ERIC Educational Resources Information Center
Lane, Amber Marie
2013-01-01
This study applies the Gap Analysis Framework to understand the gaps that exist in human resource allocation of one Southern California school district. Once identified, gaps are closed with the reallocation of human resources, according to the Evidenced Based Model, requiring the re-purposing of core classroom teachers, specialists, special…
ERIC Educational Resources Information Center
Johnson, Clarence; Kritsonis, William Allan
2007-01-01
This article addresses several key ongoing issues in a large urban school district. Literature focuses on what make a large urban school district effective in Human Resource Management. The effectiveness is addressed through recruitment and retention practices. A comparison of the school district with current research is the main approach to the…
ERIC Educational Resources Information Center
Nguyen, Dominic
2013-01-01
The purpose of this study was to examine the dispersion of human capital resources within one school district in southern California and compare the use of personnel at each school to the desired allocation informed by the district's strategies and staffing formula. The district's resource distribution was also compared to that of the Evidence…
ERIC Educational Resources Information Center
Mascall, Blair; Leung, Joannie
2012-01-01
In a study of Ontario, Canada's province-wide Primary Class Size Reduction (PCS) Initiative, school districts' ability to direct and support schools was related to their experience with planning and monitoring, interest in innovation, and its human and fiscal resource base. Districts with greater "resource capacity" were able to…
From Bystander to Ally: Transforming the District Human Resources Department
ERIC Educational Resources Information Center
Campbell, Christine; DeArmond, Michael; Schumwinger, Abigail
2004-01-01
Although policymakers and academics tend to overlook the behind-the-scenes role that district human resources (HR) departments play in education, the HR office's effect is far from small. HR departments determine whether qualified teacher candidates make it to the classroom, or slip through the cracks. They can help principals find teachers who…
ERIC Educational Resources Information Center
Phelan, Patrick M.
2010-01-01
This is a study of the practices utilized by four school districts, two with high and two with low retention rates of teachers, to examine how similarities and differences in selected human resources practices relate to the successful retention of teachers in these districts. The factors studied that may impact teacher retention included…
ERIC Educational Resources Information Center
Glazener, Adrianna Kathleen
2013-01-01
This study applied the Evidence-Based Model (Odden & Picus, 2008) as a framework for determining how district leadership could potentially reallocate human resources to maximize the opportunity for student achievement, relying heavily on the ten strategies for doubling student performance (Odden, 2009; Odden & Archibald, 2009) and the…
The Reallocation of Human Resources to Improve Student Achievement in a Time of Fiscal Constraints
ERIC Educational Resources Information Center
Behar, Steve
2013-01-01
This study compared the allocation of human resources of a K-12 unified school district in Southern California to the Evidence-Based model (Odden & Picus, 2008). Using document analysis and interviews of key administrators of the district, data was input into a spreadsheet to identify gaps between current practice and the Evidence-Based model.…
Toward Strategic Human Resource Management in the Central Office
ERIC Educational Resources Information Center
Mosley Linhardt, Heather LeAnn
2011-01-01
The purpose of this study was to identify and explore how human resources are managed, what human resource management can look like, and what organizational issues, tensions, and ambiguities are likely to surface as a district central office moves toward being more strategic with their human resources. The research design was an exploratory case…
ERIC Educational Resources Information Center
DeArmond, Michael
2013-01-01
This dissertation is about how organizational politics--or what some scholars call micro-politics--shapes the implementation of comprehensive human resource (HR) reform in school district central offices. Over the last decade, education reformers and advocates have promoted comprehensive HR reform as a way to improve teaching and learning in K-12…
Retention of health workers in Malawi: perspectives of health workers and district management
Manafa, Ogenna; McAuliffe, Eilish; Maseko, Fresier; Bowie, Cameron; MacLachlan, Malcolm; Normand, Charles
2009-01-01
Background Shortage of human resources is a major problem facing Malawi, where more than 50% of the population lives in rural areas. Most of the district health services are provided by clinical health officers specially trained to provide services that would normally be provided by fully qualified doctors or specialists. As this cadre and the cadre of enrolled nurses are the mainstay of the Malawian health service at the district level, it is important that they are supported and motivated to deliver a good standard of service to the population. This study explores how these cadres are managed and motivated and the impact this has on their performance. Methods A quantitative survey measured health workers' job satisfaction, perceptions of the work environment and sense of justice in the workplace, and was reported elsewhere. It emerged that health workers were particularly dissatisfied with what they perceived as unfair access to continuous education and career advancement opportunities, as well as inadequate supervision. These issues and their contribution to demotivation, from the perspective of both management and health workers, were further explored by means of qualitative techniques. Focus group discussions were held with health workers, and key-informant interviews were conducted with members of district health management teams and human resource officers in the Ministry of Health. The focus groups used convenience sampling that included all the different cadres of health workers available and willing to participate on the day the research team visited the health facility. The interviews targeted district health management teams in three districts and the human resources personnel in the Ministry of Health, also sampling those who were available and agreed to participate. Results The results showed that health workers consider continuous education and career progression strategies to be inadequate. Standard human resource management practices such as performance appraisal and the provision of job descriptions were not present in many cases. Health workers felt that they were inadequately supervised, with no feedback on performance. In contrast to health workers, managers did not perceive these human resources management deficiencies in the system as having an impact on motivation. Conclusion A strong human resource management function operating at the district level is likely to improve worker motivation and performance. PMID:19638222
Retention of health workers in Malawi: perspectives of health workers and district management.
Manafa, Ogenna; McAuliffe, Eilish; Maseko, Fresier; Bowie, Cameron; MacLachlan, Malcolm; Normand, Charles
2009-07-28
Shortage of human resources is a major problem facing Malawi, where more than 50% of the population lives in rural areas. Most of the district health services are provided by clinical health officers specially trained to provide services that would normally be provided by fully qualified doctors or specialists. As this cadre and the cadre of enrolled nurses are the mainstay of the Malawian health service at the district level, it is important that they are supported and motivated to deliver a good standard of service to the population. This study explores how these cadres are managed and motivated and the impact this has on their performance. A quantitative survey measured health workers' job satisfaction, perceptions of the work environment and sense of justice in the workplace, and was reported elsewhere. It emerged that health workers were particularly dissatisfied with what they perceived as unfair access to continuous education and career advancement opportunities, as well as inadequate supervision. These issues and their contribution to demotivation, from the perspective of both management and health workers, were further explored by means of qualitative techniques.Focus group discussions were held with health workers, and key-informant interviews were conducted with members of district health management teams and human resource officers in the Ministry of Health. The focus groups used convenience sampling that included all the different cadres of health workers available and willing to participate on the day the research team visited the health facility. The interviews targeted district health management teams in three districts and the human resources personnel in the Ministry of Health, also sampling those who were available and agreed to participate. The results showed that health workers consider continuous education and career progression strategies to be inadequate. Standard human resource management practices such as performance appraisal and the provision of job descriptions were not present in many cases. Health workers felt that they were inadequately supervised, with no feedback on performance. In contrast to health workers, managers did not perceive these human resources management deficiencies in the system as having an impact on motivation. A strong human resource management function operating at the district level is likely to improve worker motivation and performance.
ERIC Educational Resources Information Center
Della Sala, Matthew R.; Klar, Hans W.; Lindle, Jane Clark; Reese, Kenyae L.; Knoeppel, Robert C.; Campbell, Michael; Buskey, Frederick C.
2013-01-01
Despite the key role that principals play in leading schoolwide change, districts' efforts to support principals are often limited, particularly in rural settings. In this article, we report the preliminary findings of a cross-district mentoring program for nine midcareer rural school principals. The collaboratively developed human resource…
ERIC Educational Resources Information Center
Meyers, Coby; Bhatt, Monica; Wraight, Sara; Behrstock, Ellen; Cushing, Ellen
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
ERIC Educational Resources Information Center
Meyer, Cassandra; Bhatt, Monica; Wraight, Sara; Behrstock, Ellen; Cushing, Ellen
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
ERIC Educational Resources Information Center
Cushing, Ellen; Bhatt, Monica; Wraight, Sara; Behrstock, Ellen; Meyer, Cassandra
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
ERIC Educational Resources Information Center
Bhatt, Monica; Behrstock, Ellen; Cushing, Ellen; Wraight, Sara
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
ERIC Educational Resources Information Center
Behrstock, Ellen; Bhatt, Monica; Cushing, Ellen; Wraight, Sara
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
ERIC Educational Resources Information Center
Meyer, Cassandra; Bhatt, Monica; Wraight, Sara; Behrstock, Ellen; Cushing, Ellen
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
ERIC Educational Resources Information Center
Bhatt, Monica; Wraight, Sara; Behrstock, Ellen; Cushing, Ellen
2010-01-01
Training, recruiting, developing, and supporting talented and effective educators throughout their careers is known as human capital resource management (HCRM) in education. HCRM has been identified in recent literature as one of the ways in which districts and states may increase school effectiveness and improve student learning (Heneman &…
An Analysis of Rural Unemployment Using a Human Resources Development Perspective.
ERIC Educational Resources Information Center
Napier, Ted L.; Jarrett, Charles W.
Investigation indicated factors other than human resource variables must be used to understand unemployment status. Based on a 1979 survey of a random sample (N=640) of rural adult California residents from a multi-county development district, 15 human resource development factors (including educational level, job training, match of work skills…
ERIC Educational Resources Information Center
Sais, Melissa Marie
2013-01-01
The purpose of this study was to analyze human resource allocation data for all elementary schools in large urban school district to determine whether resources were allocated in ways in that research suggests can lead to improved student achievement. Data from all 46 elementary schools that participated in the study were compared to the…
Estimating Resource Costs of Levy Campaigns in Five Ohio School Districts
ERIC Educational Resources Information Center
Ingle, W. Kyle; Petroff, Ruth Ann; Johnson, Paul A.
2011-01-01
Using Levin and McEwan's (2001) "ingredients method," this study identified the major activities and associated costs of school levy campaigns in five districts. The ingredients were divided into one of five cost categories--human resources, facilities, fees, marketing, and supplies. As to overall costs of the campaigns, estimates ranged…
District health managers' perceptions of supervision in Malawi and Tanzania.
Bradley, Susan; Kamwendo, Francis; Masanja, Honorati; de Pinho, Helen; Waxman, Rachel; Boostrom, Camille; McAuliffe, Eilish
2013-09-05
Mid-level cadres are being used to address human resource shortages in many African contexts, but insufficient and ineffective human resource management is compromising their performance. Supervision plays a key role in performance and motivation, but is frequently characterised by periodic inspection and control, rather than support and feedback to improve performance. This paper explores the perceptions of district health management teams in Tanzania and Malawi on their role as supervisors and on the challenges to effective supervision at the district level. This qualitative study took place as part of a broader project, "Health Systems Strengthening for Equity: The Power and Potential of Mid-Level Providers". Semi-structured interviews were conducted with 20 district health management team personnel in Malawi and 37 council health team members in Tanzania. The interviews covered a range of human resource management issues, including supervision and performance assessment, staff job descriptions and roles, motivation and working conditions. Participants displayed varying attitudes to the nature and purpose of the supervision process. Much of the discourse in Malawi centred on inspection and control, while interviewees in Tanzania were more likely to articulate a paradigm characterised by support and improvement. In both countries, facility level performance metrics dominated. The lack of competency-based indicators or clear standards to assess individual health worker performance were considered problematic. Shortages of staff, at both district and facility level, were described as a major impediment to carrying out regular supervisory visits. Other challenges included conflicting and multiple responsibilities of district health team staff and financial constraints. Supervision is a central component of effective human resource management. Policy level attention is crucial to ensure a systematic, structured process that is based on common understandings of the role and purpose of supervision. This is particularly important in a context where the majority of staff are mid-level cadres for whom regulation and guidelines may not be as formalised or well-developed as for traditional cadres, such as registered nurses and medical doctors. Supervision needs to be adequately resourced and supported in order to improve performance and retention at the district level.
District health managers’ perceptions of supervision in Malawi and Tanzania
2013-01-01
Background Mid-level cadres are being used to address human resource shortages in many African contexts, but insufficient and ineffective human resource management is compromising their performance. Supervision plays a key role in performance and motivation, but is frequently characterised by periodic inspection and control, rather than support and feedback to improve performance. This paper explores the perceptions of district health management teams in Tanzania and Malawi on their role as supervisors and on the challenges to effective supervision at the district level. Methods This qualitative study took place as part of a broader project, “Health Systems Strengthening for Equity: The Power and Potential of Mid-Level Providers”. Semi-structured interviews were conducted with 20 district health management team personnel in Malawi and 37 council health team members in Tanzania. The interviews covered a range of human resource management issues, including supervision and performance assessment, staff job descriptions and roles, motivation and working conditions. Results Participants displayed varying attitudes to the nature and purpose of the supervision process. Much of the discourse in Malawi centred on inspection and control, while interviewees in Tanzania were more likely to articulate a paradigm characterised by support and improvement. In both countries, facility level performance metrics dominated. The lack of competency-based indicators or clear standards to assess individual health worker performance were considered problematic. Shortages of staff, at both district and facility level, were described as a major impediment to carrying out regular supervisory visits. Other challenges included conflicting and multiple responsibilities of district health team staff and financial constraints. Conclusion Supervision is a central component of effective human resource management. Policy level attention is crucial to ensure a systematic, structured process that is based on common understandings of the role and purpose of supervision. This is particularly important in a context where the majority of staff are mid-level cadres for whom regulation and guidelines may not be as formalised or well-developed as for traditional cadres, such as registered nurses and medical doctors. Supervision needs to be adequately resourced and supported in order to improve performance and retention at the district level. PMID:24007354
ERIC Educational Resources Information Center
Al dakeel, Taghreed M.; Almannie, Mohamed A.
2015-01-01
The general school district of Riyadh is one of largest in the country of (45) school districts in Saudi Arabia. The school districts play an important roles in the development of education, therefore the objective of the study is to examine the roles of the management in the school districts to see if it is achieving competitive advantage. After…
Little Things Count: Principal and New Teacher Feedback about District Support in the Hiring Process
ERIC Educational Resources Information Center
Mac Iver, Martha Abele
2006-01-01
This study examines the role of district central offices in recruiting and hiring teachers and principals in an urban setting. Findings indicate many district human resources offices, particularly in urban settings, often lose quality candidates to suburban districts whose HR offices are better organized and pay closer attention to managing…
Heywood, Peter F; Harahap, Nida P
2009-02-03
In 2001 Indonesia embarked on a rapid decentralization of government finances and functions to district governments. One of the results is that government has less information about its most valuable resource, the people who provide the services. The objective of the work reported here is to determine the stock of human resources for health in 15 districts, their service status and primary place of work. It also assesses the effect of decentralization on management of human resources and the implications for the future. We enumerated all health care providers (doctors, nurses and midwives), including information on their employment status and primary place of work, in each of 15 districts in Java. Data were collected by three teams, one for each province. Provider density (number of doctors, nurses and midwives/1000 population) was low by international standards--11 out of 15 districts had provider densities less than 1.0. Approximately half of all three professional groups were permanent public servants. Contractual employment was also important for both nurses and midwives. The private sector as the primary source of employment is most important for doctors (37% overall) and increasingly so for midwives (10%). For those employed in the public sector, two-thirds of doctors and nurses work in health centres, while most midwives are located at village-level health facilities. In the health system established after Independence, the facilities established were staffed through a period of obligatory service for all new graduates in medicine, nursing and midwifery. The last elements of that staffing system ended in 2007 and the government has not been able to replace it. The private sector is expanding and, despite the fact that it will be of increasing importance in the coming decades, government information about providers in private practice is decreasing. Despite the promise of decentralization to increase sectoral "decision space" at the district level, the central government now has control over essentially all public sector health staff at the district level, marking a return to the situation of 20 years ago. At the same time, Indonesia has changed dramatically. The challenge now is to envision a new health system that takes account of these changes. Envisioning the new system is a crucial first step for development of a human resources policy which, in turn, will require more information about health care providers, public and private, and increased capacity for human resource planning.
Redesigning the District Operating System
ERIC Educational Resources Information Center
Hodas, Steven
2015-01-01
In this paper, we look at the inner workings of a school district through the lens of the "district operating system (DOS)," a set of interlocking mutually-reinforcing modules that includes functions like procurement, contracting, data and IT policy, the general counsel's office, human resources, and the systems for employee and family…
Code of Federal Regulations, 2010 CFR
2000-10-01
... Natural Resources 358 Subcommittees: Energy Research, Development, Production and Regulation... 358... Commodities, Resource Conservation and Credit 388 Livestock and Horticulture 388 Risk Management, Research... Service 407 Criminal Justice, Drug Policy and Human Resources......... 407 District of Columbia 408...
Human Resource Support for School Principals in Two, Urban School Districts: An Exploratory Study
ERIC Educational Resources Information Center
Lochmiller, Chad R.
2010-01-01
School districts are increasingly focused on instructional practice in classrooms. Many urban school districts have shifted decision-making responsibility to school principals in order to improve instruction. This reform strategy has been referred to as decentralization or school-based management. Decentralization has a significant influence on…
Beyond the biomedical: community resources for mental health care in rural Ethiopia.
Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw
2015-01-01
The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention.
Beyond the Biomedical: Community Resources for Mental Health Care in Rural Ethiopia
Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw
2015-01-01
Background The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. Method We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. Results The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. Discussion The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention. PMID:25962075
Koni, Phillip; Chishinga, Nathaniel; Nyirenda, Lameck; Kasonde, Prisca; Nsakanya, Richard; Welsh, Michael
2015-01-01
The FHI360-led Zambia Prevention Care and Treatment partnership II (ZPCT II) with funding from United States Agency for International Development, supports the Zambian Ministry of Health in scaling up HIV/AIDS services. To improve the quality of HIV/AIDS services, ZPCT II provides technical assistance until desired standards are met and districts are weaned-off intensive technical support, a process referred to as district graduation. This study describes the graduation process and determines performance domains associated with district graduation. Data were collected from 275 health facilities in 39 districts in 5 provinces of Zambia between 2008 and 2012. Performance in technical capacity, commodity management, data management and human resources domains were assessed in the following services areas: HIV counselling and testing and prevention of mother to child transmission, antiretroviral therapy/clinical care, pharmacy and laboratory. The overall mean percentage score was calculated by obtaining the mean of mean percentage scores for the four domains. Logistic regression models were used to obtain odds ratios (OR) and 95% confidence intervals (CI) for the domain mean percentage scores in graduated versus non-graduated districts; according to rural-urban, and province strata. 24 districts out of 39 graduated from intensive donor supported technical assistance while 15 districts did not graduate. The overall mean percentage score for all four domains was statistically significantly higher in graduated than non-graduated districts (93.2% versus 91.2%, OR = 1.34, 95%CI:1.20-1.49); including rural settings (92.4% versus 89.4%, OR = 1.43,95%CI:1.24-1.65). The mean percentage score in human resource domain was statistically significantly higher in graduated than non-graduated districts (93.6% versus 71.6%, OR = 5.81, 95%CI: 4.29-7.86) and in both rural and urban settings. QA/QI tools can be used to assess performance at health facilities and determine readiness for district graduation. Human resources management domain was found to be an important factor associated with district graduation.
Koni, Phillip; Chishinga, Nathaniel; Nyirenda, Lameck; Kasonde, Prisca; Nsakanya, Richard; Welsh, Michael
2015-01-01
Introduction The FHI360-led Zambia Prevention Care and Treatment partnership II (ZPCT II) with funding from United States Agency for International Development, supports the Zambian Ministry of Health in scaling up HIV/AIDS services. To improve the quality of HIV/AIDS services, ZPCT II provides technical assistance until desired standards are met and districts are weaned-off intensive technical support, a process referred to as district graduation. This study describes the graduation process and determines performance domains associated with district graduation. Methods Data were collected from 275 health facilities in 39 districts in 5 provinces of Zambia between 2008 and 2012. Performance in technical capacity, commodity management, data management and human resources domains were assessed in the following services areas: HIV counselling and testing and prevention of mother to child transmission, antiretroviral therapy/clinical care, pharmacy and laboratory. The overall mean percentage score was calculated by obtaining the mean of mean percentage scores for the four domains. Logistic regression models were used to obtain odds ratios (OR) and 95% confidence intervals (CI) for the domain mean percentage scores in graduated versus non-graduated districts; according to rural-urban, and province strata. Results 24 districts out of 39 graduated from intensive donor supported technical assistance while 15 districts did not graduate. The overall mean percentage score for all four domains was statistically significantly higher in graduated than non-graduated districts (93.2% versus 91.2%, OR = 1.34, 95%CI:1.20–1.49); including rural settings (92.4% versus 89.4%, OR = 1.43,95%CI:1.24–1.65). The mean percentage score in human resource domain was statistically significantly higher in graduated than non-graduated districts (93.6% versus 71.6%, OR = 5.81, 95%CI: 4.29–7.86) and in both rural and urban settings. Conclusions QA/QI tools can be used to assess performance at health facilities and determine readiness for district graduation. Human resources management domain was found to be an important factor associated with district graduation. PMID:26098555
A District Approach to Countering Afghanistan’s Insurgency
2009-12-01
actualization. Abraham Maslow , A Theory of Human Motivation, 1943, http://psychclassics.yorku.ca/ Maslow /motivation.htm (accessed October 29, 2009...Lyon Press, 2002. Maslow , Abraham . A Theory of Human Motivation, 1943. http://psychclassics.yorku.ca/ Maslow /motivation.htm (accessed October 29...established village and district political hierarchies may effectively deny insurgents sanctuary, critical resources, and serve to isolate and separate the
ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.
The Senate Committee on Labor and Human Resources met to hear two panels of witnesses discuss improving educational opportunities for low-income children, including provisions of Senate 847, to provide scholarship assistance for District of Columbia elementary and secondary school students. Opening remarks by Senators Coats, Lieberman, Reed, and…
Review of Human Resource Operations in the Charlotte-Mecklenburg Schools
ERIC Educational Resources Information Center
Council of the Great City Schools, 2006
2006-01-01
In October 2006, the Superintendent of the Charlotte-Mecklenburg Schools, asked the Council of the Great City Schools to examine the district's human resources division and to provide: (1) High level review of the division's organizational and administrative structure with recommendations for improvements; (2) Assessment of the effectiveness of…
Personnel vs. Strategic Human Resource Management in Public Education
ERIC Educational Resources Information Center
Tran, Henry
2015-01-01
Education human resources (HR) professionals have often been neglected in education research. This study seeks to better understand their role in the American school industry, by first examining how districts conceptualize the position of HR professionals and then exploring how the professionals themselves understand their role in school business.…
Promoting Instructional Improvement: A Strategic Human Resource Management Perspective
ERIC Educational Resources Information Center
Smylie, Mark A.; Wenzel, Stacy A.
2006-01-01
This report argues that instructional improvement, which goes hand-in-hand with efforts at education reform, can be promoted through the strategic use of human resource management (HRM) practices at the school, district, and state levels. The authors present information from the organizational and management literatures on how firms in several…
ERIC Educational Resources Information Center
Anthony, Taiwanna D.; Kritsonis, William Allan; Herrington, David E.
2007-01-01
Attracting the most highly qualified employees and matching them to a particular job in which they are best suited for is important for the success of any organization or urban school district, However, under the No Child Left Behind act, school districts are obligated to do just that. Urban school districts are enormously large and cannot permit…
ERIC Educational Resources Information Center
Moallem, Mahnaz; Micallef, Suzanne
Human resource positions that are becoming known as Technology Coordinator (for district-level personnel) and Technology Resource Teacher (for school-level personnel) have been created to help integrate technology into classroom instruction. This study assessed the progress and effectiveness of Technology Resource Teachers, or TRTs, as technical…
ERIC Educational Resources Information Center
Council of the Great City Schools, 2008
2008-01-01
In late 2007, the Council of the Great City Schools conducted a high-level management review of the school district's human resources, financial, and technology operations to: (1) Review and evaluate the leadership, management, organization, and operations of the respective departments; and (2) Develop recommendations and proposals that would…
ERIC Educational Resources Information Center
Lindjord, Denise
2002-01-01
Argues that recent federal education legislation will not eliminate unequal funding, school performance inequities, and student achievement gaps that have persisted in the poorest school districts. Asserts that adequate, equitable, and targeted human and financial resources and standards are necessary, and that the slight increases in federal…
AB 1725 Human Resources Development Plan for the Period July 1, 1989-June 30, 1990.
ERIC Educational Resources Information Center
Desert Community Coll. District, Palm Desert, CA.
Funds set aside by California Assembly Bill (AB) 1725 for staff development programs were used by the Desert Community College District (DCCD) to supplement its existing human resources development plan (HRDP). The HRDP, which was based on the results of a needs assessment of all employees, was designed to respond to the changing professional…
Hire Better Teachers Now: Using the Science of Selection to Find the Best Teachers for Your School
ERIC Educational Resources Information Center
Rose, Dale S.; English, Andrew; Finney, Treena Gillespie
2014-01-01
While it is clear that better teachers get better results with students, school leaders often put themselves at a disadvantage by not hiring the best teachers available. In this groundbreaking book, three human resource experts show how even small adjustments can help school districts' leaders, principals, and other human resource professionals…
Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Wyss, Kaspar
2016-01-14
There is increasing evidence that good district management practices can improve health system performance and conversely, that poor and inefficient management practices have detrimental effects. The aim of the present study was to identify factors contributing to inefficient management practices of district health managers and ways to improve their overall efficiency. Nineteen semi-structured interviews were conducted with district health managers in three districts of the Eastern Region in Ghana. The 19 interviews conducted comprised 90% of the managerial workforce in these districts in 2013. A thematic analysis was carried out using the WHO's leadership and management strengthening framework to structure the results. Key factors for inefficient district health management practices were identified to be: human resource shortages, inadequate planning and communication skills, financial constraints, and a narrow decision space that constrains the authority of district health managers and their ability to influence decision-making. Strategies that may improve managerial efficiency at both an individual and organizational level included improvements to planning, communication, and time management skills, and ensuring the timely release of district funds. Filling District Health Management Team vacancies, developing leadership and management skills of district health managers, ensuring a better flow of district funds, and delegating more authority to the districts seems to be a promising intervention package, which may result in better and more efficient management practices and stronger health system performance.
Manage "Human Capital" Strategically
ERIC Educational Resources Information Center
Odden, Allan
2011-01-01
To strategically manage human capital in education means restructuring the entire human resource system so that schools not only recruit and retain smart and capable individuals, but also manage them in ways that support the strategic directions of the organization. These management practices must be aligned with a district's education improvement…
ERIC Educational Resources Information Center
Jacobs, Karen Dupre; Kritsonis, William Allan
2006-01-01
Human resource management in education is a vital function of hiring, developing, nurturing, and sustaining highly-qualified personnel for the school system. In an age where strong accountability measures are in place, school districts across America must become aware of the types of teachers and administrative staff being selected and retained…
Standards for the Language Competence of French Immersion Teachers: Is There a Danger of Erosion
ERIC Educational Resources Information Center
Veilleux, Ingrid; Bournot-Trites, Monique
2005-01-01
We examined standards used by Canadian universities and British Columbia school districts to verify the language competence of French Immersion (FI) teachers in a time of shortage, confirmed by 56 per cent of school districts surveyed. Parents and Directors of Human Resources agreed on their minimum expectations about French teachers'…
ERIC Educational Resources Information Center
Youngs, Peter; Pogodzinski, Ben; Galey, Sarah
2015-01-01
Purpose: This study examined how labor-management relations between school districts and teacher associations seem to affect teacher contract provisions regarding the role of seniority in teacher assignment and how contract provisions and teacher assignment policies seem to affect beginning teachers' perceptions about their work environments.…
ERIC Educational Resources Information Center
Hassel, Bryan C.; Doyle, Daniela
2010-01-01
Despite the growing role of nontraditional providers and school operators, many school districts remain reticent, if not resolutely opposed, to turning over schools or even school functions like human resources to outside providers. Limiting the use of nontraditional providers, especially those with demonstrated effectiveness, hampers a district's…
Loveday, Jonathan; Sachdev, Sonal P; Cherian, Meena N; Katayama, Francisco; Akhtaruzzaman, A K M; Thomas, Joe; Huda, N; Faragher, E Brian; Johnson, Walter D
2017-07-01
Evaluate the capacity of government-run hospitals in Bangladesh to provide emergency and essential surgical, obstetric and anaesthetic services. Cross-sectional survey of 240 Bangladeshi Government healthcare facilities using the World Health Organisation Situational Analysis Tool to Assess Emergency and Essential Surgical Care (SAT). This tool evaluates the ability of a healthcare facility to provide basic surgical, obstetric and anaesthetic care based on 108 queries that detail the infrastructure and population demographics, human resources, surgical interventions and reason for referral, and available surgical equipment and supplies. For this survey, the Bangladeshi Ministry of Health sent the SAT to sub-district, district/general and teaching hospitals throughout the country in April 2013. Responses were received from 240 healthcare facilities (49.5% response rate): 218 sub-district and 22 district/general hospitals. At the sub-district level, caesarean section was offered by 55% of facilities, laparotomy by 7% and open fracture repair by 8%. At the district/general hospital level, 95% offered caesarean section, 86% offered laparotomy and 77% offered open fracture treatment. Availability of anaesthesia services, general equipment and supplies reflected this trend, where district/general hospitals were better equipped than sub-district hospitals, though equipment and infrastructure shortages persist. There has been overall impressive progress by the Bangladeshi Government in providing essential surgical services. Areas for improvement remain across all key areas, including infrastructure, human resources, surgical interventions offered and available equipment. Investment in surgical services offers a cost-effective opportunity to continue to improve the health of the Bangladeshi population and move the country towards universal healthcare coverage.
Observations on Ecology and National Security
1975-03-01
central business district.8"* To others, human ecology is concerned almost solely with the interaction between the human species and pathogenic ... aphid population," in Animal Populations in Relation to Their Food Resources. Blackwell, Oxford, England (1970). 14. T.R.E. Southwood and
Performance Evaluation and Compensation for Public School Principals: Results from a National Survey
ERIC Educational Resources Information Center
Kimball, Steven M.; Heneman, Herbert G., III; Milanowski, Anthony
2007-01-01
This article reports on a national survey designed to learn how medium and large school districts are using standards-based leadership evaluation and related human resource management practices, such as pay for performance. Surveys were sent to all school districts in the United States with student populations 10,000 and over (total n=867).…
Effects of water-resource development on Yellowstone River streamflow, 1928-2002
Eddy-Miller, Cheryl A.; Chase, Katherine J.
2015-01-01
Major floods in 1996 and 1997 intensified public concern about the effects of human activities on the Yellowstone River in Montana. In 1999, the Yellowstone River Conservation District Council, whose members are primarily representatives from the conservation districts bordering the main stem of the Yellowstone River, was formed to promote wise use and conservation of the Yellowstone River’s natural resources. The Yellowstone River Conservation District Council is working with the U.S. Army Corps of Engineers to understand the cumulative hydrologic effects of water-resource development in the Yellowstone River Basin. The U.S. Army Corps of Engineers, Yellowstone River Conservation District Council, and U.S. Geological Survey began cooperatively studying the Yellowstone River in 2010, publishing four reports describing streamflow information for selected sites in the Yellowstone River Basin, 1928–2002. Detailed information about the methods used, as well as summary streamflow statistics, are available in the four reports. The purpose of this fact sheet is to highlight findings from the published reports and describe the effects of water use and structures, primarily dams, on the Yellowstone River streamflow.
ERIC Educational Resources Information Center
Odden, Allan R.
2011-01-01
"Strategic Management of Human Capital in Education" offers a comprehensive and strategic approach to address what has become labeled as "talent and human capital." Grounded in extensive research and examples of leading edge districts, this book shows how the entire human resource system in schools--from recruitment, to selection/placement,…
Tabrizi, Jafar Sadegh; Gholipour, Kamal; Iezadi, Shabnam; Farahbakhsh, Mostafa; Ghiasi, Akbar
2018-01-01
The aim was to design a district health management performance framework for Iran's healthcare system. The mixed-method study was conducted between September 2015 and May 2016 in Tabriz, Iran. In this study, the indicators of district health management performance were obtained by analyzing the 45 semi-structured surveys of experts in the public health system. Content validity of performance indicators which were generated in qualitative part were reviewed and confirmed based on content validity index (CVI). Also content validity ratio (CVR) was calculated using data acquired from a survey of 21 experts in quantitative part. The result of this study indicated that, initially, 81 indicators were considered in framework of district health management performance and, at the end, 53 indicators were validated and confirmed. These indicators were classified in 11 categories which include: human resources and organizational creativity, management and leadership, rules and ethics, planning and evaluation, district managing, health resources management and economics, community participation, quality improvement, research in health system, health information management, epidemiology and situation analysis. The designed framework model can be used to assess the district health management and facilitates performance improvement at the district level.
Dube, Christopher; Hayakawa, Tadao; Kakimoto, Kazuhiro; Yamada, Norio; Simpungwe, James B
2010-01-01
Abstract Problem Despite the Government’s effort to expand services to district level, it is still hard for people living with HIV to access antiretroviral treatment (ART) in rural Zambia. Strong demands for expanding ART services at the rural health centre level face challenges of resource shortages. Approach The Mumbwa district health management team introduced mobile ART services using human resources and technical support from district hospitals, and community involvement at four rural health centres in the first quarter of 2007. This paper discusses the uptake of the mobile ART services in rural Mumbwa. Local setting Mumbwa is a rural district with an area of 23 000 km2 and a population of 167 000. Before the introduction of mobile services, ART services were provided only at Mumbwa District Hospital. Relevant changes The mobile services improved accessibility to ART, especially for clients in better functional status, i.e. still able to work. In addition, these mobile services may reduce the number of cases “lost to follow-up”. This might be due to the closer involvement of the community and the better support offered by these services to rural clients. Lessons learnt These mobile ART services helped expand services to rural health facilities where resources are limited, bringing them as close as possible to where clients live. PMID:20931065
ERIC Educational Resources Information Center
General Accounting Office, Washington, DC. Div. of Human Resources.
Magnet schools offer special courses of study in order to attract students of different racial backgrounds. The Magnet School Assistance Program was authorized by Congress to provide funds to school districts for planning and promoting magnet schools. Eligible school districts desiring such assistance submit annual applications to the Secretary of…
Brown, L A; Lawson, V A
1989-01-01
"This article examines polarization reversal in terms of changing human resource profiles related to migration and to national policies affecting the spatial pattern of economic growth. It first demonstrates the relationship between these elements through a review that integrates three distinct themes in earlier research. Attention then turns to an empirical study of human resource variation among eight urban districts and the rest of Venezuela treated as a single unit. This comparison utilizes age, gender, educational attainment, and occupational status variables provided by individual records of Venezuela's 1971 Population Census. A concluding section relates empirical findings to policy alternatives." excerpt
ERIC Educational Resources Information Center
Steach, John C.
2011-01-01
This mixed methods study explored how high school principals prioritize their work and utilize available human resources to adjust to inadequate administrative staffing. Analysis of staffing levels across the state of Washington and specifically inside two eastern Washington districts framed interview questions for central office administration…
From Districts to Schools: The Distribution of Resources across Schools in Big City School Districts
ERIC Educational Resources Information Center
Rubenstein, Ross; Schwartz, Amy Ellen; Stiefel, Leanna; Amor, Hella Bel Hadj
2007-01-01
While the distribution of resources across school districts is well studied, relatively little attention has been paid to how resources are allocated to individual schools inside those districts. This paper explores the determinants of resource allocation across schools in large districts based on factors that reflect differential school costs or…
Jat, Tej Ram; Sebastian, Miguel San
2013-09-24
Scarcity of resources for healthcare is a well-acknowledged problem. In this context, efficient utilization of existing financial and human resources becomes crucial for strengthening the healthcare delivery. The assessment of efficiency of health facilities can guide decision makers in ensuring the optimum utilization of available resources. The objective of this study was to evaluate the technical efficiency (TE) of the public district hospitals in Madhya Pradesh, India, with special emphasis on maternal healthcare services, using data envelopment analysis (DEA). Data from 40 district hospitals from January to December 2010 were collected from the health management information system and other records of the department of health and family welfare of the state. DEA was performed with input orientation and variable returns to scale assumption. TE and scale efficiency scores of the district hospitals were 0.90 (SD = 0.14) and 0.88 (SD = 0.15), respectively. Of the total district hospitals in the study, 20 (50%) were technically efficient constituting the 'best practice frontier'. The other half were technically inefficient, with an average TE score of 0.79 (SD = 0.12) meaning that these hospitals could produce the same outputs by using 21% less inputs from current input levels. Twenty-six (65%) district hospitals were found to be scale inefficient, manifesting a mean score of 0.81 (SD = 0.16). Half of the district hospitals in the study were operating inefficiently. Decision makers and administrators in the state should identify the causes of the observed inefficiencies and take appropriate measures to increase efficiency of these hospitals.
2013-01-01
Background Monitoring the progress of the Integrated Disease Surveillance (IDS) strategy is an important component to ensure its sustainability in the state of Maharashtra in India. The purpose of the study was to document the baseline performance of the system on its core and support functions and to understand the challenges for its transition from an externally funded “project” to a state owned surveillance “program”. Methods Multi-centre, retrospective cross-sectional evaluation study to assess the structure, core and support surveillance functions using modified WHO generic questionnaires. All 34 districts in the state and randomly identified 46 facilities and 25 labs were included in the study. Results Case definitions were rarely used at the periphery. Limited laboratory capacity at all levels compromised case and outbreak confirmation. Only 53% districts could confirm all priority diseases. Stool sample processing was the weakest at the periphery. Availability of transport media, trained staff, and rapid diagnostic tests were main challenges at the periphery. Data analysis was weak at both district and facility levels. Outbreak thresholds were better understood at facility level (59%) than at the district (18%). None of the outbreak indicator targets were met and submission of final outbreak report was the weakest. Feedback and training was significantly better (p < 0.0001) at district level (65%; 76%) than at facility level (15%; 37%). Supervision was better at the facility level (37%) than at district (18%) and so were coordination, communication and logistic resources. Contractual part time positions, administrative delays in recruitment, and vacancies (30%) were main human resource issues that hampered system performance. Conclusions Significant progress has been made in the core and support surveillance functions in Maharashtra, however some challenges exist. Support functions (laboratory, transport and communication equipment, training, supervision, human and other resources) are particularly weak at the district level. Structural integration and establishing permanent state and district surveillance officer positions will ensure leadership; improve performance; support continuity; and offer sustainability to the program. Institutionalizing the integrated disease surveillance strategy through skills based personnel development and infrastructure strengthening at district levels is the only way to avoid it from ending up isolated! Improving surveillance quality should be the next on agenda for the state. PMID:23764137
75 FR 60477 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-30
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) subcommittee for the Jarbidge Draft Resource...; and December 1, 2010. The Twin Falls District RAC subcommittee members will meet at the Loong Hing...
75 FR 80839 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-23
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) and subcommittee for the Jarbidge Resource... 12, 2011, the Twin Falls District RAC subcommittee members will meet at the Loong Hing Restaurant...
77 FR 48168 - Call for Nominations for the Twin Falls District Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-13
... for Nominations for the Twin Falls District Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Call for Nominations, Twin Falls District Resource Advisory Council SUMMARY: This notice requests public nominations to fill one position on the Twin Falls District Resource...
Daviaud, Emmanuelle; Chopra, Mickey
2008-01-01
To quantify staff requirements in primary health care facilities in South Africa through an adaptation of the WHO workload indicator of staff needs tool. We use a model to estimate staffing requirements at primary health care facilities. The model integrates several empirically-based assumptions including time and type of health worker required for each type of consultation, amount of management time required, amount of clinical support required and minimum staff requirements per type of facility. We also calculate the number of HIV-related consultations per district. The model incorporates type of facility, monthly travelling time for mobile clinics, opening hours per week, yearly activity and current staffing and calculates the expected staffing per category of staff per facility and compares it to the actual staffing. Across all the districts there is either an absence of doctors visiting clinics or too few doctors to cover the opening times of community health centres. Overall the number of doctors is only 7% of the required amount. There is 94% of the required number of professional nurses but with wide variations between districts, with a few districts having excesses while most have shortages. The number of enrolled nurses is 60% of what it should be. There are 17% too few enrolled nurse assistants. Across all districts there is wide variation in staffing levels between facilities leading to inefficient use of professional staff. The application of an adapted WHO workload tool identified important human resource planning issues.
We Are Each Like the Unicorn, Unique and Rare: Human Individual Potentialities.
ERIC Educational Resources Information Center
Kyrene Elementary School District 28, Tempe, AZ.
The proposed gifted and talented program for grades K-8 of the Kyrene School District (Tempe, Arizona) is described. It is explained that the program is based on a philosophy emphasizing human individual potentialities. The curriculum is said to be personalized, utilizing a seminar-resource center approach. Characteristics of exceptionally…
An Ounce of Prevention: The Benefits of an HR Audit
ERIC Educational Resources Information Center
Seals, Brenda
2011-01-01
During her 13 years leading a school district human resources office, the author came to recognize that managing human capital is much more than recruiting, hiring, managing personnel records, and handling performance issues. In addition to implementing initiatives to increase the efficiency with which HR officers and staff perform those tasks,…
Munga, Michael A; Songstad, Nils Gunnar; Blystad, Astrid; Maestad, Ottar
2009-04-30
The implementation of decentralisation reforms in the health sector of Tanzania started in the 1980s. These reforms were intended to relinquish substantial powers and resources to districts to improve the development of the health sector. Little is known about the impact of decentralisation on recruitment and distribution of health workers at the district level. Reported difficulties in recruiting health workers to remote districts led the Government of Tanzania to partly re-instate central recruitment of health workers in 2006. The effects of this policy change are not yet documented. This study highlights the experiences and challenges associated with decentralisation and the partial re-centralisation in relation to the recruitment and distribution of health workers. An exploratory qualitative study was conducted among informants recruited from five underserved, remote districts of mainland Tanzania. Additional informants were recruited from the central government, the NGO sector, international organisations and academia. A comparison of decentralised and the reinstated centralised systems was carried out in order to draw lessons necessary for improving recruitment, distribution and retention of health workers. The study has shown that recruitment of health workers under a decentralised arrangement has not only been characterised by complex bureaucratic procedures, but by severe delays and sometimes failure to get the required health workers. The study also revealed that recruitment of highly skilled health workers under decentralised arrangements may be both very difficult and expensive. Decentralised recruitment was perceived to be more effective in improving retention of the lower cadre health workers within the districts. In contrast, the centralised arrangement was perceived to be more effective both in recruiting qualified staff and balancing their distribution across districts, but poor in ensuring the retention of employees. A combination of centralised and decentralised recruitment represents a promising hybrid form of health sector organisation in managing human resources by bringing the benefits of two worlds together. In order to ensure that the potential benefits of the two approaches are effectively integrated, careful balancing defining the local-central relationships in the management of human resources needs to be worked out.
NASA Astrophysics Data System (ADS)
Rivera Maulucci, Maria S.
2010-09-01
Examining role forces and resources available to new teachers is crucial to understanding how teachers use and expand cultural, social, and symbolic resources and how they engage teaching for social justice and caring in urban science education. This critical narrative inquiry explores three levels of story. First, the narratives explore my role as a district science staff developer and my efforts to leverage district resources to improve students' opportunities to learn science. Second, the narratives explore the ways in which a novice science teacher, Tina, navigated role forces and the aesthetic|authentic caring dialectic in a high poverty, urban school. A third level of narrative draws on sociological theories of human interaction to explore role forces and how they shaped Tina's developmental trajectory. I describe how Tina expanded cultural, social, and symbolic resources to enact her teaching role.
76 FR 79707 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-22
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) and subcommittee for the Jarbidge Resource Management Plan (RMP) will meet as indicated below. DATES: On January 25, 2012, the Twin Falls District RAC...
Human resources for health in Botswana: the results of in-country database and reports analysis.
Nkomazana, Oathokwa; Peersman, Wim; Willcox, Merlin; Mash, Robert; Phaladze, Nthabiseng
2014-11-21
Botswana is a large middle-income country in Southern Africa with a population of just over two million. Shortage of human resources for health is blamed for the inability to provide high quality accessible health services. There is however a lack of integrated, comprehensive and readily-accessible data on the health workforce. The aim of this study was to analyse the existing databases on health workforce in Botswana in order to quantify the human resources for health. The Department of Policy, Planning, Monitoring and Evaluation at the Ministry of Health, Ministry of Education and Skills Development, the Botswana Health Professions Council, the Nursing and Midwifery Council of Botswana and the in-country World Health Organization office provided raw data on human resources for health in Botswana. The densities of doctors and nurses per 10 000 population were four and 42,respectively; three and 26 for rural districts; and nine and 77 for urban districts. The average vacancy rate in 2007 and 2008 was 5% and 13% in primary and hospital care, respectively, but this is projected to increase to 53% and 43%, respectively, in 2016. Only 21% of the doctors registered with the Botswana Health Professions Council were from Botswana, the rest being mainly from other African countries. Botswana trained 77% of its health workforce locally. Although the density of health workers is relatively high compared to the region, they are concentrated in urban areas, insufficient to meet the projected requirements and reliant on migrant professionals.
Task sharing in Zambia: HIV service scale-up compounds the human resource crisis.
