Sample records for development community facilities

  1. Facilities Planning Conference for Community-Junior College State-Level Personnel.

    ERIC Educational Resources Information Center

    Florida Univ., Gainesville. Inst. of Higher Education.

    This report on planning and developing facilities for community-junior colleges includes papers presented at a conference for state-level facility planners. The meeting covered the following areas: (1) development of physical facilities responsive to educational programs and community needs; (2) efficient use of existing facilities through…

  2. Community pharmacists as educators in Danish residential facilities: a qualitative study.

    PubMed

    Mygind, Anna; El-Souri, Mira; Pultz, Kirsten; Rossing, Charlotte; Thomsen, Linda A

    2017-08-01

    To explore experiences with engaging community pharmacists in educational programmes on quality and safety in medication handling in residential facilities for the disabled. A secondary analysis of data from two Danish intervention studies where community pharmacists were engaged in educational programmes. Data included 10 semi-structured interviews with staff, five semi-structured interviews and three open-ended questionnaires with residential facility managers, and five open-ended questionnaires to community pharmacists. Data were thematically coded to identify key points pertaining to the themes 'pharmacists as educators' and 'perceived effects of engaging pharmacists in competence development'. As educators, pharmacists were successful as medicines experts. Some pharmacists experienced pedagogical challenges. Previous teaching experience and obtained knowledge of the local residential facility before teaching often provided sufficient pedagogical skills and tailored teaching to local needs. Effects of engaging community pharmacists included in most instances improved cooperation between residential facilities and community pharmacies through a trustful relationship and improved dialogue about the residents' medication. Other effects included a perception of improved patient safety, teaching skills and branding of the pharmacy. Community pharmacists provide a resource to engage in educational programmes on medication handling in residential facilities, which may facilitate improved cooperation between community pharmacies and residential facilities. However, development of pedagogical competences and understandings of local settings are prerequisites for facilities and pharmacists to experience the programmes as successful. © 2016 Royal Pharmaceutical Society.

  3. Development of a scalable mental healthcare plan for a rural district in Ethiopia

    PubMed Central

    Fekadu, Abebaw; Hanlon, Charlotte; Medhin, Girmay; Alem, Atalay; Selamu, Medhin; Giorgis, Tedla W.; Shibre, Teshome; Teferra, Solomon; Tegegn, Teketel; Breuer, Erica; Patel, Vikram; Tomlinson, Mark; Thornicroft, Graham; Prince, Martin; Lund, Crick

    2016-01-01

    Background Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority. Aims To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia. Method A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation). Results The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability. Conclusions The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC. PMID:26447174

  4. 7 CFR 1942.20 - Community Facility Guides.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12—Memorandum of Understanding Between the Economic Development Administration—Department of Commerce... Law 103-354 Loan. (13) Guide 13—Memorandum of Understanding Between the Economic Development..., and operation of essential community facilities which involve the use of loans and/or grants from FmHA...

  5. 24 CFR 570.487 - Other applicable laws and related program requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS State Community Development Block Grant Program § 570.487 Other applicable laws and related...

  6. Community Facilities, Housing and Community Renewal in New York State: A Preliminary Report.

    ERIC Educational Resources Information Center

    New York State Legislative Commission on Rural Resources, Albany.

    The First Statewide Legislative Symposium on Rural Development reported that, while community facilities and housing are vital to the successful growth and renewal of New York's rural areas, these requirements are not being met for many rural communities. Rural population influxes have caused escalating costs for maintenance and improvement of…

  7. Compensation for risks: host community benefits in siting locally unwanted facilities

    NASA Astrophysics Data System (ADS)

    Himmelberger, Jeffery J.; Ratick, Samuel J.; White, Allen L.

    1991-09-01

    This article analyzes the recent negotiations connected with siting 24 solid-waste landfills in Wisconsin. We examine the association between the type and amount of compensation paid to host communities by facility developers and the size of facilities, certain facility characteristics, the timing of negotiated agreements, the size of the host community, and the socioeconomic status of the host area. Our findings suggest that the level of compensation after adjusting for landfill capacity is positively associated with the percentage of total facility capacity dedicated to host community use, positively associated with the percentage of people of the host area who are in poverty, and larger for public facilities that accept municipal wastes. Other explanatory variables we examined, whose association with levels of compensation proved statistically insignificant, were facility size, facility status (new vs expansion), facility use (countyonly vs multicounty), timing of negotiation, host community size, and the host area education level, population density, and per capita income. We discuss the policy implications of our principal findings and future research questions in light of the persistent opposition surrounding the siting of solid-waste and other waste-management facilities.

  8. 24 CFR 586.5 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES REVITALIZING BASE CLOSURE COMMUNITIES AND COMMUNITY ASSISTANCE-COMMUNITY REDEVELOPMENT... Response, Compensation, and Liability Act (42 U.S.C. 9601 et seq.). Communities in the vicinity of the...

  9. 78 FR 74106 - Announcement of Federal Interagency Competition, Fiscal Year 2014 Investing in Manufacturing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-10

    ... training facilities and services; community facilities and other community development projects. In REDLG a... assistance offered by IMCP participating agencies. Some Manufacturing Communities, as discussed in the... integrated investments and relationships among the following elements: Workforce and training; Supplier...

  10. 7 CFR 3570.52 - Purpose.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Purpose. 3570.52 Section 3570.52 Agriculture... COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.52 Purpose. The purpose of CFG program is to assist in the development of essential community facilities in rural areas. The Agency will authorize...

  11. 7 CFR 3570.52 - Purpose.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Purpose. 3570.52 Section 3570.52 Agriculture... COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.52 Purpose. The purpose of CFG program is to assist in the development of essential community facilities in rural areas. The Agency will authorize...

  12. Facility Accessibility: Opening the Doors to All

    ERIC Educational Resources Information Center

    Petersen, Jeffrey C.; Piletic, Cindy K.

    2006-01-01

    A facility developed for fitness, physical activity, recreation, or sport is a vital community resource that contributes to the overall health and wellness of that community's citizens. In order to maximize the benefits derived from these facilities, it is imperative that they be accessible to as wide a range of people as possible. The Americans…

  13. Wind Energy Facilities and Residential Properties: The Effect of Proximity and View on Sales Prices

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

    Hoen, Ben; Wiser, Ryan; Cappers, Peter

    2010-04-01

    With an increasing number of communities considering nearby wind power developments, there is a need to empirically investigate community concerns about wind project development. One such concern is that property values may be adversely affected by wind energy facilities, and relatively little research exists on the subject. The present research investigates roughly 7,500 sales of single-family homes surrounding 24 existing U.S. wind facilities. Across four different hedonic models the results are consistent: neither the view of the wind facilities nor the distance of the home to those facilities is found to have a statistically significant effect on home sales prices.

  14. Hospital/Health Facilities and the Hill-Burton Obligations: A Secret from the Black Community.

    ERIC Educational Resources Information Center

    Rice, Mitchell F.

    1986-01-01

    Uncompensated/free care and community service obligations under the Hill-Burton Act can assist substantially in providing needed health care services to the Black community. Blacks, however, must become knowledgeable about these obligations, develop monitoring projects, and be prepared to take legal steps to bring Hill-Burton facilities into…

  15. 24 CFR 570.703 - Eligible activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Loan Guarantees § 570.703... relocation assistance for individuals, families, businesses, nonprofit organizations, and farm operations who...

  16. 24 CFR 1003.207 - Ineligible activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANTS FOR INDIAN TRIBES AND ALASKA NATIVE VILLAGES Eligible... repair of streets, parks, playgrounds, water and sewer facilities, neighborhood facilities, senior...

  17. 24 CFR 597.1 - Applicability and scope.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... procedures applicable to urban Empowerment Zones and Enterprise Communities, authorized under subchapter U of... Empowerment Zones, Enterprise Communities and Rural Development Investment Areas. (b) This part contains...

  18. 24 CFR 597.1 - Applicability and scope.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... procedures applicable to urban Empowerment Zones and Enterprise Communities, authorized under subchapter U of... Empowerment Zones, Enterprise Communities and Rural Development Investment Areas. (b) This part contains...

  19. 24 CFR 597.1 - Applicability and scope.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... procedures applicable to urban Empowerment Zones and Enterprise Communities, authorized under subchapter U of... Empowerment Zones, Enterprise Communities and Rural Development Investment Areas. (b) This part contains...

  20. 24 CFR 597.1 - Applicability and scope.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... procedures applicable to urban Empowerment Zones and Enterprise Communities, authorized under subchapter U of... Empowerment Zones, Enterprise Communities and Rural Development Investment Areas. (b) This part contains...

  1. 24 CFR 597.1 - Applicability and scope.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... procedures applicable to urban Empowerment Zones and Enterprise Communities, authorized under subchapter U of... Empowerment Zones, Enterprise Communities and Rural Development Investment Areas. (b) This part contains...

  2. 24 CFR 582.320 - Termination of assistance to participants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.320...

  3. 24 CFR 582.305 - Housing quality standards; rent reasonableness.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.305...

  4. 24 CFR 582.100 - Program component descriptions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... organizations. A sponsor may be a private, nonprofit organization or a community mental health agency... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Assistance Provided § 582.100 Program...

  5. 24 CFR 582.200 - Application and grant award.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Application and Grant Award § 582.200...

  6. Standards for Community College Library Facilities.

    ERIC Educational Resources Information Center

    California State Postsecondary Education Commission, Sacramento.

    This report contains proposed standards for community college library facilities developed by the California Postsecondary Education Commission. Formulae for calculating stack space, staff space, reader station space, and total space are included in the report. Three alternative models for revising the present library standards were considered:…

  7. 24 CFR 582.315 - Occupancy agreements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.315 Occupancy...

  8. 24 CFR 582.325 - Outreach activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.325 Outreach...

  9. Toward a Standardized ODH Analysis Technique

    DOE PAGES

    Degraff, Brian D.

    2016-12-01

    Standardization of ODH analysis and mitigation policy thus represents an opportunity for the cryogenic community. There are several benefits for industry and government facilities to develop an applicable unified standard for ODH. The number of reviewers would increase, and review projects across different facilities would be simpler. Here, it would also present the opportunity for the community to broaden the development of expertise in modeling complicated flow geometries.

  10. 12 CFR 1805.301 - Eligible activities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...-Income persons; (c) Community Facilities; (d) The provision of Financial Services; (e) Housing that is... Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS PROGRAM Use of Funds/Eligible Activities § 1805.301 Eligible...

  11. Community Action for Recreation Development.

    ERIC Educational Resources Information Center

    Christiansen, Rudolph A.; And Others

    Examples of projects, notably those using watersheds, that local community action groups can promote in planning and developing needed recreational facilities are discussed in this study report. Objectives of the report are to create an awareness of group action in obtaining recreational development, to emphasize that community action is important…

  12. 24 CFR 570.427 - Program amendments.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii and Insular Areas Programs § 570.427 Program amendments. (a) HUD approval of certain...

  13. 24 CFR 582.400 - Grant agreement.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Administration § 582.400 Grant agreement. (a) General. The...

  14. Building livable communities with transit : planning, developing and implementing community-sensitive transit

    DOT National Transportation Integrated Search

    1999-09-01

    This booklet presents some of the successes of the community-sensitive transportation facility development process. Although a comprehensive process is described here, not every project involves the full range of steps. By applying the techniques out...

  15. 76 FR 4932 - Notice of Submission of Proposed Information Collection to OMB; Capital Fund Education and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-27

    ... Proposed Information Collection to OMB; Capital Fund Education and Training Community Facilities AGENCY... (PHAs) for modernization, development, financing, and management improvements. Beginning in FY 2010, Congress set aside up to $40 million of the Capital Fund for Education and Training Community Facilities...

  16. 24 CFR 597.500 - Indian Reservations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE DESIGNATIONS Special Rules § 597.500 Indian Reservations. No urban Empowerment Zone or Enterprise Community may...

  17. 24 CFR 597.2 - Objective and purpose.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... establishment of Empowerment Zones and Enterprise Communities in urban areas, to stimulate the creation of new...

  18. 24 CFR 597.2 - Objective and purpose.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... establishment of Empowerment Zones and Enterprise Communities in urban areas, to stimulate the creation of new...

  19. 24 CFR 597.2 - Objective and purpose.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE DESIGNATIONS... establishment of Empowerment Zones and Enterprise Communities in urban areas, to stimulate the creation of new...

  20. 24 CFR 597.2 - Objective and purpose.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... establishment of Empowerment Zones and Enterprise Communities in urban areas, to stimulate the creation of new...

  1. 24 CFR 597.2 - Objective and purpose.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE DESIGNATIONS... establishment of Empowerment Zones and Enterprise Communities in urban areas, to stimulate the creation of new...

  2. 24 CFR 597.101 - Data utilized for eligibility determinations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... for designation as an Empowerment Zone or Enterprise Community must coincide with the boundaries of...

  3. 24 CFR 597.101 - Data utilized for eligibility determinations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... for designation as an Empowerment Zone or Enterprise Community must coincide with the boundaries of...

  4. 24 CFR 597.101 - Data utilized for eligibility determinations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... for designation as an Empowerment Zone or Enterprise Community must coincide with the boundaries of...

  5. 24 CFR 597.101 - Data utilized for eligibility determinations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... for designation as an Empowerment Zone or Enterprise Community must coincide with the boundaries of...

  6. 24 CFR 597.101 - Data utilized for eligibility determinations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... for designation as an Empowerment Zone or Enterprise Community must coincide with the boundaries of...

  7. School Emergency Planning Guide.

    ERIC Educational Resources Information Center

    Benedetto, Harry J.

    This guide was prepared to assist Pennsylvania schools and communities in the development of comprehensive emergency plans. Procedures for identifying and responding to potential community and school emergency situations are presented. A plan for developing and organizing mass care centers utilizing school and community facilities and resources is…

  8. 24 CFR 570.404 - Historically Black colleges and universities program.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Special... which tends to challenge in a substantial manner the certifications made by the applicant, the required...

  9. Exploring approaches to the administration of a long-term care facility: The application of a community planning and development process.

    PubMed

    Caldwell, W J

    1996-01-01

    This article outlines the approaches taken to the management of two long-term care facilities by the County of Huron in southwestern Ontario in 1994. Lay-offs, a move to new facilities, loss of local political confidence, changes in key administrative personnel and low staff morale prompted the county to ask an interim administrative team to develop and implement an appropriate response. The article explains how community development and planning principles and techniques were applied to the management of the homes to achieve an overall improvement in communication, staff morale and attitude. These approaches may prove helpful to other administrations facing major change.

  10. 24 CFR 583.330 - Applicability of other Federal requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583... the approval of applications for assistance for acquisition or construction (including rehabilitation...

  11. 24 CFR 576.56 - Homeless assistance and participation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... treatment, mental health treatment, counseling, supervision, and other services essential for achieving... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY...

  12. 24 CFR 570.440 - Application requirements for insular area grants funded under section 106.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY... past performance under this program, that tends to challenge in a substantial manner the jurisdiction's...

  13. Healing the community to heal the individual: literature review of aboriginal community-based alcohol and substance abuse programs.

    PubMed

    Jiwa, Ashifa; Kelly, Len; Pierre-Hansen, Natalie

    2008-07-01

    To understand the development of culturally based and community-based alcohol and substance abuse treatment programs for aboriginal patients in an international context. MEDLINE, HealthSTAR, and PsycINFO databases and government documents were searched from 1975 to 2007. MeSH headings included the following: Indians, North American, Pacific ancestry group, aboriginal, substance-related disorders, alcoholism, addictive behaviour, community health service, and indigenous health. The search produced 150 articles, 34 of which were relevant; most of the literature comprised opinion pieces and program descriptions (level III evidence). Substance abuse in some aboriginal communities is a complex problem requiring culturally appropriate, multidimensional approaches. One promising perspective supports community-based programs or community mobile treatment. These programs ideally cover prevention, harm reduction, treatment, and aftercare. They often eliminate the need for people to leave their remote communities. They become focuses of community development, as the communities become the treatment facilities. Success requires solutions developed within communities, strong community interest and engagement, leadership, and sustainable funding. Community-based addictions programs are appropriate alternatives to treatment at distant residential addictions facilities. The key components of success appear to be strong leadership in this area; strong community-member engagement; funding for programming and organizing; and the ability to develop infrastructure for longterm program sustainability. Programs require increased documentation of their inroads in this developing field.

  14. 24 CFR 597.300 - HUD action and review of nominations for designation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND... procedures for the submission of nominations for designation as Empowerment Zones or Enterprise Communities... designation as Empowerment Zones or Enterprise Communities which HUD determines have met the criteria required...

  15. 24 CFR 597.300 - HUD action and review of nominations for designation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND... procedures for the submission of nominations for designation as Empowerment Zones or Enterprise Communities... designation as Empowerment Zones or Enterprise Communities which HUD determines have met the criteria required...

  16. Native Fish Sanctuary Project - Sanctuary Development Phase, 2007 Annual Report

    USGS Publications Warehouse

    Mueller, Gordon A.

    2007-01-01

    Notable progress was made in 2007 toward the development of native fish facilities in the Lower Colorado River Basin. More than a dozen facilities are, or soon will be, online to benefit native fish. When this study began in 2005 no self-supporting communities of either bonytail or razorback sucker existed. Razorback suckers were removed from Rock Tank in 1997 and the communities at High Levee Pond had been compromised by largemouth bass in 2004. This project reversed that trend with the establishment of the Davis Cove native fish community in 2005. Bonytail and razorback sucker successfully produced young in Davis Cove in 2006. Bonytail successfully produced young in Parker Dam Pond in 2007, representing the first successful sanctuary established solely for bonytail. This past year, Three Fingers Lake received 135 large razorback suckers, and Federal and State agencies have agreed to develop a cooperative management approach dedicating a portion of that lake toward grow-out and (or) the establishment of another sanctuary. Two ponds at River's Edge Golf Course in Needles, California, were renovated in June and soon will be stocked with bonytail. Similar activities are taking place at Mohave Community College, Cerbat Cliffs Golf Course, Cibola High Levee Pond, Office Cove, Emerald Canyon Golf Course, and Bulkhead Cove. Recruitment can be expected as fish become sexually mature at these facilities. Flood-plain facilities have the potential to support 6,000 adult razorback suckers and nearly 20,000 bonytail if native fish management is aggressively pursued. This sanctuary project has assisted agencies in developing 15 native fish communities by identifying specific resource objectives for those sites, listing and prioritizing research opportunities and needs, and strategizing on management approaches through the use of resource-management plans. Such documents have been developed for Davis Cove, Cibola High Levee Pond, Parker Dam Pond, and Three Fingers Lake. We anticipate similar documents will be developed in the near future for River's Edge Golf Course Ponds, Office Cove, Emerald Canyon Golf Course Ponds, Bulkhead Cove, Mohave Community College, and Cerbat Cliffs Golf Course ponds as these facilities come on line or are developed in the future. The following report discusses the process that went into the development of these facilities. Sites were visited, assessed as to their suitability based on the control of nonnative predators, habitat suitability, conversion cost, logistics, geographical location, and willingness of landowners. They were then prioritized according to their suitability, cost, timely conversion, and willingness of landowners. Existing native fish facilities were included in this evaluation for their value in helping to determine physical and biological parameter ranges. This report describes the approaches that led to success, those leading to failure, and some of the biological, institutional, and management issues of implementing native fish sanctuary development.

  17. 24 CFR 594.3 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Definitions. 594.3 Section 594.3 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES JOHN HEINZ...

  18. Healing the community to heal the individual

    PubMed Central

    Jiwa, Ashifa; Kelly, Len; Pierre-Hansen, Natalie

    2008-01-01

    ABSTRACT OBJECTIVE To understand the development of culturally based and community-based alcohol and substance abuse treatment programs for aboriginal patients in an international context. SOURCES OF INFORMATION MEDLINE, HealthSTAR, and PsycINFO databases and government documents were searched from 1975 to 2007. MeSH headings included the following: Indians, North American, Pacific ancestry group, aboriginal, substance-related disorders, alcoholism, addictive behaviour, community health service, and indigenous health. The search produced 150 articles, 34 of which were relevant; most of the literature comprised opinion pieces and program descriptions (level III evidence). MAIN MESSAGE Substance abuse in some aboriginal communities is a complex problem requiring culturally appropriate, multidimensional approaches. One promising perspective supports community-based programs or community mobile treatment. These programs ideally cover prevention, harm reduction, treatment, and aftercare. They often eliminate the need for people to leave their remote communities. They become focuses of community development, as the communities become the treatment facilities. Success requires solutions developed within communities, strong community interest and engagement, leadership, and sustainable funding. CONCLUSION Community-based addictions programs are appropriate alternatives to treatment at distant residential addictions facilities. The key components of success appear to be strong leadership in this area; strong community-member engagement; funding for programming and organizing; and the ability to develop infrastructure for long-term program sustainability. Programs require increased documentation of their inroads in this developing field. PMID:18625824

  19. 24 CFR 572.215 - Implementation grants-eligible activities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM... homebuyers. Provision of assistance to families to make acquisition and rehabilitation of eligible properties...

  20. 24 CFR 582.100 - Program component descriptions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Assistance Provided § 582.100 Program component descriptions. (a) Tenant-based rental assistance (TRA). Tenant-based rental assistance provides...

  1. The NHERI RAPID Facility: Enabling the Next-Generation of Natural Hazards Reconnaissance

    NASA Astrophysics Data System (ADS)

    Wartman, J.; Berman, J.; Olsen, M. J.; Irish, J. L.; Miles, S.; Gurley, K.; Lowes, L.; Bostrom, A.

    2017-12-01

    The NHERI post-disaster, rapid response research (or "RAPID") facility, headquartered at the University of Washington (UW), is a collaboration between UW, Oregon State University, Virginia Tech, and the University of Florida. The RAPID facility will enable natural hazard researchers to conduct next-generation quick response research through reliable acquisition and community sharing of high-quality, post-disaster data sets that will enable characterization of civil infrastructure performance under natural hazard loads, evaluation of the effectiveness of current and previous design methodologies, understanding of socio-economic dynamics, calibration of computational models used to predict civil infrastructure component and system response, and development of solutions for resilient communities. The facility will provide investigators with the hardware, software and support services needed to collect, process and assess perishable interdisciplinary data following extreme natural hazard events. Support to the natural hazards research community will be provided through training and educational activities, field deployment services, and by promoting public engagement with science and engineering. Specifically, the RAPID facility is undertaking the following strategic activities: (1) acquiring, maintaining, and operating state-of-the-art data collection equipment; (2) developing and supporting mobile applications to support interdisciplinary field reconnaissance; (3) providing advisory services and basic logistics support for research missions; (4) facilitating the systematic archiving, processing and visualization of acquired data in DesignSafe-CI; (5) training a broad user base through workshops and other activities; and (6) engaging the public through citizen science, as well as through community outreach and education. The facility commenced operations in September 2016 and will begin field deployments beginning in September 2018. This poster will provide an overview of the vision for the RAPID facility, the equipment that will be available for use, the facility's operations, and opportunities for user training and facility use.

  2. 24 CFR 597.402 - Validation of designation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... eligibility for and the validity of the designation of any Empowerment Zone or Enterprise Community. Determinations of whether any designated Empowerment Zone or Enterprise Community remains in good standing shall...

  3. 24 CFR 582.310 - Resident rent.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Resident rent. 582.310 Section 582.310 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS...

  4. 24 CFR 582.310 - Resident rent.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Resident rent. 582.310 Section 582.310 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS...

  5. 24 CFR 582.310 - Resident rent.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Resident rent. 582.310 Section 582.310 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS...

  6. 24 CFR 594.7 - Other threshold requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Other threshold requirements. 594.7 Section 594.7 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES JOH...

  7. 24 CFR 594.7 - Other threshold requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Other threshold requirements. 594.7 Section 594.7 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES JOH...

  8. 24 CFR 594.7 - Other threshold requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Other threshold requirements. 594.7 Section 594.7 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES JOH...

  9. 24 CFR 594.7 - Other threshold requirements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Other threshold requirements. 594.7 Section 594.7 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES JOHN...

  10. Unequal exposure to ecological hazards: environmental injustices in the Commonwealth of Massachusetts.

    PubMed Central

    Faber, Daniel R; Krieg, Eric J

    2002-01-01

    This study analyzes the social and geographic distribution of ecological hazards across 368 communities in the Commonwealth of Massachusetts. Combining census data with a variety of environmental data, we tested for and identified both income-based and racially based biases to the geographic distribution of 17 different types of environmentally hazardous sites and industrial facilities. We also developed a composite measure of cumulative exposure to compare the relative overall risks characteristic of each community. To the best of our knowledge, this point system makes this the first environmental justice study to develop a means for measuring and ranking cumulative exposure for communities. The study also controls for the intensity of hazards in each community by accounting for the area across which hazards are distributed. The findings indicate that ecologically hazardous sites and facilities are disproportionately located and concentrated in communities of color and working-class communities. The implication of this research for policymakers and citizen advocates is that cumulative exposure of residents to environmentally hazardous facilities and sites should receive greater consideration regarding community demographics and environmental health indicators. We conclude that the provision of additional resources for environmental monitoring and ranking, as well as yearly progress reports, is necessary for communities and state agencies to achieve equal access to clean and healthy environments for all residents. PMID:11929739

  11. Health care for all: effective, community supported, healthcare with innovative use of telemedicine technology.

    PubMed

    Shah, Tariq Kazim; Tariq, Tasneem; Phillips, Roger; Davison, Steve; Hoare, Adam; Hasan, Syed Shahzad; Babar, Zaheer-Ud-Din

    2018-01-01

    Almost half of the world's total population reside in rural and remote areas and a large number of these people remain deprived of most basic facilities like healthcare and education. It is deemed impossible for government with scarce resources in developing countries to open and run a health facility in every remote community using conventional means. One increasingly popular unconventional mean is the use of existing technology to improve exchange of medical information for the purpose of improving health of underprivileged communities. Telemedicine implies the use of information and communication technology to provide health care remotely from a distance. With the induction of telemedicine, patients who live in rural and remote areas can have increased access to medical services. In many developing countries, use of telemedicine however has been limited mainly to teleconferencing between primary and secondary/tertiary care facilities for diagnosis and management of patients. This system still requires patients from remote communities to travel, often long and arduous journeys to the centre where telecom and medical facilities are available. Health Care 4 All International, a not for profit registered charity is providing primary care to patients by taking telemedicine into their homes in remote communities, thus obviating the need and hardships of travel for patient.

  12. Bringing the Polluters Back In: Environmental Inequality and the Organization of Chemical Production

    PubMed Central

    Grant, Don; Trautner, Mary Nell; Downey, Liam; Thiebaud, Lisa

    2011-01-01

    Environmental justice scholars have suggested that because chemical plants and other hazardous facilities emit more pollutants where they face the least resistance, disadvantaged communities face a special health risk. In trying to determine whether race or income has the bigger impact on a neighborhood’s exposure to pollution, however, scholars tend to overlook the facilities themselves and the effect of their characteristics on emissions. In particular, how do the characteristics of facilities and their surrounding communities jointly shape pollution outcomes? We propose a new line of environmental justice research that focuses on facilities and how their features combine with communities’ features to create dangerous emissions. Using novel fuzzy-set analysis techniques and the EPA’s newly developed Risk-Screening Environmental Indicators, we test the influence of facility and community factors on chemical plants’ health-threatening emissions. Contrary to the idea that community characteristics have singular, linear effects, findings show that facility and community factors combine in a variety of ways to produce risky emissions. We speculate that as chemical firms experiment with different ways of producing goods and externalizing pollution costs, new “recipes of risk” are likely to emerge. The question, then, will no longer be whether race or income matters most, but in which of these recipes do they matter and how. PMID:21921966

  13. Wind Energy Facilities and Residential Properties: The Effect of Proximity and View on Sales Prices

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

    Hoen, Ben; Wiser, Ryan; Cappers, Peter

    2010-04-01

    With wind energy expanding rapidly in the U.S. and abroad, and with an increasing number of communities considering nearby wind power developments, there is a need to empirically investigate community concerns about wind project development. One such concern is that property values may be adversely affected by wind energy facilities, and relatively little existing research exists on the subject. The present research is based on almost 7,500 sales of single-family homes situated within ten miles of 24 existing wind facilities in nine different U.S. states. The conclusions of the study are drawn from four different hedonic pricing models. The modelmore » results are consistent in that neither the view of the wind facilities nor the distance of the home to those facilities is found to have a statistically significant effect on home sales prices.« less

  14. 24 CFR 570.210 - Prohibition on use of assistance for employment relocation activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Prohibition on use of assistance for employment relocation activities. 570.210 Section 570.210 Housing and Urban Development...

  15. 24 CFR 570.500 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Definitions. 570.500 Section 570... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Grant Administration § 570.500 Definitions... or by a subrecipient with CDBG funds, less costs incidental to generation of the income; (iv) Gross...

  16. Community College Capital Analysis Model; A Report to the Washington State Legislature. Performance Audit Report No. 75-12.

    ERIC Educational Resources Information Center

    O'Brien, John E.

    This performance audit was conducted to provide the Legislature with an evaluation of the Capital Analysis Model (CAM) utilized in the development of the Washington State Community College System capital budget request to the Legislature. The CAM is a tool for measuring projected capital facilities needs in relation to current capital facilities,…

  17. 24 CFR 576.59 - Relocation and acquisition.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY HOMELESS... property, permanently and involuntarily, as a direct result of acquisition, rehabilitation, or demolition...

  18. 24 CFR 576.59 - Relocation and acquisition.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY HOMELESS... property, permanently and involuntarily, as a direct result of acquisition, rehabilitation, or demolition...

  19. 24 CFR 574.3 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... the building after rehabilitation. Population means total resident population based on data compiled... ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS General § 574.3 Definitions. The terms...

  20. 12 CFR 1807.101 - Summary.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND..., Preservation, Rehabilitation or Purchase of Affordable Housing primarily for Low-Income Families; and (2) Financing Economic Development Activities or Community Service Facilities. (b) The CDFI Fund will select...

  1. 24 CFR 576.65 - Recordkeeping.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY HOMELESS ASSISTANCE ACT... ensure confidentiality of records pertaining to the provision of family violence prevention or treatment...

  2. 24 CFR 576.65 - Recordkeeping.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY HOMELESS ASSISTANCE ACT Grant... confidentiality of records pertaining to the provision of family violence prevention or treatment services with...

  3. 24 CFR 597.403 - Revocation of designation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... Secretary may revoke the designation of an urban area as an Empowerment Zone or Enterprise Community if the... the designation of an urban area as an Empowerment Zone or Enterprise Community, the Secretary will...

  4. 24 CFR 597.403 - Revocation of designation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... Secretary may revoke the designation of an urban area as an Empowerment Zone or Enterprise Community if the... the designation of an urban area as an Empowerment Zone or Enterprise Community, the Secretary will...

  5. 24 CFR 597.403 - Revocation of designation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... Secretary may revoke the designation of an urban area as an Empowerment Zone or Enterprise Community if the... the designation of an urban area as an Empowerment Zone or Enterprise Community, the Secretary will...

  6. 24 CFR 597.403 - Revocation of designation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES: ROUND ONE... Secretary may revoke the designation of an urban area as an Empowerment Zone or Enterprise Community if the... the designation of an urban area as an Empowerment Zone or Enterprise Community, the Secretary will...

  7. Call for neonatal nursing specialization in developing countries.

    PubMed

    Premji, Shahirose S; Spence, Kaye; Kenner, Carole

    2013-01-01

    In an attempt to reach Millennium Development Goals, health facility births, which are births occurring in health centers, facilities, or institutions under the care of a skilled birth attendant, are increasing in developing countries. We examined the state of neonatal nursing care in the context of issues related to the capacity of these health facilities to provide quality care and the high facility mortality rates in those neonates admitted to hospital. Neonatal nursing as a specialty within a community-hospital-community network system is proposed as an effective scaling-up strategy to improve neonatal survival. Establishment of international competency standards for neonatal nursing together with regulatory processes with mechanisms to facilitate specialty education forms the basis for the specialty of neonatal nursing. We have identified a strategy to mobilize financial resources for the development of the specialty of neonatal nursing. Evaluation of trends in mortality and identification of process indicators will facilitate examination of the effectiveness of the introduction of the specialty of neonatal nursing as a scaling-up strategy.

  8. A blueprint for community benefit. A CHA-AAHA (Catholic Health Association-American Association of Homes for the Aging) document helps long-term care providers plan for and implement needed services.

    PubMed

    Forschner, B; Trocchio, J

    1993-05-01

    A collaborative effort of the Catholic Health Association (CHA) and the American Association of Homes for the Aging, The Social Accountability Program: Continuing the Community Benefit Tradition of Not-for-Profit Homes and Services for the Aging helps long-term care organizations plan and report community benefit activities. The program takes long-term care providers through five sequential tasks: reaffirming commitment to the elderly and others in the community; developing a community service plan; developing and providing community services; reporting community services; and evaluating the community service role. To help organizations reaffirm commitment, the Social Accountability Program presents a process facilities can use to review their historical roots and purposes and evaluate whether current policies and procedures are consistent with the organizational philosophy. Once this step is completed, providers can develop a community service plan by identifying target populations and the services they need. For facilities developing and implementing such services, the program suggests ways of measuring and monitoring them for budgetary purposes. Once they have implemented services, not-for-profit healthcare organizations must account for their impact on the community. The Social Accountability Program lists elements to be included in community service reports. It also provides guidelines for evaluating these services' effectiveness and the organization's overall community benefit role.

  9. Partnerships, Technology, and Learning.

    ERIC Educational Resources Information Center

    Duncan, Roy R.; Schlumpf, Jacob F., Jr.

    A major goal of the Shoreline School District is to develop partnerships with the community, other community agencies, and businesses. The development of a "Long Range Facilities Utilization Plan" led to a 10-year districtwide modernization program to enhance technology and instruction. Now at its midpoint, the design and development of…

  10. 24 CFR 570.441 - Citizen participation-insular areas.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Citizen participation-insular areas... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii and Insular Areas Programs § 570.441 Citizen participation—insular areas. (a...

  11. 24 CFR 570.442 - Reallocations-Insular Areas.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Reallocations-Insular Areas. 570... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii and Insular Areas Programs § 570.442 Reallocations-Insular Areas. (a) Any...

  12. 24 CFR 570.603 - Labor standards.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Labor standards. 570.603 Section... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Other Program Requirements § 570.603 Labor standards. (a) Section 110(a) of the Act contains labor standards that apply to nonvolunteer labor financed...

  13. Resilience in Remote Communities | Integrated Energy Solutions | NREL

    Science.gov Websites

    community stakeholders, we develop and implement comprehensive road maps for resilience through: Strategic issues Experience developing and deploying integrated energy solutions Specialized facilities and expert Affordable Power in the Developing World Study Shows Philippine Power System Can Achieve 30% and 50

  14. 24 CFR 576.56 - Homeless assistance and participation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY... violence prevention or treatment services with assistance under this part are set forth in 42 U.S.C. 11375...

  15. 24 CFR 573.9 - Other requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.9 Other requirements. (a... to guaranteed loans under this part. (c) Lead-based paint. Housing assisted under this part is...

