alignment is simultaneously radially extended, yet thin, and kinematically unusual. With the caveat that the Millennium-II simulation may not have sufficient mass resolution to identify confidently simulacra of low-luminosity dwarf galaxies, we re-examine that simulation for planar structures, using the samemore » method as employed by Ibata et al. on the real M31 satellites. We find that 0.04% of host galaxies display satellite alignments that are at least as extreme as the observations, when we consider their extent, thickness, and number of members rotating in the same sense. We further investigate the angular momentum properties of the co-planar satellites, and find that the median of the specific angular momentum derived from the line-of-sight velocities in the real M31 structure (1.3 × 10{sup 4} km s{sup –1} kpc) is very high compared to systems drawn from the simulations. This analysis confirms that it is highly unlikely that the observed structure around the Andromeda galaxy is due to a chance occurrence. Interestingly, the few extreme systems that are similar to M31 arise from the accretion of a massive sub-halo with its own spatially concentrated entourage of orphan satellites.« less

  8. Sex Role Development and Achievement of Adolescents in Ireland.

    ERIC Educational Resources Information Center

    Bender, David S.

    A 120-item questionnaire was administered to 750 Irish adolescents, aged 12-17. It measured sex differences in the following variables: academic achievement; educational and occupational aspiration; self-assessment of achievement; assertiveness; and stereotypes toward adult roles and three achievement-related traits (striving, competence, and…

  9. Early mathematics development and later achievement: Further evidence

    NASA Astrophysics Data System (ADS)

    Aubrey, Carol; Godfrey, Ray; Dahl, Sarah

    2006-05-01

    There is a growing international recognition of the importance of the early years of schooling as well as an interest being shown in the relationship of early education to later achievement. This article focuses on a cohort of English pupils who have been tracked through primary school during the first five years of the new National Numeracy Strategy. It reports a limited longitudinal study of young children's early mathematical development, initially within three testing cycles: at the mid-point and towards the end of their reception year (at five years-of-age) and again at the mid-point of Year 1 (at six years-ofage). These cycles were located within the broader context of progress through to the end of Key Stage 1 (at seven years) and Key Stage 2 (at eleven years) on the basis of national standardised assessment tests (SATs). Results showed that children who bring into school early mathematical knowledge do appear to be advantaged in terms of their mathematical progress through primary school. Numerical attainment increases in importance across the primary years and practical problem solving remains an important element of this. This finding is significant given the current emphasis on numerical calculation in the English curriculum. It is concluded that without active intervention, it is likely that children with little mathematical knowledge at the beginning of formal schooling will remain low achievers throughout their primary years and, probably, beyond.

  10. A Data-Model Comparison over Europe using a new 2000-yr Summer Temperature Reconstruction from the PAGES 2k Regional Network and Last-Millennium GCM Simulations

    NASA Astrophysics Data System (ADS)

    Smerdon, Jason; Werner, Johannes; Fernandez-Donado, Laura; Buntgen, Ulf; Charpentier Ljungqvist, Fredrik; Esper, Jan; Fidel Gonzalez-Rouco, J.; Luterbacher, Juerg; McCarroll, Danny; Wagner, Sebastian; Wahl, Eugene; Wanner, Heinz; Zorita, Eduardo

    2013-04-01

    A new reconstruction of European summer (JJA) land temperatures is presented and compared to 37 forced transient simulations of the last millennium from coupled General Circulation Models (CGCMs). The reconstructions are derived from eleven annually resolved tree-ring and documentary records from ten European countries/regions, compiled as part of the Euro_Med working group contribution to the PAGES 2k Regional Network. Records were selected based upon their summer temperature signal, annual resolution, and time-continuous sampling. All tree-ring data were detrended using the Regional Curve Standardization (RCS) method to retain low-frequency variance in the resulting mean chronologies. A nested Composite-Plus-Scale (CPS) mean temperature reconstruction extending from 138 B.C.E. to 2003 C.E. was derived using nine nests reflecting the availability of predictors back in time. Each nest was calculated using a weighted composite based on the correlation of each proxy with the CRUTEM4v mean European JJA land temperature (35°-70°N, 10°W-40°E). The CPS methodology was implemented using a sliding calibration period, initially extending from 1850-1953 C.E. and incrementing by one year until reaching the final period of 1900-2003 C.E. Within each calibration step, the 50 years excluded from calibration were used for validation. Validation statistics across all reconstruction ensemble members within each nest indicate skillful reconstructions (RE: 0.42-0.64; CE: 0.26-0.54) and are all above the maximum validation statistics achieved in an ensemble of red noise benchmarking experiments. A gridded (5°x5°) European summer (JJA) temperature reconstruction back to 750 C.E. was derived using Bayesian inference together with a localized stochastic description of the underlying processes. Instrumental data are JJA means from the 5° European land grid cells in the CRUTEM4v dataset. Predictive experiments using the full proxy data were made, resulting in a multivariate

  11. Poverty, development, and women: why should we care?

    PubMed

    Thompson, Joyce E Beebe

    2007-01-01

    Healthy, prosperous nations require healthy women and newborns. Young girls and women in resource-poor nations suffer the greatest ill-health consequences from low status, denial of basic human rights, and poverty. Poverty and poor health result in poor economic development. The Millennium Development Goals call for immediate efforts to reduce poverty, improve health, especially of girls and women, and foster development in the world's poorest nations.