Walsh, Aisling; Ndubani, Phillimon; Simbaya, Joseph; Dicker, Patrick; Brugha, Ruairí
2010-09-17
Considerable attention has been given by policy makers and researchers to the human resources for health crisis in Africa. However, little attention has been paid to quantifying health facility-level trends in health worker numbers, distribution and workload, despite growing demands on health workers due to the availability of new funds for HIV/AIDS control scale-up. This study analyses and reports trends in HIV and non-HIV ambulatory service workloads on clinical staff in urban and rural district level facilities. Structured surveys of health facility managers, and health services covering 2005-07 were conducted in three districts of Zambia in 2008 (two urban and one rural), to fill this evidence gap. Intra-facility analyses were conducted, comparing trends in HIV and non-HIV service utilisation with staff trends. Clinical staff (doctors, nurses and nurse-midwives, and clinical officers) numbers and staff population densities fell slightly, with lower ratios of staff to population in the rural district. The ratios of antenatal care and family planning registrants to nurses/nurse-midwives were highest at baseline and increased further at the rural facilities over the three years, while daily outpatient department (OPD) workload in urban facilities fell below that in rural facilities. HIV workload, as measured by numbers of clients receiving antiretroviral treatment (ART) and prevention of mother to child transmission (PMTCT) per facility staff member, was highest in the capital city, but increased rapidly in all three districts. The analysis suggests evidence of task sharing, in that staff designated by managers as ART and PMTCT workers made up a higher proportion of frontline service providers by 2007. This analysis of workforce patterns across 30 facilities in three districts of Zambia illustrates that the remarkable achievements in scaling-up HIV/AIDS service delivery has been on the back of sustained non-HIV workload levels, increasing HIV workload and stagnant health worker numbers. The findings are based on an analysis of routine data that are available to district and national managers. Mixed methods research is needed, combining quantitative analyses of routine health information with follow-up qualitative interviews, to explore and explain workload changes, and to identify and measure where problems are most acute, so that decision makers can respond appropriately. This study provides quantitative evidence of a human resource crisis in health facilities in Zambia, which may be more acute in rural areas.
ResourceCheck: Assess Your District's Resource Use
ERIC Educational Resources Information Center
Education Resource Strategies, 2013
2013-01-01
For over a decade, Education Resource Strategies, Inc. (ERS) has helped leaders of urban school districts strategically reallocate their resources to improve student performance. This work identifies seven Core Transformational Strategies that support high-performing schools; in high-functioning districts, resources (people, time, and money) are…
Clarke, D L; Aldous, C; Thomson, S R
2014-06-01
This study focuses on a single rural health district in South Africa, and attempts to establish the burden of disease and to review the capacity of the district hospitals to deal with this load. Ethical approval to undertake this study was obtained from both the University of Kwa-Zulu Natal and the Department of Health. The audit was performed over a 6-month period in the four district hospitals of rural Sisonke District. There were four components to this audit. 1. Information on the hospital incidence of acute trauma in Sisonke was also sourced from the epidemiology unit of the Department of Health in Pietermaritzburg 2. Each of the district hospitals was visited and the medical manager was interviewed. The medical manager was asked to complete the World Health Organization's Tool for Situational Analysis to Assess Emergency and Essential Surgical Care. (SAT). 3. The operative registers were reviewed to determine the number of index cases for trauma. This information was used to determine the unmet need of acute trauma in the district. 4. Each hospital was classified according to the Trauma Society of South Africa (TSSA) guidelines for levels of trauma care. The annual incidence of trauma in the Sisonke District is estimated to be 1,590 per 100,000 population. Although there appeared to be adequate infrastructure in the district hospitals, the SAT revealed significant deficits in terms of capacity of staff to adequately treat and triage acute trauma patients. There is a significant unmet need for trauma care in Sisonke. The four district hospitals can best be classified as Level IV centers of trauma care. There is a significant burden of trauma in the Sisonke District, yet the capacity to deal with this burden is inadequate. Although the physical infrastructure is adequate, the deficits relate to human resources. The strategic choices are between enhancing the district hospitals' capacity to deal with acute trauma, or deciding to bypass them completely and deliver all acute trauma patients to large regional trauma centers. If the first option is chosen, urgent intervention is required to build up the human resource capacity of district hospitals.
Keugoung, Basile; Macq, Jean; Buve, Anne; Meli, Jean; Criel, Bart
2013-03-22
Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its effects on the human resources, routine health information system (HIS) and technical capacity at the hospital level. We used a multiple case study methodology. From the Adamaoua Region, we selected two DHs, one public and one faith-based. We collected qualitative and quantitative data through document reviews, semi-structured interviews with district and regional staff, and observations in the two DHs. The NTCP trained and supervised staff, designed and provided tuberculosis data collection and reporting tools, and provided anti-tuberculosis drugs, reagents and microscopes to DHs. However, these interventions were limited to the hospital units designated as Tuberculosis Diagnostic and Treatment Centres and to staff dedicated to tuberculosis control activities. The NTCP installed a parallel HIS that bypassed the District Health Services. The DH that performs well in terms of general hospital care and that is well managed was successful in tuberculosis control. Based on the available resources, the two hospitals adapt the organisation of tuberculosis control to their settings. The management teams in charge of the District Health Services are not involved in tuberculosis control. In our study, we identified several opportunities to strengthen the local health system that have been missed by the NTCP and the health system managers. Well-managed DHs perform better in terms of tuberculosis control than DHs that are not well managed. The analysis of the effects of the NTCP on the human resources, HIS and technical capacity of DHs indicates that the NTCP supports, rather than strengthens, the local health system. Moreover, there is potential for this support to be enhanced. Positive synergies between the NTCP and district health systems can be achieved if opportunities to strengthen the district health system are seized. The question remains, however, of why managers do not take advantage of the opportunities to strengthen the health system.
2013-01-01
Background Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its effects on the human resources, routine health information system (HIS) and technical capacity at the hospital level. Methods We used a multiple case study methodology. From the Adamaoua Region, we selected two DHs, one public and one faith-based. We collected qualitative and quantitative data through document reviews, semi-structured interviews with district and regional staff, and observations in the two DHs. Results The NTCP trained and supervised staff, designed and provided tuberculosis data collection and reporting tools, and provided anti-tuberculosis drugs, reagents and microscopes to DHs. However, these interventions were limited to the hospital units designated as Tuberculosis Diagnostic and Treatment Centres and to staff dedicated to tuberculosis control activities. The NTCP installed a parallel HIS that bypassed the District Health Services. The DH that performs well in terms of general hospital care and that is well managed was successful in tuberculosis control. Based on the available resources, the two hospitals adapt the organisation of tuberculosis control to their settings. The management teams in charge of the District Health Services are not involved in tuberculosis control. In our study, we identified several opportunities to strengthen the local health system that have been missed by the NTCP and the health system managers. Conclusion Well-managed DHs perform better in terms of tuberculosis control than DHs that are not well managed. The analysis of the effects of the NTCP on the human resources, HIS and technical capacity of DHs indicates that the NTCP supports, rather than strengthens, the local health system. Moreover, there is potential for this support to be enhanced. Positive synergies between the NTCP and district health systems can be achieved if opportunities to strengthen the district health system are seized. The question remains, however, of why managers do not take advantage of the opportunities to strengthen the health system. PMID:23521866
Moosa, Shabir; Derese, Anselme; Peersman, Wim
2017-01-21
Primary health care (PHC) outreach teams are part of a policy of PHC re-engineering in South Africa. It attempts to move the deployment of community health workers (CHWs) from vertical programmes into an integrated generalised team-based approach to care for defined populations in municipal wards. There has little evaluation of PHC outreach teams. Managers' insights are anecdotal. This is descriptive qualitative study with focus group discussions with health district managers of Johannesburg, the largest city in South Africa. This was conducted in a sequence of three meetings with questions around implementation, human resources, and integrated PHC teamwork. There was a thematic content analysis of validated transcripts using the framework method. There were two major themes: leadership-management challenges and human resource challenges. Whilst there was some positive sentiment, leadership-management challenges loomed large: poor leadership and planning with an under-resourced centralised approach, poor communications both within the service and with community, concerns with its impact on current services and resistance to change, and poor integration, both with other streams of PHC re-engineering and current district programmes. Discussion by managers on human resources was mostly on the plight of CHWs and calls for formalisation of CHWs functioning and training and nurse challenges with inappropriate planning and deployment of the team structure, with brief mention of the extended team. Whilst there is positive sentiment towards intent of the PHC outreach team, programme managers in Johannesburg were critical of management of the programme in their health district. Whilst the objective of PHC reform is people-centred health care, its implementation struggles with a centralising tendency amongst managers in the health service in South Africa. Managers in Johannesburg advocated for decentralisation. The implementation of PHC outreach teams is also limited by difficulties with formalisation and training of CHWs and appropriate task shifting to nurses. Change management is required to create true integrate PHC teamwork. Policy review requires addressing these issues.
Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh
2017-09-01
Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was ' 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was ' 844 (USD 15.5), ' 3481 (USD 64) and ' 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was ' 139 (USD 2.5). The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.
Phase II Historic Resources Survey Archaeological Testing of Site 9FU416 Fulton County, Georgia
2003-06-01
Archaeological Park, Moundville, Alabama ) for final curation. 6 Phase 11 Testing 9FUJ 416 Chapter 3. Environmental and Cultural Overview Human...Corps of Engineers, Mobile District PO Box 2288 Mobile, Alabama 36628-0001 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSORING...MONITORING AGENCY REPORT NUMBER US Army Corps of Engineers, Mobile District PO Box 2288 Mobile, Alabama 36628-0001 1I. SUPPLEMENTARY NOTES DISTIR 11IT!O N
ERIC Educational Resources Information Center
Vitzthum, Edward F.; And Others
A mail survey of Nebraska fire departments/districts was conducted during summer 1983 to assess the human and physical resources available to them with special emphasis on equipment and protective clothing needed in pesticide-related emergencies. It also assessed general preparedness for responding to agrichemical emergencies, particularly those…
Coelho, Maria Cristina Ramos de Vasconcellos; Assunção, Ada Ávila; Belisário, Soraya Almeida
2009-01-01
Background The fundamental importance of human resources for the development of health care systems is recognized the world over. Health districts, which constitute the middle level of the municipal health care system in the city of Belo Horizonte, Brazil, deal with demands from all parts of the system. This research seeks to provide the essential features required in order to understand the phenomenon of increase in precarity of employment in these health districts. Methods The legal and human resource management documents used by the Municipal Health Secretariat of the City of Belo Horizonte were adopted as the corpus for this research. In order to analyse the changes in employment (2002–2006), the data were collected from ArteRH, a computerized database dealing specifically with data related to human resources, which began operating in 2001. The workers were classified into permanent and non-permanent groups, and their contractual rights were described. Employment dynamics and changes were examined, concentrating on the incorporation of workers and on their social and employment rights during the period under study. The comparative data for the two groups obtained were presented in frequency distribution tables according to type of employment, sex, age group, level of education and wages from 2002 to 2006. Results There was a clear difference between the permanent worker and non-permanent worker groups as regards existing guaranteed employment rights and social security. The increase in the number of non-permanent workers in the workforce, the growing proportion of older workers among the permanently employed and the real wage reductions during the period from 2002 to 2006 are indicative of the process of growing precarity of employment in the group studied. Conclusion It is a plausible supposition that the demand for health reforms, along with the legal limits imposed on financial expenditure, gave rise to the new types of contract and the present employment situation in the health districts in Belo Horizonte. PMID:19594922
Moosa, Shabir; Mash, Bob; Derese, Anselme; Peersman, Wim
2014-06-25
Integrated team-based primary care is an international imperative. This is required more so in Africa, where fragmented verticalised care dominates. South Africa is trying to address this with health reforms, including Primary Health Care Re-engineering. Family physicians are already contributing to primary care despite family medicine being only fully registered as a full specialty in South Africa in 2008. However the views of leaders on family medicine and the role of family physicians is not clear, especially with recent health reforms. The aim of this study was to understand the views of key government and academic leaders in South Africa on family medicine, roles of family physicians and human resource issues. This was a qualitative study with academic and government leaders across South Africa. In-depth interviews were conducted with sixteen purposively selected leaders using an interview guide. Thematic content analysis was based on the framework method. Whilst family physicians were seen as critical to the district health system there was ambivalence on their leadership role and 'specialist' status. National health reforms were creating both threats and opportunities for family medicine. Three key roles for family physicians emerged: supporting referrals; clinical governance/quality improvement; and providing support to community-oriented care. Respondents' urged family physicians to consolidate the development and training of family physicians, and shape human resource policy to include family physicians. Family physicians were seen as critical to the district health system in South Africa despite difficulties around their precise role. Whilst their role was dominated by filling gaps at district hospitals to reduce referrals it extended to clinical governance and developing community-oriented primary care - a tall order, requiring strong teamwork. Innovative team-based service delivery is possible despite human resource challenges, but requires family physicians to proactively develop team-based models of care, reform education and advocate for clearer policy, based on the views of these respondents.
2014-01-01
Background Integrated team-based primary care is an international imperative. This is required more so in Africa, where fragmented verticalised care dominates. South Africa is trying to address this with health reforms, including Primary Health Care Re-engineering. Family physicians are already contributing to primary care despite family medicine being only fully registered as a full specialty in South Africa in 2008. However the views of leaders on family medicine and the role of family physicians is not clear, especially with recent health reforms. The aim of this study was to understand the views of key government and academic leaders in South Africa on family medicine, roles of family physicians and human resource issues. Methods This was a qualitative study with academic and government leaders across South Africa. In-depth interviews were conducted with sixteen purposively selected leaders using an interview guide. Thematic content analysis was based on the framework method. Results Whilst family physicians were seen as critical to the district health system there was ambivalence on their leadership role and ‘specialist’ status. National health reforms were creating both threats and opportunities for family medicine. Three key roles for family physicians emerged: supporting referrals; clinical governance/quality improvement; and providing support to community-oriented care. Respondents’ urged family physicians to consolidate the development and training of family physicians, and shape human resource policy to include family physicians. Conclusions Family physicians were seen as critical to the district health system in South Africa despite difficulties around their precise role. Whilst their role was dominated by filling gaps at district hospitals to reduce referrals it extended to clinical governance and developing community-oriented primary care - a tall order, requiring strong teamwork. Innovative team-based service delivery is possible despite human resource challenges, but requires family physicians to proactively develop team-based models of care, reform education and advocate for clearer policy, based on the views of these respondents. PMID:24961449
de Vasconcellos Coelho, Maria Cristina Ramos; Assunção, Ada Avila; Belisário, Soraya Almeida
2009-07-13
The fundamental importance of human resources for the development of health care systems is recognized the world over. Health districts, which constitute the middle level of the municipal health care system in the city of Belo Horizonte, Brazil, deal with demands from all parts of the system. This research seeks to provide the essential features required in order to understand the phenomenon of increase in precarity of employment in these health districts. The legal and human resource management documents used by the Municipal Health Secretariat of the City of Belo Horizonte were adopted as the corpus for this research. In order to analyse the changes in employment (2002-2006), the data were collected from ArteRH, a computerized database dealing specifically with data related to human resources, which began operating in 2001. The workers were classified into permanent and non-permanent groups, and their contractual rights were described. Employment dynamics and changes were examined, concentrating on the incorporation of workers and on their social and employment rights during the period under study. The comparative data for the two groups obtained were presented in frequency distribution tables according to type of employment, sex, age group, level of education and wages from 2002 to 2006. There was a clear difference between the permanent worker and non-permanent worker groups as regards existing guaranteed employment rights and social security. The increase in the number of non-permanent workers in the workforce, the growing proportion of older workers among the permanently employed and the real wage reductions during the period from 2002 to 2006 are indicative of the process of growing precarity of employment in the group studied. It is a plausible supposition that the demand for health reforms, along with the legal limits imposed on financial expenditure, gave rise to the new types of contract and the present employment situation in the health districts in Belo Horizonte.
77 FR 43353 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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75 FR 48723 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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77 FR 37705 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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77 FR 17093 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council
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... Public Meeting, Idaho Falls District Resource Advisory Council AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Salmon, Idaho on April 24-25...
Decision space for health workforce management in decentralized settings: a case study in Uganda.
Alonso-Garbayo, Alvaro; Raven, Joanna; Theobald, Sally; Ssengooba, Freddie; Nattimba, Milly; Martineau, Tim
2017-11-01
The aim of this paper is to improve understanding about how district health managers perceive and use their decision space for human resource management (HRM) and how this compares with national policies and regulatory frameworks governing HRM. The study builds upon work undertaken by PERFORM Research Consortium in Uganda using action-research to strengthen human resources management in the health sector. To assess the decision space that managers have in six areas of HRM (e.g. policy, planning, remuneration and incentives, performance management, education and information) the study compares the roles allocated by Uganda's policy and regulatory frameworks with the actual room for decision-making that district health managers perceive that they have. Results show that in some areas District Health Management Team (DHMT) members make decisions beyond their conferred authority while in others they do not use all the space allocated by policy. DHMT members operate close to the boundaries defined by public policy in planning, remuneration and incentives, policy and performance management. However, they make decisions beyond their conferred authority in the area of information and do not use all the space allocated by policy in the area of education. DHMTs' decision-making capacity to manage their workforce is influenced by their own perceived authority and sometimes it is constrained by decisions made at higher levels. We can conclude that decentralization, to improve workforce performance, needs to devolve power further down from district authorities onto district health managers. DHMTs need not only more power and authority to make decisions about their workforce but also more control over resources to be able to implement these decisions. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Pesky Personnel Paperwork: Federal Reporting Requirements.
ERIC Educational Resources Information Center
Guare, Timothy E.; Bush, Robert K.
1994-01-01
Identifies federal reporting obligations that govern school districts' human resources management in the following areas: (1) Internal Revenue Service filing requirements; (2) Fair Labor Standards Act recordkeeping; (3) Equal Employment Opportunity Commission reporting; and (4) Family and Medical Leave Act recordkeeping. (MLF)
ERIC Educational Resources Information Center
Pan, Diane; Rudo, Zena H.; Schneider, Cynthia L.; Smith-Hansen, Lotte
This document reports on a study on the relationship between resources and student performance. The study examined district-level patterns of resource allocation, district and school resource practices implemented to improve student performance, and barriers and challenges to efficient resource allocation faced by districts and schools. The study…
Motivation of human resources for health: a case study at rural district level in Tanzania.
Zinnen, Véronique; Paul, Elisabeth; Mwisongo, Aziza; Nyato, Daniel; Robert, Annie
2012-01-01
An increasing number of studies explore the association between financial and non-financial incentives and the retention of health workers in developing countries. This study aims to contribute to empirical evidence on human resource for health motivation factors to assist policy makers in promoting effective and realistic interventions. A cross-sectional survey was conducted in four rural Tanzanian districts to explore staff stability and health workers' motivation. Data were collected using qualitative and quantitative techniques, covering all levels and types of health facilities. Stability of staff was found to be quite high. Public institutions remained very attractive with better job security, salary and retirement benefits. Satisfaction over working conditions was very low owing to inadequate working equipment, work overload, lack of services, difficult environment, favouritism and 'empty promotions'. Positive incentives mentioned were support for career development and supportive supervision. Attracting new staff in rural areas appeared to be more difficult than retaining staff in place. The study concluded that strategies to better motivate health personnel should focus on adequate remuneration, positive working and living environment and supportive management. However, by multiplying health facilities, the latest Tanzanian human resource for health plan could jeopardize current positive results. Copyright © 2012 John Wiley & Sons, Ltd.
77 FR 75653 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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2012-12-21
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... the Interior, Bureau of Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) will meet as indicated below. DATES: On January 31, 2013, the Twin Falls District RAC members will meet at...
76 FR 48883 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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2011-08-09
...] Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land... of the Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Challis, Idaho...
76 FR 26314 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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2011-05-06
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) will meet as indicated below. DATES: May 16, 2011. On May 16, 2011, the Twin Falls District RAC members will meet at the Best Western Sawtooth Inn...
78 FR 19522 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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... Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Challis, Idaho, April 23-24...
75 FR 27360 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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... Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Salmon, Idaho on June 22-23...
77 FR 49826 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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2012-08-17
... Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Idaho Falls, Idaho on September...
78 FR 68467 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, ID
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2013-11-14
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78 FR 56242 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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2013-09-12
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76 FR 30388 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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2011-05-25
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) will meet as indicated below. DATES: June 21-22, 2011. On June 21, 2011, the Twin Falls District RAC members will meet at the Idaho Commerce and...
78 FR 38071 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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78 FR 19732 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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2013-04-02
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... the Interior, Bureau of Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) will meet as indicated below. DATES: On April 23 2013, the Twin Falls District RAC members will meet at the...
78 FR 17716 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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2013-03-22
... Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Challis, Idaho, April 23-24...
76 FR 28805 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
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2011-05-18
...] Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land... of the Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The Idaho Falls District RAC will meet in Pocatello, Idaho on June...
78 FR 32440 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
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2013-05-30
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... the Interior, Bureau of Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) will meet as indicated below. DATES: On June 20, 2013, the Twin Falls District RAC members will meet at the...
Federal Register 2010, 2011, 2012, 2013, 2014
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... of Public Tour and Meeting, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of... Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) will attend a two-day tour and meeting as indicated below. DATES: July 20-21, 2010. The Twin Falls District RAC members will meet...
Aichatou, Barry; Seck, Cheikh; Baal Anne, Thierno Souleymane; Deguenovo, Gabrielle Clémentine; Ntabona, Alexis; Simmons, Ruth
2016-12-23
Given Senegal's limited resources, the country receives substantial support from externally funded partner organizations to provide family planning and maternal and child health services. These organizations often take a strong and sometimes independent role in implementing interventions with their own structures and personnel, thereby bypassing the government district health system. This article presents findings from the Initiative Sénégalaise de Santé Urbaine (ISSU) (Senegal Urban Health Initiative) that assessed in 2 districts, Diamniadio and Rufisque, the extent to which it was feasible to create stronger government ownership and leadership in implementing a simplified package of family planning interventions from among those previously tested in other districts. The simplified package consisted of both supply- and demand-side interventions, introduced in October 2014 and concluding at the end of 2015. The interventions included ensuring adequate human resources and contraceptive supplies, contraceptive technology updates for providers, special free family planning service days to bring services closer to where people live, family planning integration into other routine services, household visits for family planning education, religious sermons to clarify Islam's position on family planning, and radio broadcasts. District leadership in Diamniadio and Rufisque were actively involved in guiding and implementing interventions, and they also contributed some of their own resources to the project. However, reliance on external funding continued because district budgets were extremely limited. Monitoring data on the number of contraceptive methods provided by district facilities supported by a sister project, the Informed Push Model project, indicate overall improvement in contraceptive provision during the intervention period. In Diamniadio, contraceptive provision increased by 43% between the 6-month period prior to the ISSU interventions (November 2013 through April 2014) and a 6-month intervention period (November 2014 through April 2015), from about 8,000 units to nearly 12,000 units. In Rufisque, contraceptive provision increased by 30%, from more than 17,000 units to more than 22,000 units. Couple-years of protection provided in Diamniadio increased by 82% and in Rufisque by 56%. The experience in these 2 districts in Senegal suggests that it is feasible for districts to play a leadership role in implementing family planning services and mobilizing some of their own resources and that international projects can facilitate capacity building and sustainability within public-sector systems. © Aichatou et al.
Aichatou, Barry; Seck, Cheikh; Baal Anne, Thierno Souleymane; Deguenovo, Gabrielle Clémentine; Ntabona, Alexis; Simmons, Ruth
2016-01-01
ABSTRACT Given Senegal's limited resources, the country receives substantial support from externally funded partner organizations to provide family planning and maternal and child health services. These organizations often take a strong and sometimes independent role in implementing interventions with their own structures and personnel, thereby bypassing the government district health system. This article presents findings from the Initiative Sénégalaise de Santé Urbaine (ISSU) (Senegal Urban Health Initiative) that assessed in 2 districts, Diamniadio and Rufisque, the extent to which it was feasible to create stronger government ownership and leadership in implementing a simplified package of family planning interventions from among those previously tested in other districts. The simplified package consisted of both supply- and demand-side interventions, introduced in October 2014 and concluding at the end of 2015. The interventions included ensuring adequate human resources and contraceptive supplies, contraceptive technology updates for providers, special free family planning service days to bring services closer to where people live, family planning integration into other routine services, household visits for family planning education, religious sermons to clarify Islam's position on family planning, and radio broadcasts. District leadership in Diamniadio and Rufisque were actively involved in guiding and implementing interventions, and they also contributed some of their own resources to the project. However, reliance on external funding continued because district budgets were extremely limited. Monitoring data on the number of contraceptive methods provided by district facilities supported by a sister project, the Informed Push Model project, indicate overall improvement in contraceptive provision during the intervention period. In Diamniadio, contraceptive provision increased by 43% between the 6-month period prior to the ISSU interventions (November 2013 through April 2014) and a 6-month intervention period (November 2014 through April 2015), from about 8,000 units to nearly 12,000 units. In Rufisque, contraceptive provision increased by 30%, from more than 17,000 units to more than 22,000 units. Couple-years of protection provided in Diamniadio increased by 82% and in Rufisque by 56%. The experience in these 2 districts in Senegal suggests that it is feasible for districts to play a leadership role in implementing family planning services and mobilizing some of their own resources and that international projects can facilitate capacity building and sustainability within public-sector systems. PMID:28031298
76 FR 16809 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-25
... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) and subcommittee for the Jarbidge Resource Management Plan (RMP) will meet as indicated below. DATES: April 27, 2011. On April 27, 2011, the Twin Falls...
Code of Federal Regulations, 2011 CFR
2011-01-01
... law for the express purpose of developing and carrying out a local soil and water conservation program. Such district or unit of government may be referred to as a “conservation district,” “soil conservation district,” “soil and water conservation district,” “resource conservation district,” “natural resource...
ERIC Educational Resources Information Center
Baker, Bruce D.
2009-01-01
This study explores within-district fiscal resource allocation across elementary schools in Texas and Ohio large city school districts and in their surrounding metropolitan areas. Specifically, I ask whether districts widely reported as achieving greater resource equity through adoption of Weighted Student Funding (WSF) have in fact done so. I…
Petersen, Inge; Fairall, Lara; Bhana, Arvin; Kathree, Tasneem; Selohilwe, One; Brooke-Sumner, Carrie; Faris, Gill; Breuer, Erica; Sibanyoni, Nomvula; Lund, Crick; Patel, Vikram
2016-01-01
Background In South Africa, the escalating prevalence of chronic illness and its high comorbidity with mental disorders bring to the fore the need for integrating mental health into chronic care at district level. Aims To develop a district mental healthcare plan (MHCP) in South Africa that integrates mental healthcare for depression, alcohol use disorders and schizophrenia into chronic care. Method Mixed methods using a situation analysis, qualitative key informant interviews, theory of change workshops and piloting of the plan in one health facility informed the development of the MHCP. Results Collaborative care packages for the three conditions were developed to enable integration at the organisational, facility and community levels, supported by a human resource mix and implementation tools. Potential barriers to the feasibility of implementation at scale were identified. Conclusions The plan leverages resources and systems availed by the emerging chronic care service delivery platform for the integration of mental health. This strengthens the potential for future scale up. PMID:26447176
ERIC Educational Resources Information Center
Temkin, Deborah; Horton, Susannah; Kim, Audrey
2014-01-01
The Robert F. Kennedy Center for Justice and Human Rights' bullying prevention initiative, RFK Project SEATBELT (RFKC) was contracted by the DC Office of Human Rights (OHR), in June 2013, to provide resources and support for DC public and public charter schools' bullying prevention efforts. This contract moved to Child Trends in August 2014. From…
#GoOpen District Launch Packet
ERIC Educational Resources Information Center
Office of Educational Technology, US Department of Education, 2016
2016-01-01
Across the country, districts are choosing to #GoOpen and transitioning to the use of openly licensed educational resources to improve student learning in their schools. Openly licensed educational resources enable districts to reallocate significant funds currently spent on inflexible, static learning materials to resources and activities that…
Desperately Seeking Special Ed Teachers
ERIC Educational Resources Information Center
Butler, Kevin
2008-01-01
It's no secret that the dearth of special education teachers has created huge headaches for district human resources departments, especially in suburban and rural areas. In addition to insufficient numbers of candidates applying for special education jobs, retention of special education teachers is an ever-greater problem, as research indicates…
Staying Power: The Relationship of Public School Superintendent Tenure to Leadership Frames
ERIC Educational Resources Information Center
Elliff, Doyne Scott
2012-01-01
The study examined the types of leadership frames ("human resource," "structural," "political," and "symbolic") (Bolman & Deal, 1997) most often used by public school superintendents in Texas, the relationship of leadership frames to the length of superintendent tenure in a single school district, and…
Yavapai College Integrated Master Plan.
ERIC Educational Resources Information Center
Yavapai Coll., Prescott, AZ.
This integrated master plan for Yavapai College (Arizona) includes the following six key components: (1) district services overview; (2) educational services plan; (3) human resources plan; (4) information technology services; (5) facilities plan; and (6) financial plan. The master plan was developed as a result of discussions and meetings with…
Hardy, Ellen E.; Dragos, Stefanie L.
1996-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from October 1, 1993, to September 30, 1994. The water-resources program in Utah during this period consisted of 21 projects; a discussion of each project is presented in the main body of this report.The following sections outline the origin of the U.S. Geological Survey, the basic mission of the Water Resources Division, the organizational structure of the Utah District, office addresses of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1993 to September 1994.
Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh
2017-01-01
Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142
The Use of Leadership Standards in the Hiring Practices of Effective Principals
ERIC Educational Resources Information Center
Kracht, Ritchie E.; Hensley, Melissa A.; Strange, Martha A.
2013-01-01
This is a problem based learning project focusing on superintendent use of ISSLC standards in hiring practices for human resource management. Research notes student achievement is affected by effective leadership of principals. School district superintendents charged with hiring effective principals must determine the best candidate for that…
Strategic School Funding for Improved Student Achievement
ERIC Educational Resources Information Center
Chambers, Jay G.; Brown, James R.; Levin, Jesse; Jubb, Steve; Harper, Dorothy; Tolleson, Ray; Manship, Karen
2010-01-01
This article features Strategic School Funding for Results (SSFR) project, a new joint initiative of the American Institutes for Research (AIR) and Pivot Learning Partners (PLP) aimed at improving school finance, human resources, and management systems in large urban school districts. The goal of the project is to develop and implement more…
Long-Range Planning: Finding Fiscal Certainty in a Time of Uncertainty
ERIC Educational Resources Information Center
Malinowski, Matthew J.
2012-01-01
To navigate today's fiscal challenges successfully, school districts must constantly examine the long-term fiscal implications of policy, programmatic, and human resource decisions on their organization. They must look at the effect of such items as bargaining agreements, contracted services, placement costs, transportation costs, benefits,…
The Effects of Charter School Competition on School District Resource Allocation
ERIC Educational Resources Information Center
Arsen, David; Ni, Yongmei
2012-01-01
Purpose: This article examines two questions: (a) How does resource allocation change in school districts experiencing sustained charter school competition? (b) Among districts exposed to charter competition, are there differences in the resource allocation adjustments between those that do and do not succeed in stemming further enrollment loss to…
76 FR 76179 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-06
... Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The RAC will next meet in Idaho Falls, Idaho on January 24-25, 2012 for a...
77 FR 74203 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-13
... Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land Management... Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The RAC will next meet in Idaho Falls, Idaho on January 22-23, 2013 for a...
76 FR 3651 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-20
...] Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting AGENCY: Bureau of Land... of the Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below. DATES: The RAC will next meet in Idaho Falls, Idaho, on February 15-16...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-29
... Call for Nominations for the Albuquerque District Resource Advisory Council AGENCY: Bureau of Land... for the Bureau of Land Management's (BLM) Albuquerque District Resource Advisory Council (RAC) in Category 3. The Albuquerque RAC provides advice and recommendations to the BLM on land use planning and...
Bailey, Nicola; Mandeville, Kate L; Rhodes, Tim; Mipando, Mwapatsa; Muula, Adamson S
2012-09-14
In 2004, the Malawian Ministry of Health declared a human resource crisis and launched a six year Emergency Human Resources Programme. This included salary supplements for key health workers and a tripling of doctors in training. By 2010, the number of medical graduates had doubled and significantly more doctors were working in rural district hospitals. Yet there has been little research into the views of this next generation of doctors in Malawi, who are crucial to the continuing success of the programme. The aim of this study was to explore the factors influencing the career plans of medical students and recent graduates with regard to four policy-relevant aspects: emigration outside Malawi; working at district level; private sector employment and postgraduate specialisation. Twelve semi-structured interviews were conducted with fourth year medical students and first year graduates, recruited through purposive and snowball sampling. Key informant interviews were also carried out with medical school faculty. Recordings were transcribed and analysed using a framework approach. Opportunities for postgraduate training emerged as the most important factor in participants' career choices, with specialisation seen as vital to career progression. All participants intended to work in Malawi in the long term, after a period of time outside the country. For nearly all participants, this was in the pursuit of postgraduate study rather than higher salaries. In general, medical students and young doctors were enthusiastic about working at district level, although this is curtailed by their desire for specialist training and frustration with resource shortages. There is currently little intention to move into the private sector. Future resourcing of postgraduate training opportunities is crucial to preventing emigration as graduate numbers increase. The lesser importance put on salary by younger doctors may be an indicator of the success of salary supplements. In order to retain doctors at district levels for longer, consideration should be given to the introduction of general practice/family medicine as a specialty. Returning specialists should be encouraged to engage with younger colleagues as role models and mentors.
Situational Analysis of Essential Surgical Care Management in Iran Using the WHO Tool
Kalhor, Rohollah; Keshavarz Mohamadi, Nastaran; Khalesi, Nader; Jafari, Mehdi
2016-01-01
Background: Surgery is an essential component of health care, yet it has usually been overlooked in public health across the world. Objectives: This study aimed to perform a situational analysis of essential surgical care management at district hospitals in Iran. Materials and Methods: This research was a descriptive and cross-sectional study performed at 42 first-referral district hospitals of Iran in 2013. The World Health Organization (WHO) Tool for the situational analysis of emergency and essential care was used for data collection in four domains of facilities and equipment, human resources, surgical interventions, and infrastructure. Data analysis was conducted using simple descriptive statistical methods. Results: In this study, 100% of the studied hospitals had oxygen cylinders, running water, electricity, anesthesia machines, emergency departments, archives of medical records, and X-ray machines. In 100% of the surveyed hospitals, specialists in surgery, anesthesia, and obstetrics and gynecology were available as full-time staff. Life-saving procedures were performed in the majority of the hospitals. Among urgent procedures, neonatal surgeries were conducted in 14.3% of the hospitals. Regarding non-urgent procedures, acute burn management was conducted in 38.1% of the hospitals. Also, a few other procedures such as cricothyrotomy and foreign body removal were performed in 85.7% of the hospitals. Conclusions: The results indicated that suitable facilities and equipment, human resources, and infrastructure were available in the district hospitals in Iran. These findings showed that there is potential for the district hospitals to provide care in a wider spectrum. PMID:27437121
Dat, Vu Quoc; Long, Nguyen Thanh; Giang, Kim Bao; Diep, Pham Bich; Giang, Ta Hoang; Diaz, Janet V
2017-12-01
This study investigated the availability of relevant structural and human resources needed for the clinical management of patients with severe acute respiratory infections and sepsis in critical care units in Vietnam. A questionnaire survey was conducted by purposive sampling of 128 hospitals (36% of total hospitals in surveyed provinces), including 25 provincial and 103 district level hospitals, from 20 provinces in Vietnam. Data on availability of hospital characteristics, structural resources and health care workers was then analyzed. Most hospitals (>80%) reported having 60% of the relevant structural resources. Significant differences were observed between provincial hospitals when compared to district hospitals in regards to availability of central oxygen piping system (78.3% vs 38.7%, p=0.001) mechanical ventilation (100.0% vs 73.6%, p=0.003), mobile x-rays (80.0% vs 29.8%, p<0.001), carbapenem antibiotic (73.9% vs 17.4%, p<0.001) and norepinephrine (95.8% vs 56.3%, p<0.001). There was a limited availability of arterial blood gas analyzers (13.7%), oseltamivir (42.2%) and N95 respirators (54.6%) across all hospitals surveyed. The limited availability of relevant structural and human resources in critical care units around Vietnam makes the implementation of quality critical care to patients with SARI and sepsis, according international guidelines, not universally possible. Copyright © 2017 Elsevier Inc. All rights reserved.
China's human resources for maternal and child health: a national sampling survey.
Ren, Zhenghong; Song, Peige; Theodoratou, Evropi; Guo, Sufang; An, Lin
2015-12-16
In order to achieve the Millennium Development Goals (MDG) 4 and 5, the Chinese Government has invested greatly in improving maternal and child health (MCH) with impressive results. However, one of the most important barriers for further improvement is the uneven distribution of MCH human resources. There is little information about the distribution, quantity and capacity of the Chinese MCH human resources and we sought to investigate this. Cities at prefectural level were selected by random cluster sampling. All medical and health institutions providing MCH-related services in the sampled areas were investigated using a structured questionnaire. The data were weighted based on the proportion of the sampled districts/cities. Amount, proportions and numbers per 10,000 population of MCH human resources were estimated in order to reveal the quantity of the Chinese MCH human resources. The capacity of MCH human resources was evaluated by analyzing data on the education level and professional skills of the staff. There were 77,248 MCH workers in China in 2010. In general, 67.6% and 71.9% of the women's and children's health care professionals had an associate degree or higher, whereas around 30% had only high-school or lower degrees. More than 40% of the women's health workers were capable of providing skilled birth attendance, but these proportions varied between different institutions and locations. Evidence from this study highlights that Chinese MCH human resources are not in shortage in the national level. However, the quantity and capacity of MCH human resources are not evenly distributed among different institutions and locations. Finally there is a need in the improvement of the MCH services by improving the quality of MCH human resources.
Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Wyss, Kaspar
2014-08-09
Motivation and job satisfaction have been identified as key factors for health worker retention and turnover in low- and middle-income countries. District health managers in decentralized health systems usually have a broadened 'decision space' that enables them to positively influence health worker motivation and job satisfaction, which in turn impacts on retention and performance at district-level. The study explored the effects of motivation and job satisfaction on turnover intention and how motivation and satisfaction can be improved by district health managers in order to increase retention of health workers. We conducted a cross-sectional survey in three districts of the Eastern Region in Ghana and interviewed 256 health workers from several staff categories (doctors, nursing professionals, allied health workers and pharmacists) on their intentions to leave their current health facilities as well as their perceptions on various aspects of motivation and job satisfaction. The effects of motivation and job satisfaction on turnover intention were explored through logistic regression analysis. Overall, 69% of the respondents reported to have turnover intentions. Motivation (OR = 0.74, 95% CI: 0.60 to 0.92) and job satisfaction (OR = 0.74, 95% CI: 0.57 to 0.96) were significantly associated with turnover intention and higher levels of both reduced the risk of health workers having this intention. The dimensions of motivation and job satisfaction significantly associated with turnover intention included career development (OR = 0.56, 95% CI: 0.36 to 0.86), workload (OR = 0.58, 95% CI: 0.34 to 0.99), management (OR = 0.51. 95% CI: 0.30 to 0.84), organizational commitment (OR = 0.36, 95% CI: 0.19 to 0.66), and burnout (OR = 0.59, 95% CI: 0.39 to 0.91). Our findings indicate that effective human resource management practices at district level influence health worker motivation and job satisfaction, thereby reducing the likelihood for turnover. Therefore, it is worth strengthening human resource management skills at district level and supporting district health managers to implement retention strategies.
2014-01-01
Background Motivation and job satisfaction have been identified as key factors for health worker retention and turnover in low- and middle-income countries. District health managers in decentralized health systems usually have a broadened ‘decision space’ that enables them to positively influence health worker motivation and job satisfaction, which in turn impacts on retention and performance at district-level. The study explored the effects of motivation and job satisfaction on turnover intention and how motivation and satisfaction can be improved by district health managers in order to increase retention of health workers. Methods We conducted a cross-sectional survey in three districts of the Eastern Region in Ghana and interviewed 256 health workers from several staff categories (doctors, nursing professionals, allied health workers and pharmacists) on their intentions to leave their current health facilities as well as their perceptions on various aspects of motivation and job satisfaction. The effects of motivation and job satisfaction on turnover intention were explored through logistic regression analysis. Results Overall, 69% of the respondents reported to have turnover intentions. Motivation (OR = 0.74, 95% CI: 0.60 to 0.92) and job satisfaction (OR = 0.74, 95% CI: 0.57 to 0.96) were significantly associated with turnover intention and higher levels of both reduced the risk of health workers having this intention. The dimensions of motivation and job satisfaction significantly associated with turnover intention included career development (OR = 0.56, 95% CI: 0.36 to 0.86), workload (OR = 0.58, 95% CI: 0.34 to 0.99), management (OR = 0.51. 95% CI: 0.30 to 0.84), organizational commitment (OR = 0.36, 95% CI: 0.19 to 0.66), and burnout (OR = 0.59, 95% CI: 0.39 to 0.91). Conclusions Our findings indicate that effective human resource management practices at district level influence health worker motivation and job satisfaction, thereby reducing the likelihood for turnover. Therefore, it is worth strengthening human resource management skills at district level and supporting district health managers to implement retention strategies. PMID:25106497
ERIC Educational Resources Information Center
Roza, Marguerite
2008-01-01
The goal of this paper is to explore the effects of micro-budgeting decisions and show how they might support or hamper district reform strategies. The study draws on public and private sector resource allocation literature to identify key elements of resource allocation decisions. These elements are used to highlight different allocation…
The Cost of Dengue Vector Control Activities in Malaysia by Different Service Providers.
Packierisamy, P Raviwharmman; Ng, Chiu-Wan; Dahlui, Maznah; Venugopalan, B; Halasa, Yara A; Shepard, Donald S
2015-11-01
We examined variations in dengue vector control costs and resource consumption between the District Health Departments (DHDs) and Local Authorities (LAs) to assist informed decision making as to the future roles of these agencies in the delivery of dengue vector control services in Malaysia. Data were collected from the vector control units of DHDs and LAs in 8 selected districts. We captured costs and resource consumption in 2010 for premise inspection for mosquito breeding sites, fogging to destroy adult mosquitoes and larviciding of potential breeding sites. Overall, DHDs spent US$5.62 million or US$679 per case and LAs spent US$2.61 million or US$499 per case. The highest expenditure for both agencies was for fogging, 51.0% and 45.8% of costs for DHDs and LAs, respectively. The DHDs had higher resource costs for human personnel, vehicles, pesticides, and equipment. The findings provide some evidence to rationalize delivery of dengue vector control services in Malaysia. © 2015 APJPH.
Mapping the governance of human resources for health in Serbia.
Santric Milicevic, Milena; Vasic, Milena; Edwards, Matt
2015-12-01
This article maps the current governance of human resources for health (HRH) in relation to universal health coverage in Serbia since the health sector reforms in 2003. The study adapts the Global Health Workforce Alliance/World Health Organization four-dimensional framework of HRH in the context of governance for universal health coverage. A set of proxies was established for the availability, accessibility, acceptability and quality of HRH. Analysis of official HRH documentation from relevant institutions and reports were used to construct a governance profile of HRH for Serbia from the introduction of the reform in 2003 up to 2013. The results show that all Serbian districts (except Sremski) surpass the availability threshold of 59.4 skilled midwives, nurses and physicians per 10,000 inhabitants. District accessibility of health workforce greatly differed from the national average with variances from +26% to -34%. Analysis of national averages and patient load of general practitioners showed variances among districts by ± 21%, whilst hospital discharges per 100 inhabitants deviated between +52% and -45%. Pre-service and in-service education of health workforce is regulated and accredited. However, through its efforts to respond to population health needs Serbia lacks a single coordinating entity to take overall responsibility for effective and coordinated HRH planning, management and development within the broader landscape of health strategy development. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
ERIC Educational Resources Information Center
Levin, Jesse; Manship, Karen; Chambers, Jay; Johnson, Jerry; Blankenship, Charles
2011-01-01
This report presents the first detailed comparison of resource allocation between rural and nonrural districts in the West Region. Three regional characteristics often associated with rural districts were chosen for the analysis: district enrollment, student population density within a district (students per square mile), and drive time from the…
A Matter of Definition: Is There Truly a Shortage of School Principals?
ERIC Educational Resources Information Center
Roza, Marguerite
Although some districts and areas have experienced difficulty finding good principals, there are far more candidates certified to be principals than there are principal vacancies to fill. This report describes a study based on a written indepth survey of human-resource directors supplemented by formal survey questions to school superintendents and…
ERIC Educational Resources Information Center
Syracuse Univ., NY. School of Education.
This handbook provides information about interagency collaboration and educational partnerships in rural New York to service providers, planners, and policymakers. A survey identified 52 existing collaborative programs involving approximately 190 New York school districts and 100 nondistrict agencies and examined size and configuration of…
Marin County Teacher Learning Cooperative: Phase II, Volume 1.
ERIC Educational Resources Information Center
Balzan, Robert A.
This report describes the second phase of a teacher learning cooperative project designed to coordinate the economic, physical, and human resources of a number of small elementary school districts in California and the Marin County Superintendent of Schools Office. Whereas the first phase dealt with the formation and implementation of the…
Marin County Teacher Learning Cooperative: Phase II, Volume 2.
ERIC Educational Resources Information Center
Balzan, Robert A.
This report describes the second phase of a teacher learning cooperative project designed to coordinate the economic, physical, and human resources of a number of small elementary school districts in California and the Marin County Superintendent of Schools Office. Whereas the first phase dealt with the formation and implementation of the…
Complete Interview Procedures for Hiring School Personnel
ERIC Educational Resources Information Center
Gagnon Jr, William L.
2003-01-01
Most school districts do not have a full time human resources administrator to conduct interviews and this important task most often becomes the responsibility of the building principal or a department head. Here is a guide designed for hiring employees, both professional staff as well as non-professional, in public, parochial, or private schools.…
Gates, Joseph S.; Dragos, Stefanie L.
1991-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from October 1, 1989, to September 30, 1990. The program in Utah during this period consisted of 25 projects; a discussion of each project is given in the body of the report.The following sections outline the basic mission and program of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1989 to September 1990.
Gates, Joseph S.; Dragos, Stefanie L.
1990-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from October 1, 1988, to September 30, 1989. The program in Utah during this period consisted of 21 projects; a discussion of each project is given in the main body of the report. The following sections outline the basic mission and program of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1988 to September 1989.