  16. 24 CFR 573.9 - Other requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.9 Other requirements. (a... to guaranteed loans under this part. (c) Lead-based paint. Housing assisted under this part is...

  17. Community and facility-level engagement in planning and budgeting for the government health sector--a district perspective from Kenya.

    PubMed

    O'Meara, Wendy Prudhomme; Tsofa, Benjamin; Molyneux, Sassy; Goodman, Catherine; McKenzie, F Ellis

    2011-03-01

    Health systems reform processes have increasingly recognized the essential contribution of communities to the success of health programs and development activities in general. Here we examine the experience from Kilifi district in Kenya of implementing annual health sector planning guidelines that included community participation in problem identification, priority setting, and planning. We describe challenges in the implementation of national planning guidelines, how these were met, and how they influenced final plans and budgets. The broad-based community engagement envisaged in the guidelines did not take place due to the delay in roll out of the Ministry of Health-trained community health workers. Instead, community engagement was conducted through facility management committees, though in a minority of facilities, even such committees were not involved. Some overlap was found in the priorities highlighted by facility staff, committee members and national indicators, but there were also many additional issues raised by committee members and not by other groups. The engagement of the community through committees influenced target and priority setting, but the emphasis on national health indicators left many local priorities unaddressed by the final work plans. Moreover, it appears that the final impact on budgets allocated at district and facility level was limited. The experience in Kilifi highlights the feasibility of engaging the community in the health planning process, and the challenges of ensuring that this engagement feeds into consolidated plans and future implementation. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  18. Eco-logical successes : fourth edition, March 2013

    DOT National Transportation Integrated Search

    2013-03-01

    Infrastructure facilities, such as roadways, transit lines, and communication systems, provide vital services that support the healthy functioning of a community. While essential, sometimes the development of these facilities has negative environment...

  19. Wind Energy Facilities and Residential Properties: The Effect of Proximity and View on Sales Prices

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

    San Diego State University; Bard Center for Environmental Policy at Bard College; Hoen, Ben

    2011-06-23

    With increasing numbers of communities considering wind power developments, empirical investigations regarding related community concerns are needed. One such concern is that proximate property values may be adversely affected, yet relatively little research exists on the subject. The present research investigates roughly 7,500 sales of single-family homes surrounding 24 existing U.S. wind facilities. Across four different hedonic models, and a variety of robustness tests, the results are consistent: neither the view of the wind facilities nor the distance of the home to those facilities is found to have a statistically significant effect on sales prices, yet further research is warranted.

  20. Hospitality and Facility Care Services. Ohio's Competency Analysis Profile.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Vocational Instructional Materials Lab.

    Developed through a modified DACUM (Developing a Curriculum) process involving business, industry, labor, and community agency representatives in Ohio, this document is a comprehensive and verified employer competency profile for hospitality and facility care occupations. The list contains units (with and without subunits), competencies, and…

  1. 24 CFR 570.608 - Lead-based paint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Lead-based paint. 570.608 Section... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Other Program Requirements § 570.608 Lead-based paint. The Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846), the Residential Lead...

  2. 24 CFR 570.608 - Lead-based paint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Lead-based paint. 570.608 Section... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Other Program Requirements § 570.608 Lead-based paint. The Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846), the Residential Lead...

  3. 24 CFR 570.608 - Lead-based paint.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Lead-based paint. 570.608 Section... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Other Program Requirements § 570.608 Lead-based paint. The Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846), the Residential Lead...

  4. 24 CFR 570.608 - Lead-based paint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Lead-based paint. 570.608 Section... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Other Program Requirements § 570.608 Lead-based paint. The Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846), the Residential Lead...

  5. 24 CFR 570.421 - New York Small Cities Program design.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false New York Small Cities Program... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii and Insular Areas Programs § 570.421 New York Small Cities Program design...

  6. 24 CFR 570.608 - Lead-based paint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Lead-based paint. 570.608 Section... DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Other Program Requirements § 570.608 Lead-based paint. The Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846), the Residential Lead...

  7. Business Incubator Development in Rural Areas.

    ERIC Educational Resources Information Center

    Weinberg, Mark

    One viable economic development option for rural areas is the creation of business incubators--facilities that aid in the early stages of growth of an enterprise by providing rental space, services, and business assistance. Business incubators promote community development by diversifying the economic base, enhancing the community's image as a…

  8. 24 CFR 599.5 - Data used for eligibility determinations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Data used for eligibility determinations. 599.5 Section 599.5 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES RENEWAL COMMUNITIES General Provisions § 599.5 Data...

  9. The Hannibal Community Survey; A Case Study in a Community Development Technique.

    ERIC Educational Resources Information Center

    Croll, John A.

    Disturbed by the community's negative attitude toward its prospects for progress, the Hannibal (Missouri) Chamber of Commerce initiated a community self-survey to improve the situation. The questionnaire survey concentrated on felt needs relationg to city government, retail facilities and services, recreation, religion, education, industrial…

  10. The Quality of Urban Environments: Mapping Variation in Access to Community Resources.

    ERIC Educational Resources Information Center

    Witten, Karen; Exeter, Daniel; Field, Adrian

    2003-01-01

    Discusses the relationship between community infrastructure and health through the development of the Community Resource Accessibility Index (CRAI) research tool.This area-based index of community services, facilities, and amenities enables comparisons between opportunity structures in the local environment and residents' health and wellbeing. It…

  11. 24 CFR 570.507 - Reports.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Reports. 570.507 Section 570.507... COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Grant Administration § 570.507 Reports. (a) Performance and evaluation report—(1) Entitlement grant recipients and HUD-administered small cities...

  12. 24 CFR 570.507 - Reports.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Reports. 570.507 Section 570.507... COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Grant Administration § 570.507 Reports. (a) Performance and evaluation report—(1) Entitlement grant recipients and HUD-administered small cities...

  13. Tribal Child Care Facilities: A Guide to Construction and Renovation.

    ERIC Educational Resources Information Center

    National Child Care Information Center, Vienna, VA.

    This document provides technical assistance in addressing major areas of the child care facility construction and renovation process, including conducting a child care community needs assessment, identifying a site, financing costs, developing a business plan, conducting an environmental assessment, building and designing a facility, and hiring…

  14. 76 FR 40386 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-27] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street, SW., Room...

  15. 75 FR 3750 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-22

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-03] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  16. 76 FR 57754 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-37] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street, SW., Room...

  17. 75 FR 28634 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-19] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  18. 77 FR 22335 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-15] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  19. 76 FR 26312 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-18] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  20. 78 FR 16521 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-15

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-11] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  1. 75 FR 55342 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-10

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-35] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  2. 75 FR 43194 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-28] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  3. 78 FR 26061 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-18] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  4. 75 FR 39573 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-09

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-26] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  5. 77 FR 25189 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-16] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  6. 76 FR 68498 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-04

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-44] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  7. 77 FR 40078 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-06

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-26] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  8. 75 FR 75487 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-03

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-47] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  9. 76 FR 2702 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-02] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  10. 76 FR 59150 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-38] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  11. 78 FR 48710 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-32] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  12. 75 FR 65366 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-41] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  13. 78 FR 73554 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-47] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  14. 77 FR 75642 - Federal Property Suitable as Facilities to Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-50] Federal Property Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  15. 77 FR 5525 - Federal Property Suitable as Facilities to Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-05] Federal Property Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  16. 78 FR 77141 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-49] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room...

  17. 75 FR 68374 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-05

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-43] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Kathy Ezzell, Department of Housing and Urban Development, 451 Seventh Street...

  18. 78 FR 755 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-04

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-01] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  19. 75 FR 6047 - Federal Property Suitable as Facilities to Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-05] Federal Property Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street, SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  20. 75 FR 41510 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-27] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street, SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  1. 75 FR 76999 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-10

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-48] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  2. 75 FR 63501 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-40] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street, SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  3. 76 FR 60855 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-41] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  4. 78 FR 50078 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-33] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  5. 77 FR 11149 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-08] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  6. 77 FR 67389 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-09

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-44] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  7. 78 FR 54905 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-36] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  8. 75 FR 49512 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-31] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  9. 76 FR 22719 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-16] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  10. 75 FR 57052 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-36] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street, SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  11. 76 FR 75554 - Federal Property Suitable as Facilities to Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-48] Federal Property Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  12. 76 FR 47606 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-31] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  13. 76 FR 28058 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-19] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  14. 75 FR 82409 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-30

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-51] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  15. 77 FR 29680 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-19] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  16. 75 FR 62414 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-08

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-39] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street, SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  17. 75 FR 66774 - Federal Property Suitable as Facilities to Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-42] Federal Property Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... Urban Development, 451 Seventh Street, SW., Room 7262, Washington, DC 20410; telephone (202) 708-1234...

  18. 75 FR 80836 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-50] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  19. 75 FR 79013 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5375-N-49] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  20. 78 FR 70066 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-45] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  1. 76 FR 66948 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-28

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-43] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  2. 78 FR 37561 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-21

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-25] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  3. 76 FR 70155 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-10

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-45] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  4. 78 FR 65698 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-42] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  5. 78 FR 64000 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-41] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  6. 78 FR 12344 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5681-N-08] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  7. 77 FR 4337 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5601-N-04] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  8. 76 FR 44033 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-29] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh...

  9. 7 CFR 1942.17 - Community facilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Community facilities. 1942.17 Section 1942.17...) PROGRAM REGULATIONS (CONTINUED) ASSOCIATIONS Community Facility Loans § 1942.17 Community facilities. (a... successor agency under Public Law 103-354 policies and requirements pertaining to loans for community...

  10. Community Report Card.

    ERIC Educational Resources Information Center

    Rural Development Service (USDA), Washington, DC.

    Designed to facilitate rural development efforts, this pamphlet presents a grading key for ranking community factors in each of four key areas of progress as follows: (1) People Building (education, health services, cultural satisfaction, outreach to the disadvantaged, and leadership); (2) Community Facilities (housing, transportation, utilities,…

  11. 24 CFR 585.502 - Certifications.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Applicability of Other Federal Requirements § 585.502... Housing Act, title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973, and...

  12. 24 CFR 585.502 - Certifications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Applicability of Other Federal Requirements § 585.502... Housing Act, title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973, and...

  13. 24 CFR 573.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.2 Definitions. The following definitions are only... Investigation, shall determine whether an act of violence is a terrorist act or is reasonably believed to be a...

  14. 24 CFR 573.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.2 Definitions. The following definitions are only... Investigation, shall determine whether an act of violence is a terrorist act or is reasonably believed to be a...

  15. 24 CFR 582.120 - Consolidated plan.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Assistance Provided § 582.120 Consolidated plan. (a... is required to have, or has, a complete consolidated plan, or that is applying for Shelter Plus Care...

  16. NHERI: Advancing the Research Infrastructure of the Multi-Hazard Community

    NASA Astrophysics Data System (ADS)

    Blain, C. A.; Ramirez, J. A.; Bobet, A.; Browning, J.; Edge, B.; Holmes, W.; Johnson, D.; Robertson, I.; Smith, T.; Zuo, D.

    2017-12-01

    The Natural Hazards Engineering Research Infrastructure (NHERI), supported by the National Science Foundation (NSF), is a distributed, multi-user national facility that provides the natural hazards research community with access to an advanced research infrastructure. Components of NHERI are comprised of a Network Coordination Office (NCO), a cloud-based cyberinfrastructure (DesignSafe-CI), a computational modeling and simulation center (SimCenter), and eight Experimental Facilities (EFs), including a post-disaster, rapid response research facility (RAPID). Utimately NHERI enables researchers to explore and test ground-breaking concepts to protect homes, businesses and infrastructure lifelines from earthquakes, windstorms, tsunamis, and surge enabling innovations to help prevent natural hazards from becoming societal disasters. When coupled with education and community outreach, NHERI will facilitate research and educational advances that contribute knowledge and innovation toward improving the resiliency of the nation's civil infrastructure to withstand natural hazards. The unique capabilities and coordinating activities over Year 1 between NHERI's DesignSafe-CI, the SimCenter, and individual EFs will be presented. Basic descriptions of each component are also found at https://www.designsafe-ci.org/facilities/. Additionally to be discussed are the various roles of the NCO in leading development of a 5-year multi-hazard science plan, coordinating facility scheduling and fostering the sharing of technical knowledge and best practices, leading education and outreach programs such as the recent Summer Institute and multi-facility REU program, ensuring a platform for technology transfer to practicing engineers, and developing strategic national and international partnerships to support a diverse multi-hazard research and user community.

  17. 24 CFR 570.421 - New York Small Cities Program design.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true New York Small Cities Program design... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii and Insular Areas Programs § 570.421 New York Small Cities Program design...

  18. Wanchese Harbor--Community Development. Project CAPE Teaching Module SOC.

    ERIC Educational Resources Information Center

    Gray, R. Wayne; Martin, William T.

    North Carolina and Dare County, with assistance from the federal government, are developing a seafood industrial park at Wanchese, a small residential community. The purposes of this park are to develop a major commercial seafood handling, processing, and distribution port in North Carolina; and to provide a home port with support facilities for a…

  19. 24 CFR 597.4 - Secretarial review and designation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... § 597.200(c). (b) Period of designation. The designation of an urban area as an Empowerment Zone or...

  20. 24 CFR 597.4 - Secretarial review and designation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... § 597.200(c). (b) Period of designation. The designation of an urban area as an Empowerment Zone or...

  1. 24 CFR 597.4 - Secretarial review and designation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... § 597.200(c). (b) Period of designation. The designation of an urban area as an Empowerment Zone or...

  2. Using the Five-Year Review Community Outreach Materials

    EPA Pesticide Factsheets

    The Federal Workgroup on Five-Year Reviews developed these training tools to help site managers at federal facilities communicate with community members about the purpose and process of five-year reviews.

  3. 24 CFR 597.4 - Secretarial review and designation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... § 597.200(c). (b) Period of designation. The designation of an urban area as an Empowerment Zone or...

  4. Facility and market factors affecting transitions from nursing home to community.

    PubMed

    Arling, Greg; Abrahamson, Kathleen A; Cooke, Valerie; Kane, Robert L; Lewis, Teresa

    2011-09-01

    Research into nursing home transitions has given limited attention to the facility or community contexts. To identify facility and market factors affecting transitions of nursing home residents back to the community. Multilevel models were used to estimate effects of facility and market factors on facility-level community discharge rates after controlling for resident demographic, health, and functional conditions. Facility discharge rates were adjusted using Empirical Bayes estimation. Annual cohort of first-time admissions (N=24,648) to 378 Minnesota nursing facilities in 75 nursing home markets from July 2005 to June 2006. Community discharge within 90 days of admission; facility occupancy, payer mix, ownership, case-mix acuity, size, admissions from hospitals, nurse staffing level, and proportion of admissions preferring or having support to return to the community; and nursing market population size, average occupancy, market concentration, and availability of home and community-based services. Rates of community discharge (Empirical Bayes residual) were highest in facilities with more residents preferring community discharge, more Medicare days, higher nurse staffing levels, and higher occupancy. In addition, facilities had higher community discharge rates if they were located in markets with a greater ratio of home and community-based services recipients to nursing home residents and with larger populations. State Medicaid programs should undertake system-level interventions that encourage nursing facilities to reduce unused bed capacity, balance the mix of payers, invest in nurse staffing, and take other steps to promote community discharges. In addition, states should increase home and community-based services, particularly in markets with low community discharge rates.

  5. 76 FR 34093 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5477-N-23] Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and... 34094

  6. 24 CFR 597.300 - HUD action and review of nominations for designation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE... the submission of nominations for designation as Empowerment Zones or Enterprise Communities... designation as Empowerment Zones or Enterprise Communities which HUD determines have met the criteria required...

  7. Assessing Financial Health in Community Colleges

    ERIC Educational Resources Information Center

    Bers, Trudy H.; Head, Ronald B.

    2014-01-01

    In this age of educational accountability, there is an increasing emphasis on assessment and institutional effectiveness, not only in the academic arena but also in other aspects of community college operation, such as fiscal health and stability, revenue generation, resource allocation, facilities, workforce development, and community enrichment…

  8. Strengthening health system governance using health facility service charters: a mixed methods assessment of community experiences and perceptions in a district in Kenya.

    PubMed

    Atela, Martin; Bakibinga, Pauline; Ettarh, Remare; Kyobutungi, Catherine; Cohn, Simon

    2015-12-04

    Enhancing accountability in health systems is increasingly emphasised as crucial for improving the nature and quality of health service delivery worldwide and particularly in developing countries. Accountability mechanisms include, among others, health facilities committees, suggestion boxes, facility and patient charters. However, there is a dearth of information regarding the nature of and factors that influence the performance of accountability mechanisms, especially in developing countries. We examine community members' experiences of one such accountability mechanism, the health facility charter in Kericho District, Kenya. A household survey was conducted in 2011 among 1,024 respondents (36% male, 64% female) aged 17 years and above stratified by health facility catchment area, situated in a division in Kericho District. In addition, sixteen focus group discussions were conducted with health facility users in the four health facility catchment areas. Quantitative data were analysed through frequency distributions and cross-tabulations. Qualitative data were transcribed and analysed using a thematic approach. The majority (65%) of household survey respondents had seen their local facility service charter, 84% of whom had read the information on the charter. Of these, 83% found the charter to be useful or very useful. According to the respondents, the charters provided useful information about the services offered and their costs, gave users a voice to curb potential overcharging and helped users plan their medical expenses before receiving the service. However, community members cited several challenges with using the charters: non-adherence to charter provisions by health workers; illegibility and language issues; lack of expenditure records; lack of time to read and understand them, often due to pressures around queuing; and socio-cultural limitations. Findings from this study suggest that improving the compliance of health facilities in districts across Kenya with regard to the implementation of the facility service charter is critical for accountability and community satisfaction with service delivery. To improve the compliance of health facilities, attention needs to be focused on mechanisms that help enforce official guidelines, address capacity gaps, and enhance public awareness of the charters and their use.

  9. APPA Promotes Leadership in Energy and Sustainability with New FPI Tool

    ERIC Educational Resources Information Center

    Boyce, Darryl K.

    2012-01-01

    Although sustainability best practices for buildings are generally well understood, campuses face unique challenges because they are developed to support a diverse community with a variety of facilities. From academic facilities and labs to residences and sports facilities, all operate under one organizational umbrella. This can make it difficult…

  10. 76 FR 65743 - Announcement of Funding Awards; Capital Fund Education and Training Community Facilities (CFCF...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-24

    ...) to develop facilities to provide early childhood education, adult education, and/or job training...-3112. Facility. which the PHA will provide adult education, early childhood education, and job training... education and job 4105. training. Brewer Housing Authority, 15 Colonial 2,491,690 Construction of a New...

  11. The Springfield Technical Community College Technology Park--A Creative Use of Real Estate: Converting a Derelict Property into an Economic Development Engine

    ERIC Educational Resources Information Center

    McCabe, Setta

    2005-01-01

    When Digital Equipment Corporation announced the closing of its facility in Springfield, Massachusetts, the result would have been a vacant 15-acre facility on the main thoroughfare of the city center, as well as the loss of 1,000 local jobs. Instead, through a collaborative effort led by the local community college, this historic site is now the…

  12. Educational Planning for the Future Development of Pasco-Hernando Community College.

    ERIC Educational Resources Information Center

    McGuffey, C. W.; And Others

    The purpose of this study was to develop a long-range educational plan for the future development and expansion of the current program and facilities of Pasco-Hernando Community College. An analysis has been made of available data and related information as a basis for the preparation of a generalized plan to guide the future development of the…

  13. Environmental health literacy in support of social action: an environmental justice perspective.

    PubMed

    White, Brandi M; Hall, Eric S; Johnson, Cheryl

    2014-01-01

    Different demographic groups in the U.S. experience unequal exposures to environmental hazards, i.e., 56% of the population in neighborhoods containing commercial waste facilities are people of color, with the associated poverty rates in those communities being 50% higher than in neighborhoods without commercial waste facilities. Developing programs to educate communities about environmental hazards affecting their health and quality of life is an essential component for a community to understand their true risk. The study described in this article examined the risk of environmental hazards as perceived by public housing residents and assessed the residents' preference for educational programs on environmental hazards. Residents perceived their risk factors in a broad context and they included environmental health risks caused by pollutants along with physical safety concerns from crime and law enforcement interactions. The most trusted sources of information on environmental health include community organizations, trusted individuals in the community, and television programs. Recommendations for developing community-specific environmental health education programs include using sources of environmental health information that community members trust.

  14. Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district Afar Regional State, Ethiopia.

    PubMed

    Assefa, Luelseged; Alemayehu, Mussie; Debie, Ayal

    2018-03-02

    Reduction of maternal mortality is a global priority particularly in developing countries like Ethiopia where maternal mortality ratio is one of the highest in the world. Most deliveries in developing countries occur at home without skilled birth attendants. Therefore, the objective of this study was to assess institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district, Ethiopia. Overall, 35.2% of women delivered at health facilities. Women who had good knowledge AOR = 2.1, 95% CI 1.32, 4.87), Ante Natal Care (ANC) follow up (AOR = 3.2, 95% CI 1.55, 6.63), resided in a place where distance to reach at the nearby health facilities takes < 30 min (AOR = 3.1; 95% CI 2.57, 66.33) and women whose husband involved in decision regarding delivery place (AOR = 1.9; 95% CI 1.49, 5.07) were more likely to deliver at health facility. Therefore, strengthening ANC services, improving maternal knowledge, involving husbands in decision of delivery place and expanding health facilities in the community would enhance institutional delivery.

  15. 77 FR 29681 - Announcement of Funding Awards, Capital Fund Education and Training Community Facilities (CFCF...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ...) to develop facilities to provide early childhood education, adult education, and/or job training... education and job training. Housing Authority of the City of 1,237,900 Construction of a New Development of.... early education, adult education and job training. Housing Authority of the City of New 4,000,000...

  16. Measuring governance at health facility level: developing and validation of simple governance tool in Zambia.

    PubMed

    Mutale, Wilbroad; Mwanamwenge, Margaret Tembo; Balabanova, Dina; Spicer, Neil; Ayles, Helen

    2013-08-09

    Governance has been cited as a key determinant of economic growth, social advancement and overall development. Achievement of millennium development goals is partly dependant on governance practices. In 2007, Health Systems 20/20 conducted an Internet-based survey on the practice of good governance. The survey posed a set of good practices related to health governance and asked respondents to indicate whether their experience confirmed or disconfirmed those practices. We applied the 17 governance statements in rural health facilities of Zambia. The aim was to establish whether the statements were reliable and valid for assessing governance practices at primary care level. Both quantitative and qualitative methods were used. We first applied the governance statements developed by the health system 20/20 and then conducted focus group discussion and In-depth interviews to explore some elements of governance including accountability and community participation. The target respondents were the health facility management team and community members. The sample size include 42 health facilities. Data was analyzed using SPSS version 17 and Nvivo version 9. The 95% one-sided confidence interval for Cronbach's alpha was between 0.69 and 0.74 for the 16 items.The mean score for most of the items was above 3. Factor analysis yielded five principle components: Transparency, community participation, Intelligence & vision, Accountability and Regulation & oversight. Most of the items (6) clustered around the transparency latent factor. Chongwe district performed poorly in overall mean governance score and across the five domains of governance. The overall scores in Chongwe ranged between 51 and 94% with the mean of 80%. Kafue and Luangwa districts had similar overall mean governance scores (88%). Community participation was generally low. Generally, it was noted that community members lacked capacity to hold health workers accountable for drugs and medical supplies. The study successfully validated and applied the new tool for evaluating health system governance at health facility level. The results have shown that it is feasible to measure governance practices at health facility level and that the adapted tool is fairly reliable with the 95% one-sided confidence interval for Cronbach's alpha laying between 0.69 and 0.74 for the 16 items. Caution should be taken when interpreting overall scores as they tended to mask domain specific variations.

  17. Assessing community exposure to hazardous air pollutants by combining optical remote sensing and "low-cost" sensor technologies

    NASA Astrophysics Data System (ADS)

    Pikelnaya, O.; Polidori, A.; Wimmer, R.; Mellqvist, J.; Samuelsson, J.; Marianne, E.; Andersson, P.; Brohede, S.; Izos, O.

    2017-12-01

    Industrial facilities such as refineries and oil processing facilities can be sources of chemicals adversely affecting human health, for example aromatic hydrocarbons and formaldehyde. In an urban setting, such as the South Coast Air Basin (SCAB), exposure to harmful air pollutants (HAP's) for residents of communities neighboring such facilities is of serious concern. Traditionally, exposure assessments are performed by modeling a community exposure using emission inventories and data collected at fixed air monitoring sites. However, recent field measurements found that emission inventories may underestimate HAP emissions from refineries; and HAP measurements data from fixed sites is lacking spatial resolution; as a result, the impact of HAP emissions on communities is highly uncertain. The next generation air monitoring technologies can help address these challenges. For example, dense "low-cost" sensors allow continuous monitoring of concentrations of pollutants within communities with high temporal- and spatial- resolution, and optical remote sensing (ORS) technologies offer measurements of emission fluxes and real-time ground-concentration mapping of HAPs. South Coast Air Quality Management District (SCAQMD) is currently conducting a multi-year study using ORS methods and "low-cost" Volatile Organic Compounds (VOCs) sensors to monitor HAP emissions from selected industrial facilities in the SCAB and their ambient concentrations in neighboring communities. For this purpose, quarterly mobile ORS surveys are conducted to quantify facility-wide emissions for VOCs, aromatic hydrocarbons and HCHO, and to collect ground-concentration profiles of these pollutants inside neighboring communities. Additionally, "low-cost" sensor nodes for deployment in neighborhood(s) downwind of the facilities have been developed in order to obtain long-term, granular data on neighborhood VOC concentrations, During this presentation we will discuss initial results of quarterly ORS surveys and pilot "low-cost" sensor deployments. We will also outline benefits of using a combination of mobile ORS surveys and "low-cost" sensor networks for community exposure monitoring.

  18. 38 CFR 17.65 - Approvals and provisional approvals of community residential care facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... approvals of community residential care facilities. 17.65 Section 17.65 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Community Residential Care § 17.65 Approvals and provisional approvals of community residential care facilities. (a) An approval of a facility meeting all of...

  19. The Establishment of a New Friction Stir Welding Process Development Facility at NASA/MSFC

    NASA Technical Reports Server (NTRS)

    Carter, Robert W.

    2009-01-01

    Full-scale weld process development is being performed at MSFC to develop the tools, fixtures, and facilities necessary for Ares I production. Full scale development in-house at MSFC fosters technical acuity within the NASA engineering community, and allows engineers to identify and correct tooling and equipment shortcomings before they become problems on the production floor. Finally, while the new weld process development facility is currently being outfitted in support of Ares I development, it has been established to support all future Constellation Program needs. In particular, both the RWT and VWT were sized with the larger Ares V hardware in mind.

  20. New approaches to ambulatory care facilities in the United Kingdom--an investor developer's perspective.

    PubMed

    Eminson, C; Dawson, D

    1999-01-01

    The purpose of this article is to describe the strategic context within which ambulatory care facilities are being developed, to consider a range of models of care facilities available, and, by drawing on the experience of the authors, to comment on some of the investment and development issues arising from two projects in progress--the community hospitals in Richmond, Yorkshire, in rural north England, and Thames Ditton on the borders of outer south London. In the final section, we consider the possible future of ambulatory care development in the light of government policy.

  1. 76 FR 77842 - Announcement of Funding Awards; Indian Community Development Block Grant Program; Fiscal Year 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-14

    ... environments, and economic opportunities primarily for persons with low and moderate incomes as defined in 24... Pechonick Chief, 170 N.E. Infrastructure. Nutrition Kitchen. Barbara Avenue, Bartlesville, OK 74006, (918... 600,000 Public Facility Community Work Force Development Erma Vizenor, Chairperson, PO Box 418, Center...

  2. Facility Issues in Community School Centers. #4 in a Series of 6 Booklets.

    ERIC Educational Resources Information Center

    Educational Facilities Labs., Inc., New York, NY.

    This booklet is the fourth in a series that examines community school centers. The development and substance of the building program, issues related to site selection and development, and overall building design strategies are examined. Also discussed are particularly important design details about which the programming committee and the architect…

  3. EDUCATIONAL SPECIFICATIONS FOR THE NORTH CAMPUS OF SEATTLE COMMUNITY COLLEGE.

    ERIC Educational Resources Information Center

    MCGUFFEY, C.W.; AND OTHERS

    THE NORTH CAMPUS IS ONE OF THREE UNITS PROPOSED FOR THE SEATTLE COMMUNITY COLLEGE. A TEAM OF CONSULTANTS AND STAFF COMMITTEES DEVELOPED THIS DESCRIPTION OF THE BASIC EDUCATIONAL REQUIREMENTS FOR THE ARCHITECTURAL PLANNING OF THE CAMPUS. CONSIDERATION WAS GIVEN TO SITE PLANNING AND DEVELOPMENT AND TO FACILITIES FOR ADMINISTRATION, STUDENT PERSONNEL…

  4. Sustainability Assessment of a Military Installation: A Template for Developing a Mission Sustainability Framework, Goals, Metrics and Reporting System

    DTIC Science & Technology

    2009-08-01

    integration across base MSF Category: Neighbors and Stakeholders (NS) No. Conceptual Metric No. Conceptual Metric NS1 “ Walkable ” on-base community...34 Walkable " on- base community design 1 " Walkable " community Design – on-base: clustering of facilities, presence of sidewalks, need for car...access to public transit LEED for Neighborhood Development (ND) 0-100 index based on score of walkable community indicators Adapt LEED-ND

  5. Human factors in airway facilities maintenance : development of a prototype outage assessment inventory.

    DOT National Transportation Integrated Search

    1994-02-01

    The airway facilities (AF) maintenance community is concerned with identifying ways of reducing both the incidence of equipment failure and the amount of time required to restore equipment to operational status following a failure. It is vitally impo...

  6. a System Dynamics Model to Study the Importance of Infrastructure Facilities on Quality of Primary Education System in Developing Countries

    NASA Astrophysics Data System (ADS)

    Pedamallu, Chandra Sekhar; Ozdamar, Linet; Weber, Gerhard-Wilhelm; Kropat, Erik

    2010-06-01

    The system dynamics approach is a holistic way of solving problems in real-time scenarios. This is a powerful methodology and computer simulation modeling technique for framing, analyzing, and discussing complex issues and problems. System dynamics modeling and simulation is often the background of a systemic thinking approach and has become a management and organizational development paradigm. This paper proposes a system dynamics approach for study the importance of infrastructure facilities on quality of primary education system in developing nations. The model is proposed to be built using the Cross Impact Analysis (CIA) method of relating entities and attributes relevant to the primary education system in any given community. We offer a survey to build the cross-impact correlation matrix and, hence, to better understand the primary education system and importance of infrastructural facilities on quality of primary education. The resulting model enables us to predict the effects of infrastructural facilities on the access of primary education by the community. This may support policy makers to take more effective actions in campaigns.

  7. Can formalizing links among community health workers, accredited drug dispensing outlet dispensers, and health facility staff increase their collaboration to improve prompt access to maternal and child care? A qualitative study in Tanzania.

    PubMed

    Dillip, Angel; Kimatta, Suleiman; Embrey, Martha; Chalker, John C; Valimba, Richard; Malliwah, Mariam; Meena, John; Lieber, Rachel; Johnson, Keith

    2017-06-19

    In Tanzania, progress toward achieving the 2015 Millennium Development Goals for maternal and newborn health was slow. An intervention brought together community health workers, health facility staff, and accredited drug dispensing outlet (ADDO) dispensers to improve maternal and newborn health through a mechanism of collaboration and referral. This study explored barriers, successes, and promising approaches to increasing timely access to care by linking the three levels of health care provision. The study was conducted in the Kibaha district, where we applied qualitative approaches with in-depth interviews and focus group discussions. In-depth interview participants included retail drug shop dispensers (36), community health workers (45), and health facility staff members (15). We conducted one focus group discussion with district officials and four with mothers of newborns and children under 5 years old. Relationships among the three levels of care improved after the linkage intervention, especially for ADDO dispensers and health facility staff who previously had no formal communication pathway. The study participants perceptions of success included improved knowledge of case management and relationships among the three levels of care, more timely access to care, increased numbers of patients/customers, more meetings between community health workers and health facility staff, and a decrease in child and maternal mortality. Reported challenges included stock-outs of medicines at the health facility, participating ADDO dispensers who left to work in other regions, documentation of referrals, and lack of treatment available at health facilities on the weekend. The primary issue that threatens the sustainability of the intervention is that local council health management team members, who are responsible for facilitating the linkage, had not made any supervision visits and were therefore unaware of how the program was running. The study highlights the benefits of approaches that link different levels of care providers to improve access to maternal and child health care. To strengthen this collaboration further, health campaign platforms should include retail drug dispensers as a type of community health care provider. To increase linkage sustainability, the council health management team needs to develop feasible supervision plans.

  8. Factors influencing resident's decision to reside in gated and guarded community

    NASA Astrophysics Data System (ADS)

    Shamsudin, Zarina; Shamsudin, Shafiza; Zainal, Rozlin

    2017-10-01

    Gated communities are residential areas developed with restricted access with strictly controlled entrances and surrounded by a close perimeter of wall or fences. Developers, conscious of the need to fulfill the requirement of living in modern and sophisticated lifestyle and gated properties become the trend and mushroomed over the past decade. Nowadays, it is obvious that gated and guarded communities become almost a dominant feature of Malaysia housing development projects. The focus of this paper is to identify the factors contribute resident's decision to reside in gated and guarded community and to study social interaction among gated communities' residents. 150 questionnaires were distributed to the residents of selected gated and guarded community area in order to achieve the objectives and analyzed by using Statistical Package for Social Science (SPSS) and descriptive analysis. The result was tabulated and presented in charts and graphs for a clear and better understanding. The five main factors contribute to resident decision to reside in gated communities were identified and ranked; there are privacy, security, location, lifestyle and prestige. Besides, the residents are feeling neutral towards the facilities and services provided in their gated and guarded residential area. A comprehensive improvement towards the facilities and services is needed to reach higher satisfaction from the residents.

  9. Eliminating barriers to transit-oriented development : final report, March 2010.

    DOT National Transportation Integrated Search

    2010-03-01

    Transit-oriented development refers to dense, mixed-use development near transit facilities, : particularly denser housing development. Achieving such density is a politically difficult goal. In New : Jersey, the main barriers are community con...

  10. (abstract) The Evolving Spaceborne Radar Data Support to Earth Science and Operations at the Alaska SAR Facility

    NASA Technical Reports Server (NTRS)

    Carsey, Frank D.

    1996-01-01

    The Alaska SAR Facility (ASF) has been receiving, processing, archiving, and distributing data for Earth scientists and operations since it began receiving data in 1991. Four radar satellites are now being handled. Recent developments have served to increase the level of services of ASF to the Earth science community considerably. These developments are discussed.

  11. Saugus River and Tributaries Flood Damage Reduction Study; Lynn, Malden, Revere and Saugus, Massachusetts. Section 2. Final Environmental Impact Statement and Final Environmental Impact Report

    DTIC Science & Technology

    1989-12-01

    Growth Commercial Fishing and Commercial Fishing 91 Fleet Q Employment 92 R Population and Community Growth , Including 92 Displacement S Public Facilities...Community Growth , Including 128 Displacement S Public Facilities and Services 129 T Transportation 129 U Navigation 130 V Recreation and Open Space 133 W... Growth and more intensive development in this already densely built-up area, plus rising sea levels, guarantee the continuation of a dangerous

  12. Report on Collaborative Facilities Projects.

    ERIC Educational Resources Information Center

    California Community Colleges, Sacramento. Office of the Chancellor.