  12. Universal Basic Education Programme for Global Competitiveness: A Need for Paradigm Shift

    ERIC Educational Resources Information Center

    Opoh, Fredrick Awhen; Okou, Femedein Timipre; Ikang, Rosemary Ani

    2015-01-01

    When the goal of UBE, "Education For All" (EFA) which is in line with the Millennium Development Goals (MDGs) was envisaged from the conception of the scheme, little did anyone know that fourteen years after, the policy would not make a significant achievement in competing with systems in other developed nations of the world. Recent…

  13. Solar Influences on El Nino/Southern Oscillation Dynamics Over the Last Millennium

    NASA Astrophysics Data System (ADS)

    Stevenson, S.; Capotondi, A.; Fasullo, J.; Otto-Bliesner, B. L.

    2017-12-01

    The El Niño/Southern Oscillation (ENSO) exhibits considerable differences between the evolution of individual El Nino and La Nina events (`ENSO diversity'), with significant implications for impacts studies. However, the degree to which external forcing may affect ENSO diversity is not well understood, due to both internal variability and potentially compensatory contributions from multiple forcings. The Community Earth System Model Last Millennium Ensemble (CESM LME) provides an ideal testbed for studying the sensitivity of twentieth century ENSO to forced climate changes, as it contains many realizations of the 850-2005 period with differing combinations of forcings. Metrics of ENSO amplitude and diversity are compared across LME simulations, and although forced changes to ENSO amplitude are generally small, forced changes to diversity are often detectable. Anthropogenic changes to greenhouse gas and ozone/aerosol emissions modify the persistence of Eastern and Central Pacific El Nino events, through shifts in the upwelling and zonal advective feedbacks; these influences generally cancel one another over the twentieth century. Natural forcings are generally small over the 20th century, but when epochs of high/low solar irradiance are compared, distinct shifts in the development and termination of El Nino events can be observed. This indicates that solar variability can indeed have a significant role to play in setting the characteristics of tropical Pacific climate variability. Implications for configuring and evaluating projections of future climate change will be discussed.

  14. Understanding by Design (UbD) in EFL Teaching: Teachers' Professional Development and Students' Achievement

    ERIC Educational Resources Information Center

    Yurtseven, Nihal; Altun, Sertel

    2017-01-01

    Concepts such as teachers' professional development and students' achievement act as the driving force for the development of each in a causal relationship in EFL teaching, as in many other disciplines. The purpose of this study is to investigate the change Understanding by Design (UbD) made on teachers' professional development and students'…

  15. How Effective Have Thirty Years of Internationally Driven Conservation and Development Efforts Been in Madagascar?

    PubMed Central

    Wilmé, Lucienne; Mercier, Jean-Roger; Camara, Christian; Lowry, Porter P.

    2016-01-01

    Conservation and development are intricately linked. The international donor community has long provided aid to tropical countries in an effort to alleviate poverty and conserve biodiversity. While hundreds of millions of $ have been invested in over 500 environmental-based projects in Madagascar during the period covered by a series of National Environmental Action Plans (1993–2008) and the protected areas network has expanded threefold, deforestation remains unchecked and none of the eight Millennium Development Goals (MDGs) established for 2000–2015 were likely be met. Efforts to achieve sustainable development had failed to reduce poverty or deliver progress toward any of the MDGs. Cross-sectorial policy adjustments are needed that (i) enable and catalyze Madagascar’s capacities rather than deepening dependency on external actors such as the World Bank, the International Monetary Fund and donor countries, and that (ii) deliver improvements to the livelihoods and wellbeing of the country’s rural poor. PMID:27532499

  16. Coral-Derived Western Pacific Tropical Sea Surface Temperatures During the Last Millennium

    NASA Astrophysics Data System (ADS)

    Chen, Tianran; Cobb, Kim M.; Roff, George; Zhao, Jianxin; Yang, Hongqiang; Hu, Minhang; Zhao, Kuan

    2018-04-01

    Reconstructions of ocean temperatures prior to the industrial era serve to constrain natural climate variability on decadal to centennial timescales, yet relatively few such observations are available from the west Pacific Warm Pool. Here we present multiple coral-based sea surface temperature reconstructions from Yongle Atoll, in the South China Sea over the last 1,250 years (762-2013 Common Era [CE]). Reconstructed coral Sr/Ca-sea surface temperatures indicate that the "Little Ice Age (1711-1817 CE)" period was 0.7°C cooler than the "Medieval Climate Anomaly (913-1132 CE)" and that late 20th century warming of the western Pacific is likely unprecedented over the past millennium. Our findings suggest that the Western Pacific Warm Pool may have expanded (contracted) during the Medieval Climate Anomaly (Little Ice Age), leading to a strengthening (weakening) of the Asian summer monsoon, as recorded in Chinese stalagmites.