2010-01-01
Background The district resource allocation formula in Malawi was recently reviewed to include stunting as a proxy measure of socioeconomic status. In many countries where the concept of need has been incorporated in resource allocation, composite indicators of socioeconomic status have been used. In the Malawi case, it is important to ascertain whether there are differences between using single variable or composite indicators of socioeconomic status in allocations made to districts, holding all other factors in the resource allocation formula constant. Methods Principal components analysis was used to calculate asset indices for all districts from variables that capture living standards using data from the Malawi Multiple Indicator Cluster Survey 2006. These were normalized and used to weight district populations. District proportions of national population weighted by both the simple and composite indicators were then calculated for all districts and compared. District allocations were also calculated using the two approaches and compared. Results The two types of indicators are highly correlated, with a spearman rank correlation coefficient of 0.97 at the 1% level of significance. For 21 out of the 26 districts included in the study, proportions of national population weighted by the simple indicator are higher by an average of 0.6 percentage points. For the remaining 5 districts, district proportions of national population weighted by the composite indicator are higher by an average of 2 percentage points. Though the average percentage point differences are low and the actual allocations using both approaches highly correlated (ρ of 0.96), differences in actual allocations exceed 10% for 8 districts and have an average of 4.2% for the remaining 17. For 21 districts allocations based on the single variable indicator are higher. Conclusions Variations in district allocations made using either the simple or composite indicators of socioeconomic status are not statistically different to recommend one over the other. However, the single variable indicator is favourable for its ease of computation. PMID:20053274
Gates, Joseph S.; Hardy, Ellen E.
1992-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from October 1, 1990, to September 30, 1991. The program in Utah during this period consisted of 23 projects; a discussion of each project is given in the main body of this report.The following sections outline the origin of the U.S. Geological Survey, the basic mission of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1990 to September 1991.
Hardy, Ellen E.; Gates, Joseph S.
1993-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from October 1, 1991, to September 30, 1992. The program in Utah during this period consisted of 20 projects; a discussion of each project is presented in the main body of this report.The following sections outline the origin of the U.S. Geological Survey, the basic mission of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1991 to September 1992.
NASA Astrophysics Data System (ADS)
Weber, M. C.; Ward, A. S.; Muste, M.
2014-12-01
The salinization of groundwater resources is a widespread problem in arid agricultural environments. In Mewat District (Haryana, India), groundwater salinity has rendered much of the accessible supply unfit for human consumption or agriculture. Historically, this closed basin retained fresh pockets of water at the foothills of the Aravalli Hills, where monsoonal precipitation runoff from the mountains was recharged through infiltration or facilitated by man-made structures. To date, an increasing number of pumps supply the region with fresh water for consumption and agriculture leading to shrinking the freshwater zone at an accelerated pace. The potential for increased human consumption corroborated with the effects of climate change bring uncertainty about the future of water security for the Mewat communities, most of them critically bound to the existence of local water. This study addresses the sustainability of the freshwater supply under a range of land interventions and climate scenarios, using a 2-D groundwater flow and transport model. Our results quantify potential futures for this arid, groundwater-dependent location, using numerical groundwater modeling to quantify interactions between human water use, infrastructure, and climate. Outcomes of this modeling study will inform an NGO active in the area on sustainable management of groundwater resources.
Ohba, Hisateru; Narumi, Masakazu; Hosokawa, Yoichiro; Aoki, Masahiko
2010-01-01
The aim of this study was to measure and compare the geographical inequalities in radiotherapy health resources between the Hokkaido-Tohoku and Tokyo districts of Japan. The numbers of radiotherapy facilities, radiologists, and radiological technologists were used to represent radiotherapy health resources. The target areas were 11 prefectures in the Hokkaido-Tohoku and Tokyo districts. The Gini coefficient (GC) was used to measure inequalities in health resources in relation to the population and area of each secondary medical care zone. Correlation analysis was performed to clarify the relation between the GC and the all-cancer mortality rate per 100,000 people. The mean population and area GCs of Yamagata Prefecture were the smallest, whereas the mean population GC of Tokyo and the mean area GC of Hokkaido were the largest. The mean GCs of radiotherapy facilities and radiological technologists were higher in the Tokyo district than in the Hokkaido-Tohoku district. No significant correlation was found between GC and cancer mortality. Geographical inequalities in radiotherapy health resources tended to be larger in the Tokyo district than in the Hokkaido-Tohoku district. It is expected that the radiotherapy system will be substantially improved by the Basic Plan to Promote Cancer Control Programs.
ERIC Educational Resources Information Center
Brown, Michael H.
This document presents a case history of an 80-hour consulting contract undertaken in 1984 whereby a human resources consultant provided training in team building, communication skills, and creative problem solving to the management team of the Water Revenue Department (WRD) of the government of the District of Columbia. The troubled history of…
The Consequence of Economic Growth for Human and Natural Resource Development: Case Study in Japan.
ERIC Educational Resources Information Center
Ninomiya, Tetsuo
Before being included in Kanazawa City in 1954, all villages in the Yasuhara district of Japan might have been called model village communities, for these farming communities were built around common utilization of naturally-flowing ground water, and the rice farmers worked communally exhibiting principles of closeness and equality. When Yasuhara…
Social Media Use--and Misuse--by Teachers: Looking to the Courts for Human Resource Policy Guidance
ERIC Educational Resources Information Center
Bon, Susan C.; Bathon, Justion; Balzano, Anne-Marie
2013-01-01
School districts are facing a sensationalized and alarming trend of unprofessional conduct and social media misuse by public school teachers. Likewise, recent court cases as well as highly publicized scandals raise concern that inappropriate relationships between teachers and students can be initiated through online social media. These emergent…
ERIC Educational Resources Information Center
Baker, Bruce D.
2012-01-01
The goal of this study is to simultaneously explore resource allocation across schools within large urban school districts and across all schools within major metropolitan areas that include those urban districts in the state of Texas. This study uses a three-year panel, from 2005 to 2007, for Texas elementary schools in the Houston, Dallas,…
Code of Federal Regulations, 2013 CFR
2013-01-01
.... Soil quality means resource concerns and/or opportunities related to depletion of soil organic matter..., or Tribal law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district...
Code of Federal Regulations, 2014 CFR
2014-01-01
.... Soil quality means resource concerns and/or opportunities related to depletion of soil organic matter..., or Tribal law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district...
Code of Federal Regulations, 2012 CFR
2012-01-01
.... Soil quality means resource concerns and/or opportunities related to depletion of soil organic matter..., or Tribal law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district...
Spira, Thomas; Lindegren, Mary Lou; Ferris, Robert; Habiyambere, Vincent; Ellerbrock, Tedd
2009-06-01
The expansion of HIV/AIDS care and treatment in resource-constrained countries, especially in sub-Saharan Africa, has generally developed in a top-down manner. Further expansion will involve primary health centers where human and other resources are limited. This article describes the World Health Organization/President's Emergency Plan for AIDS Relief collaboration formed to help scale up HIV services in primary health centers in high-prevalence, resource-constrained settings. It reviews the contents of the Operations Manual developed, with emphasis on the Laboratory Services chapter, which discusses essential laboratory services, both at the center and the district hospital level, laboratory safety, laboratory testing, specimen transport, how to set up a laboratory, human resources, equipment maintenance, training materials, and references. The chapter provides specific information on essential tests and generic job aids for them. It also includes annexes containing a list of laboratory supplies for the health center and sample forms.
Intra-Operational Area Coordination: The Zone EOC Concept
2015-09-01
Coastside County Water District, Granada Community Services District, Highlands Recreation District, Mid-peninsula Regional Open Space District...District, San Mateo County Resource Conservation District, and the unincorporated area communities of El Granada , Highlands-Bay Wood Park, Kings
Water-resources activities in Utah by the U.S. Geological Survey, July 1, 1987 to September 30, 1988
Dragos, Stefanie L.; Gates, Joseph S.
1989-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from July 1, 1987, to September 30, 1988. The program in Utah during this period consisted of 29 projects; a discussion of each project is given in the main body of the report. Short descriptions are given at the end of the report for three projects proposed to be started on or after October 1, 1988. The following sections outline the basic mission and program of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from July 1987 to September 1988.
Water-resources activities in Utah by the U.S. Geological Survey: July 1, 1986, to June 30, 1987
Dragos, Stefanie L.
1988-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from July 1, 1986 to June 30, 1987. The program in Utah during this period consisted of 24 projects; a discussion of each project is given in the main body of the report. Short descriptions are given at the end of the report for six projects proposed to be started on or after July 1987. The following sections outline the basic mission and program of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from July 1986 to June 1987.
Water-resources activities in Utah by the U.S. Geological Survey, July 1, 1985, to June 30, 1986
Gates, Joseph S.; Dragos, Stefanie L.
1987-01-01
This report contains summaries of the progress of water-resources studies in Utah by the U.S. Geological Survey, Water Resources Division, Utah District, from July 1, 1985 to June 30, 1986. The program in Utah during this period consisted of 22 projects, and a discussion of each project is given in the main body of the report. Short descriptions are given at the end of the report for six proposed projects to be started on or after July 1986. The following sections outline the basic mission and program of the Water Resources Division, the organizational structure of the Utah District, the distribution of District funding in terms of source of funds and type of activity funded, and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from July 1985 to June 1986.
Hardy, Ellen E.; Dragos, Stefanie L.
1996-01-01
This report contains summaries of the progress of water-resources studies in Utah done by the U.S. Geological Survey, Water Resources Division, Utah District, from October 1,1994, to September 30, 1995. The waterresources program in Utah during this period consisted of 23 projects; a discussion of each project is presented in the main body of this report.The following sections outline the origin of the U.S. Geological Survey, the basic mission of the Water Resources Division, the organizational structure of the Utah District, office addresses of the Utah District, the distribution of program funding as source of funds and type of activity funded in Federal Fiscal Year (FY) 1995 (October 1, 1994, to September 30,1995), and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1994 to September 1995.
Hardy, Ellen E.; Dragos, Stefanie L.
1998-01-01
This report contains summaries of the progress of water-resources activities of the U.S. Geological Survey (USGS), Water Resources Division, Utah District, from October 1, 1996, to September 30,1997. The waterresources program in Utah during this period consisted of 25 projects, and a discussion of each project is presented.The following sections outline the origin of the USGS, the mission of the Water Resources Division, the organizational structure of the Utah District, office addresses of the Utah District, the distribution of program funding as source of funds and type of activity funded in Federal Fiscal Year 1997 (FY97) (October 1,1996, to September 30, 1997), and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1996 to September 1997.
Hardy, Ellen E.; Dragos, Stefanie L.
1997-01-01
This report contains summaries of the progress of water-resources activities of the U.S. Geological Survey (USGS), Water Resources Division, Utah District, from October 1, 1995, to September 30, 1996. The waterresources program in Utah during this period consisted of 22 projects; a discussion of each project is presented in the main body of this report.The following sections outline the origin of the USGS, the mission of the Water Resources Division, the organizational structure of the Utah District, office addresses of the Utah District, the distribution of program funding as source of funds and type of activity funded in Federal Fiscal Year 1996 (FY96) (October 1, 1995, to September 30, 1996), and the agencies with which the District cooperates. The last part of the introduction is a list of reports produced by the District from October 1995 to September 1996.
Wu, Cheng-Kuang
2018-04-01
The current early-warning system and tsunami protection measures tend to fall short because they always underestimate the level of destruction, and it is difficult to predict the level of damage by a devastating tsunami on uncertain targets. As we know, the key to minimizing the total number of fatalities after a disaster is the deployment of search and rescue efforts in the first few hours. However, the resources available to the affected districts for emergency response may be limited. This study proposes two game theoretic models that are designed for search-and-rescue resource allocation. First, the interactions between a compounded disaster and a response agent in the affected district are modelled as a non-cooperative game, after which the risk value is derived for each district from the Nash equilibrium. The risk value represents the threat, vulnerability, and consequence of a specific disaster for the affected district. Second, the risk values for fifteen districts are collected for calculation of each district's Shapley value. Then an acceptable plan for resource deployment among all districts is made based on their expected marginal contribution. The model is verified in a simulation based upon 2011 tsunami data. The experimental results show the proposed approach to be more efficient than the proportional division of rescue resources, for dealing with compounded disaster, and is feasible as a method for planning the mobilization of resources and to improve relief efforts against devastating tsunamis. Copyright © 2017 Elsevier Inc. All rights reserved.
Comprehensive Planning Resource Document, 1990-91, for the Kern Community College District.
ERIC Educational Resources Information Center
Cook, Lauraine
This compilation of resources for district planning in 1990-91 provides an overview of demographic, personnel, financial, facilities, and curriculum issues for the Kern Community College District (California) and its member institutions, Bakersfield, Cerro Coso, and Porterville colleges. The 10 sections of the document cover: (1) General…
Tabrizi, Jafar Sadegh; Gholipour, Kamal; Farahbakhsh, Mostafa; Jahanbin, Hasan; Karamuz, Majid
2016-11-01
To assess districts health managers educational needs and develop management training programmes. This mixed-method study was carried out between August 2014 and August 2015 in Tabriz, Iran. Four focus group discussion sessions and three semi-structured face-to-face interviews were conducted among district health managers and experts of a health centre. Besides, 52 questionnaires were completed to weigh and finalise management education module and courses. Interviews and focus group discussions were tape-recorded, transcribed and analysed using content analysis method. Data was analysed using SPSS17. There were 52 participants, of whom 40(78.8%) were men and 12(21.2%) were women. All of the subjects (100%) took part in the quantitative phase, while 25(48.08%) participated in the qualitative phase. In the qualitative section, 11(44%) participants were heads of unit/departments in provincial health centre and 14(56%) were district health managers. In the quantitative phase, 30(57.7%) participants were district health managers and 8(28.8%) were heads of units/departments. Moreover, 33(63.4%) participants had medical education. The job experience of 3(5.8%) participants in the current position was below five years. Districts health management training programme consisted of 10modules with 53 educational topics. The normalised score out of a total of 100 for rules and ethics was 75.51, health information management 71.19, management and leadership 69.27, district management 68.08, human resources and organisational creativity 67.58,quality improvement 66.6, health resources management 62.37, planning and evaluation 61.87, research in health system 59.15, and community participation was 53.15. Considering district health managers' qualification in health and medicine, they had not been trained in basic management. Almost all the management and leadership courses were prioritised as most necessary.
BEARTOOTH PRIMITIVE AREA AND VICINITY, MONTANA AND WYOMING.
Simons, Frank S.; Van Noy, Ronald M.
1984-01-01
The Beartooth area comprises about 600 sq mi in the central part of the Beartooth Mountains in South-central Montana and northwestern Wyoming just northeast of Yellowstone National Park. A mineral-resource survey concluded that one area of probable and one of substantiated mineral-resource potential are present in the Beartooth area. Three small mining districts (Red Lodge, Stillwater, and Independence) and one possibly major district (Cooke City) adjoin the Beartooth area but lie almost entirely outside it; the northern part of the Cooke City mining district, around Goose Lake, is within the area. This area has substantiated resource potential for copper, silver, gold, and platinum-group elements. The Red Lodge mining district extends into the eastern part of the area and has a probable chrome resource potential. There is little promise for the discovery of energy resources in the area.
Tushi, Aonungdok; Kaur, Prabhdeep
2017-01-01
Public sector health facilities were poorly managed due to a history of conflict in Nagaland, India. Government of Nagaland introduced "Nagaland Communitisation of Public Institutions and Services Act" in 2002. Main objectives of the evaluation were to review the functioning of Health Center Managing Committees (HCMCs), deliver health services in the institutions managed by HCMC, identify strengths as well as challenges perceived by HCMC members in the rural areas of Mokokchung district, Nagaland. The evaluation was made using input, process and output indicators. A doctor, the HCMC Chairman and one member from each of the three community health centers (CHC) and four primary health centers (PHC) were surveyed using a semi-structured questionnaire and an in-depth interview guide. Proportions for quantitative data were computed and key themes from the same were identified. Overall; the infrastructure, equipment and outpatient/inpatient service availability was satisfactory. There was a lack of funds and shortage of doctors, drugs as well as laboratory facilities. HCMCs were in place and carried out administrative activities. HCMCs felt ownership, mobilized community contributions and managed human resources. HCMC members had inadequate funds for their transport and training. They faced challenges in service delivery due to political interference and lack of adequate human, material, financial resources. Communitisation program was operational in the district. HCMC members felt the ownership of health facilities. Administrative, political support and adequate funds from the government are needed for effective functioning of HCMCs and optimal service delivery in public sector facilities.
Achoki, Tom; Hovels, Anke; Masiye, Felix; Lesego, Abaleng; Leufkens, Hubert; Kinfu, Yohannes
2017-01-01
Objective Despite tremendous efforts to scale up key maternal and child health interventions in Zambia, progress has not been uniform across the country. This raises fundamental health system performance questions that require further investigation. Our study investigates technical and scale efficiency (SE) in the delivery of maternal and child health services in the country. Setting The study focused on all 72 health districts of Zambia. Methods We compiled a district-level database comprising health outcomes (measured by the probability of survival to 5 years of age), health outputs (measured by coverage of key health interventions) and a set of health system inputs, namely, financial resources and human resources for health, for the year 2010. We used data envelopment analysis to assess the performance of subnational units across Zambia with respect to technical and SE, controlling for environmental factors that are beyond the control of health system decision makers. Results Nationally, average technical efficiency with respect to improving child survival was 61.5% (95% CI 58.2% to 64.8%), which suggests that there is a huge inefficiency in resource use in the country and the potential to expand services without injecting additional resources into the system. Districts that were more urbanised and had a higher proportion of educated women were more technically efficient. Improved cooking methods and donor funding had no significant effect on efficiency. Conclusions With the pressing need to accelerate progress in population health, decision makers must seek efficient ways to deliver services to achieve universal health coverage. Understanding the factors that drive performance and seeking ways to enhance efficiency offer a practical pathway through which low-income countries could improve population health without necessarily seeking additional resources. PMID:28057650
DOE Office of Scientific and Technical Information (OSTI.GOV)
Reynolds, Jesse L.
2000-06-01
Groundwater irrigation is critical to food production and, in turn, to humankind's relationship with its environment. The development of groundwater in Santa Clara Valley, California during the early twentieth century is instructive because (1) responses to unsustainable resource use were largely successful; (2) the proposals for the physical management of the water, although not entirely novel, incorporated new approaches which reveal an evolving relationship between humans and the hydrologic cycle; and (3) the valley serves as a natural laboratory where natural (groundwater basin, surface watershed) and human (county, water district) boundaries generally coincide. Here, I investigate how water resources developmentmore » and management in Santa Clara Valley was influenced by, and reflective of, a broad understanding of water as a natural resource, including scientific and technological innovations, new management approaches, and changing perceptions of the hydrologic cycle. Market demands and technological advances engendered reliance on groundwater. This, coupled with a series of dry years and laissez faire government policies, led to overdraft. Faith in centralized management and objective engineering offered a solution to concerns over resource depletion, and a group dominated by orchardists soon organized, fought for a water conservation district, and funded an investigation to halt the decline of well levels. Engineer Fred Tibbetts authored an elaborate water salvage and recharge plan that optimized the local water resources by integrating multiple components of the hydrologic cycle. Informed by government investigations, groundwater development in Southern California, and local water law cases, it recognized the limited surface storage possibilities, the spatial and temporal variability, the relatively closed local hydrology, the interconnection of surface and subsurface waters, and the value of the groundwater basin for its storage, transportation, and treatment abilities. The proposal was typically described as complementing an already generous nature, not simply subduing it. Its implementation was limited by political tensions, and fifteen years later, a scaled-down version was constructed. Well levels recovered, but within a decade were declining due to increasing withdrawals. I assert that the approach in Santa Clara Valley was a forerunner to more recent innovations in natural resource management in California and beyond.« less
References & Resources for Secretaries and Clerical Personnel, 1980. Manual 4200-1.
ERIC Educational Resources Information Center
Van Gelder, Naneene, Ed.
Developed as a resource guide for all secretaries and clerical personnel employed in the San Diego Community College District (SDCCD), this manual provides information on matters ranging from district procedures and office operations to English usage and professional growth. The manual's 21 chapters cover: (1) district history, philosophy, and…
The Role of Rural Communities in the Postsecondary Preparation of Low-Income Students
ERIC Educational Resources Information Center
Alleman, Nathan F.; Holly, L. Neal
2014-01-01
In the past decade, rural education has been critiqued for contributing to brain drain and social stratification that saps the human, social, and economic resources of rural communities. This article, based on an investigation of six small rural school districts in the same state, offers an alternative view of the role of community groups and…
ERIC Educational Resources Information Center
Basu, Abhisek; Chatterjee, Soumendu
2014-01-01
Education is a very important factor of human resource development and management. After a long period of independence, our nation is yet to achieve desired level of education. This is worst in tribal societies. Tribes are the primeval communities that constitute a considerable proportion of national population. Each of the tribal communities has…
ERIC Educational Resources Information Center
Council of the Great City Schools, 2008
2008-01-01
This report describes statistical indicators developed by the Council of the Great City Schools and its member districts to measure big-city school performance on a range of operational functions in business, finance, human resources and technology. The report also presents data city-by-city on those indicators. This is the second time that…
ERIC Educational Resources Information Center
White, Bradford R.
2016-01-01
Charter schools are publicly-funded educational entities that operate independently from local school districts and are exempt from certain state and local requirements, particularly with regard to teacher personnel policy. In exchange for this flexibility, charter schools are held more accountable for results and may be shut down if they fail to…
1985-03-01
COUNTIES , ILLINOIS CONTRACT NO. DACW4382.D.0083 edited by DTIC Harold Hassen S ELECTE FEB 0 3 1992N CONTRIBUTIONS BY HAROLD HASSEN, ERICH SCHROEDER...SELECTED PORTIONS OF THE MEREDOSIA AND MEREDOSIA LAKE DRAINAGE AND LEVEE DISTRICTS, SCOTT, CASS, AND MORGAN COUNTIES ,,; PERFORMING ORG. REPORT N-.MBER...River: Cultural Resource Survey of Selected Portions of the Meredosia and Meredosia Lake Drainage and Levee Districts, Scott, Cass and Morgan Counties
DOE Office of Scientific and Technical Information (OSTI.GOV)
Brant, R.A.; Chesnut, D.R.; Frankie, W.T.
This report is the fifth in the Energy Resource Series published by the University of Kentucky Institute for Mining and Minerals Research (IMMR), with the Kentucky Geological Survey (KGS). It summarizes the coal resources of the Hazard District (Breathitt, Knott, Leslie, Perry, and parts of Harlan and Letcher counties) of the Eastern Kentucky Coal Field as calculated by the Kentucky Geological Survey. Tonnage estimates for the individual coal beds in the district are presented in tabular form, along with resource maps of the major coal beds.
Mushtaq, Muhammad Umair; Shahid, Ubeera; Majrooh, Muhammad Ashraf; Shad, Mushtaq Ahmad; Siddiqui, Arif Mahmood; Akram, Javed
2010-08-23
The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. This paper describes the perceptions of health workers and managers regarding constraints in the Polio Eradication Initiative (PEI) to ultimately provide evidence for designing future interventions. A qualitative cross-sectional study using focus group discussions and in-depth interviews was conducted in the Nankana Sahib District of Pakistan's Punjab province. Study subjects included staff at all levels in the PEI at district headquarters, in all 4 tehsils (sub-districts) and at 20 randomly selected primary health centers. In total, 4 FGD and 7 interview sessions were conducted and individual session summary notes were prepared and later synthesized, consolidated and subjected to conceptual analysis. The main constraints identified in the study were the poor condition of the cold chain in all aspects, poor skills and a lack of authority in resource allocation and human resource management, limited advocacy and communication resources, a lack of skills and training among staff at all levels in the PEI/EPI in almost all aspects of the program, a deficiency of public health professionals, poor health services structure, administrative issues (including ineffective means of performance evaluation, bureaucratic and political influences, problems in vaccination areas and field programs, no birth records at health facilities, and poor linkage between different preventive programs), unreliable reporting and poor monitoring and supervision systems, limited use of local data for interventions, and unclear roles and responsibilities after decentralization. The study highlights various shortcomings and bottlenecks in the PEI, and the barriers identified should be considered in prioritizing future strategies.
2010-01-01
Background The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. This paper describes the perceptions of health workers and managers regarding constraints in the Polio Eradication Initiative (PEI) to ultimately provide evidence for designing future interventions. Methods A qualitative cross-sectional study using focus group discussions and in-depth interviews was conducted in the Nankana Sahib District of Pakistan's Punjab province. Study subjects included staff at all levels in the PEI at district headquarters, in all 4 tehsils (sub-districts) and at 20 randomly selected primary health centers. In total, 4 FGD and 7 interview sessions were conducted and individual session summary notes were prepared and later synthesized, consolidated and subjected to conceptual analysis. Results The main constraints identified in the study were the poor condition of the cold chain in all aspects, poor skills and a lack of authority in resource allocation and human resource management, limited advocacy and communication resources, a lack of skills and training among staff at all levels in the PEI/EPI in almost all aspects of the program, a deficiency of public health professionals, poor health services structure, administrative issues (including ineffective means of performance evaluation, bureaucratic and political influences, problems in vaccination areas and field programs, no birth records at health facilities, and poor linkage between different preventive programs), unreliable reporting and poor monitoring and supervision systems, limited use of local data for interventions, and unclear roles and responsibilities after decentralization. Conclusion The study highlights various shortcomings and bottlenecks in the PEI, and the barriers identified should be considered in prioritizing future strategies. PMID:20731832
Factors influencing resource allocation decisions and equity in the health system of Ghana.
Asante, A D; Zwi, A B
2009-05-01
Allocation of financial resources in the health sector is often seen as a formula-driven activity. However, the decision to allocate a certain amount of resources to a particular health jurisdiction or facility may be based on a broader range of factors, sometimes not reflected in the existing resource allocation formula. This study explores the 'other' factors that influence the equity of resource allocation in the health system of Ghana. The extent to which these factors are, or can be, accounted for in the resource allocation process is analysed. An exploratory design focusing on different levels of the health system and diverse stakeholders. Data were gathered through semi-structured qualitative interviews with health authorities at national, regional and district levels, and with donor representatives and local government officials in 2003 and 2004. The availability of human resources for health, local capacity to utilize funds, donor involvement in the health sector, and commitment to promote equity have considerable influence on resource allocation decisions and affect the equity of funding allocations. However, these factors are not accounted for adequately in the resource allocation process. This study highlights the need for a more transparent resource allocation system in Ghana based on needs, and takes into account key issues such as capacity constraints, the inequitable human resource distribution and donor-earmarked funding.
NASA Astrophysics Data System (ADS)
Lee, Victor R.; Leary, Heather M.; Sellers, Linda; Recker, Mimi
2014-06-01
When introducing and implementing a new technology for science teachers within a school district, we must consider not only the end users but also the roles and influence district personnel have on the eventual appropriation of that technology. School districts are, by their nature, complex systems with multiple individuals at different levels in the organization who are involved in supporting and providing instruction. Varying levels of support for new technologies between district coordinators and teachers can sometimes lead to counterintuitive outcomes. In this article, we examine the role of the district science coordinator in five school districts that participated in the implementation of an online resource discovery and sharing tool for Earth science teachers. Using a qualitative approach, we conducted and coded interviews with district coordinators and teachers to examine the varied responsibilities associated with the district coordinator and to infer the relationships that were developed and perceived by teachers. We then examine and discuss two cases that illustrate how those relationships could have influenced how the tool was adopted and used to differing degrees in the two districts. Specifically, the district that had high support for online resource use from its coordinator appeared to have the lowest level of tool use, and the district with much less visible support from its coordinator had the highest level of tool use. We explain this difference in terms of how the coordinator's promotion of teacher autonomy took distinctly different forms at those two districts.
Hategeka, Celestin; Shoveller, Jean; Tuyisenge, Lisine; Kenyon, Cynthia; Cechetto, David F; Lynd, Larry D
2017-01-01
Health system strengthening is crucial to improving infant and child health outcomes in low-resource countries. While the knowledge related to improving newborn and child survival has advanced remarkably over the past few decades, many healthcare systems in such settings remain unable to effectively deliver pediatric advance life support management. With the introduction of the Emergency Triage, Assessment and Treatment plus Admission care (ETAT+)-a locally adapted pediatric advanced life support management program-in Rwandan district hospitals, we undertook this study to assess the extent to which these hospitals are prepared to provide this pediatric advanced life support management. The results of the study will shed light on the resources and support that are currently available to implement ETAT+, which aims to improve care for severely ill infants and children. A cross-sectional survey was undertaken in eight district hospitals across Rwanda focusing on the availability of physical and human resources, as well as hospital services organizations to provide emergency triage, assessment and treatment plus admission care for severely ill infants and children. Many of essential resources deemed necessary for the provision of emergency care for severely ill infants and children were readily available (e.g. drugs and laboratory services). However, only 4/8 hospitals had BVM for newborns; while nebulizer and MDI were not available in 2/8 hospitals. Only 3/8 hospitals had F-75 and ReSoMal. Moreover, there was no adequate triage system across any of the hospitals evaluated. Further, guidelines for neonatal resuscitation and management of malaria were available in 5/8 and in 7/8 hospitals, respectively; while those for child resuscitation and management of sepsis, pneumonia, dehydration and severe malnutrition were available in less than half of the hospitals evaluated. Our assessment provides evidence to inform new strategies to enhance the capacity of Rwandan district hospitals to provide pediatric advanced life support management. Identifying key gaps in the health care system is required in order to facilitate the implementation and scale up of ETAT+ in Rwanda. These findings also highlight a need to establish an outreach/mentoring program, embedded within the ongoing ETAT+ program, to promote cross-hospital learning exchanges.
Validating crash locations for quantitative spatial analysis: a GIS-based approach.
Loo, Becky P Y
2006-09-01
In this paper, the spatial variables of the crash database in Hong Kong from 1993 to 2004 are validated. The proposed spatial data validation system makes use of three databases (the crash, road network and district board databases) and relies on GIS to carry out most of the validation steps so that the human resource required for manually checking the accuracy of the spatial data can be enormously reduced. With the GIS-based spatial data validation system, it was found that about 65-80% of the police crash records from 1993 to 2004 had correct road names and district board information. In 2004, the police crash database contained about 12.7% mistakes for road names and 9.7% mistakes for district boards. The situation was broadly comparable to the United Kingdom. However, the results also suggest that safety researchers should carefully validate spatial data in the crash database before scientific analysis.
ERIC Educational Resources Information Center
Halverson, Thomas J.; Plecki, Margaret L.
2015-01-01
This qualitative case study explores the political and leadership challenges imbedded within the implementation of a district-wide resource reallocation policy. Based on a two-year study of a medium-sized district's efforts to address changing demographics of families in the district and a widening achievement gap, we draw upon concepts from…
ERIC Educational Resources Information Center
Council of the Great City Schools, 2008
2008-01-01
This report describes statistical indicators developed by the Council of the Great City Schools and its member districts to measure big-city school performance on a range of operational functions in business, finance, human resources and technology. The report also presents data city-by-city on those indicators. This is the second time that…
Base of Principal Aquifer for the Elkhorn-Loup Model Area, North-Central Nebraska
McGuire, V.L.; Peterson, Steven M.
2008-01-01
In Nebraska, the water managers in the Natural Resources Districts and the Nebraska Department of Natural Resources are concerned with the effect of ground-water withdrawal on the availability of surface water and the long-term effects of ground-water withdrawal on ground- and surface-water resources. In north-central Nebraska, in the Elkhorn and Loup River Basins, ground water is used for irrigation, domestic supply, and public supply; surface water is used in this area for irrigation, recreation, and hydropower production. In recognition of these sometimes competing ground- and surface-water uses in the Elkhorn and Loup River Basins, the U.S. Geological Survey, the Lewis and Clark Natural Resources District, the Lower Elkhorn Natural Resources District, the Lower Loup Natural Resources District, the Lower Niobrara Natural Resources District, the Lower Platte North Natural Resources District, the Middle Niobrara Natural Resources District, the Upper Elkhorn Natural Resources District, and the Upper Loup Natural Resources District agreed to cooperatively study water resources in the Elkhorn and Loup River Basins. The goals of the overall study were to construct and calibrate a regional ground-water flow model of the area and to use that flow model as a tool to assess current and future effects of ground-water irrigation on stream base flow and to help develop long-term water-resource management strategies for this area, hereafter referred to as the Elkhorn-Loup model area. The Elkhorn-Loup model area covers approximately 30,800 square miles, and extends from the Niobrara River in the north to the Platte River in the south. The western boundary of the Elkhorn-Loup model area coincides with the western boundary of the Middle Niobrara, Twin Platte, and Upper Loup Natural Resources Districts; the eastern boundary coincides with the approximate location of the western extent of glacial till in eastern Nebraska. The principal aquifer in most of the Elkhorn-Loup model area is the High Plains aquifer; the principal aquifer in the remaining part of the Elkhorn-Loup model area is an unnamed alluvial aquifer. The upper surface of the geologic units that directly underlie the aquifer is called the 'base of aquifer' in this report. The geologic unit that forms the base of aquifer in the Elkhorn-Loup model area varies by location. The Tertiary-age Brule Formation generally is the base of aquifer in the west; the Cretaceous-age Pierre Shale generally is the base of aquifer in the east. The purpose of this report is to update the altitude and configuration of the base of the principal aquifer in the Elkhorn-Loup model area and a 2-mile buffer area around the Elkhorn-Loup model area, using base-of-aquifer data from test holes, registered water wells, and oil and gas wells within the Elkhorn-Loup model area and a 20-mile buffer area around the Elkhorn-Loup model area that have become available since the publication of earlier maps of the base of aquifer for this area. The base-of-aquifer map is important for the Elkhorn-Loup ground-water flow model because it defines the model's lower boundary. The accuracy of the Elkhorn-Loup ground-water flow model and the accuracy of the model's predictions about the effects of ground-water irrigation on stream base flow are directly related to the accuracy of the model's lower boundary.
Final Environmental Assessment. Physical Fitness Center Los Angeles Air Force Base
2000-10-13
Coast Air Quality Management District (SCAQMD). 1996. Final 1997 Air Qaulity Management Plan. November. South Coast Air Quality Management District...resources including land use, geology and soils, water resources, biological resources, air quality, noise, traffic and transportation, waste management ...3-8 3.8 Solid and Hazardous Waste Management and Disposal
ERIC Educational Resources Information Center
Green, Terrance L.; Sánchez, Joanna; Germain, Emily
2017-01-01
Research on geography of opportunity documents how residential patterns influence students' access to equitable educational opportunities and resources. This scholarship often highlights how geography reinforces educational inequity in urban school districts located in resource-constrained cities. Yet, less research has explored how the geography…
NASA Astrophysics Data System (ADS)
Pradana, G. W.; Fanida, E. H.; Niswah, F.
2018-01-01
The demand for good governance is directed towards the realization of efficiency, effectiveness, and clean government. The move is demonstrated through national and regional levels to develop and implement electronic government concepts. Through the development of electronic government is done structuring management systems and work processes in the government environment by optimizing the utilization of information technology. One of the real forms of electronic government (e-Gov) implementation at the local level is the Intranet Sub-District program in Sukodono Sub-District, Sidoarjo. Intranet Sub-District is an innovation whose purpose is to realize the availability of information on the utilization of management, distribution, and storage of official scripts, and also the optimal delivery of information and communication in the implementation of guidance and supervision of local administration. The type of this paper is descriptive with a qualitative approach and focus on the implementation of the Intranet District Program in Sukodono District, Sidoarjo. The findings of the study are the limited number of human resources who have mastered ICT, the uneven network, the adequacy of institutional needs and the existence of budget support from the authorized institution and the information system has not accommodated all the service needs.
Code of Federal Regulations, 2014 CFR
2014-01-01
... and water conservation district, natural resource district, conservation committee, or similar name... Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE CONSERVATION OPERATIONS NRCS APPEAL PROCEDURES § 614.2 Definitions. The following definitions are...
Code of Federal Regulations, 2013 CFR
2013-01-01
... and water conservation district, natural resource district, conservation committee, or similar name... Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE CONSERVATION OPERATIONS NRCS APPEAL PROCEDURES § 614.2 Definitions. The following definitions are...
Caraballo, Manuel A; Macías, Francisco; Nieto, José Miguel; Ayora, Carlos
2016-01-01
Water resources management and restoration strategies, and subsequently ecological and human life quality, are highly influenced by the presence of short and long term cycles affecting the intensity of a targeted pollution. On this respect, a typical acid mine drainage (AMD) groundwater from a sulfide mining district with dry Mediterranean climate (Iberian Pyrite Belt, SW Spain) was studied to unravel the effect of long term weather changes in water flow rate and metal pollutants concentration. Three well differentiated polluting stages were observed and the specific geochemical, mineralogical and hydrological processes involved (pyrite and enclosing rocks dissolution, evaporitic salts precipitation-redisolution and pluviometric long term fluctuations) were discussed. Evidencing the importance of including longer background monitoring stage in AMD management and restoration strategies, the present study strongly advise a minimum 5-years period of AMD continuous monitoring previous to the design of any AMD remediation system in regions with dry Mediterranean climate. Copyright © 2015 Elsevier B.V. All rights reserved.
Lebrun, Drake G; Dhar, Debashish; Sarkar, Md Imran H; Imran, T M Tanzil A; Kazi, Sayadat N; McQueen, K A Kelly
2013-01-01
Surgically treatable diseases weigh heavily on the lives of people in resource-poor countries. Though global surgical disparities are increasingly recognized as a public health priority, the extent of these disparities is unknown because of a lack of data. The present study sought to measure surgical and anesthesia infrastructure in Bangladesh as part of an international study assessing surgical and anesthesia capacity in low income nations. A comprehensive survey tool was administered via convenience sampling at one public district hospital and one public tertiary care hospital in each of the seven administrative divisions of Bangladesh. There are an estimated 1,200 obstetricians, 2,615 general and subspecialist surgeons, and 850 anesthesiologists in Bangladesh. These numbers correspond to 0.24 surgical providers per 10,000 people and 0.05 anesthesiologists per 10,000 people. Surveyed hospitals performed a large number of operations annually despite having minimal clinical human resources and inadequate physical infrastructure. Shortages in equipment and/or essential medicines were reported at all hospitals and these shortages were particularly severe at the district hospital level. In order to meet the immense demand for surgical care in Bangladesh, public hospitals must address critical shortages in skilled human resources, inadequate physical infrastructure, and low availability of equipment and essential medications. This study identified numerous areas in which the international community can play a vital role in increasing surgical and anesthesia capacity in Bangladesh and ensuring safe surgery for all in the country.
Kouo-Ngamby, Marquise; Dissak-Delon, Fanny Nadia; Feldhaus, Isabelle; Juillard, Catherine; Stevens, Kent A; Ekeke-Monono, Martin
2015-10-23
As the overwhelming surgical burden of injury and disease steadily increases, disproportionately affecting low- and middle-income countries, adequate surgical and trauma care systems are essential. Yet, little is known about the emergency and essential surgical care (EESC) capacity of facilities in many African countries. The objective of this study was to assess the EESC capacity in different types of hospitals across Cameroon. This cross-sectional survey used the WHO Tool for Situational Analysis to Assess EESC, investigating four key areas: infrastructure, human resources, interventions, and equipment and supplies. Twelve hospitals were surveyed between August and September 2009. Facilities were conveniently sampled based on proximity to road traffic and sociodemographic composition of population served in four regions of Cameroon. To complete the survey, investigators interviewed heads of facilities, medical advisors, and nursing officers and consulted hospital records and statistics at each facility. Seven district hospitals, two regional hospitals, two general hospitals, and one missionary hospital completed the survey. Infrastructure for EESC was generally inadequate with the largest gaps in availability of oxygen concentrator supply, an on-site blood bank, and pain relief management guidelines. Human resources were scarce with a combined total of six qualified surgeons, seven qualified obstetrician/gynecologists, and no anesthesiologists at district, regional, and missionary hospitals. Of 35 surgical interventions, 16 were provided by all hospitals. District hospitals reported referring patients for 22 interventions. Only nine of the 67 pieces of equipment were available at all hospitals for all patients all of the time. Severe shortages highlighted by this survey demonstrate the significant gaps in capacity of hospitals to deliver EESC and effectively address the increasing surgical burden of disease and injury in Cameroon. This data provides a foundation for evidence-based decision-making surrounding appropriate allocation and provision of resources for adequate EESC in the country.
Where Does the Money Go? Resource Allocation in Elementary and Secondary Education.
ERIC Educational Resources Information Center
Picus, Lawrence O., Ed.; Wattenbarger, James L., Ed.
The 13 Chapters in this book address the important issue of how schools and school districts allocate their resources. The book summarizes the emerging research in educational resource allocations (tax dollars) at the district, school, and classroom levels. Following the preface by Lawrence O. Picus, the chapters include: (1) "Why Do We Need to…
The Resouce Cost Model in Illinois: Utilization for Planning and Funding.
ERIC Educational Resources Information Center
Nelson, F. Howard
1987-01-01
The Resources Cost Model (RCM) determines an appropriate cost of education for each Illinois school district. Appropriate cost is a function of the quantity of resources (teachers, supplies, and buildings) needed and the price of resources faced by each district. A modified RCM framework could remove the model's surburban bias and improve judgment…
A Model of Resource Allocation in Public School Districts: A Theoretical and Empirical Analysis.
ERIC Educational Resources Information Center
Chambers, Jay G.
This paper formulates a comprehensive model of resource allocation in a local public school district. The theoretical framework specified could be applied equally well to any number of local public social service agencies. Section 1 develops the theoretical model describing the process of resource allocation. This involves the determination of the…
Duysburgh, E; Zhang, W-H; Ye, M; Williams, A; Massawe, S; Sié, A; Williams, J; Mpembeni, R; Loukanova, S; Temmerman, M
2013-05-01
To measure pre-intervention quality of routine antenatal and childbirth care in rural districts of Burkina Faso, Ghana and Tanzania and to identify shortcomings. In each country, we selected two adjoining rural districts. Within each district, we randomly sampled 6 primary healthcare facilities. Quality of care was assessed through health facility surveys, direct observation of antenatal and childbirth care, exit interviews and review of patient records. By and large, quality of antenatal and childbirth care in the six districts was satisfactory, but we did identify some critical gaps common to the study sites in all three countries. Counselling and health education practices are poor; laboratory investigations are often not performed; examination and monitoring of mother and newborn during childbirth are inadequate; partographs are not used. Equipment required to provide assisted vaginal deliveries (vacuum extractor or forceps) was absent in all surveyed facilities. Quality of care in the three study sites can be improved with the available human resources and without major investments. This improvement could reduce maternal and neonatal mortality and morbidity. © 2013 Blackwell Publishing Ltd.
Assessing Public Opinion Toward the Military
1985-05-01
establish and manage any short-falls which might e-ffect national secur i ty? How then has our past developed factors which may shape our -future...experience functioning as advocates. There appears to be a shortage of Air Force officers, trained in human resource management , who have the skills of...colonels; in government, perhaps the permanent senior civil servants; in industry the general managers or the district representatives; in mass
77 FR 28619 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-15
... District Resource Advisory Council will tour Craters of the Moon National Monument area, following a public... members will tour the Craters of the Moon National Monument area to view the process being used by staff...
30 CFR 71.301 - Respirable dust control plan; approval by District Manager and posting.
Code of Federal Regulations, 2010 CFR
2010-07-01
... District Manager and posting. 71.301 Section 71.301 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION... plan; approval by District Manager and posting. (a) The District Manager will approve respirable dust control plans on a mine-by-mine basis. When approving respirable dust control plans, the District Manager...
Preparing Documents Recorder Terms District Info District Contact Info Find Your District RO District Map FAQs Closures/Notices Contact Us State of Alaska / Natural Resources / Recorder's Office Recording imply an endorsement of that organization, site, product, or service. Simplifile contact information
School district resources and identification of children with autistic disorder.
Palmer, Raymond F; Blanchard, Stephen; Jean, Carlos R; Mandell, David S
2005-01-01
We estimated the effect of community and school district resources on the identification of children with autistic disorder. Latent growth curve regression models were applied to school district-level data from one large state. The rate of identification of autistic disorder increased on average by 1.0 child per 10000 per year (P<.001), with statistically significant district variation. After adjustment for district and community characteristics, each increase in decile of school revenue was associated with an increase of 0.16 per 10000 children identified with autistic disorder. The proportion of economically disadvantaged children per district was inversely associated with autistic disorder cases. District revenue was associated with higher proportions of children identified with autistic disorder at baseline and increasing rates of identification when measured longitudinally. Economically disadvantaged communities may need assistance to identify children with autistic spectrum disorders and other developmental delays that require attention.
Cluster analysis of medical service resources at district hospitals in Taiwan, 2007-2011.
Tseng, Shu-Fang; Lee, Tian-Shyug; Deng, Chung-Yeh
2015-12-01
A vast amount of the annual/national budget has been spent on the National Health Insurance program in Taiwan. However, the market for district hospitals has become increasingly competitive, and district hospitals are under pressure to optimize the use of health service resources. Therefore, we employed a clustering method to explore variations in input and output service volumes, and investigate resource allocation and health care service efficiency in district hospitals. Descriptive and cluster analyses were conducted to examine the district hospitals included in the Ministry of Health and Welfare database during 2007-2011. The results, according to the types of hospital ownership, suggested that the number of public hospitals has decreased and that of private hospitals increased; the largest increase in the number of district hospitals occurred when Taichung City was merged into Taichung County. The descriptive statistics from 2007 to 2011 indicated that 43% and 36.4% of the hospitals had 501-800 occupied beds and 101-200 physicians, respectively, and > 401 medical staff members. However, the number of outpatients and discharged patients exceeded 6001 and 90,001, respectively. In addition, the highest percentage of hospitals (43.9%) had 30,001-60,000 emergency department patients. In 2010, the number of patients varied widely, and the analysis of variance cluster results were nonsignificant (p > 0.05). District hospitals belonging to low-throughput and low-performance groups were encouraged to improve resource utilization for enhancing health care service efficiency. Copyright © 2015. Published by Elsevier Taiwan.