    California's community colleges develop their own requests in concert with their district five-year master plan. They then submit those requests to the State Chancellor's Office for review. This document discusses the current process of submitting proposals for collaborative facilities projects, and outlines and discusses five recommendations for…

  13. Community perceptions towards the new role of traditional birth attendants as birth companions and nutrition advocates in Kakamega County, Kenya.

    PubMed

    Anono, Esther L; Ochola, Sophie; Wawire, Salome; Ogada, Irene; Ndedda, Crispin; Kung'u, Jacqueline K

    2018-02-01

    Delivery with skilled birth attendants is important for reducing maternal mortality in developing countries. However, traditional birth attendants (TBAs) are abundant in such settings, managing deliveries without the skills and resources necessary to prevent mortality in this situations. Interventions that have been proposed to mitigate the situation include redefining the role of TBAs to nutrition advocates and birth companions for pregnant women to health facilities. We thus explored community perceptions on these new roles of TBAs, as birth companions and nutrition advocates, and their influence on health facility deliveries in Kakamega County, Kenya. Qualitative data was collected through key informant interviews with health workers and focus group discussions with lactating mothers, pregnant women, husbands, community leaders, community health volunteers, and TBA. Content analysis was conducted; data was organized into subthemes and conclusions made from each subtheme using Atlas.ti software. TBAs adopted their birth companion role as the majority offered companionship to mothers delivering at health facilities. Mothers were happy with this role as TBAs continued providing companionship even after delivery. The community members were happy with the new role of TBAs and reported increased deliveries at the health facilities. In contrast, TBAs did not adopt the nutrition advocacy role sufficiently. We found that redefining the role of the TBAs into birth companions to support facility-based delivery is thus feasible and acceptable. Nutrition advocacy by the TBAs should be strengthened to maximize on the opportunity provided by the close association between TBAs and mothers and the community. © 2018 John Wiley & Sons Ltd.

  14. Why is continuum of care from home to health facilities essential to improve perinatal survival?

    PubMed

    Bahl, Rajiv; Qazi, Shamim; Darmstadt, Gary L; Martines, Jose

    2010-12-01

    The period around the time of delivery is extremely hazardous for infants in developing countries. After the first week the risk drops sharply, and survival improves markedly. To reduce perinatal mortality, a continuum of care between the home and the various facilities is essential during pregnancy, childbirth and the newborn period. This paper reviews strategies to promote the establishment of this continuum: providing health care within or close to home by frontline workers and increasing the use of services in health facilities through community mobilization and financing strategies. As perinatal care and care for seriously sick children face common challenges and lessons could be learned from successful strategies for management of other illnesses, this paper also reviews intervention models involving community health workers (CHWs) to improve case management of sick children at the household and community levels. Available evidence suggests that the community strategy with the greatest impact on neonatal mortality is home visits by CHWs combined with community mobilization. The same strategy appears to be effective in increasing health facility utilization. An equally effective strategy for increasing health facility utilization seems to be financing health care to remove financial access barriers, particularly using conditional cash transfers or vouchers. Although the availability of information on the effect of community interventions to improve newborn health has increased in the recent past, significant gaps remain. Information on the effectiveness of strategies in different settings, particularly in sub-Saharan Africa, cost-effectiveness and sustainability are particularly needed and should be gathered in future studies. Copyright © 2010 Elsevier Inc. All rights reserved.

  15. Community and environmental impact of highway investment decisions.

    DOT National Transportation Integrated Search

    1971-01-01

    The primary objectives of this study were (1) to determine the state of the art of procedures for the investigation and evaluation of the community and environmental impact of investments in highway facilities, (2) to develop in detail those investig...

  16. Definition of performance specifications for automated Analytical Electrophoresis Facility (AAEF)

    NASA Technical Reports Server (NTRS)

    Brooks, D. E.

    1976-01-01

    In order to provide specifications for the automated Analytical Electrophoresis Facility (AAEF) that would satisfy the broadest variety of demands of a future user community, a survey was carried out of all those people who were identified as having published papers on cell electrophoresis in the past four years. A computer search was conducted of the relevant literature from which a list of 87 investigators was derived and defined as the user community for purposes of the mailing. A questionnaire was developed covering the areas of performance which required definition which was subsequently circulated to the user community. Based on the response to this survey performance specifications were assembled.

  17. Communities, birth attendants and health facilities: a continuum of emergency maternal and newborn care (the Global Network's EmONC trial).

    PubMed

    Pasha, Omrana; Goldenberg, Robert L; McClure, Elizabeth M; Saleem, Sarah; Goudar, Shivaprasad S; Althabe, Fernando; Patel, Archana; Esamai, Fabian; Garces, Ana; Chomba, Elwyn; Mazariegos, Manolo; Kodkany, Bhala; Belizan, Jose M; Derman, Richard J; Hibberd, Patricia L; Carlo, Waldemar A; Liechty, Edward A; Hambidge, K Michael; Buekens, Pierre; Wallace, Dennis; Howard-Grabman, Lisa; Stalls, Suzanne; Koso-Thomas, Marion; Jobe, Alan H; Wright, Linda L

    2010-12-14

    Maternal and newborn mortality rates remain unacceptably high, especially where the majority of births occur in home settings or in facilities with inadequate resources. The introduction of emergency obstetric and newborn care services has been proposed by several organizations in order to improve pregnancy outcomes. However, the effectiveness of emergency obstetric and neonatal care services has never been proven. Also unproven is the effectiveness of community mobilization and community birth attendant training to improve pregnancy outcomes. We have developed a cluster-randomized controlled trial to evaluate the impact of a comprehensive intervention of community mobilization, birth attendant training and improvement of quality of care in health facilities on perinatal mortality in low and middle-income countries where the majority of births take place in homes or first level care facilities. This trial will take place in 106 clusters (300-500 deliveries per year each) across 7 sites of the Global Network for Women's and Children's Health Research in Argentina, Guatemala, India, Kenya, Pakistan and Zambia. The trial intervention has three key elements, community mobilization, home-based life saving skills for communities and birth attendants, and training of providers at obstetric facilities to improve quality of care. The primary outcome of the trial is perinatal mortality. Secondary outcomes include rates of stillbirth, 7-day neonatal mortality, maternal death or severe morbidity (including obstetric fistula, eclampsia and obstetrical sepsis) and 28-day neonatal mortality. In this trial, we are evaluating a combination of interventions including community mobilization and facility training in an attempt to improve pregnancy outcomes. If successful, the results of this trial will provide important information for policy makers and clinicians as they attempt to improve delivery services for pregnant women and newborns in low-income countries. ClinicalTrials.gov NCT01073488.

  18. Developing the Muon Facilities at ISIS

    NASA Astrophysics Data System (ADS)

    Hillier, A. D.; Aramini, M.; Baker, P. J.; Berlie, A.; Biswas, P. K.; Cottrell, S. P.; Ishida, K.; Loe, T.; Lord, J. S.; Pooley, D. E.; Pratt, F. L.; Rhodes, N. J.; da Silva Afonso, R. J.; Telling, M. T. F.; Yokoyama, K.

    For the last 30 years, muon experiments at ISIS have been making a significant contribution to a number of scientific fields. However, as a community of researchers, we are always aiming to improve and extend the instruments' capabilities. In this paper, we will review key developments at the ISIS muon facility, the primary beamline upgrade and recent technique developments, before taking a forward look to new projects, such as: the upgrade for MuSR, e-learning, detector development and sample environment.

  19. Guidelines for Planning Industrial Education Facilities and Equipment.

    ERIC Educational Resources Information Center

    Stallsmith, Douglas D.

    This guide presents alternatives, resources, and specifications for industrial education teachers to use in preparing a facilities proposal to present to administrators, boards of education, the community, and architects. Developed to reflect the objectives of industrial education as outlined in the "Wisconsin Guide to Local Curriculum…

  20. A Bibliography of Rural Development: Listings by Topic.

    ERIC Educational Resources Information Center

    Parker, Carrie G.; And Others

    Over 776 journal articles pertaining to rural development are cited. Entries are arranged by topic: agriculture, area development, community, economic development, environmental improvement, facilities and services, human resource development, leadership, organization, rural development, rural-urban relationships, and social action. Some articles…

  1. Theology links Christian ministry with God's call.

    PubMed

    O'Connell, L J

    1984-03-01

    Catholic health care ministry originates in and is shaped by the theme of call in the Old and New Testaments. To be specifically Catholic, health professionals and facilities must define their ministries according to the values expressed in this theological tradition. Sponsorship. The opportunity to provide health care enables religious communities to contribute to God's ongoing creation process and to reiterate Christ's call to minister to others. Although health care facility sponsorship thrusts religious communities into the arena of big business, the abandonment of the health care mission could be considered a betrayal of evangelical values. Quality of life. The implicit concern for human dignity that distinguishes Catholic health care facilities should be evident in personalized patient care, just working conditions, and a commitment to healing in the civic community. Stewardship in ethics. The development of business policies and procedures and institutional responses to social change should be carefully considered in light of the Catholic understanding of loving covenant and the Christian way of life. Shared ministry. Health care facilities have played a leading role in implementing the Second Vatican Council's vision of ministry. Sponsoring communities' continued willingness to share responsibilities with laity will be imperative in meeting the health care demands of the future.

  2. 24 CFR 597.401 - Periodic performance reviews.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... regularly evaluate the progress of the strategic plan in each designated Empowerment Zone and Enterprise... will also commission evaluations of the Empowerment Zone program as a whole by an impartial third party...

  3. 24 CFR 597.401 - Periodic performance reviews.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... regularly evaluate the progress of the strategic plan in each designated Empowerment Zone and Enterprise... will also commission evaluations of the Empowerment Zone program as a whole by an impartial third party...

  4. 24 CFR 597.401 - Periodic performance reviews.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... regularly evaluate the progress of the strategic plan in each designated Empowerment Zone and Enterprise... will also commission evaluations of the Empowerment Zone program as a whole by an impartial third party...

  5. 7 CFR 3570.68 - Selection process.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Selection process. 3570.68 Section 3570.68... AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.68 Selection process. Each request... selected for further development and funding. (a) Selection of applications for further processing. The...

  6. 75 FR 14661 - Bank Enterprise Award (BEA) Program; Notice of Funds Availability

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ... facility or service not currently provided to the Distressed Community. 2. Reporting certain Financial... DEPARTMENT OF THE TREASURY Community Development Financial Institutions Fund Bank Enterprise Award... Financial Institutions (CDFI) Fund. The BEA Program encourages Insured Depository Institutions to increase...

  7. 24 CFR 597.401 - Periodic performance reviews.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES... regularly evaluate the progress of the strategic plan in each designated Empowerment Zone and Enterprise... will also commission evaluations of the Empowerment Zone program as a whole by an impartial third party...

  8. Community Support for a Gold Cyanide Process Mine: Resident and Leader Differences in Rural Montana

    ERIC Educational Resources Information Center

    Richards, Rebecca T.; Brod, Rodney L.

    2004-01-01

    Previous studies have established that community residents and leaders differ in their support for hazardous waste facility siting in rural areas (Spies et al. 1998). We examine whether these same differences exist in rural communities that face other high-risk development decisions by analyzing resident and leader support for a proposed gold…

  9. Community College Finance: A Cost Analysis of Community College Expenditures Related to Maintenance and Operations

    ERIC Educational Resources Information Center

    Collins, Michael T.

    2011-01-01

    The purpose of this study is to develop a costing model for maintenance and operations expenditures among 16 single-campus California community college districts and assess the impact of a variety of variables including size of student enrollment, physical plant age, acreage, gross square footage, and general obligation facility bonds on district…

  10. Effect of Community Engagement Interventions on Patient Safety and Risk Reduction Efforts in Primary Health Facilities: Evidence from Ghana

    PubMed Central

    Alhassan, Robert Kaba; Nketiah-Amponsah, Edward; Spieker, Nicole; Arhinful, Daniel Kojo; Ogink, Alice; van Ostenberg, Paul; Rinke de Wit, Tobias F.

    2015-01-01

    Background Patient safety and quality care remain major challenges to Ghana’s healthcare system. Like many health systems in Africa, this is largely because demand for healthcare is outstripping available human and material resource capacity of healthcare facilities and new investment is insufficient. In the light of these demand and supply constraints, systematic community engagement (SCE) in healthcare quality assessment can be a feasible and cost effective option to augment existing quality improvement interventions. SCE entails structured use of existing community groups to assess healthcare quality in health facilities. Identified quality gaps are discussed with healthcare providers, improvements identified and rewards provided if the quality gaps are closed. Purpose This paper evaluates whether or not SCE, through the assessment of health service quality, improves patient safety and risk reduction efforts by staff in healthcare facilities. Methods A randomized control trail was conducted in 64 primary healthcare facilities in the Greater Accra and Western regions of Ghana. Patient risk assessments were conducted in 32 randomly assigned intervention and control facilities. Multivariate multiple regression test was used to determine effect of the SCE interventions on staff efforts towards reducing patient risk. Spearman correlation test was used to ascertain associations between types of community groups engaged and risk assessment scores of healthcare facilities. Findings Clinic staff efforts towards increasing patient safety and reducing risk improved significantly in intervention facilities especially in the areas of leadership/accountability (Coef. = 10.4, p<0.05) and staff competencies (Coef. = 7.1, p<0.05). Improvement in service utilization and health resources could not be attributed to the interventions because these were outside the control of the study and might have been influenced by institutional or national level developments between the baseline and follow-up period. Community groups that were gender balanced, religious/faith-based, and had structured leadership appeared to be better options for effective SCE in healthcare quality assessment. Conclusion Community engagement in healthcare quality assessment is a feasible client-centered quality improvement option that should be discussed for possible scale-up in Ghana and other resource poor countries in Africa. PMID:26619143

  11. Effect of Community Engagement Interventions on Patient Safety and Risk Reduction Efforts in Primary Health Facilities: Evidence from Ghana.

    PubMed

    Alhassan, Robert Kaba; Nketiah-Amponsah, Edward; Spieker, Nicole; Arhinful, Daniel Kojo; Ogink, Alice; van Ostenberg, Paul; Rinke de Wit, Tobias F

    2015-01-01

    Patient safety and quality care remain major challenges to Ghana's healthcare system. Like many health systems in Africa, this is largely because demand for healthcare is outstripping available human and material resource capacity of healthcare facilities and new investment is insufficient. In the light of these demand and supply constraints, systematic community engagement (SCE) in healthcare quality assessment can be a feasible and cost effective option to augment existing quality improvement interventions. SCE entails structured use of existing community groups to assess healthcare quality in health facilities. Identified quality gaps are discussed with healthcare providers, improvements identified and rewards provided if the quality gaps are closed. This paper evaluates whether or not SCE, through the assessment of health service quality, improves patient safety and risk reduction efforts by staff in healthcare facilities. A randomized control trail was conducted in 64 primary healthcare facilities in the Greater Accra and Western regions of Ghana. Patient risk assessments were conducted in 32 randomly assigned intervention and control facilities. Multivariate multiple regression test was used to determine effect of the SCE interventions on staff efforts towards reducing patient risk. Spearman correlation test was used to ascertain associations between types of community groups engaged and risk assessment scores of healthcare facilities. Clinic staff efforts towards increasing patient safety and reducing risk improved significantly in intervention facilities especially in the areas of leadership/accountability (Coef. = 10.4, p<0.05) and staff competencies (Coef. = 7.1, p<0.05). Improvement in service utilization and health resources could not be attributed to the interventions because these were outside the control of the study and might have been influenced by institutional or national level developments between the baseline and follow-up period. Community groups that were gender balanced, religious/faith-based, and had structured leadership appeared to be better options for effective SCE in healthcare quality assessment. Community engagement in healthcare quality assessment is a feasible client-centered quality improvement option that should be discussed for possible scale-up in Ghana and other resource poor countries in Africa.

  12. Why Integrate Educational and Community Facilities?

    ERIC Educational Resources Information Center

    Fessas-Emmanouil, Helen D.

    1978-01-01

    Discusses coordination of educational and community facilities in order to encourage more rational investments and more efficient use of premises. Such coordination may reduce the economic burden imposed upon citizens for the provision of separate facilities for school and community. However, implementation of such a facility presupposes radical…

  13. The CERN-EU high-energy Reference Field (CERF) facility: applications and latest developments

    NASA Astrophysics Data System (ADS)

    Silari, Marco; Pozzi, Fabio

    2017-09-01

    The CERF facility at CERN provides an almost unique high-energy workplace reference radiation field for the calibration and test of radiation protection instrumentation employed at high-energy accelerator facilities and for aircraft and space dosimetry. This paper describes the main features of the facility and supplies a non-exhaustive list of recent (as of 2005) applications for which CERF is used. Upgrade work started in 2015 to provide the scientific and industrial communities with a state-of-the-art reference facility is also discussed.

  14. Scale Development: Perceived Barriers to Public Use of School Recreational Facilities

    ERIC Educational Resources Information Center

    Spengler, John O.; Ko, Yong Jae; Connaughton, Daniel P.

    2012-01-01

    Objectives: To test an original scale assessing perceived barriers among school administrators to allowing community use of school recreational facilities outside of regular school hours. Methods: Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: Using EFA and CFA, we found that a model including factors of…

  15. 75 FR 44005 - Notice of Submission of Proposed Information Collection to OMB Emergency Comment Request, Capital...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ... develop facilities to provide early childhood education, adult education, and/or job training programs for... Proposed Information Collection to OMB Emergency Comment Request, Capital Fund Education and Training... following information: Title of Proposal: Capital Fund Education and Training Community Facilities (CFCF...

  16. 24 CFR 570.420 - General.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii... York by HUD or Insular Areas—(1) Small cities. The Act permits each state to elect to administer all... their jurisdiction. This section is applicable only to active HUD-administered small cities grants in...

  17. 24 CFR 570.420 - General.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Small Cities, Non-Entitlement CDBG Grants in Hawaii... York by HUD or Insular Areas—(1) Small cities. The Act permits each state to elect to administer all... their jurisdiction. This section is applicable only to active HUD-administered small cities grants in...

  18. For Better or For Worse: Environmental Health Promotion in Support of Community Action Poster

    EPA Science Inventory

    Altgeld Gardens-Murray Homes is a public housing development situated within a toxic doughnut (surrounded by landfills, hazardous waste sites, and heavy manufacturing facilities) in the Riverdale Community of Chicago IL, USA. Concerned about high rates of environmentally-related...

  19. Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal.

    PubMed

    Citrin, David; Thapa, Poshan; Nirola, Isha; Pandey, Sachit; Kunwar, Lal Bahadur; Tenpa, Jasmine; Acharya, Bibhav; Rayamazi, Hari; Thapa, Aradhana; Maru, Sheela; Raut, Anant; Poudel, Sanjaya; Timilsina, Diwash; Dhungana, Santosh Kumar; Adhikari, Mukesh; Khanal, Mukti Nath; Pratap Kc, Naresh; Acharya, Bhim; Karki, Khem Bahadur; Singh, Dipendra Raman; Bangura, Alex Harsha; Wacksman, Jeremy; Storisteanu, Daniel; Halliday, Scott; Schwarz, Ryan; Schwarz, Dan; Choudhury, Nandini; Kumar, Anirudh; Wu, Wan-Ju; Kalaunee, S P; Chaudhari, Pushpa; Maru, Duncan

    2018-06-04

    Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and human rights concerns. We discuss implementation, lessons learned, challenges, and opportunities for future directions in integrated care delivery systems. Copyright © 2018 Elsevier Inc. All rights reserved.

  20. Infrastructural challenges to better health in maternity facilities in rural Kenya: community and healthworker perceptions.

    PubMed

    Essendi, Hildah; Johnson, Fiifi Amoako; Madise, Nyovani; Matthews, Zoe; Falkingham, Jane; Bahaj, Abubakr S; James, Patrick; Blunden, Luke

    2015-11-09

    The efforts and commitments to accelerate progress towards the Millennium Development Goals for maternal and newborn health (MDGs 4 and 5) in low and middle income countries have focused primarily on providing key medical interventions at maternity facilities to save the lives of women at the time of childbirth, as well as their babies. However, in most rural communities in sub-Saharan, access to maternal and newborn care services is still limited and even where services are available they often lack the infrastructural prerequisites to function at the very basic level in providing essential routine health care services, let alone emergency care. Lists of essential interventions for normal and complicated childbirth, do not take into account these prerequisites, thus the needs of most health facilities in rural communities are ignored, although there is enough evidence that maternal and newborn deaths continue to remain unacceptably high in these areas. This study uses data gathered through qualitative interviews in Kitonyoni and Mwania sub-locations of Makueni County in Eastern Kenya to understand community and provider perceptions of the obstacles faced in providing and accessing maternal and newborn care at health facilities in their localities. The study finds that the community perceives various challenges, most of which are infrastructural, including lack of electricity, water and poor roads that adversely impact the provision and access to essential life-saving maternal and newborn care services in the two sub-locations. The findings and recommendations from this study are important for the attention of policy makers and programme managers in order to improve the state of lower-tier health facilities serving rural communities and to strengthen infrastructure with the aim of making basic routine and emergency obstetric and newborn care services more accessible.

  1. 24 CFR 585.204 - Locational considerations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Youthbuild Planning Grants § 585.204... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Locational considerations. 585.204 Section 585.204 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  2. 24 CFR 585.204 - Locational considerations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Youthbuild Planning Grants § 585.204... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Locational considerations. 585.204 Section 585.204 Housing and Urban Development Regulations Relating to Housing and Urban Development...

  3. A PLANNED COMMUNITY FOR MIGRATORY FARM WORKERS--A PROPOSAL FOR A DEMONSTRATION PROJECT.

    ERIC Educational Resources Information Center

    PEERY, A.B.

    A DEMONSTRATION PROJECT FOR MIGRATORY FARM LABORERS HOME-BASED IN SOUTH TEXAS IS PROPOSED. THE PURPOSE IS TO DESIGN A PLANNED COMMUNITY CONTAINING HOUSING, HEALTH FACILITIES, ORIENTATION AND EDUCATIONAL FACILITIES, JOB-PLACEMENT FACILITIES, AND SOCIAL, RECREATIONAL, AND COMMERCIAL FACILITIES. THE PLANNED COMMUNITY WOULD PROVIDE SAFE, SANITARY, AND…

  4. Strand IV: Environmental and Community Health. Environmental and Public Health, Grades 4-6. Special Edition for Evaluation and Discussion.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Elementary Curriculum Development.

    This prototypic curriculum is designed to develop awareness of the challenges man faces in his crowded communities to insure clean water, pest control, waste removal, safe food handling and adequate community health facilities. It distinguishes between the prevention of future environmental abuse and compensation for past abuses. Both the gaining…

  5. Shared Use of Physical Activity Facilities Among North Carolina Faith Communities, 2013

    PubMed Central

    Edwards, Michael B.; Bocarro, Jason N.; Stein, Anna; Kanters, Michael A.; Sherman, Danielle Marie; Rhew, Lori K.; Stallings, Willona Marie; Bowen, Sarah K.

    2017-01-01

    Introduction Shared use of recreational facilities is a promising strategy for increasing access to places for physical activity. Little is known about shared use in faith-based settings. This study examined shared use practices and barriers in faith communities in North Carolina. Methods Faith communities in North Carolina (n = 234) completed an online survey (October–December 2013) designed to provide information about the extent and nature of shared use of recreational facilities. We used binary logistic regression to examine differences between congregations that shared use and those that did not share use. Results Most of the faith communities (82.9%) that completed the survey indicated that they share their facilities with outside individuals and organizations. Formal agreements were more common when faith communities shared indoor spaces such as gymnasiums and classroom meeting spaces than when they shared outdoor spaces such as playgrounds or athletic fields. Faith communities in the wealthiest counties were more likely to share their spaces than were faith communities in poorer counties. Faith communities in counties with the best health rankings were more likely to share facilities than faith communities in counties that had lower health rankings. The most frequently cited reasons faith communities did not share their facilities were that they did not know how to initiate the process of sharing their facilities or that no outside groups had ever asked. Conclusion Most faith communities shared their facilities for physical activity. Research is needed on the relationship between shared use and physical activity levels, including the effect of formalizing shared-use policies. PMID:28152362

  6. Shared Use of Physical Activity Facilities Among North Carolina Faith Communities, 2013.

    PubMed

    Hardison-Moody, Annie; Edwards, Michael B; Bocarro, Jason N; Stein, Anna; Kanters, Michael A; Sherman, Danielle Marie; Rhew, Lori K; Stallings, Willona Marie; Bowen, Sarah K

    2017-02-02

    Shared use of recreational facilities is a promising strategy for increasing access to places for physical activity. Little is known about shared use in faith-based settings. This study examined shared use practices and barriers in faith communities in North Carolina. Faith communities in North Carolina (n = 234) completed an online survey (October-December 2013) designed to provide information about the extent and nature of shared use of recreational facilities. We used binary logistic regression to examine differences between congregations that shared use and those that did not share use. Most of the faith communities (82.9%) that completed the survey indicated that they share their facilities with outside individuals and organizations. Formal agreements were more common when faith communities shared indoor spaces such as gymnasiums and classroom meeting spaces than when they shared outdoor spaces such as playgrounds or athletic fields. Faith communities in the wealthiest counties were more likely to share their spaces than were faith communities in poorer counties. Faith communities in counties with the best health rankings were more likely to share facilities than faith communities in counties that had lower health rankings. The most frequently cited reasons faith communities did not share their facilities were that they did not know how to initiate the process of sharing their facilities or that no outside groups had ever asked. Most faith communities shared their facilities for physical activity. Research is needed on the relationship between shared use and physical activity levels, including the effect of formalizing shared-use policies.

  7. 24 CFR 572.300 - Notices of funding availability (NOFAs); grant applications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) Selection Process § 572.300 Notices of funding availability (NOFAs); grant...

  8. 7 CFR 3570.93 - Regional Commission grants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Appalachian Regional Commission (ARC) is authorized under the Appalachian Regional Development Act of 1965 to... 7 Agriculture 15 2010-01-01 2010-01-01 false Regional Commission grants. 3570.93 Section 3570.93... AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.93 Regional Commission grants. (a...

  9. DESIGNING, CONSTRUCTING AND FINANCING FACILITIES FOR A COMMUNITY SCHOOL.

    ERIC Educational Resources Information Center

    BATES, GUY J.; AND OTHERS

    IN FLINT THE EFFECTIVENESS AND SCOPE OF COMMUNITY USE OF THE SCHOOL WAS DIRECTLY RELATED TO ITS FACILITIES AND THEIR AVAILABILITY. THUS THE CONCEPT OF A COMMUNITY SCHOOL PROGRAM HAD A PRONOUNCED EFFECT ON THE ARCHITECTURAL PLANNING OF ELEMENTARY SCHOOLS IN FLINT. FLINT'S FIRST COMMUNITY SCHOOL CONTAINED THE FOLLOWING FACILITIES NOT USUALLY FOUND…

  10. Energy Systems Integration News | Energy Systems Integration Facility |

    Science.gov Websites

    , consider the tangible benefits it can bring to utilities and the developer community, and discuss the Energy Systems Integration Facility on July 13 and 14, 2016, to discuss current and future R&D to researching this topic from a technology, business process, and policy perspective. This workshop is an

  11. Urbanization and Spatial Organization: Hospital and Orphanage Location in Chicago, 1848-1916

    ERIC Educational Resources Information Center

    Britton, Marcus; Ocasio, William

    2007-01-01

    What factors affect where organizations locate facilities in local communities? This paper examines how urban development influenced the neighborhood location of two very different types of facilities, general hospitals and orphanages, over the 70-year period during which Chicago emerged as an urban metropolis. Our results suggest that the human…

  12. The effectiveness of community-based loan funds for transport during obstetric emergencies in developing countries: a systematic review.

    PubMed

    Nwolise, Chidiebere Hope; Hussein, Julia; Kanguru, Lovney; Bell, Jacqueline; Patel, Purvi

    2015-09-01

    Scarcity and costs of transport have been implicated as key barriers to accessing care when obstetric emergencies occur in community settings. Community-based loans have been used to increase utilization of health facilities and potentially reduce maternal mortality by providing funding at community level to provide emergency transport. This review aimed to provide evidence of the effect of community-based loan funds on utilization of health facilities and reduction of maternal mortality in developing countries. Electronic databases of published literature and websites were searched for relevant literature using a pre-defined set of search terms, inclusion and exclusion criteria. Screening of titles, abstracts and full-text articles were done by at least two reviewers independently. Quality assessment was carried out on the selected papers. Data related to deliveries and obstetric complications attended at facilities, maternal deaths and live births were extracted to measure and compare the effects of community-based loan funds using odds ratios (ORs) and reductions in maternal mortality ratio. Forest plots are presented where possible. The results of the review show that groups where community-based loan funds were implemented (alongside other interventions) generally recorded increases in utilization of health facilities for deliveries, with ORs of 3.5 (0.97-15.48) and 3.55 (1.56-8.05); and an increase in utilization of emergency obstetric care with ORs of 2.22 (0.51-10.38) and 3.37 (1.78-6.37). Intervention groups also experienced a positive effect on met need for complications and a reduction in maternal mortality. There is some evidence to suggest that community-based loan funds as part of a multifaceted intervention have positive effects. Conclusions are limited by challenges of study design and bias. Further studies which strengthen the evidence of the effects of loan funds, and mechanism for their functionality, are recommended. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  13. 75 FR 60089 - Final Environmental Impact Statement (EIS) Addressing Campus Development at Fort Meade

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-29

    ... Intelligence Community's continually evolving requirements. The purpose of the Proposed Action is to provide facilities that fully support the Intelligence Community's mission. The need for the action is to consolidate multiple agencies' efforts to ensure capabilities for current and future missions as directed by Congress...

  14. From Academic Vision to Physical Manifestation

    ERIC Educational Resources Information Center

    Walleri, R. Dan; Becker, William E.

    2004-01-01

    This community college-based case study describes and analyzes how a new mission and vision adopted by the college trustees was translated into a facility master plan. The vision is designed to serve the needs of the community and facilitate economic development, especially in the areas of health occupations, biotechnology and…

  15. 7 CFR 3560.58 - Site requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...), and for farm labor housing units financed under sections 514 and 516, which may be developed in any area where a need for farm labor housing exists. (3) Communities in which Agency-financed MFH is..., either by location or terrain, to essential community facilities such as water, sewerage removal, schools...

  16. 7 CFR 3560.58 - Site requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...), and for farm labor housing units financed under sections 514 and 516, which may be developed in any area where a need for farm labor housing exists. (3) Communities in which Agency-financed MFH is..., either by location or terrain, to essential community facilities such as water, sewerage removal, schools...

  17. 7 CFR 3560.58 - Site requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...), and for farm labor housing units financed under sections 514 and 516, which may be developed in any area where a need for farm labor housing exists. (3) Communities in which Agency-financed MFH is..., either by location or terrain, to essential community facilities such as water, sewerage removal, schools...

  18. 75 FR 678 - Federal Home Loan Bank Membership for Community Development Financial Institutions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ... substantive issues raised by the comment letters focused principally on the criteria that FHFA had proposed... and business lines. The four categories of institutions eligible for CDFI certification and CDFI Fund... are unregulated institutions specializing in financing of housing, businesses or community facilities...

  19. Safe design of healthcare facilities

    PubMed Central

    Reiling, J

    2006-01-01

    The physical environment has a significant impact on health and safety; however, hospitals have not been designed with the explicit goal of enhancing patient safety through facility design. In April 2002, St Joseph's Community Hospital of West Bend, a member of SynergyHealth, brought together leaders in healthcare and systems engineering to develop a set of safety‐driven facility design recommendations and principles that would guide the design of a new hospital facility focused on patient safety. By introducing safety‐driven innovations into the facility design process, environmental designers and healthcare leaders will be able to make significant contributions to patient safety. PMID:17142606

  20. Community accountability at peripheral health facilities: a review of the empirical literature and development of a conceptual framework

    PubMed Central

    Molyneux, Sassy; Atela, Martin; Angwenyi, Vibian; Goodman, Catherine

    2012-01-01

    Public accountability has re-emerged as a top priority for health systems all over the world, and particularly in developing countries where governments have often failed to provide adequate public sector services for their citizens. One approach to strengthening public accountability is through direct involvement of clients, users or the general public in health delivery, here termed ‘community accountability’. The potential benefits of community accountability, both as an end in itself and as a means of improving health services, have led to significant resources being invested by governments and non-governmental organizations. Data are now needed on the implementation and impact of these initiatives on the ground. A search of PubMed using a systematic approach, supplemented by a hand search of key websites, identified 21 papers from low- or middle-income countries describing at least one measure to enhance community accountability that was linked with peripheral facilities. Mechanisms covered included committees and groups (n = 19), public report cards (n = 1) and patients’ rights charters (n = 1). In this paper we summarize the data presented in these papers, including impact, and factors influencing impact, and conclude by commenting on the methods used, and the issues they raise. We highlight that the international interest in community accountability mechanisms linked to peripheral facilities has not been matched by empirical data, and present a conceptual framework and a set of ideas that might contribute to future studies. PMID:22279082

  1. Division x: Radio Astronomy

    NASA Astrophysics Data System (ADS)

    Taylor, Russ; Chapman, Jessica; Rendong, Nan; Carilli, Christopher; Giovannini, Gabriele; Hills, Richard; Hirabayashi, Hisashi; Jonas, Justin; Lazio, Joseph; Morganti, Raffaella; Rubio, Monica; Shastri, Prajval

    2012-04-01

    This triennium has seen a phenomenal investment in development of observational radio astronomy facilities in all parts of the globe at a scale that significantly impacts the international community. This includes both major enhancements such as the transition from the VLA to the EVLA in North America, and the development of new facilities such as LOFAR, ALMA, FAST, and Square Kilometre Array precursor telescopes in Australia and South Africa. These developments are driven by advances in radio-frequency, digital and information technologies that tremendously enhance the capabilities in radio astronomy. These new developments foreshadow major scientific advances driven by radio observations in the next triennium. We highlight these facility developments in section 3 of this report. A selection of science highlight from this triennium are summarized in section 2.

  2. Development of a Medical Cyclotron Production Facility

    NASA Astrophysics Data System (ADS)

    Allen, Danny R.

    2003-08-01

    Development of a Cyclotron manufacturing facility begins with a business plan. Geographics, the size and activity of the medical community, the growth potential of the modality being served, and other business connections are all considered. This business used the customer base established by NuTech, Inc., an independent centralized nuclear pharmacy founded by Danny Allen. With two pharmacies in operation in Tyler and College Station and a customer base of 47 hospitals and clinics the existing delivery system and pharmacist staff is used for the cyclotron facility. We then added cyclotron products to contracts with these customers to guarantee a supply. We partnered with a company in the process of developing PET imaging centers. We then built an independent imaging center attached to the cyclotron facility to allow for the use of short-lived isotopes.

  3. Formative research and development of innovative tools for "Better Outcomes in Labour Difficulty" (BOLD): study protocol.

