Assessment of Wind Home System's Potential in Coastal Areas of Pakistan

NASA Astrophysics Data System (ADS)

Memon, Mujeebudin; Harijan, Khanji; Uqaili, Mohammad Aslam

2007-10-01

About 50 and 90 percent of the total population of rural coastal areas of Sindh and Balochistan provinces respectively have no access to electricity and meet lighting requirements through kerosene and LPG. The population density in rural coastal areas of Sindh and Balochistan provinces is about 100-150 and 10-50 persons per km2 respectively. Extension of existing centralized grid system to rural areas with very low population density and small-scattered loads is economically and technically unfeasible. In this situation, decentralized renewable electricity especially wind power appears to be one of the viable option. This paper presents the assessment of potential of wind home systems (WHS) for rural electrification in coastal areas of Pakistan using the wind speed data recorded by Pakistan Metrological Department (PMD) and power curve of a reference wind turbine. Pakistan has 1050 km long coastline, of which, 250 km is falling in Sindh and 800 km in Balochistan. A 150 Wp wind turbine could generate about 345 kWh and 250 kWh of electricity per year in coastal areas of Sindh and Balochistan respectively, which would be sufficient for meeting the electricity demand of a rural household. The average theoretical potential of WHS in the coastal area of Sindh and Balochistan is about 2245 and 1800 FLH respectively. The total installed capacity and technical potential of WHS in the coastal area of the country has been estimated as 63.75 MW and 135 GWh/year respectively.

Perceptions of Private College Teachers of Karachi about the Curriculum Prescribed by Sindh Bureau of Curriculum (BOC)

ERIC Educational Resources Information Center

Syeda, Talat Jehan

2015-01-01

Curriculum at the college level is prescribed at provincial level to ensure a standardized education throughout. A prescribed curriculum aligns educational standards and maintains them to ensure teaching standards. In Pakistan the curriculum for intermediate students at both private and government colleges is designed and proposed by Sindh Bureau…

Infrastructure Availability in the Public Sector Schools: A Case Study of Sindh Province

ERIC Educational Resources Information Center

Mujahid, Nooreen; Noman, Muhammad

2015-01-01

This focus of this study is confined to primary and secondary education in Sindh province. This paper provides a comprehensive review of the facilities available at the primary and secondary schools especially within the context of rural and urban areas. This study investigates 48,865 Government schools in terms of efficient and well-organized…

Insight into implementation of facility-based integrated management of childhood illness strategy in a rural district of Sindh, Pakistan

PubMed Central

Akber Pradhan, Nousheen; Rizvi, Narjis; Sami, Neelofar; Gul, Xaher

2013-01-01

Background Integrated management of childhood illnesses (IMCI) strategy has been proven to improve health outcomes in children under 5 years of age. Pakistan, despite being in the late implementation phase of the strategy, continues to report high under-five mortality due to pneumonia, diarrhea, measles, and malnutrition – the main targets of the strategy. Objective The study determines the factors influencing IMCI implementation at public-sector primary health care (PHC) facilities in Matiari district, Sindh, Pakistan. Design An exploratory qualitative study with an embedded quantitative strand was conducted. The qualitative part included 16 in-depth interviews (IDIs) with stakeholders which included planners and policy makers at a provincial level (n=5), implementers and managers at a district level (n=3), and IMCI-trained physicians posted at PHC facilities (n=8). Quantitative part included PHC facility survey (n=16) utilizing WHO health facility assessment tool to assess availability of IMCI essential drugs, supplies, and equipments. Qualitative content analysis was used to interpret the textual information, whereas descriptive frequencies were calculated for health facility survey data. Results The major factors reported to enhance IMCI implementation were knowledge and perception about the strategy and need for separate clinic for children aged under 5 years as potential support factors. The latter can facilitate in strategy implementation through allocated workforce and required equipments and supplies. Constraint factors mainly included lack of clear understanding of the strategy, poor planning for IMCI implementation, ambiguity in defined roles and responsibilities among stakeholders, and insufficient essential supplies and drugs at PHC centers. The latter was further substantiated through health facilities’ survey findings, which indicated that none of the facilities had 100% stock of essential supplies and drugs. Only one out of all 16 surveyed facilities had 75% of the total supplies, while 4 out of 16 facilities had 56% of the required IMCI drug stock. The mean availability of supplies ranged from 36.6 to 66%, while the mean availability of drugs ranged from 45.8 to 56.7%. Conclusion Our findings indicate that the Matiari district has sound implementation potential; however, bottlenecks at health care facility and at health care management level have badly constrained the implementation process. An interdependency exists among the constraining factors, such as lack of sound planning resulting in unclear understanding of the strategy; leading to ambiguous roles and responsibilities among stakeholders which manifest as inadequate availability of supplies and drugs at PHC facilities. Addressing these barriers is likely to have a cumulative effect on facilitating IMCI implementation. On the basis of these findings, we recommend that the provincial Ministry of Health (MoH) and provincial Maternal Neonatal and Child Health (MNCH) program jointly assess the situation and streamline IMCI implementation in the district through sound planning, training, supervision, and logistic support. PMID:23830574