Kigume, Ramadhani; Maluka, Stephen; Kamuzora, Peter
2018-04-01
While decentralisation of health systems has been on the policy agenda in low-income and middle-income countries since the 1970s, many studies have focused on understanding who has more decision-making powers but less attention is paid to understand what those powers encompass. Using the decision space approach, this study aimed to understand the amount of decision-making space transferred from the central government to institutions at the periphery in the decentralised health system in Tanzania. The findings of this study indicated that the decentralisation process in Tanzania has provided authorities with a range of decision-making space. In the areas of priority setting and planning, district health authorities had moderate decision space. However, in the financial resource allocation and expenditure of funds from the central government, the districts had narrow decision-making space. The districts, nevertheless, had wider decision-making space in mobilising and using locally generated financial resources. However, the ability of the districts to allocate and use locally generated resources was constrained by bureaucratic procedures of the central government. The study concludes that decentralisation by devolution which is being promoted in the policy documents in Tanzania is yet to be realised at the district and local levels. The study recommends that the central government should provide more space to the decentralised district health systems to incorporate locally defined priorities in the district health plans. Copyright © 2018 John Wiley & Sons, Ltd.
Garn, H.S.
2002-01-01
This surface-water quality-assurance plan documents the standards, policies, and procedures used by the Wisconsin District of the U.S. Geological Survey, Water Resources Division, for activities related to the collection, processing, storage, analysis, management, and publication of surface-water data. The roles and responsibilities of District personnel in following these policies and procedures including those related to safety and training are presented.
Decentralization in Zambia: resource allocation and district performance.
Bossert, Thomas; Chitah, Mukosha Bona; Bowser, Diana
2003-12-01
Zambia implemented an ambitious process of health sector decentralization in the mid 1990s. This article presents an assessment of the degree of decentralization, called 'decision space', that was allowed to districts in Zambia, and an analysis of data on districts available at the national level to assess allocation choices made by local authorities and some indicators of the performance of the health systems under decentralization. The Zambian officials in health districts had a moderate range of choice over expenditures, user fees, contracting, targeting and governance. Their choices were quite limited over salaries and allowances and they did not have control over additional major sources of revenue, like local taxes. The study found that the formula for allocation of government funding which was based on population size and hospital beds resulted in relatively equal per capita expenditures among districts. Decentralization allowed the districts to make decisions on internal allocation of resources and on user fee levels and expenditures. General guidelines for the allocation of resources established a maximum and minimum percentage to be allocated to district offices, hospitals, health centres and communities. Districts tended to exceed the maximum for district offices, but the large urban districts and those without public district hospitals were not even reaching the minimum for hospital allocations. Wealthier and urban districts were more successful in raising revenue through user fees, although the proportion of total expenditures that came from user fees was low. An analysis of available indicators of performance, such as the utilization of health services, immunization coverage and family planning activities, found little variation during the period 1995-98 except for a decline in immunization coverage, which may have also been affected by changes in donor funding. These findings suggest that decentralization may not have had either a positive or negative impact on services.
Achoki, Tom; Hovels, Anke; Masiye, Felix; Lesego, Abaleng; Leufkens, Hubert; Kinfu, Yohannes
2017-01-05
Despite tremendous efforts to scale up key maternal and child health interventions in Zambia, progress has not been uniform across the country. This raises fundamental health system performance questions that require further investigation. Our study investigates technical and scale efficiency (SE) in the delivery of maternal and child health services in the country. The study focused on all 72 health districts of Zambia. We compiled a district-level database comprising health outcomes (measured by the probability of survival to 5 years of age), health outputs (measured by coverage of key health interventions) and a set of health system inputs, namely, financial resources and human resources for health, for the year 2010. We used data envelopment analysis to assess the performance of subnational units across Zambia with respect to technical and SE, controlling for environmental factors that are beyond the control of health system decision makers. Nationally, average technical efficiency with respect to improving child survival was 61.5% (95% CI 58.2% to 64.8%), which suggests that there is a huge inefficiency in resource use in the country and the potential to expand services without injecting additional resources into the system. Districts that were more urbanised and had a higher proportion of educated women were more technically efficient. Improved cooking methods and donor funding had no significant effect on efficiency. With the pressing need to accelerate progress in population health, decision makers must seek efficient ways to deliver services to achieve universal health coverage. Understanding the factors that drive performance and seeking ways to enhance efficiency offer a practical pathway through which low-income countries could improve population health without necessarily seeking additional resources. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Code of Federal Regulations, 2012 CFR
2012-01-01
... to the State or territorial soil conservation district law, or tribal law. The subdivision may be a conservation district, soil conservation district, soil and water conservation district, resource conservation... county or area, in accordance with Sec. 8(b) of the Soil Conservation and Domestic Allotment Act, as...
Code of Federal Regulations, 2014 CFR
2014-01-01
... to the State or territorial soil conservation district law, or tribal law. The subdivision may be a conservation district, soil conservation district, soil and water conservation district, resource conservation... county or area, in accordance with Sec. 8(b) of the Soil Conservation and Domestic Allotment Act, as...
Code of Federal Regulations, 2013 CFR
2013-01-01
... to the State or territorial soil conservation district law, or tribal law. The subdivision may be a conservation district, soil conservation district, soil and water conservation district, resource conservation... county or area, in accordance with Sec. 8(b) of the Soil Conservation and Domestic Allotment Act, as...
Haddad, Slim; Bicaba, Abel; Feletto, Marta; Taminy, Elie; Kabore, Moussa; Ouédraogo, Boubacar; Contreras, Gisèle; Larocque, Renée; Fournier, Pierre
2009-10-14
Despite rapid and tangible progress in vaccine coverage and in premature mortality rates registered in sub-Saharan Africa, inequities to access remain firmly entrenched, large pockets of low vaccination coverage persist, and coverage often varies considerably across regions, districts, and health facilities' areas of responsibility. This paper focuses on system-related factors that can explain disparities in immunization coverage among districts in Burkina Faso. A multiple-case study was conducted of six districts representative of different immunization trends and overall performance. A participative process that involved local experts and key actors led to a focus on key factors that could possibly determine the efficiency and efficacy of district vaccination services: occurrence of disease outbreaks and immunization days, overall district management performance, resources available for vaccination services, and institutional elements. The methodology, geared toward reconstructing the evolution of vaccine services performance from 2000 to 2006, is based on data from documents and from individual and group interviews in each of the six health districts. The process of interpreting results brought together the field personnel and the research team. The districts that perform best are those that assemble a set of favourable conditions. However, the leadership of the district medical officer (DMO) appears to be the main conduit and the rallying point for these conditions. Typically, strong leadership that is recognized by the field teams ensures smooth operation of the vaccination services, promotes the emergence of new initiatives and offers some protection against risks related to outbreaks of epidemics or supplementary activities that can hinder routine functioning. The same is true for the ability of nurse managers and their teams to cope with new situations (epidemics, shortages of certain stocks). The discourse on factors that determine the performance or breakdown of local health care systems in lower and middle income countries remains largely concentrated on technocratic and financial considerations, targeting institutional reforms, availability of resources, or accessibility of health services. The leadership role of those responsible for the district, and more broadly, of those we label "the human factor", in the performance of local health care systems is mentioned only marginally. This study shows that strong and committed leadership promotes an effective mobilization of teams and creates the conditions for good performance in districts, even when they have only limited access to supports provided by external partners. ABSTRACT IN FRENCH: See the full article online for a translation of this abstract in French.
Situating School District Resource Decision Making in Policy Context
ERIC Educational Resources Information Center
Spain, Angeline K.
2016-01-01
Decentralization and deregulation policies assume that local educational leaders make better resource decisions than state policy makers do. Conceptual models drawn from organizational theory, however, offer competing predictions about how district central office administrators are likely to leverage their professional expertise in devolved…
Beneath the District Averages: Intradistrict Differences in Teacher Compensation Expenditures
ERIC Educational Resources Information Center
Malkus, Nathaniel
2012-01-01
Previous research indicates that typical district budgeting practices mask large between-school teacher compensation expenditures (TCE) differences, that teacher sorting drives those TCE differences, and that TCE differences drive overall resource inequities. While scarce accurate school-level resource data has hindered intradistrict equity…
Flores, Romeo M.; Stricker, Gary D.; Papasin, Ramon F.; Pendon, Ronaldo R.; del Rosario, Rogelio A.; Malapitan, Ruel T.; Pastor, Michael S.; Altomea, Elmer A.; Cuaresma, Federico; Malapitan, Armando S.; Mortos, Benjamin R.; Tilos, Elizabeth N.
2006-01-01
Introduction: The Republic of the Philippines has some 19 coal districts that contain coal deposits ranging from Eocene to Pleistocene in age. These coal districts include: (1) Catanduanes (Eocene); (2) Cebu, Zamboanga Sibuguey, Bukidnon, Maguindanao, Sarangani, and Surigao (Oligocene to Miocene); (3) Batan Island, Masbate, Semirara (including Mindoro), and Quezon-Polilio (lower-upper Miocene); (4) Davao, Negros, and Sorsogon (middle-upper Miocene); (5) Cotabato (lower Miocene-lower Pliocene), Cagayan-Isabella, and Quirino (upper Miocene-Pliocene); (6) Sultan Kudarat (upper Miocene-Pleistocene); and (7) Samar-Leyte (lower Pliocene-Pleistocene). In general, coal rank is directly related to the age of the deposits - for example, the Eocene coal is semi-anthracite and the Pliocene-Pleistocene coal is lignite. Total coal resources in these 19 coal districts, which are compiled by the Geothermal and Coal Resources Development Division (GCRDD) of the Department of Energy of the Philippines, are estimated at a minimum of 2,268.4 million metric tonnes (MMT) (approximately 2.3 billion metric tones). The largest resource (550 MMT) is the subbituminous coal in the Semirara (including Mindoro) coal district, and the smallest (0.7 MMT) is the lignite-subbituminous coal in the Quirino coal district. The combined lignite and subbituminous coal resources, using the classification by GCRDD and including Semirara and Surigao coal districts, are about 1,899.2 MMT, which make up about 84 percent of the total coal resources of the Philippines. The remaining resources are composed of bituminous and semi-anthracite coal. The subbituminous coal of Semirara Island in the Mindoro- Semirara coal district (fig. 2) is known to contain coalbed methane (CBM), with the coal being comparable in gas content and adsorption isotherms to the coal of the Paleocene Fort Union Formation in the Powder River Basin in Wyoming, USA (Flores and others, 2005). As a consequence, the presence of CBM in the Semirara coal led to the present study of determining the adsorption isotherms, or gas (CBM) holding or storage capacity, of coal beds of various ages from selected coal districts in the Philippines. Samples for the study were collected from the Batan Island, Catanduanes, Cagayan-Isabella, Cebu, Negros, Samar, Semirara, Cotabato, Surigao, and Malangas coalfield of the Zamboanga Sibuguey coal districts by five field geology teams from the GCRDD.
30 CFR 90.301 - Respirable dust control plan; approval by District Manager; copy to part 90 miner.
Code of Federal Regulations, 2010 CFR
2010-07-01
... District Manager; copy to part 90 miner. 90.301 Section 90.301 Mineral Resources MINE SAFETY AND HEALTH... control plan; approval by District Manager; copy to part 90 miner. (a) The District Manager will approve... District Manager shall consider whether: (1) The respirable dust control measures would be likely to...
Schüz, Benjamin; Westland, Josh N; Wurm, Susanne; Tesch-Römer, Clemens; Wolff, Julia K; Warner, Lisa M; Schwarzer, Ralf
2016-03-01
Retaining perceptions of autonomy is a key component of successful aging. Perceived autonomy refers to the capacity to make and enact self-directed decisions. These perceptions are often threatened in older adults with multiple illnesses, when functional limitations resulting from these illnesses impede the enactment of self-directed decisions. Regional resources (in Germany specifically at the level of administrative districts) might counteract these impediments of autonomy. Economically stronger districts can provide more-concrete support resources for older adults, buffering the negative effect of functional limitations on self-perceived autonomy. This study assessed participants aged over 65 with 2 or more chronic conditions. In total, N = 287 provided data (Mage = 73.3, SD = 5.07), and n = 97 were women. Gross domestic product (GDP) per capita was used as a proxy measure of administrative district wealth in Germany. Hierarchical multilevel regression analyses with cross-level interactions were conducted. Results suggest that the detrimental effect of functional limitations on perceived autonomy is less pronounced for participants residing in higher GDP districts. Conversely, for participants in lower GDP districts, the effect is exacerbated. This finding suggests that districts with greater financial resources might be better able to invest in supports that promote and facilitate autonomy and, thus, provide a buffer against threats to individual perceived autonomy. (c) 2016 APA, all rights reserved).
The cost of the district hospital: a case study in Malawi.
Mills, A J; Kapalamula, J; Chisimbi, S
1993-01-01
Described in an analysis of the cost to the Ministry of Health of providing district health services in Malawi, with particular emphasis on the district hospital. District resource allocation patterns were assessed by carefully disaggregating district costs by level of care and hospital department. A strikingly low proportion of district recurrent costs was absorbed by salaries and wages (27-39%, depending on the district) and a surprisingly high proportion by medical supplies (24-37%). The most expensive cost centre in the hospital was the pharmacy. A total of 27-39% of total recurrent costs were spent outside the hospital and 61-73% on hospital services. The secondary care services absorbed 40-58% of district recurrent costs. Unit costs by hospital department varied considerably by district, with one hospital being consistently the most expensive and another the cheapest. A total of 3-10 new outpatients could be treated for the average cost of 1 inpatient-day, while 34-55 could be treated for the average cost of 1 inpatient. The efficiency of hospital operations, the scope for redistributing resources districtwide, and the costing methodology are discussed.
The cost of the district hospital: a case study in Malawi.
Mills, A. J.; Kapalamula, J.; Chisimbi, S.
1993-01-01
Described in an analysis of the cost to the Ministry of Health of providing district health services in Malawi, with particular emphasis on the district hospital. District resource allocation patterns were assessed by carefully disaggregating district costs by level of care and hospital department. A strikingly low proportion of district recurrent costs was absorbed by salaries and wages (27-39%, depending on the district) and a surprisingly high proportion by medical supplies (24-37%). The most expensive cost centre in the hospital was the pharmacy. A total of 27-39% of total recurrent costs were spent outside the hospital and 61-73% on hospital services. The secondary care services absorbed 40-58% of district recurrent costs. Unit costs by hospital department varied considerably by district, with one hospital being consistently the most expensive and another the cheapest. A total of 3-10 new outpatients could be treated for the average cost of 1 inpatient-day, while 34-55 could be treated for the average cost of 1 inpatient. The efficiency of hospital operations, the scope for redistributing resources districtwide, and the costing methodology are discussed. PMID:8324852
Beyond Strategic Planning: Tailoring District Resources to Needs.
ERIC Educational Resources Information Center
Bollin, Thomas D.; Eadie, Douglas C.
1991-01-01
The strategic management process tries to create and maintain a dynamic balance between an organization's vision, mission, goals, strategies, and resources and its external environment. One Ohio school district's strategic management process succeeded resulting from a highly committed school board, a strong board-superintendent partnership, active…
The health management information system of Pakistan under devolution: health managers' perceptions.
Qazi, Muhammad Suleman; Ali, Moazzam; Kuroiwa, Chushi
2008-04-01
Devolution implies that use of data for decision making starts at the level of data generation. However under a newly decentralized system, managers may face different hurdles in utilizing the preexisting Health Management Information System (HMIS). This qualitative research explores the perceptions of health managers regarding HMIS under the devolution reforms enacted in 2001 in Pakistan. The study was carried out by interviewing 26 managers at various levels in seven selected districts in all provinces. There was general dissatisfaction and confusion over roles and responsibility: respondents reported that the overall atmosphere was characterized by the reluctance of provincial managers to release data under their authority, the absence of prerequisite human resources, and conflicts of interests between political and administrative leadership. The devolution didn't bring immediate good effects for the HMIS. Treated as a least priority area, staff was distributed from provincial HMIS cells, causing overburdening of remaining staff and jeopardizing data analysis. Reporting regularity from the districts was also compromised secondary to political interference and loss of provincial control. The present HMIS is in need of redesigning so that it may keep pace with the devolved system. The HMIS reforms are needed to improve information systems at the district level, capacity building of district managers, political commitment, and administrative ownership of the system and to earmark and make available resource and promote evidence-based decision making. Change in the public administration culture towards encouraging initiative taking at lower levels, introduction of performance incentives, inculcating work ethics, encouraging local accountability, and good governance are all essential.
Boyer, Sylvie; Protopopescu, Camelia; Marcellin, Fabienne; Carrieri, Maria Patrizia; Koulla-Shiro, Sinata; Moatti, Jean-Paul; Spire, Bruno
2012-07-01
(i) To assess HIV care decentralization in Cameroon from the patients' point of view, in terms of health-related quality of life (HRQL) and perceived quality of services; (ii) to identify patient- and hospital-related factors undermining HRQL. Perceived quality of services was compared among 1985 HIV-infected patients treated with antiretroviral therapy (ART) for at least 6 months in 27 treatment centres at different levels of health care delivery (central, provincial and district) (EVAL-ANRS 12-116 survey, 2007) using chi-square and non-parametric tests. Correlates of the SF-12 physical (PCS) and mental (MCS) HRQL scores were identified using two-level linear models. Patients followed-up at central and district levels had similar physical HRQL, while those followed-up at the more decentralized district level reported significantly better mental HRQL. Patients at district level also expressed better relationships with caregivers, easier access to consultations and more reliable drug supply. Financial barriers to access to HIV care and self-reported side-effects were independently associated with both lower PCS and lower MCS. Caregivers' heavy workload tended to impair both PCS and MCS, while availability of counselling by social workers in the hospital was independently associated with higher MCS. Despite limited resources, the decentralization of ART delivery can improve quality of care, providing a positive impact on HIV-infected patients' well-being. The development of psychosocial support interventions is necessary but not sufficient for improving quality of care in ART scaling-up programmes, and should be related to global strengthening of health human resources.
NASA Astrophysics Data System (ADS)
Laursen, S.; Lester, A.; Cannon, E.; Forrest, A.; Bencivengo, B.; Hunter, K.
2003-12-01
Geology at Our Doorstep is a collaboration between a science outreach program (CIRES Outreach), students and faculty in a university geology department (U. Colorado at Boulder), and a local school district (St. Vrain Valley) to develop locally relevant geology classroom resources for use by the district's middle-school teachers. The project grew out of direct conversations with teachers about their ideas and needs and was explicitly based on district and state standards in Earth science and scientific thinking, drawing on close work with the district on standards implementation and assessment over the past two years. We intended to draw on existing curriculum resources and substitute local geologic examples to construct a "place-based" teaching resource. However, we found that generic, national-level curricula did not effectively match the rich geologic resources of our area, and instead developed a rather more substantial set of original materials, including classroom collections of regional rocks, reference materials on local geology, classroom activities, and media resources, all shared with teachers at a series of professional development workshops. While the original project was small in scale, a number of spin-off projects have evolved. This project models several important features in the development of university-K12 partnerships: consultation with districts, piloting of small projects, and the role of outreach programs in facilitating participation of university faculty and students.
76 FR 30739 - Notice of Public Meeting, Salem District Resource Advisory Committee Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-26
.... ADDRESSES: BLM Salem District Office, 1717 Fabry Road, SE., Salem, OR 97306. FOR FURTHER INFORMATION CONTACT... Hatfield, BLM Salem District Designated Official, 1717 Fabry Road, SE., Salem, OR 97306--(503) 375-5682... quality, land health, forest ecosystems, and infrastructure. Miles R. Brown, BLM Salem District Manager...
Shoveller, Jean; Tuyisenge, Lisine; Kenyon, Cynthia; Cechetto, David F.; Lynd, Larry D.
2017-01-01
Background Health system strengthening is crucial to improving infant and child health outcomes in low-resource countries. While the knowledge related to improving newborn and child survival has advanced remarkably over the past few decades, many healthcare systems in such settings remain unable to effectively deliver pediatric advance life support management. With the introduction of the Emergency Triage, Assessment and Treatment plus Admission care (ETAT+)–a locally adapted pediatric advanced life support management program–in Rwandan district hospitals, we undertook this study to assess the extent to which these hospitals are prepared to provide this pediatric advanced life support management. The results of the study will shed light on the resources and support that are currently available to implement ETAT+, which aims to improve care for severely ill infants and children. Methods A cross-sectional survey was undertaken in eight district hospitals across Rwanda focusing on the availability of physical and human resources, as well as hospital services organizations to provide emergency triage, assessment and treatment plus admission care for severely ill infants and children. Results Many of essential resources deemed necessary for the provision of emergency care for severely ill infants and children were readily available (e.g. drugs and laboratory services). However, only 4/8 hospitals had BVM for newborns; while nebulizer and MDI were not available in 2/8 hospitals. Only 3/8 hospitals had F-75 and ReSoMal. Moreover, there was no adequate triage system across any of the hospitals evaluated. Further, guidelines for neonatal resuscitation and management of malaria were available in 5/8 and in 7/8 hospitals, respectively; while those for child resuscitation and management of sepsis, pneumonia, dehydration and severe malnutrition were available in less than half of the hospitals evaluated. Conclusions Our assessment provides evidence to inform new strategies to enhance the capacity of Rwandan district hospitals to provide pediatric advanced life support management. Identifying key gaps in the health care system is required in order to facilitate the implementation and scale up of ETAT+ in Rwanda. These findings also highlight a need to establish an outreach/mentoring program, embedded within the ongoing ETAT+ program, to promote cross-hospital learning exchanges. PMID:28257500
Salazar, Mariano; Vora, Kranti; De Costa, Ayesha
2016-07-07
India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private sectors; (b) the availability and distribution of human resources for birth attendance in the two sectors; and (c) to benchmark the above against 2005 World Health Report benchmarks (WHR2005). A cross-sectional survey of obstetric care facilities reporting 30 or more births in the last three months was conducted (n = 159). Performance of EmOC signal functions and availability of human resources were assessed. EmOC provision was dominated by private facilities (112/159) which were located mainly in district headquarters or small urban towns. The number of basic and comprehensive EmOC facilities was below WHR2005 benchmarks. A high number of private facilities performed C-sections but not all basic signal functions (72/159). Public facilities were the main EmOC providers in rural areas and 40/47 functioned at less than basic EmOC level. The rate of obstetricians per 1000 births was higher in the private sector. The private sector is the dominant EmOC provider in the state. Given the highly skewed distribution of facilities and resources in the private sector, state led partnerships with the private sector so that all women in the state receive care is important alongside strengthening the public sector.
The Creative Cost Management Strategies of Two School Districts.
ERIC Educational Resources Information Center
Pheasant, Marilyn
1984-01-01
Two Oregon schools districts that have been effective in managing their resources are Reedsport, a smaller district and the subject of part 1 of this bulletin; and Beaverton, one of the largest districts in the state, the focus of part 2. The Reedsport district plans the use of its funds based on a goal-setting process in the areas of instruction,…
ERIC Educational Resources Information Center
Cooley, Dwight A.; Floyd, Koy A.
2013-01-01
Historically, the number of public school districts in the United States has decreased despite a dramatic increase in the number of students enrolled. Although public school district consolidation has impacted districts of all sizes, since the late 1930's smaller rural districts facing dwindling community resources have merged or consolidated with…
Have You Smelled the Elephant's Foot?
ERIC Educational Resources Information Center
Beaudoin, Bonnie
2014-01-01
A museum belonging to a school district demonstrates how teachers integrate museum resources into classroom curricula. A former teacher reflects on her experience with the Karshner Memorial Museum in the Puyallup School District (WA), and explains how the museum's exhibitions and artifacts are curriculum resources, specifically tied to grade level…
Nothing's Free: Calculating the Cost of Volunteers
ERIC Educational Resources Information Center
Ingle, W. Kyle
2010-01-01
Most school district administrators recognize the benefits of using parent and community volunteers, including improved school-community relations. But volunteers are not cost free. At their best, volunteers can be a valuable resource for schools and districts. At their worst, volunteers can consume already limited resources. However, their use…
78 FR 79479 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-30
...In accordance with the Federal Land Policy and Management Act (FLPMA) and the Federal Advisory Committee Act of 1972 (FACA), the U.S. Department of the Interior, Bureau of Land Management (BLM) Idaho Falls District Resource Advisory Council (RAC), will meet as indicated below.
77 FR 50459 - South Mt. Baker-Snoqualmie Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-21
...) Resource Advisory Committee (RAC) will meet in North Bend, Washington on September 7, 2012. The committee... held at the Snoqualmie Ranger District office, North Bend Conference Room, located at 902 SE North Bend Way, North Bend, Washington 98045-9545. FOR FURTHER INFORMATION CONTACT: Jim Franzel, District Ranger...
The Impact of Human Activities on Microbial Quality of Rivers in the Vhembe District, South Africa.
Traoré, Afsatou N; Mulaudzi, Khodani; Chari, Gamuchirai J E; Foord, Stefan H; Mudau, Lutendo S; Barnard, Tobias G; Potgieter, Natasha
2016-08-12
Water quality testing is dictated by microbial agents found at the time of sampling in reference to their acceptable risk levels. Human activities might contaminate valuable water resources and add to the microbial load present in water bodies. Therefore, the effects of human activities on the microbial quality of rivers collected from twelve catchments in the Vhembe District in South Africa were investigated, with samples analyzed for total coliform (TC) and Eschericha coli (E. coli) contents. Physical parameters and various human activities were recorded for each sampling site. The Quanti-Tray(®) method was adopted for the assessment of TC and E. coli contents in the rivers over a two-year period. A multiplex polymerase chain (PCR) method was used to characterize the strains of E. coli found. The microbial quality of the rivers was poor with both TC and E. coli contents found to be over acceptable limits set by the South African Department of Water and Sanitation (DWS). No significant difference (p > 0.05) was detected between TC and E. coli risks in dry and wet seasons. All six pathogenic E. coli strains were identified and Enteroaggregative E. coli (EAEC), atypical Enteropathogenic E. coli (a-EPEC) and Enterotoxigenic E. coli (ETEC) were the most prevalent E. coli strains detected (respectively, 87%, 86% and 83%). The study indicated that contamination in the majority of sampling sites, due to human activities such as car wash, animal grazing and farming, poses health risks to communities using the rivers for various domestic chores. It is therefore recommended that more education by the respective departments is done to avert pollution of rivers and prevent health risks to the communities in the Vhembe District.
The Impact of Human Activities on Microbial Quality of Rivers in the Vhembe District, South Africa
Traoré, Afsatou N.; Mulaudzi, Khodani; Chari, Gamuchirai J.E.; Foord, Stefan H.; Mudau, Lutendo S.; Barnard, Tobias G.; Potgieter, Natasha
2016-01-01
Background: Water quality testing is dictated by microbial agents found at the time of sampling in reference to their acceptable risk levels. Human activities might contaminate valuable water resources and add to the microbial load present in water bodies. Therefore, the effects of human activities on the microbial quality of rivers collected from twelve catchments in the Vhembe District in South Africa were investigated, with samples analyzed for total coliform (TC) and Eschericha coli (E. coli) contents. Methods: Physical parameters and various human activities were recorded for each sampling site. The Quanti-Tray® method was adopted for the assessment of TC and E. coli contents in the rivers over a two-year period. A multiplex polymerase chain (PCR) method was used to characterize the strains of E. coli found. Results: The microbial quality of the rivers was poor with both TC and E. coli contents found to be over acceptable limits set by the South African Department of Water and Sanitation (DWS). No significant difference (p > 0.05) was detected between TC and E. coli risks in dry and wet seasons. All six pathogenic E. coli strains were identified and Enteroaggregative E. coli (EAEC), atypical Enteropathogenic E. coli (a-EPEC) and Enterotoxigenic E. coli (ETEC) were the most prevalent E. coli strains detected (respectively, 87%, 86% and 83%). Conclusions: The study indicated that contamination in the majority of sampling sites, due to human activities such as car wash, animal grazing and farming, poses health risks to communities using the rivers for various domestic chores. It is therefore recommended that more education by the respective departments is done to avert pollution of rivers and prevent health risks to the communities in the Vhembe District. PMID:27529265
School District Resources and Identification of Children With Autistic Disorder
Palmer, Raymond F.; Blanchard, Stephen; Jean, Carlos R.; Mandell, David S.
2005-01-01
Objectives. We estimated the effect of community and school district resources on the identification of children with autistic disorder. Methods. Latent growth curve regression models were applied to school district–level data from one large state. Results. The rate of identification of autistic disorder increased on average by 1.0 child per 10000 per year (P<.001), with statistically significant district variation. After adjustment for district and community characteristics, each increase in decile of school revenue was associated with an increase of 0.16 per 10000 children identified with autistic disorder. The proportion of economically disadvantaged children per district was inversely associated with autistic disorder cases. Conclusions. District revenue was associated with higher proportions of children identified with autistic disorder at baseline and increasing rates of identification when measured longitudinally. Economically disadvantaged communities may need assistance to identify children with autistic spectrum disorders and other developmental delays that require attention. PMID:15623872
Ng'ang'a, Njoki; Byrne, Mary Woods; Kruk, Margaret E; Shemdoe, Aloisia; de Pinho, Helen
2016-08-08
In sub-Saharan Africa, the capacity of human resources for health (HRH) managers to create positive practice environments that enable motivated, productive, and high-performing HRH is weak. We implemented a unique approach to examining HRH management practices by comparing perspectives offered by mid-level providers (MLPs) of emergency obstetric care (EmOC) in Tanzania to those presented by local health authorities, known as council health management teams (CHMTs). This study was guided by the basic strategic human resources management (SHRM) component model. A convergent mixed-method design was utilized to assess qualitative and quantitative data from the Health Systems Strengthening for Equity: The Power and Potential of Mid-Level Providers project. Survey data was obtained from 837 mid-level providers, 83 of whom participated in a critical incident interview whose aim was to elicit negative events in the practice environment that induced intention to leave their job. HRH management practices were assessed quantitatively in 48 districts with 37 members of CHMTs participating in semi-structured interviews. The eight human resources management practices enumerated in the basic SHRM component model were implemented unevenly. On the one hand, members of CHMTs and mid-level providers agreed that there were severe shortages of health workers, deficient salaries, and an overwhelming workload. On the other hand, members of CHMTs and mid-level providers differed in their perspectives on rewards and allocation of opportunities for in-service training. Although written standards of performance and supervision requirements were available in most districts, they did not reflect actual duties. Members of CHMTs reported high levels of autonomy in key HRH management practices, but mid-level providers disputed the degree to which the real situation on the ground was factored into job-related decision-making by CHMTs. The incongruence in perspectives offered by members of CHMTs and mid-level providers points to deficient HRH management practices, which contribute to poor practice environments in acute obstetric settings in Tanzania. Our findings indicate that members of CHMTs require additional support to adequately fulfill their HRH management role. Further research conducted in low-income countries is necessary to determine the appropriate package of interventions required to strengthen the capacity of members of CHMTs.
2013-01-01
Background The Ethiopian people have been dependent on traditional medicine, mainly medicinal plants, from time immemorial for control of human and animal health problems, and they still remain to be largely dependent on the practice. The purpose of the current study was to conduct ethnobotanical study to document medicinal plants used to treat diseases of human and domestic animals in Kilte Awulaelo District in the Tigray Region of Ethiopia. Methods Ethnobotanical data were collected between July and September 2011 through semi-structured interviews, ranking exercises and field observations. For the interviews, 72 knowledgeable informants were sampled using purposive sampling method. For the different ranking exercises, key informants were identified with the help of elders and local administrators from informants that were already involved in the interviews. Results The study revealed 114 medicinal plant species belonging to 100 genera and 53 families. The plants were used to treat 47 human and 19 livestock diseases. Of the species, the majority (74%) were obtained from the wild. Herbs were the most utilized plants, accounting for 44% of the species, followed by shrubs (29%). Leaf was the most commonly used plant part accounting for 42.98% of the plants, followed by roots (25.73%). Preference ranking exercise on selected plants used against abdominal pain indicated the highest preference of people for Solanum marginatum. Direct matrix ranking showed Cordia africana as the most preferred multipurpose plant in the community. Preference ranking of selected scarce medicinal plants indicated Myrica salicifolia as the most scarce species, followed by Boscia salicifolia and Acokanthera schimperi. According to priority ranking, drought was identified as the most destructive factor of medicinal plants, followed by overgrazing and firewood collection. Conclusion Medicinal plants are still playing significant role in the management of various human and livestock diseases in the study area with herbs taking the lead in the number of plants used in the preparation of remedies, which may be an indication of their relatively better abundance as compared to other life forms. Recurrent drought was reported to have seriously threatened medicinal plant resources in the District. Awareness is thus needed be raised among local people on sustainable utilization and management of plant resources. Ex situ and in situ conservation measures should be taken to protect the medicinal plants of the District from further destruction and special attention should be given to the medicinal plants that were indicated by preference ranking exercise as the most threatened ones. PMID:24011232
Teklay, Abraha; Abera, Balcha; Giday, Mirutse
2013-09-08
The Ethiopian people have been dependent on traditional medicine, mainly medicinal plants, from time immemorial for control of human and animal health problems, and they still remain to be largely dependent on the practice. The purpose of the current study was to conduct ethnobotanical study to document medicinal plants used to treat diseases of human and domestic animals in Kilte Awulaelo District in the Tigray Region of Ethiopia. Ethnobotanical data were collected between July and September 2011 through semi-structured interviews, ranking exercises and field observations. For the interviews, 72 knowledgeable informants were sampled using purposive sampling method. For the different ranking exercises, key informants were identified with the help of elders and local administrators from informants that were already involved in the interviews. The study revealed 114 medicinal plant species belonging to 100 genera and 53 families. The plants were used to treat 47 human and 19 livestock diseases. Of the species, the majority (74%) were obtained from the wild. Herbs were the most utilized plants, accounting for 44% of the species, followed by shrubs (29%). Leaf was the most commonly used plant part accounting for 42.98% of the plants, followed by roots (25.73%). Preference ranking exercise on selected plants used against abdominal pain indicated the highest preference of people for Solanum marginatum. Direct matrix ranking showed Cordia africana as the most preferred multipurpose plant in the community. Preference ranking of selected scarce medicinal plants indicated Myrica salicifolia as the most scarce species, followed by Boscia salicifolia and Acokanthera schimperi. According to priority ranking, drought was identified as the most destructive factor of medicinal plants, followed by overgrazing and firewood collection. Medicinal plants are still playing significant role in the management of various human and livestock diseases in the study area with herbs taking the lead in the number of plants used in the preparation of remedies, which may be an indication of their relatively better abundance as compared to other life forms. Recurrent drought was reported to have seriously threatened medicinal plant resources in the District. Awareness is thus needed be raised among local people on sustainable utilization and management of plant resources. Ex situ and in situ conservation measures should be taken to protect the medicinal plants of the District from further destruction and special attention should be given to the medicinal plants that were indicated by preference ranking exercise as the most threatened ones.
WEMINUCHE WILDERNESS, COLORADO.
Steven, Thomas A.; Williams, F.E.
1984-01-01
A mineral survey of the Weminuche Wilderness, Colorado was conducted. Although little mineral production has been recorded in the area, it borders several highly productive mining districts and mineral deposits probably exist within parts of the wilderness. Within and near the wilderness, evidence of substantiated mineral-resource potential was found in the following four areas: (1) the Needle Mountains mining district, in the southwestern part of the wilderness, (2) Whitehead Gulch, in the northwestern part of the wilderness, (3) the Beartown mining district, along the north margin of the wilderness, and (4) the Trout Creek-Middle Fork Piedra River area, in and adjacent to the northeastern part of the wilderness. Of the four areas, the Needle Mountains mining district has the most promise for significant mineral resources, particularly of molydenum and uranium. A probable oil and gas resource potential exists in the eastern half of the area in traps in sedimentary rocks under volcanic cover.
Yé, Maurice; Diboulo, Eric; Kagoné, Moubassira; Sié, Ali; Sauerborn, Rainer; Loukanova, Svetla
2016-01-01
One promising way to improve the motivation of healthcare providers and the quality of healthcare services is performance-based incentives (PBIs) also referred as performance-based financing. Our study aims to explore healthcare providers' preferences for an incentive scheme based on local resources, which aimed at improving the quality of maternal and child health care in the Nouna Health District. A qualitative and quantitative survey was carried out in 2010 involving 94 healthcare providers within 34 health facilities. In addition, in-depth interviews involving a total of 33 key informants were conducted at health facility levels. Overall, 85% of health workers were in favour of an incentive scheme based on the health district's own financial resources (95% CI: [71.91; 88.08]). Most health workers (95 and 96%) expressed a preference for financial incentives (95% CI: [66.64; 85.36]) and team-based incentives (95% CI: [67.78; 86.22]), respectively. The suggested performance indicators were those linked to antenatal care services, prevention of mother-to-child human immunodeficiency virus transmission, neonatal care, and immunization. The early involvement of health workers and other stakeholders in designing an incentive scheme proved to be valuable. It ensured their effective participation in the process and overall acceptance of the scheme at the end. This study is an important contribution towards the designing of effective PBI schemes.
Chase, Katherine J.
2014-01-01
Major floods in 1996 and 1997 intensified public debate about the effects of human activities on the Yellowstone River. In 1999, the Yellowstone River Conservation District Council was formed to address conservation issues on the river. The Yellowstone River Conservation District Council partnered with the U.S. Army Corps of Engineers to carry out a cumulative effects study on the main stem of the Yellowstone River. The cumulative effects study is intended to provide a basis for future management decisions within the watershed. Streamflow statistics, such as flow-frequency data calculated for unregulated and regulated streamflow conditions, are a necessary component of the cumulative effects study. The U.S. Geological Survey, in cooperation with the Yellowstone River Conservation District Council and the U.S. Army Corps of Engineers, calculated low-flow frequency data and general monthly and annual statistics for unregulated and regulated streamflow conditions for the Upper Yellowstone and Bighorn Rivers for the 1928–2002 study period; these data are presented in this report. Unregulated streamflow represents flow conditions during the 1928–2002 study period if there had been no water-resources development in the Yellowstone River Basin. Regulated streamflow represents estimates of flow conditions during the 1928–2002 study period if the level of water-resources development existing in 2002 was in place during the entire study period.
Yé, Maurice; Diboulo, Eric; Kagoné, Moubassira; Sié, Ali; Sauerborn, Rainer; Loukanova, Svetla
2016-01-01
Background One promising way to improve the motivation of healthcare providers and the quality of healthcare services is performance-based incentives (PBIs) also referred as performance-based financing. Our study aims to explore healthcare providers’ preferences for an incentive scheme based on local resources, which aimed at improving the quality of maternal and child health care in the Nouna Health District. Design A qualitative and quantitative survey was carried out in 2010 involving 94 healthcare providers within 34 health facilities. In addition, in-depth interviews involving a total of 33 key informants were conducted at health facility levels. Results Overall, 85% of health workers were in favour of an incentive scheme based on the health district's own financial resources (95% CI: [71.91; 88.08]). Most health workers (95 and 96%) expressed a preference for financial incentives (95% CI: [66.64; 85.36]) and team-based incentives (95% CI: [67.78; 86.22]), respectively. The suggested performance indicators were those linked to antenatal care services, prevention of mother-to-child human immunodeficiency virus transmission, neonatal care, and immunization. Conclusions The early involvement of health workers and other stakeholders in designing an incentive scheme proved to be valuable. It ensured their effective participation in the process and overall acceptance of the scheme at the end. This study is an important contribution towards the designing of effective PBI schemes. PMID:26739784
District Self-Assessment Tool. College Readiness Indicator Systems Resource Series
ERIC Educational Resources Information Center
Annenberg Institute for School Reform at Brown University, 2014
2014-01-01
The purpose of the "District Self-Assessment Tool" is to provide school district and community stakeholders with an approach for assessing district capacity to support a college readiness indicator system and track progress over time. The tool draws on lessons from the collective implementation experiences of the four College Readiness…
Petersen, Inge; Bhana, Arvin; Campbell-Hall, Victoria; Mjadu, Sithembile; Lund, Crick; Kleintjies, Sharon; Hosegood, Victoria; Flisher, Alan J
2009-03-01
The shift in emphasis to universal primary health care in post-apartheid South Africa has been accompanied by a process of decentralization of mental health services to district level, as set out in the new Mental Health Care Act, no. 17, of 2002 and the 1997 White Paper on the Transformation of the Health System. This study sought to assess progress in South Africa with respect to deinstitutionalization and the integration of mental health into primary health care, with a view to understanding the resource implications of these processes at district level. A situational analysis in one district site, typical of rural areas in South Africa, was conducted, based on qualitative interviews with key stakeholders and the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS). The findings suggest that the decentralization process remains largely limited to emergency management of psychiatric patients and ongoing psychopharmacological care of patients with stabilized chronic conditions. We suggest that, in a similar vein to other low- to middle-income countries, deinstitutionalization and comprehensive integrated mental health care in South Africa is hampered by a lack of resources for mental health care within the primary health care resource package, as well as the inefficient use of existing mental health resources.
ERIC Educational Resources Information Center
Lee, Victor R.; Leary, Heather M.; Sellers, Linda; Recker, Mimi
2014-01-01
When introducing and implementing a new technology for science teachers within a school district, we must consider not only the end users but also the roles and influence district personnel have on the eventual appropriation of that technology. School districts are, by their nature, complex systems with multiple individuals at different levels in…
Sion, Melanie; Rajan, Dheepa; Kalambay, Hyppolite; Lokonga, Jean-Pierre; Bulakali, Joseph; Mossoko, Mathias; Kwete, Dieudonne; Schmets, Gerard; Kelley, Edward; Elongo, Tarcisse; Sambo, Luis; Cherian, Meena
2015-01-01
Abstract Background: The impact of surgical conditions on global health, particularly on vulnerable populations, is gaining recognition. However, only 3.5% of the 234.2 million cases per year of major surgery are performed in countries where the world's poorest third reside, such as the Democratic Republic of the Congo (DRC). Methods: Data on the availability of anesthesia and surgical services were gathered from 12 DRC district hospitals using the World Health Organization's (WHO's) Emergency and Essential Surgical Care Situation Analysis Tool. We complemented these data with an analysis of the costs of surgical services in a Congolese norms-based district hospital as well as in 2 of the 12 hospitals in which we conducted the situational analysis (Demba and Kabare District Hospitals). For the cost analysis, we used WHO's integrated Healthcare Technology Package tool. Results: Of the 32 surgical interventions surveyed, only 2 of the 12 hospitals provided all essential services. The deficits in procedures varied from no deficits to 17 services that could not be provided, with an average of 7 essential procedures unavailable. Many of the hospitals did not have basic infrastructure such as running water and electricity; 9 of 12 had no or interrupted water and 7 of 12 had no or interrupted electricity. On average, 21% of lifesaving surgical interventions were absent from the facilities, compared with the model normative hospital. According to the normative hospital, all surgical services would cost US$2.17 per inhabitant per year, representing 33.3% of the total patient caseload but only 18.3% of the total district hospital operating budget. At Demba Hospital, the operating budget required for surgical interventions was US$0.08 per inhabitant per year, and at Kabare Hospital, US$0.69 per inhabitant per year. Conclusion: A significant portion of the health problems addressed at Congolese district hospitals is surgical in nature, but there is a current inability to meet this surgical need. The deficient services and substandard capacity in the surveyed district hospitals are systemic in nature, representing infrastructure, supply, equipment, and human resource constraints. Yet surgical services are affordable and represent a minor portion of the total operating budget. Greater emphasis should be made to appropriately fund district hospitals to meet the need for lifesaving surgical services. PMID:25745120
ERIC Educational Resources Information Center
General Accounting Office, Washington, DC.
At Congressional request, the General Accounting Office examined states choices for providing child care assistance to families and states' proposed changes to child care assistance programs for fiscal year 2004. Information was obtained through a survey of child care administrators of the 50 states and the District of Columbia. Findings revealed…
Hydrologic and climatologic data, 1967, Salt Lake County, Utah
Hely, A.G.; Mower, Reed W.; Horr, C.A.
1968-01-01
An investigation of the water resources of Salt Lake County, Utah, was undertaken by the Water Resources Division of the U.S. Geological Survey in July 1963. This investigation is a cooperative project financed chiefly by equal contributions of the State of Utah and the Federal Government in accordance with an agreement between the Division of Water Rights, Utah Department of Natural Resources, and the Geological Survey. The investigation was financed during the period covered by this report by the following organizations: Utah Division of Water Rights (formerly State Engineer), Utah Division of Water Resources (formerly Water and Power Board), Salt Lake County, Salt Lake County Water Conservancy District, Central Utah Water Conservancy District, Metropolitan Water District of Salt Lake City, City of Murray, Granger-Hunter Improvement District, Taylorsville-Bennion Improvement District, Holladay Water Company, Magna Water and Sewer District, U.S. Bureau of Reclamation, U.S. Geological Survey.The investigation encompasses the collection and interpretation of a large variety of climatologic, hydrologic, and geologic data in and near Salt Lake County. Utah Basic-Data Releases 11-13 contain data collected through 1966. This release contains climatologic and surfacewater data for the 1967 water year (October 1966 to September 1967) and ground-water data collected during the 1967 calendar year. A similar annual release will contain data collected during the remainder of the investigation, and interpretive reports will be prepared as the investigation proceeds. Organizations that furnished data are acknowledged in station descriptions and footnotes to tables.
Hydrologic and climatologic data, 1968, Salt Lake County, Utah
1969-01-01
An investigation of the water resources of Salt Lake County, Utah, was undertaken by the Water Resources Division of the U.S. Geological Survey in July 1963. This investigation is a cooperative project financed chiefly by equal contributions of the State of Utah and the Federal Government in accordance with an agreement between the Division of Water Rights, Utah Department of Natural Resources, and the Geological Survey. The investigation was financed during the period covered by this report by the following organizations: Utah Division of Water Rights (formerly State Engineer), Utah Division of Water Resources (formerly Water and Power Board), Salt Lake County, Salt Lake County Water Conservancy District, Central Utah Water Conservancy District, Metropolitan Water District of Salt Lake City, City of Murray, Granger-Hunter Improvement District, Taylorsville-Bennion Improvement District, Holladay Water Company, Magna Water and Sewer District, U.S. Bureau of Reclamation, U.S. Geological SurveyThe investigation encompasses the collection and interpretation of a large variety of climatologic, hydrologic, and geologic data in and near Salt Lake County. Utah Basic-Data Releases 11-13 and 15 contain data collected through 1967. This release contains climatologic and surface-water data for the 1968 water year (October 1967 to September 1968) and ground-water data collected during the 1968 calendar year. This is the final annual release of basic data for this investigation. Interpretive reports summarizing the results are in preparation. Organizations that furnished data are acknowledged in station descriptions and footnotes to tables.