    PubMed

    Bohren, Meghan A; Oladapo, Olufemi T; Tunçalp, Özge; Wendland, Melanie; Vogel, Joshua P; Tikkanen, Mari; Fawole, Bukola; Mugerwa, Kidza; Souza, João Paulo; Bahl, Rajiv; Gülmezoglu, A Metin

    2015-05-26

    Most complications during labour and childbirth could be averted with timely interventions by skilled healthcare providers. Yet, the quality and outcomes of childbirth care remains suboptimal in many health facilities in low-resource settings. To accelerate the reduction of childbirth-related maternal, fetal and newborn mortality and morbidity, the World Health Organization has initiated the "Better Outcomes in Labour Difficulty" (BOLD) project to address weaknesses in labour care processes and better connect health systems and communities. The project seeks to develop a "Simplified, Effective, Labour Monitoring-to-Action" tool (SELMA) to assist healthcare providers to monitor labour and take decisive actions more efficiently; and by developing an innovative set of service prototypes and/or tools termed "Passport to Safer Birth", designed with communities and healthcare providers, to promote access to quality care for women during childbirth. This protocol describes the formative research activities to support the development of these tools. We will employ qualitative research and service design methodologies in eight health facilities and their catchment communities in Nigeria and Uganda. In the health facilities, focus group discussions (FGD) and in-depth interviews (IDI) will be conducted among different cadres of healthcare providers and facility administrators. In the communities, FGDs and IDIs will be conducted among women who have delivered in a health facility. We will use service design methods to explore women's journey to access and receive childbirth care in order to innovate and design services around the needs and expectations of women, within the context of the health system. This formative research will serve several roles. First, it will provide an in-depth understanding of healthcare providers and health system issues to be accounted for in the final design and implementation of SELMA. Second, it will help to identify key moments ("touch points") where women's experiences of childbirth care are shaped, and where the overall experience of quality care could be improved. The synthesis of findings from the qualitative and service design activities will help identify potential areas for behaviour change related to the provision and experience of childbirth care, and serve as the basis for the development of Passport to Safer Birth. Please see related articles 'http://dx.doi.org/ 10.1186/s12978-015-0027-6 ' and 'http://dx.doi.org/ 10.1186/s12978-015-0029-4 '.

  4. 34 CFR 361.62 - Maintenance of effort requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... provides for the construction of a facility for community rehabilitation program purposes, the amount of... for the construction of a facility for community rehabilitation program purposes or the establishment of a facility for community rehabilitation purposes, must be at least equal to the expenditures for...

  5. 34 CFR 361.62 - Maintenance of effort requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... provides for the construction of a facility for community rehabilitation program purposes, the amount of... for the construction of a facility for community rehabilitation program purposes or the establishment of a facility for community rehabilitation purposes, must be at least equal to the expenditures for...

  6. Being accountable for care of the poor. CHA's social accountability budget helps facilities keep track of charitable activity.

    PubMed

    Trocchio, J; Eckels, T

    1989-06-01

    The Catholic Health Association's social accountability budget is a set of tools to help Catholic healthcare facilities plan for, administer, and report benefits provided to their communities, especially the poor. It defines a full roster of community benefits that a healthcare organization may provide. The benefits fall into three major categories: activities and services, policies and procedures, and community leadership. The social accountability budget also presents guidelines for assessing the facility's existing services, activities, policies, and procedures and discusses how the facility can conduct or be part of a community needs assessment. Information collected through this assessment is used in the planning and budgeting processes. This ensures that uncompensated care and charitable services receive consideration along with traditional planning and budgeting items. Additional guidelines show the facility how to track and measure its services to the community. The final step, often absent from Catholic healthcare facilities' programs, is reporting community benefits.

  7. Residual Barriers for Utilization of Maternal and Child Health Services: Community Perceptions From Rural Pakistan

    PubMed Central

    Memon, Zahid; Zaidi, Shehla; Riaz, Atif

    2016-01-01

    Low utilization of maternal and child care services in rural areas has constrained Pakistan from meeting targets of Millennium Development Goals (MDGs) 4 and 5. This study explores community barriers in accessing Maternal and Child Health (MCH) services in ten remote rural districts of Pakistan. It further presents how the barriers differ across a range of MCH services, and also whether the presence of Community Health Workers (CHWs) reduces client barriers. Qualitative methods were used involving altogether sixty focus group discussions with mothers, their spouses and community health workers. Low awareness, formidable distances, expense, and poorly functional services were the main barriers reported, while cultural and religious restrictions were lesser reported. For preventive services including antenatal care (ANC), facility deliveries, postnatal care (PNC), childhood immunization and family planning, the main barrier was low awareness. Conversely, formidable distances and poorly functional services were the main reported constraints in the event of maternal complications and acute child illnesses. The study also found that clients residing in areas served by CHWs had better awareness only of ANC and family planning, while other MCH services were overlooked by the health worker program. The paper highlights that traditional policy emphasis on health facility infrastructure expansion is not likely to address poor utilization rates in remote rural areas. Preventive MCH services require concerted attention to building community awareness, task shifting from facility to community for services provision, and re-energization of CHW program. For maternal and child emergencies there is strong community demand to utilize health facilities, but this will require catalytic support for transport networks and functional health care centers. PMID:26925902

  8. Bacterial communities associated with production facilities of two newly drilled thermogenic natural gas wells in the Barnett Shale (Texas, USA).

    PubMed

    Davis, James P; Struchtemeyer, Christopher G; Elshahed, Mostafa S

    2012-11-01

    We monitored the bacterial communities in the gas-water separator and water storage tank of two newly drilled natural gas wells in the Barnett Shale in north central Texas, using a 16S rRNA gene pyrosequencing approach over a period of 6 months. Overall, the communities were composed mainly of moderately halophilic and halotolerant members of the phyla Firmicutes and Proteobacteria (classes Βeta-, Gamma-, and Epsilonproteobacteria) in both wells at all sampling times and locations. Many of the observed lineages were encountered in prior investigations of microbial communities from various fossil fluid formations and production facilities. In all of the samples, multiple H(2)S-producing lineages were encountered; belonging to the sulfate- and sulfur-reducing class Deltaproteobacteria, order Clostridiales, and phylum Synergistetes, as well as the thiosulfate-reducing order Halanaerobiales. The bacterial communities from the separator and tank samples bore little resemblance to the bacterial communities in the drilling mud and hydraulic-fracture waters that were used to drill these wells, suggesting the in situ development of the unique bacterial communities in such well components was in response to the prevalent geochemical conditions present. Conversely, comparison of the bacterial communities on temporal and spatial scales suggested the establishment of a core microbial community in each sampled location. The results provide the first overview of bacterial dynamics and colonization patterns in newly drilled, thermogenic natural gas wells and highlights patterns of spatial and temporal variability observed in bacterial communities in natural gas production facilities.

  9. Mentoring, Task Sharing, and Community Outreach Through the TutoratPlus Approach: Increasing Use of Long-Acting Reversible Contraceptives in Senegal.

    PubMed

    Gueye, Babacar; Wesson, Jennifer; Koumtingue, Djimadoum; Stratton, Sara; Viadro, Claire; Talla, Hawa; Dioh, Etienne; Cissé, Carol; Sebikali, Boniface; Mamadou Daff, Bocar

    2016-08-11

    To broaden access to family planning in rural areas and improve contraceptive prevalence, Senegal, in the context of wide method choice, is promoting implants and the intrauterine device, currently used throughout the country by only 5.6% of women of reproductive age who are in union, primarily urban women. The TutoratPlus performance improvement approach strengthens family planning clinical skills, particularly for long-acting reversible contraceptives (LARCs), through mentoring, task sharing, and community outreach. Following a 2013 baseline situation analysis, 290 participating facilities in 12 of Senegal's 14 regions developed action plans to address gaps identified in 3 areas: provider performance, equipment, and infrastructure. Between 2013 and 2014, 85 trained mentors coached, demonstrated skills, and observed 857 providers, including nurses, nonclinical family planning counselors, and community health workers (CHWs), in LARC service provision through two 5-day visits per facility at 21-day intervals. We used routine service delivery data and TutoratPlus mentoring data to assess changes in contraceptive use, including LARCs, 6 months before and 6 months after the mentoring intervention among 100 of the facilities with complete data. The baseline assessment of 290 facilities found that fewer than half (47%) had a provider who could offer at least 1 LARC method, and 64% to 69% lacked kits. Post-intervention, all 290 facilities were adequately equipped and clinically able to offer LARCs. Among the 552 clinical providers, the percentage with acceptable LARC performance (at least 80% of observation checklist items correct) doubled from 32% to 67% over the 2 mentoring visits. In the 100 facilities with available comparison data, the number of new LARC users rose from 1,552 to 2,879 in the 6 months pre- and post-intervention-an 86% increase. Success of the TutoratPlus approach in Senegal is likely in part attributable to addressing facility-specific needs, using on-site mentoring to assess provider capacity, and achieving workplace enhancements through community engagement. Without CHW-initiated community outreach, LARC uptake might have been lower. Although task sharing requires institutionalization within national health systems, TutoratPlus demonstrates that provider skills can be improved, facilities can be better equipped, and demand can be promoted using existing government and community resources. © Gueye et al.

  10. Building Consensus on Community Standards for Reproducible Science

    NASA Astrophysics Data System (ADS)

    Lehnert, K. A.; Nielsen, R. L.

    2015-12-01

    As geochemists, the traditional model by which standard methods for generating, presenting, and using data have been generated relied on input from the community, the results of seminal studies, a variety of authoritative bodies, and has required a great deal of time. The rate of technological and related policy change has accelerated to the point that this historical model does not satisfy the needs of the community, publishers, or funders. The development of a new mechanism for building consensus raises a number of questions: Which aspects of our data are the focus of reproducibility standards? Who sets the standards? How do we subdivide the development of the consensus? We propose an open, transparent, and inclusive approach to the development of data and reproducibility standards that is organized around specific sub-disciplines and driven by the community of practitioners in those sub-disciplines. It should involve editors, program managers, and representatives of domain data facilities as well as professional societies, but avoid any single group to be the final authority. A successful example of this model is the Editors Roundtable, a cross section of editors, funders, and data facility managers that discussed and agreed on leading practices for the reporting of geochemical data in publications, including accessibility and format of the data, data quality information, and metadata and identifiers for samples (Goldstein et al., 2014). We argue that development of data and reproducibility standards needs to heavily rely on representatives from the community of practitioners to set priorities and provide perspective. Groups of editors, practicing scientists, and other stakeholders would be assigned the task of reviewing existing practices and recommending changes as deemed necessary. They would weigh the costs and benefits of changing the standards for that community, propose appropriate tools to facilitate those changes, work through the professional societies, gain community support, collect suggestions/edits, and ultimately approval and implementation through the journals. Domain data facilities such as the Interdisciplinary Earth Data Alliance (IEDA) can facilitate this process and support the groups. Goldstein et al. (2014): EarthChem Library. http://dx.doi.org/10.1594/IEDA/100426

  11. 24 CFR 585.307 - Environmental procedures and standards.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Environmental procedures and standards. 585.307 Section 585.307 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Youthbuild Implementation Grants...

  12. 24 CFR 585.307 - Environmental procedures and standards.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Environmental procedures and standards. 585.307 Section 585.307 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Youthbuild Implementation Grants...

  13. 24 CFR 585.307 - Environmental procedures and standards.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Environmental procedures and standards. 585.307 Section 585.307 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Youthbuild Implementation Grants...

  14. Telewarfare and Military Medicine: White Paper/State of the Art Report On AFMS Support to the Emerging Paradigm of Employed-in-Place Operations

    DTIC Science & Technology

    2011-09-30

    centers (e.g. cochlear implant – a first-generation technology). Given the rate of technological development, it seems possible, even likely, that...communities and utilization to support combat operations therein. Facilities Facility requirements will flow from the chosen course of action. Should

  15. 24 CFR 598.515 - Alaska and Hawaii.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Alaska and Hawaii. 598.515 Section 598.515 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Special Rules § 598...

  16. 24 CFR 598.515 - Alaska and Hawaii.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Alaska and Hawaii. 598.515 Section 598.515 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Special Rules § 598...

  17. 24 CFR 598.515 - Alaska and Hawaii.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Alaska and Hawaii. 598.515 Section 598.515 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Special Rules § 598...

  18. 24 CFR 598.515 - Alaska and Hawaii.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Alaska and Hawaii. 598.515 Section 598.515 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Special Rules § 598...

  19. Comprehensive facilities plan

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

    NONE

    1997-09-01

    The Ernest Orlando Lawrence Berkeley National Laboratory`s Comprehensive Facilities Plan (CFP) document provides analysis and policy guidance for the effective use and orderly future development of land and capital assets at the Berkeley Lab site. The CFP directly supports Berkeley Lab`s role as a multiprogram national laboratory operated by the University of California (UC) for the Department of Energy (DOE). The CFP is revised annually on Berkeley Lab`s Facilities Planning Website. Major revisions are consistent with DOE policy and review guidance. Facilities planing is motivated by the need to develop facilities for DOE programmatic needs; to maintain, replace and rehabilitatemore » existing obsolete facilities; to identify sites for anticipated programmatic growth; and to establish a planning framework in recognition of site amenities and the surrounding community. The CFP presents a concise expression of the policy for the future physical development of the Laboratory, based upon anticipated operational needs of research programs and the environmental setting. It is a product of the ongoing planning processes and is a dynamic information source.« less

  20. Facility-based delivery in the context of Zimbabwe's HIV epidemic--missed opportunities for improving engagement with care: a community-based serosurvey.

    PubMed

    Buzdugan, Raluca; McCoy, Sandra I; Webb, Karen; Mushavi, Angela; Mahomva, Agnes; Padian, Nancy S; Cowan, Frances M

    2015-12-17

    In developing countries, facility-based delivery is recommended for maternal and neonatal health, and for prevention of mother-to-child HIV transmission (PMTCT). However, little is known about whether or not learning one's HIV status affects one's decision to deliver in a health facility. We examined this association in Zimbabwe. We analyzed data from a 2012 cross-sectional community-based serosurvey conducted to evaluate Zimbabwe's accelerated national PMTCT program. Eligible women (≥16 years old and mothers of infants born 9-18 months before the survey) were randomly sampled from the catchment areas of 157 health facilities in five of ten provinces. Participants were interviewed about where they delivered and provided blood samples for HIV testing. Overall 8796 (77 %) mothers reported facility-based delivery; uptake varied by community (30-100%). The likelihood of facility-based delivery was not associated with maternal HIV status. Women who self-reported being HIV-positive before delivery were as likely to deliver in a health facility as women who were HIV-negative, irrespective of when they learned their status - before (adjusted prevalence ratio (PRa) = 1.04, 95% confidence interval (CI) = 1.00-1.09) or during pregnancy (PRa = 1.05, 95% CI = 1.01-1.09). Mothers who had not accessed antenatal care or tested for HIV were most likely to deliver outside a health facility (69%). Overall, however 77% of home deliveries occurred among women who had accessed antenatal care and were HIV-tested. Uptake of facility-based delivery was similar among HIV-infected and HIV-uninfected mothers, which was somewhat unexpected given the substantial technical and financial investment aimed at retaining HIV-positive women in care in Zimbabwe.

  1. Placement, support, and retention of health professionals: national, cross-sectional findings from medical and dental community service officers in South Africa.

    PubMed

    Hatcher, Abigail M; Onah, Michael; Kornik, Saul; Peacocke, Julia; Reid, Stephen

    2014-02-26

    In South Africa, community service following medical training serves as a mechanism for equitable distribution of health professionals and their professional development. Community service officers are required to contribute a year towards serving in a public health facility while receiving supervision and remuneration. Although the South African community service programme has been in effect since 1998, little is known about how placement and practical support occur, or how community service may impact future retention of health professionals. National, cross-sectional data were collected from community service officers who served during 2009 using a structured self-report questionnaire. A Supervision Satisfaction Scale (SSS) was created by summing scores of five questions rated on a three-point Likert scale (orientation, clinical advising, ongoing mentorship, accessibility of clinic leadership, and handling of community service officers' concerns). Research endpoints were guided by community service programmatic goals and analysed as dichotomous outcomes. Bivariate and multivariate logistical regressions were conducted using Stata 12. The sample population comprised 685 doctors and dentists (response rate 44%). Rural placement was more likely among unmarried, male, and black practitioners. Rates of self-reported professional development were high (470 out of 539 responses; 87%). Participants with higher scores on the SSS were more likely to report professional development. Although few participants planned to continue work in rural, underserved communities (n = 171 out of 657 responses, 25%), those serving in a rural facility during the community service year had higher intentions of continuing rural work. Those reporting professional development during the community service year were twice as likely to report intentions to remain in rural, underserved communities. Despite challenges in equitable distribution of practitioners, participant satisfaction with the compulsory community service programme appears to be high among those who responded to a 2009 questionnaire. These data offer a starting point for designing programmes and policies that better meet the health needs of the South African population through more appropriate human resource management. An emphasis on professional development and supervision is crucial if South Africa is to build practitioner skills, equitably distribute health professionals, and retain the medical workforce in rural, underserved areas.

  2. Using Geospatial Analysis to Align Little Free Library Locations with Community Literacy Needs

    ERIC Educational Resources Information Center

    Rebori, Marlene K.; Burge, Peter

    2017-01-01

    We used geospatial analysis tools to develop community maps depicting fourth-grade reading proficiency test scores and locations of facilities offering public access to reading materials (i.e., public libraries, elementary schools, and Little Free Libraries). The maps visually highlighted areas with struggling readers and areas without adequate…

  3. Combined-cycle plant built in record time

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

    NONE

    1995-04-01

    This article reports that this low-cost cogeneration plant meets residential community`s environmental concerns with noise minimization, emissions control, and zero wastewater discharge. Supplying electricity to the local utility and steam to two hosts, the Auburndale cogeneration facility embodies the ``reference plant`` design approach developed by Westinghouse Power Generation (WPG), Orlando, Fla. With this approach customers meet their particular needs by choosing from a standard package of plant equipment and design options. Main goals of the concept are reduced construction time efficient and reliable power generation, minimal operating staff, and low cost. WPG built the plant on a turnkey basis formore » Auburndale Power Partners Limited Partnership (APP). APP is a partially owned subsidiary of Mission Energy, a California-based international developer and operator of independent-power facilities. The cogeneration facility supplies 150 MW of electric power to Florida Power Corp and exports 120,000 lb/hr of steam to Florida Distillers Co and Coca-Cola Foods.« less

  4. Softball Complex

    ERIC Educational Resources Information Center

    Ellis, Jim

    1977-01-01

    The Parks and Recreation Department of Montgomery, Alabama, has developed a five-field softball complex as part of a growing community park with facilities for camping, golf, aquatics, tennis, and picnicking. (MJB)

  5. 24 CFR 598.620 - Evaluation, monitoring, and enforcement.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone Grants § 598.620 Evaluation, monitoring, and enforcement. (a) Progress...

  6. 24 CFR 598.620 - Evaluation, monitoring, and enforcement.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone Grants § 598.620 Evaluation, monitoring, and enforcement. (a) Progress...

  7. A Comprehensive Approach to Management of Workplace and Environmental Noise at NASA Lewis Research Center

    NASA Technical Reports Server (NTRS)

    Cooper, Beth A.

    1995-01-01

    NASA Lewis Research Center is home to more than 100 experimental research testing facilities and laboratories, including large wind tunnels and engine test cells, which in combination create a varied and complex noise environment. Much of the equipment was manufactured prior to the enactment of legislation limiting product noise emissions or occupational noise exposure. Routine facility maintenance and associated construction also contributes to a noise exposure management responsibility which is equal in magnitude and scope to that of several small industrial companies. The Noise Program, centrally managed within the Office of Environmental Programs at LRC, maintains overall responsibility for hearing conservation, community noise control, and acoustical and noise control engineering. Centralized management of the LRC Noise Program facilitates the timely development and implementation of engineered noise control solutions for problems identified via either the Hearing Conservation of Community Noise Program. The key element of the Lewis Research Center Noise Program, Acoustical and Noise Control Engineering Services, is focused on developing solutions that permanently reduce employee and community noise exposure and maximize research productivity by reducing or eliminating administrative and operational controls and by improving the safety and comfort of the work environment. The Hearing Conservation Program provides noise exposure assessment, medical monitoring, and training for civil servant and contractor employees. The Community Noise Program aims to maintain the support of LRC's neighboring communities while enabling necessary research operations to accomplish their programmatic goals. Noise control engineering capability resides within the Noise Program. The noise control engineering, based on specific exposure limits, is a fundamental consideration throughout the design phase of new test facilities, labs, and office buildings. In summary, the Noise Program addresses hearing conservation, community noise control, and acoustical and noise control engineering.

  8. An Intervention To Enhance the Food Environment in Public Recreation and Sport Settings: A Natural Experiment in British Columbia, Canada.

    PubMed

    Naylor, Patti-Jean; Olstad, Dana Lee; Therrien, Suzanne

    2015-08-01

    Publicly funded recreation and sports facilities provide children with access to affordable physical activities, although they often have unhealthy food environments that may increase child obesity risk. This study evaluated the impact of a capacity-building intervention (Healthy Food and Beverage Sales; HFBS) on organizational capacity for providing healthy food environments, health of vending machine products, and food policy development in recreation and sport facilities in British Columbia, Canada. Twenty-one HFBS communities received training, resources, and technical support to improve their food environment over 8 months in 2009-2010, whereas 23 comparison communities did not. Communities self-reported organizational capacity, food policies, and audited vending machine products at baseline and follow-up. Repeated-measures analysis of variance evaluated intervention impact. Intervention and comparison communities reported higher organizational capacity at follow-up; however, improvements were greater in HFBS communities (p<0.001). Healthy vending products increased from 11% to 15% (p<0.05), whereas unhealthy products declined from 56% to 46% (p<0.05) in HFBS communities, with no changes in comparison communities. At baseline 10% of HFBS communities reported having a healthy food policy, whereas 48% reported one at follow-up. No comparison communities had food policies. This is the first large, controlled study to examine the impact of an intervention to improve recreation and sport facility food environments. HFBS communities increased their self-rated capacity to provide healthy foods, healthy vending product offerings, and food policies to a greater extent than comparison communities. Recreation and sport settings are a priority setting for supporting healthy dietary behaviors among children.

  9. 24 CFR 598.610 - Resident benefit standards.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone Grants § 598.610 Resident benefit standards. The project or activity described in an...

  10. 24 CFR 598.600 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone Grants § 598.600 Applicability. This subpart applies to a project or activity proposed by an Empowerment...

  11. 24 CFR 598.500 - Indian reservations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Special... Empowerment Zone by State and local governments. An area completely within an Indian reservation may be...

  12. 24 CFR 598.425 - Validation of designation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Post... of any Empowerment Zone. (b) HUD may approve an Empowerment Zone's request for boundary modification...

  13. 24 CFR 598.610 - Resident benefit standards.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone Grants § 598.610 Resident benefit standards. The project or activity described in an...

  14. 24 CFR 598.600 - Applicability.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone Grants § 598.600 Applicability. This subpart applies to a project or activity proposed by an Empowerment...

  15. 24 CFR 598.605 - Implementation plan.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Empowerment Zone... requirements that the state and local governments, as Empowerment Zone designees, have agreed to meet as...

  16. Development of a Medical Cyclotron Production Facility

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

    Allen, Danny R.

    Development of a Cyclotron manufacturing facility begins with a business plan. Geographics, the size and activity of the medical community, the growth potential of the modality being served, and other business connections are all considered. This business used the customer base established by NuTech, Inc., an independent centralized nuclear pharmacy founded by Danny Allen. With two pharmacies in operation in Tyler and College Station and a customer base of 47 hospitals and clinics the existing delivery system and pharmacist staff is used for the cyclotron facility. We then added cyclotron products to contracts with these customers to guarantee a supply.more » We partnered with a company in the process of developing PET imaging centers. We then built an independent imaging center attached to the cyclotron facility to allow for the use of short-lived isotopes.« less

  17. Care needs of residents in community-based long-term care facilities in Taiwan.

    PubMed

    Li, I-Chuan; Yin, Teresa Jeo-Chen

    2005-07-01

    The purpose of this study is to gain an understanding both of the characteristics of residents who receive the services of nursing assistants and the service intensity (service tasks, service time and cost) of nursing assistants as a means of developing a patient classification based upon resource consumption. Most people in Taiwan send their disabled older family members to community-based long-term care facilities instead of nursing homes because they are much cheaper, and because they are generally closer to their homes, making visits more convenient. Nursing assistants make up the largest group of personnel in long-term care facilities. To determine resource use, both the service time and the actual activities performed for a resident by nursing assistants need to be assessed and this will help to develop a patient classification system to predict resource use and patient outcomes. A descriptive survey method was used to identify the tasks performed by nursing assistants in community-based long-term care facilities in Taiwan. Nursing assistants were recruited from 10 long-term care facilities in the Shihlin and Peitou Districts of Taipei City. Thirty-four nursing assistants and 112 residents participated in this study. Findings showed that each nursing assistant spent 5.05 hours per day doing direct service care, which is much higher than the 2.08 hours for nursing assistants in the United States. Among service tasks provided by nursing assistants, personal care consumed 35.1% of their time. Non-complex treatments were second (33.3%). Skilled nursing and medical services were third (31.6%). The service intensity required of nursing assistants was strongly related to the residents' activities of daily living and their needs. Complex nursing procedures are normally provided by Registered Nurses in nursing homes and consumed almost as much of the nursing assistants' time as did personal care activities in this study. It is suggested that a training program for nursing assistants, especially for foreigners in community-based long-term care facilities, should be mandated to assure the quality of service.

  18. 24 CFR 573.8 - Environmental procedures and standards.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Environmental procedures and standards. 573.8 Section 573.8 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.8 Environmental...

  19. 24 CFR 573.8 - Environmental procedures and standards.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Environmental procedures and standards. 573.8 Section 573.8 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.8 Environmental...

  20. 24 CFR 573.8 - Environmental procedures and standards.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Environmental procedures and standards. 573.8 Section 573.8 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.8 Environmental...

  1. 24 CFR 574.655 - Wage rates.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Wage rates. 574.655 Section 574.655 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF... COMMUNITY FACILITIES HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS Other Federal Requirements § 574.655 Wage...

  2. An evaluation of the effects of transit oriented development in a suburban environment

    DOT National Transportation Integrated Search

    2010-10-01

    Transit-Oriented Development (TOD) refers to dense, pedestrian-friendly, livable communities : that have good transit as a nucleus. While transit facilities are missing in most suburban towns and the residents are heavily dependent on their vehicles,...

  3. 24 CFR 585.306 - Designation of costs.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Youthbuild implementation grant and should not be considered costs associated with acquisition... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Designation of costs. 585.306... URBAN DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Youthbuild Implementation Grants § 585.306...

  4. Physical, Structural and Operational Vulnerability of Critical Facilities in Valle de Chalco Solidaridad, Estado de Mexico, Mexico. Case of study: Avándaro, San Isidro and El Triunfo

    NASA Astrophysics Data System (ADS)

    Garcia Payne, D. G.; Novelo-Casanova, D. A.; Ponce-Pacheco, A. B.; Espinosa-Campos, O.; Huerta-Parra, M.; Reyes-Pimentel, T.; Rodriguez, F.; Benitez-Olivares, I.

    2010-12-01

    Valle de Chalco Solidaridad is located in Mexico City Metropolitan Area in Estado de Mexico, Mexico. In this town there is a sewage canal called “La Compañía”. A wall of this canal collapsed on February 5, 2010 due to heavy rains creating the flooding of four surrounding communities. It is important to point out that this area is frequently exposed to floods. In this work, we consider a critical facility as an essential structure for performance, health care and welfare within a community or/and as a place that can be used as shelter in case of emergency or disaster. Global vulnerability (the sum of the three measured vulnerabilities) of the 25 critical facilities identified in the locations of Avándaro, San Isidro and El Triunfo was assessed using the Community Vulnerability Assessment Tool developed by the National Oceanic and Atmospheric Administration (NOAA). For each critical facility we determined its operational, structural and physical vulnerabilities. For our analysis, we considered the four main natural hazards to which Valle de Chalco is exposed: earthquakes, floods, landslides and sinking. We considered five levels of vulnerability using a scale from 1 to 5, where values range from very low to very high vulnerability, respectively. A critical facilities database was generated by collecting general information for three categories: schools, government and church. Each facility was evaluated considering its location in relation to identified high-risk areas. Our results indicate that in average, the global vulnerability of all facilities is low, however, there are particular cases in which this global vulnerability is high. The average operational vulnerability of the three communities is moderate. The global structural vulnerability (sum of the structural vulnerability for the four analyzed hazards) is moderate. In particular, the structural vulnerability to earthquakes is low, to landslides is very low, to flooding is moderate and to sinking is low. Due to the location of the critical facilities, its global physical vulnerability (sum of the physical vulnerability to the four analyzed hazards) is moderate. Only three facilities have very high physical vulnerability to floods. Churches (six facilities) have the highest operational vulnerability, whereas its structural vulnerability is the lowest. Schools (13 facilities) have the lowest operational vulnerability, nevertheless, there are two schools with very high vulnerability. Regarding the six government facilities, we identified that their structural vulnerability range from moderate to high. As a result of this work, we believe in the importance of strengthening the culture of civil protection within the critical facilities of the communities of Valle de Chalco.

  5. Design and development of a new facility for teaching and research in clinical anatomy.

    PubMed

    Greene, John Richard T

    2009-01-01

    This article discusses factors in the design, commissioning, project management, and intellectual property protection of developments within a new clinical anatomy facility in the United Kingdom. The project was aimed at creating cost-effective facilities that would address widespread concerns over anatomy teaching, and support other activities central to the university mission-namely research and community interaction. The new facilities comprise an engaging learning environment and were designed to support a range of pedagogies appropriate to the needs of healthcare professionals at different stages of their careers. Specific innovations include integrated workstations each comprising of a dissection table, with removable top sections, an overhead operating light, and ceiling-mounted camera. The tables incorporate waterproof touch-screen monitors to display images from the camera, an endoscope or a database of images, videos, and tutorials. The screens work independently so that instructors can run different teaching sessions simultaneously and students can progress at different speeds to suit themselves. Further, database access is provided from within an integrated anatomy and pathology museum and display units dedicated to the correlation of cross-sectional anatomy with medical imaging. A new functional neuroanatomy modeling system, called the BrainTower, has been developed to aid integration of anatomy with physiology and clinical neurology. Many aspects of the new facility are reproduced within a Mobile Teaching Unit, which can be driven to hospitals, colleges, and schools to provide appropriate work-based education and community interaction. (c) 2009 American Association of Anatomists

  6. 24 CFR 573.3 - Eligible activities.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... property in fee or under long term lease. (b) Acquisition and installation of personal property. (c... DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.3 Eligible activities. Guaranteed Loan...

  7. 24 CFR 573.3 - Eligible activities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... property in fee or under long term lease. (b) Acquisition and installation of personal property. (c... DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.3 Eligible activities. Guaranteed Loan...

  8. 24 CFR 573.3 - Eligible activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... property in fee or under long term lease. (b) Acquisition and installation of personal property. (c... DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.3 Eligible activities. Guaranteed Loan...

  9. 24 CFR 573.3 - Eligible activities.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... property in fee or under long term lease. (b) Acquisition and installation of personal property. (c... DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.3 Eligible activities. Guaranteed Loan...

  10. 24 CFR 573.3 - Eligible activities.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... property in fee or under long term lease. (b) Acquisition and installation of personal property. (c... DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.3 Eligible activities. Guaranteed Loan...

  11. Approval of Las Positas College in Livermore: A Report to the Governor and Legislature on the Development of Las Positas College (Formerly the Livermore Education Center of Chabot College).

    ERIC Educational Resources Information Center

    California State Postsecondary Education Commission, Sacramento.

    The Livermore Education Center (LEC), an off-campus center of Chabot College, was established in 1975. In 1986, the South County Community College District designated the LEC a full-service community college campus eligible for state funding of facilities, and in 1988, the Board of Governors of the California Community Colleges approved Las…

  12. Consumer Education Project: Community Approach Utilizing an Off-Campus Facility.

    ERIC Educational Resources Information Center

    Santa Barbara Elementary and High School District, CA. Career Education Dept.

    The project reported here was conducted to develop a consumer education program for high school students (grades 10 through 12) which would: (1) provide students with hands-on experiences in the management of resources (money, time, and energy) as householders in a simulated off-campus laboratory (a community girls' club), and (2) enable students…

  13. Space Station in the 21st century - A social perspective

    NASA Technical Reports Server (NTRS)

    Bluth, B. J.

    1986-01-01

    A human factors and sociological consideration of Space Station crew facilities and interactions is presented which attempts to place the experiences of astronaut communities in the larger context of late 20th century industrial, economic, and cultural trends. Attention is given to the relationship of Space Station communities to 'Information Society' - related historical developments.

  14. CAP: Construction Assistance Plan. Handbook for Construction Project Planning, Oregon Community Colleges.

    ERIC Educational Resources Information Center

    Duncan, Verne A.

    This handbook for construction project planning was developed to be used by the Oregon Department of Education to evaluate existing facilities and determine the projected needs for each of the community college districts. Each college district's eligibility for state participation in funding is based on a Basic Space Need (BSN) which is the square…

  15. The Australian Telecentre Program: A New Approach to Technology Transfer and Rural Community Development.

    ERIC Educational Resources Information Center

    Crellin, Ian R.

    Telecottages originated in Scandinavia in the 1980s in an attempt to reverse the decline of isolated communities by giving them access to information and services, facilities for training and distance education, and the opportunity to produce income through telecommuting. In 1992-1993, the Australian government began funding the Telecentre…

  16. Race, Wealth, and Solid Waste Facilities in North Carolina

    PubMed Central

    Norton, Jennifer M.; Wing, Steve; Lipscomb, Hester J.; Kaufman, Jay S.; Marshall, Stephen W.; Cravey, Altha J.