Purposeful Change? Changing the Teaching of Reading in a Regional University in Pakistan

ERIC Educational Resources Information Center

Memon, Rafique; Badger, Richard

2007-01-01

"The teacher who works for or allows status quo is the traitor. Purposeful change is the new norm in teaching" [Fullan, M., 1993. Change Forces: Probing the Depths of Educational Reform. Falmer, London.]. The University of Sindh, Jamshoro, Pakistan (USJP) is the main provider of tertiary education in English in the province of Sindh.…

Dimensions of Quality in Teacher Education: Perception and Practices of Teacher Educators in the Universities of Sindh, Pakistan

ERIC Educational Resources Information Center

Sahito, Zafarullah; Vaisanen, Pertti

2017-01-01

This study was conducted to explore the dimensions of quality education in teacher education departments at universities of Sindh province of Pakistan. The qualitative research approach was employed for data collection and then analysed through thematic-narrative analysis technique. The total eight dimensions of quality were found, as two were…

Teaching English as a Language Not Subject by Employing Formative Assessment

ERIC Educational Resources Information Center

Chandio, Muhammad Tufail; Jafferi, Saima

2015-01-01

English is a second language (L2) in Sindh, Pakistan. Most of the public sector schools in Sindh teach English as a subject rather than a language. Besides, they do not distinguish between generic pedagogy and distinctive approaches used for teaching English as a first language (L1) and second language (L2). In addition, the erroneous traditional…

Literacy, Income Generation, and Poverty Alleviation in Sindh Pakistan and Its Impact on Economic Development, Human Resource Development in Pakistan.

ERIC Educational Resources Information Center

Panhwar, Farzana

Rural poverty in Sindh, Pakistan, has been artificially created by low prices of wheat, fixed by the federal government's price control board. Agriculture and agro-based industries account for 80 percent of the country's labor force. Among the consequences of this price control are low margins of profit to the farming community; low capacity to…

Fractional-Dose Inactivated Poliovirus Vaccine Campaign - Sindh Province, Pakistan, 2016.

PubMed

Pervaiz, Aslam; Mbaeyi, Chukwuma; Baig, Mirza Amir; Burman, Ashley; Ahmed, Jamal A; Akter, Sharifa; Jatoi, Fayaz A; Mahamud, Abdirahman; Asghar, Rana Jawad; Azam, Naila; Shah, Muhammad Nadeem; Laghari, Mumtaz Ali; Soomro, Kamaluddin; Wadood, Mufti Zubair; Ehrhardt, Derek; Safdar, Rana M; Farag, Noha