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-24
... Call for Nominations for the New Mexico Albuquerque and Farmington District Resource Advisory Councils... reopen the nomination period for the Bureau of Land Management's (BLM) Albuquerque, New Mexico, and Farmington, New Mexico, Resource Advisory Councils (RAC). The RACs provide advice and recommendations to the...
76 FR 7230 - Notice of Public Meeting, Boise District Resource Advisory Council, Idaho
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-09
... 4500019829] Notice of Public Meeting, Boise District Resource Advisory Council, Idaho AGENCY: Bureau of Land... Office, located at 3948 S. Development Avenue, Boise, Idaho, beginning at 9 a.m. and adjourning at 4:30 p... management issues associated with public land management in southwestern Idaho. Items on the agenda include...
ERIC Educational Resources Information Center
McInerney, Mike, Ed.; Destito, Therese, Ed.
The K-3 health curriculum developed during 1975-77 by teachers in small school districts working with district and state health education specialists presents student learning objectives and suggested activities, monitoring procedures and resources which are correlated to the 10 Goals for Washington Common Schools and the nine Small Schools Health…
ERIC Educational Resources Information Center
Nelson, JoAnne, Ed.; And Others
The grade 9-12 mathematics curriculum learning objectives, activities, monitoring procedures and resources for small schools were developed during 1978-79 through the cooperative efforts of 10 Snohomish and Island County school districts, Educational Service District 189 and the Washington State Office of Public Instruction. The objectives were…
75 FR 27287 - South Mt. Baker-Snoqualmie Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-14
...) Resource Advisory Committee (RAC) will meet in North Bend, Washington on June 1 and 2, 2010. The committee.... ADDRESSES: The meeting will be held at the Snoqualmie Ranger District located at 902 S.E. North Bend Way, North Bend, Washington, 98045-9545 in Building 9. FOR FURTHER INFORMATION CONTACT: Jim Franzel, District...
Counseling, Psychological, and Social Services Staffing: Policies in U.S. School Districts.
Brener, Nancy; Demissie, Zewditu
2018-06-01
Schools are in a unique position to meet the mental and behavioral health needs of children and adolescents because approximately 95% of young people aged 7-17 years attend school. Little is known, however, about policies related to counseling, psychological, and social services staffing in school districts. This study analyzed the prevalence of such policies in public school districts in the U.S. Data from four cycles (2000, 2006, 2012, and 2016) of the School Health Policies and Practices Study, a national survey periodically conducted to assess policies and practices for ten components of school health, were analyzed in 2017. The survey collected data related to counseling, psychological, and social services among nationally representative samples of school districts using online or mailed questionnaires. Sampled districts identified respondents responsible for or most knowledgeable about the content of each questionnaire. The percentage of districts with a district-level counseling, psychological, and social services coordinator increased significantly from 62.6% in 2000 to 79.5% in 2016. In 2016, 56.3% of districts required each school to have someone to coordinate counseling, psychological, and social services at the school. Fewer districts required schools at each level to have a specified ratio of counselors to students (16.2% for elementary schools, 16.8% for middle schools, and 19.8% for high schools), and the percentage of districts with these requirements has decreased significantly since 2012. Increases in the prevalence of district-level staffing policies could help increase the quantity and quality of counseling, psychological, and social services staff in schools nationwide, which in turn could improve mental and behavioral health outcomes for students. This article is part of a supplement entitled The Behavioral Health Workforce: Planning, Practice, and Preparation, which is sponsored by the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration of the U.S. Department of Health and Human Services. Published by Elsevier Inc.
Activities of the Water Resources Division, California District, in the 1987 fiscal year
Griner, C.A.; Anttila, P.W.
1988-01-01
The mission of the Water Resources Division is to provide the hydrologic information and understanding needed for the optimum utilization and management of the Nation 's water resources for the overall benefit of the people of the United States. Several of the most relevant and visible studies being conducted by the California District deal with selenium toxicity in the western San Joaquin Valley; groundwater export from the Owens Valley, coupled with vegetation survivability studies; hydrodynamics variability in San Francisco Bay; reclaimed water use; seawater intrusion in the Santa Barbara area; and involvement in the water-quality standard/water-rights hearing for the San Francisco Bay/Delta. Thirty-nine project summaries are provided. Water Resources Division basic mission and program, California District organization and funding, and 1987 water conditions are also summarized. (Lantz-PTT)
Strengthening laboratory systems in resource-limited settings.
Olmsted, Stuart S; Moore, Melinda; Meili, Robin C; Duber, Herbert C; Wasserman, Jeffrey; Sama, Preethi; Mundell, Ben; Hilborne, Lee H
2010-09-01
Considerable resources have been invested in recent years to improve laboratory systems in resource-limited settings. We reviewed published reports, interviewed major donor organizations, and conducted case studies of laboratory systems in 3 countries to assess how countries and donors have worked together to improve laboratory services. While infrastructure and the provision of services have seen improvement, important opportunities remain for further advancement. Implementation of national laboratory plans is inconsistent, human resources are limited, and quality laboratory services rarely extend to lower tier laboratories (eg, health clinics, district hospitals). Coordination within, between, and among governments and donor organizations is also frequently problematic. Laboratory standardization and quality control are improving but remain challenging, making accreditation a difficult goal. Host country governments and their external funding partners should coordinate their efforts effectively around a host country's own national laboratory plan to advance sustainable capacity development throughout a country's laboratory system.
Rwandan surgical and anesthesia infrastructure: a survey of district hospitals.
Notrica, Michelle R; Evans, Faye M; Knowlton, Lisa Marie; Kelly McQueen, K A
2011-08-01
In low-income countries, unmet surgical needs lead to a high incidence of death. Information on the incidence and safety of current surgical care in low-income countries is limited by the paucity of data in the literature. The aim of this survey was to assess the surgical and anesthesia infrastructure in Rwanda as part of a larger study examining surgical and anesthesia capacity in low-income African countries. A comprehensive survey tool was developed to assess the physical infrastructure of operative facilities, education and training for surgical and anesthesia providers, and equipment and medications at district-level hospitals in sub-Saharan Africa. The survey was administered at 21 district hospitals in Rwanda using convenience sampling. There are only nine Rwandan anesthesiologists and 17 Rwandan surgeons providing surgical care for a population of more than 10 million. The specialty-trained Rwandan surgeons and anesthesiologists are practicing almost exclusively at referral hospitals, leaving surgical care at district hospitals to the general practice physicians and nurses. All of the district hospitals reported some lack of surgical infrastructure including limited access to oxygen, anesthesia equipment and medications, monitoring equipment, and trained personnel. This survey provides strong evidence of the need for continued development of emergency and essential surgical services at district hospitals in Rwanda to improve health care and to comply with World Health Organization recommendations. It has identified serious deficiencies in both financial and human resources-areas where the international community can play a role.
75 FR 31464 - Notice of Public Meeting, Salem District Resource Advisory Committee Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-03
..., 2010, 8:30 a.m. to 4 p.m., Salem, OR. ADDRESSES: Salem District Office, 1717 Fabry Road SE., Salem, OR... members may be obtained from Richard Hatfield, BLM Salem District Designated Official, 1717 Fabry Road..., forest ecosystems, and infrastructure. Aaron G. Horton, District Manager. [FR Doc. 2010-13293 Filed 6-2...
ERIC Educational Resources Information Center
Dill-Varga, Barbara
2015-01-01
How do districts know if the resources they have allocated to support professional learning in their school district are actually improving the quality of teaching and impacting student performance? In an increasingly challenging financial environment, this is important to know. In this article, a Chicago-area district facing a budget deficit…
How Within-District Spending Inequities Help Some Schools to Fail
ERIC Educational Resources Information Center
Roza, Marguerite; Hill, Paul Thomas
2004-01-01
School district budgets typically hide as much as they reveal. Superintendents are finding this as they discover huge deficits that nobody saw coming. District budgets are opaque by design, and they often mask important facts about resource allocation within a district, as well as about total spending. This paper reports the results of an original…
Ferris, John G.
1950-01-01
This memorandum summarize information brought out in correspondence between the office of the District Engineer of the Milwaukee District, U.S. Corps of Engineers, and the District Office of the Ground Water Branch of the U.S. Geological Survey at Lansing, Mich., concerning the probable effects on the ground-water resources of the Lansing area from the construction of a proposed flood-water cut-off channel for the Grand River to extend from Millett to Delta Mills, in Eaton County, Mich.
Mapping private pharmacies and their characteristics in Ujjain district, Central India
2011-01-01
Background In India, private pharmacies are ubiquitous yet critical establishments that facilitate community access to medicines. These are often the first points of treatment seeking in parts of India and other low income settings around the world. The characteristics of these pharmacies including their location, drug availability, human resources and infrastructure have not been studied before. Given the ubiquity and popularity of private pharmacies in India, such information would be useful to harness the potential of these pharmacies to deliver desirable public health outcomes, to facilitate regulation and to involve in initiatives pertaining to rational drug use. This study was a cross sectional survey that mapped private pharmacies in one district on a geographic information system and described relevant characteristics of these units. Methods This study of pharmacies was a part of larger cross sectional survey carried out to map all the health care providers in Ujjain district (population 1.9 million), Central India, on a geographic information system. Their location vis-à-vis formal providers of health services were studied. Other characteristics like human resources, infrastructure, clients and availability of tracer drugs were also surveyed. Results A total 475 private pharmacies were identified in the district. Three-quarter were in urban areas, where they were concentrated around physician practices. In rural areas, pharmacies were located along the main roads. A majority of pharmacies simultaneously retailed medicines from multiple systems of medicine. Tracer parenteral antibiotics and injectable steroids were available in 83.7% and 88.7% pharmacies respectively. The proportion of clients without prescription was 39.04%. Only 11.58% of staff had formal pharmacist qualifications. Power outages were a significant challenge. Conclusion This is the first mapping of pharmacies & their characteristics in India. It provides evidence of the urban dominance and close relationship between healthcare provider location and pharmacy location. The implications of this relationship are discussed. The study reports a lack of qualified staff in the presence of a high proportion of clients attending without a prescription. The study highlights the need for the better implementation of regulation. Besides facilitating regulation & partnerships, the data also provides a sampling frame for future interventional studies on these pharmacies. PMID:22204447
Huang, Chung-I; Lu, Meei-Shiow
2017-12-01
The flexibility of a hospital's nursing-related human resource management policies affects the working willingness and retention of nurses. To explore the effectiveness of a flexible nursing-related human resource management strategy. This quasi-experimental research used a one group pretest-posttest design. Supervisors at participating hospitals attended the "Application of Flexible Nursing Human Resources Management Strategies" workshop, which introduced the related measures and assessed nurses' pretest satisfaction. After these measures were implemented at the participating hospitals, implementation-related problems were investigated and appropriate consultation was provided. The posttest was implemented after the end of the project. Data were collected from nurses at the participating hospitals who had served in their present hospital for more than three months. The participating hospitals were all nationally certified healthcare providers, including 13 medical centers, 17 regional hospitals, and 3 district hospitals. A total of nurses 2,810 nurses took the pretest and 2,437 took the posttest. The research instruments included the "Satisfaction with working conditions and system flexibility" scale and the "Flexible nursing human resource management strategies". The effectiveness of the implemented strategy was assessed using independent samples t-test and variance analysis. The result of implementing the flexible strategies shows that the total mean of pretest satisfaction (Likert 5 scores) was 3.47 (SD = 0.65), and the posttest satisfaction was 3.52 (SD = 0.65), with significant statistical differences in task, numerical, divisional, and leading flexibility. Due to the good implementation effectiveness, the authors strongly suggest that all of the participating hospitals continue to apply this strategic model to move toward a more flexible nursing system and work.
33 CFR 326.3 - Unauthorized activities.
Code of Federal Regulations, 2010 CFR
2010-07-01
... requiring permits, district engineers should make the best use of all available resources. Corps employees... required, the district engineer should consider whether serious jeopardy to life, property, or important... detrimental impacts to the satisfaction of the district engineer. (ii) No permit application will be accepted...
Private Sector Adds to the Menu.
ERIC Educational Resources Information Center
Donovan, Sharon
1997-01-01
Two school districts, Kennewick School District WA and Salem-Keizer School District OR, are leveraging their food service contractor's resources to establish work-based courses stressing sophisticated management, culinary, and life skills. Under these instructional partnerships, the contractor, cooperating with school officials, develops the…
Distribution of selected healthcare resources for influenza pandemic response in Cambodia
2013-01-01
Introduction Human influenza infection poses a serious public health threat in Cambodia, a country at risk for the emergence and spread of novel influenza viruses with pandemic potential. Prior pandemics demonstrated the adverse impact of influenza on poor communities in developing countries. Investigation of healthcare resource distribution can inform decisions regarding resource mobilization and investment for pandemic mitigation. Methods A health facility survey performed across Cambodia obtained data on availability of healthcare resources important for pandemic influenza response. Focusing on five key resources considered most necessary for treating severe influenza (inpatient beds, doctors, nurses, oseltamivir, and ventilators), resource distributions were analyzed at the Operational District (OD) and Province levels, refining data analysis from earlier studies. Resources were stratified by respondent type (hospital vs. District Health Office [DHO]). A summary index of distribution inequality was calculated using the Gini coefficient. Indices for local spatial autocorrelation were measured at the OD level using geographical information system (GIS) analysis. Finally, a potential link between socioeconomic status and resource distribution was explored by mapping resource densities against poverty rates. Results Gini coefficient calculation revealed variable inequality in distribution of the five key resources at the Province and OD levels. A greater percentage of the population resides in areas of relative under-supply (28.5%) than over-supply (21.3%). Areas with more resources per capita showed significant clustering in central Cambodia while areas with fewer resources clustered in the northern and western provinces. Hospital-based inpatient beds, doctors, and nurses were most heavily concentrated in areas of the country with the lowest poverty rates; however, beds and nurses in Non-Hospital Medical Facilities (NHMF) showed increasing concentrations at higher levels of poverty. Conclusions There is considerable heterogeneity in healthcare resource distribution across Cambodia. Distribution mapping at the local level can inform policy decisions on where to stockpile resources in advance of and for reallocation in the event of a pandemic. These findings will be useful in determining future health resource investment, both for pandemic preparedness and for general health system strengthening, and provide a foundation for future analyses of equity in health services provision for pandemic mitigation planning in Cambodia. PMID:24090286
Distribution of selected healthcare resources for influenza pandemic response in Cambodia.
Schwanke Khilji, Sara U; Rudge, James W; Drake, Tom; Chavez, Irwin; Borin, Khieu; Touch, Sok; Coker, Richard
2013-10-04
Human influenza infection poses a serious public health threat in Cambodia, a country at risk for the emergence and spread of novel influenza viruses with pandemic potential. Prior pandemics demonstrated the adverse impact of influenza on poor communities in developing countries. Investigation of healthcare resource distribution can inform decisions regarding resource mobilization and investment for pandemic mitigation. A health facility survey performed across Cambodia obtained data on availability of healthcare resources important for pandemic influenza response. Focusing on five key resources considered most necessary for treating severe influenza (inpatient beds, doctors, nurses, oseltamivir, and ventilators), resource distributions were analyzed at the Operational District (OD) and Province levels, refining data analysis from earlier studies. Resources were stratified by respondent type (hospital vs. District Health Office [DHO]). A summary index of distribution inequality was calculated using the Gini coefficient. Indices for local spatial autocorrelation were measured at the OD level using geographical information system (GIS) analysis. Finally, a potential link between socioeconomic status and resource distribution was explored by mapping resource densities against poverty rates. Gini coefficient calculation revealed variable inequality in distribution of the five key resources at the Province and OD levels. A greater percentage of the population resides in areas of relative under-supply (28.5%) than over-supply (21.3%). Areas with more resources per capita showed significant clustering in central Cambodia while areas with fewer resources clustered in the northern and western provinces. Hospital-based inpatient beds, doctors, and nurses were most heavily concentrated in areas of the country with the lowest poverty rates; however, beds and nurses in Non-Hospital Medical Facilities (NHMF) showed increasing concentrations at higher levels of poverty. There is considerable heterogeneity in healthcare resource distribution across Cambodia. Distribution mapping at the local level can inform policy decisions on where to stockpile resources in advance of and for reallocation in the event of a pandemic. These findings will be useful in determining future health resource investment, both for pandemic preparedness and for general health system strengthening, and provide a foundation for future analyses of equity in health services provision for pandemic mitigation planning in Cambodia.
Teaching About Sexually Transmitted Diseases; A Curriculum Guide and Resources For Grades 7-12.
ERIC Educational Resources Information Center
California State Dept. of Education, Sacramento.
This curriculum guide provides school districts that already have VD education programs with up-to-date information about research and epidemiology relating to sexually transmitted diseases. For districts wishing to implement a program for the first time, it offers both a structured framework and the resources and materials needed for a complete…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-05
... the United States District Court for the Northern District of New York in the lawsuit entitled United...; and Mountain Mart 108, LLC. The proposed Consent Decree resolves claims of the United States under the Solid Waste Disposal Act, as amended by various laws including the Resource Conservation and Recovery...
ERIC Educational Resources Information Center
Avila, Arthur; Stevens, Thomas
Designed to aid in the planning process of the Los Angeles Community College District (LACCD) for 1984-1989, this report assesses educational and resource needs; discusses the community college mission and functions; and points to changing directions in educational programs and services in the district during the coming years. Introductory…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-27
... advises the Boise District Resource Advisory Council on matters of planning and management of the Gateway... the Interior, through the BLM, on a variety of planning and management issues associated with public.... Persons who use a telecommunications device for the deaf (TDD) may call the Federal Information Relay...
THE STATE OF AUDIOVISUAL TECHNOLOGY--1961-1966, MONOGRAPH NO. 3.
ERIC Educational Resources Information Center
GODFREY, ELEANOR P.
THE USE OF AUDIOVISUAL TECHNOLOGY OVER A SIX YEAR PERIOD WAS STUDIED. FROM A BASE OF 2,927 SCHOOL DISTRICTS, 238 DISTRICTS WERE STUDIED TO DETERMINE THE RESOURCES AVAILABLE, THE EXTENT OF USE OF THESE RESOURCES, FACTORS WHICH ENCOURAGE OR INHIBIT USE, AND PROSPECTS FOR THE FUTURE. ESTIMATES OF AMOUNTS OF ELEVEN ITEMS OF EQUIPMENT AND FIVE…
Realigning Resources for District Success: Duval County Public Schools Final Report
ERIC Educational Resources Information Center
Travers, Jonathan; Ferris, Kristen
2011-01-01
Duval County Public Schools (DCPS) is poised to take action today that will lead to serving all students more effectively. Although the challenges are significant, including deep budget cuts, the district made the strategic choice to look thoroughly at how resources are currently allocated and now has a foundation for making decisions that will…
ERIC Educational Resources Information Center
Travers, Jonathan; Ferris, Kristen
2011-01-01
Duval County Public Schools (DCPS) is poised to take action today that will lead to serving all students more effectively. Although the challenges are significant, including deep budget cuts, the district made the strategic choice to look thoroughly at how resources are currently allocated and now has a foundation for making decisions that will…
Temporal and Spatial Variation of Water Yield Modulus in the Yangtze River Basin in Recent 60 Years
NASA Astrophysics Data System (ADS)
Shi, Xiaoqing; Weng, Baisha; Qin, Tianling
2018-01-01
The Yangtze River Basin is the largest river basin of Asia and the third largest river basin of the world, the gross water resources amount ranks first in the river basins of the country, and it occupies an important position in the national water resources strategic layout. Under the influence of climate change and human activities, the water cycle has changed. The temporal and spatial distribution of precipitation in the basin is more uneven and the floods are frequent. In order to explore the water yield condition in the Yangtze River Basin, we selected the Water Yield Modulus (WYM) as the evaluation index, then analyzed the temporal and spatial evolution characteristics of the WYM in the Yangtze River Basin by using the climate tendency method and the M-K trend test method. The results showed that the average WYM of the Yangtze River Basin in 1956-2015 are between 103,600 and 1,262,900 m3/km2, with an average value of 562,300 m3/km2, which is greater than the national average value of 295,000 m3/km2. The minimum value appeared in the northwestern part of the Tongtian River district, the maximum value appeared in the northeastern of Dongting Lake district. The rate of change in 1956-2015 is between -0.68/a and 0.79/a, it showed a downward trend in the western part but not significantly, an upward trend in the eastern part reached a significance level of α=0.01. The minimum value appeared in the Tongtian River district, the largest value appeared in the Hangjia Lake district, and the average tendency rate is 0.04/a in the whole basin.
Petersen, Inge; Lund, Crick; Bhana, Arvin; Flisher, Alan J
2012-01-01
BACKGROUND A recent situational analysis suggests that post-apartheid South Africa has made some gains with respect to the decentralization and integration of mental health into primary health care. However, service gaps within and between provinces remain, with rural areas particularly underserved. Aim This study aims to calculate and cost a hypothetical human resource mix required to populate a framework for district adult mental health services. This framework embraces the concept of task shifting, where dedicated low cost mental health workers at the community and clinic levels supplement integrated care. METHOD The expected number and cost of human resources was based on: (a) assumptions of service provision derived from existing services in a sub-district demonstration site and a literature review of evidence-based packages of care in low- and middle-income countries; and (b) assumptions of service needs derived from other studies. RESULTS For a nominal population of 100 000, minimal service coverage estimates of 50% for schizophrenia, bipolar affective disorder, major depressive disorder and 30% for post-traumatic stress disorder and maternal depression would require that the primary health care staffing package include one post for a mental health counsellor or equivalent and 7.2 community mental health worker posts. The cost of these personnel amounts to £28 457 per 100 000 population. This cost can be offset by a reduction in the number of other specialist and non-specialist health personnel required to close service gaps at primary care level. CONCLUSION The adoption of the concept of task shifting can substantially reduce the expected number of health care providers otherwise needed to close mental health service gaps at primary health care level in South Africa at minimal cost and may serve as a model for other middle-income countries.
Moosa, Shabir; Downing, Raymond; Essuman, Akye; Pentz, Stephen; Reid, Stephen; Mash, Robert
2014-01-17
The World Health Organisation has advocated for comprehensive primary care teams, which include family physicians. However, despite (or because of) severe doctor shortages in Africa, there is insufficient clarity on the role of the family physician in the primary health care team. Instead there is a trend towards task shifting without thought for teamwork, which runs the risk of dangerous oversimplification. It is not clear how African leaders understand the challenges of implementing family medicine, especially in human resource terms. This study, therefore, sought to explore the views of academic and government leaders on critical human resource issues for implementation of family medicine in Africa. In this qualitative study, key academic and government leaders were purposively selected from sixteen African countries. In-depth interviews were conducted using an interview guide. All interviews were audio-recorded, transcribed and thematically analysed. There were 27 interviews conducted with 16 government and 11 academic leaders in nine Sub-Saharan African countries: Botswana, Democratic Republic of Congo, Ghana, Kenya, Malawi, Nigeria, Rwanda, South Africa and Uganda. Respondents spoke about: educating doctors in family medicine suited to Africa, including procedural skills and holistic care, to address the difficulty of recruiting and retaining doctors in rural and underserved areas; planning for primary health care teams, including family physicians; new supervisory models in primary health care; and general human resource management issues. Important milestones in African health care fail to specifically address the human resource issues of integrated primary health care teamwork that includes family physicians. Leaders interviewed in this study, however, proposed organising the district health system with a strong embrace of family medicine in Africa, especially with regard to providing clinical leadership in team-based primary health care. Whilst these leaders focussed positively on entry and workforce issues, in terms of the 2006 World Health Report on human resources for health, they did not substantially address retention of family physicians. Family physicians need to respond to the challenge by respondents to articulate human resource policies appropriate to Africa, including the organisational development of the primary health care team with more sophisticated skills and teamwork.
School District Size and the Deployment of Personnel Resources.
ERIC Educational Resources Information Center
Daft, Richard L.; Becker, Selwyn W.
1978-01-01
The administrative component was found to receive a smaller proportion of salaries in large districts, while clerical and maintenance service proportions increased, producing a net effect of larger overhead costs in this study of high school districts in the midwestern U.S. (KR)
Michigan School Privatization Survey 2013
ERIC Educational Resources Information Center
Hohman, James M.; Fryzelka, Evan E.
2014-01-01
Many of Michigan's public school districts are under substantial fiscal pressures from a combination of declining enrollment and increasing costs, particularly related to employee benefits, but most districts are responding to these challenges. One of the ways that districts can stretch their resources further is through competitive contracting…
NASA Astrophysics Data System (ADS)
Ghosh, Kapil; De, Sunil Kumar
2017-04-01
Successful landslide management plans and policy depends on in-depth knowledge about the hazard and associated risk. Thus, the present research is intended to present an integrated approach involving uses of geospatial technologies for landslide hazard and risk assessment at different scales (site specific to regional level). The landslide hazard map at regional scale (district level) is prepared by using weight-rating based method. To analyze landslide manifestation in the Dhalai district of Tripura different causative factor maps (lithology, road buffer, slope, relative relief, rainfall, fault buffer, landuse/landcover and drainage density) are derived. The analysis revealed that the geological structure and human interference have more influence than other considered factors on the landslide occurrences. The landslide susceptibility zonation map shows that about 1.64 and 16.68% of the total study area is falling under very high and high susceptibility zones respectively. The landslide risk assessment at district level is generated by integrating hazard scouring and resource damage potential scouring (fuzzy membership values) maps. The values of landslide risk matrix are varying within the range of 0.001 to 0.18 and the risk assessment map shows that only 0.45% (10.80 km2) of the district is under very high risk zone, whereas, about 50% pixels of existing road section are under very high to high level of landslide risk. The major part (94.06%) of the district is under very low to low risk zone. Landslide hazard and risk assessment at site specific level have been carried out through intensive field investigation in which it is found that the Ambassa landslide is located within 150 m buffer zone of fault line. Variation of geo-electrical resistivity (2.2Ωm to 31.4Ωm) indicates the complex geological character in this area. Based on the obtained geo-technical result which helps to identify the degree of risk to the existing resource, it is appropriate to implement the management plans such as construction of sub-surface drainage, extension of retaining walls, cutting/filling of slope in scientific manner. Keywords: landslide, hazard, risk, fuzzy set theory
Leading Change for the Implementation of Common Core State Standards in Rural School Districts
ERIC Educational Resources Information Center
Lopez, Paul; Wise, Donald
2015-01-01
Rural school districts across the nation, with their limited resources, face daunting challenges posed by the implementation of the Common Core State Standards. This article presents a recent study of 13 rural school districts in the Central Valley of California and how these districts are responding to those challenges. A total of 352 teachers…
Rift Valley Fever Outbreak in Livestock in Kenya, 2006–2007
Munyua, Peninah; Murithi, Rees M.; Wainwright, Sherrilyn; Githinji, Jane; Hightower, Allen; Mutonga, David; Macharia, Joseph; Ithondeka, Peter M.; Musaa, Joseph; Breiman, Robert F.; Bloland, Peter; Njenga, M. Kariuki
2010-01-01
We analyzed the extent of livestock involvement in the latest Rift Valley fever (RVF) outbreak in Kenya that started in December 2006 and continued until June 2007. When compared with previous RVF outbreaks in the country, the 2006–07 outbreak was the most extensive in cattle, sheep, goats, and camels affecting thousands of animals in 29 of 69 administrative districts across six of the eight provinces. This contrasted with the distribution of approximately 700 human RVF cases in the country, where over 85% of these cases were located in four districts; Garissa and Ijara districts in Northeastern Province, Baringo district in Rift Valley Province, and Kilifi district in Coast Province. Analysis of livestock and human data suggests that livestock infections occur before virus detection in humans, as supported by clustering of human RVF cases around livestock cases in Baringo district. The highest livestock morbidity and mortality rates were recorded in Garissa and Baringo districts, the same districts that recorded a high number of human cases. The districts that reported RVF in livestock for the first time in 2006/07 included Kitui, Tharaka, Meru South, Meru central, Mwingi, Embu, and Mbeere in Eastern Province, Malindi and Taita taveta in Coast Province, Kirinyaga and Murang'a in Central Province, and Baringo and Samburu in Rift Valley Province, indicating that the disease was occurring in new regions in the country. PMID:20682907
Markov Chains for Investigating and Predicting Migration: A Case from Southwestern China
NASA Astrophysics Data System (ADS)
Qin, Bo; Wang, Yiyu; Xu, Haoming
2018-03-01
In order to accurately predict the population’s happiness, this paper conducted two demographic surveys on a new district of a city in western China, and carried out a dynamic analysis using related mathematical methods. This paper argues that the migration of migrants in the city will change the pattern of spatial distribution of human resources in the city and thus affect the social and economic development in all districts. The migration status of the population will change randomly with the passage of time, so it can be predicted and analyzed through the Markov process. The Markov process provides the local government and decision-making bureau a valid basis for the dynamic analysis of the mobility of migrants in the city as well as the ways for promoting happiness of local people’s lives.
Surveying School Facilities Needs.
ERIC Educational Resources Information Center
Weichel, Harry J.; Dennell, James
1990-01-01
Ralston (Nebraska) Public School District's communitywide survey helped set school facilities priorities while keeping the district's finite resources firmly in mind. With an outline of maintenance costs for the next 10 years, the district can develop a strategic construction schedule. The board also has the option of financing projects through a…
Warning! Slippery Road Ahead: Internet Access and District Liability.
ERIC Educational Resources Information Center
Mazur, Joan M.
1995-01-01
As schools merge onto the information highway, districts must address their liability associated with Internet access. Schools need a practical policy supporting high access to global educational resources while limiting district liability. USENET provides easy access to controversial and pornographic materials. This article outlines federal…
Negotiating in School Districts when Times Are Tough
ERIC Educational Resources Information Center
Dolph, David
2012-01-01
When the economy is depressed, resources are limited, mandates are overwhelming, and the organizational climate in the district is souring, education leaders and teachers union officials often brace themselves for contentious negotiations. Poor economic conditions affect the district's ability to offer raises, maintain current benefit levels, and…
Code of Federal Regulations, 2014 CFR
2014-01-01
..., tribal, or territorial law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district... practices and conservation management systems. It contains detailed information on the conservation of soil...
Code of Federal Regulations, 2013 CFR
2013-01-01
..., tribal, or territorial law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district... practices and conservation management systems. It contains detailed information on the conservation of soil...
Code of Federal Regulations, 2012 CFR
2012-01-01
..., tribal, or territorial law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district... practices and conservation management systems. It contains detailed information on the conservation of soil...
The Impact of a Universal Class-Size Reduction Policy: Evidence from Florida's Statewide Mandate
ERIC Educational Resources Information Center
Chingos, Matthew M.
2012-01-01
Class-size reduction (CSR) mandates presuppose that resources provided to reduce class size will have a larger impact on student outcomes than resources that districts can spend as they see fit. I estimate the impact of Florida's statewide CSR policy by comparing the deviations from prior achievement trends in districts that were required to…
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-20
..., located at 3948 S. Development Avenue, Boise, Idaho, beginning at 9 a.m. and adjourning at 4:30 p.m... CONTACT: MJ Byrne, Public Affairs Officer and RAC Coordinator, BLM Boise District, 3948 Development Ave... Management Plan Subgroup on its collaboration with the development of the Four Rivers Field Office Resource...
ERIC Educational Resources Information Center
Springer, Matthew G.; Houck, Eric A.; Ceperley, Patricia E.; Hange, Jane
2007-01-01
The primary objective of this study was to examine revenue generation and resource allocation and deployment practices associated with the implementation of three smaller learning communities (SLC) project high schools in a single school district. The study used a variation of Levin and McEwan's (2001) ingredients approach. District- and…
Halloran, Andrew R; Cloutier, Christina T; Sesay, Papanie Bai
2013-06-01
A previously undocumented group of wild chimpanzees (Pan troglodytes verus) was recently discovered along the Pampana River in the Tonkolili District of Sierra Leone. Based on interviews from local residents (N = 6), we estimate the group size to be approximately 30 individuals. Though this population does not show up in the most recent census of chimpanzees in Sierra Leone, it concurs with findings that indicate most of the chimpanzees in Sierra Leone live scattered throughout the country alongside villages, rather than in protected areas. During a three-week observation in the area, two chimpanzees were hunted and killed. The reason for these deaths, along with other reported instances of hunting in the area, are primarily due to crop-raiding and competition for resources between chimpanzees and humans. We conclude that this is a heavily imperiled population. Based on the ecology of the area and composition of local villages, we propose a number of conservation strategies that will promote a symbiotic relationship between the chimpanzees and human populations residing in the area. © 2013 Wiley Periodicals, Inc.
Quality-assurance plan for water-resources activities of the U.S. Geological Survey in Idaho
Packard, F.A.
1996-01-01
To ensure continued confidence in its products, the Water Resources Division of the U.S. Geological Survey implemented a policy that all its scientific work be performed in accordance with a centrally managed quality-assurance program. This report establishes and documents a formal policy for current (1995) quality assurance within the Idaho District of the U.S. Geological Survey. Quality assurance is formalized by describing district organization and operational responsibilities, documenting the district quality-assurance policies, and describing district functions. The districts conducts its work through offices in Boise, Idaho Falls, Twin Falls, Sandpoint, and at the Idaho National Engineering Laboratory. Data-collection programs and interpretive studies are conducted by two operating units, and operational and technical assistance is provided by three support units: (1) Administrative Services advisors provide guidance on various personnel issues and budget functions, (2) computer and reports advisors provide guidance in their fields, and (3) discipline specialists provide technical advice and assistance to the district and to chiefs of various projects. The district's quality-assurance plan is based on an overall policy that provides a framework for defining the precision and accuracy of collected data. The plan is supported by a series of quality-assurance policy statements that describe responsibilities for specific operations in the district's program. The operations are program planning; project planning; project implementation; review and remediation; data collection; equipment calibration and maintenance; data processing and storage; data analysis, synthesis, and interpretation; report preparation and processing; and training. Activities of the district are systematically conducted under a hierarchy of supervision an management that is designed to ensure conformance with Water Resources Division goals quality assurance. The district quality-assurance plan does not describe detailed technical activities that are commonly termed "quality-control procedures." Instead, it focuses on current policies, operations, and responsibilities that are implemented at the management level. Contents of the plan will be reviewed annually and updated as programs and operations change.
Odaga, John; Henriksson, Dorcus K; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K; Valadez, Joseph J
2016-01-01
Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting priority interventions for child survival.
Odaga, John; Henriksson, Dorcus K.; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K.; Valadez, Joseph J.
2016-01-01
Background Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Design Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. Results All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. Conclusions In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting priority interventions for child survival. PMID:27225791
Discipline for Democracy? School Districts' Management of Conflict and Social Exclusion
ERIC Educational Resources Information Center
Bickmore, Kathy
2004-01-01
An examination of six urban Canadian school districts' policies and co-curricular programs for safe and inclusive schools shows contrasting implicit patterns of citizenship education. Peacekeeping-oriented districts relied heavily on standardized control and exclusion to achieve school safety and allocated few resources to affirming diversity.…
Patterns of Local Intergovernmental Cooperation in Illinois School Districts
ERIC Educational Resources Information Center
Wilkey, Kathleen M.
2014-01-01
This study identified the use of intergovernmental cooperatives in Illinois school districts as a resource to improve the budget process. More specifically, the study focused on the types of intergovernmental cooperatives in Illinois school districts and the reason for entering into the cooperatives. The results of this research suggest that…
75 FR 4582 - Mojave-Southern Great Basin Resource Advisory Council Meetings, Nevada
Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-28
... District Office Manager. [FR Doc. 2010-1729 Filed 1-27-10; 8:45 am] BILLING CODE 4310-HC-P ... include, but are not limited to: February 18, BLM Southern Nevada District Office, 4701 N. Torrey Pines Dr... Southern Nevada District Office, 4701 N. Torrey [[Page 4583
75 FR 28056 - Cachuma Lake Resource Management Plan, Santa Barbara County, CA
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-19
...: (1) Ensure safe storage and timely delivery of high-quality water to users while enhancing natural... provides irrigation, domestic, and municipal and industrial water supplies to the City of Santa Barbara, Goleta Water District, Montecito Water District, Carpinteria Valley Water District, and Santa Ynez River...
75 FR 16504 - Meeting Notice for the Medford District Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-01
... Medford, Oregon. FOR FURTHER INFORMATION CONTACT: Jim Whittington, Medford District Public Affairs Officer... minutes. If reasonable accommodation is required, please contact the BLM's Medford District Public Affairs... submissions and other matters as may reasonably come before the council. The public is welcome to attend all...
Code of Federal Regulations, 2011 CFR
2011-01-01
... State by annual tilling of the soil, including tilling by one-trip planters; or sugarcane planted and... or territorial law for the express purpose of developing and carrying out a local soil and water...,” “soil conservation district,” “soil and water conservation district,” “resource conservation district...
2. SNAKE RIVER VALLEY IRRIGATION DISTRICT DAM, PHOTOGRAPHIC COPY OF ...
2. SNAKE RIVER VALLEY IRRIGATION DISTRICT DAM, PHOTOGRAPHIC COPY OF DRAWING, PLAN, SHEET 5 OF 5, 1924 (on file at the Idaho State Office of Water Resources, Boise, Idaho) - Snake River Valley Irrigation District, East Side of Snake River (River Mile 796), Shelley, Bingham County, ID
Trees in the small city retail business district: comparing resident and visitor perceptions
Kathleen L. Wolf
2005-01-01
Many small cities and towns are located near resource lands, and their central business districts serve both residents and visitors. Such quasi-rural retail centers face competitive challenges from regional shopping malls, online purchasing, and big box discount retailers. District merchants must strategically enhance their market...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-22
... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... revisions to the San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) portion of the..., Gas, and Geothermal Resources confirmed that in the Ventura County Air Pollution Control District...
Implementing Technology without Breaking the Bank.
ERIC Educational Resources Information Center
Schroth, Gwen; And Others
Boles Independent School District (Texas) serves 360 students and is the poorest district in Texas. Yet, due to the aggressiveness of its superintendent and staff, Boles has pieced together a technology program that equals or surpasses those of larger neighboring districts with more resources. This success is derived from creativity,…
Drennan, Vari M
2018-01-01
Objectives Many countries seek to improve care for people with chronic conditions and increase delivery of care outside of hospitals, including in the home. Despite these policy objectives in the United Kingdom, the home visiting nursing service workforce, known as district nursing, is declining. This study aimed to investigate the factors influencing the development of district nursing workforces in a metropolitan area of England. Methods A qualitative study in a metropolitan area of three million residents in diverse socio-economic communities using semi-structured interviews with a purposive sample of senior nurses in provider and commissioning organizations. Thematic analysis was framed by theories of workforce development. All participants reported that the context for the district nursing service was one of major reorganizations in the face of wider National Health Service changes and financial pressures. The analysis identified five themes that can be seen to impact the ways in which the district nursing workforce was developed. These were: the challenge of recruitment and retention, a changing case-mix of patients and the requirement for different clinical skills, the growth of specialist home visiting nursing services and its impact on generalist nursing, the capacity of the district nursing service to meet growing demand, and the influence of the short-term service commissioning process on the need for long-term workforce development. Conclusion There is an apparent paradox between health policies which promote more care within and closer to home and the reported decline in district nursing services. Using the lens of workforce development theory, an explanatory framework was offered with factors such as the nature of the nursing labour market, human resource practices, career advancement opportunities as well as the contractual context and the economic environment.
Bertone, Maria Paola; Witter, Sophie
2015-09-01
The need for evidence-based practice calls for research focussing not only on the effectiveness of interventions and their translation into policies, but also on implementation processes and the factors influencing them, in particular for complex health system policies. In this paper, we use the lens of one of the health system's 'building blocks', human resources for health (HRH), to examine the implementation of official policies on HRH incentives and the emergence of informal practices in three districts of Sierra Leone. Our mixed-methods research draws mostly from 18 key informant interviews at district level. Data are organised using a political economy framework which focuses on the dynamic interactions between structure (context, historical legacies, institutions) and agency (actors, agendas, power relations) to show how these elements affect the HRH incentive practices in each district. It appears that the official policies are re-shaped both by implementation challenges and by informal practices emerging at local level as the result of the district-level dynamics and negotiations between District Health Management Teams (DHMTs) and nongovernmental organisations (NGOs). Emerging informal practices take the form of selective supervision, salary supplementations and per diems paid to health workers, and aim to ensure a better fit between the actors' agendas and the incentive package. Importantly, the negotiations which shape such practices are characterised by a substantial asymmetry of power between DHMTs and NGOs. In conclusion, our findings reveal the influence of NGOs on the HRH incentive package and highlight the need to empower DHMTs to limit the discrepancy between policies defined at central level and practices in the districts, and to reduce inequalities in health worker remuneration across districts. For Sierra Leone, these findings are now more relevant than ever as new players enter the stage at district level, as part of the Ebola response and post-Ebola reconstruction. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
Fusheini, Adam; Eyles, John
2016-10-07
Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growing enthusiasm at both national and global levels. Throughout the world, however, the paths of countries to UHC have differed. South Africa is currently reforming its health system with UHC through developing a national health insurance (NHI) program. This will be practically achieved through a decentralized approach, the district health system, the main vehicle for delivering services since democracy. We utilize a review of relevant documents, conducted between September 2014 and December 2015 of district health systems (DHS) and UHC and their ideological underpinnings, to explore the opportunities and challenges, of the district health system in achieving UHC in South Africa. Review of data from the NHI pilot districts suggests that as South Africa embarks on reforms toward UHC, there is a need for a minimal universal coverage and emphasis on district particularity and positive discrimination so as to bridge health inequities. The disparities across districts in relation to health profiles/demographics, health delivery performance, management of health institutions or district management capacity, income levels/socio-economic status and social determinants of health, compliance with quality standards and above all the burden of disease can only be minimised through positive discrimination by paying more attention to underserved and disadavantaged communities. We conclude that in South Africa the DHS is pivotal to health reform and UHC may be best achieved through minimal universal coverage with positive discrimination to ensure disparities across districts in relation to disease burden, human resources, financing and investment, administration and management capacity, service readiness and availability and the health access inequalities are consciously implicated. Yet ideological and practical issues make its achievement problematic.
Anokbonggo, W W; Ogwal-Okeng, J W; Ross-Degnan, D; Aupont, O
2004-02-01
In Uganda, the decentralization of administrative functions, management, and responsibility for health care to districts, which began in 1994, resulted in fundamental changes in health care delivery. Since the introduction of the policy in Uganda, little information has been available on stakeholders' perceptions about the benefits of the policy and how decentralization affected health care delivery. To identify the perceptions and beliefs of key stakeholders on the impact and process of decentralization and on the operations of health services in two districts in Uganda, and to report their suggestions to improve future implementation of similar policies. We used qualitative research methods that included focus group discussions with 90 stakeholders from both study districts. The sample population comprised of 12 health workers from the two hospitals, 11 district health administrators, and 67 Local Council Leaders. Perceptions and concerns of stakeholders on the impact of decentralization on district health services. There was a general consensus that decentralization empowered local administrative and political decision-making. Among stakeholders, the policy was perceived to have created a sense of ownership and responsibility. Major problems that were said to be associated with decentralization included political harassment of civil servants, increased nepotism, inadequate financial resources, and mismanagement of resources. This study elicited perceptions about critical factors upon which successful implementation of the decentralization policy depended. These included: appreciation of the role of all stakeholders by district politicians; adequate availability and efficient utilization of resources; reasonably developed infrastructure prior to the policy change; appropriate sensitisation and training of those implementing policies; and the good will and active involvement of the local community. In the absence of these factors, implementation of decentralization of services to districts may not immediately make economic and administrative sense.
ERIC Educational Resources Information Center
Reeder, Brian
2004-01-01
Standard & Poors (S&P) uses a measure they call a Performance Cost Index (PCI) as their measure of a school or district?s ?Return on Resources?. The Performance Cost Index is defined as the average cost per measured ?unit? of student performance. In its simplest form, the Performance Cost Index is calculated as per student expenditures divided by…
ERIC Educational Resources Information Center
Miller, Lawrence J.; Roza, Marguerite; Swartz, Claudine
2004-01-01
Recent policy changes at the state and federal levels have made schools the focus of accountability. However, under current district budgeting practices, it is difficult to assess how resources are distributed between schools and whether every school is afforded the same opportunity to meet its educational goals. This paper addresses one key…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-13
... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree; Pursuant to the Resource Conservation and Recovery Act and the Clean Water Act On October 28, 2013, the Department of Justice lodged a proposed Consent Decree (``Decree'') in the United States District Court for the Eastern District of Kentucky in the lawsuit entitled United States of...
Edwards, Laura J.; Moisés, Abú; Nzaramba, Mathias; Cassimo, Aboobacar; Silva, Laura; Mauricio, Joaquim; Wester, C. William; Vermund, Sten H.; Moon, Troy D.