    2007-01-01

    Background Concern has been expressed in North Carolina that solid waste facilities may be disproportionately located in poor communities and in communities of color, that this represents an environmental injustice, and that solid waste facilities negatively impact the health of host communities. Objective Our goal in this study was to conduct a statewide analysis of the location of solid waste facilities in relation to community race and wealth. Methods We used census block groups to obtain racial and economic characteristics, and information on solid waste facilities was abstracted from solid waste facility permit records. We used logistic regression to compute prevalence odds ratios for 2003, and Cox regression to compute hazard ratios of facilities issued permits between 1990 and 2003. Results The adjusted prevalence odds of a solid waste facility was 2.8 times greater in block groups with ≥50% people of color compared with block groups with < 10% people of color, and 1.5 times greater in block groups with median house values < $60,000 compared with block groups with median house values ≥$100,000. Among block groups that did not have a previously permitted solid waste facility, the adjusted hazard of a new permitted facility was 2.7 times higher in block groups with ≥50% people of color compared with block groups with < 10% people of color. Conclusion Solid waste facilities present numerous public health concerns. In North Carolina solid waste facilities are disproportionately located in communities of color and low wealth. In the absence of action to promote environmental justice, the continued need for new facilities could exacerbate this environmental injustice. PMID:17805426

  17. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  18. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  19. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  20. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  1. The Chinese community patient’s life satisfaction, assessment of community medical service, and trust in community health delivery system

    PubMed Central

    2013-01-01

    Background Although the Chinese government put a lot of effort into promoting the community patient’s life satisfaction, there still lacked the holistic and systematic approaches to promote the community patient’s life satisfaction in various regions of China. On the basis of the literature, it was found that both the community patient’s assessment of community medical service and trust in community health delivery system were important considerations when the community patient comprehensively evaluated community medical service to generate life satisfaction. So this study was set up to test whether and to what extent the community patient’s assessments of various major aspects of community medical service/various major aspects of the community patient’s trust in community health delivery system influenced life satisfaction in whole China/in various regions of China. Methods In order to explore the situation of China’s community health delivery system before 2009 and provide a reference for China’s community health delivery system reform, the data that could comprehensively and accurately reflect the community patient’s life satisfaction, assessment of community medical service, and trust in community health delivery system in various regions of China was needed, so this study collaborated with the National Bureau of Statistics of China to carry out a large-scale 2008 national community resident household survey (N = 3,306) for the first time in China. And the specified ordered probit models were established to analyze the dataset from this household survey. Results Among major aspects of community medical service, the medical cost (particularly in developed regions), the doctor-patient communication (particularly in developed regions), the medical facility and hospital environment (particularly in developed regions), and the medical treatment process (particularly in underdeveloped regions) were all key considerations (p<0.05 for t statistics) in generating the community patient’s life satisfaction. Among major aspects of the community patient’s trust in community health delivery system, trust in doctor (particularly in underdeveloped regions), trust in prescription (particularly in underdeveloped regions), and trust in recommended medical examination (particularly in underdeveloped regions) were all important considerations (p<0.10 for t statistics) in generating the community patient’s life satisfaction. Conclusion The reduction of medical cost (particularly in developed regions), the improvement of doctor-patient communication (particularly in developed regions), the promotion of medical facility and hospital environment (particularly in developed regions), the improvement of medical treatment process (particularly in underdeveloped regions), the promotion of trust in doctor (particularly in underdeveloped regions), the promotion of trust in prescription (particularly in underdeveloped regions), and the promotion of trust in recommended medical examination (particularly in underdeveloped regions) could help promote the community patient’s life satisfaction. PMID:23406216

  2. 24 CFR 598.2 - Objective and purpose.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS General... Empowerment Zones in urban areas, to stimulate the creation of new jobs—empowering low-income persons and...

  3. 24 CFR 598.2 - Objective and purpose.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS General Provisions... Empowerment Zones in urban areas, to stimulate the creation of new jobs—empowering low-income persons and...

  4. Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana.

    PubMed

    Johnson, Fiifi Amoako; Frempong-Ainguah, Faustina; Matthews, Zoe; Harfoot, Andrew J P; Nyarko, Philomena; Baschieri, Angela; Gething, Peter W; Falkingham, Jane; Atkinson, Peter M

    2015-01-01

    The Community-based Health Planning and Services (CHPS) initiative is a major government policy to improve maternal and child health and accelerate progress in the reduction of maternal mortality in Ghana. However, strategic intelligence on the impact of the initiative is lacking, given the persistant problems of patchy geographical access to care for rural women. This study investigates the impact of proximity to CHPS on facilitating uptake of skilled birth care in rural areas. Data from the 2003 and 2008 Demographic and Health Survey, on 4,349 births from 463 rural communities were linked to georeferenced data on health facilities, CHPS and topographic data on national road-networks. Distance to nearest health facility and CHPS was computed using the closest facility functionality in ArcGIS 10.1. Multilevel logistic regression was used to examine the effect of proximity to health facilities and CHPS on use of skilled care at birth, adjusting for relevant predictors and clustering within communities. The results show that a substantial proportion of births continue to occur in communities more than 8 km from both health facilities and CHPS. Increases in uptake of skilled birth care are more pronounced where both health facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km. Where CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible.

  5. Evaluating the Impact of the Community-Based Health Planning and Services Initiative on Uptake of Skilled Birth Care in Ghana

    PubMed Central

    Johnson, Fiifi Amoako; Frempong-Ainguah, Faustina; Matthews, Zoe; Harfoot, Andrew J. P.; Nyarko, Philomena; Baschieri, Angela; Gething, Peter W.; Falkingham, Jane; Atkinson, Peter M.

    2015-01-01

    Background The Community-based Health Planning and Services (CHPS) initiative is a major government policy to improve maternal and child health and accelerate progress in the reduction of maternal mortality in Ghana. However, strategic intelligence on the impact of the initiative is lacking, given the persistant problems of patchy geographical access to care for rural women. This study investigates the impact of proximity to CHPS on facilitating uptake of skilled birth care in rural areas. Methods and Findings Data from the 2003 and 2008 Demographic and Health Survey, on 4,349 births from 463 rural communities were linked to georeferenced data on health facilities, CHPS and topographic data on national road-networks. Distance to nearest health facility and CHPS was computed using the closest facility functionality in ArcGIS 10.1. Multilevel logistic regression was used to examine the effect of proximity to health facilities and CHPS on use of skilled care at birth, adjusting for relevant predictors and clustering within communities. The results show that a substantial proportion of births continue to occur in communities more than 8 km from both health facilities and CHPS. Increases in uptake of skilled birth care are more pronounced where both health facilities and CHPS compounds are within 8 km, but not in communities within 8 km of CHPS but lack access to health facilities. Where both health facilities and CHPS are within 8 km, the odds of skilled birth care is 16% higher than where there is only a health facility within 8km. Conclusion Where CHPS compounds are set up near health facilities, there is improved access to care, demonstrating the facilitatory role of CHPS in stimulating access to better care at birth, in areas where health facilities are accessible. PMID:25789874

  6. Requirements for facilities and measurement techniques to support CFD development for hypersonic aircraft

    NASA Technical Reports Server (NTRS)

    Sellers, William L., III; Dwoyer, Douglas L.

    1992-01-01

    The design of a hypersonic aircraft poses unique challenges to the engineering community. Problems with duplicating flight conditions in ground based facilities have made performance predictions risky. Computational fluid dynamics (CFD) has been proposed as an additional means of providing design data. At the present time, CFD codes are being validated based on sparse experimental data and then used to predict performance at flight conditions with generally unknown levels of uncertainty. This paper will discuss the facility and measurement techniques that are required to support CFD development for the design of hypersonic aircraft. Illustrations are given of recent success in combining experimental and direct numerical simulation in CFD model development and validation for hypersonic perfect gas flows.

  7. 24 CFR 573.11 - Record access and recordkeeping.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Record access and recordkeeping. 573.11 Section 573.11 Housing and Urban Development Regulations Relating to Housing and Urban... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.11 Record access and...

  8. 24 CFR 573.4 - Loan term.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Loan term. 573.4 Section 573.4 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF... COMMUNITY FACILITIES LOAN GUARANTEE RECOVERY FUND § 573.4 Loan term. The term of the loan to be guaranteed...

  9. AN EDUCATIONAL DEVELOPMENT PLAN FOR THE KAPIOLANI COMMUNITY COLLEGE--JANUARY 1967.

    ERIC Educational Resources Information Center

    NAKAMOTO, HARRIET; AND OTHERS

    THIS REPORT OF THE COLLEGE'S EDUCATIONAL DEVELOPMENT PLAN COMMITTEE COVERS IN DETAIL PRESENT CURRICULUMS AND FACILITIES FOR COURSES IN BUSINESS EDUCATION, DENTAL ASSISTING, HOTEL AND RESTAURANT SERVICE, LANGUAGE ARTS, AND PRACTICAL NURSING, AS WELL AS THE PROPOSED DEVELOPMENT OF PROGRAMS FOR GENERAL EDUCATION, TRANSFER, OCCUPATIONAL AND CONTINUING…

  10. 7 CFR 1901.254 - Scope.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., drainage, and other soil and water conservation and use facilities. (6) Loans to acquire and develop... improve: (i) Community water, sanitary sewage, solid waste disposal, and storm waste water disposal... Conservation Service (SCS), U.S. Department of Agriculture (USDA), to conserve and develop natural resources...

  11. The ICCB Computer Based Facilities Inventory & Utilization Management Information Subsystem.

    ERIC Educational Resources Information Center

    Lach, Ivan J.

    The Illinois Community College Board (ICCB) Facilities Inventory and Utilization subsystem, a part of the ICCB management information system, was designed to provide decision makers with needed information to better manage the facility resources of Illinois community colleges. This subsystem, dependent upon facilities inventory data and course…

  12. Communication in health care delivery in developing countries: which way out?

    PubMed

    Olutimayin, Jide

    2002-09-01

    Most governments in developing countries have adopted frameworks for health development which stressed community based initiatives and intervention at all levels of the health pyramid (WHO, 1992). But even today, most of the rural communities in these countries are still not developed in terms of available health facilities. What then is/are responsible for these failures? Various authors have come up with various reasons, principal amongst which are inadequate resources, lack of planning, insincerity/non-commitment of the governments, lack of modern information technology, etc. This paper examines some of these factors in relation to how they accentuate or hamper healthcare delivery in developing countries, using African rural communities as a study field. The resultant suggestions are a consortium of varying factors, some of which are economic in nature, policy changes, human resources development, and re-orientation of social and government attitudes towards achieving meaningful results in healthcare delivery, particularly in the rural communities.

  13. Future Impacts of Hydroelectric Power Development on Methylmercury Exposures of Canadian Indigenous Communities.

    PubMed

    Calder, Ryan S D; Schartup, Amina T; Li, Miling; Valberg, Amelia P; Balcom, Prentiss H; Sunderland, Elsie M

    2016-12-06

    Developing Canadian hydroelectric resources is a key component of North American plans for meeting future energy demands. Microbial production of the bioaccumulative neurotoxin methylmercury (MeHg) is stimulated in newly flooded soils by degradation of labile organic carbon and associated changes in geochemical conditions. We find all 22 Canadian hydroelectric facilities being considered for near-term development are located within 100 km of indigenous communities. For a facility in Labrador, Canada (Muskrat Falls) with planned completion in 2017, we probabilistically modeled peak MeHg enrichment relative to measured baseline conditions in the river to be impounded, downstream estuary, locally harvested fish, birds and seals, and three Inuit communities. Results show a projected 10-fold increase in riverine MeHg levels and a 2.6-fold increase in estuarine surface waters. MeHg concentrations in locally caught species increase 1.3 to 10-fold depending on time spent foraging in different environments. Mean Inuit MeHg exposure is forecasted to double following flooding and over half of the women of childbearing age and young children in the most northern community are projected to exceed the U.S. EPA's reference dose. Equal or greater aqueous MeHg concentrations relative to Muskrat Falls are forecasted for 11 sites across Canada, suggesting the need for mitigation measures prior to flooding.

  14. Equity in access to maternal and child health services in five developing countries: what works.

    PubMed

    Talukder, M D Noorunnabi; Rob, Ubaidur

    2010-01-01

    People living in rural areas are yet to have equitable access to maternal and child health services in many developing countries. This article examines selected health service delivery models that improved access to services in five developing countries. The article is based on the review of background papers on Bangladesh, Pakistan, Cambodia, Ghana, and Tanzania, prepared as part of a multi-country study on health systems and maternal and child health. Findings suggest that equity in access to health services largely depends on a system that ensures a combination of facility-based service delivery and outreach services with a functioning referral network. A key factor is the availability of health workforce at the community level. Community-based deployment of service providers or recruitment and training of community health workers is critical in enhancing service coverage and linking local populations to a health facility. Incentive is necessary to keep community health workers' interest in providing services. However, health workforce alone cannot ensure good health outcomes. They must be embedded in a functioning service delivery network to transform structural inputs into outcomes. Moreover, local-level health systems should have the ability to allocate resources in strategic ways addressing the pressing health needs of the people.

  15. The effectiveness of empowering in-service training programs for foreign nurse aides in community-based long-term care facilities.

    PubMed

    Wu, Li-yu; Yin, Teresa J C; Li, I-chuan

    2005-01-01

    The objective of the study was to examine the effectiveness of empowering in-service training programs for foreign nurse aides working in community-based long-term care (LTC) facilities. The design was a pretest and post-test design with experiment and control groups. The sample consisted of purposeful sampling from 10 LTC facilities in the Shihlin and Peitou areas of Taipei. A total of 35 foreign nurse aides participated in this study; 16 in the experimental group and 19 in the control group. The experimental group attended the training program for a 3-month period, whereas the control group did not receive any training. The research findings reveal that the training program was effective in increasing the work stress of workload/scheduling (Z = 2.01, p

  16. Impact of Facility- and Community-Based Peer Support Models on Maternal Uptake and Retention in Malawi's Option B+ HIV Prevention of Mother-to-Child Transmission Program: A 3-Arm Cluster Randomized Controlled Trial (PURE Malawi).

    PubMed

    Phiri, Sam; Tweya, Hannock; van Lettow, Monique; Rosenberg, Nora E; Trapence, Clement; Kapito-Tembo, Atupele; Kaunda-Khangamwa, Blessings; Kasende, Florence; Kayoyo, Virginia; Cataldo, Fabian; Stanley, Christopher; Gugsa, Salem; Sampathkumar, Veena; Schouten, Erik; Chiwaula, Levison; Eliya, Michael; Chimbwandira, Frank; Hosseinipour, Mina C

    2017-06-01

    Many sub-Saharan African countries have adopted Option B+, a prevention of mother-to-child transmission approach providing HIV-infected pregnant and lactating women with immediate lifelong antiretroviral therapy. High maternal attrition has been observed in Option B+. Peer-based support may improve retention. A 3-arm stratified cluster randomized controlled trial was conducted in Malawi to assess whether facility- and community-based peer support would improve Option B+ uptake and retention compared with standard of care (SOC). In SOC, no enhancements were made (control). In facility-based and community-based models, peers provided patient education, support groups, and patient tracing. Uptake was defined as attending a second scheduled follow-up visit. Retention was defined as being alive and in-care at 2 years without defaulting. Attrition was defined as death, default, or stopping antiretroviral therapy. Generalized estimating equations were used to estimate risk differences (RDs) in uptake. Cox proportional hazards regression with shared frailties was used to estimate hazard of attrition. Twenty-one facilities were randomized and enrolled 1269 women: 447, 428, and 394 in facilities that implemented SOC, facility-based, and community-based peer support models, respectively. Mean age was 27 years. Uptake was higher in facility-based (86%; RD: 6%, confidence interval [CI]: -3% to 15%) and community-based (90%; RD: 9%, CI: 1% to 18%) models compared with SOC (81%). At 24 months, retention was higher in facility-based (80%; RD: 13%, CI: 1% to 26%) and community-based (83%; RD: 16%, CI: 3% to 30%) models compared with SOC (66%). Facility- and community-based peer support interventions can benefit maternal uptake and retention in Option B+.

  17. 24 CFR 598.430 - Revocation of designation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Post... benefits may be awarded to the next highest ranked Round II applicant. (f) Publication. The final notice of...

  18. 24 CFR 598.430 - Revocation of designation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Post... benefits may be awarded to the next highest ranked Round II applicant. (f) Publication. The final notice of...

  19. 24 CFR 598.430 - Revocation of designation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Post... benefits may be awarded to the next highest ranked Round II applicant. (f) Publication. The final notice of...

  20. 7 CFR 1703.103 - Applicant eligibility and allocation of funds.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT Distance Learning and Telemedicine Loan and... community facility; or (ii) Deliver distance learning or telemedicine services to entities that operate a...

  1. 24 CFR 598.200 - Who nominates an area for designation?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Nomination Procedure § 598.200 Who nominates an area for designation? Applicants for empowerment...

  2. 7 CFR 1703.103 - Applicant eligibility and allocation of funds.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT Distance Learning and Telemedicine Loan and... community facility; or (ii) Deliver distance learning or telemedicine services to entities that operate a...

  3. 7 CFR 1703.103 - Applicant eligibility and allocation of funds.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT Distance Learning and Telemedicine Loan and... community facility; or (ii) Deliver distance learning or telemedicine services to entities that operate a...

  4. 7 CFR 1703.103 - Applicant eligibility and allocation of funds.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT Distance Learning and Telemedicine Loan and... community facility; or (ii) Deliver distance learning or telemedicine services to entities that operate a...

  5. 7 CFR 1703.103 - Applicant eligibility and allocation of funds.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT Distance Learning and Telemedicine Loan and... community facility; or (ii) Deliver distance learning or telemedicine services to entities that operate a...

  6. 24 CFR 598.200 - Who nominates an area for designation?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS Nomination Procedure § 598.200 Who nominates an area for designation? Applicants for empowerment...

  7. Improving postpartum care delivery and uptake by implementing context-specific interventions in four countries in Africa: a realist evaluation of the Missed Opportunities in Maternal and Infant Health (MOMI) project

    PubMed Central

    Djellouli, Nehla; Mann, Sue; Nambiar, Bejoy; Meireles, Paula; Miranda, Diana; Barros, Henrique; Bocoum, Fadima Y; Yaméogo, W Maurice E; Yaméogo, Clarisse; Belemkoabga, Sylvie; Tougri, Halima; Coulibaly, Abou; Kouanda, Seni; Mochache, Vernon; Mwakusema, Omar K; Irungu, Eunice; Gichangi, Peter; Dembo, Zione; Kadzakumanja, Angela; Makwenda, Charles Vidonji; Timóteo, Judite; Cossa, Misete G; de Melo, Malica; Griffin, Sally; Osman, Nafissa B; Foia, Severiano; Ogbe, Emilomo; Duysburgh, Els

    2017-01-01

    Postpartum care (PPC) has remained relatively neglected in many interventions designed to improve maternal and neonatal health in sub-Saharan Africa. The Missed Opportunities in Maternal and Infant Health project developed and implemented a context-specific package of health system strengthening and demand generation in four African countries, aiming to improve access and quality of PPC. A realist evaluation was conducted to enable nuanced understanding of the influence of different contextual factors on both the implementation and impacts of the interventions. Mixed methods were used to collect data and test hypothesised context–mechanism–outcome configurations: 16 case studies (including interviews, observations, monitoring data on key healthcare processes and outcomes), monitoring data for all study health facilities and communities, document analysis and participatory evaluation workshops. After evaluation in individual countries, a cross-country analysis was conducted that led to the development of four middle-range theories. Community health workers (CHWs) were key assets in shifting demand for PPC by ‘bridging’ communities and facilities. Because they were chosen from the community they served, they gained trust from the community and an intrinsic sense of responsibility. Furthermore, if a critical mass of women seek postpartum healthcare as a result of the CHWs bridging function, a ‘buzz’ for change is created, leading eventually to the acceptability and perceived value of attending for PPC that outweighs the costs of attending the health facility. On the supply side, rigid vertical hierarchies and defined roles for health facility workers (HFWs) impede integration of maternal and infant health services. Additionally, HFWs fear being judged negatively which overrides the self-efficacy that could potentially be gained from PPC training. Instead the main driver of HFWs’ motivation to provide comprehensive PPC is dependent on accountability systems for delivering PPC created by other programmes. The realist evaluation offers insights into some of the contextual factors that can be pivotal in enabling the community-level and service-level interventions to be effective. PMID:29225949

  8. Identifying public water facilities with low spatial variability of disinfection by-products for epidemiological investigations

    PubMed Central

    Hinckley, A; Bachand, A; Nuckols, J; Reif, J

    2005-01-01

    Background and Aims: Epidemiological studies of disinfection by-products (DBPs) and reproductive outcomes have been hampered by misclassification of exposure. In most epidemiological studies conducted to date, all persons living within the boundaries of a water distribution system have been assigned a common exposure value based on facility-wide averages of trihalomethane (THM) concentrations. Since THMs do not develop uniformly throughout a distribution system, assignment of facility-wide averages may be inappropriate. One approach to mitigate this potential for misclassification is to select communities for epidemiological investigations that are served by distribution systems with consistently low spatial variability of THMs. Methods and Results: A feasibility study was conducted to develop methods for community selection using the Information Collection Rule (ICR) database, assembled by the US Environmental Protection Agency. The ICR database contains quarterly DBP concentrations collected between 1997 and 1998 from the distribution systems of 198 public water facilities with minimum service populations of 100 000 persons. Facilities with low spatial variation of THMs were identified using two methods; 33 facilities were found with low spatial variability based on one or both methods. Because brominated THMs may be important predictors of risk for adverse reproductive outcomes, sites were categorised into three exposure profiles according to proportion of brominated THM species and average TTHM concentration. The correlation between THMs and haloacetic acids (HAAs) in these facilities was evaluated to see whether selection by total trihalomethanes (TTHMs) corresponds to low spatial variability for HAAs. TTHMs were only moderately correlated with HAAs (r = 0.623). Conclusions: Results provide a simple method for a priori selection of sites with low spatial variability from state or national public water facility datasets as a means to reduce exposure misclassification in epidemiological studies of DBPs. PMID:15961627

  9. Making Space for Children: A Toolkit for Starting a Child Care Facilities Fund. Starting Points: Meeting the Needs of Our Youngest Children.

    ERIC Educational Resources Information Center

    Kershaw, Amy

    To address the growing demand for high-quality child care, many communities are seeking to develop specialized child care facilities funds to build new, and improve the quality of existing, child care programs. This toolkit is designed for policymakers, nonprofit leaders, child care providers, and others interested in increasing access to…

  10. A unique high heat flux facility for testing hypersonic engine components

    NASA Technical Reports Server (NTRS)

    Melis, Matthew E.; Gladden, Herbert J.

    1990-01-01

    This paper describes the Hot Gas Facility, a unique, reliable, and cost-effective high-heat-flux facility for testing hypersonic engine components developed at the NASA Lewis Research Center. The Hot Gas Facility is capable of providing heat fluxes ranging from 200 Btu/sq ft per sec on flat surfaces up to 8000 Btu/sq ft per sec at a leading edge stagnation point. The usefulness of the Hot Gas Facility for the NASP community was demonstrated by testing hydrogen-cooled structures over a range of temperatures and pressures. Ranges of the Reynolds numbers, Prandtl numbers, enthalpy, and heat fluxes similar to those expected during hypersonic flights were achieved.

  11. Comparisons of social interaction and activities of daily living between long-term care facility and community-dwelling stroke patients.

    PubMed

    Yoon, Jeong-Ae; Park, Se-Gwan; Roh, Hyo-Lyun

    2015-10-01

    [Purpose] This study was conducted to compare the correlation between social interaction and activities of daily living (ADL) between community-dwelling and long-term care facility stroke patients. [Subjects and Methods] The Subjects were 65 chronic stroke patients (32 facility-residing, 33 community-dwelling). The Evaluation Social Interaction (ESI) tool was used to evaluate social interaction and the Assessment of Motor and Process Skills (AMPS) measure was used to evaluate ADL. [Results] Both social interaction and ADL were higher in community-dwelling than facility-residing stroke patients. There was a correlation between ESI and ADL for both motor and process skills among facility-residing patients, while only ADL process skills and ESI correlated among community-dwelling patients. In a partial correlation analysis using ADL motor and process skills as control variables, only process skills correlated with ESI. [Conclusion] For rehabilitation of stroke patients, an extended treatment process that combines ADL and social activities is likely to be required. Furthermore, treatment programs and institutional systems that can improve social interaction and promote health maintenance for community-dwelling and facility-residing chronic stroke patients are needed throughout the rehabilitation process.

  12. 24 CFR 598.105 - Data used for eligibility determinations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE... boundaries. The boundary of an urban area nominated for designation as an Empowerment Zone must coincide with...

  13. 24 CFR 598.4 - Period of designation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS General Provisions § 598.4 Period of designation. The designation of an urban area as an Empowerment Zone will remain...

  14. 24 CFR 598.4 - Period of designation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS General Provisions § 598.4 Period of designation. The designation of an urban area as an Empowerment Zone will remain in...

  15. 24 CFR 598.105 - Data used for eligibility determinations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE... boundaries. The boundary of an urban area nominated for designation as an Empowerment Zone must coincide with...

  16. An update of engine system research at the Army Propulsion Directorate

    NASA Technical Reports Server (NTRS)

    Bobula, George A.

    1990-01-01

    The Small Turboshaft Engine Research (STER) program provides a vehicle for evaluating the application of emerging technologies to Army turboshaft engine systems and to investigate related phenomena. Capitalizing on the resources at hand, in the form of both the NASA facilities and the Army personnel, the program goal of developing a physical understanding of engine system dynamics and/or system interactions is being realized. STER entries investigate concepts and components developed both in-house and out-of-house. Emphasis is placed upon evaluations which evolved from on-going basic research and advanced development programs. Army aviation program managers are also encouraged to make use of STER resources, both people and facilities. The STER personnel have established their reputations as experts in the fields of engine system experimental evaluations and engine system related phenomena. The STER facility has STER program provides the Army aviation community the opportunity to perform system level investigations, and then to offer the findings to the entire engine community for their consideration in next generation propulsion systems. In this way results of the fundamental research being conducted to meet small turboshaft engine technology challenges expeditiously find their way into that next generation of propulsion systems.

  17. Preplanning for School Plant Facilities.

    ERIC Educational Resources Information Center

    Texas Education Agency, Austin. Div. of Administration Services.

    Methods of making school plant and community surveys are explained. An outline for developing educational programs into educational specifications is presented, and responsibilities are listed for all the persons involved in developing educational specifications. A checklist is included of suggested steps to be followed while conducting a building…

  18. 24 CFR 583.300 - General operation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true General operation. 583.300 Section... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.300 General operation... condition of the structure and the operation of the housing or services. (b) Habitability standards. Except...

  19. 24 CFR 583.300 - General operation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false General operation. 583.300 Section... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.300 General operation... condition of the structure and the operation of the housing or services. (b) Habitability standards. Except...

  20. 24 CFR 583.300 - General operation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false General operation. 583.300 Section... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.300 General operation... condition of the structure and the operation of the housing or services. (b) Habitability standards. Except...

  1. 24 CFR 583.300 - General operation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true General operation. 583.300 Section... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.300 General operation... condition of the structure and the operation of the housing or services. (b) Habitability standards. Except...

  2. 24 CFR 594.23 - Approval and certification procedures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES JOHN HEINZ NEIGHBORHOOD DEVELOPMENT PROGRAM Award and... to challenge in a substantial manner the certifications made by the applicant pursuant to § 594.30... that tends to challenge in a substantial manner an applicant's certification, HUD may require further...

  3. 24 CFR 582.405 - Program changes.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Program changes. 582.405 Section... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Administration § 582.405 Program changes. (a) Changes. HUD must approve, in writing, any significant changes to an approved program. Significant changes that...

  4. Tourism Development Based on Geopark in Bakkara Caldera Toba, Indonesia

    NASA Astrophysics Data System (ADS)

    Ginting, N.; Vinky Rahman, N.; Sembiring, G.

    2017-03-01

    Bakkara Caldera Toba is an outstanding product of natural phenomena of Toba Supervolcano which has fascinating nature and culture. Bakkara has a great potential to develop world tourism further. It requires a model of sustainable planning Geopark to develop Bakkara. This sustainable concept helps to improve the local community and tourist’s quality of life and also still maintain the quality of the environment. through field observation and depth interview. The Collected data with a triangulation method. Development tourism destination such as attractions and environment; facilities and services; accessibility; image; and price to consume. It associated based on Geopark aspects there are; geological heritage; geo-conservation activities; sustainable tourism activities; educational; activities; community involvement products; strong management structure; and secure basis, infrastructure, and activities. The results of this study indicate that the Bakkara has the potential to become a tourist destination by applying the concept of Geotourism which accentuate its natural side, by optimizing the management of its destination attractions, its facilities and services, and its accessibilities.

  5. The Minds Behind the Schools.

    ERIC Educational Resources Information Center

    Hawkins, Beth Leibson

    2001-01-01

    Highlights three individuals whose ideas have contributed to some groundbreaking educational facilities. Two individuals have developed schools that are centers of their communities while the third is expert at designing integrated pest management systems.(GR)

  6. 24 CFR 576.1 - Applicability and purpose.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY HOMELESS... program contained in subtitle B of title IV of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C...

  7. Recommended Practice for Pressure Measurements and Calculation of Effective Pumping Speeds During Electric Propulsion Testing

    NASA Technical Reports Server (NTRS)

    Dankanich, John W.; Walker, Mitchell; Swiatek, Michael W.; Yim, John T.

    2013-01-01

    The electric propulsion community has been implored to establish and implement a set of universally applicable test standards during the research, development, and qualification of electric propulsion systems. Variability between facility-to-facility and more importantly ground-to-flight performance can result in large margins in application or aversion to mission infusion. Performance measurements and life testing under appropriate conditions can be costly and lengthy. Measurement practices must be consistent, accurate, and repeatable. Additionally, the measurements must be universally transportable across facilities throughout the development, qualification, spacecraft integration, and on-orbit performance. A recommended practice for making pressure measurements, pressure diagnostics, and calculating effective pumping speeds with justification is presented.

  8. An update of engine system research at the Army Propulsion Directorate

    NASA Technical Reports Server (NTRS)

    Bobula, George A.

    1990-01-01

    The Small Turboshaft Engine Research (STER) program provides a vehicle for evaluating the application of emerging technologies to Army turboshaft engine systems and to investigate related phenomena. Capitalizing on the resources at hand, in the form of both the NASA facilities and the Army personnel, the program goal of developing a physical understanding of engine system dynamics and/or system interactions is being realized. STER entries investigate concepts and components developed both in-house and out-of-house. Emphasis is placed upon evaluations which have evolved from on-going basic research and advanced development programs. Army aviation program managers are also encouraged to make use of STER resources, both people and facilities. The STER personnel have established their reputations as experts in the fields of engine system experimental evaluations and engine system related phenomena. The STER facility has demonstrated its utility in both research and development programs. The STER program provides the Army aviation community the opportunity to perform system level investigations, and then to offer the findings to the entire engine community for their consideration in next generation propulsion systems. In this way results of the fundamental research being conducted to meet small turboshaft engine technology challenges expeditiously find their way into that next generation of propulsion systems.

  9. Changing the role of traditional birth attendants in Yirol West County, South Sudan.

    PubMed

    Wilunda, Calistus; Dall'Oglio, Giovanni; Scanagatta, Chiara; Segafredo, Giulia; Lukhele, Bhekumusa Wellington; Takahashi, Risa; Putoto, Giovanni; Manenti, Fabio; Betrán, Ana Pilar

    2017-01-01

    Effective from May 2014, community-based traditional birth attendants (TBAs) in Yirol West County, South Sudan, were directed to start referring all women in labour to health facilities for childbirth instead of assisting them in the villages. This study aimed to understand the degree of integration of TBAs in the health system, to reveal the factors influencing the integration, and to explore the perceived solutions to the challenges faced by TBAs. A qualitative study utilising 11 focus group discussions with TBAs, 6 focus group discussions with women, and 18 key informant interviews with members of village health committees, staff of health facilities, and staff of the County Health Department was conducted. Data were analysed using qualitative content analysis. The study found that many TBAs were referring women to health facilities for delivery, but some were still attending to deliveries at home. Facilitators of the adoption of the new role by TBAs were: acceptance of the new TBAs' role by the community, women and TBAs, perceptions about institutional childbirth and risks of home childbirth, personal commitment and motivation by some TBAs, a good working relationship between community-based TBAs and health facility staff, availability of incentives for women at health facilities, and training of TBAs. Challenges of integrating TBAs in the health system included, among others, communication problems between TBAs and health care facilities, delays in seeking care by women, insecurity, lack of materials and supplies for TBAs, health system constraints, insufficient incentives for TBAs, long distances to health facilities and transportation problems. This study has revealed encouraging developments in TBAs' integration in the formal health system in Yirol West. However, there is need to address the challenges faced by TBAs in assuming their new role in order to sustain the integration.

  10. Changing the role of traditional birth attendants in Yirol West County, South Sudan

    PubMed Central

    Dall’Oglio, Giovanni; Scanagatta, Chiara; Segafredo, Giulia; Lukhele, Bhekumusa Wellington; Takahashi, Risa; Putoto, Giovanni; Manenti, Fabio; Betrán, Ana Pilar

    2017-01-01

    Effective from May 2014, community-based traditional birth attendants (TBAs) in Yirol West County, South Sudan, were directed to start referring all women in labour to health facilities for childbirth instead of assisting them in the villages. This study aimed to understand the degree of integration of TBAs in the health system, to reveal the factors influencing the integration, and to explore the perceived solutions to the challenges faced by TBAs. A qualitative study utilising 11 focus group discussions with TBAs, 6 focus group discussions with women, and 18 key informant interviews with members of village health committees, staff of health facilities, and staff of the County Health Department was conducted. Data were analysed using qualitative content analysis. The study found that many TBAs were referring women to health facilities for delivery, but some were still attending to deliveries at home. Facilitators of the adoption of the new role by TBAs were: acceptance of the new TBAs’ role by the community, women and TBAs, perceptions about institutional childbirth and risks of home childbirth, personal commitment and motivation by some TBAs, a good working relationship between community-based TBAs and health facility staff, availability of incentives for women at health facilities, and training of TBAs. Challenges of integrating TBAs in the health system included, among others, communication problems between TBAs and health care facilities, delays in seeking care by women, insecurity, lack of materials and supplies for TBAs, health system constraints, insufficient incentives for TBAs, long distances to health facilities and transportation problems. This study has revealed encouraging developments in TBAs’ integration in the formal health system in Yirol West. However, there is need to address the challenges faced by TBAs in assuming their new role in order to sustain the integration. PMID:29095824

  11. Perceived barriers to utilizing maternal and neonatal health services in contracted-out versus government-managed health facilities in the rural districts of Pakistan.

    PubMed

    Riaz, Atif; Zaidi, Shehla; Khowaja, Asif Raza

    2015-03-06

    A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs) in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users' perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH) services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted). A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs) conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong community-based behavior change strategies. © 2015 by Kerman University of Medical Sciences.

  12. Perceived barriers to utilizing maternal and neonatal health services in contracted-out versus government-managed health facilities in the rural districts of Pakistan

    PubMed Central

    Riaz, Atif; Zaidi, Shehla; Khowaja, Asif Raza

    2015-01-01

    Background: A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs) in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users’ perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH) services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted). Methods: A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs) conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Results: Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Conclusion: Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong community-based behavior change strategies. PMID:25905478

  13. 38 CFR 17.67 - Request for a hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Community Residential Care § 17.67 Request for a hearing. The community residential care facility operator... of VA approval until the hearing official issues a written decision on the community residential care... after the time limit, if the community residential care facility shows that the failure of the request...

  14. Recent U. S. Government Printing Office Publications and Periodicals Useful for Rural Development.

    ERIC Educational Resources Information Center

    Delaware Univ., Georgetown. Cooperative Extension Service.

    The bibliography cites 127 publications and periodicals useful for rural development which were in the most current Government Printing Office's price lists. It is divided into 5 categories: (1) People Building; (2) Community Facilities; (3) Environmental Improvement; (4) Economic Development; and (5) Government Periodicals. Topics covered are:…

  15. 41 CFR Appendix to Part 102 - 83-Memorandum of Understanding Between the Department Of Housing And Urban Development And the...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... communities, relocation, urban renewal, model cities, rehabilitation loans and grants, neighborhood facilities... Understanding Between the Department Of Housing And Urban Development And the General Services Administration... Department Of Housing And Urban Development And the General Services Administration Concerning Low- And...