2017-12-01

Following the declaration of eradication of wild poliovirus (WPV) type 2 in September 2015, trivalent oral poliovirus vaccine (tOPV) was withdrawn globally to reduce the risk for type 2 vaccine-derived poliovirus (VDPV2) transmission; all countries implemented a synchronized switch to bivalent OPV (type 1 and 3) in April 2016 (1,2). Any isolation of VDPV2 after the switch is to be treated as a potential public health emergency and might indicate the need for supplementary immunization activities (3,4). On August 9, 2016, VDPV2 was isolated from a sewage sample taken from an environmental surveillance site in Hyderabad, Sindh province, Pakistan. Possible vaccination activities in response to VDPV2 isolation include the use of injectable inactivated polio vaccine (IPV), which poses no risk for vaccine-derived poliovirus transmission. Fractional-dose, intradermal IPV (fIPV), one fifth of the standard intramuscular dose, has been developed to more efficiently manage limited IPV supplies. fIPV has been shown in some studies to be noninferior to full-dose IPV (5,6) and was used successfully in response to a similar detection of a single VDPV2 isolate from sewage in India (7). Injectable fIPV was used for response activities in Hyderabad and three neighboring districts. This report describes the findings of an assessment of preparatory activities and subsequent implementation of the fIPV campaign. Despite achieving high coverage (>80%), several operational challenges were noted. The lessons learned from this campaign could help to guide the planning and implementation of future fIPV vaccination activities.

Evaluation of toxic risk assessment of arsenic in male subjects through drinking water in southern Sindh Pakistan.

PubMed

Baig, Jameel Ahmed; Kazi, Tasneem Gul; Shah, Abdul Qadir; Afridi, Hassan Imran; Khan, Sumaira; Kolachi, Nida Fatima; Kandhro, Ghulam Abbas; Wadhwa, Sham Kumar; Shah, Faheem

2011-11-01

The arsenic (As) hazardous quotient was estimated based on concentration of As in drinking water and scalp hair of male subjects of two age groups (n=360) consuming As contaminated water at different levels and non-contaminated drinking water. The total As concentrations in drinking water of less-exposed (LE) and high-exposed (HE) areas was found to be 3- to 30-fold higher than the permissible limit of the World Health Organization (2004) for drinking water, while the levels of As in drinking water of non-exposed (NE) areas was within the permissible limit. The levels of As in scalp hair samples of male subjects of two age groups belonging to NE, LE, and HE areas ranged from 0.01 to 0.27, 0.11-1.31, and 0.36-6.80 μg/g, respectively. A significant correlation between As contents of drinking water and As concentration in scalp hair was observed in sub-district Gambit (r=0.825-0.852, p<0.001) as compared to those subjects belonging to LE sub-district Thari Mirwah. A toxicity risk assessment provides a hazard quotient corresponding to <10 that indicates non-carcinogenic exposure risk of understudy areas.

Safe delivery and newborn care practices in Sindh, Pakistan: a community-based investigation of mothers and health workers.

PubMed

Hassan, Hamid; Jokhio, Abdul Hakeem; Winter, Heather; Macarthur, Christine

2012-08-01

to determine the prevalence of specific intrapartum practices in Sindh province, Pakistan. a cross-sectional, questionnaire based study. 6 health clinics in Mirpurkhas, Sindh province, rural Pakistan. 225 mothers and 82 health workers. outcome measures were indicators of safe delivery practices and referral following an obstetric complication. Prevalence of unhygienic and unsafe practices in deliveries attended by Traditional Birth Attendants (TBAs) was common. Deliveries by skilled attendants were significantly safer but with some failures in hygienic practices. 29% of women who had experienced an obstetric complication had not received emergency obstetric care. safe delivery practices and newborn care needs to be improved in rural Pakistan. This may be achieved by training health workers and TBAs in safe delivery practices, using safe delivery kits and with an effective referral system. Copyright © 2011 Elsevier Ltd. All rights reserved.

Gamma-emitting radionuclides in the shallow marine sediments off the Sindh coast, Arabian Sea.