2015-01-01
Background: Avante Zambézia is an initiative of a Non-Governmental Organization (NGO), Friends in Global Health, LLC (FGH) and the Vanderbilt Institute for Global Health (VIGH) to provide technical assistance to the Mozambican Ministry of Health (MoH) in rural Zambézia Province. Avante Zambézia developed a district level Health Management Mentorship (HMM) program to strengthen health systems in ten of Zambézia’s 17 districts. Our objective was to preliminarily analyze changes in four domains of health system capacity after the HMM’s first year: accounting, Human Resources (HRs), Monitoring and Evaluation (M&E), and transportation management. Methods: Quantitative metrics were developed in each domain. During district visits for weeklong, on-site mentoring, the health management mentoring teams documented each indicator as a success ratio percentage. We analyzed data using linear regressions of each indicator’s mean success ratio across all districts submitting a report over time. Results: Of the four domains, district performance in the accounting domain was the strongest and most sustained. Linear regressions of mean monthly compliance for HR objectives indicated improvement in three of six mean success ratios. The M&E capacity domain showed the least overall improvement. The one indicator analyzed for transportation management suggested progress. Conclusion: Our outcome evaluation demonstrates improvement in health system performance during a HMM initiative. Evaluating which elements of our mentoring program are succeeding in strengthening district level health systems is vital in preparing to transition fiscal and managerial responsibility to local authorities. PMID:26029894
Edwards, Laura J; Moisés, Abú; Nzaramba, Mathias; Cassimo, Aboobacar; Silva, Laura; Mauricio, Joaquim; Wester, C William; Vermund, Sten H; Moon, Troy D
2015-03-12
Avante Zambézia is an initiative of a Non-Governmental Organization (NGO), Friends in Global Health, LLC (FGH) and the Vanderbilt Institute for Global Health (VIGH) to provide technical assistance to the Mozambican Ministry of Health (MoH) in rural Zambézia Province. Avante Zambézia developed a district level Health Management Mentorship (HMM) program to strengthen health systems in ten of Zambézia's 17 districts. Our objective was to preliminarily analyze changes in four domains of health system capacity after the HMM's first year: accounting, Human Resources (HRs), Monitoring and Evaluation (M&E), and transportation management. Quantitative metrics were developed in each domain. During district visits for weeklong, on-site mentoring, the health management mentoring teams documented each indicator as a success ratio percentage. We analyzed data using linear regressions of each indicator's mean success ratio across all districts submitting a report over time. Of the four domains, district performance in the accounting domain was the strongest and most sustained. Linear regressions of mean monthly compliance for HR objectives indicated improvement in three of six mean success ratios. The M&E capacity domain showed the least overall improvement. The one indicator analyzed for transportation management suggested progress. Our outcome evaluation demonstrates improvement in health system performance during a HMM initiative. Evaluating which elements of our mentoring program are succeeding in strengthening district level health systems is vital in preparing to transition fiscal and managerial responsibility to local authorities. © 2015 by Kerman University of Medical Sciences.
Nyarko, Kofi Mensah; Ameme, Donne Kofi; Ocansey, Dennis; Commeh, Efua; Markwei, Mehitabel Tori; Ohene, Sally-Ann
2016-01-01
Non-communicable diseases (NCDs) continue to pose threats to human health and development worldwide. Though preventable, NCDs kill more people annually than all other diseases combined. The four major NCDs namely cardiovascular diseases, chronic respiratory diseases, diabetes and cancers share common modifiable risk factors. In order to prevent and control NCDs, Ghana has adopted the World Health Organisation Package for Essential NCD (WHO-PEN) intervention, to be piloted in selected districts before a nationwide scale-up. We assessed the capacity of these facilities for the implementation of the WHO-PEN pilot. We conducted a cross-sectional health facility-based survey using a multistage sampling technique. We collected data on human resource, equipment, service utilization, medicines availability and health financing through interviews and observation. Descriptive data analysis was performed and expressed in frequencies and relative frequencies. In all, 23 health facilities comprising two regional hospitals, three district hospitals, nine health centres and nine Community-based Health Planning and Services (CHPS) compounds from three regions were surveyed. All the hospitals had medical officers whilst 4 (44.4%) of the health centres had physician assistants. Health financing is mainly by the National Health Insurance Scheme (NHIS). None of the health facilities had spacers and only one health centre had oxygen cylinder, glucometer and nebulizer. Gaps exist in the human resource capacity and service delivery at the primary care levels, the focus of WHO-PEN intervention. Adequately equipping the primary health care level with trained health workers, basic equipment, medications and diagnostics will optimize the performance of WHO-PEN intervention when implemented.
Nyarko, Kofi Mensah; Ameme, Donne Kofi; Ocansey, Dennis; Commeh, Efua; Markwei, Mehitabel Tori; Ohene, Sally-Ann
2016-01-01
Introduction Non-communicable diseases (NCDs) continue to pose threats to human health and development worldwide. Though preventable, NCDs kill more people annually than all other diseases combined. The four major NCDs namely cardiovascular diseases, chronic respiratory diseases, diabetes and cancers share common modifiable risk factors. In order to prevent and control NCDs, Ghana has adopted the World Health Organisation Package for Essential NCD (WHO-PEN) intervention, to be piloted in selected districts before a nationwide scale-up. We assessed the capacity of these facilities for the implementation of the WHO-PEN pilot. Methods We conducted a cross-sectional health facility-based survey using a multistage sampling technique. We collected data on human resource, equipment, service utilization, medicines availability and health financing through interviews and observation. Descriptive data analysis was performed and expressed in frequencies and relative frequencies. Results In all, 23 health facilities comprising two regional hospitals, three district hospitals, nine health centres and nine Community-based Health Planning and Services (CHPS) compounds from three regions were surveyed. All the hospitals had medical officers whilst 4 (44.4%) of the health centres had physician assistants. Health financing is mainly by the National Health Insurance Scheme (NHIS). None of the health facilities had spacers and only one health centre had oxygen cylinder, glucometer and nebulizer. Conclusion Gaps exist in the human resource capacity and service delivery at the primary care levels, the focus of WHO-PEN intervention. Adequately equipping the primary health care level with trained health workers, basic equipment, medications and diagnostics will optimize the performance of WHO-PEN intervention when implemented. PMID:28149441
ERIC Educational Resources Information Center
Lucas, Tamara; Villegas, Ana Maria
2004-01-01
In 1999-2000, over one-third of all students in the 30 Abbott districts spoke a native language other than English, and more than one-tenth were considered limited English proficient (LEP). The proportions of LEP students varied considerably across the districts, but they comprised between 5% and 29% of total enrollments in 18 of the districts.…
Water-resources investigations of the USGS in Texas, fiscal year 1981
Mitchell, Alicia A.; Buckner, H.D.
1981-01-01
Water-resources investigations in Texas consist of the collection of basic records through the hydrologic-data network, interpretive studies, and research projects. The hydrologic records and the results of investigations are published by the Geological Survey or by cooperating agencies. This report describes the water-resources projects and activities of the Geological Survey in Texas for the 1981 fiscal year (October 1, 1980 to September 30, 1981).The Geological Survey's investigations of the water resources of Texas are under the general direction of Jack Rawson, Acting District Chief. The Texas District office is in the Federal Building, 300 East Eighth Street, Austin, Texas 78701.
New Jersey Grant Program To Reduce Student Disruption in Schools: Award Recipients.
ERIC Educational Resources Information Center
New Jersey State Dept. of Education, Trenton. Div. of General Academic Education.
New Jersey's $1 million Grant Program to Reduce Student Disruption in Schools is intended to provide resources to individual school districts or groups of cooperating districts for developing and implementing programs for chronically disruptive students, and thereby to identify models to make available to other districts throughout the state. Out…
Measures of Wealth in Pennsylvania
ERIC Educational Resources Information Center
Dady, Kenneth J., Jr.
2010-01-01
The measure of district wealth used by a state is a critical factor in reducing the potential extremes in available resources that may occur across districts. To be effective, the state definition of wealth should correlate closely with the local tax structure that is available to school districts to raise local revenues. Conversely, if wealth is…
18 CFR 385.1509 - District court procedures (Rule 1509).
Code of Federal Regulations, 2010 CFR
2010-04-01
... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false District court... the Assessment of Civil Penalties Under Section 31 of the Federal Power Act § 385.1509 District court procedures (Rule 1509). (a) After receipt of the notification of election to apply the provisions of this...
Managing Technology Resourcefully: Part II--Working with Your District's Technology
ERIC Educational Resources Information Center
Weeks, Richard
2009-01-01
A large school district may have a technology department staffed by a chief technology officer who supervises two or more directors of operations, project managers, and technicians. On the other hand, a small district may employ an information technologist who works with technicians, consultants, volunteers with a knack for technology, and…
ERIC Educational Resources Information Center
Iadarola, Suzannah; Hetherington, Susan; Clinton, Christopher; Dean, Michelle; Reisinger, Erica; Huynh, Linh; Locke, Jill; Conn, Kelly; Heinert, Sara; Kataoka, Sheryl; Harwood, Robin; Smith, Tristram; Mandell, David S.; Kasari, Connie
2015-01-01
This study used qualitative methods to evaluate the perceptions of parents, educators, and school administrators in three large, urban school districts (Los Angeles, Philadelphia, and Rochester) regarding services for children with autism spectrum disorder within the context of limited district resources. Facilitators followed a standard…
Right Game, Wrong Field? The Pursuit of School Funding Equity.
ERIC Educational Resources Information Center
Hertert, Linda
1995-01-01
District-level fiscal equity, when achieved, will not necessarily result in a fairer distribution of educational resources. School-level inequities generally exceed those found at the district level in most states. If districts were required to distribute funds to schools on a per-pupil basis, school-level equalization could be accomplished…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-23
... indicated below. DATES: The meeting date is May 21, 2013, at the BLM Albuquerque District Office, 435... Albuquerque District Office, 435 Montano Rd., Albuquerque, NM 87107, 505-761-8734. Persons who use a... New Mexico. Planned agenda items include presentations by the Socorro and Rio Puerco Field Office...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-21
... the Socorro and Rio Puerco Field Office Managers. The comment period during which the public may... indicated below. DATES: The meeting date is December 13, 2011, at the BLM Albuquerque District Office, 435... District Office, 435 Montano Rd., Albuquerque, NM 87107, (505) 761-8935. Persons who use a...
The Best of Both Worlds: School District-Charter Sector Boundary Spanners
ERIC Educational Resources Information Center
Yatsko, Sarah; Bruns, Angela
2015-01-01
A growing number of school districts are moving away from the idea that charter schools are the enemy. Instead, districts are breaking down barriers and openly discussing how to share resources, responsibilities, and knowledge of what works. This report explores a lesser-known form of knowledge transfer: the practice of superintendents looking…
Examining Charter School Policy and Public School District Resource Allocation in Ohio
ERIC Educational Resources Information Center
Linick, Matthew A.
2016-01-01
This project focuses on the competitive pressure, or the threat of competitive pressure, generated by charter school policy. This paper uses longitudinal district-level data and multiple quasi-experimental designs to examine the relationship between two Ohio charter school policies and changes in public school district instructional resource…
4. SNAKE RIVER VALLEY IRRIGATION DISTRICT, PHOTOGRAPHIC COPY OF DRAWING, ...
4. SNAKE RIVER VALLEY IRRIGATION DISTRICT, PHOTOGRAPHIC COPY OF DRAWING, PROPOSED SECTION OF DIVERSION DAM ACROSS SNAKE RIVER, SHEET 1 OF 5, 1924 (on file at the Idaho State Office of Water Resources, Boise, Idaho) - Snake River Valley Irrigation District, East Side of Snake River (River Mile 796), Shelley, Bingham County, ID
Segregation by District Boundary Line: The Fragmentation of Memphis Area Schools
ERIC Educational Resources Information Center
Frankenberg, Erica; Siegel-Hawley, Genevieve; Diem, Sarah
2017-01-01
Boundary lines have long served as a mechanism to divide people, determining the quality of available resources, and ultimately, educational opportunity. In recent years, new school district boundaries have proliferated as local communities attempt to secede from larger school districts. In this study of Memphis-Shelby County, Tennessee, we extend…
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-04
... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... approval of revisions to the San Joaquin Valley Air Pollution Control District (SJVUAPCD) portion of the... used by the California Air Resources Board and air districts for evaluating air pollution control...
Grant Funding to Implement PREPaRE Training in Your School District
ERIC Educational Resources Information Center
Paige, Leslie Z.
2010-01-01
Implementing an effective crisis management program in a school district has associated costs. The most precious resource in a school system is time. Time is necessary for acquiring and practicing new skills, and for developing and implementing strategies to introduce and expand the change throughout a school or district. Implementing an effective…
78 FR 79708 - Notice of Public Meeting, Boise District Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-31
... January 28, 2014, at the Boise District Office, located at 3948 S. Development Avenue, Boise, Idaho... Specialist and RAC Coordinator, BLM Boise District, 3948 S. Development Ave., Boise, ID 83705; telephone (208... the BLM Coordinator as provided above. Persons who use a telecommunications device for the deaf (TDD...
78 FR 64530 - Resource Advisory Council to the Boise District, Public Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2013-10-29
..., at the Boise District Office, located at 3948 S. Development Avenue, Boise, Idaho, beginning at 9:00... Specialist and RAC Coordinator, BLM Boise District, 3948 Development Ave., Boise, ID 83705, Telephone (208... telecommunications device for the deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1- 800-877-8339...
NASA Astrophysics Data System (ADS)
Mann, Matthew James
Rural and small schools have almost one-third of all public school enrollment in America, yet typically have the fewest financial and research based resources. Educational models have been developed with either the urban or suburban school in mind, and the rural school is often left with no other alternative except this paradigm. Rural based educational resources are rare and the ability to access these resources for rural school districts almost non-existent. Federal and state based education agencies provide some rural educational based programs, but have had virtually no success in answering rural school issues. With federal and state interest in science initiatives, the challenge that rural schools face weigh in. To align with that focus, this study examined Texas middle school student achievement in science and its relationship with school district enrollment size. This study involved a sequential transformative mixed methodology with the quantitative phase driving the second qualitative portion. The quantitative research was a non-experimental causal-comparative study conducted to determine whether there is a significant difference between student achievement on the 2010 Texas Assessment of Knowledge and Skills 8 th grade science results and school district enrollment size. The school districts were distributed into four categories by size including: a) small districts (32-550); b) medium districts (551-1500); c) large districts (1501-6000); and d) mega-sized districts (6001-202,773). A one-way analysis of variance (ANOVA) was conducted to compare the district averages from the 2010 TAKS 8th grade science assessment results and the four district enrollment groups. The second phase of the study was qualitative utilizing constructivism and critical theory to identify the issues facing rural and small school administrators concerning science based curriculum and development. These themes and issues were sought through a case study method and through use of semi-structured interviews with successful rural school administrators who serve campuses currently rated recognized or higher on the Texas Education Agency accountability system. The qualitative data analysis employed the coding of interviews and observations that allowed for and sought emergent themes and alternative rural perspectives.
NASA Astrophysics Data System (ADS)
Prakasam, D. C., Jr.; Zaman, B.
2014-12-01
Water is one of the most vital natural resource and its availability and quality determine ecosystem productivity, both for agricultural and natural systems. Una district is one of the major potential agricultural districts in Himachal Pradesh, India. More than 70% of the population of this district is engaged in agriculture and allied sectors and major crops grown are maize, wheat, rice, sugarcane, pulses and vegetables. The region faces drought every year and about 90 per cent of the area is water stressed. This has resulted in crop loss and shortage of food and fodder. The sources of drinking water, small ponds and bowlies dry-up during summer season resulting in scarcity of drinking water. Una district receives rainfall during monsoons from June to September and also during non-monsoon period (winter). The annual average rainfall in the area is about 1040 mm with 55 average rainy days. But due to heavy surface run-off the farmers not able to cultivate the crops more than once in a year. Past research indicate that the geomorphology of the Una district might be responsible for such droughts as it controls the surface as well as ground water resources. The research proposes to develop a water stress model for Una district using the geomorphic parameters, water resource and land use land cover data of the study area. Using Survey of India topographical maps (1:50000), the geomorphic parameters are extracted. The spatial layers of these parameters i.e. drainage density, slope, relative relief, ruggedness index, surface water body's frequency are created in GIS. A time series of normalized remotely sensed data of the study area is used for land use land cover classification and analyses. Based on the results from the water stress model, the drought/water stress areas and water harvesting zones are identified and documented. The results of this research will help the general population in resolving the drinking water problem to a certain extent and also the cultivators to water the crops more than twice per year which might increase the crop yield in Una district.
Okello, Elialilia S; Nankumbi, Joyce; Ruzaaza, Gad Ndaruhutse; Bakengesa, Evelyn; Gumikiriza, Joy; Arubaku, Wilfred; Acio, Christine; Samantha, Mary; Matte, Michael
2015-12-01
Community-based education research and service (COBERS) is a brand of community-based education that has been adopted by the Medical Education and Service for All Ugandans consortium. The COBERS programme is aimed at equipping students in health professional education with the knowledge, attitudes and skills required to provide appropriate health care services. For sustainability purposes, the health professional training institutions have made efforts to involve various stakeholders in the implementation of the programme. However, the actual engagement process and outcome of such efforts have not been documented. This paper documents gaps and gains made in engaging district stakeholders for community-based education. Key informant interviews, focus group discussions and document review were used to collect data. Atlas.ti, computer software for qualitative data was used to aid analysis. The analysis revealed that the adopted engagement model has registered some gains including increased awareness among district leaders about potential opportunities offered by COBERS such as boosting of human resources at health facilities, opportunities for professional development for health care workers at health facilities, and establishment of linkages between prospective employees and employers. However, the engagement model left some gaps in terms of knowledge, awareness and ownership of the programme among some sections of stakeholders. The apparent information gap about the programme among district stakeholders, especially the political leadership, may hinder concerted partnership. The findings highlight the need for health professional education institutions to broaden the scope of actively engaged stakeholders with the district level.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-27
... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act, Clean Water Act, and the Resource Conservation and Recovery Act On November 20, 2013, the Department of Justice lodged a proposed consent decree with the United States District Court for the Central District of Illinois in the lawsuit entitled United States v....
2009-01-01
Background The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. Methods A participant-observer description of the evolution of community health worker support to the health services in Angónia district, Mozambique. Results An integrated community health team approach, established jointly by the Ministry of Health and Médecins Sans Frontières in 2007, has improved accountability, relevance, and geographical access for basic health services. Conclusion The community health team has several advantages over 'disease-specific' community health worker approaches in terms of accountability, acceptability, and expanded access to care. PMID:19615049
ERIC Educational Resources Information Center
Ferguson, Ronald F.
This survey presents statistics on secondary school student culture by school district and race/ethnicity, using data from approximately forty thousand secondary school students in Minority Student Achievement Network districts. Information is presented in six areas: (1) "Family Background Resources and Living Arrangements (racial/ethnic…
ERIC Educational Resources Information Center
Chambers, Jay G.; Jubb, Steve; Manship, Karen; Rosas, Rigo; Brown, James R.
2010-01-01
This report summarizes the perspectives and attitudes of a selected set of district and school site administrators whom the authors interviewed in Los Angeles Unified School District (LAUSD) during the fall and winter of the 2009-2010 school year. The authors carried out interviews with selected district administrators and a series of focus groups…
75 FR 14422 - Wrangell-Petersburg Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-25
.... ADDRESSES: The meeting will be held at the Petersburg Ranger District office at 12 North Nordic Drive in... the Petersburg Ranger District office at 12 North Nordic Drive during regular office hours (Monday...
76 FR 33702 - Wrangell-Petersburg Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-09
... the Petersburg Ranger District office at 12 North Nordic Drive in Petersburg, Alaska. Written comments... public may inspect comments received at the Petersburg Ranger District office at 12 North Nordic Drive or...
ERIC Educational Resources Information Center
Department of Education, Washington, DC. Office of Planning, Budget, and Evaluation.
Under the authority of Section 406A of the General Education Provisions Act (GEPA), the U.S. Department of Education (ED) collects information on how funds are distributed under federal education programs that are administered by the states. ED collected information from the 50 states and the District of Columbia for the fiscal year 1988. This…
77 FR 47592 - Ketchikan Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-09
... DEPARTMENT OF AGRICULTURE Forest Service Ketchikan Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Ketchikan Resource Advisory Committee will meet in... District, 3031 Tongass Avenue, Ketchikan, Alaska. Send written comments to Ketchikan Resource Advisory...
ERIC Educational Resources Information Center
Texas Education Agency, Austin.
Prior to the enactment of House Bill 1126 (sixty-fourth Texas legislature) accreditation was optional for local districts. That statute now requires that each local district be accredited in order to receive financial support from the state. This booklet presents a compendium of principles, standards, and indicators that address school…
Impact of the Science and Technology for Children Curriculum in the Oshkosh Area School District.
ERIC Educational Resources Information Center
Lattery, Mark Joseph; Lemberger, John; Herzog, Barbara
2002-01-01
Examines the instructional impact of National Science Resources Center's Science and Technology for Children curriculum in the Oshkosh Area School District. Results suggest that the adoption of this curriculum among experienced teachers in the district will provide little or no immediate gains on student achievement and potentially a slight…
ERIC Educational Resources Information Center
Lemons, Theresa
2013-01-01
Attrition of special education teachers is a national problem resulting in lost monetary resources, school climate discontinuity, and lower student achievement. Within a small, rural district in southern Indiana, special education teacher attrition has risen since 2008 and continues to rise. District administrators want to retain teachers to…
ERIC Educational Resources Information Center
Monk, David H.; Haller, Emil J.
This report provides an overview of a two-year study which analyzed reorganization/consolidation of small rural school districts, studied alternatives of inter-district resource sharing and new instructional technologies, and developed recommendations for changes in state laws/procedures. Researchers studied 11 small rural school districts in New…
Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-27
... and Rio Puerco Field Office Managers. The comment period during which the public may address the RAC... indicated below. DATES: The meeting date is December 10, 2012, at the BLM Albuquerque District Office, 435... District Office, 435 Montano Rd., Albuquerque, NM 87107, 505-761-8734. Persons who use a telecommunications...
Stretching to Survive: District Autonomy in an Age of Dwindling Resources
ERIC Educational Resources Information Center
Howley, Aimee; Howley, Marged; Hendrickson, Katie; Belcher, Johnny; Howley, Craig
2012-01-01
This case study focuses on a four-district collaborative that shared services for more than 15 years in an effort to retain rural schools and thereby to preserve community identity. With population losses in the four districts and suburbanization in the largest, the collaborative made extensive use of distance education in addition to itinerant…
Rural Districts Bolster Choices with Online Learning
ERIC Educational Resources Information Center
Brown, Don
2012-01-01
All schools can benefit from giving students the option of online learning, but for many rural schools, online learning is a lifeline. In the past two years, Lane Education Service District in Oregon, USA, has developed online resources for 14 Lane County school districts, which vary in size from 170 students to as many as 17,000. Many of the…
3. SNAKE RIVER VALLEY IRRIGATION DISTRICT, PHOTOGRAPHIC COPY OF DRAWING, ...
3. SNAKE RIVER VALLEY IRRIGATION DISTRICT, PHOTOGRAPHIC COPY OF DRAWING, PROFILE AND ALIGNMENT OF DAM ACROSS WEST CHANNEL OF SNAKE RIVER, SHEET 3 OF 5, 1924 (on file at the Idaho State Office of Water Resources, Boise, Idaho) - Snake River Valley Irrigation District, East Side of Snake River (River Mile 796), Shelley, Bingham County, ID
Encouraging Districts and Charters to Link Arms to Solve Problems
ERIC Educational Resources Information Center
Lake, Robin J.
2017-01-01
Charter schools and school districts have been at odds since the first charter school law passed in 1991. Districts resent the competition and subsequent funding loss for traditional schools. Charters resent the lack of access to facilities and other resources and attempts to infringe on their autonomy. Yet a fast-growing number of school…
Serving Students Who Are Homeless: A Resource Guide for Schools, Districts, and Educational Leaders
ERIC Educational Resources Information Center
Hallett, Ronald E.; Skrla, Linda
2016-01-01
Schools and districts are seeing unprecedented numbers of students and families living without residential stability. Although the McKinney-Vento Act has been around for over 2 decades, many district- and site-level practitioners have a difficult time interpreting and implementing the Act's mandates within their local contexts. This book provides…
Strengthening Teacher Evaluation: What District Leaders Can Do
ERIC Educational Resources Information Center
Donaldson, Morgaen L.; Donaldson, Gordon A., Jr.
2012-01-01
School districts have typically not done a good job of managing the human side of teacher evaluation. In general, neither supervisors nor teachers find performance assessment a constructive, interpersonally respectful experience. District leaders can cultivate high-quality teaching--and attend to the human side of assessment--by taking five…
76 FR 42724 - Notice of Public Meeting, Medford District Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-19
... Medford Interagency Office, 3040 Biddle Road in Medford, Oregon. FOR FURTHER INFORMATION CONTACT: Jim Whittington, BLM Medford District Public Affairs Officer, 3040 Biddle Road, Medford, Oregon 97504 or via phone...
ERIC Educational Resources Information Center
Chingos, Matthew M.
2010-01-01
Class-size reduction (CSR) mandates presuppose that resources provided to reduce class size will have a larger impact on student outcomes than resources that districts can spend as they see fit. I estimate the impact of Florida's statewide CSR policy by comparing the deviations from prior achievement trends in districts that were required to…
22Lo741: A Nineteenth Century Multipurpose Light Industrial Site in Lowndes County, Mississippi.
1983-05-01
R136 554 22L0741: A NINETEENTH CENTURY MULTIPURPOSE LIGHT 1/3 INDUSTRIAL SITE IN LOWND.-(U) MICHIGAN STATE UNIV EAST LANSING ANTHROPOLOGY DIV N J...Tombigbee River Multi- Resource District, Tennessee-Tombigbee Waterway, Alabama and SMssissippi. This relates specifically to the settlement system ...Multi- Resource District and the explanation of their location and individual development. With regard to the economic and distribution systems the
ERIC Educational Resources Information Center
Chambers, Jay G.; Levin, Jesse D.; Shambaugh, Larisa
2010-01-01
This paper presents a case study of two California school districts, San Francisco and Oakland, each of which have implemented their own versions of what is popularly known as a weighted student formula (WSF). One primary goal of the WSF policy is to increase the equity with which resources are distributed to schools. With respect to equity, the…
76 FR 3081 - Sitka Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-19
... DEPARTMENT OF AGRICULTURE Forest Service Sitka Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Sitka Resource Advisory Committee will meet in Sitka...., Sitka, Alaska. Send written comments to Sitka Resource Advisory Committee, c/o District Ranger, USDA...
An inventory of published and unpublished fluvial-sediment data for California, 1956-70
Porterfield, George
1972-01-01
This inventory was prepared to provide a convenient reference to published and unpublished fluvial-sediment data for water years 1956-70, and updates substantially previous inventories. Sediment stations are listed in downstream order, and an alphabetical list of stations is also included. Figure 1 shows the approximate location of sediment stations in California. Most of the fluvial-sediment data in California were collected by the U.S. Geological Survey, under cooperative agreements with the following Federal, State, and local agencies: California Department of Water Resources, California Department of Navigation and Ocean Development, California Department of Fish and Game, Bolinas Harbor District, Monterey County Flood Control and Water Conservation District, Orange County Flood Control District, Riverside County Flood Control and Water Conservation District, San Diego County Department of Sanitation and Flood Control, San Luis Obispo County, San Mateo County, Santa Clara County Flood Control and Water District, Santa Cruz County Flood Control and Water Conservation District, Santa Cruz, city of, University of California, Ventura County Flood Control District, Forest Service, U.S. Department of Agriculture, Soil Conservation Service, U.S. Department of Agriculture, Corps of Engineers, U.S. Army, Bureau of Reclamation, U.S. Department of the Interior, National Park Service, U.S. Department of the Interior. This report was prepared by the Geological Survey under the general supervision of R. Stanley Lord, district chief in charge of water-resources investigations in California.
Drewes, S; Turni, H; Rosenfeld, U M; Obiegala, A; Straková, P; Imholt, C; Glatthaar, E; Dressel, K; Pfeffer, M; Jacob, J; Wagner-Wiening, C; Ulrich, R G
2017-08-01
Endemic regions for Puumala virus (PUUV) are located in the most affected federal state Baden-Wuerttemberg, South-West Germany, where high numbers of notified human hantavirus disease cases have been occurring for a long time. The distribution of human cases in Baden-Wuerttemberg is, however, heterogeneous, with a high number of cases recorded during 2012 in four districts (H districts) but a low number or even no cases recorded in four other districts (L districts). Bank vole monitoring during 2012, following a beech (Fagus sylvatica) mast year, resulted in the trapping of 499 bank voles, the host of PUUV. Analyses indicated PUUV prevalences of 7-50% (serological) and 1.8-27.5% (molecular) in seven of eight districts, but an absence of PUUV in one L district. The PUUV prevalence differed significantly between bank voles in H and L districts. In the following year 2013, 161 bank voles were trapped, with reduced bank vole abundance in almost all investigated districts except one. In 2013, no PUUV infections were detected in voles from seven of eight districts. In conclusion, the linear modelling approach indicated that the heterogeneous distribution of human PUUV cases in South-West Germany was caused by different factors including the abundance of PUUV RNA-positive bank voles, as well as by the interaction of beech mast and the proportional coverage of beech and oak (Quercus spec.) forest per district. These results can aid developing local public health risk management measures and early warning models. © 2016 Blackwell Verlag GmbH.
Li, Jing-Zhi; Zhu, Xiang; Li, Jing-Bao; Xu, Mei
2013-06-01
By using analytic hierarchy process and entropy method, the evaluation index system and the response relationship model of comprehensive development level of urbanization and comprehensive development and utilization potential of water resources in Dongting Lake District were constructed, with the key affecting factors, their change characteristics, and response characteristics from 2001 to 2010 analyzed. During the study period, the Dongting Lake District was undergoing a rapid development of urbanization, and at a scale expansion stage. The economic and social development level was lagged behind the population and area increase, and the quality and efficiency of urbanization were still needed to be improved. With the advance of urbanization, the water consumption increased yearly, and the water resources utilization efficiency and management level improved steadily. However, the background condition of water resources and their development and utilization level were more affected by hydrological environment rather than urbanization. To a certain extent, the development of urbanization in 2001, 2002, 2005, 2006, 2007, 2009 was slowed down by the shortage of water resources. At present, Dongting Lake region was confronted with the dual task of improving the level and quality of urbanization, and hence, it would be necessary to reform the traditional epitaxial expansion of urbanization and to enhance the water resource support capability.
Stock-outs of essential health products in Mozambique - longitudinal analyses from 2011 to 2013.
Wagenaar, Bradley H; Gimbel, Sarah; Hoek, Roxanne; Pfeiffer, James; Michel, Cathy; Manuel, João Luis; Cuembelo, Fatima; Quembo, Titos; Afonso, Pires; Gloyd, Stephen; Sherr, Kenneth
2014-07-01
To assess the relationship between health system factors and facility-level EHP stock-outs in Mozambique. Service provisions were assessed in 26 health facilities and 13 district warehouses in Sofala Province, Mozambique, from July to August in 2011-2013. Generalised estimating equations were used to model factors associated with facility-level availability of essential drugs, supplies and equipment. Stock-out rates for drugs ranged from 1.3% for oral rehydration solution to 20.5% for Depo-Provera and condoms, with a mean stock-out rate of 9.1%; mean stock-out rates were 15.4% for supplies and 4.1% for equipment. Stock-outs at the district level accounted for 27.1% (29/107) of facility-level drug stock-outs and 44.0% (37/84) of supply stock-outs. Each 10-km increase in the distance from district distribution warehouses was associated with a 31% (CI: 22-42%), 28% (CI: 17-40%) or 27% (CI: 7-50%) increase in rates of drug, supply or equipment stock-outs, respectively. The number of heath facility staff was consistently negatively associated with the occurrence of stock-outs. Facility-level stock-outs of EHPs in Mozambique are common and appear to disproportionately affect those living far from district capitals and near facilities with few health staff. The majority of facility-level EHP stock-outs in Mozambique occur when stock exists at the district distribution centre. Innovative methods are urgently needed to improve EHP supply chains, requesting and ordering of drugs, facility and district communication, and forecasting of future EHP needs in Mozambique. Increased investments in public-sector human resources for health could potentially decrease the occurrence of EHP stock-outs. © 2014 John Wiley & Sons Ltd.
Stock-outs of essential health products in Mozambique-longitudinal analyses from 2011 to 2013
Wagenaar, Bradley H.; Gimbel, Sarah; Hoek, Roxanne; Pfeiffer, James; Michel, Cathy; Manuel, João Luis; Cuembelo, Fatima; Quembo, Titos; Afonso, Pires; Gloyd, Stephen; Sherr, Kenneth
2015-01-01
objectives To assess the relationship between health system factors and facility-level EHP stock-outs in Mozambique. methods Service provisions were assessed in 26 health facilities and 13 district warehouses in Sofala Province, Mozambique, from July to August in 2011–2013. Generalised estimating equations were used to model factors associated with facility-level availability of essential drugs, supplies and equipment. results Stock-out rates for drugs ranged from 1.3% for oral rehydration solution to 20.5% for Depo-Provera and condoms, with a mean stock-out rate of 9.1%; mean stock-out rates were 15.4% for supplies and 4.1% for equipment. Stock-outs at the district level accounted for 27.1% (29/107) of facility-level drug stock-outs and 44.0% (37/84) of supply stock-outs. Each 10-km increase in the distance from district distribution warehouses was associated with a 31% (CI: 22–42%), 28% (CI: 17–40%) or 27% (CI: 7–50%) increase in rates of drug, supply or equipment stock-outs, respectively. The number of heath facility staff was consistently negatively associated with the occurrence of stock-outs. conclusions Facility-level stock-outs of EHPs in Mozambique are common and appear to disproportionately affect those living far from district capitals and near facilities with few health staff. The majority of facility-level EHP stock-outs in Mozambique occur when stock exists at the district distribution centre. Innovative methods are urgently needed to improve EHP supply chains, requesting and ordering of drugs, facility and district communication, and forecasting of future EHP needs in Mozambique. Increased investments in public-sector human resources for health could potentially decrease the occurrence of EHP stock-outs. PMID:24724617
The challenges of staffing urban schools with effective teachers.
Jacob, Brian A
2007-01-01
Brian Jacob examines challenges faced by urban districts in staffing their schools with effective teachers. He emphasizes that the problem is far from uniform. Teacher shortages are more severe in certain subjects and grades than others, and differ dramatically from one school to another. The Chicago public schools, for example, regularly receive roughly ten applicants for each teaching position. But many applicants are interested in specific schools, and district officials struggle to find candidates for highly impoverished schools. Urban districts' difficulty in attracting and hiring teachers, says Jacob, means that urban teachers are less highly qualified than their suburban counterparts with respect to characteristics such as experience, educational background, and teaching certification. But they may not thus be less effective teachers. Jacob cites recent studies that have found that many teacher characteristics bear surprisingly little relationship to student outcomes. Policies to enhance teacher quality must thus be evaluated in terms of their effect on student achievement, not in terms of conventional teacher characteristics. Jacob then discusses how supply and demand contribute to urban teacher shortages. Supply factors involve wages, working conditions, and geographic proximity between teacher candidates and schools. Urban districts have tried various strategies to increase the supply of teacher candidates (including salary increases and targeted bonuses) and to improve retention rates (including mentoring programs). But there is little rigorous research evidence on the effectiveness of these strategies. Demand also has a role in urban teacher shortages. Administrators in urban schools may not recognize or value high-quality teachers. Human resource departments restrict district officials from making job offers until late in the hiring season, after many candidates have accepted positions elsewhere. Jacob argues that urban districts must improve hiring practices and also reevaluate policies for teacher tenure so that ineffective teachers can be dismissed.
Perceptions on diabetes care provision among health providers in rural Tanzania: a qualitative study
Geubbels, Eveline; Klatser, Paul; Dieleman, Marjolein
2017-01-01
Abstract Diabetes prevalence in Tanzania was estimated at 9.1% in 2012 among adults aged 24–65 years — higher than the HIV prevalence in the general population at that time. Health systems in lower- and middle-income countries are not designed for chronic health care, yet the rising burden of non-communicable diseases such as diabetes demands chronic care services. To inform policies on diabetes care, we conducted a study on the health services in place to diagnose, treat and care for diabetes patients in rural Tanzania. The study was an exploratory and descriptive study involving qualitative methods (in-depth interviews, observations and document reviews) and was conducted in a rural district in Tanzania. Fifteen health providers in four health facilities at different levels of the health care system were interviewed. The health care organization elements of the Innovative Care for Chronic Conditions (ICCC) framework were used to guide assessment of the diabetes services in the district. We found that diabetes care in this district was centralized at the referral and district facilities, with unreliable supply of necessary commodities for diabetes care and health providers who had some knowledge of what was expected of them but felt ill-prepared for diabetes care. Facility and district level guidance was lacking and the continuity of care was broken within and between facilities. The HMIS could not produce reliable data on diabetes. Support for self-management to patients and their families was weak at all levels. In conclusion, the rural district we studied did not provide diabetes care close to the patients. Guidance on diabetes service provision and human resource management need strengthening and policies related to task-shifting need adjustment to improve quality of service provision for diabetes patients in rural settings. PMID:27935802
Uduma, Ogenna; Galligan, Marie; Mollel, Henry; Masanja, Honorati; Bradley, Susan; McAuliffe, Eilish
2017-08-30
A systematic and structured approach to the support and supervision of health workers can strengthen the human resource management function at the district and health facility levels and may help address the current crisis in human resources for health in sub-Saharan Africa by improving health workers' motivation and retention. A supportive supervision programme including (a) a workshop, (b) intensive training and (c) action learning sets was designed to improve human resource management in districts and health facilities in Tanzania. We conducted a randomised experimental design to evaluate the impact of the intervention. Data on the same measures were collected pre and post the intervention in order to identify any changes that occurred (between baseline and end of project) in the capacity of supervisors in intervention a + b and intervention a + b + c to support and supervise their staff. These were compared to supervisors in a control group in each of Tanga, Iringa and Tabora regions (n = 9). A quantitative survey of 95 and 108 supervisors and 196 and 187 health workers sampled at baseline and end-line, respectively, also contained open-ended responses which were analysed separately. Supervisors assessed their own competency levels pre- and post-intervention. End-line samples generally scored higher compared to the corresponding baseline in both intervention groups for competence activities. Significant differences between baseline and end-line were observed in the total scores on 'maintaining high levels of performance', 'dealing with performance problems', 'counselling a troubled employee' and 'time management' in intervention a + b. In contrast, for intervention a + b + c, a significant difference in distribution of scores was only found on 'counselling a troubled employee', although the end-line mean scores were higher than their corresponding baseline mean scores in all cases. Similar trends to those in the supervisors' reports are seen in health workers data in terms of more efficient supervision processes, although the increases are not as marked. A number of different indicators were measured to assess the impact of the supportive supervision intervention on the a + b and a + b + c intervention sites. The average frequency of supervision visits and the supervisors' competency levels across the facilities increased in both intervention types. This would suggest that the intervention proved effective in raising awareness of the importance of supervision and this understanding led to action in the form of more supportive supervision.
75 FR 28779 - Prince of Whales Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-24
... DEPARTMENT OF AGRICULTURE Forest Service Prince of Whales Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Prince of Whales Resource Advisory... Ranger District, 504 9th Street, Craig Alaska. Send written comments to Prince of Whales Resource...
ERIC Educational Resources Information Center
Ryan, Sarah; Lavigne, Heather J.; Zweig, Jacqueline S.; Buffington, Pamela J.
2017-01-01
Districts across the nation are seeking ways to increase efficiency by maintaining, if not improving, educational outcomes using fewer resources. One measure that is sometimes used as a proxy for school district efficiency is an expenditure-to-performance ratio, for example a ratio of per pupil expenditures to student academic performance. This…
ERIC Educational Resources Information Center
Hartl, David, Ed.; And Others
Developed during 1975-76 by 40 primary teachers and 10 elementary principals from 12 small school districts in 2 Washington counties and first used during 1976-77 in more than 20 districts, this K-3 mathematics curriculum is designed to assist district compliance with Washington's Student Learning Objectives (SLO) Law, which requires…
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Use of nonpermissible explosives and nonpermissible shot-firing units; approval by Health and Safety District Manager. 77.1909-1 Section 77.1909-1...; approval by Health and Safety District Manager. Where the Coal Mine Health and Safety District Manager has...
No More 1s: High Expectations Can Lead to High Achievement
ERIC Educational Resources Information Center
Cervone, Laureen; DiMartino, Lisa; Kerr, Kris
2010-01-01
The school district in Middletown, New York, in the state's Orange County, today serves close to 7,000 students in four elementary schools, two middle schools, and one high school. The district is classified by the state in the highest of three Need-to-Resource-Capacity groups, an urban or suburban school district with high student needs in…
ERIC Educational Resources Information Center
Smith, Vicki Bigham
1997-01-01
Examines the potential impact of computer system shutdowns as a result of the millennium date change and explores one school district's solution. Suggestions are offered to help districts deal with the "millennium bug" including a Web resource site to receive updates. (GR)
Fitting Community Based Newborn Care Package into the health systems of Nepal.
Pradhan, Y V; Upreti, S R; Kc, N P; Thapa, K; Shrestha, P R; Shedain, P R; Dhakwa, J R; Aryal, D R; Aryal, S; Paudel, D C; Paudel, D; Khanal, S; Bhandari, A; Kc, A
2011-10-01
Community-based strategies for delivering effective newborn interventions are an essential step to avert newborn death, in settings where the health facilities are unable to effectively deliver the interventions and reach their population. Effective implementation of community-based interventions as a large scale program and within the existing health system depends on the appropriate design and planning, monitoring and support systems. This article provides an overview of implementation design of Community-Based Newborn Care Package (CB-NCP) program, its setup within the health system, and early results of the implementation from one of the pilot districts. The evaluation of CB-NCP in one of the pilot districts shows significant improvement in antenatal, intrapartum and post natal care. The implementation design of the CB-NCP has six different health system management functions: i) district planning and orientation, ii) training/human resource development, iii) monitoring and evaluation, iv) logistics and supply chain management, v) communication strategy, and vi) pay for performance. The CB-NCP program embraced the existing system of monitoring with some additional components for the pilot phase to test implementation feasibility, and aligns with existing safe motherhood and child health programs. Though CB-NCP interventions are proven independently in different local and global contexts, they are piloted in 10 districts as a "package" within the national health system settings of Nepal.
Khatun, Selina; Ahmed, Mujaddeed; Kache, Saraswati; Chisti, Mohammod Jobayer; Sarker, Shafiqul Alam; Maples, Stace D.; Pieri, Dane; Vardhan Korrapati, Teja; Sarnquist, Clea; Federspiel, Nancy; Rahman, Muhammad Waliur; Andrews, Jason R.; Rahman, Mahmudur; Nelson, Eric Jorge
2017-01-01
The emergence of mobile technology offers new opportunities to improve clinical guideline adherence in resource-limited settings. We conducted a clinical pilot study in rural Bangladesh to evaluate the impact of a smartphone adaptation of the World Health Organization (WHO) diarrheal disease management guidelines, including a modality for age-based weight estimation. Software development was guided by end-user input and evaluated in a resource-limited district and sub-district hospital during the fall 2015 cholera season; both hospitals lacked scales which necessitated weight estimation. The study consisted of a 6 week pre-intervention and 6 week intervention period with a 10-day post-discharge follow-up. Standard of care was maintained throughout the study with the exception that admitting clinicians used the tool during the intervention. Inclusion criteria were patients two months of age and older with uncomplicated diarrheal disease. The primary outcome was adherence to guidelines for prescriptions of intravenous (IV) fluids, antibiotics and zinc. A total of 841 patients were enrolled (325 pre-intervention; 516 intervention). During the intervention, the proportion of prescriptions for IV fluids decreased at the district and sub-district hospitals (both p < 0.001) with risk ratios (RRs) of 0.5 and 0.2, respectively. However, when IV fluids were prescribed, the volume better adhered to recommendations. The proportion of prescriptions for the recommended antibiotic azithromycin increased (p < 0.001 district; p = 0.035 sub-district) with RRs of 6.9 (district) and 1.6 (sub-district) while prescriptions for other antibiotics decreased; zinc adherence increased. Limitations included an absence of a concurrent control group and no independent dehydration assessment during the pre-intervention. Despite limitations, opportunities were identified to improve clinical care, including better assessment, weight estimation, and fluid/ antibiotic selection. These findings demonstrate that a smartphone-based tool can improve guideline adherence. This study should serve as a catalyst for a randomized controlled trial to expand on the findings and address limitations. PMID:28103233
Haque, Farhana; Ball, Robyn L; Khatun, Selina; Ahmed, Mujaddeed; Kache, Saraswati; Chisti, Mohammod Jobayer; Sarker, Shafiqul Alam; Maples, Stace D; Pieri, Dane; Vardhan Korrapati, Teja; Sarnquist, Clea; Federspiel, Nancy; Rahman, Muhammad Waliur; Andrews, Jason R; Rahman, Mahmudur; Nelson, Eric Jorge
2017-01-01
The emergence of mobile technology offers new opportunities to improve clinical guideline adherence in resource-limited settings. We conducted a clinical pilot study in rural Bangladesh to evaluate the impact of a smartphone adaptation of the World Health Organization (WHO) diarrheal disease management guidelines, including a modality for age-based weight estimation. Software development was guided by end-user input and evaluated in a resource-limited district and sub-district hospital during the fall 2015 cholera season; both hospitals lacked scales which necessitated weight estimation. The study consisted of a 6 week pre-intervention and 6 week intervention period with a 10-day post-discharge follow-up. Standard of care was maintained throughout the study with the exception that admitting clinicians used the tool during the intervention. Inclusion criteria were patients two months of age and older with uncomplicated diarrheal disease. The primary outcome was adherence to guidelines for prescriptions of intravenous (IV) fluids, antibiotics and zinc. A total of 841 patients were enrolled (325 pre-intervention; 516 intervention). During the intervention, the proportion of prescriptions for IV fluids decreased at the district and sub-district hospitals (both p < 0.001) with risk ratios (RRs) of 0.5 and 0.2, respectively. However, when IV fluids were prescribed, the volume better adhered to recommendations. The proportion of prescriptions for the recommended antibiotic azithromycin increased (p < 0.001 district; p = 0.035 sub-district) with RRs of 6.9 (district) and 1.6 (sub-district) while prescriptions for other antibiotics decreased; zinc adherence increased. Limitations included an absence of a concurrent control group and no independent dehydration assessment during the pre-intervention. Despite limitations, opportunities were identified to improve clinical care, including better assessment, weight estimation, and fluid/ antibiotic selection. These findings demonstrate that a smartphone-based tool can improve guideline adherence. This study should serve as a catalyst for a randomized controlled trial to expand on the findings and address limitations.