  16. Using Self-Determination Theory in Correctional Education Program Development

    ERIC Educational Resources Information Center

    McKinney, Dani; Cotronea, Michael A.

    2011-01-01

    As funding has become available through the Second Chance Act of 2007, many correctional facilities have developed new educational programs in an effort to ease the transition from prison to community. Many new programs are developed based on the belief that incarcerated individuals are a special and unique population of student. The present…

  17. Cutting the Cost of New Community College Facilities: Streamlining the Facilities Approval Process. Commission on Innovation Policy Discussion Paper Number 3.

    ERIC Educational Resources Information Center

    BW Associates, Berkeley, CA.

    Intended to provide background information and preliminary options for the California Community Colleges' Commission on Innovation, this document proposes that approval processes for new facilities be simplified and that restrictions on the lease or purchase of off-campus facilities be eased. Following introductory materials detailing the…

  18. 24 CFR 582.300 - General operation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true General operation. 582.300 Section... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.300 General operation. (a... race, ethnicity, gender, and disability status data) that HUD may require. (2) Each recipient must keep...

  19. 24 CFR 582.300 - General operation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false General operation. 582.300 Section... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.300 General operation. (a... race, ethnicity, gender, and disability status data) that HUD may require. (2) Each recipient must keep...

  20. 24 CFR 582.300 - General operation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false General operation. 582.300 Section... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.300 General operation. (a... race, ethnicity, gender, and disability status data) that HUD may require. (2) Each recipient must keep...

  1. 24 CFR 582.300 - General operation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true General operation. 582.300 Section... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.300 General operation. (a... race, ethnicity, gender, and disability status data) that HUD may require. (2) Each recipient must keep...

  2. 24 CFR 582.300 - General operation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false General operation. 582.300 Section... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Program Requirements § 582.300 General operation. (a... race, ethnicity, gender, and disability status data) that HUD may require. (2) Each recipient must keep...

  3. Federal Support for Preserve America

    Science.gov Websites

    ; the U.S. Departments of Defense, Interior, Agriculture, Commerce, Housing and Urban Development . Department of Commerce seal U.S. Department of Agriculture logo U.S. Department of Housing and Urban Agriculture, through its Rural Development Community Facilities Grants, gives preference to applications from

  4. Resource Sharing and Public Education. Project Evaluation Report.

    ERIC Educational Resources Information Center

    Leton, Donald A.

    Two exemplary projects developed to maximize student options through the sharing of facilities, programs, and options were evaluated. The Remedial-Developmental Program developed a communications network between McKinley and Roosevelt High Schools and Kapiolani Community College to share student information and use it for individual student…

  5. 24 CFR 574.200 - Amounts available for competitive grants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... eligible to apply for competitive grants to fund projects of national significance. Only those States and... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Amounts available for competitive... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS Competitive...

  6. 24 CFR 581.10 - Action on approved applications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Action on approved applications... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES USE OF FEDERAL REAL PROPERTY TO ASSIST THE HOMELESS § 581.10 Action on approved applications. (a) Unutilized and underutilized properties. (1) When HHS...

  7. 24 CFR 583.400 - Grant agreement.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Grant agreement. 583.400 Section 583... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Administration § 583.400 Grant agreement. (a... of this part will be incorporated in a grant agreement executed by HUD and the recipient. (b...

  8. 24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) Homeownership Program Requirements-Implementation Grants... are unsuitable for the HOPE 3 program. (3) Rehabilitation costs must comply with the cost standards...

  9. 24 CFR 583.320 - Site control.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Site control. 583.320 Section 583... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.320 Site control. (a) Site control. (1) Where grant funds will be used for acquisition, rehabilitation, or new construction...

  10. 24 CFR 583.320 - Site control.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Site control. 583.320 Section 583... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.320 Site control. (a) Site control. (1) Where grant funds will be used for acquisition, rehabilitation, or new construction...

  11. 24 CFR 583.320 - Site control.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Site control. 583.320 Section 583... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.320 Site control. (a) Site control. (1) Where grant funds will be used for acquisition, rehabilitation, or new construction...

  12. 24 CFR 583.320 - Site control.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Site control. 583.320 Section 583... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.320 Site control. (a) Site control. (1) Where grant funds will be used for acquisition, rehabilitation, or new construction...

  13. 24 CFR 583.320 - Site control.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Site control. 583.320 Section 583... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Program Requirements § 583.320 Site control. (a) Site control. (1) Where grant funds will be used for acquisition, rehabilitation, or new construction...

  14. 24 CFR 583.405 - Program changes.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Program changes. 583.405 Section... DEVELOPMENT COMMUNITY FACILITIES SUPPORTIVE HOUSING PROGRAM Administration § 583.405 Program changes. (a) HUD approval. (1) A recipient may not make any significant changes to an approved program without prior HUD...

  15. Cost and cost-effectiveness of community based and health facility based directly observed treatment of tuberculosis in Dar es Salaam, Tanzania

    PubMed Central

    Wandwalo, Eliud; Robberstad, Bjarne; Morkve, Odd

    2005-01-01

    Background Identifying new approaches to tuberculosis treatment that are effective and put less demand to meagre health resources is important. One such approach is community based direct observed treatment (DOT). The purpose of the study was to determine the cost and cost effectiveness of health facility and community based directly observed treatment of tuberculosis in an urban setting in Tanzania. Methods Two alternative strategies were compared: health facility based directly observed treatment by health personnel and community based directly observed treatment by treatment supervisors. Costs were analysed from the perspective of health services, patients and community in the year 2002 in US $ using standard methods. Treatment outcomes were obtained from a randomised-controlled trial which was conducted alongside the cost study. Smear positive, smear negative and extra-pulmonary TB patients were included. Cost-effectiveness was calculated as the cost per patient successfully treated. Results The total cost of treating a patient with conventional health facility based DOT and community based DOT were $ 145 and $ 94 respectively. Community based DOT reduced cost by 35%. Cost fell by 27% for health services and 72% for patients. When smear positive and smear negative patients were considered separately, community DOT was associated with 45% and 19% reduction of the costs respectively. Patients used about $ 43 to follow their medication to health facility which is equivalent to their monthly income. Indirect costs were as important as direct costs, contributing to about 49% of the total patient's cost. The main reason for reduced cost was fewer number of visits to the TB clinic. Community based DOT was more cost-effective at $ 128 per patient successfully treated compared to $ 203 for a patient successfully treated with health facility based DOT. Conclusion Community based DOT presents an economically attractive option to complement health facility based DOT. This is particularly important in settings where TB clinics are working beyond capacity under limited resources. PMID:16018806

  16. Pathways to high and low performance: factors differentiating primary care facilities under performance-based financing in Nigeria

    PubMed Central

    Mabuchi, Shunsuke; Sesan, Temilade; Bennett, Sara C

    2018-01-01

    Abstract The determinants of primary health facility performance in developing countries have not been well studied. One of the most under-researched areas is health facility management. This study investigated health facilities under the pilot performance-based financing (PBF) scheme in Nigeria, and aimed to understand which factors differentiated primary health care centres (PHCCs) which had performed well, vs those which had not, with a focus on health facility management practices. We used a multiple case study where we compared two high-performing PHCCs and two low-performing PHCCs for each of the two PBF target states. Two teams of two trained local researchers spent 1 week at each PHCC and collected semi-structured interview, observation and documentary data. Data from interviews were transcribed, translated and coded using a framework approach. The data for each PHCC were synthesized to understand dynamic interactions of different elements in each case. We then compared the characteristics of high and low performers. The areas in which critical differences between high and low-performers emerged were: community engagement and support; and performance and staff management. We also found that (i) contextual and health system factors particularly staffing, access and competition with other providers; (ii) health centre management including community engagement, performance management and staff management; and (iii) community leader support interacted and drove performance improvement among the PHCCs. Among them, we found that good health centre management can overcome some contextual and health system barriers and enhance community leader support. This study findings suggest a strong need to select capable and motivated health centre managers, provide long-term coaching in managerial skills, and motivate them to improve their practices. The study also highlights the need to position engagement with community leaders as a key management practice and a central element of interventions to improve PHCC performance. PMID:29077844

  17. Defining equity in physical access to clinical services using geographical information systems as part of malaria planning and monitoring in Kenya

    PubMed Central

    Noor, A. M.; Zurovac, D.; Hay, S. I.; Ochola, S. A.; Snow, R. W.

    2010-01-01

    Summary Distance is a crucial feature of health service use and yet its application and utility to health care planning have not been well explored, particularly in the light of large-scale international and national efforts such as Roll Back Malaria. We have developed a high-resolution map of population-to-service access in four districts of Kenya. Theoretical physical access, based upon national targets, developed as part of the Kenyan health sector reform agenda, was compared with actual health service usage data among 1668 paediatric patients attending 81 sampled government health facilities. Actual and theoretical use were highly correlated. Patients in the larger districts of Kwale and Makueni, where access to government health facilities was relatively poor, travelled greater mean distances than those in Greater Kisii and Bondo. More than 60% of the patients in the four districts attended health facilities within a 5-km range. Interpolated physical access surfaces across districts highlighted areas of poor access and large differences between urban and rural settings. Users from rural communities travelled greater distances to health facilities than those in urban communities. The implications of planning and monitoring equitable delivery of clinical services at national and international levels are discussed. PMID:14516303

  18. Regional health care planning: a methodology to cluster facilities using community utilization patterns

    PubMed Central

    2013-01-01

    Background Community-based health care planning and regulation necessitates grouping facilities and areal units into regions of similar health care use. Limited research has explored the methodologies used in creating these regions. We offer a new methodology that clusters facilities based on similarities in patient utilization patterns and geographic location. Our case study focused on Hospital Groups in Michigan, the allocation units used for predicting future inpatient hospital bed demand in the state’s Bed Need Methodology. The scientific, practical, and political concerns that were considered throughout the formulation and development of the methodology are detailed. Methods The clustering methodology employs a 2-step K-means + Ward’s clustering algorithm to group hospitals. The final number of clusters is selected using a heuristic that integrates both a statistical-based measure of cluster fit and characteristics of the resulting Hospital Groups. Results Using recent hospital utilization data, the clustering methodology identified 33 Hospital Groups in Michigan. Conclusions Despite being developed within the politically charged climate of Certificate of Need regulation, we have provided an objective, replicable, and sustainable methodology to create Hospital Groups. Because the methodology is built upon theoretically sound principles of clustering analysis and health care service utilization, it is highly transferable across applications and suitable for grouping facilities or areal units. PMID:23964905

  19. Regional health care planning: a methodology to cluster facilities using community utilization patterns.

    PubMed

    Delamater, Paul L; Shortridge, Ashton M; Messina, Joseph P

    2013-08-22

    Community-based health care planning and regulation necessitates grouping facilities and areal units into regions of similar health care use. Limited research has explored the methodologies used in creating these regions. We offer a new methodology that clusters facilities based on similarities in patient utilization patterns and geographic location. Our case study focused on Hospital Groups in Michigan, the allocation units used for predicting future inpatient hospital bed demand in the state's Bed Need Methodology. The scientific, practical, and political concerns that were considered throughout the formulation and development of the methodology are detailed. The clustering methodology employs a 2-step K-means + Ward's clustering algorithm to group hospitals. The final number of clusters is selected using a heuristic that integrates both a statistical-based measure of cluster fit and characteristics of the resulting Hospital Groups. Using recent hospital utilization data, the clustering methodology identified 33 Hospital Groups in Michigan. Despite being developed within the politically charged climate of Certificate of Need regulation, we have provided an objective, replicable, and sustainable methodology to create Hospital Groups. Because the methodology is built upon theoretically sound principles of clustering analysis and health care service utilization, it is highly transferable across applications and suitable for grouping facilities or areal units.

  20. The role of the Long Duration Exposure Facility in the development of space systems

    NASA Technical Reports Server (NTRS)

    Little, Sally A.

    1992-01-01

    The Long Duration Exposure Facility (LDEF) presents the international, aerospace community with an unprecedented opportunity to examine the synergistic, long term, space environmental effects on systems and materials. The analysis of the data within appropriate environmental contexts is essential to the overall process of advancing the understanding of space environmental effects needed for the continuing development of strategies to improve the reliability and durability of space systems and to effectively deal with the future challenges that new space initiatives will likely present.

  1. Identifying Automotive Changes in Facilities and Capital Equipment and Assessing Community and Employment Impacts

    DOT National Transportation Integrated Search

    1981-05-01

    The paper presents a brief overview of the many forces impacting the automotive and related industries, and the resultant implications of these forces on facilities, employment and communities. It focuses on the facility planning and capital investme...

  2. Day Care in the Community. Action Research in Family and Early Childhood. UNESCO Education Sector Monograph = Accueil des jeunes enfants dans la communaute. Recherche-action sur la famille et la petite enfance. UNESCO Secteur de l'education monographie.

    ERIC Educational Resources Information Center

    Allen, John

    Noting demographic pressures and increased poverty most countries experience, this report shows how parents and family members can work in their communities in developing countries to provide low-cost and efficient child care facilities for very young children and explains how such community-based early childhood programs benefit whole families.…

  3. Outdoor Recreation. Community Action Guide for Public Officials: (1) Planning, (2) Legal Aspects, (3) Organization, (4) Staffing and Consultants, (5) Areawide and Multigovernmental Opportunities, (6) Financing, (7) Technical and Financial Assistance, (8) Land Acquisition, (9) Water Based Recreation, (10) Citizen Support

    ERIC Educational Resources Information Center

    Bureau of Outdoor Recreation (Dept. of Interior), Washington, DC.

    A series of 10 Community Action Guides was developed to assist public officials and community leaders in establishing comprehensive outdoor recreation programs. The importance of providing parks and recreation facilities in metropolitan areas and the importance of protecting the natural environment are emphasized. Methods of organization,…

  4. Strategic plan for the Turner-Fairbank Highway Research Center.

    DOT National Transportation Integrated Search

    2014-01-01

    Located in McLean, VA, the Turner-Fairbank Highway Research Center (TFHRC), is the Federal Highway Administrations (FHWA) core facility for research, development, and technology within the broader transportation research community. This document d...

  5. Community-based pulmonary rehabilitation in a non-healthcare facility is feasible and effective.

    PubMed

    Cecins, Nola; Landers, Holly; Jenkins, Sue

    2017-02-01

    Pulmonary rehabilitation programs (PRPs) are most commonly provided in hospital settings which present barriers to attendance such as long distances or travel times. Community-based settings have been used in an attempt to alleviate the travel burden. This study evaluated the feasibility and outcomes of a network of community-based PRPs provided in non-healthcare facilities (CPRPs). The CPRPs were established in five venues and comprised two supervised group sessions each week for 8 weeks. Participant inclusion criteria and guidelines for exercise testing and training were developed to reduce the risk of adverse events. Outcome measures included 6-min walk distance (6MWD) and health-related quality of life (chronic respiratory questionnaire (CRQ)). Respiratory-related hospital admission data were collected in the 12 months prior to and following the program. Two hundred and fifty-one participants (79% with chronic obstructive pulmonary disease: mean ± SD FEV 1 49 ± 21%predicted) entered a CPRP of which 166 (66%) completed. Improvements were demonstrated in 6MWD (mean difference (95% CI) 44 m (37-52)) and total CRQ score (0.5 points per item (0.4-0.7)). Fewer participants had a respiratory-related hospital admission following the program (12% vs. 37%, p < 0.0001). Pulmonary rehabilitation is safe, feasible and effective when conducted in community-based non-healthcare facilities.

  6. Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda.

    PubMed

    Musoke, David; Boynton, Petra; Butler, Ceri; Musoke, Miph Boses

    2014-12-01

    The health seeking behaviour of a community determines how they use health services. Utilisation of health facilities can be influenced by the cost of services, distance to health facilities, cultural beliefs, level of education and health facility inadequacies such as stock-out of drugs. To assess the health seeking practices and challenges in utilising health facilities in a rural community in Wakiso district, Uganda. The study was a cross sectional survey that used a structured questionnaire to collect quantitative data among 234 participants. The sample size was obtained using the formula by Leslie Kish. While 89% of the participants were aware that mobile clinics existed in their community, only 28% had received such services in the past month. The majority of participants (84%) did not know whether community health workers existed in their community. The participants' health seeking behaviour the last time they were sick was associated with age (p = 0.028) and occupation (p = 0.009). The most significant challenges in utilising health services were regular stock-out of drugs, high cost of services and long distance to health facilities. There is potential to increase access to health care in rural areas by increasing the frequency of mobile clinic services and strengthening the community health worker strategy.

  7. Challenges and opportunities of integration of community based Management of Acute Malnutrition into the government health system in Bangladesh: a qualitative study.

    PubMed

    Ireen, Santhia; Raihan, Mohammad Jyoti; Choudhury, Nuzhat; Islam, M Munirul; Hossain, Md Iqbal; Islam, Ziaul; Rahman, S M Mustafizur; Ahmed, Tahmeed

    2018-04-10

    Severe acute malnutrition (SAM) in children is the most serious form of malnutrition and is associated with very high rates of morbidity and mortality. For sustainable SAM management, United Nations recommends integration of community based management of acute malnutrition (CMAM) into the health system. The objective of the study was to assess the preparedness of the health system to implement CMAM in Bangladesh. The assessment was undertaken during January to May 2014 by conducting document review, key informant interviews, and direct observation. A total of 38 key informant interviews were conducted among government policy makers and program managers (n = 4), nutrition experts (n = 2), health and nutrition implementing partners (n = 2), development partner (n = 1), government health system staff (n = 5), government front line field workers (n = 22), and community members (n = 2). The assessment was based on: workforce, service delivery, financing, governance, information system, medical supplies, and the broad socio-political context. The government of Bangladesh has developed inpatient and outpatient guidelines for the management of SAM. There are cadres of community health workers of government and non-government actors who can be adequately trained to conduct CMAM. Inpatient management of SAM is available in 288 facilities across the country. However, only 2.7% doctors and 3.3% auxiliary staff are trained on facility based management of SAM. In functional facilities, uninterrupted supply of medicines and therapeutic diet are not available. There is resistance and disagreement among nutrition stakeholders regarding import or local production of ready-to-use therapeutic food (RUTF). Nutrition coordination is fragile and there is no functional supra-ministerial coordination platform for multi-sectoral and multi-stakeholder nutrition. There is an enabling environment for CMAM intervention in Bangladesh although health system strengthening is needed considering the barriers that have been identified. Training of facility based health staff, government community workers, and ensuring uninterrupted supply of medicines and logistics to the functional facilities should be the immediate priorities. Availability of ready-to-use therapeutic food (RUTF) is a critical component of CMAM and government should promote in-country production of RUTF for effective integration of CMAM into the health system in Bangladesh.

  8. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the following...

  9. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the following...

  10. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the following...

  11. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the following...

  12. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the following...

  13. Non-physician communities in Japan: are they still disadvantaged?

    PubMed

    Kashima, S; Inoue, K; Matsumoto, M; Takeuchi, K

    2014-01-01

    Non-physician community' (NPC) is a policy term that indicates a medically underserved area in Japan. Designated NPCs are politically targeted as the foci of medical resource allocation. NPC is defined as a specified district where 50 or more persons dwell within a geographic diameter of 4 km and medical care is not easily accessible. The definition of NPC was first introduced in 1960 and has been unchanged for more than half a century despite radical social changes in rural Japan. This study examines whether designated NPCs are still more disadvantaged in terms of geographical access to healthcare in comparison to other communities. Hiroshima prefecture, which has the largest number of NPCs in terms of tertiary healthcare areas of Japan, was used as the study area. Targeted communities were all the NPCs in the prefecture, and, as controls, two community groups were selected: non-NPC adjacent to NPC, and municipal center. We measured driving time from NPCs and control communities to the nearest healthcare facilities, which were classified into the following two types: primary or secondary care facilities (n=2636) and tertiary care facilities (equal to tertiary emergency care centers; n=6). We further calculated the driving time to the nearest facilities for secondary emergency care (n=246) extracted from the 2636 primary or secondary care facilities. The median driving times to the nearest primary or secondary healthcare facility for NPC, non-NPC, and municipal center were 11 minutes, 11 minutes, and 1 minute, respectively; the times to a tertiary healthcare facility (equal to an accident and emergency care center) were 80 minutes, 84 minutes, and 68 minutes, respectively; and the times to a secondary emergency care facility were 24 minutes, 18 minutes, and 15 minutes, respectively. Although a municipal center was significantly more advantageous in driving time compared to a primary or secondary care facility, the disadvantage of a NPC in access was no more obvious than an adjacent non-NPC for any type of healthcare facility. NPCs had a disadvantage in access time to primary, secondary and tertiary medical care compared with a municipal center. NPCs, however, did not have a greater access disadvantage in comparison to adjacent rural communities for any type of medical facility. As such, future resource allocation policies in Japan need to redefine medically underserved communities.

  14. Applying a basic development needs approach for sustainable and integrated community development in less-developed areas: report of ongoing Iranian experience.

    PubMed

    Asadi-Lari, M; Farshad, A A; Assaei, S E; Vaez Mahdavi, M R; Akbari, M E; Ameri, A; Salimi, Z; Gray, D

    2005-06-01

    Despite considerable achievements in the provision of basic developmental facilities in terms of drinking water, access to primary healthcare services, high-quality and nutritious food, social services, and proper housing facilities, there are many rural and slum communities in Iran where these essential needs remain unfulfilled. Lack of equity is prominent, as large differences exist in underprivileged provinces. New policies developed in the past two decades have resulted in substantial achievements in meeting population needs and reducing the socio-economic gap; nevertheless, poverty levels, unemployment due to a large increase in the birth rate in the early 1980s, and lack of community participation are matters yet to be addressed. To overcome these deficiencies, a basic development needs approach was adopted to promote the concept of community self-help and self-reliance through intersectoral collaboration, creating an environment where people could take an active part in the development process, with the Iranian government providing the necessary support to achieve the desired level of development. Following firm commitment from the Iranian government and technical support from the World Health Organization Regional Office, basic development needs was assigned a high priority in health and health-related sectors, reflected in the third National Masterplan (2001-2005). A comprehensive intersectoral plan was designed, and pilot projects were commenced in three villages. Each village elected a representative, and committee clusters were formed to run and monitor projects identified by a process of local needs assessment and priority assignment. In each region, a variety of needs were elicited from these assessments, which were actively supported by local authorities. A basic development needs approach was found to be a reliable discipline to improve community participation, needs-led resource allocation and intersectoral co-operation in community development, particularly in underprivileged areas. Iran's initial experience of basic development needs has gained widespread public support but will require periodical evaluation as it is introduced into other rural and urban regions across the country.

  15. NASA's Platform for Cross-Disciplinary Microchannel Research

    NASA Technical Reports Server (NTRS)

    Son, Sang Young; Spearing, Scott; Allen, Jeffrey; Monaco, Lisa A.

    2003-01-01

    A team from the Structural Biology group located at the NASA Marshall Space Flight Center in Huntsville, Alabama is developing a platform suitable for cross-disciplinary microchannel research. The original objective of this engineering development effort was to deliver a multi-user flight-certified facility for iterative investigations of protein crystal growth; that is, Iterative Biological Crystallization (IBC). However, the unique capabilities of this facility are not limited to the low-gravity structural biology research community. Microchannel-based research in a number of other areas may be greatly accelerated through use of this facility. In particular, the potential for gas-liquid flow investigations and cellular biological research utilizing the exceptional pressure control and simplified coupling to macroscale diagnostics inherent in the IBC facility will be discussed. In conclusion, the opportunities for research-specific modifications to the microchannel configuration, control, and diagnostics will be discussed.

  16. Misoprostol for the prevention of postpartum hemorrhage during home births in rural Lao PDR: establishing a pilot program for community distribution.

    PubMed

    Durham, Jo; Phengsavanh, Alongkone; Sychareun, Vanphanom; Hose, Isaac; Vongxay, Viengnakhone; Xaysomphou, Douangphachanh; Rickart, Keith

    2018-01-01

    The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People's Democratic Republic (PDR), by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH). The study builds on an earlier research that demonstrated both support and need for community-based distribution of misoprostol in Lao PDR. This qualitative study identified acceptability of misoprostol and healthcare system needs at varying levels to effectively distribute misoprostol to women with limited access to facility-based birthing. Interviews (n=25) were undertaken with stakeholders at the central, provincial, and district levels and with community members in five rural communities in Oudomxay, a province with high rates of maternal mortality. Focus group discussions (n=5) were undertaken in each community. Respondents agreed that PPH was the major cause of preventable maternal mortality with community distribution of misoprostol an acceptable and feasible interim preventative solution. Strong leadership, training, and community mobilization were identified as critical success factors. While several participants preferred midwives to distribute misoprostol, given the limited availability of midwives, there was a general agreement that village health workers or other lower level workers could safely administer misoprostol. Many key stakeholders, including women themselves, considered that these community-level staff may be able to provide misoprostol to women for self-administration, as long as appropriate education on its use was included. The collected data also helped identify appropriate educational messages and key indicators for monitoring and evaluation for a pilot program. The findings strengthen the case for a pilot program of community distribution of misoprostol to prevent PPH in remote communities where women have limited access to a health facility and highlight the key areas of consideration in developing such a program.

  17. Misoprostol for the prevention of postpartum hemorrhage during home births in rural Lao PDR: establishing a pilot program for community distribution

    PubMed Central

    Durham, Jo; Phengsavanh, Alongkone; Sychareun, Vanphanom; Hose, Isaac; Vongxay, Viengnakhone; Xaysomphou, Douangphachanh; Rickart, Keith

    2018-01-01

    Purpose The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People’s Democratic Republic (PDR), by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH). The study builds on an earlier research that demonstrated both support and need for community-based distribution of misoprostol in Lao PDR. Methods This qualitative study identified acceptability of misoprostol and healthcare system needs at varying levels to effectively distribute misoprostol to women with limited access to facility-based birthing. Interviews (n=25) were undertaken with stakeholders at the central, provincial, and district levels and with community members in five rural communities in Oudomxay, a province with high rates of maternal mortality. Focus group discussions (n=5) were undertaken in each community. Results Respondents agreed that PPH was the major cause of preventable maternal mortality with community distribution of misoprostol an acceptable and feasible interim preventative solution. Strong leadership, training, and community mobilization were identified as critical success factors. While several participants preferred midwives to distribute misoprostol, given the limited availability of midwives, there was a general agreement that village health workers or other lower level workers could safely administer misoprostol. Many key stakeholders, including women themselves, considered that these community-level staff may be able to provide misoprostol to women for self-administration, as long as appropriate education on its use was included. The collected data also helped identify appropriate educational messages and key indicators for monitoring and evaluation for a pilot program. Conclusion The findings strengthen the case for a pilot program of community distribution of misoprostol to prevent PPH in remote communities where women have limited access to a health facility and highlight the key areas of consideration in developing such a program. PMID:29785142

  18. Variations in Community Exposure and Sensitivity to Tsunami Hazards in the State of Hawai'i

    USGS Publications Warehouse

    Wood, Nathan; Church, Alyssia; Frazier, Tim; Yarnal, Brent

    2007-01-01

    Hawai`i has experienced numerous destructive tsunamis and the potential for future events threatens the safety and economic well being of its coastal communities. Although tsunami-evacuation zones have been delineated, what is in these areas and how communities have chosen to develop within them has not been documented. A community-level vulnerability assessment using geographic-information-system tools was conducted to describe tsunami-prone landscapes on the Hawaiian coast and to document variations in land cover, demographics, economic assets, and critical facilities among 65 communities. Results indicate that the Hawai`i tsunami-evacuation zone contains approximately 56,678 residents (five percent of the total population), 67,113 employees (eleven percent of the State labor force), and 50,174 average daily visitors to hotels (44 percent of the State total). With regards to economic conditions, the tsunami-evacuation zone contains 5,779 businesses that generate $10.1 billion in annual sales volume (both eleven percent of State totals), and tax parcels with a combined total value of $36.1 billion (18 percent of the State total). Although occupancy values are not known for each facility, the tsunami-evacuation zone also contains numerous dependent-population facilities (for example, child-day-care facilities and schools), public venues (for example, religious organizations and parks) and critical facilities (for example, fire stations). The residential population in tsunami-prone areas is racially diverse, with most residents identifying themselves as White, Asian, or Native Hawaiian and Other Pacific Islander, either alone or in combination with one or more race. Fifty-one percent of the households in the tsunami-evacuation zone are renter occupied. The employee population in the tsunami-evacuation zone is largely in accommodation and food services, health services, and retail-trade sectors. Results indicate that community vulnerability, described here by exposure (the amount of assets in tsunami-prone areas) and sensitivity (the relative percentage of assets in tsunami-prone areas) varies considerably among 65 coastal communities in Hawai`i. Honolulu has the highest exposure, Punalu`u has the highest sensitivity, and Ka`anapali has the highest combination of exposure and sensitivity to tsunamis. Results also indicate that the level of community-asset exposure to tsunamis is not determined by the amount of a community's land that is in tsunami-evacuation zones. Community sensitivity, however, is related to the percentage of a community's land that is in the tsunami-prone areas. This report will further the dialogue on societal risk to tsunami hazards in Hawai`i and help identify future preparedness, mitigation, response, and recovery planning needs within coastal communities and economic sectors of the State of Hawai`i.

  19. Community Extreme Tonnage User Service (CETUS): A 5000 Ton Open Research Facility in the United States

    NASA Astrophysics Data System (ADS)

    Danielson, L. R.; Righter, K.; Vander Kaaden, K. E.; Rowland, R. L., II; Draper, D. S.; McCubbin, F. M.

    2017-12-01

    Large sample volume 5000 ton multi-anvil presses have contributed to the exploration of deep Earth and planetary interiors, synthesis of ultra-hard and other novel materials, and serve as a sample complement to pressure and temperature regimes already attainable by diamond anvil cell experiments. However, no such facility exists in the Western Hemisphere. We are establishing an open user facility for the entire research community, with the unique capability of a 5000 ton multi-anvil and deformation press, HERA (High pressure Experimental Research Apparatus), supported by a host of extant co-located experimental and analytical laboratories and research staff. We offer wide range of complementary and/or preparatory experimental options. Any required synthesis of materials or follow up experiments can be carried out controlled atmosphere furnaces, piston cylinders, multi-anvil, or experimental impact apparatus. Additionally, our division houses two machine shops that would facilitate any modification or custom work necessary for development of CETUS, one for general fabrication and one located specifically within our experimental facilities. We also have a general sample preparation laboratory, specifically for experimental samples, that allows users to quickly and easily prepare samples for ebeam analyses and more. Our focus as contract staff is on serving the scientific needs of our users and collaborators. We are seeking community expert input on multiple aspects of this facility, such as experimental assembly design, module modifications, immediate projects, and future innovation initiatives. We've built a cooperative network of 12 (and growing) collaborating institutions, including COMPRES. CETUS is a coordinated effort leveraging HERA with our extant experimental, analytical, and planetary process modelling instrumentation and expertise in order to create a comprehensive model of the origin and evolution of our solar system and beyond. We are looking to engage the community in how the CETUS facility can best serve your needs.

  20. The impact of correctional institutions on public health during a pandemic or emerging infection disaster.

    PubMed

    Schwartz, Rachel D

    2008-01-01

    With the growing threat of a naturally occurring or man-made global pandemic, many public, private, federal, state, and local institutions have begun to develop some form of preparedness and response plans. Among those in the front lines of preparedness are hospitals and medical professionals who will be among the first responders in the event of such a disaster. At the other end of the spectrum of preparedness is the Corrections community who have been working in a relative vacuum, in part because of lack of funding, but also because they have been largely left out of state, federal local planning processes. This isolation and lack of support is compounded by negative public perceptions of correctional facilities and their inmates, and a failure to understand the serious impact a jail or prison facility would have on public health in the event of a disaster. This article examines the unique issues faced by correctional facilities responding to disease disasters and emphasizes the importance of assisting them to develop workable and effective preparedness and response plans that will prevent them from becoming disease repositories spreading illness and infection throughout our communities. To succeed in such planning, it is crucial that the public health and medical community be involved in correctional disaster planning and that they should integrate correctional disaster response with their own. Failure to do so endangers the health of the entire nation.

  1. Community noise sources and noise control issues

    NASA Technical Reports Server (NTRS)

    Nihart, Gene L.

    1992-01-01

    The topics covered include the following: community noise sources and noise control issues; noise components for turbine bypass turbojet engine (TBE) turbojet; engine cycle selection and noise; nozzle development schedule; NACA nozzle design; NACA nozzle test results; nearly fully mixed (NFM) nozzle design; noise versus aspiration rate; peak noise test results; nozzle test in the Low Speed Aeroacoustic Facility (LSAF); and Schlieren pictures of NACA nozzle.

  2. The Macomb Plan: Expanding a Community's Access to Higher Education.

    ERIC Educational Resources Information Center

    Lorenzo, Albert L.

    The Macomb Plan, recently developed by Macomb Community College (MCC), is a delivery system for the final two years of a four-year college degree to be housed in a facility located on a two-year college campus. The plan is designed to meet the unique needs of an adult learner's lifestyle, while approximating most of the elements that make up the…

  3. 24 CFR 581.10 - Action on approved applications.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Action on approved applications. 581... URBAN DEVELOPMENT COMMUNITY FACILITIES USE OF FEDERAL REAL PROPERTY TO ASSIST THE HOMELESS § 581.10 Action on approved applications. (a) Unutilized and underutilized properties. (1) When HHS approves an...

  4. 24 CFR 582.400 - Grant agreement.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Grant agreement. 582.400 Section 582... DEVELOPMENT COMMUNITY FACILITIES SHELTER PLUS CARE Administration § 582.400 Grant agreement. (a) General. The grant agreement will be between HUD and the recipient. HUD will hold the recipient responsible for the...

  5. 24 CFR 585.402 - Grant agreement.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Grant agreement. 585.402 Section 585... DEVELOPMENT COMMUNITY FACILITIES YOUTHBUILD PROGRAM Administration § 585.402 Grant agreement. (a) General. The... incorporated in a grant agreement executed by HUD and the recipient. (b) Enforcement. HUD will enforce the...

  6. 24 CFR 572.105 - Financing the purchase of properties by eligible families.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) Homeownership Program Requirements-Implementation Grants § 572.105... insurance apply to mortgages insured by FHA on properties assisted under the HOPE 3 program. Exceptions in...

  7. Computing and Accounting Office Occupations; Suggested Curricula Guide.

    ERIC Educational Resources Information Center

    Roman, John C.; And Others

    These curriculum outlines are for administrator, supervisor, and teacher use in planning courses at local levels according to community needs and availability of facilities, equipment, and teaching time. The guide may also be used in developing and organizing courses for manpower development and training programs. The course outlines and other…

  8. 24 CFR 576.53 - Use as an emergency shelter.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES EMERGENCY SHELTER GRANTS PROGRAM: STEWART B. McKINNEY HOMELESS ASSISTANCE ACT Program Requirements § 576.53 Use as an emergency shelter. (a)(1) Restrictions and definition... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Use as an emergency shelter. 576.53...

  9. Semiconductor Manufacturing Comes to Virginia: Developing Partnerships for Workforce Education and Training.

    ERIC Educational Resources Information Center

    Cantor, Jeffrey A.