PubMed

Akram, M; Qureshi, Riffat M; Ahmad, Nasir; Solaija, Tariq Jamal

2006-01-01

Determination of gamma emitting radionuclides in shallow marine sediments off the Sindh coast has been carried out using a gamma spectrometry technique. The activity concentration measured in various sediment samples off the Sindh coast has been found to vary from 15.93 +/- 5.22 to 30.53 +/- 4.70 Bq kg(-1) for 226Ra, from 11.72 +/- 1.22 to 33.94 +/- 1.86 Bq kg(-1) for 228Ra and from 295.22 +/- 32.83 to 748.47 +/- 28.75 Bq kg(-1) for 40K. The calculated mean values of radium equivalent activity, absorbed dose rate and effective dose are 98 Bq kg(-1), 49 nGy h(-1) and 0.06 mSv y(-1), respectively. No artificial radionuclide was detected in the samples measured from the study area. As no data on radioactivity of the coastal environment of Pakistan are available, the data presented here will serve as baseline information on radionuclide concentration in shallow sea sediments off the Sindh coast. The data will also be useful for tracking pollution inventories from unusual radiological events (if any) in the territorial waters of the study area. Further, the information presented will contribute to modelling of a regional radioactivity database from the perspectives of the International Atomic Energy Agency's Asia-Pacific Marine Radioactivity Database and Global Marine Radioactivity Database.

Customary Marriages in Rural Pakistan.

PubMed

Rehan, N; Qayyum, K

2017-06-01

Although the incidents of customary marriages are frequently reported in Pakistani press, yet no large scale community-based study has ever been conducted to gauge the magnitude of such marriages. The present study is the first-ever community based study on this topic. 4,385 ever-married women, aged 18-83 years, from six rural districts, were interviewed to enquire about the types of their marriages. The data was collected through interviews conducted by trained female interviewers and analysed through SPSS-20. Twelve percent marriages were the result of Vanni, Swara, Sang Chatti, Badal , Bazo i.e. to settle blood feuds; 58.7% were Watta-Satta / Pait Likhai i.e. exchange marriages and pledging a fetus; in 7.9% case bride was bought; 1.0% marriages were Badle-Sullah i.e to settle dispute other than murder and 0.1% women were married to Quran. The traditional marriages, where wishes of both families and consent of the couple to be married are also considered, constituted 20.3%. The prevalence of Vanni, Swara / Sang Chatti / Badal / Bazo was the highest in Balochistan (22-24%) followed by Sindh (5-17%) and the least in Punjab (0-4%). The other practices in Balochistan were selling the bride (10-17%), Badle-Sulah (3%) and marriage to Quran (1%). Watta Satta was most prevalent in Sindh (66-78%), where 3-13% brides were bought. In Punjab also Watta-Satta was common (44-47%), where 0.5-4% brides were bought and 0.3-3% marriages were Budle-Sullah. Since laws against these harmful customs exist but are not applied forcefully, there is a great need to create massive awareness against such customs.

Prevailing trends of climatic extremes across Indus-Delta of Sindh-Pakistan

NASA Astrophysics Data System (ADS)

Abbas, Farhat; Rehman, Iqra; Adrees, Muhammad; Ibrahim, Muhammad; Saleem, Farhan; Ali, Shafaqat; Rizwan, Muhammad; Salik, Muhammad Raza

2018-02-01

This study examines the variability and change in the patterns of climatic extremes experienced in Indus-Delta of Sindh province of Pakistan, comprising regions of Karachi, Badin, Mohenjodaro, and Rohri. The homogenized daily minimum and maximum temperature and precipitation data for a 36-year period were used to calculate 13 and 11 indices of temperature and precipitation extremes with the help of RClimDex, a program written in the statistical software package R. A non-parametric Mann-Kendall test and Sen's slope estimates were used to determine the statistical significance and magnitude of the calculated trend. Temperatures of summer days and tropical nights increased in the region with overall significant warming trends for monthly maximum temperature as well as for warm days and nights reflecting dry conditions in the study area. The warm extremes and nighttime temperature indices showed greater trends than cold extremes and daytime indices depicting an overall warming trends in the Delta. Historic decrease in the acreage of major crops and over 33% decrease in agriculture credit for Sindh are the indicators of adverse impacts of warmer and drier weather on Sindh agriculture. Trends reported for Karachi and Badin are expected to decrease rice cultivation, hatching of fisheries, and mangroves forest surrounding these cities. Increase in the prevailing temperature trends will lead to increasingly hotter and drier summers resulting to constraints on cotton, wheat, and rice yield in Rohri and Mohenjodaro areas due to increased crop water requirements that may be met with additional groundwater pumping; nonetheless, the depleted groundwater resources would have a direct impact on the region's economy.