The geography of HIV/AIDS prevalence rates in Botswana.
Kandala, Ngianga-Bakwin; Campbell, Eugene K; Rakgoasi, Serai Dan; Madi-Segwagwe, Banyana C; Fako, Thabo T
2012-01-01
Botswana has the second-highest human immunodeficiency virus (HIV) infection rate in the world, with one in three adults infected. However, there is significant geographic variation at the district level and HIV prevalence is heterogeneous with the highest prevalence recorded in Selebi-Phikwe and North East. There is a lack of age-and location-adjusted prevalence maps that could be used for targeting HIV educational programs and efficient allocation of resources to higher risk groups. We used a nationally representative household survey to investigate and explain district level inequalities in HIV rates. A Bayesian geoadditive mixed model based on Markov Chain Monte Carlo techniques was applied to map the geographic distribution of HIV prevalence in the 26 districts, accounting simultaneously for individual, household, and area factors using the 2008 Botswana HIV Impact Survey. Overall, HIV prevalence was 17.6%, which was higher among females (20.4%) than males (14.3%). HIV prevalence was higher in cities and towns (20.3%) than in urban villages and rural areas (16.6% and 16.9%, respectively). We also observed an inverse U-shape association between age and prevalence of HIV, which had a different pattern in males and females. HIV prevalence was lowest among those aged 24 years or less and HIV affected over a third of those aged 25-35 years, before reaching a peak among the 36-49-year age group, after which the rate of HIV infection decreased by more than half among those aged 50 years and over. In a multivariate analysis, there was a statistically significant higher likelihood of HIV among females compared with males, and in clerical workers compared with professionals. The district-specific net spatial effects of HIV indicated a significantly higher HIV rate of 66% (posterior odds ratio of 1.66) in the northeast districts (Selebi-Phikwe, Sowa, and Francistown) and a reduced rate of 27% (posterior odds ratio of 0.73) in Kgalagadi North and Kweneng West districts. This study showed a clear geographic distribution of the HIV epidemic, with the highest prevalence in the east-central districts. This study provides age- and location-adjusted prevalence maps that could be used for the targeting of HIV educational programs and efficient allocation of resources to higher risk groups. There is need for further research to determine the social, cultural, economic, behavioral, and other distal factors that might explain the high infection rates in some of the high-risk areas in Botswana.
Hanche-Olsen, Terje Peder; Alemu, Lulseged; Viste, Asgaut; Wisborg, Torben; Hansen, Kari S
2012-10-01
Trauma represents a significant and increasing challenge to health care systems all over the world. This study aimed to evaluate the trauma care capabilities of Botswana, a middle-income African country, by applying the World Health Organization's Guidelines for Essential Trauma Care. All 27 government (16 primary, 9 district, 2 referral) hospitals were surveyed. A questionnaire and checklist, based on "Guidelines for Essential Trauma Care" and locally adapted, were developed as situation analysis tools. The questionnaire assessed local trauma organization, capacity, and the presence of quality improvement activity. The checklist assessed physical availability of equipment and timely availability of trauma-related skills. Information was collected by interviews with hospital administrators, key personnel within trauma care, and through on-site physical inspection. Hospitals in Botswana are reasonably well supplied with human and physical resources for trauma care, although deficiencies were noted. At the primary and district levels, both capacity and equipment for airway/breathing management and vascular access was limited. Trauma administrative functions were largely absent at all levels. No hospital in Botswana had any plans for trauma education, separate from or incorporated into other improvement activities. Team organization was nonexistent, and training activities in the emergency room were limited. This study draws a picture of trauma care capabilities of an entire African country. Despite good organizational structures, Botswana has room for substantial improvement. Administrative functions, training, and human and physical resources could be improved. By applying the guidelines, this study creates an objective foundation for improved trauma care in Botswana.
2013-01-01
Background A paradigm shift in global health policy on user fees has been evident in the last decade with a growing consensus that user fees undermine equitable access to essential health care in many low and middle income countries. Changes to fees have major implications for human resources for health (HRH), though the linkages are rarely explicitly examined. This study aimed to examine the inter-linkages in Zimbabwe in order to generate lessons for HRH and fee policies, with particular respect to reproductive, maternal and newborn health (RMNH). Methods The study used secondary data and small-scale qualitative fieldwork (key informant interview and focus group discussions) at national level and in one district in 2011. Results The past decades have seen a shift in the burden of payments onto households. Implementation of the complex rules on exemptions is patchy and confused. RMNH services are seen as hard for families to afford, even in the absence of complications. Human resources are constrained in managing current demand and any growth in demand by high external and internal migration, and low remuneration, amongst other factors. We find that nurses and midwives are evenly distributed across the country (at least in the public sector), though doctors are not. This means that for four provinces, there are not enough doctors to provide more complex care, and only three provinces could provide cover in the event of all deliveries taking place in facilities. Conclusions This analysis suggests that there is a strong case for reducing the financial burden on clients of RMNH services and also a pressing need to improve the terms and conditions of key health staff. Numbers need to grow, and distribution is also a challenge, suggesting the need for differentiated policies in relation to rural areas, especially for doctors and specialists. The management of user fees should also be reviewed, particularly for non-Ministry facilities, which do not retain their revenues, and receive limited investment in return from the municipalities and district councils. Overall public investment in health needs to grow. PMID:23714143
Chirwa, Yotamu; Witter, Sophie; Munjoma, Malvern; Mashange, Wilson; Ensor, Tim; McPake, Barbara; Munyati, Shungu
2013-05-28
A paradigm shift in global health policy on user fees has been evident in the last decade with a growing consensus that user fees undermine equitable access to essential health care in many low and middle income countries. Changes to fees have major implications for human resources for health (HRH), though the linkages are rarely explicitly examined. This study aimed to examine the inter-linkages in Zimbabwe in order to generate lessons for HRH and fee policies, with particular respect to reproductive, maternal and newborn health (RMNH). The study used secondary data and small-scale qualitative fieldwork (key informant interview and focus group discussions) at national level and in one district in 2011. The past decades have seen a shift in the burden of payments onto households. Implementation of the complex rules on exemptions is patchy and confused. RMNH services are seen as hard for families to afford, even in the absence of complications. Human resources are constrained in managing current demand and any growth in demand by high external and internal migration, and low remuneration, amongst other factors. We find that nurses and midwives are evenly distributed across the country (at least in the public sector), though doctors are not. This means that for four provinces, there are not enough doctors to provide more complex care, and only three provinces could provide cover in the event of all deliveries taking place in facilities. This analysis suggests that there is a strong case for reducing the financial burden on clients of RMNH services and also a pressing need to improve the terms and conditions of key health staff. Numbers need to grow, and distribution is also a challenge, suggesting the need for differentiated policies in relation to rural areas, especially for doctors and specialists. The management of user fees should also be reviewed, particularly for non-Ministry facilities, which do not retain their revenues, and receive limited investment in return from the municipalities and district councils. Overall public investment in health needs to grow.
[Public health in Orhei County--realities and opportunities].
Cărăuşu, Elena Mihaela; Stirbate, P; Indrei, L L
2011-01-01
Orhei District Hospital has 420 beds located in 17 wards. Providing beds in 2010 is 39.2 to 10 000 people compared with 47.7 in 2008, but it is still more than the regional average for the country- 32.6. Rotation bed, the lethality rate of hospitalization of people have not changed in the previous year. The average duration of treatment and average bed occupancy rose in 2010 compared with 2009, but the bed occupancy rate is still small--about 60%. Share divergence diagnostic is lower than the previous year--this is a good indicator of quality. Enough old equipment is still an issue for the District Hospital Orhei. Making an analysis of the distinctive features of health care evaluations, where resources are expressed by the cost and the results are expressed as effects on health, we conclude that it is necessary to change the conceptual aspects regarding health care financing. For redress the economic and financial situation, is proposed following strategy: 1. Reduced costs for hotel accommodation, by introducing "a day hospital". This system implies investigation and medical advice, and writing medication without the patient to remain hospitalized for a long time (for cases that do not require prolonged hospitalization) 2. Reducing costs the necessary material resources with, the introduction of electronic auction. 3. Introducing the concept of health management, need for hospital management, better management the four types of resources available (human resources, material resources, financial resources, time). 4. Increasing managerial capacity, through a competitive selection manager, will be combine short-term planning and the long-term strategy (more flexible) to raise the efficiency of medical care. In this respect spaces allocated section of Pulmonology, will be reassembled in geriatric beds, and the space available, will be outsourced of other persons (individuals or corporate person), under the law where they will earn additional income. It is noted that the actual development costs are increasing.
Decentralization and health resource allocation: a case study at the district level in Indonesia.
Abdullah, Asnawi; Stoelwinder, Johannes
2008-01-01
Health resource allocation has been an issue of political debate in many health systems. However, the debate has tended to concentrate on vertical allocation from the national to regional level. Allocation within regions or institutions has been largely ignored. This study was conducted to contribute analysis to this gap. The objective was to investigate health resource allocation within District Health Offices (DHOs) and to compare the trends and patterns of several budget categories before and after decentralization. The study was conducted in three districts in the Province of Nanggroe Aceh Darussalam. Six fiscal year budgets, two before decentralization and four after, were studied. Data was collected from the Local Government Planning Office and DHOs. Results indicated that in the first year of implementing a decentralization policy, the local government budget rose sharply, particularly in the wealthiest district. In contrast, in relatively poor districts the budget was only boosted slightly. Increasing total local government budgets had a positive impact on increasing the health budget. The absolute amount of health budgets increased significantly, but by percentage did not change very much. Budgets for several projects and budget items increased significantly, but others, such as health promotion, monitoring and evaluation, and public-goods-related activities, decreased. This study concluded that decentralization in Indonesia had made a positive impact on district government fiscal capacity and had affected DHO budgets positively. However, an imbalanced budget allocation between projects and budget items was obvious, and this needs serious attention from policy makers. Otherwise, decentralization will not significantly improve the health system in Indonesia.
Thorium resources of selected regions in the United States
Staatz, Mortimer Hay; Hall, R.B.; Macke, D.L.; Armbrustmacher, T.J.; Brownfield, I.K.
1980-01-01
Thorium resources have been assessed in a previous report entitled 'Principal thorium resources in the United States' (Staatz and others, 1979) for (1) veins in the larger districts, {2) massive carbonatites, {3) disseminated deposits, and {4) stream placers of North and South Carolina. This report is a sequel to that report and assesses thorium resources in {1) Florida beach placers, (2) Idaho stream placers, (3) veins and pipes in the Bokan Mountain district, Alaska, (4) carbonatite dikes, and {5) apatite-bearing iron deposits near Mineville, New York. Thorium resources for each of these categories are divided into reserves and probable potential resources. When data are available, each of these is then divided into the following cost categories: (1) the amount of ThO2 producible at a cost of less than $15/lb (per pound), (2) the amount producible at a cost of between $15 and $30/lb, and (3) the amount producible at a cost of between $30 and $50/1b. Beach placers of northern Florida have reserves of 16,200 short tons of ThO2 and probable potential resources of 5,120 tons of ThO2. These deposits are heavy-mineral placers that are mined for a variety of minerals--principally titanium minerals and zircon. The thorium-bearing mineral in these placers, monazite, makes up only a minor part of the heavy minerals. Therefore, production of ThO2 from these placers is dependent on the markets for other heavy minerals. Assuming the market for other heavy minerals to be the same as in 1978, then 98 percent of the ThO2 could be produced for less than $15/lb. If, however, no other coproducts were produced, then the cost of producing ThO2 would be greater than $50/1b. Stream placers containing thorium are found along many streams that drain the Idaho batholith, but most are too small to add significantly to the thorium resources. The resources of the five largest districts, each of which consists of at least several individual placers, have been tabulated. These districts are (1) Long Valley, (2) Bear Valley, (3) Burgdorf-Warren area, (4) Boise Basin, and (5) Ell City-Newsome area. These five areas have reserves of 10,100 short tons of ThO2 and probable potential resources of 10,300 tons. Long Valley contains about half the reserves--5,680 tons of ThO2--and all the probable potential resources. Monazite is the most important heavy mineral in all except the Bear Valley deposit. Here euxenite, although not quite as abundant as monazite, is a more important mineral, because it contains approximately 14.5 percent U3O8 in addition to 5 percent ThO2. Reserves in this placer amount to 1,605 short tons of ThO2 and 1,475 tons of U3O8. Eighty-two percent of the reserves and all of the probable potential resources can be produced at less than $30/1b of ThO2. The lower cost reserves are concentrated in the Long and Bear Valley areas. Here 64 percent of the ThO2 can be produced for less than $15/1b and another 29 percent of the ThO2 at between $15 and $30/lb. Sixteen veins and pipelike bodies are evaluated in the Bokan Mountain area of southeastern Alaska. The district contains other deposits that are too poorly exposed to make meaningful resource estimates. Reserves estimated in this district are 1,440 short tons of ThO2; probable potential resources amount to 2,320 tons of ThO2. About 99 percent of these resources are in deposits whose grade is at least 0.2 percent ThO2. In addition, these deposits contain reserves of 420 tons of U3O8 and probable potential resources of 820 tons of U3O8. Eighty-two percent of the reserves and probable potential resources can be produced at less than $15/lb. The average grade of this ore is 0.54 percent ThO2 and 0 15 percent U3O8. Some carbonatite dikes, although generally not as high grade as the veins, contain resources of thorium. Carbonatite dikes in the following six districts were investigated: (1) Wet Mountains, Colo.; (2) Powderhorn district, Colorado; (3) Mountain Pass area, California; (4) Bearpaw
75 FR 37753 - Prince of Wales Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-30
... DEPARTMENT OF AGRICULTURE Forest Service Prince of Wales Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Prince of Wales Resource Advisory Committee... Ranger District, 504 9th Street, Craig, Alaska. Send written comments to Prince of Wales Resource...
76 FR 2646 - Prince of Wales Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-14
... DEPARTMENT OF AGRICULTURE Forest Service Prince of Wales Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Prince of Wales Resource Advisory Committee... Ranger District, 504 9th Street, Craig, Alaska. Send written comments to Prince of Wales Resource...
75 FR 65447 - Prince of Wales Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-25
... DEPARTMENT OF AGRICULTURE Forest Service Prince of Wales Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Prince of Wales Resource Advisory Committee... Ranger District 504 9th Street, Craig, Alaska. Send written comments to Prince of Wales Resource Advisory...
76 FR 2081 - Ketchikan Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-12
... Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Ketchikan Resource Advisory Committee will meet in Ketchikan, Alaska, March 29, 2011. The purpose of this meeting is... written comments to Ketchikan Resource Advisory Committee, c/o District Ranger, USDA Forest Service, 3031...
NASA Technical Reports Server (NTRS)
Wheeler, D. J.; Ridd, M. K.; Merola, J. A.
1984-01-01
A basic geographic information system (GIS) for the North Cache Soil Conservation District (SCD) was sought for selected resource problems. Since the resource management issues in the North Cache SCD are very complex, it is not feasible in the initial phase to generate all the physical, socioeconomic, and political baseline data needed for resolving all management issues. A selection of critical varables becomes essential. Thus, there are foud specific objectives: (1) assess resource management needs and determine which resource factors ae most fundamental for building a beginning data base; (2) evaluate the variety of data gathering and analysis techniques for the resource factors selected; (3) incorporate the resulting data into a useful and efficient digital data base; and (4) demonstrate the application of the data base to selected real world resoource management issues.
OXIDANT/DISINFECTANT CHEMISTRY AND IMPACTS ON LEAD CORROSION
In response to continued elevated lead levels throughout the District of Columbia's distribution system, a collaboration was begun with the District of Columbia's Water & Sewer Authority (WASA) and Water Resources Division of U. S. Environmental Protection Agency's (USEPA) Office...
75 FR 45602 - Kern and Tulare Counties Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-03
..., Western Divide Ranger District, 32588 Highway 190, Springville, California 93265. Comments may also be... copying. The public may inspect comments received at Western Divide Ranger District, 32588 Highway 190... comment. Persons who wish to bring [[Page 45603
78 FR 33101 - Notice of Public Meetings: Northeastern Great Basin Resource Advisory Council, Nevada
Federal Register 2010, 2011, 2012, 2013, 2014
2013-06-03
...: Elko District Office, 3900 E. Idaho Street, Elko, Nevada. Ely District Office, 702 North Industrial Way... and gas development on public lands. September 12 (Ely)--overview of draft sub-regional Greater Sage...
Videoconferencing Comes of Age.
ERIC Educational Resources Information Center
Bosak, Steve
2000-01-01
Hundreds of districts are using high-speed videoconferencing for distance learning and resource sharing, inservice training, and districtwide meetings. Speed matters. Districts will need either Ethernet or ATM (asynchronous transfer mode) forms of wide-area networks to connect schools and offices. (MLH)
Activities of the Water Resources Division, California District, in the 1986 fiscal year
Griner, C. A.; Anttila, P.W.
1987-01-01
This report summarizes the progress of water resources studies in California by the U.S. Geological Survey during the fiscal yr 1986. Much of the work was done in cooperation with State and local agencies. Additional supporting funds were transferred from other Federal agencies or appropriated directly to the Geological Survey. The water resources program in California consisted of 42 projects. Each project is briefly described. Brief descriptions are given of the origin of the U.S. Geological Survey and the Water Resources Division 's basic mission. An abbreviated organizational structure of the California District, sources of funding, a summary of water conditions, and a listing of reports published during fiscal year 1986 are also included. (USGS)
Activities of the Water Resources Division, California District, fiscal year 1993
DeBortoli, M. L.
1994-01-01
This report summarizes the progress of water- resources studies in California by the U.S. Geological Survey during fiscal year 1993. Much of the work was done in cooperation with State and local agencies. Additional supporting funds were transferred from other Federal agencies or appropriated directly to the U.S. Geological Survey. The water-resources program in California consisted of 41 projects. This report includes a brief discussion of each project and also contains a brief description of the origin of the U.S. Geological Survey, the Water Resources Division's basic mission, an abbreviated organizational structure of the California District, sources of funding, and a summary of water condition. Also included is a listing of reports published during fiscal year 1993.
Activities of the Water Resources Division, California District, fiscal year 1992
DeBortoli, M. L.
1993-01-01
This report summarizes the progress of water- resources studies in California by the U.S. Geological Survey during fiscal year 1992. Much of the work was done in cooperation with State and local agencies. Additional supporting funds were transferred from other Federal agencies or appropriated directly to the Geological Survey. The water-resources program in California consisted of 41 projects. This report includes a brief discussion of each project and also contains a brief description of the origin of the U.S. Geological Survey, the Water Resources Division's basic mission, an abbreviated organizational structure of the California District, sources of funding, and a summary of water conditions. Also included is a listing of reports published during fiscal year 1992.
Farrell, Penny C; Hunter, Cynthia; Truong, Bui; Bunning, Michel
2015-01-01
Highly pathogenic avian influenza (HPAI) is caused by the haemagglutinin 5, neuraminidase 1 (H5N1) influenza A virus. Around 80% of households in rural Vietnam raise poultry, which provides food security and nutrition to their households and beyond. Of these, around 15-20% are semi-commercial producers, producing at least 28% of the country's chicken. Through learning the experiences of these semi-commercial farmers, this study aimed to explore the local understandings and sociocultural aspects of HPAI's impact, particularly the aetiology, diagnosis, and the prevention and control methods in one Vietnamese rural province. This study was conducted in Quang Tri province, Vietnam. Quang Tri province has eight districts. Five of these districts were at high risk of HPAI during the study period, of which three were selected for the present study. Within these three districts, six communes were randomly selected for the study from the list of intervention communes in Quang Tri province. Six out of the 26 intervention communes in Quang Tri were therefore selected. Participants were randomly selected and recruited from lists of semi-commercial farmers, village animal health workers, village human health workers and local authorities so that the study population (representative population) included an amount of variability similar to that of the wider population. A key benefit of this village-level control program was the residential proximity of animal and human health professionals. Participants were well aware of the typical clinical signs for avian influenza and of the reporting process for suspect cases. However there was extensive room for improvement in Quang Tri province regarding access to the HPAI vaccine, essential medical equipment for animal use, and available financial support. This qualitative research study provided an important insight for in-country policy makers and international stakeholders. It is vital that there are continued efforts to prevent and control highly pathogenic avian influenza through support programs that provide locally appropriate information and resources to those at the human-animal interface.
Rothstein, Jessica D; Jennings, Larissa; Moorthy, Anitha; Yang, Fan; Gee, Lisa; Romano, Karen; Hutchful, David; Labrique, Alain B; LeFevre, Amnesty E
2016-01-01
Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs) in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data. It also sent visit reminders for clients and provided a mechanism to report level of care to district officers. Fourteen interviews and two focus groups with CHNs, midwives, and district health officers were conducted, coded, and thematically analyzed. Results indicated that the app was easily integrated into care, improved CHN productivity, and was acceptable due to its capacity to facilitate client follow-up, data reporting, and decision-making. However, the feasibility and usability of the app were hindered by high client volumes, staff shortages, and software and device challenges. Successful integration of mobile client data apps for frontline health workers in rural and resource-poor settings requires real-time monitoring, program investments, and targeted changes in human resources.
Jennings, Larissa; Moorthy, Anitha; Yang, Fan; Gee, Lisa; Romano, Karen; Hutchful, David; Labrique, Alain B.; LeFevre, Amnesty E.
2016-01-01
Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs) in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data. It also sent visit reminders for clients and provided a mechanism to report level of care to district officers. Fourteen interviews and two focus groups with CHNs, midwives, and district health officers were conducted, coded, and thematically analyzed. Results indicated that the app was easily integrated into care, improved CHN productivity, and was acceptable due to its capacity to facilitate client follow-up, data reporting, and decision-making. However, the feasibility and usability of the app were hindered by high client volumes, staff shortages, and software and device challenges. Successful integration of mobile client data apps for frontline health workers in rural and resource-poor settings requires real-time monitoring, program investments, and targeted changes in human resources. PMID:28070186
Support to the Safe Motherhood Programme in Nepal: an integrated approach.
Barker, Carol E; Bird, Cherry E; Pradhan, Ajit; Shakya, Ganga
2007-11-01
Evidence gathered from 1997 to 2006 indicates progress in reducing maternal mortality in Nepal, but public health services are still constrained by resource and staff shortages, especially in rural areas. The five-year Support to the Safe Motherhood Programme builds on the experience of the Nepal Safer Motherhood Project (1997-2004). It is working with the Government of Nepal to build capacity to institute a minimum package of essential maternity services, linking evidence-based policy development with health system strengthening. It has supported long-term planning, working towards skilled attendance at every birth, safe blood supplies, staff training, building management capacity, improving monitoring systems and use of process indicators, promoting dialogue between women and providers on quality of care, and increasing equity and access at district level. An incentives scheme finances transport costs to a health facility for all pregnant women and incentives to health workers attending deliveries, with free services and subsidies to facilities in the poorest 25 districts. Despite bureaucracy, frequent transfer of key government staff and political instability, there has been progress in policy development, and public health sector expenditure has increased. For the future, a human resources strategy with career paths that encourage skilled staff to stay in the government service is key.
NASA Astrophysics Data System (ADS)
Arunima, Dasgupta; Dhinwa, P. S.; Rajawat, A. S.
2015-02-01
The world's drylands are subject to desertification as a result of extended droughts, climate change, and human activities. Development in drylands depends on addressing degradation of the ecosystem, mainstreaming sustainable natural resources management, and building upon the existing adaptive capacities of communities and institutions. In this regard, recent scientific results aimed to promote sustainable development through action plans for combating desertification. In India, under the Integrated Mission for Sustainable Development (IMSD) programme, remote sensing based integrated land and water resource studies were carried out with an objective to generate locale specific action plans for sustainable development of a region. A specific study was carried out, in districts of Jhabua and Dhar, in Madhya Pradesh using Composite Land Development Sites (CLDS) approach for forest and wasteland development and soil and water conservation. Various treatments were suggested and implemented in 1995. The present study was carried out with an objective to monitor the positive impacts of combating plan implementation through visual interpretation and NDVI analysis of temporal images of LISS III data, since 1991 to 2013. The study reveals that there is substantial increase in the area of irrigated agricultural land with increase in number of check dams along with the stream channels.
Sion, Melanie; Rajan, Dheepa; Kalambay, Hyppolite; Lokonga, Jean-Pierre; Bulakali, Joseph; Mossoko, Mathias; Kwete, Dieudonne; Schmets, Gerard; Kelley, Edward; Elongo, Tarcisse; Sambo, Luis; Cherian, Meena
2015-03-01
The impact of surgical conditions on global health, particularly on vulnerable populations, is gaining recognition. However, only 3.5% of the 234.2 million cases per year of major surgery are performed in countries where the world's poorest third reside, such as the Democratic Republic of the Congo (DRC). Data on the availability of anesthesia and surgical services were gathered from 12 DRC district hospitals using the World Health Organization's (WHO's) Emergency and Essential Surgical Care Situation Analysis Tool. We complemented these data with an analysis of the costs of surgical services in a Congolese norms-based district hospital as well as in 2 of the 12 hospitals in which we conducted the situational analysis (Demba and Kabare District Hospitals). For the cost analysis, we used WHO's integrated Healthcare Technology Package tool. Of the 32 surgical interventions surveyed, only 2 of the 12 hospitals provided all essential services. The deficits in procedures varied from no deficits to 17 services that could not be provided, with an average of 7 essential procedures unavailable. Many of the hospitals did not have basic infrastructure such as running water and electricity; 9 of 12 had no or interrupted water and 7 of 12 had no or interrupted electricity. On average, 21% of lifesaving surgical interventions were absent from the facilities, compared with the model normative hospital. According to the normative hospital, all surgical services would cost US$2.17 per inhabitant per year, representing 33.3% of the total patient caseload but only 18.3% of the total district hospital operating budget. At Demba Hospital, the operating budget required for surgical interventions was US$0.08 per inhabitant per year, and at Kabare Hospital, US$0.69 per inhabitant per year. A significant portion of the health problems addressed at Congolese district hospitals is surgical in nature, but there is a current inability to meet this surgical need. The deficient services and substandard capacity in the surveyed district hospitals are systemic in nature, representing infrastructure, supply, equipment, and human resource constraints. Yet surgical services are affordable and represent a minor portion of the total operating budget. Greater emphasis should be made to appropriately fund district hospitals to meet the need for lifesaving surgical services. © Sion et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/3.0/. When linking to this article, please use the following permanent link: http://dx.doi.org/10.9745/GHSP-D-14-00165.
Tsai, Yafang; Wu, Shih-Wang
2010-12-01
This study aims to explore the relationships between organisational citizenship behaviour, job satisfaction and turnover intention. Because of the changing health policies landscape, Taiwan's hospital administrators are facing major cost reduction challenges. Specifically, the high turnover rate of nurses represents a hindrance and a human resource cost. This study focuses on ways of reducing the employee turnover rate through enhanced organisational citizenship behaviour and job satisfaction. A cross-sectional study. This study focuses on hospital nurses in Taiwan. Our research samples were obtained from one medical centre, three regional hospitals and seven district hospitals. Out of 300 questionnaires distributed among samples, 237 were completed and returned. Pearson's correlation was used to test for relationships among the main variables. One-way analysis of variance and Scheffé's post hoc analysis were employed to test the influence of demographic data on the main variables. The results reveal that the nurses' job satisfaction has a significantly positive correlation with organisational citizenship behaviour and a negative correlation with turnover intention. This study has proven that the turnover intention of clinical nurses is related to their organisational citizenship behaviour and job satisfaction. Hospital administrators can reduce the turnover intention by meeting nurses' needs and by promoting their organisational citizenship behaviour. Organisational citizenship behaviour involves behaviour that encourages staff to endeavour to voluntarily improve organisational performance without lobbying for compensation. Employees' job satisfaction includes satisfaction with the working environment or welfare programme in the context of human resource initiatives. Similarly, human resource protocols may serve as the starting point for promoting staff organisational citizenship behaviour. Administrators in clinical healthcare are encouraged to meet their employees' working needs through human resource practices. © 2010 Blackwell Publishing Ltd.
ERIC Educational Resources Information Center
Sirinides, Philip; Supovitz, Jonathan; Tognatta, Namrata; May, Henry
2013-01-01
Beginning in 2005, the GE Foundation initiated a commitment of expertise and financial resources to a set of urban school districts to improve public education and enhance student achievement in mathematics and science. This report analyzes the impacts of the GE Foundation commitment to the partner districts by examining trends in student…
ERIC Educational Resources Information Center
Chaprnka, Danielle L.
2012-01-01
The intent of Title I of the No Child Left Behind Act of 2001 is to ensure that all students, regardless of their socioeconomic status, are provided a fair and equitable opportunity to meet challenging academic performance standards. Given such, Title I legislation provides for federal funding to be administered to school districts and schools…
ERIC Educational Resources Information Center
Ament, Thu H.
2013-01-01
Trust and trusting relationships appear to be critical resources for schools helping superintendents and their school board members build teamwork within their district's vision, mission, and goals. This study examined and analyzed data of the superintendents, board chairs, and newly-inducted board members of the three school districts in small…
Zhu, Zhengqiu; Chen, Bin; Qiu, Sihang; Wang, Rongxiao; Chen, Feiran; Wang, Yiping; Qiu, Xiaogang
2018-03-27
Chemical production activities in industrial districts pose great threats to the surrounding atmospheric environment and human health. Therefore, developing appropriate and intelligent pollution controlling strategies for the management team to monitor chemical production processes is significantly essential in a chemical industrial district. The literature shows that playing a chemical plant environmental protection (CPEP) game can force the chemical plants to be more compliant with environmental protection authorities and reduce the potential risks of hazardous gas dispersion accidents. However, results of the current literature strictly rely on several perfect assumptions which rarely hold in real-world domains, especially when dealing with human adversaries. To address bounded rationality and limited observability in human cognition, the CPEP game is extended to generate robust schedules of inspection resources for inspection agencies. The present paper is innovative on the following contributions: (i) The CPEP model is extended by taking observation frequency and observation cost of adversaries into account, and thus better reflects the industrial reality; (ii) Uncertainties such as attackers with bounded rationality, attackers with limited observation and incomplete information (i.e., the attacker's parameters) are integrated into the extended CPEP model; (iii) Learning curve theory is employed to determine the attacker's observability in the game solver. Results in the case study imply that this work improves the decision-making process for environmental protection authorities in practical fields by bringing more rewards to the inspection agencies and by acquiring more compliance from chemical plants.
Wang, Rongxiao; Chen, Feiran; Wang, Yiping; Qiu, Xiaogang
2018-01-01
Chemical production activities in industrial districts pose great threats to the surrounding atmospheric environment and human health. Therefore, developing appropriate and intelligent pollution controlling strategies for the management team to monitor chemical production processes is significantly essential in a chemical industrial district. The literature shows that playing a chemical plant environmental protection (CPEP) game can force the chemical plants to be more compliant with environmental protection authorities and reduce the potential risks of hazardous gas dispersion accidents. However, results of the current literature strictly rely on several perfect assumptions which rarely hold in real-world domains, especially when dealing with human adversaries. To address bounded rationality and limited observability in human cognition, the CPEP game is extended to generate robust schedules of inspection resources for inspection agencies. The present paper is innovative on the following contributions: (i) The CPEP model is extended by taking observation frequency and observation cost of adversaries into account, and thus better reflects the industrial reality; (ii) Uncertainties such as attackers with bounded rationality, attackers with limited observation and incomplete information (i.e., the attacker’s parameters) are integrated into the extended CPEP model; (iii) Learning curve theory is employed to determine the attacker’s observability in the game solver. Results in the case study imply that this work improves the decision-making process for environmental protection authorities in practical fields by bringing more rewards to the inspection agencies and by acquiring more compliance from chemical plants. PMID:29584679
7 CFR 650.25 - Flood-plain management.
Code of Federal Regulations, 2014 CFR
2014-01-01
... Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE... through local conservation districts and other State and local agencies. Through its programs, NRCS... consultation and advice to conservation districts and land users, in the wise use, conservation, and...
ERIC Educational Resources Information Center
Decker, Erwin A.; And Others
The pros and cons of decentralization of decision-making authority to the school-site level as a public school management technique are intended to serve as an informational summary for the members of the California State Board of Education, and as a resource for school district governing boards and district administrators to use to determine the…
Martineau, Tim; Raven, Joanna; Aikins, Moses; Alonso-Garbayo, Alvaro; Baine, Sebastian; Huss, Reinhard; Maluka, Stephen; Wyss, Kaspar
2018-01-01
To achieve Universal Health Coverage (UHC), more health workers are needed; also critical is supporting optimal performance of existing staff. Integrated human resource management (HRM) strategies, complemented by other health systems strategies, are needed to improve health workforce performance, which is possible at district level in decentralised contexts. To strengthen the capacity of district management teams to develop and implement workplans containing integrated strategies for workforce performance improvement, we introduced an action-research-based management strengthening intervention (MSI). This consisted of two workshops, follow-up by facilitators and meetings between participating districts. Although often used in the health sector, there is little evaluation of this approach in middle-income and low-income country contexts. The MSI was tested in three districts in Ghana, Tanzania and Uganda. This paper reports on the appropriateness of the MSI to the contexts and its effects. Documentary evidence (workshop reports, workplans, diaries, follow-up visit reports) was collected throughout the implementation of the MSI in each district and interviews (50) and focus-group discussions (6) were conducted with managers at the end of the MSI. The findings were analysed using Kirkpatrick's evaluation framework to identify effects at different levels. The MSI was appropriate to the needs and work patterns of District Health Management Teams (DHMTs) in all contexts. DHMT members improved management competencies for problem analysis, prioritisation and integrated HRM and health systems strategy development. They learnt how to refine plans as more information became available and the importance of monitoring implementation. The MSI produced changes in team behaviours and confidence. There were positive results regarding workforce performance or service delivery; these would increase with repetition of the MSI. The MSI is appropriate to the contexts where tested and can improve staff performance. However, for significant impact on service delivery and UHC, a method of scaling up and sustaining the MSI is required.
Compaoré, Georges Dayitaba; Sombié, Issiaka; Ganaba, Rasmané; Hounton, Sennen; Meda, Nicolas; Brouwere, Vincent De; Borchert, Matthias
2014-05-02
Health centres and hospitals play a crucial role in reducing maternal mortality and morbidity by offering respectively Basic Emergency Obstetric and Newborn Care (BEmONC) and Comprehensive Emergency Obstetric and Newborn Care (CEmONC). The readiness of hospitals to provide CEmONC depends on the availability of qualified human resources, infrastructure like surgical theatres, and supplies like drugs and blood for transfusion. We assessed the readiness of district and regional hospitals in Burkina Faso to provide two key CEmONC functions, namely caesarean section and blood transfusion. As countries conduct EmONC needs assessments it is critical to provide national and subnational data, e.g. on the distribution of EmONC facilities as well as on facilities lacking the selected signal functions, to support the planning process for upgrading facilities so that they are ready to provide CEmONC. In a cross-sectional study we assessed the availability of relevant health workers, obstetric guidelines, caesarean section and blood transfusion services and experience with quality assurance approaches across all forty-three (43) district and nine (9) regional hospitals. The indicator corresponding to one comprehensive emergency care unit for 500,000 inhabitants was not achieved in Burkina Faso. Physicians with surgical skills, surgical assistants and anaesthesiologist assistants are sufficiently available in only 51.2%, 88.3% and 72.0% of district hospitals, respectively. Two thirds of regional and 20.9% of district hospitals had blood banks. Most district hospitals as opposed to only one third of regional hospitals had experience in maternal death reviews. Our findings suggest that only 27.8% of hospitals in Burkina Faso at the time of the study could continuously offer caesarean sections and blood transfusion services. Four years later, progress has likely been made but many challenges remain to be overcome. Information provided in this study can serve as a baseline for monitoring progress in district and regional hospitals.
Martineau, Tim; Raven, Joanna; Aikins, Moses; Alonso-Garbayo, Alvaro; Baine, Sebastian; Huss, Reinhard; Maluka, Stephen; Wyss, Kaspar
2018-01-01
Background To achieve Universal Health Coverage (UHC), more health workers are needed; also critical is supporting optimal performance of existing staff. Integrated human resource management (HRM) strategies, complemented by other health systems strategies, are needed to improve health workforce performance, which is possible at district level in decentralised contexts. To strengthen the capacity of district management teams to develop and implement workplans containing integrated strategies for workforce performance improvement, we introduced an action-research-based management strengthening intervention (MSI). This consisted of two workshops, follow-up by facilitators and meetings between participating districts. Although often used in the health sector, there is little evaluation of this approach in middle-income and low-income country contexts. The MSI was tested in three districts in Ghana, Tanzania and Uganda. This paper reports on the appropriateness of the MSI to the contexts and its effects. Methods Documentary evidence (workshop reports, workplans, diaries, follow-up visit reports) was collected throughout the implementation of the MSI in each district and interviews (50) and focus-group discussions (6) were conducted with managers at the end of the MSI. The findings were analysed using Kirkpatrick’s evaluation framework to identify effects at different levels. Findings The MSI was appropriate to the needs and work patterns of District Health Management Teams (DHMTs) in all contexts. DHMT members improved management competencies for problem analysis, prioritisation and integrated HRM and health systems strategy development. They learnt how to refine plans as more information became available and the importance of monitoring implementation. The MSI produced changes in team behaviours and confidence. There were positive results regarding workforce performance or service delivery; these would increase with repetition of the MSI. Conclusions The MSI is appropriate to the contexts where tested and can improve staff performance. However, for significant impact on service delivery and UHC, a method of scaling up and sustaining the MSI is required. PMID:29662692
Teklehaimanot, Hailay D; Teklehaimanot, Awash
2013-08-20
Ethiopia is one of the sub-Saharan countries most affected by high disease burden, aggravated by a shortage and imbalance of human resources, geographical distance, and socioeconomic factors. In 2004, the government introduced the Health Extension Program (HEP), a primary care delivery strategy, to address the challenges and achieve the World Health Organization Millennium Development Goals (MDGs) within a context of limited resources. The health system was reformed to create a platform for integration and institutionalization of the HEP with appropriate human capacity, infrastructure, and management structures. Human resources were developed through training of female health workers recruited from their prospective villages, designed to limit the high staff turnover and address gender, social and cultural factors in order to provide services acceptable to each community. The service delivery modalities include household, community and health facility care. Thus, the most basic health post infrastructure, designed to rapidly and cost-effectively scale up HEP, was built in each village. In line with the country's decentralized management system, the HEP service delivery is under the jurisdiction of the district authorities. The nationwide implementation of HEP progressed in line with its target goals. In all, 40 training institutions were established, and over 30,000 Health Extension Workers have been trained and deployed to approximately 15,000 villages. The potential health service coverage reached 92.1% in 2011, up from 64% in 2004. While most health indicators have improved, performance in skilled delivery and postnatal care has not been satisfactory. While HEP is considered the most important institutional framework for achieving the health MDGs in Ethiopia, quality of service, utilization rate, access and referral linkage to emergency obstetric care, management, and evaluation of the program are the key challenges that need immediate attention. This article describes the strategies, human resource developments, service delivery modalities, progress in service coverage, and the challenges in the implementation of the HEP. The Ethiopian approach of revitalization of primary care through innovative, locally appropriate and acceptable strategies will provide important lessons to other poorly resourced countries. It is hoped that the approaches and strategies described in this paper will aid in that process.
Emergency, anaesthetic and essential surgical capacity in the Gambia
Shivute, Nestor; Bickler, Stephen; Cole-Ceesay, Ramou; Jargo, Bakary; Abdullah, Fizan; Cherian, Meena
2011-01-01
Abstract Objective To assess the resources for essential and emergency surgical care in the Gambia. Methods The World Health Organization’s Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities – one tertiary referral hospital, 7 district/general hospitals, 46 health centres and 11 private health facilities – and included 110 questions divided into four sections: (i) infrastructure, type of facility, population served and material resources; (ii) human resources; (iii) management of emergency and other surgical interventions; (iv) emergency equipment and supplies for resuscitation. Questionnaire data were complemented by interviews with health facility staff, Ministry of Health officials and representatives of nongovernmental organizations. Findings Important deficits were identified in infrastructure, human resources, availability of essential supplies and ability to perform trauma, obstetric and general surgical procedures. Of the 18 facilities expected to perform surgical procedures, 50.0% had interruptions in water supply and 55.6% in electricity. Only 38.9% of facilities had a surgeon and only 16.7% had a physician anaesthetist. All facilities had limited ability to perform basic trauma and general surgical procedures. Of public facilities, 54.5% could not perform laparotomy and 58.3% could not repair a hernia. Only 25.0% of them could manage an open fracture and 41.7% could perform an emergency procedure for an obstructed airway. Conclusion The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions. PMID:21836755
75 FR 29583 - Special Resource Study and Environmental Impact Statement, Coltsville, Hartford, CT
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-26
... DEPARTMENT OF THE INTERIOR National Park Service Special Resource Study and Environmental Impact...: Notice of Termination of the Environmental Impact Statement for the Coltsville Special Resource Study in... Service (NPS) undertook a special resource study (SRS) of the Coltsville Historic District in Hartford...
76 FR 39068 - Wrangell-Petersburg Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-05
... Nolan Center in Wrangell, Alaska. Written comments may be submitted as described under Supplementary... CONTACT: Christopher Savage, Petersburg District Ranger, P.O. Box 1328, Petersburg, Alaska 99833, phone... Christopher Savage, Petersburg District Ranger, P.O. Box 1328, Petersburg, Alaska 99833, or Robert Dalrymple...
78 FR 64004 - Notice of Public Meeting, Pecos District Resource Advisory Council Meeting, New Mexico
Federal Register 2010, 2011, 2012, 2013, 2014
2013-10-25
.... The public may send written comments to the RAC, 2909 W. 2nd Street, Roswell, NM 88201. FOR FURTHER INFORMATION CONTACT: Howard Parman, Pecos District, Bureau of Land Management, 2909 W. 2nd Street, Roswell, NM...
77 FR 61781 - Notice of Public Meeting, Pecos District Resource Advisory Council Meeting, New Mexico
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-11
... written comments to the RAC, 2909 W. 2nd Street, Roswell, NM 88201. FOR FURTHER INFORMATION CONTACT: Betty Hicks, Pecos District, Bureau of Land Management, 2909 W. 2nd Street, Roswell, NM 88201, 575-627-0242...
ERIC Educational Resources Information Center
Frederickson, Matthew J.
2010-01-01
In the span of five years, the staff and students at Council Rock School District in Pennsylvania won three Energy Star Awards, saved more than $7 million, and completely changed the culture of the district. This article describes how they did it. (Contains 5 online resources.)
Hobza, Christopher M.; Abraham, Jared D.; Cannia, James C.; Johnson, Michaela R.; Sibray, Steven S.
2014-01-01
Water resources in the North and South Platte River valleys of Nebraska, including the valley of Lodgepole Creek, are critical to the social and economic health of the area, and for the recovery of threatened and endangered species in the Platte River Basin. Groundwater and surface water are heavily used resources, and uses are regulated in the study area. Irrigation is the dominant water use and, in most instances, is supplied by both groundwater and surface-water sources. The U.S. Geological Survey and its partners have collaborated to use airborne geophysical surveys for areas of the North and South Platte River valleys including the valley of Lodgepole Creek in western Nebraska. The objective of the surveys was to map the aquifers and underlying bedrock topography of selected areas to help improve the understanding of groundwater–surface-water relations to guide water-management decisions. This project was a cooperative study involving the North Platte Natural Resources District, the South Platte Natural Resources District, the Twin Platte Natural Resources District, the Conservation and Survey Division of the University of Nebraska-Lincoln, and the Nebraska Environmental Trust. This report presents the interpreted base-of-aquifer surface for part of the area consisting of the North Platte Natural Resources District, the South Platte Natural Resources District, and the Twin Platte Natural Resources District. The interpretations presented herein build on work done by previous researchers from 2008 to 2009 by incorporating additional airborne electromagnetic survey data collected in 2010 and additional test holes from separate, related studies. To make the airborne electromagnetic data useful, numerical inversion was used to convert the measured data into a depth-dependent subsurface resistivity model. An interpretation of the elevation and configuration of the base of aquifer was completed in a geographic information system that provided x, y, and z coordinates. The process of interpretation involved manually picking locations (base-of-aquifer elevations) on the displayed airborne electromagnetic-derived resistivity profile by the project geophysicist, hydrologist, and geologist. These locations, or picks, of the base-of-aquifer elevation (typically the top of the Brule Formation of the White River Group) were then stored in a georeferenced database. The pick was made by comparing the inverted airborne electromagnetic-derived resistivity profile to the lithologic descriptions and borehole geophysical logs from nearby test holes. The database of interpretive picks of the base-of-aquifer elevation was used to create primary input for interpolating the new base-of-aquifer contours. The automatically generated contours were manually adjusted based on the interpreted location of paleovalleys eroded into the base-of-aquifer surface and associated bedrock highs, many of which were unmapped before this study. When contours are overlain by the water-table surface, the saturated thickness of the aquifer can be computed, which allows an estimate of total water in storage. The contours of the base-of-aquifer surface presented in this report may be used as the lower boundary layer in existing and future groundwater-flow models. The integration of geophysical data into the contouring process facilitated a more continuous and spatially comprehensive view of the hydrogeologic framework.
CANNIBAL PLATEAU ROADLESS AREA AND POWDERHORN WILDERNESS STUDY AREA, COLORADO.
Sharp, William N.; Lane, M.E.
1984-01-01
The Cannibal Plateau Roadless Area and the adjoining Powderhorn Wilderness study area are on the Gunnison-Hinsdale County boundary, approximately 50 mi southwest of Gunnison and a few miles east of Lake City. Part of the area has been known as the Powderhorn Primitive Area. The mineral-resource potential involved a basic geologic study, a geophysical survey, and a geochemical survey. No mining districts exist within the two areas, but the Lake City mining district adjoins the Cannibal Plateau Roadless Area at the southwest edge. The mineral-resource survey indicates that the southwest part of the Cannibal Plateau Roadless Area has probable mineral-resource potential, for gold, silver, and molybdenum. There is little promise for the occurrence of mineral and energy resources for the remainder of the areas.