    1998-01-01

    In Virginia, a community college consortium for semiconductor education and training programs works with a semiconductor manufacturers' partnership to review programs based on a national core curriculum model. The results are being used to improve curriculum development, faculty training, facility improvement, and student recruitment. (SK)

  10. 1973 U. S. Government Printing Office Publications Useful for Rural Development.

    ERIC Educational Resources Information Center

    Kuennen, Daniel S.

    The bibliography gives 222 citations selected from Government Printing Office's "Selected U. S. Government Publications" issued by the Superintendent of Documents covering 1973 publications. It is divided into 4 categories: (1) People Building; (2) Community Facilities; (3) Environmental Improvement; and (4) Economic Development. Topics are: job…

  11. The importance of public sector health facility-level data for monitoring changes in maternal mortality risks among communities: the case of pakistan.

    PubMed

    Jain, Anrudh K; Sathar, Zeba; Salim, Momina; Shah, Zakir Hussain

    2013-09-01

    This paper illustrates the importance of monitoring health facility-level information to monitor changes in maternal mortality risks. The annual facility-level maternal mortality ratios (MMRs), complications to live births ratios and case fatality ratios (CFRs) were computed from data recorded during 2007 and 2009 in 31 upgraded public sector health facilities across Pakistan. The facility-level MMR declined by about 18%; both the number of Caesarean sections and the episodes of complications as a percentage of live births increased; and CFR based on Caesarean sections and episodes of complications declined by 29% and 37%, respectively. The observed increases in the proportion of women with complications among those who come to these facilities point to a reduction in the delay in reaching facilities (first and second delays; Thaddeus & Maine, 1994); the decrease in CFRs points to improvements in treating obstetric complications and a reduction in the delay in receiving treatment once at facilities (the third delay). These findings point to a decline in maternal mortality risks among communities served by these facilities. A system of woman-level data collection instituted at health facilities with comprehensive emergency obstetric care is essential to monitor changes in the effects of any reduction in the three delays and any improvement in quality of care or the effectiveness of treating pregnancy-related complications among women reaching these facilities. Such a system of information gathering at these health facilities would also help policymakers and programme mangers to measure and improve the effectiveness of safe-motherhood initiatives and to monitor progress being made toward achieving the fifth Millennium Development Goal.

  12. Inputs to quality: supervision, management, and community involvement in health facilities in Egypt in 2004.

    PubMed

    Cherlin, Emily J; Allam, Adel A; Linnander, Erika L; Wong, Rex; El-Toukhy, Essam; Sipsma, Heather; Krumholz, Harlan M; Curry, Leslie A; Bradley, Elizabeth H

    2011-10-20

    As low- and middle-income countries experience economic development, ensuring quality of health care delivery is a central component of health reform. Nevertheless, health reforms in low- and middle-income countries have focused more on access to services rather than the quality of these services, and reporting on quality has been limited. In the present study, we sought to examine the prevalence and regional variation in key management practices in Egyptian health facilities within three domains: supervision of the facility from the Ministry of Health and Population (MOHP), managerial processes, and patient and community involvement in care. We conducted a cross-sectional analysis of data from 559 facilities surveyed with the Egyptian Service Provision Assessment (ESPA) survey in 2004, the most recent such survey in Egypt. We registered on the Measure Demographic and Health Survey (DHS) website http://legacy.measuredhs.com/login.cfm to gain access to the survey data. From the ESPA sampled 559 MOHP facilities, we excluded a total of 79 facilities because they did not offer facility-based 24-hour care or have at least one physician working in the facility, resulting in a final sample of 480 facilities. The final sample included 76 general service hospitals, 307 rural health units, and 97 maternal and child health and urban health units (MCH/urban units). We used standard frequency analyses to describe facility characteristics and tested the statistical significance of regional differences using chi-square statistics. Nearly all facilities reported having external supervision within the 6 months preceding the interview. In contrast, key facility-level managerial processes, such as having routine and documented management meetings and applying quality assurance approaches, were uncommon. Involvement of communities and patients was also reported in a minority of facilities. Hospitals and health units located in Urban Egypt compared with more rural parts of Egypt were significantly more likely to have management committees that met at least monthly, to keep official records of the meetings, and to have an approach for reviewing quality assurance activities. Although the data precede the recent reform efforts of the MOHP, they provide a baseline against which future progress can be measured. Targeted efforts to improve facility-level management are critical to supporting quality improvement initiatives directed at improving the quality of health care throughout the country.

  13. Condition of karangkepatihan village community balong district ponorogo regency in supporting development of community based tourism

    NASA Astrophysics Data System (ADS)

    Sutedjo, A.; Prasetyo, K.; Sudaryono, L.

    2018-01-01

    In Karangkepatihan village, it can be found some attractions that have the potential to develop. Some attractions have been developed by involving the community in its management, but its development has not been as expected. The purpose of this research is to know the attitude of the community and the level of human resources of the community of Karangkepatihan village in supporting the development of community-based tourism and the right strategy for its development. Subjects in this study were the head of the family and the physical condition of tourist objects, with a sample of 100 family heads taken randomly. Research data which are knowledge, understanding, participation, support to the development of tourism and level of education and skill obtained by interview while observation is done to get potential data of tourism object. The data obtained are analyzed by using scoring technique and SWOT analysis. The results show that community attitudes are positive in supporting community-based tourism development, but have not been shown to participate in developing tourism in Karangkepatihan village. The level of human resources in Karangkepatihan village to support the development of tourism is low so that the development of tourism is slow. An appropriate strategy for developing tourism development in Karangkepatihan village is to grow and build. Improving the skills of the community to fill the job opportunities in the field of tourism, increase the participation or involvement of the community in tourism activities, increasing the accessibility of tourism objects, increasing the facilities and infrastructure of tourism needs to be done.

  14. Shared use of school facilities with community organizations and afterschool physical activity program participation: a cost-benefit assessment.

    PubMed

    Kanters, Michael A; Bocarro, Jason N; Filardo, Mary; Edwards, Michael B; McKenzie, Thomas L; Floyd, Myron F

    2014-05-01

    Partnerships between school districts and community-based organizations to share school facilities during afterschool hours can be an effective strategy for increasing physical activity. However, the perceived cost of shared use has been noted as an important reason for restricting community access to schools. This study examined shared use of middle school facilities, the amount and type of afterschool physical activity programs provided at middle schools together with the costs of operating the facilities. Afterschool programs were assessed for frequency, duration, and type of structured physical activity programs provided and the number of boys and girls in each program. School operating costs were used to calculate a cost per student and cost per building square foot measure. Data were collected at all 30 middle schools in a large school district over 12 months in 2010-2011. Policies that permitted more use of school facilities for community-sponsored programs increased participation in afterschool programs without a significant increase in operating expenses. These results suggest partnerships between schools and other community agencies to share facilities and create new opportunities for afterschool physical activity programs are a promising health promotion strategy. © 2014, American School Health Association.

  15. Development and pilot testing of a mental healthcare plan in Nepal

    PubMed Central

    Jordans, M. J. D.; Luitel, N. P.; Pokhrel, P.; Patel, V.

    2016-01-01

    Background Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. Aims To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. Method A mixed methods formative study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities. Results The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. Conclusions The MHCP follows a collaborative care model encompassing community and primary healthcare interventions. PMID:26447173

  16. Development and pilot testing of a mental healthcare plan in Nepal.

    PubMed

    Jordans, M J D; Luitel, N P; Pokhrel, P; Patel, V

    2016-01-01

    Mental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries. To present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility. A mixed methods formative study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities. The resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates. The MHCP follows a collaborative care model encompassing community and primary healthcare interventions. © The Royal College of Psychiatrists 2016.

  17. Rural Development Progress, January 1977-June 1979. Fifth Report of the Secretary of Agriculture to The Congress.

    ERIC Educational Resources Information Center

    Department of Agriculture, Washington, DC.

    The fifth annual report of the Secretary of Agriculture on rural development (prepared in response to a directive from the Rural Development Act of 1972) summarizes current rural conditions by presenting the most recently available statistical data on employment, income, population, housing, and community services and facilities and illustrates…

  18. Distance Learning as a Tool for Poverty Reduction and Economic Development: A Focus on China and Mexico

    ERIC Educational Resources Information Center

    Larson, Richard C.; Murray, M. Elizabeth

    2008-01-01

    This paper uses case studies to focus on distance learning in developing countries as an enabler for economic development and poverty reduction. To provide perspective, we first review the history of telecottages, local technology-equipped facilities to foster community-based learning, which have evolved into "telecenters" or…

  19. ENSEMBLE and AMET: Two Systems and Approaches to a Harmonized, Simplified and Efficient Facility for Air Quality Models Development and Evaluation

    EPA Science Inventory

    The complexity of air quality modeling systems, air quality monitoring data make ad-hoc systems for model evaluation important aids to the modeling community. Among those are the ENSEMBLE system developed by the EC-Joint Research Center, and the AMET software developed by the US-...

  20. Social & Economic Issues in Siting a Hazardous Waste Facility: Ideas for Communities and Local Assessment Committees.

    ERIC Educational Resources Information Center

    Hurley, Mike

    This handbook was prepared for communities selected as potential sites for hazardous waste facilities, identifying issues which need to be addressed and suggesting specific and positive steps that communities can take to shape proposals to meet their concerns. Following an introduction, specific areas addressed include: community controls,…

  1. Accessibility and Use of Recreational Sports Facilities at Florida's Community Colleges.

    ERIC Educational Resources Information Center

    De Michele, Douglas

    In an effort to determine the percent of use of sports facilities on Florida community college campuses, a survey was sent to community college presidents and campus recreation directors throughout the Florida Community College System (FCCS). The survey, distributed to all 25 branch campuses and 28 primary campuses in the system, was designed to…

  2. Hydrogeology and ground-water quality of the Bay Mills Indian Community Study Area, near Brimley, Michigan

    USGS Publications Warehouse

    ,

    1996-01-01

    Bay Mills Indian Community (BMIC) near Brimley, Mich. (fig. 1), with a population of about 1,000, needs hydrogeologic and ground-water-quality information to help assure a reliable ground-water supply for future economic development. Currently (1995), three wells supply water to a housing development adjacent to Mission Hill, but the remainder of BMIC is dependent on private low-capacity wells. Currently (1995), motel and gaming facilities are being constructed at the former Fisherman's Wharf site. These facilities will require large-capacity wells for public supply and fire protection. In addition, a proposed fish hatchery would require a water supply that would meet stringent water-quality requirements and be capable of producing about 500 to 600 gallons per minute (gal/min). This report summarizes hydrogeologic and ground-water-quality information needed to effectively plan for water-supply development at BMIC and is the result of a cooperative effort between BMIC and the U.S. Geological Survey (USGS).

  3. Community discharge of patients with schizophrenia: a Japanese experience.

    PubMed

    Noda, Fumitaka; Clark, Campbell; Terada, Hisako; Hayashi, Naoki; Maeda, Keiko; Sato, Mikiko; Ito, Keiko; Kitanaka, Junko; Asai, Takeshi; Nishimura, Takashi; Kushigami, Kenji; Okada, Kazushi; Taniguchi, Yosuke; Mantani, Tomoyuki

    2004-01-01

    In Japan, admission to a psychiatric facility for people with schizophrenia is usually for life. We developed a rehabilitation program aimed at discharging these patients into the Tokyo community. This paper describes the results for the 224 patients. Using an inpatient ward at the Tokyo Musashino Hospital, patients were enrolled in the program and subsequently discharged into the community with an assigned worker. The results indicate for the majority (79%) re-integration into the community was successful. The success of this program in a metropolitan city like Tokyo argues for the efficacy of such programs.

  4. Community assets and capabilities to recruit and retain GPs: the Community Apgar Questionnaire in rural Victoria.

    PubMed

    Terry, Daniel R; Baker, Ed; Schmitz, David F

    2016-01-01

    Rural communities continue to experience significant challenges recruiting and retaining physicians. The Community Apgar Questionnaire (CAQ) was developed in Idaho in the USA to comprehensively assess the characteristics associated with successful recruitment and retention of rural physicians. The CAQ has been utilised and validated across the USA; however, its value in rural Australia has not been examined. The objective of this study was to use the CAQ in rural Australia to examine its utility and develop a greater understanding of the community factors that impact general practitioner (GP) recruitment and retention. The project conducted structured face-to-face interviews with hospital chief executive officers (CEOs) and directors of clinical services (DCSs) from 14 of the 21 (76%) health services that agreed to participate in rural north-eastern Victoria, Australia. The interviews were undertaken to complete the CAQ, which contains 50 questions centred on factors that influence physician recruitment and retention. Once completed, CAQs were scored by assigning quantitative values to a community's strengths and challenges including the level of importance placed on each factor. As such, the most important factors in physician recruitment, whether they are advantages or challenges for that community, were then weighed for their relative importance. Scores were then combined to create a CAQ score. To ensure reliability and validity of the results, three additional CAQs were purposefully administered to key general practices within the region. The 14 rural communities exhibited cumulative CAQ scores ranging from a high of 387 to a low score of 61. This suggests the tool was sensitive enough to differentiate between communities that were high and low performers in terms of physician recruitment. The groups of factors that had the greatest impact on recruitment and retention were ranked highest to lowest and included medical support, hospital/community support, economic, scope of practice and geographic factors. Overall, the highest individual factors to impact recruitment and retention were perception of quality, hospital leadership, nursing workforce and transfer arrangements. Conversely, the lowest factors and challenges to recruitment and retention were family related, specifically spousal satisfaction and access to schools. Hume, in rural Victoria, was the first international site to implement the CAQ to differentially diagnose a community's relative strengths and challenges in recruiting and retaining GPs, while supporting health facilities to prioritise achievable goals to improve long-term retention strategies. It provided each community with a tailored gap analysis, while confidentially sharing best practices of other health facilities. Within Hume, open communication and trust between GPs and health facility leadership and nursing staff ensures that GPs can feel valued and supported. Possible solutions for GP recruitment and retention must consider the social, employment and educational opportunities that are available for spouses and children. Participation in the program was useful as it helped health facilities ascertain how they were performing while highlighting areas for improvement.

  5. 40 CFR 372.22 - Covered facilities for toxic chemical release reporting.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 29 2013-07-01 2013-07-01 false Covered facilities for toxic chemical... (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS TOXIC CHEMICAL RELEASE REPORTING: COMMUNITY RIGHT-TO-KNOW Reporting Requirements § 372.22 Covered facilities for toxic chemical...

  6. Experiences with and expectations of maternity waiting homes in Luapula Province, Zambia: a mixed-methods, cross-sectional study with women, community groups and stakeholders.

    PubMed

    Chibuye, Peggy S; Bazant, Eva S; Wallon, Michelle; Rao, Namratha; Fruhauf, Timothee

    2018-01-25

    Luapula Province has the highest maternal mortality and one of the lowest facility-based births in Zambia. The distance to facilities limits facility-based births for women in rural areas. In 2013, the government incorporated maternity homes into the health system at the community level to increase facility-based births and reduce maternal mortality. To examine the experiences with maternity homes, formative research was undertaken in four districts of Luapula Province to assess women's and community's needs, use patterns, collaboration between maternity homes, facilities and communities, and promising practices and models in Central and Lusaka Provinces. A cross-sectional, mixed-methods design was used. In Luapula Province, qualitative data were collected through 21 focus group discussions with 210 pregnant women, mothers, elderly women, and Safe Motherhood Action Groups (SMAGs) and 79 interviews with health workers, traditional leaders, couples and partner agency staff. Health facility assessment tools, service abstraction forms and registers from 17 facilities supplied quantitative data. Additional qualitative data were collected from 26 SMAGs and 10 health workers in Central and Lusaka Provinces to contextualise findings. Qualitative transcripts were analysed thematically using Atlas-ti. Quantitative data were analysed descriptively using Stata. Women who used maternity homes recognized the advantages of facility-based births. However, women and community groups requested better infrastructure, services, food, security, privacy, and transportation. SMAGs led the construction of maternity homes and advocated the benefits to women and communities in collaboration with health workers, but management responsibilities of the homes remained unassigned to SMAGs or staff. Community norms often influenced women's decisions to use maternity homes. Successful maternity homes in Central Province also relied on SMAGs for financial support, but the sustainability of these models was not certain. Women and communities in the selected facilities accept and value maternity homes. However, interventions are needed to address women's needs for better infrastructure, services, food, security, privacy and transportation. Strengthening relationships between the managers of the homes and their communities can serve as the foundation to meet the needs and expectations of pregnant women. Particular attention should be paid to ensuring that maternity homes meet quality standards and remain sustainable.

  7. A guideline for interpersonal capabilities enhancement to support sustainable facility management practice

    NASA Astrophysics Data System (ADS)

    Sarpin, Norliana; Kasim, Narimah; Zainal, Rozlin; Noh, Hamidun Mohd

    2018-04-01

    Facility management is the key phase in the development cycle of an assets and spans over a considerable length of time. Therefore, facility managers are in a commanding position to maximise the potential of sustainability through the development phases from construction, operation, maintenance and upgrade leading to decommission and deconstruction. Sustainability endeavours in facility management practices will contribute to reducing energy consumption, waste and running costs. Furthermore, it can also help in improving organisational productivity, financial return and community standing of the organisation. Facility manager should be empowered with the necessary knowledge and capabilities at the forefront facing sustainability challenge. However, literature studies show a gap between the level of awareness, specific knowledge and the necessary skills required to pursue sustainability in the facility management professional. People capability is considered as the key enabler in managing the sustainability agenda as well as being central to the improvement of competency and innovation in an organisation. This paper aims to develop a guidelines for interpersonal capabilities to support sustainability in facility management practice. Starting with a total of 7 critical interpersonal capabilities factors identified from previous questionnaire survey, the authors conducted an interview with 3 experts in facility management to assess the perceived importance of these factors. The findings reveal a set of guidelines for the enhancement of interpersonal capabilities among facility managers by providing what can be done to acquire these factors and how it can support the application of sustainability in their practice. The findings of this paper are expected to form the basis of a mechanism framework developed to equip facility managers with the right knowledge, to continue education and training and to develop new mind-sets to enhance the implementation of sustainability measures in FM practices.

  8. INFN-Pisa scientific computation environment (GRID, HPC and Interactive Analysis)

    NASA Astrophysics Data System (ADS)

    Arezzini, S.; Carboni, A.; Caruso, G.; Ciampa, A.; Coscetti, S.; Mazzoni, E.; Piras, S.

    2014-06-01

    The INFN-Pisa Tier2 infrastructure is described, optimized not only for GRID CPU and Storage access, but also for a more interactive use of the resources in order to provide good solutions for the final data analysis step. The Data Center, equipped with about 6700 production cores, permits the use of modern analysis techniques realized via advanced statistical tools (like RooFit and RooStat) implemented in multicore systems. In particular a POSIX file storage access integrated with standard SRM access is provided. Therefore the unified storage infrastructure is described, based on GPFS and Xrootd, used both for SRM data repository and interactive POSIX access. Such a common infrastructure allows a transparent access to the Tier2 data to the users for their interactive analysis. The organization of a specialized many cores CPU facility devoted to interactive analysis is also described along with the login mechanism integrated with the INFN-AAI (National INFN Infrastructure) to extend the site access and use to a geographical distributed community. Such infrastructure is used also for a national computing facility in use to the INFN theoretical community, it enables a synergic use of computing and storage resources. Our Center initially developed for the HEP community is now growing and includes also HPC resources fully integrated. In recent years has been installed and managed a cluster facility (1000 cores, parallel use via InfiniBand connection) and we are now updating this facility that will provide resources for all the intermediate level HPC computing needs of the INFN theoretical national community.

  9. Health Care Expenditures After Initiating Long-term Services and Supports in the Community Versus in a Nursing Facility.

    PubMed

    Newcomer, Robert J; Ko, Michelle; Kang, Taewoon; Harrington, Charlene; Hulett, Denis; Bindman, Andrew B

    2016-03-01

    Individuals who receive long-term services and supports (LTSS) are among the most costly participants in the Medicare and Medicaid programs. To compare health care expenditures among users of Medicaid home and community-based services (HCBS) versus those using extended nursing facility care. Retrospective cohort analysis of California dually eligible adult Medicaid and Medicare beneficiaries who initiated Medicaid LTSS, identified as HCBS or extended nursing facility care, in 2006 or 2007. Propensity score matching for demographic, health, and functional characteristics resulted in a subsample of 34,660 users who initiated Medicaid HCBS versus extended nursing facility use. Those with developmental disabilities or in managed care plans were excluded. Average monthly adjusted acute, postacute, long-term, and total Medicare and Medicaid expenditures for the 12 months following initiation of either HCBS or extended nursing facility care. Those initiating extended nursing facility care had, on average, $2919 higher adjusted total health care expenditures per month compared with those who initiated HCBS. The difference was primarily attributable to spending on LTSS $2855. On average, the monthly LTSS expenditures were higher for Medicare $1501 and for Medicaid $1344 when LTSS was provided in a nursing facility rather than in the community. The higher cost of delivering LTSS in a nursing facility rather than in the community was not offset by lower acute and postacute spending. Medicare and Medicaid contribute similar amounts to the LTSS cost difference and both could benefit financially by redirecting care from institutions to the community.

  10. Strengthening health services to deliver nutrition education to promote complementary feeding and healthy growth of infants and young children: formative research for a successful intervention in peri-urban Trujillo, Peru.

    PubMed

    Robert, Rebecca C; Creed-Kanashiro, Hilary M; Villasante, Ruben; Narro, M Rocio; Penny, Mary E

    2017-04-01

    Formative research is critical for developing effective nutrition-specific interventions to improve infant and young child (IYC) feeding practices and promote healthy growth. Health workers interact with caregivers during health facility visits, yet there is limited research about how to optimize delivery of such interventions during these visits. The extensive reach of IYC health services globally calls for research to address this gap. In Trujillo, Peru, formative research was conducted to explore complementary feeding practices with caregivers as well as health worker routines and interactions with caregivers related to feeding and healthy growth; results informed the development and delivery of an educational intervention. Multiple qualitative methods were used to collect data on a purposive sample of health workers and caregivers from three health facilities and communities: household trials followed. Complementary feeding messages with doable behaviours were developed, and three were selected as key to promote based on their nutritional impact and cultural acceptability. In the health facilities, medical consultation, well-child visits and nutrition consultation all dealt with aspects of IYC nutrition/growth during their interactions with caregivers but were independent and inconsistent in approach. A nutrition education strategy was developed based on consistency, quality and coverage in the IYC health services. We conclude that formative research undertaken in the community and IYC health services was critical to developing a successful and culturally relevant intervention to promote optimal complementary feeding practices and healthy growth during interactions between health workers and caregivers at routine health facility visits. © 2016 John Wiley & Sons Ltd. © 2016 John Wiley & Sons Ltd.

  11. Experimental methods for studying microbial survival in extraterrestrial environments.

    PubMed

    Olsson-Francis, Karen; Cockell, Charles S

    2010-01-01

    Microorganisms can be used as model systems for studying biological responses to extraterrestrial conditions; however, the methods for studying their response are extremely challenging. Since the first high altitude microbiological experiment in 1935 a large number of facilities have been developed for short- and long-term microbial exposure experiments. Examples are the BIOPAN facility, used for short-term exposure, and the EXPOSE facility aboard the International Space Station, used for long-term exposure. Furthermore, simulation facilities have been developed to conduct microbiological experiments in the laboratory environment. A large number of microorganisms have been used for exposure experiments; these include pure cultures and microbial communities. Analyses of these experiments have involved both culture-dependent and independent methods. This review highlights and discusses the facilities available for microbiology experiments, both in space and in simulation environments. A description of the microorganisms and the techniques used to analyse survival is included. Finally we discuss the implications of microbiological studies for future missions and for space applications. Copyright 2009 Elsevier B.V. All rights reserved.

  12. CEMS: Building a Cloud-Based Infrastructure to Support Climate and Environmental Data Services

    NASA Astrophysics Data System (ADS)

    Kershaw, P. J.; Curtis, M.; Pechorro, E.

    2012-04-01

    CEMS, the facility for Climate and Environmental Monitoring from Space, is a new joint collaboration between academia and industry to bring together their collective expertise to support research into climate change and provide a catalyst for growth in related Earth Observation (EO) technologies and services in the commercial sector. A recent major investment by the UK Space Agency has made possible the development of a dedicated facility at ISIC, the International Space Innovation Centre at Harwell in the UK. CEMS has a number of key elements: the provision of access to large-volume EO and climate datasets co-located with high performance computing facilities; a flexible infrastructure to support the needs of research projects in the academic community and new business opportunities for commercial companies. Expertise and tools for scientific data quality and integrity are another essential component, giving users confidence and transparency in its data, services and products. Central to the development of this infrastructure is the utilisation of cloud-based technology: multi-tenancy and the dynamic provision of resources are key characteristics to exploit in order to support the range of organisations using the facilities and the varied use cases. The hosting of processing services and applications next to the data within the CEMS facility is another important capability. With the expected exponential increase in data volumes within the climate science and EO domains it is becoming increasingly impracticable for organisations to retrieve this data over networks and provide the necessary storage. Consider for example, the factor of o20 increase in data volumes expected for the ESA Sentinel missions over the equivalent Envisat instruments. We explore the options for the provision of a hybrid community/private cloud looking at offerings from the commercial sector and developments in the Open Source community. Building on this virtualisation layer, a further core services tier will support and serve applications as part of a service oriented architecture. We consider the constituent services in this layer to support access to the data, data processing and the orchestration of workflows.

  13. 7 CFR 4274.301 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) RURAL BUSINESS-COOPERATIVE SERVICE AND RURAL... emerging businesses, in partnership with other public and private resources, and in accordance with State... for business facilities and community developments in a rural area. (c) Proposed intermediaries are...

  14. Health facility committees and facility management - exploring the nature and depth of their roles in Coast Province, Kenya

    PubMed Central

    2011-01-01

    Background Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural health facilities in Kenya, initiatives to increase community accountability have focused on Health Facility Committees (HFCs). In Coast Province the role of HFCs has been expanded with the introduction of direct funding of rural facilities. We explored the nature and depth of managerial engagement of HFCs at the facility level in two rural districts in this Coastal setting, and how this has contributed to community accountability Methods We conducted structured interviews with the health worker in-charge and with patients in 30 health centres and dispensaries. These data were supplemented with in-depth interviews with district managers, and with health workers and HFC members in 12 health centres and dispensaries. In-depth interviews with health workers and HFC members included a participatory exercise to stimulate discussion of the nature and depth of their roles in facility management. Results HFCs were generally functioning well and played an important role in facility operations. The breadth and depth of engagement had reportedly increased after the introduction of direct funding of health facilities which allowed HFCs to manage their own budgets. Although relations with facility staff were generally good, some mistrust was expressed between HFC members and health workers, and between HFC members and the broader community, partially reflecting a lack of clarity in HFC roles. Moreover, over half of exit interviewees were not aware of the HFC's existence. Women and less well-educated respondents were particularly unlikely to know about the HFC. Conclusions There is potential for HFCs to play an active and important role in health facility management, particularly where they have control over some facility level resources. However, to optimise their contribution, efforts are needed to improve their training, clarify their roles, and improve engagement with the wider community. PMID:21936958

  15. Health facility committees and facility management - exploring the nature and depth of their roles in Coast Province, Kenya.

    PubMed

    Goodman, Catherine; Opwora, Antony; Kabare, Margaret; Molyneux, Sassy

    2011-09-22

    Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural health facilities in Kenya, initiatives to increase community accountability have focused on Health Facility Committees (HFCs). In Coast Province the role of HFCs has been expanded with the introduction of direct funding of rural facilities. We explored the nature and depth of managerial engagement of HFCs at the facility level in two rural districts in this Coastal setting, and how this has contributed to community accountability We conducted structured interviews with the health worker in-charge and with patients in 30 health centres and dispensaries. These data were supplemented with in-depth interviews with district managers, and with health workers and HFC members in 12 health centres and dispensaries. In-depth interviews with health workers and HFC members included a participatory exercise to stimulate discussion of the nature and depth of their roles in facility management. HFCs were generally functioning well and played an important role in facility operations. The breadth and depth of engagement had reportedly increased after the introduction of direct funding of health facilities which allowed HFCs to manage their own budgets. Although relations with facility staff were generally good, some mistrust was expressed between HFC members and health workers, and between HFC members and the broader community, partially reflecting a lack of clarity in HFC roles. Moreover, over half of exit interviewees were not aware of the HFC's existence. Women and less well-educated respondents were particularly unlikely to know about the HFC. There is potential for HFCs to play an active and important role in health facility management, particularly where they have control over some facility level resources. However, to optimise their contribution, efforts are needed to improve their training, clarify their roles, and improve engagement with the wider community.

  16. 38 CFR 17.70 - Written decision following a hearing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... shall consider the safety and health of the residents of the community residential care facility and the... AFFAIRS MEDICAL Community Residential Care § 17.70 Written decision following a hearing. (a) The hearing... community residential care facility's noncompliance with VA standards shall be based on the preponderance of...

  17. 38 CFR 17.70 - Written decision following a hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... shall consider the safety and health of the residents of the community residential care facility and the... AFFAIRS MEDICAL Community Residential Care § 17.70 Written decision following a hearing. (a) The hearing... community residential care facility's noncompliance with VA standards shall be based on the preponderance of...

  18. 38 CFR 17.69 - Waiver of opportunity for hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MEDICAL Community Residential Care § 17.69 Waiver of opportunity for hearing. If representatives of a community residential care facility which receive a notice of noncompliance under § 17.66 of this part fail...) Consider the representatives of the community residential care facility to have waived their opportunity...

  19. 75 FR 66773 - Notice of Proposed Information Collection for Public Comment; FY 2010 Capital Fund Community and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... early childhood education, adult education, and/or job training programs for public housing residents... Information Collection for Public Comment; FY 2010 Capital Fund Community and Education Training Facilities... 2010 Capital Fund Community and Education Training Facilities NOFA. OMB Control Number: 2577-0268...

  20. 78 FR 76638 - 60-Day Notice of Proposed Information Collection: Capital Fund Community and Education Training...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-18

    ... to provide early childhood education, adult education, and/or job training programs for public... Information Collection: Capital Fund Community and Education Training Facilities AGENCY: Office of the... Collection: Capital Fund Education and Training Community Facilities. OMB Approval Number: 2577-0268. Type of...

  1. Nepal's Health Facility Operation and Management Committees: exploring community participation and influence in the Dang district's primary care clinics.

    PubMed

    Gurung, Gagan; Derrett, Sarah; Hill, Philip C; Gauld, Robin

    2018-01-28

    Aim To describe community representation in Nepal's Health Facility Operation and Management Committees (HFMCs) and the degree of influence of community representatives in the HFMC decision-making processes. Community participation has been recognised as one of the key components for the successful implementation of primary health care (PHC) strategies, following the 1978 Declaration of Alma-Ata. In low- and middle-income countries (LMICs), HFMCs are now widely considered as a mechanism to increase community participation in health through community representation. There is some research examining the implementation process, impact and factors affecting the effectiveness of HFMCs. Despite the documented evidence of the importance of factors such as adequate representation, links with wider community, and decision-making power, there is limited evidence about the nature of community representation and degree of decision making within HFMCs in the PHC setting, particularly in LMICs. Qualitative interviews with 39 key informants were held to explore different aspects of community representation in HFMCs, and the influence of the HFMC on health facility decision-making processes. In addition, a facility audit at 22 facilities and review of HFMC meeting minutes at six health facilities were conducted. Findings There were Dalit (a marginalised caste) and Janajati (an ethnic group) representations in 77% and 100% of the committees, respectively. Likewise, there were at least two female members in each committee. However, the HFMC member selection process and decision making within the committees were influenced by powerful elites. The degree of participation through HFMCs appeared to be at the 'Manipulation' and 'Informing' stage of Arnstein's ladder of participation. In conclusion, despite representation of the community on HFMCs, the depth of participation seems low. There is a need to ensure a democratic selection process of committee members; and to expand the depth of participation.

  2. Composition and physiological profiling of sprout-associated microbial communities

    NASA Technical Reports Server (NTRS)

    Matos, Anabelle; Garland, Jay L.; Fett, William F.

    2002-01-01

    The native microfloras of various types of sprouts (alfalfa, clover, sunflower, mung bean, and broccoli sprouts) were examined to assess the relative effects of sprout type and inoculum factors (i.e., sprout-growing facility, seed lot, and inoculation with sprout-derived inocula) on the microbial community structure of sprouts. Sprouts were sonicated for 7 min or hand shaken with glass beads for 2 min to recover native microfloras from the surface, and the resulting suspensions were diluted and plated. The culturable fraction was characterized by the density (log CFU/g), richness (e.g., number of types of bacteria), and diversity (e.g., microbial richness and evenness) of colonies on tryptic soy agar plates incubated for 48 h at 30 degrees C. The relative similarity between sprout-associated microbial communities was assessed with the use of community-level physiological profiles (CLPPs) based on patterns of utilization of 95 separate carbon sources. Aerobic plate counts of 7.96 +/- 0.91 log CFU/g of sprout tissue (fresh weight) were observed, with no statistically significant differences in microbial cell density, richness, or diversity due to sprout type, sprout-growing facility, or seed lot. CLPP analyses revealed that the microbial communities associated with alfalfa and clover sprouts are more similar than those associated with the other sprout types tested. Variability among sprout types was more extensive than any differences between microbial communities associated with alfalfa and clover sprouts from different sprout-growing facilities and seed lots. These results indicate that the subsequent testing of biocontrol agents should focus on similar organisms for alfalfa and clover, but alternative types may be most suitable for the other sprout types tested. The inoculation of alfalfa sprouts with communities derived from various sprout types had a significant, source-independent effect on microbial community structure, indicating that the process of inoculation alters the dynamics of community development regardless of the types of organisms involved.

  3. Case three. Developing a strategic plan through the use of task forces.

    PubMed

    DeMarco, F J

    1990-01-01

    Although Carolina Community found itself continuing to grow and expand at a time when most facilities in the area were suffering from census declines, it was obvious that continuation of such growth would require more sophisticated strategic planning. At the time of the study, Carolina Community was growing in all areas. Inpatient census as well as outpatient utilization were taxing the resources of the organization. The strategic location of the facility and the support of a committed medical staff provided the institution with a competitive advantage over the other area facilities in the past. In the span of three months, two major competing institutions made strategically significant organizational changes. Both institutions hired new administrators known for their aggressiveness and organizational abilities. It became obvious very quickly that the playing field would soon be changing. No longer would Carolina Community's administration be able to move aggressively to protect and expand its markets without fear of competition. Carolina Community is a hospital with a long-standing tradition of formal strategic planning forced by a rapid "heating up" of the environment to respond much more quickly than it has had to in the past and much more quickly than it is currently able. The case report describes a change in strategy formulation process which was designed to speed up response time and to modify the organization along Ansoff's eight characteristics to a more environmentally appropriate configuration.