Spatiotemporal Clustering Analysis of Malaria Infection in Pakistan.

PubMed

Umer, Muhammad Farooq; Zofeen, Shumaila; Majeed, Abdul; Hu, Wenbiao; Qi, Xin; Zhuang, Guihua

2018-06-07

Despite tremendous progress, malaria remains a serious public health problem in Pakistan. Very few studies have been done on spatiotemporal evaluation of malaria infection in Pakistan. The study aimed to detect the spatiotemporal pattern of malaria infection at the district level in Pakistan, and to identify the clusters of high-risk disease areas in the country. Annual data on malaria for two dominant species ( Plasmodium falciparum , Plasmodium vivax ) and mixed infections from 2011 to 2016 were obtained from the Directorate of Malaria Control Program, Pakistan. Population data were collected from the Pakistan Bureau of Statistics. A geographical information system was used to display the spatial distribution of malaria at the district level throughout Pakistan. Purely spatiotemporal clustering analysis was performed to identify the high-risk areas of malaria infection in Pakistan. A total of 1,593,409 positive cases were included in this study over a period of 6 years (2011⁻2016). The maximum number of P . vivax cases (474,478) were reported in Khyber Pakhtunkhwa (KPK). The highest burden of P . falciparum (145,445) was in Balochistan, while the highest counts of mixed Plasmodium cases were reported in Sindh (22,421) and Balochistan (22,229), respectively. In Balochistan, incidence of all three types of malaria was very high. Cluster analysis showed that primary clusters of P . vivax malaria were in the same districts in 2014, 2015 and 2016 (total 24 districts, 12 in Federally Administered Tribal Areas (FATA), 9 in KPK, 2 in Punjab and 1 in Balochistan); those of P . falciparum malaria were unchanged in 2012 and 2013 (total 18 districts, all in Balochistan), and mixed infections remained the same in 2014 and 2015 (total 7 districts, 6 in Balochistan and 1 in FATA). This study indicated that the transmission cycles of malaria infection vary in different spatiotemporal settings in Pakistan. Efforts in controlling P . vivax malaria in particular need to be enhanced in high-risk areas. Based on these findings, further research is needed to investigate the impact of risk factors on transmission of malaria in Pakistan.

Future risk assessment by estimating historical heat wave trends with projected heat accumulation using SimCLIM climate model in Pakistan

NASA Astrophysics Data System (ADS)

Nasim, Wajid; Amin, Asad; Fahad, Shah; Awais, Muhammad; Khan, Naeem; Mubeen, Muhammad; Wahid, Abdul; Turan, Veysel; Rehman, Muhammad Habibur; Ihsan, Muhammad Zahid; Ahmad, Shakeel; Hussain, Sajjad; Mian, Ishaq Ahmad; Khan, Bushra; Jamal, Yousaf