  17. Measuring progress towards achieving Millennium Development Goals in small populations: is under-five mortality in Tuvalu declining?

    PubMed

    Taylor, Richard; Linhart, Christine; Hayes, Geoffrey; Homasi, Steven

    2014-08-01

    Infant mortality rates (IMR) and under-five mortality rates (U5MR) in Tuvalu (2010 population 11,149) for 1990-2011 were evaluated to determine best estimates of levels and trends. Estimates were graphed over time to identify trends/inconsistencies, and censored for reliability/plausibility. Where possible, 95% confidence intervals (CIs) and tests for linear trend were calculated. Ministry of Health (MoH) data indicates IMR and U5MR (per 1,000 live births) declined over 1990-2008: IMR 62 (95%CI 46-81) for 1991-93 (51 deaths) to 19 (95%CI 10-33) for 2006-08 (12 deaths); U5MR 67 (95%CI 50-87) for 1991-93 (55 deaths) to 19 (95%CI 10-33) for 2006-08 (12 deaths). The 2007 Demographic and Health Survey (DHS) suggests recent trends are increasing: IMR 24 for 1998-2002 to 31 (95%CI 20-42) for 2003-07; U5MR 29 for 1998-2002 to 36 (95%CI 30-43) for 2003-07 (deaths not provided). Tests for linear trend and 95%CIs indicate MoH declines are statistically significant, but recent increased estimates from DHS are not, and could be affected by recall bias. Small populations provide challenges in interpretation of IMR/U5MR trends. To ensure the correct interpretation of rates, CIs (95%) and tests for trend should be calculated. Tuvalu has experienced steady decline in IMR/U5MR over the past 20 years. © 2014 Public Health Association of Australia.

  18. Teaching Conflict Management Skills in Schools: Prerequisite for Peace and Achievement of Millennium Development Goals in Kenya

    ERIC Educational Resources Information Center

    Dawo, Jane Irene A.; Wagah, Mical Ongachi

    2011-01-01

    The Kenyan society is experiencing a lot of conflicts, some with devastating effects such as deaths, starvation, disease and destruction. These normally arise out of difference between people. Secondary schools being part of the society have not been left out of this challenge as evidenced by mass media reports on strikes, demonstrations and…

  19. Achievements for Developing a Technology to Manage Post-Traumatic Pain With Ultrasound Neuromodulation

    DTIC Science & Technology

    2012-01-03

    REPORT Phase 1 achievements for developing a technology to manage post-traumatic pain with ultrasound neuromodulation . 14. ABSTRACT 16. SECURITY...CLASSIFICATION OF: The objective of this effort is to demonstrate the feasibility of using ultrasound induced neuromodulation to manage pain. SynSonix, LLC...has been developing ultrasound neuromodulation (UNMOD) to noninvasively stimulate neural circuitry. Pain management for acute traumas is generally

  20. Windows of achievement for development milestones of Sri Lankan infants and toddlers: estimation through statistical modelling.

    PubMed

    Thalagala, N

    2015-11-01

    The normative age ranges during which cohorts of children achieve milestones are called windows of achievement. The patterns of these windows of achievement are known to be both genetically and environmentally dependent. This study aimed to determine the windows of achievement for motor, social emotional, language and cognitive development milestones for infants and toddlers in Sri Lanka. A set of 293 milestones identified through a literature review were subjected to content validation using parent and expert reviews, which resulted in the selection of a revised set of 277 milestones. Thereafter, a sample of 1036 children from 2 months to 30 months was examined to see whether or not they had attained the selected milestones. Percentile ages of attaining milestone were determined using a rearranged closed form equation related to the logistic regression. The parameters required for calculations were derived through the logistic regression of milestone achievement statuses against ages of children. These percentile ages were used to define the respective windows of achievement. A set of 178 robust indicators that represent motor, socio emotional, language and cognitive development skills and their windows of achievement relevant to 2 to 24 months of age were determined. Windows of achievement for six gross motor milestones determined in the study were shown to closely overlap a similar set of windows of achievement published by the World Health Organization indicating the validity of some findings. A methodology combining the content validation based on qualitative techniques and age validation based on regression modelling found to be effective for determining age percentiles for realizing milestones and determining respective windows of achievement. © 2015 John Wiley & Sons Ltd.