  4. Community outreach at biomedical research facilities.

    PubMed

    Goldman, M; Hedetniemi, J N; Herbert, E R; Sassaman, J S; Walker, B C

    2000-12-01

    For biomedical researchers to fulfill their responsibility for protecting the environment, they must do more than meet the scientific challenge of reducing the number and volume of hazardous materials used in their laboratories and the engineering challenge of reducing pollution and shifting to cleaner energy sources. They must also meet the public relations challenge of informing and involving their neighbors in these efforts. The experience of the Office of Community Liaison of the National Institutes of Health (NIH) in meeting the latter challenge offers a model and several valuable lessons for other biomedical research facilities to follow. This paper is based on presentations by an expert panel during the Leadership Conference on Biomedical Research and the Environment held 1--2 November 1999 at NIH, Bethesda, Maryland. The risks perceived by community members are often quite different from those identified by officials at the biomedical research facility. The best antidote for misconceptions is more and better information. If community organizations are to be informed participants in the decision-making process, they need a simple but robust mechanism for identifying and evaluating the environmental hazards in their community. Local government can and should be an active and fully informed partner in planning and emergency preparedness. In some cases this can reduce the regulatory burden on the biomedical research facility. In other cases it might simplify and expedite the permitting process or help the facility disseminate reliable information to the community. When a particular risk, real or perceived, is of special concern to the community, community members should be involved in the design, implementation, and evaluation of targeted risk assessment activities. Only by doing so will the community have confidence in the results of those activities. NIH has involved community members in joint efforts to deal with topics as varied as recycling and soil testing. These ad hoc efforts are more likely to succeed if community members and groups have also been included in larger and longer term advisory committees. These committees institutionalize the outreach process. This can provide the facility with vocal and influential allies who create an independent line of communication with the larger community.

  5. Monitoring potential ecological impacts of a utility-scale photovoltaic panel facility on a creosote-bursage plant community

    NASA Astrophysics Data System (ADS)

    Apodaca, L.; Devitt, D. A.

    2016-12-01

    High energy demands and greater financial viability have propelled recent growth in the solar energy market. Southern Nevada is poised to become a major contributor of green energy through the commissioning of public and private lands for solar development, but there exists a pressing need to better understand the ecological consequences of these facilities as documentation of the impacts of large-scale solar operations on surrounding environments is severely lacking. The Copper Mountain 2 (CM2) solar facility in Eldorado Valley, Nevada, USA utilizes nearly 1.8 square kilometers of photovoltaic panels to generate enough energy to power about 50,000 homes and is situated within a predominately creosote (Larrea tridentata) and white bursage (Ambrosia dumosa) habitat. Currently, the potential impacts on the local environment related to this massive development are being studied from two perspectives: microclimate effects and alteration of surface hydrology. A series of meteorological towers and ibuttons are being used to monitor microclimate changes in the area of CM2 and the adjacent natural habitat as localized climate within the facility may be altering growing conditions in nearby desert plant communities. Because the placement of CM2 represents a major obstacle to established surface water flow, a transect of soil moisture probe access tubes have been placed in association with creosote plants along a downslope gradient from the facility to observe changes to soil water storage. Individual creosote and bursage plant physiologies are also being monitored to study any potential increase in plant stress influenced by the CM2 solar facility. Most measurements have been ongoing for at least one year. Greater details on the research infrastructure will be presented along with the latest observational data.

  6. Bypassing birthing centres for child birth: a community-based study in rural Chitwan Nepal.

    PubMed

    Shah, Rajani

    2016-10-21

    Child delivery in a health facility is important to reduce maternal mortality. Bypassing nearby birthing facility to deliver at a hospital is common in developing countries including Nepal. Very little is known about the extent and determinants of bypassing the birthing centres in Nepal. This study measures the status of bypassing, characteristics of bypassers and their reasons for bypassing. A community-based cross-sectional study was carried out in six rural village development committees of Chitwan district of Nepal. Structured interviews were conducted with 263 mothers who had given birth at a health facility and whose nearest facility was a birthing centre. Descriptive statistics, univariate and multivariable logistic regression analysis were performed. More than half of the mothers had bypassed the nearer birthing centres to deliver at hospital. Living in plain area [aOR: 2.467; 95 % CI: 1.005-6.058], higher wealth index [aOR: 4.981; 95 % CI: 2.482-9.999], advantaged caste/ethnicity [aOR: 2.172; 95 % CI: 1.153-4.089], older age [aOR: 2.222; 95 % CI: 1.050-4.703] and first birth [aOR: 2.032; 95 % CI: 1.060-3.894] were associated with higher likelihood of bypassing. Among the reasons of bypassing as reported by the bypassers, lack of operation, video x-ray, and blood test facilities were the most common ones, followed by the lack of medicines/drugs and equipment, lack of skilled service provider, and inadequate physical facilities, among others. Quality of service at the birthing centres needs to be given a high consideration to increase their use as well as to ensure an equitable access to the quality care by all.

  7. 77 FR 75969 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ... rural areas by financing business facilities and community development. This purpose is achieved through... program decisions, and effectively monitor the intermediaries' activities to protect the Government's... instruments, loan agreements, and security, and other material necessary for prudent credit decisions and...

  8. Technician Program Uses Advanced Instruments.

    ERIC Educational Resources Information Center

    Stinson, Stephen

    1981-01-01

    Describes various aspects of a newly-developed computer-assisted drafting/computer-assisted manufacture (CAD/CAM) facility in the chemical engineering technology department at Broome Community College, Binghamton, New York. Stresses the use of new instruments such as microcomputers and microprocessor-equipped instruments. (CS)

  9. 24 CFR 598.1 - Applicability and scope.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS General... the second and third rounds of designations of urban Empowerment Zones, authorized under Subchapter U... contains provisions relating to area requirements, the nomination process for urban Empowerment Zones, and...

  10. 77 FR 29537 - Community Facility Loans

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... alternate contracting method projects must comply with the requirements for ``maximum open and free... of alternate construction contract methods (such as Design/Build and Construction Management) by the.... Further, these changes will give all applicants greater flexibility in developing projects. Therefore, a...

  11. 24 CFR 598.1 - Applicability and scope.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... URBAN DEVELOPMENT COMMUNITY FACILITIES URBAN EMPOWERMENT ZONES: ROUND TWO AND THREE DESIGNATIONS General... the second and third rounds of designations of urban Empowerment Zones, authorized under Subchapter U... contains provisions relating to area requirements, the nomination process for urban Empowerment Zones, and...

  12. PubMed Central

    Fernandes, Pedro; Gevaert, Kris; Rothacker, Julie; Saiyed, Taslimarif; Detwiler, Michelle

    2012-01-01

    This roundtable will feature four international speakers who will discuss national and international collaborative initiatives and outreach efforts in which they participate. They will share how these efforts have facilitated access to cutting-edge technology, fostered new generations of scientists, and ultimately advanced the progression of global scientific research. Open discussion will follow the presentations! Centre for Cellular and Molecular Platforms, National Centre for Biological Sciences, India: experiences in implementing a national high-end core facility organization with the goals of improving regional technology access and enhancing the quality of research for scientists in academia, biotechnology companies, and the biopharmaceutical industry.Monash University Technology Platforms and Broader Victorian and Australian Networks: Australian initiatives to build global research capabilities and identify means to internationally benchmark regional capabilities to ensure delivery of world class infrastructure. Within the context of the current Australian strategic framework, funding considerations will be discussed, along with expectations for partner facilities to collaborate and be fully accessible to academia and industry.Instituto Gulbenkian de Ciencia, Portugal and beyond: Multiple roles of networking in science and extending outreach while consolidating community integration. Discussion will include achievement of community building and integration using concepts of sharing, training, resource availability, and the value and empowerment gained using acquired skills. The role of networking and institutional visibility will also be discussed.PRIME-XS: This EU-funded consortium provides an infrastructure of proteomics technologies to the European research community. The core is formed by six access facilities through which the consortium provides access to their technologies. Twelve partners work together to develop new resources to aid the community including the development of bioinformatic tools to analyze large-scale proteomics data and novel technologies to analyze protein interaction networks, post-translational modifications and more sensitive ways to detect protein and peptide biomarkers in complex samples.

  13. Neutron Science TeraGrid Gateway

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

    Lynch, Vickie E; Chen, Meili; Cobb, John W

    The unique contributions of the Neutron Science TeraGrid Gateway (NSTG) are the connection of national user facility instrument data sources to the integrated cyberinfrastructure of the National Science FoundationTeraGrid and the development of a neutron science gateway that allows neutron scientists to use TeraGrid resources to analyze their data, including comparison of experiment with simulation. The NSTG is working in close collaboration with the Spallation Neutron Source (SNS) at Oak Ridge as their principal facility partner. The SNS is a next-generation neutron source. It has completed construction at a cost of $1.4 billion and is ramping up operations. The SNSmore » will provide an order of magnitude greater flux than any previous facility in the world and will be available to all of the nation's scientists, independent of funding source, on a peer-reviewed merit basis. With this new capability, the neutron science community is facing orders of magnitude larger data sets and is at a critical point for data analysis and simulation. There is a recognized need for new ways to manage and analyze data to optimize both beam time and scientific output. The TeraGrid is providing new capabilities in the gateway for simulations using McStas and a fitting service on distributed TeraGrid resources to improved turnaround. NSTG staff are also exploring replicating experimental data in archival storage. As part of the SNS partnership, the NSTG provides access to gateway support, cyberinfrastructure outreach, community development, and user support for the neutron science community. This community includes not only SNS staff and users but extends to all the major worldwide neutron scattering centers.« less

  14. Perceptions of newly admitted undergraduate medical students on experiential training on community placements and working in rural areas of Uganda.

    PubMed

    Kaye, Dan K; Mwanika, Andrew; Sekimpi, Patrick; Tugumisirize, Joshua; Sewankambo, Nelson

    2010-06-23

    Uganda has an acute problem of inadequate human resources partly due to health professionals' unwillingness to work in a rural environment. One strategy to address this problem is to arrange health professional training in rural environments through community placements. Makerere University College of Health Sciences changed training of medical students from the traditional curriculum to a problem-based learning (PBL) curriculum in 2003. This curriculum is based on the SPICES model (student-centered, problem-based, integrated, community-based and services oriented). During their first academic year, students undergo orientation on key areas of community-based education, after which they are sent in interdisciplinary teams for community placements. The objective was to assess first year students' perceptions on experiential training through community placements and factors that might influence their willingness to work in rural health facilities after completion of their training. The survey was conducted among 107 newly admitted first year students on the medical, nursing, pharmacy and medical radiography program students, using in-depth interview and open-ended self-administered questionnaires on their first day at the college, from October 28-30, 2008. Data was collected on socio-demographic characteristics, motivation for choosing a medical career, prior exposure to rural health facilities, willingness to have part of their training in rural areas and factors that would influence the decision to work in rural areas. Over 75% completed their high school from urban areas. The majority had minimal exposure to rural health facilities, yet this is where most of them will eventually have to work. Over 75% of the newly admitted students were willing to have their training from a rural area. Perceived factors that might influence retention in rural areas include the local context of work environment, support from family and friends, availability of continuing professional training for career development and support of co-workers and the community. Many first year students at Makerere University have limited exposure to health facilities in rural areas and have concerns about eventually working there.

  15. Establishing a communications-intensive network to resolve artificial intelligence issues within NASA's Space Station Freedom research centers community

    NASA Technical Reports Server (NTRS)

    Howard, E. Davis, III

    1990-01-01

    MITRE Corporation's, A Review of Space Station Freedom Program Capabilities for the Development and Application of Advanced Automation, cites as a critical issue the following situation, extant at the NASA facilities visited in the course of preparing the review: The major issues noted with regard to design and research facilities deal with cooperative problem solving, technology transfer, and communication between these facilities. While the authors were visiting lab and test beds to collect information, personnel at many of these facilities were interested in any information they could collect on activities at other facilities. A formal means of gathering this information could not be identified by these personnel. While communication between some facilities was taking place or was planned, for technology transfer or coordination of schedules (e.g., for SADP demonstrations), poor communication between these facilities could lead to a lack of technical standards, duplication of effort, poorly defined interfaces, scheduling problems, and increased cost. Formal mechanisms by which effective communication and cooperative problem solving can take place, and information can be disseminated, must be defined. A solution is proposed for the communications aspects of the issues addressed above; and offered at the same time a solution which can prove effective in dealing with some of the problems being encountered with expertise being lost via retirement or defection to the private sector. The proffered recommendations are recognizably cost-effective and tap the rising sector of expert knowledge being produced by the American academic community.

  16. Design of an epithermal column for BNCT based on D D fusion neutron facility

    NASA Astrophysics Data System (ADS)

    Durisi, E.; Zanini, A.; Manfredotti, C.; Palamara, F.; Sarotto, M.; Visca, L.; Nastasi, U.

    2007-05-01

    Boron Neutron Capture Therapy (BNCT) is currently performed on patients at nuclear reactors. At the same time the international BNCT community is engaged in the development of alternative facilities for in-hospital treatments. This paper investigates the potential of a novel high-output D-D neutron generator, developed at Lawrence Berkeley National Laboratory (CA, USA), for BNCT. The simulation code MCNP-4C is used to realize an accurate study of the epithermal column in view of the treatment of deep tumours. Different materials and Beam Shaping Assemblies (BSA) are investigated and an optimized configuration is proposed. The neutron beam quality is defined by the standard free beam parameters, calculated averaging over the collimator aperture. The results are discussed and compared with the performances of other facilities.

  17. Impact of waste disposal on health of a poor urban community in Zimbambwe.

    PubMed

    Makoni, F S; Ndamba, J; Mbati, P A; Manase, G

    2004-08-01

    To assess excreta and waste disposal facilities available and their impact on sanitation related diseases in Epworth, an informal settlement on the outskirts of Harare. Descriptive cross-sectional survey. This was a community based study of Epworth informal settlement. A total of 308 households were interviewed. Participating households were randomly selected from the three communities of Epworth. Secondary medical archival data on diarrhoeal disease prevalence was collected from local clinics and district health offices in the study areas. Only 7% of households were connected to the sewer system. The study revealed that in Zinyengere extension 13% had no toilet facilities, 48% had simple pits and 37% had Blair VIP latrines. In Overspill 2% had no toilet facilities, 28% had simple latrines and 36% had Blair VIP latrines while in New Gada 20% had no toilet facilities, 24% had simple pits and 23% had Blair VIP latrines. Although a significant percentage had latrines (83.2%), over 50% of the population were not satisfied with the toilet facilities they were using. All the respondents expressed dissatisfaction with their domestic waste disposal practices with 46.6% admitting to have indiscriminately dumped waste. According to the community, diarrhoeal diseases were the most prevalent diseases (50%) related to poor sanitation. Health statistics also indicated that diarrhoea was a major problem in this community. It is recommended that households and the local authorities concentrate on improving the provision of toilets, water and waste disposal facilities as a way of improving the health state of the community.

  18. Practice of skin-to-skin contact, exclusive breastfeeding and other newborn care interventions in Ethiopia following promotion by facility and community health workers: results from a prospective outcome evaluation.

    PubMed

    Callaghan-Koru, Jennifer A; Estifanos, Abiy Seifu; Sheferaw, Ephrem Daniel; de Graft-Johnson, Joseph; Rosado, Carina; Patton-Molitors, Rachel; Worku, Bogale; Rawlins, Barbara; Baqui, Abdullah

    2016-12-01

    To assess the effects of a facility and community newborn intervention package on coverage of early skin-to-skin contact (SSC) and exclusive breastfeeding - the therapeutic components of kangaroo mother care. A multilevel community and facility intervention in Ethiopia trained health workers in 10 health centres and the surrounding communities to promote early SSC and exclusive breastfeeding for all babies born at home or in the facility. Changes in SSC and exclusive breastfeeding were assessed by comparing baseline and endline household surveys. Overall practice of SSC at any time following delivery increased significantly from 13.1 to 44.1% of mothers. Coverage of immediate SSC also increased significantly from 8.4 to 24.1%. Breastfeeding within the first hour increased from 51.4 to 67.9% and exclusive breastfeeding within the first three days increased from 86 to 95.8%. At endline, SSC was significantly higher among facility births than home births and community health workers had limited contact with mothers. While targeted behaviours improved overall, the programme did not achieve adequate increases in SSC and exclusive breastfeeding among home deliveries to expect a reduction in mortality for low birthweight babies. Newborn care programs in Ethiopia should continue to encourage facility delivery while strengthening coverage of community programmes. ©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  19. NSLS 2006 ACTIVITY REPORT (NATIONAL SYNCHROTRON LIGHT SOURCE ACTIVITY REPORT 2006)

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

    MILLER, L.

    This past year has seen both challenges and fantastic new opportunities for the user community at the NSLS. The fantastic new opportunities are clear and abundant. We now have a five-year strategic plan for new development and continued operation of the NSLS. The NSLS continues to be an extremely productive facility, and the UEC is delighted at how NSLS Chair Chi-Chang Kao has consulted widely within the user community to develop a five-year plan for strategic upgrades and continued operation of the facility. The NSLS-II project, led by Associate Lab Director Steve Dierker, has done very well in its Departmentmore » of Energy (DOE) reviews and will hopefully soon receive Critical Decision-1 (CD-1) approval, which in DOE lingo gives a go-ahead to launch the detailed design of the facility. We also held the first joint user meeting between the NSLS and Brookhaven's Center for Functional Nanomaterials (CFN), for which the building is near completion. The joint user meeting is an important step toward the close collaboration of the two facilities. The CFN, led by Emilio Mendez, promises to provide capabilities and research foci that are complementary to those at the NSLS. Together, all of these developments give a clear path to an exciting future of synchrotron radiation research at Brookhaven! However, with opportunities come challenges! One of the largest of these faced in the past year involved congressional support for scientific research in general, and DOE user facilities in particular. As you likely know, Congress did not complete its usual budget process in 2006, with the exceptions of the departments of Defense and Homeland Security. This left science funding at the budget levels enacted in late 2005 for FY2006, and unfortunately, FY2006 was not a particularly memorable vintage for science support. The good news is that you, the user community, have spoken up with unprecedented vigor about this, and Congress appears to be listening. As we look at the FY2007 budget and the years to follow, we need to continue to educate our elected representatives about the benefits that are provided to our society and our economy by scientific investigation including research done at DOE user facilities like the NSLS. We face another interesting challenge as the NSLS-II project progresses: the formation of scientific research teams associated with particular beamlines at the new facility. In early 2007, the final draft of the conceptual design report will be available, which will describe the projected capabilities of NSLS-II, and we can expect a workshop in mid-2007 to launch the process leading to letters of intent for beamlines. This process will include lots of discussion about access modes, as we seek ways to allow scientific and technical innovators from the user community to play significant roles at NSLS-II.« less

  20. Capital Projects Manual for the Illinois Public Community Colleges.

    ERIC Educational Resources Information Center

    Illinois Community Coll. Board, Springfield.

    This manual is designed primarily for use by those persons at Illinois public community colleges who are responsible for planning and keeping records of college facilities. The Illinois Community College Board (ICCB) is mandated by law to approve the expenditure of state funds for purchase of sites and the construction of facilities and to…

  1. 38 CFR 17.71 - Revocation of VA approval.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Community Residential Care § 17.71 Revocation of VA approval. (a) If a hearing official determines under § 17.70 of this part that a community residential care facility does not comply with the standards set forth in § 17.63 of this part and determines that the community residential care facility shall not have...

  2. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for any...

  3. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for any...

  4. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for any...

  5. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for any...

  6. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for any...

  7. The current status and future direction of high magnetic field science in the United States

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

    Lancaster, James

    2013-11-01

    This grant provided partial support for the National Research Council (NRC) study that assesses the current status of high magnetic field research in the United States and provides recommendations to guide the future of research and technology development for this area given the needs of user communities and in the context of other programs worldwide. A pdf version of the report is available for download, for free, at http://www.nap.edu/catalog.php?record_id=18355. The science drivers fall into 4 broad areas—(1) condensed matter and materials physics; (2) chemistry, biochemistry, and biology; (3) medical and life science studies; and (4) other fields such as high-energymore » physics, plasma physics, and particle astrophysics. Among the topics covered in the report’s findings, conclusions, and recommendations are a recognition that there is a continuing need for a centralized facility but also that clear benefits will flow to research communities from decentralized facilities. According to the report, support agencies should evaluate whether to establish such facilities when 32 Tesla superconducting magnets become available. The report also recommends the provision of facilities that combine magnetic fields with scattering facilities and THz radiation sources, and sets out specific magnet goals for magnets needed in several areas of research.« less

  8. Financing Facility Improvements for Out-of-School Time and Community School Programs. Strategy Brief. Vol. 1 No. 4.

    ERIC Educational Resources Information Center

    Flynn, Margaret

    This strategy brief presents general principles and strategies for financing facility improvements and highlights five examples of innovative strategies found throughout the United States. The strategies described concern facility improvements for out-of-school time and community school programs and include the following: (1) accessing school…

  9. Systems Check: Community Colleges Turn to Facilities Assessments to Plan Capital Projects and Avoid Expensive Emergency Repairs

    ERIC Educational Resources Information Center

    Joch, Alan

    2014-01-01

    With an emphasis on planning and cutting costs to make better use of resources, facilities managers at community colleges across the nation have undertaken facilities audits usually with the help of outside engineers. Such assessments analyze the history and structural integrity of buildings and core components on campus, including heating…

  10. Mental health community based funding: Ohio's experience in revising its funding allocation methodology.

    PubMed

    Seiber, Eric E; Sweeney, Helen Anne; Partridge, Jamie; Dembe, Allard E; Jones, Holly

    2012-10-01

    Over the past 20 years, states have increasingly moved away from centrally financed, state-operated facilities to financing models built around community-based service delivery mechanisms. This paper identifies four important broad factors to consider when developing a funding formula to allocate state funding for community mental health services to local boards in an equitable manner, based on local community need: (1) funding factors used by other states; (2) state specific legislative requirements; (3) data availability; and (4) local variation of factors in the funding formula. These considerations are illustrated with the recent experience of Ohio using available evidence and data sources to develop a new community-based allocation formula. We discuss opportunities for implementing changes in formula based mental health funding related to Medicaid expansions for low income adults scheduled to go into effect under the new Patient Protection and Affordable Care Act.

  11. Communities ready for takeoffIntegrating social assets for biofuel site-selection modeling.

    PubMed

    Rijkhoff, Sanne A M; Hoard, Season A; Gaffney, Michael J; Smith, Paul M

    2017-01-01

    Although much of the social science literature supports the importance of community assets for success in many policy areas, these assets are often overlooked when selecting communities for new infrastructure facilities. Extensive collaboration is crucial for the success of environmental and economic projects, yet it often is not adequately addressed when making siting decisions for new projects. This article develops a social asset framework that includes social, creative, and human capital to inform site-selection decisions. This framework is applied to the Northwest Advanced Renewables Alliance project to assess community suitability for biofuel-related developments. This framework is the first to take all necessary community assets into account, providing insight into successful site selection beyond current models. The framework not only serves as a model for future biorefinery projects but also guides tasks that depend on informed location selection for success.

  12. Coordinating an interdisciplinary disease management conference on a military installation: collaboration between military and civilian communities, lessons learned.

    PubMed

    Lewis-Fleming, Glenda; Knapp, Casey A

    2009-08-01

    The needs of individuals with chronic diseases or disabilities are similar whether within military or civilian communities. With finite resources and the continuing global war on terrorism, military treatment facilities (MTFs) may find collaborative, multidisciplinary, continuing education efforts with community agencies invaluable. Collaborative efforts that bring military and civilian communities together can result in innovative programs that offer cost-effective high-quality information to enhance the knowledge and skill level of military families, providers, and other professionals who provide services and care for military eligible beneficiaries. This article addresses the development and implementation of two major multidisciplinary disease management conferences at Naval Medical Center Portsmouth (NMCP), Virginia. It provides an overview of lessons learned in the areas of preplanning, team building, program development, implementation, and evaluation. Despite challenges, tremendous benefits may be reaped from efforts to include diverse target populations from military and civilian communities.

  13. Atmospheric Radiation Measurement (ARM) Climate Research Facility Management Plan

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

    Mather, James

    2016-04-01

    Mission and Vision Statements for the U.S. Department of Energy (DOE)’s Atmospheric Radiation Measurement (ARM) Climate Research Facility Mission The ARM Climate Research Facility, a DOE scientific user facility, provides the climate research community with strategically located in situ and remote-sensing observatories designed to improve the understanding and representation, in climate and earth system models, of clouds and aerosols as well as their interactions and coupling with the Earth’s surface. Vision To provide a detailed and accurate description of the Earth atmosphere in diverse climate regimes to resolve the uncertainties in climate and Earth system models toward the development ofmore » sustainable solutions for the nation's energy and environmental challenges.« less

  14. Assessing economic impact of storm surge under projected sea level rise scenarios

    NASA Astrophysics Data System (ADS)

    Del Angel, D. C.; Yoskowitz, D.

    2017-12-01

    Global sea level is expected to rise 0.2-2m by the year 2100. Rising sea level is expected to have a number of impacts such as erosion, saltwater intrusion, and decline in coastal wetlands; all which have direct and indirect socio-economic impact to coastal communities. By 2050, 25% of the world's population will reside within flood-prone areas. These statistics raise a concern for the economic cost that sea level and flooding has on the growing coastal communities. Economic cost of storm surge inundation and rising seas may include loss or damage to public facilities and infrastructure that may become temporarily inaccessible, as well as disruptions to business and services. This goal of this project is to assess economic impacts of storms under four SLR scenarios including low, intermediate-low, intermediate-high, and high (0.2m, 0.5m, 1.2m and 2m, respectively) in the Northern Gulf of Mexico region. To assess flooding impact on communities from storm surge, this project utilizes HAZUS-MH software - a Geographic Information System (GIS)-based modeling tool developed by the Federal Emergency Management Agency - to estimate physical, economic, and social impacts of natural disasters such as floods, earthquakes and hurricanes. The HAZUS database comes integrated with aggregate and site specific inventory which includes: demographic data, general building stock, agricultural statistics, vehicle inventory, essential facilities, transportation systems, utility systems (among other sensitive facilities). User-defined inundation scenarios will serve to identify assets at risk and damage estimates will be generated using the Depth Damage Function included in the HAZUS software. Results will focus on 3 communities in the Gulf and highlight changes in storm flood impact. This approach not only provides a method for economic impact assessment but also begins to create a link between ecosystem services and natural and nature-based features such as wetlands, beaches and dunes. Results from this analysis can provide actionable information needed for policy development and planning for coastal communities.

  15. Geographic access to specialty mental health care across high- and low-income U.S. communities

    PubMed Central

    Cummings, Janet R.; Allen, Lindsay; Clennon, Julie; Ji, Xu; Druss, Benjamin G.

    2017-01-01

    Importance With the future of the Affordable Care Act and Medicaid program unclear, it is critical to examine the geographic availability of specialty mental health (MH) treatment resources that serve low-income populations across local communities. Objective To examine the geographic availability of community-based specialty MH treatment resources and how these resources are distributed by community socioeconomic status (SES). Design Measures of MH specialty resource availability were derived for 31,836 zip-code tabulation areas (ZCTAs) using national data. Analyses examined the association between community SES (assessed by median household income quartiles) and resource availability using logistic regressions. Models controlled for ZCTA-level demographic characteristics and state indicators. Main Outcome Measures Dichotomous indicators for whether a ZCTA had any: (1) outpatient MH treatment facility (more than nine-tenths of which offer payment arrangements for low-income populations); (2) office-based practice of MH specialist physician(s); (3) office-based practice of non-physician MH practitioners (e.g., therapists); and (4) facility or office-based practice (i.e., any resource). Results More than four-tenths (42.5%) of communities in the highest income quartile had any community-based MH treatment resource versus 23.1% of communities in the lowest income quartile (Adjusted odds ratio [AOR]=1.74, 95% Confidence Interval [CI]=1.50,2.03). When examining the distribution of MH specialist providers, 25.3% of the highest income communities had any MH specialist physician practice versus 8.0% of the lowest income communities (AOR=3.04, 95% CI=2.53,3.66). Similarly, 35.1% of the highest income communities had any non-physician MH specialist practice versus 12.9% of the lowest income communities (AOR=2.77, 95% CI=2.35,3.26). In contrast, MH treatment facilities were less likely to be located in the highest versus lowest income communities (12.9% versus 16.5%, AOR=0.43, 95% CI=0.37,0.51). Over seven-tenths of the lowest income communities with any resource had an outpatient MH treatment facility. Conclusions and Relevance MH treatment facilities are more likely to be located in poorer communities, whereas office-based practices of MH specialist providers are more likely to be located in higher income communities. These findings indicate that MH treatment facilities constitute the backbone of the specialty MH treatment infrastructure in low-income communities. Policies are needed to support and expand available resources for this critical infrastructure. PMID:28384733

  16. The NASA Regional Planetary Image Facility (RPIF) Network: A Key Resource for Accessing and Using Planetary Spatial Data

    NASA Astrophysics Data System (ADS)

    Hagerty, J. J.

    2017-12-01

    The role of the NASA Regional Planetary Image Facility (RPIF) Network is evolving as new science-ready spatial data products continue to be created and as key historical planetary data sets are digitized. Specifically, the RPIF Network is poised to serve specialized knowledge and services in a user-friendly manner that removes most barriers to locating, accessing, and exploiting planetary spatial data, thus providing a critical data access role within a spatial data infrastructure. The goal of the Network is to provide support and training to a broad audience of planetary spatial data users. In an effort to meet the planetary science community's evolving needs, we are focusing on the following objectives: Maintain and improve the delivery of historical data accumulated over the past four decades so as not to lose critical, historical information. This is being achieved by systematically digitizing fragile materials, allowing increased access and preserving them at the same time. Help users locate, access, visualize, and exploit planetary science data. Many of the facilities have begun to establish Guest User Facilities that allow researchers to use and/or be trained on GIS equipment and other specialized tools like Socet Set/GXP photogrammetry workstations for generating digital elevation maps. Improve the connection between the Network nodes while also leveraging the unique resources of each node. To achieve this goal, each facility is developing and sharing searchable databases of their collections, including robust metadata in a standards compliant way. Communicate more effectively and regularly with the planetary science community in an effort to make potential users aware of resources and services provided by the Network, while also engaging community members in discussions about community needs. Provide a regional resource for the science community, colleges, universities, museums, media, and the public to access planetary data. Introduce new strategies for visualizing planetary data and products (e.g., 3D printing and virtual reality platforms/experiences). We anticipate that in a few years virtual reality tools will be an integral part of data analysis, providing more intuitive understanding of multiple complex data sets.

  17. Fostering good governance at peripheral public health facilities: an experience from Nepal.

    PubMed

    Gurung, G; Tuladhar, S

    2013-01-01

    The Nepalese primary healthcare system at sub-district level consists of three different levels of health facility to serve the mostly rural population. The Ministry of Health and Population decentralised health services by handing over 1433 health facilities in 28 districts to Health Facility Operation and Management Committees (HFOMCs), which were formed following a public meeting, and consist of 9 to 13 members, representing the health facility in-charge, elected members of the village development committee, dalit (disadvantaged caste) and women members. The purpose was to make this local committee responsible for managing all affairs of the health facility. However, the handing over of the health facilities to HFOMCs was not matched by an equivalent increase in the managerial capacity of the members, which potentially makes this initiative ineffective. The Health Facility Management Strengthening Program was implemented in 13 districts to foster good governance in the health facilities by increasing the capacity of HFOMCs. This effort focuses on capacity building of HFOMCs as a continuous process rather than a one-off event. Training, follow-up and promotional activities were conducted. This article focuses on how good governance at the peripheral public health facilities in Nepal can be fostered through the active engagement and capacity building of HFOMCs. This article used baseline and monitoring data collected during technical support visits to HFOMCs and their members between July 2008 and October 2011. The results show that the Health Facility Management Strengthening Program was quite successful in strengthening local health governance in the health facilities. The level of community engagement in governance improved, that is, the number of effective HFOMC meetings increased, the inclusion of dalit/women members in the decision-making process expanded, resource mobilization was facilitated, and community accountability, as measured by health facility opening days, increased. Furthermore, availability of technical staff, supervision and monitoring, and display of the citizen charter increased, and health services became more inclusive. Several lessons emerged. Functioning of HFOMCs is largely dependent on the process of selecting members, the staff and community's support of the HFOMC, and a sense of volunteerism and team spirit among the members. Similarly, to ensure the effective participation of dalit/woman members, the educational and livelihood empowerment of the members is deemed necessary. Furthermore, capacity building of and giving authority to HFOMCs should go hand-in-hand. Local governance of health facilities was fostered through the local people's active engagement in HFOMCs and capacity building of the HFOMC members.

  18. The Core and Seasonal Microbiota of Raw Bovine Milk in Tanker Trucks and the Impact of Transfer to a Milk Processing Facility

    PubMed Central

    Kable, Mary E.; Srisengfa, Yanin; Laird, Miles; Zaragoza, Jose; McLeod, Jeremy; Heidenreich, Jessie

    2016-01-01

    ABSTRACT Currently, the bacterial composition of raw milk in tanker trucks and the outcomes of transfer and storage of that milk at commercial processing facilities are not well understood. We set out to identify the bacteria in raw milk collected for large-scale dairy product manufacturing. Raw bovine milk samples from 899 tanker trucks arriving at two dairy processors in San Joaquin Valley of California during three seasons (spring, summer, and fall) were analyzed by community 16S rRNA gene sequencing. This analysis revealed highly diverse bacterial populations, which exhibited seasonal differences. Raw milk collected in the spring contained the most diverse bacterial communities, with the highest total cell numbers and highest proportions being those of Actinobacteria. Even with this complexity, a core microbiota was present, consisting of 29 taxonomic groups and high proportions of Streptococcus and Staphylococcus and unidentified members of Clostridiales. Milk samples were also collected from five large-volume silos and from 13 to 25 tankers whose contents were unloaded into each of them during 2 days in the summer. Transfer of the milk to storage silos resulted in two community types. One group of silos contained a high proportion of Streptococcus spp. and was similar in that respect to the tankers that filled them. The community found in the other group of silos was distinct and dominated by Acinetobacter. Overall, despite highly diverse tanker milk community structures, distinct milk bacterial communities were selected within the processing facility environment. This knowledge can inform the development of new sanitation procedures and process controls to ensure the consistent production of safe and high-quality dairy products on a global scale. PMID:27555305

  19. Availability of Youth Services in U.S. Mental Health Treatment Facilities

    PubMed Central

    Cummings, Janet R.; Case, Brady G.; Ji, Xu; Marcus, Steven C.

    2015-01-01

    Despite concern about access to mental health (MH) services for youth, little is known about the specialty treatment infrastructure serving this population. We used national data to examine which types of MH treatment facilities (hospital- and community-based) were most likely to offer youth services and which types of communities were most likely to have this infrastructure. Larger (p<0.001) and privately owned (p<0.001) facilities were more likely to offer youth services. Rural counties, counties in which a majority of residents were nonwhite, and/or counties with a higher percentage of uninsured residents were less likely to have a community-based MH treatment facility that served youth (p<0.001). PMID:26467795

  20. The Capacity to Consent to Research among Older Adults

    ERIC Educational Resources Information Center

    Lee, Minhong

    2010-01-01

    The aim of this study was to develop and validate an assessment tool for research consent competence in older participants. A four-item instrument was developed to assess the capacity of the older adults to consent to research. Data were obtained from 203 nursing home residents from two facilities and 201 community-dwelling older adults in a…

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