2018-06-01

Climate change has adverse effects at global, regional and local level. Heat wave events have serious contribution for global warming and natural hazards in Pakistan. Historical (1997-2015) heat wave were analyzed over different provinces (Punjab, Sindh and Baluchistan) of Pakistan to identify the maximum temperature trend. Heat accumulation in Pakistan were simulated by the General Circulation Model (GCM) combined with 3 GHG (Green House Gases) Representative Concentration Pathways (RCPs) (RCP-4.5, 6.0, and 8.5) by using SimCLIM model (statistical downscaling model for future trend projections). Heat accumulation was projected for year 2030, 2060, and 2090 for seasonal and annual analysis in Pakistan. Heat accumulation were projected to increase by the baseline year (1995) was represented in percentage change. Projection shows that Sindh and southern Punjab was mostly affected by heat accumulation. This study identified the rising trend of heat wave over the period (1997-2015) for Punjab, Sindh and Baluchistan (provinces of Pakistan), which identified that most of the meteorological stations in Punjab and Sindh are highly prone to heat waves. According to model projection; future trend of annual heat accumulation, in 2030 was increased 17%, 26%, and 32% but for 2060 the trends were reported by 54%, 49%, and 86% for 2090 showed highest upto 62%, 75%, and 140% for RCP-4.5, RCP-6.0, and RCP-8.5, respectively. While seasonal trends of heat accumulation were projected to maximum values for monsoon and followed by pre-monsoon and post monsoon. Heat accumulation in monsoon may affect the agricultural activities in the region under study.

Effects of baby-friendly hospital initiative on breast-feeding practices in sindh.

PubMed

Khan, Mahjabeen; Akram, Durre Samin

2013-06-01

To determine changes in the breastfeeding practices of mothers after receiving counseling on 'Ten Steps to Successful Breastfeeding' as defined by the Baby Friendly Hospital Initiative comparing baby friendly hospitals (BFHs) and non-baby-friendly hospitals in Sindh, Pakistan. The observational study was conducted from June 2007 to June 2009 in randomly selected baby-friendly and non-baby-friendly hospitals of Sindh, Pakistan. Non-probability purposive sampling was employed.The maternity staff was trained on 'Ten Steps to Successful Breastfeeding.'The changes in breastfeeding practices were analysed by SPSS version 15. A total of 236 women were included in the study. Of them, 196 (83.05%) were from baby-friendly hospitals and 40 (16.94%) from non-baby-friendly hospitals. Besides, 174 (88.7%) mothers in baby-friendly hospitals and 5 (12.5%) in non-baby-friendly hospitals during antenatal care received counseling by healthcare providers.There was an increase in breastfeeding practice up to 194 (98.97%) in the first category compared to 12 (30%) in the other category. Counseling under the Baby Friendly Hospital Initiative improved breastfeeding practices up to 98.97% in baby-friendly compared to non-baby-friendly hospitals.

Causative factors of cost overrun in highway projects of Sindh province of Pakistan

NASA Astrophysics Data System (ADS)

Sohu, S.; Halid, A.; Nagapan, S.; Fattah, A.; Latif, I.; Ullah, K.

2017-11-01

Cost overrun is an increase of cost of project from approved budget which was signed by parties at the time of tender. Cost overrun in construction of highway projects is a common problem worldwide and construction industry of Pakistan is also facing this crucial problem of cost overrun in highway projects of Pakistan. The main objective of this research is to identify the causative factors of cost overrun in highway projects of Sindh province of Pakistan. A well designed questionnaire was developed based on 64 common factors of cost overrun from literature review. Developed questionnaire was distributed among selected 30 experts from owner/client, designer/consultant and contractor who have experience more than 20 years’ experience in highway projects. The collected data was statistical analyzed. After analysis results showed that delay process in payment by client, inadequate planning, client interference, poor contract management, delay of decision making, change of scope of project and financial problems faced by client were most causative factors of cost overrun in highway projects. This research will provide alertness to stakeholders of highway projects of Sindh province to avoid cost overrun in projects.

Prevalence of head lice and hygiene practices among women over twelve years of age in Sindh, Balochistan, and North West Frontier Province: National Health Survey of Pakistan, 1990-1994.