Activities of the Water Resources Division, California District, in the 1985 fiscal year
Anttila, P. W.
1986-01-01
This report summarizes the progress of water-resources studies in California by the U.S. Geological Survey during the fiscal year 1985. Much of the work was done in cooperation with the State and local agencies. Additional supporting funds were transferred from other Federal agencies or appropriated directly to the Geological Survey. The water-resources program in California consisted of 55 projects. This report includes a brief discussion of each project and also contains a brief description of the origin of the U.S. Geological Survey, the Water Resources Division 's basic mission, and abbreviated organizational structure of the California District, sources of funding, and a summary of water conditions. Reports issued by the Geological Survey on studies completed fiscal years 1984 and 1985 also are listed. (USGS)
Human and Animal Vaccination Delivery to Remote Nomadic Families, Chad
Bechir, Mahamat; Ahmed, Mahamat Abdoulaye; Wyss, Kaspar; Randolph, Thomas F.; Zinsstag, Jakob
2007-01-01
Vaccination services for people and livestock often fail to achieve sufficient coverages in Africa’s remote rural settings because of financial, logistic, and service delivery constraints. In Chad from 2000 through 2005, we demonstrated the feasibility of combining vaccination programs for nomadic pastoralists and their livestock. Sharing of transport logistics and equipment between physicians and veterinarians reduced total costs. Joint delivery of human and animal health services is adapted to and highly valued by hard-to-reach pastoralists. In intervention zones, for the first time ≈10% of nomadic children (>1–11 months of age) were fully immunized annually and more children and women were vaccinated per day during joint vaccination rounds than during vaccination of persons only and not their livestock (130 vs. 100, p<0.001). By optimizing use of limited logistical and human resources, public health and veterinary services both become more effective, especially at the district level. PMID:17552089
Chase, Katherine J.
2013-01-01
Major floods in 1996 and 1997 on the Yellowstone River in Montana intensified public debate over the effects of human activities on the Yellowstone River. In 1999, the Yellowstone River Conservation District Council was formed to address conservation issues on the river. The Yellowstone River Conservation District Council partnered with the U.S. Army Corps of Engineers to conduct a cumulative-effects study on the main stem of the Yellowstone River. The cumulative-effects study is intended to provide a basis for future management decisions in the watershed. Streamflow statistics, such as flow-frequency and flow-duration data calculated for unregulated and regulated streamflow conditions, are a necessary component of the cumulative effects study. The U.S. Geological Survey, in cooperation with the Yellowstone River Conservation District Council and the U.S. Army Corps of Engineers, calculated streamflow statistics for unregulated and regulated conditions for the Yellowstone, Tongue, and Powder Rivers for the 1928–2002 study period. Unregulated streamflow represents flow conditions that might have occurred during the 1928–2002 study period if there had been no water-resources development in the Yellowstone River Basin. Regulated streamflow represents estimates of flow conditions during the 1928–2002 study period if the level of water-resources development existing in 2002 was in place during the entire study period. Peak-flow frequency estimates for regulated and unregulated streamflow were developed using methods described in Bulletin 17B. High-flow frequency and low-flow frequency data were developed for regulated and unregulated streamflows from the annual series of highest and lowest (respectively) mean flows for specified n-day consecutive periods within the calendar year. Flow-duration data, and monthly and annual streamflow characteristics, also were calculated for the unregulated and regulated streamflows.
Tembo, Tannia; Chongwe, Gershom; Vwalika, Bellington; Sitali, Lungowe
2017-09-06
Zambia's maternal mortality ratio was estimated at 398/100,000 live births in 2014. Successful aversion of deaths is dependent on availability and usability of signal functions for emergency obstetric and neonatal care. Evidence of availability, usability and quality of signal functions in urban settings in Zambia is minimal as previous research has evaluated their distribution in rural settings. This survey evaluated the availability and usability of signal functions in private and public health facilities in Lusaka District of Zambia. A descriptive cross sectional study was conducted between November 2014 and February 2015 at 35 public and private health facilities. The Service Availability and Readiness Assessment tool was adapted and administered to overall in-charges, hospital administrators or maternity ward supervisors at health facilities providing maternal and newborn health services. The survey quantified infrastructure, human resources, equipment, essential drugs and supplies and used the UN process indicators to determine availability, accessibility and quality of signal functions. Data on deliveries and complications were collected from registers for periods between June 2013 and May 2014. Of the 35 (25.7% private and 74.2% public) health facilities assessed, only 22 (62.8%) were staffed 24 h a day, 7 days a week and had provided obstetric care 3 months prior to the survey. Pre-eclampsia/ eclampsia and obstructed labor accounted for most direct complications while postpartum hemorrhage was the leading cause of maternal deaths. Overall, 3 (8.6%) and 5 (14.3%) of the health facilities had provided Basic and Comprehensive EmONC services, respectively. All facilities obtained blood products from the only blood bank at a government referral hospital. The UN process indicators can be adequately used to monitor progress towards maternal mortality reduction. Lusaka district had an unmet need for BEmONC as health facilities fell below the minimum UN standard. Public health facilities with capacity to perform signal functions should be upgraded to Basic EmONC status. Efforts must focus on enhancing human resource capacity in EmONC and improving infrastructure and supply chain. Obstetric health needs and international trends must drive policy change.
Kaur, Ravinder; Minhas, P S; Jain, P C; Singh, P; Dubey, D S
2009-07-01
The present study was aimed at characterizing the soil-water resource degradation in the rural areas of Gurgaon and Mewat districts, the two economically contrasting areas in policy zones-II and III of the National Capital Region (NCR), and assessing the impact of the study area's local conditions on the type and extent of resource degradation. This involved generation of detailed spatial information on the land use, cropping pattern, farming practices, soils and surface/ground waters of Gurgaon and Mewat districts through actual resource surveys, standard laboratory methods and GIS/remote sensing techniques. The study showed that in contrast to just 2.54% (in rabi season) to 4.87% (in kharif season) of agricultural lands in Gurgaon district, about 11.77% (in rabi season) to 24.23% (in kharif season) of agricultural lands in Mewat district were irrigated with saline to marginally saline canal water. Further, about 10.69% of agricultural lands in the Gurgaon district and 42.15% of agricultural lands in the Mewat district were drain water irrigated. A large part of this surface water irrigated area, particularly in Nuh (48.7%), Nagina (33.5%), and Punhana (24.1%) blocks of Mewat district, was either waterlogged (7.4% area with
Lilian, Rivka R.; Railton, Jean; Schaftenaar, Erik; Mabitsi, Moyahabo; Grobbelaar, Cornelis J.; Khosa, N. Sellina; Maluleke, Babra H.; Struthers, Helen E.; McIntyre, James A.
2018-01-01
Visual impairment is a significant public health concern, particularly in low- and middle-income countries where eye care is predominantly provided at the primary healthcare (PHC) level, known as primary eye care. This study aimed to perform an evaluation of primary eye care services in three districts of South Africa and to assess whether an ophthalmic health system strengthening (HSS) package could improve these services. Baseline surveys were conducted in Cape Winelands District, Johannesburg Health District and Mopani District at 14, 25 and 36 PHC facilities, respectively. Thereafter, the HSS package, comprising group training, individual mentoring, stakeholder engagement and resource provision, was implemented in 20 intervention sites in Mopani District, with the remaining 16 Mopani facilities serving as control sites. At baseline, less than half the facilities in Johannesburg and Mopani had dedicated eye care personnel or sufficient space to measure visual acuity. Although visual acuity charts were available in most facilities, <50% assessed patients at the correct distance. Median score for availability of nine essential drugs was <70%. Referral criteria knowledge was highest in Cape Winelands and Johannesburg, with poor clinical knowledge across all districts. Several HSS interventions produced successful outcomes: compared to control sites there was a significant increase in the proportion of intervention sites with eye care personnel and resources such as visual acuity charts (p = 0.02 and <0.01, respectively). However, engaging with district pharmacists did not improve availability of essential drugs (p = 0.47). Referral criteria knowledge improved significantly in intervention sites (p<0.01) but there was no improvement in clinical knowledge (p = 0.76). Primary eye care in South Africa faces multiple challenges with regard to organisation of care, resource availability and clinical competence. The HSS package successfully improved some aspects of this care, but further development is warranted together with debate regarding the positioning of eye services at PHC level. PMID:29758069
A practice model for rural district nursing success in end-of-life advocacy care.
Reed, Frances M; Fitzgerald, Les; Bish, Melanie R
2017-08-24
The development of a practice model for rural district nursing successful end-of-life advocacy care. Resources to help people live well in the end stages of life in rural areas can be limited and difficult to access. District nurse advocacy may promote end-of-life choice for people living at home in rural Australia. The lack of evidence available internationally to inform practice in this context was addressed by exploratory study. A pragmatic mixed method study approved by the University Faculty Ethics Committee and conducted from March 2014 to August 2015 was used to explore the successful end-of-life advocacy of 98 rural Australian district nurses. The findings and results were integrated then compared with theory in this article to develop concepts for a practice model. The model illustrates rural district nurse advocacy success based on respect for the rights and values of people. Advocacy action is motivated by the emotional responses of nurses to the end-of-life vulnerability people experience. The combination of willing investment in relationships, knowing the rural people and resources, and feeling supported, together enables district nurses to develop therapeutic emotional intelligence. This skill promotes moral agency in reflection and advocacy action to overcome emotional and ethical care challenges of access and choice using holistic assessment, communication, organisation of resources and empowering support for the self-determination of person-centred end-of-life goals. Recommendations are proposed from the theoretical concepts in the model. Testing the model in practice is recommended to gain the perceptions of a broader range of rural people both giving and receiving end-of-life-care. A model developed by gathering and comparing district nursing experiences and understanding using mixed methods and existing theory offers evidence for practice of a philosophy of successful person-centred advocacy care in a field of nursing that lacks specific guidance. © 2017 Nordic College of Caring Science.
76 FR 44893 - Prince William Sound Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-27
... DEPARTMENT OF AGRICULTURE Forest Service Prince William Sound Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Prince William Sound Resource Advisory... District, 145 Forest Station Road, Girdwood, AK; Prince Willam Sound Community College, 303 Lowe Street...
Preparing for the Annual Audit.
ERIC Educational Resources Information Center
Nuehring, Bert
2002-01-01
Proposes several key questions that school district business officials should answer to prepare for an annual financial audit involving auditor information and resource needs, district and auditor monitoring and reporting on the audit progress, and reporting the results of the audit to the board of education. (PKP)
7 CFR 610.4 - Technical assistance furnished.
Code of Federal Regulations, 2014 CFR
2014-01-01
... districts and other organizations concerned with the conservation of soil, water, plant, and wildlife... and needs in order for districts to develop long-range soil and water conservation programs...) Farmers, ranchers, and other land users concerned with the conservation of land and water resources. (2...
7 CFR 610.4 - Technical assistance furnished.
Code of Federal Regulations, 2012 CFR
2012-01-01
... districts and other organizations concerned with the conservation of soil, water, plant, and wildlife... and needs in order for districts to develop long-range soil and water conservation programs...) Farmers, ranchers, and other land users concerned with the conservation of land and water resources. (2...
7 CFR 610.4 - Technical assistance furnished.
Code of Federal Regulations, 2013 CFR
2013-01-01
... districts and other organizations concerned with the conservation of soil, water, plant, and wildlife... and needs in order for districts to develop long-range soil and water conservation programs...) Farmers, ranchers, and other land users concerned with the conservation of land and water resources. (2...
DOT National Transportation Integrated Search
1987-01-01
The program assessment phase was designed to identify community resources and address the recommendation, made in Phase I, that initial countermeasures should target the program areas of occupant protection, alcohol, selective enforcement, and pedest...
ERIC Educational Resources Information Center
Bennett, Jeffrey V.; Thompson, Hugh C.
2011-01-01
Background: School district superintendents continue to favor collaborative relationships with their local business communities amid concerns over free-market competition, maintaining public legitimacy, and scarce financial resources. Prior research is inadequate regarding the development, implementation, and institutionalization of school and…
Building a School District's Wide Area Network.
ERIC Educational Resources Information Center
Mastel, Vern L.
1996-01-01
Describes the development of a wide area network (WAN) in the Bismarck Public School District (North Dakota). Topics include design goals, network infrastructure, implementing library access, sharing resources across platforms, electronic mail, dial-in access, Internet access, adhering to software licenses, shareware and freeware, and monitoring…
Gustafsson, Jonas; Kyusakov, Rumen; Mäkitaavola, Henrik; Delsing, Jerker
2014-08-21
Hardwired sensor installations using proprietary protocols found in today's district heating substations limit the potential usability of the sensors in and around the substations. If sensor resources can be shared and re-used in a variety of applications, the cost of sensors and installation can be reduced, and their functionality and operability can be increased. In this paper, we present a new concept of district heating substation control and monitoring, where a service oriented architecture (SOA) is deployed in a wireless sensor network (WSN), which is integrated with the substation. IP-networking is exclusively used from sensor to server; hence, no middleware is needed for Internet integration. Further, by enabling thousands of sensors with SOA capabilities, a System of Systems approach can be applied. The results of this paper show that it is possible to utilize SOA solutions with heavily resource-constrained embedded devices in contexts where the real-time constrains are limited, such as in a district heating substation.
Gustafsson, Jonas; Kyusakov, Rumen; Mäkitaavola, Henrik; Delsing, Jerker
2014-01-01
Hardwired sensor installations using proprietary protocols found in today's district heating substations limit the potential usability of the sensors in and around the substations. If sensor resources can be shared and re-used in a variety of applications, the cost of sensors and installation can be reduced, and their functionality and operability can be increased. In this paper, we present a new concept of district heating substation control and monitoring, where a service oriented architecture (SOA) is deployed in a wireless sensor network (WSN), which is integrated with the substation. IP-networking is exclusively used from sensor to server; hence, no middleware is needed for Internet integration. Further, by enabling thousands of sensors with SOA capabilities, a System of Systems approach can be applied. The results of this paper show that it is possible to utilize SOA solutions with heavily resource-constrained embedded devices in contexts where the real-time constrains are limited, such as in a district heating substation. PMID:25196165
NASA Astrophysics Data System (ADS)
Qu, X. E.; Zhang, L. L.
2017-08-01
In this paper, a comprehensive evaluation of the water resources bearing capacity of Xi’an is performed. By constructing a comprehensive evaluation index system of the water resources bearing capacity that included water resources, economy, society, and ecological environment, we empirically studied the dynamic change and regional differences of the water resources bearing capacities of Xi’an districts through the TOPSIS method (Technique for Order Preference by Similarity to an Ideal Solution). Results show that the water resources bearing capacity of Xi’an significantly increased over time, and the contributions of the subsystems from high to low are as follows: water resources subsystem, social subsystem, ecological subsystem, and economic subsystem. Furthermore, there are large differences between the water resources bearing capacities of the different districts in Xi’an. The water resources bearing capacities from high to low are urban areas, Huxian, Zhouzhi, Gaoling, and Lantian. Overall, the water resources bearing capacity of Xi’an is still at a the lower level, which is highly related to the scarcity of water resources, population pressure, insufficient water saving consciousness, irrational industrial structure, low water-use efficiency, and so on.
NASA Astrophysics Data System (ADS)
Andayani, Keumala; Miftahuddin
2018-05-01
The percentage contribution of Gross Regional Domestic Product (GRDP) in Aceh Besar district is influenced by several leading sectors, such as agriculture, building sector, trade, hotel and restaurant sector, transport and communications, financial sector, leasing and business services, and services sector. Based on the use of Location Quotient (LQ) method and multiple regression model, the effect of labor variables and population to Gross Regional Domestic Product by 2000 constant prices for agriculture and trade. For each addition of one workforce in the trading sector, the trade sector contribution will increase by 0.000014157%. Thus, the trade sector contribution will increase by 0.0000013786% in every addition of one soul of the population. Whereas, for every addition of one human resource in the agricultural sector will be reduced by 0.0002%. In other words, for each addition of one soul of the population will reduce the contribution of the agricultural sector by 0.00008611%.
Responsibilities and resources of on-call public health doctors.
Sarangi, J; Mackenzie, I; Pearson, N
1995-01-01
We investigated the resource available for public health doctors to carry out statutory responsibilities out-of-hours by a postal questionnaire survey of consultants in communicable disease control (CsCDC) in England and Wales. The questionnaire requested details of local District Health Authority (DHA) population profile, major incident and outbreak policies, the background of the CCDC, out-of-hours communication, access and resources, reference materials and medical equipment carried by the public health doctor on duty. The CsCDC from 96% (121/126) DHAs in England and Wales responded. Whilst 85% (101/119) of public health doctors carried policies on infectious disease when on duty, only 28% (32/116) carried policies on dealing with chemical incidents and 25% (28/111) carried the District policy to deal with radiation hazards. Twenty-six per cent (32/121) of public health physicians had no access to their District headquarters. There is a wide variation in the standard of resources available to on-call public health doctors in England and Wales; following Department of Health and Department of the Environment guidance, Health Authorities need to ensure that they have adequate arrangements in the event of any major incident or outbreak.
NASA Astrophysics Data System (ADS)
Myrick, Melinda D.
2007-12-01
This study examined the extent to which human sexuality topics are covered in Florida middle school science classrooms and the process by which curricular decisions are made regarding human sexuality education on a county-wide basis. Primary data included interviews with county-level administrators who oversee curricular decisions related to the middle-grades science curriculum or health curriculum in twelve school districts within the state. These districts represented four geographic locations and districts of various sizes. Administrators from four of the twelve studies in the sample chose to provide information regarding their human sexuality education curriculum. In two cases, teacher leads were identified and were interviewed to understand the implementation of the curriculum within the classroom. Additional data were collected from the district curriculum guides for human sexuality education and the adopted middle-grades science textbook for each county. The interview and documentary data were analyzed by comparison to established criteria for a comprehensive human sexuality education curriculum. The analysis revealed that the scope of human sexuality education varied considerably within the sample and that much of the curricula in place failed to include topics and activities that have been identified as important in a successful human sexuality education program. These findings are limited because few counties chose to fully participate. Additional research is clearly needed to examine the effectiveness of existing human sexuality education curricula in Florida. In addition, research is needed to understand the characteristics, values, and beliefs of successful human sexuality education instructors across the state.
Study benefit value of utilization water resources for energy and sustainable environment
NASA Astrophysics Data System (ADS)
Juniah, Restu; Sastradinata, Marwan
2017-11-01
Referring to the concept of sustainable development, the environment is said to be sustainable if the fulfillment of three pillars of development that is economic, social and ecological or the environment itself. The environment can sustained in the principle of ecology or basic principles of environmental science, when the three environmental components, namely the natural environment, the artificial environment (the built environment) and the social environment can be aligned for sustainability. The natural environment in this study is the water resources, the artificial environment is micro hydroelectric power generation (MHPG), and the social environment is the community living around the MHPG. The existence of MHPG is intended for the sustainability of special electrical energy for areas not yet reached by electricity derived from the state electricity company (SEC). The utilization of MHPG Singalaga in South Ogan Komering Ulu (OKUS) district is not only intended for economic, ecological, and social sustainability in Southern OKU district especially those who live in Singalaga Village, Kisam Tinggi District. This paper discusses the economic, ecological and social benefits of water resources utilization in Southern OKU District for MHPG Singalaga. The direct economic benefits that arise for people living around MHPG Singalaga is the cost incurred by the community for the use of electricity is less than if the community uses electricity coming from outside the MHPG. The cost to society in the form of dues amounting to IDR 15,000 a month / household. Social benefits with the absorption of manpower to manage the MHPG is chairman, secretary and 3 members, while the ecological benefits of water resources and sustainable energy as well as the community while maintaining the natural vegetation that is located around the MHPG for the continuity of water resources.
Ground-water resources in the vicinity of the Crown Point Fish Hatchery, Essex County, New York
Kantrowitz, I.H.
1968-01-01
The cooperation and assistance of the New York State Department of Transportation, Bureau of Soil Mechanics, the New York State Education Department, Museum and Science Service, and G. A. Connally of the State University of New York at New Paltz, during this study are gratefully acknowledged. Much of the preliminary field work was done by G. L. Giese and W. A. Hobba, Jr., U.S. Geological Survey, as part of a water-resources study of the Lake Champlain basin. The field work was supervised by R. C. Heath, former district chief of the Water Resources Division, U.S. Geological Survey. G. G. Parker, district chief, supervised the preparation of this report.
Sundewall, Jesper; Forsberg, Birger C; Jönsson, Kristina; Chansa, Collins; Tomson, Göran
2009-01-01
Background The increasing resources available for and number of partners providing health sector aid have stimulated innovations, notably, the Paris Declaration on Aid Effectiveness, which aim to improve aid coordination. In this, one of the first studies to analyse implementation of aid coordination below national level, the aim was to investigate the effect of the Paris Declaration on coordination of health sector aid at the district level in Zambia. Methods The study was carried out in three districts of Zambia. Data were collected via interviews with health centre staff, district managers and officials from the Ministry of Health, and from district action plans, financial reports and accounts, and health centre ledger cards. Four indicators of coordination related to external-partner activity, common arrangements used by external partners and predictability of funding were analysed and assessed in relation to the 2010 targets set by the Paris Declaration. Findings While the activity of external partners at the district level has increased, funding and activities provided by these partners are often not included in local plans. HIV/AIDS support show better integration in planning and implementation at the district level than other support. Regarding common arrangements used for fund disbursement, the share of resources provided as programme-based support is not increasing. The predictability of funds coming from outside the government financing mechanism is low. Conclusion Greater efforts to integrate partners in district level planning and implementation are needed. External partners must improve the predictability of their support and be more proactive in informing the districts about their intended contributions. With the deadline for achieving the targets set by the Paris Declaration fast approaching, it is time for the signatories to accelerate its implementation. PMID:19505300
Rajan, Dheepa; Kalambay, Hyppolite; Mossoko, Mathias; Kwete, Dieudonné; Bulakali, Joseph; Lokonga, Jean-Pierre; Porignon, Denis; Schmets, Gerard
2014-10-31
This case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It explores the operationalization of a national strategy at district level by elucidating a normative model district resource plan which details the resources and costs of providing an essential health services package at district level. This paper then points to concrete examples of how the results of this exercise were used for Ministry of Health (MoH) decision-making over a time period of 5 years. DR Congo's HSSS and its accompanying essential health services package were taken as a base to construct a normative model health district comprising of 10 Health Centres (HC) and 1 District Hospital (DH). The normative model health district represents a standard set by the Ministry of Health for providing essential primary health care services. The minimum operating budget necessary to run a normative model health district is $17.91 per inhabitant per year, of which $11.86 is for the district hospital and $6.05 for the health centre. The Ministry of Health has employed the results of this exercise in 4 principal ways: 1.Advocacy and negotiation instrument; 2. Instrument to align donors; 3. Field planning; 4. Costing database to extract data from when necessary. The above results have been key in the policy dialogue on affordability of the essential health services package in DR Congo. It has allowed the MoH to provide transparent information on financing needs around the HSSS; it continues to help the MoH negotiate with the Ministry of Finance and bring partner support behind the HSSS.
ERIC Educational Resources Information Center
Klein, Christopher C.
2008-01-01
A large literature finds that resources are not significant determinants of student performance. These results may arise because resources really do not matter in public education or because local school districts allocate additional resources to poorer performing schools. To shed light on this issue, a unique data set for the Metropolitan…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-18
...: State Water Resources Research Institute Program; Annual Application and Reporting AGENCY: United States... INFORMATION: I. Abstract The Water Resources Research Act of 1984, as amended (42 U.S.C. 10301 et seq.), authorizes a research institute water resources or center in each of the 50 states, the District of Columbia...
State Support for Open Educational Resources: Key Findings from Achieve's OER Institute
ERIC Educational Resources Information Center
Achieve, Inc., 2013
2013-01-01
Open Educational Resources (OER) offer unique new opportunities for educators to share quality learning resources, especially in an increasingly digital world. Forty-six states and the District of Columbia have adopted the Common Core State Standards (CCSS), providing them with the unprecedented advantage of being able to share resources that are…
Zulu, Joseph Mumba; Hurtig, Anna-Karin; Kinsman, John; Michelo, Charles
2015-01-28
To address the huge human resources for health gap in Zambia, the Ministry of Health launched the National Community Health Assistant Strategy in 2010. The strategy aims to integrate community-based health workers into the health system by creating a new group of workers, called community health assistants (CHAs). However, literature suggests that the integration process of national community-based health worker programmes into health systems has not been optimal. Conceptually informed by the diffusion of innovations theory, this paper qualitatively aimed to explore the factors that shaped the acceptability and adoption of CHAs into the health system at district level in Zambia during the pilot phase. Data gathered through review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the District Health Management Team were analysed using thematic analysis. The perceived relative advantage of CHAs over existing community-based health workers in terms of their quality of training and scope of responsibilities, and the perceived compatibility of CHAs with existing groups of health workers and community healthcare expectations positively facilitated the integration process. However, limited integration of CHAs in the district health governance system hindered effective programme trialability, simplicity and observability at district level. Specific challenges at this level included a limited information flow and sense of programme ownership, and insufficient documentation of outcomes. The district also had difficulties in responding to emergent challenges such as delayed or non-payment of CHA incentives, as well as inadequate supervision and involvement of CHAs in the health posts where they are supposed to be working. Furthermore, failure of the health system to secure regular drug supplies affected health service delivery and acceptability of CHA services at community level. The study has demonstrated that implementation of policy guidelines for integrating community-based health workers in the health system may not automatically guarantee successful integration at the local or district level, at least at the start of the process. The study reiterates the need for fully integrating such innovations into the district health governance system if they are to be effective.
Penfield, W
1992-10-01
A joint project on the Ministry of Health, Addis Ababa University, the Jimma Institute of Health Services, the Gondar College of Health Sciences, and McGill University in Montreal, Canada is involved with working to improve the health care system in Ethiopia. The Ethiopian government has established postgraduate degrees in public health for district health managers, and overseas fellowships for students in order to train health professionals to work in 359 districts (awrajas). The emphasis is on district managers because of their link to the people, to stimulating community participation, and to coordinating activities. Training programs are available for physicians who have worked in rural areas for 2 years; completion of the program usually means placement as district health managers. One student was able to reduce respiratory illness among textile mill workers because of the success of his research thesis on byssinosis. 40% of Ethiopia has district health centers which provide primary health care and coordinate health resources. A 1st priority is convincing local leaders to construct latrines and provide safe sources of drinking water. The example of the functioning of the Suluta health district is provided. Of the 129,000 inhabitants, the health personnel and facilities provide for only 25% of the villages in the district. The district director is completing his thesis on field trials of oral rehydration therapy. Student research is supervised by physicians based at Addis Ababa University. An example is given of one such visit to a student studying adolescent sexual behavior and illegal abortion increases. Student work involved research, an action plan which identifies priorities for the area, and a health profile. Students learn how to compile data and plot graphs in a country where rural birth and death records are not kept. Record keeping, reference books and materials were also needed for the organization; technical resources were provided to this end. Computers and CD-ROMS have expended the resource base. Standards have improved since the initiation of the program, and the importance of the training was evident in the ability to handle the meningitis epidemic in 1989 and the coup in 1991. Economic conditions need to improve and be directed to health personnel, drugs, books and supplies.
[Resources Unit, Edmonds School District.
ERIC Educational Resources Information Center
Edmonds School District 15, Lynnwood, WA.
This interdisciplinary program, developed for secondary students, contains 13 natural resource activities that can either be used directly in, or as a supplement to, curriculum in Science, Photography, Mathematics, Social Studies and English. The topics to be investigated include: raindrop impact, resource control, recycling, the world model,…
76 FR 12933 - Prince of Wales Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-09
... DEPARTMENT OF AGRICULTURE Forest Service Prince of Wales Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Prince of Wales Resource Advisory Committee... Bay Ranger District 1312 Federal Way Thorne Bay, Alaska. Send written comments to Prince of Wales...
77 FR 53169 - De Soto Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-31
... DEPARTMENT OF AGRICULTURE Forest Service De Soto Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The De Soto Resource Advisory Committee will meet in... public may inspect comments received at De Soto Ranger District, 654 West Frontage Road, Wiggins, MS...
ERIC Educational Resources Information Center
St. Jean, Michael
2008-01-01
With no specific state or federal mandates to districts to maintain comprehensive technology infrastructure, how do districts, in the face of mounting financial pressures, continue to build and maintain their networks, integrate their systems, and expand their resources in a way that is reasonably "budget-proof?" In this article, the…
ERIC Educational Resources Information Center
Borelli, Michael L.
This document details the administrative issues associated with guiding a school district through its metrication efforts. Issues regarding staff development, curriculum development, and the acquisition of instructional resources are considered. Alternative solutions are offered. Finally, an overall implementation strategy is discussed with…
ERIC Educational Resources Information Center
Wentzler, Nancy
1981-01-01
Measures relative differences in the supply price of teacher inputs (that is, the cost of teacher salaries) so as to provide state aid payments that will equalize real resources per pupil across school districts. Highlights a simultaneous equations model. (Author/JM)
ERIC Educational Resources Information Center
Isakson, Carol
2006-01-01
In this article, the author presents a listing of Web resources which showcases sites created by school districts to support staff use of available technologies. These include Online Technology Tutorials from the Kent School District, Tips and Tutorials from the Kenton County (Kentucky) Schools Office of Instructional Technology, and Teacher…
Water resources data for Iowa, water year 1977
,
1978-01-01
This report was prepared by personnel of the Iowa district of the Water Resources Division of the U.S. Geological Survey under the supervision of S. W. Wiitala, District Chief, and Alfred Clebsch, Jr., Regional Hydrologist, Central Region. It was done in cooperation with the State of Iowa and with other agencies. This report is one of a series issued by Iowa. General direction for the series is by J. S. Cragwall, Jr., Chief Hydrologist, U.S. Geological Survey, and G. W. Whetstone, Assistant Chief Hydrologist for Scientific Publications and Data Management. .
Water resources data for Iowa, water year 1978
,
1979-01-01
This report was prepared by personnel of the Iowa district of the Water Resources Division of the U.S. Geological Survey under the supervision of S. W. Wiitala, District Chief, and Alfred Clebsch, Jr., Regional Hydrologist, Central Region. It was done in cooperation with the State of Iowa and with other agencies. This report is one of a series issued by Iowa. General direction for the series is by J. S. Cragwall, Jr., Chief Hydrologist, U.S. Geological Survey, and G. W. Whetstone, Assistant Chief Hydrologist for Scientific Publications and Data Management.
A study of forest fire danger district division in Lushan Mountain based on RS and GIS
NASA Astrophysics Data System (ADS)
Xiao, Jinxiang; Huang, Shu-E.; Zhong, Anjian; Zhu, Biqin; Ye, Qing; Sun, Lijun
2009-09-01
The study selected 9 factors, average maximum temperature, average temperature, average precipitation, average the longest days of continuous drought and average wind speed during fire prevention period, vegetation type, altitude, slope and aspect as the index of forest fire danger district division, which has taken the features of Lushan Mountain's forest fire history into consideration, then assigned subjective weights to each factor according to their sensitivity to fire or their fire-inducing capability. By remote sensing and GIS, vegetation information layer were gotten from Landsat TM image and DEM with a scale of 1:50000 was abstracted from the digital scanned relief map. Topography info. (elevation, slope, aspect) layers could be gotten after that. A climate resource databank that contained the data from the stations of Lushan Mountain and other nearby 7 stations was built up and extrapolated through the way of grid extrapolation in order to make the distribution map of climate resource. Finally synthetical district division maps were made by weighing and integrating all the single factor special layers,and the study area were divided into three forest fire danger district, include special fire danger district, I-fire danger district and II-fire danger district. It could be used as a basis for developing a forest fire prevention system, preparing the annual investment plan, allocating reasonably the investment of fire prevention, developing the program of forest fire prevention and handle, setting up forest fire brigade, leaders' decisions on forest fire prevention work.
Taenia solium taeniosis/cysticercosis and the co-distribution with schistosomiasis in Africa.
Braae, Uffe Christian; Saarnak, Christopher F L; Mukaratirwa, Samson; Devleesschauwer, Brecht; Magnussen, Pascal; Johansen, Maria Vang
2015-06-12
This study aimed to map the distribution of Taenia solium taeniosis/cysticercosis and the co-distribution with schistosomiasis in Africa. These two major neglected tropical diseases are presumed to be widely distributed in Africa, but currently the level of co-distribution is unclear. A literature search on T. solium taeniosis/cysticercosis was performed to compile all known studies on the presence of T. solium and apparent prevalence of taeniosis and porcine cysticercosis in Africa. Studies were geo-referenced using an online gazetteer. A Bayesian framework was used to combine the epidemiological data on the apparent prevalence with external information on test characteristics to estimate informed district-level prevalence of taeniosis and porcine cysticercosis. Districts with T. solium taeniosis/cysticercosis presence were cross-referenced with the Global Neglected Tropical Diseases Database for schistosomiasis presence. The search strategies identified 141 reports of T. solium in Africa from 1985 to 2014 from a total of 476 districts in 29 countries, 20 with porcine cysticercosis, 22 with human cysticercosis, and 16 with taeniosis, in addition to 2 countries identified from OIE reports. All 31 countries were considered, on national scale, to have co-distribution with schistosomiasis. Presence of both parasites was confirmed in 124 districts in 17 countries. The informed prevalence of taeniosis and porcine cysticercosis were estimated for 14 and 41 districts in 10 and 13 countries, respectively. With the paucity of data, T. solium infection is grossly under-reported and expected to be more widespread than this study suggests. In areas where co-distribution occurs there is a need for increased emphasis on evaluation of integrated intervention approaches for these two helminth infections and allocation of resources for evaluating the extent of adverse effects caused by mass drug administration.
NASA Astrophysics Data System (ADS)
Balavalikar, Supreetha; Nayak, Prabhakar; Shenoy, Narayan; Nayak, Krishnamurthy
2018-04-01
The decline in groundwater is a global problem due to increase in population, industries, and environmental aspects such as increase in temperature, decrease in overall rainfall, loss of forests etc. In Udupi district, India, the water source fully depends on the River Swarna for drinking and agriculture purposes. Since the water storage in Bajae dam is declining day-by-day and the people of Udupi district are under immense pressure due to scarcity of drinking water, alternatively depend on ground water. As the groundwater is being heavily used for drinking and agricultural purposes, there is a decline in its water table. Therefore, the groundwater resources must be identified and preserved for human survival. This research proposes a data driven approach for forecasting the groundwater level. The monthly variations in groundwater level and rainfall data in three observation wells located in Brahmavar, Kundapur and Hebri were investigated and the scenarios were examined for 2000-2013. The focus of this research work is to develop an ANN based groundwater level forecasting model and compare with hybrid ANN-PSO forecasting model. The model parameters are tested using different combinations of the data. The results reveal that PSO-ANN based hybrid model gives a better prediction accuracy, than ANN alone.
Ouédraogo, C M; Ouattara, A; Ouédraogo, A; Bikienga, M; Lankoandé, J
2015-01-01
To describe the role of task delegation in the practice of major obstetric procedures in the Bogodogo health district hospital. This descriptive and analytic prospective study took place in the hospital's department of obstetrics and gynecology from February through October 2013. It included all women undergoing a major obstetric surgical intervention, performed by either by a gynecologist-obstetrician or by a nurse specializing in surgery. Data were collected from individual records and analyzed by SPSS and Epidata software. There were 601 major obstetric interventions during the study period. The women's mean age was 26.7 years. Cesarean deliveries accounted for 90% of these procedures, followed by laparotomy (7.7%). The Misgav-Ladach technique was used for cesareans by 86.5% of the obstetricians and 95.3% of the nurses specialized in surgery. The primary complications were anemia and postpartum hemorrhage. Maternal mortality did not differ significantly between the groups of operators, nor did maternal, fetal, and neonatal outcomes. Task delegation in obstetric surgery at the Bogodogo district hospital is effective. Its extension to the national level would make it possible to overcome the lack of highly qualified human resources to enable adequate availability of major obstetric interventions in rural hospitals.
Implementing Financial Assurance for Mitigation Project Success
The Institute for Water Resources (IWR) prepared this white paper on financial assurance for mitigation project success to provide a reference resource for Corps district staff involved with establishing and overseeing financial assurances.
Malama, Sydney; Muma, John; Munyeme, Musso; Mbulo, Grace; Muwonge, Adrian; Shamputa, Isdore Chola; Djønne, Berit; Godfroid, Jacques; Johansen, Tone Bjordal
2014-12-01
Mycobacterium tuberculosis, the causative agent of tuberculosis in humans, is considered primarily a human pathogen. It has, however, been reported in a wide range of domestic and wild animals, often living in close prolonged contact with humans. Sputum samples in which acid fast bacteria were detected in smears were collected from patients at three health facilities in Namwala district, Zambia. Samples from cattle presenting gross lesions compatible with bovine tuberculosis were collected at a local abattoir in the same district. Isolated mycobacteria were identified and genotyped using classical molecular methods. From a total of 33 isolates of M. tuberculosis detected (30 from humans and 3 from cattle), two cattle isolates shared the same spoligotype and MIRU-VNTR pattern with a human patient. This study has for the first time documented the isolation of M. tuberculosis from cattle in Zambia and provides molecular evidence of an epidemiological link between M. tuberculosis isolates from humans and cattle in Namwala district. A possible spill back of M. tuberculosis to humans cannot be excluded and therefore further studies documenting to what extent M. tuberculosis is shed in cattle milk are needed. This finding further suggests that veterinary public health measures to control human TB, should also take into account the bovine reservoir.
Martin, Jeffrey D.; Cohen, David A.
1993-01-01
This report describes the policy and procedures used by the Indiana District of the U.S. Geological Survey, Water Resources Division, to manage and store data collected during hydrologic investigations. It is the policy of the Indiana District that data collected to meet the objectives of projects for hydrologic investigations be documented, organized, and archieved in a manner that (1) facilitates retrieval, evaluation, and use by other District personnel, and (2) enables verifi- cation of data contained in all reports and computer data bases.
ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. House Committee on the District of Columbia.
This document contains the text of a Congressional oversight hearing on Public Law 98-621, the St. Elizabeths Hospital and District of Columbia Mental Health Services Act, which became law in November 1984 and which transferred St. Elizabeths Hospital from federal control to that of the government of the District of Columbia. The text of Public…
75 FR 21583 - Wrangell-Petersburg Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-26
... from 9 a.m. to 2 p.m. ADDRESSES: The meeting will be held at the James and Elsie Nolan Center in Wrangell, Alaska. Written comments should be sent to Christopher Savage, Petersburg District Ranger, P.O... CONTACT: Christopher Savage, Petersburg District Ranger, P.O. Box 1328, Petersburg, Alaska 99833, phone...
Report on Career Pathways: A Success Story in Berrien County, Michigan.
ERIC Educational Resources Information Center
Rudy, Dennis W.; Rudy, Ellen L.
Independent evaluators examined the progress of the Berrien County Intermediate School District in Berrien County, Michigan, in implementing Michigan's Career Preparation System. The evaluation established that the district has provided the leadership, training, resources, and continued support to implement a systemwide school-to-career reform…
Report on Illinois Public Community College Foundations.
ERIC Educational Resources Information Center
Illinois Community Coll. Board, Springfield.
At the request of the Illinois Community College Board's (ICCB's) Committee on Foundations, the ICCB surveyed the state's public community college district to determine the purposes, resources, and activities of the colleges' foundations. The study found that all of the community college districts, except one, have foundations to assist them in…
ERIC Educational Resources Information Center
Dimmitt, Eric J.
2012-01-01
This qualitative multi-site case study's purpose was to prove that the crafting coherence process was evident when three suburban Midwestern school districts implemented schools' goals while experiencing reductions in instructional programming, staffing, and facilities resources along with school closings due to significant declining student…
ERIC Educational Resources Information Center
Wilson, Dulmini; Sanchez, Kathleen M.; Blackwell, Susan H.; Weinstein, Eva; El Amin, A. Nelson
2013-01-01
Local health departments have typically led school-located influenza vaccination (SLIV) programs, assuming resource-intensive roles in design, coordination, and vaccination. This level of involvement is often not financially sustainable over time. Five diverse school districts in Los Angeles County designed, implemented, refined, and…
Developing Practitioner-Scholars through University-School District Research Partnerships
ERIC Educational Resources Information Center
Ralston, Nicole C.; Tarasawa, Beth; Waggoner, Jacqueline M.; Smith, Rebecca; Naegele, Zulema
2016-01-01
University-community partnerships have gained popularity in the United States as a means of extending university research resources and collaborative opportunities. However, research-driven partnerships between universities and K-12 school districts that prioritize the research needs of K-12 schools are unique. Recently, education scholars have…
Teacher Leadership: District and School Leader Readiness Tool
ERIC Educational Resources Information Center
American Institutes for Research, 2017
2017-01-01
As interest in teacher leadership has grown, many leading organizations have developed tools and guidance to support schools, districts, and teacher leaders themselves. For instance, the National Network of State Teachers of the Year developed resources on teacher leader career pathways and advocacy approaches, as well as teacher leader standards.…
ERIC Educational Resources Information Center
Finkel, Ed
2011-01-01
Under No Child Left Behind, the federal government requires school districts to use 1 percent of Title I money to fund programs that involve parents in the schools and provides another $39 million annually for 62 Parental Information and Resource Centers (PIRCs) that provide training and information for both parents and district personnel to…
75 FR 54846 - Kern and Tulare Counties Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-09
.... Applications or written comments should be sent to Priscilla Summers, Western Divide Ranger District, 32588... inspect comments received at Western Divide Ranger District, 32588 Highway 190, Springville, CA 93265...) receive public comment. Persons who wish to bring related matters to the attention of the Committee may...
75 FR 32359 - Kern and Tulare Counties Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-08
.... Written comments should be sent to Priscilla Summers, Western Divide Ranger District, 32588 Highway 190... Western Divide Ranger District, 32588 Highway 190, Springville, CA 93265. Visitors are encouraged to call... related matters to the attention of the Committee may file written statements with the Committee staff...
Income Segregation between School Districts and Inequality in Students' Achievement
ERIC Educational Resources Information Center
Owens, Ann
2018-01-01
Large achievement gaps exist between high- and low-income students and between black and white students. This article explores one explanation for such gaps: income segregation between school districts, which creates inequality in the economic and social resources available in advantaged and disadvantaged students' school contexts. Drawing on…
Fiscal Impacts of Charter Schools: Lessons from New York
ERIC Educational Resources Information Center
Bifulco, Robert; Reback, Randall
2014-01-01
This brief argues that charter school programs can have direct fiscal impacts on school districts for two reasons. First, operating two systems of public schools under separate governance arrangements can create excess costs. Second, charter school financing policies can distribute resources to or away from districts. Using the city school…
75 FR 21345 - Notice of Meeting, Southeast Oregon Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-23
... District; information below. FOR FURTHER INFORMATION CONTACT: Mark Wilkening, Public Affairs Officer, BLM... members please contact Mark Wilkening, Public Affairs Officer, BLM Vale District Office, 100 Oregon Street.... ACTION: Notice of Public Meeting. SUMMARY: Pursuant to the Federal Land Policy and Management Act and the...
Search Search DNR's site DNR State of Alaska RO Home UCC Home Recording Info About the Process Fees Admin. Order 16 District Boundaries Searches RO Search Menu UCC Search Menu *NEW* Online Copy Request . Recorder's Office Search Recording Resources Recording requirements. Our current fees. Recording District
30 CFR 77.1000-1 - Filing of plan.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS, SURFACE COAL MINES AND SURFACE WORK AREAS OF UNDERGROUND COAL MINES Ground..., with the MSHA Coal Mine Safety and Health district office for the district in which the mine is located...
The Redesign of Urban School Systems: Case Studies in District Governance
ERIC Educational Resources Information Center
McAdams, Donald R., Ed.; Katzir, Dan, Ed.
2013-01-01
"The Redesign of Urban School Systems" provides a uniquely valuable resource for anyone involved in preparing education leaders for the political and practical realities of district-based school reform. Edited by two leading experts in education reform, this absorbing volume brings together twelve teaching cases on urban school…
Mobilizing Resources for District-Wide Middle-Grades Reform.
ERIC Educational Resources Information Center
Hatch, Holly; Hytten, Kathy
This book describes the rationale and research underlying the testing of an "audit" that explored how school districts organize themselves to reform middle-grades education. The volume is intended for those who seek to improve achievement, equity, and learning communities. Section 1 describes the theory, research, and framework for district…
75 FR 10460 - Yakutat Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-08
... at the Kwaan Conference Room, 712 Ocean Cape Drive, Yakutat, Alaska. Send written comments to Lee A... [email protected] . FOR FURTHER INFORMATION CONTACT: Lee A. Benson, District Ranger and Designated Federal... opportunity to address the Council at those sessions. Dated: February 19, 2010. Lee A. Benson, District Ranger...
76 FR 12691 - Yakutat Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-08
... Lee A. Benson, c/o Forest Service, USDA, P.O. Box 327, Yakutat, AK 99689, electronically to labenson... INFORMATION CONTACT: Lee A. Benson, District Ranger and Designated Federal Official, Yakutat Ranger District... written statements with the Committee staff before or after the meeting. Dated: February 25, 2011. Lee A...
A Preliminary Analysis of California's New Local Control Funding Formula
ERIC Educational Resources Information Center
Wolf, Rebecca; Sands, Janelle
2016-01-01
California recently overhauled its K-12 public education finance system. Enacted in 2013, the Local Control Funding Formula (LCFF) replaced California's 40-year-old funding formula. The LCFF increases district officials' fiscal flexibility; provides more resources to districts serving larger proportions of low-income, English learner (EL), and…
The Components of Sound Financial Management.
ERIC Educational Resources Information Center
Grayson, Ernest C.
Since education is big business, it should be conducted in a businesslike way. Without sound financial management, the best instructional program will fail. Several components make up a sound program of financial management. Resources are basic, and these vary from district to district. Before asking for additional support, school administrators…