PubMed

Mahmud, Sadia; Pappas, Gregory; Hadden, Wilbur C

2011-02-02

Head lice infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of head lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of head lice in adult women in Pakistan. In this paper we use data from the NHSP to present an epidemiological profile of personal hygiene practices and head lice infestation among women aged 12 years or older in three provinces of Pakistan; Balochistan, Sindh and North West Frontier Province (NWFP). Overall about 7% women aged 12 years and older suffered from head lice infestation. Multivariable logistic regression analysis identified factors independently associated with presence of head lice. Age less than 16 years and crowding at home were associated with higher infestation-rates. The impact of household socio-economic status on infestation rates among women was different in urban and rural settings; urban women with low socio-economic status were more vulnerable than similar women in rural settings. Bathing infrequently in summer was associated with higher prevalence rates only in Sindh, possibly due to the fact that among the three provinces Sindh has a hotter and more humid summer. The results of our analysis of NHSP indicate high levels of head lice infestation among girls and women in the three Provinces. The epidemiological profile of hygienic practices of women indicated that NWFP and Balochistan as compared to Sindh, and rural as compared to urban areas were less developed with respect to access to water supply and soap for maintaining personal hygiene. Simple and cost-effective measures such as provision of water and soap, and improving awareness regarding maintaining personal hygiene can contribute significantly towards improving public health status of the women in Pakistan.

Prevalence of head lice and hygiene practices among women over twelve years of age in Sindh, Balochistan, and North West Frontier Province: National Health Survey of Pakistan, 1990-1994

PubMed Central

2011-01-01

Background Head lice infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of head lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of head lice in adult women in Pakistan. In this paper we use data from the NHSP to present an epidemiological profile of personal hygiene practices and head lice infestation among women aged 12 years or older in three provinces of Pakistan; Balochistan, Sindh and North West Frontier Province (NWFP). Results Overall about 7% women aged 12 years and older suffered from head lice infestation. Multivariable logistic regression analysis identified factors independently associated with presence of head lice. Age less than 16 years and crowding at home were associated with higher infestation-rates. The impact of household socio-economic status on infestation rates among women was different in urban and rural settings; urban women with low socio-economic status were more vulnerable than similar women in rural settings. Bathing infrequently in summer was associated with higher prevalence rates only in Sindh, possibly due to the fact that among the three provinces Sindh has a hotter and more humid summer. Conclusions The results of our analysis of NHSP indicate high levels of head lice infestation among girls and women in the three Provinces. The epidemiological profile of hygienic practices of women indicated that NWFP and Balochistan as compared to Sindh, and rural as compared to urban areas were less developed with respect to access to water supply and soap for maintaining personal hygiene. Simple and cost-effective measures such as provision of water and soap, and improving awareness regarding maintaining personal hygiene can contribute significantly towards improving public health status of the women in Pakistan. PMID:21288357

Impact of social franchising on contraceptive use when complemented by vouchers: a quasi-experimental study in rural Pakistan.

PubMed

Azmat, Syed Khurram; Khurram Azmat, Syed; Shaikh, Babar Tasneem; Tasneem Shaikh, Babar; Hameed, Waqas; Mustafa, Ghulam; Hussain, Wajahat; Asghar, Jamshaid; Ishaque, Muhammad; Ahmed, Aftab; Bilgrami, Mohsina

2013-01-01

Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society - a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan. We used a quasi-experimental study design with controls, selecting one intervention district and one control district from the Sindh and Punjab provinces. In each district, we chose a total of four service providers. A baseline survey was carried out among 4,992 married women of reproductive age (MWRA) in February 2009. Eighteen months after the start of intervention, an independent endline survey was conducted among 4,003 women. We used multilevel logistic regression for analysis using Stata 11. Social franchising used alongside free vouchers for long term contraceptive choices significantly increased the awareness of modern contraception. Awareness increased by 5% in the intervention district. Similarly, the ever use of modern contraceptive increased by 28.5%, and the overall contraceptive prevalence rate increased by 19.6%. A significant change (11.1%) was recorded in the uptake of IUCDs, which were being promoted with vouchers. Family planning franchise model promotes awareness and uptake of contraceptives. Moreover, supplemented with vouchers, it may enhance the use of IUCDs, which have a significant cost attached. Our research also supports a multi-pronged approach- generating demand through counselling, overcoming financial constraints by offering vouchers, training, accreditation and branding of the service providers, and ensuring uninterrupted contraceptive supplies.

Impact of Social Franchising on Contraceptive Use When Complemented by Vouchers: A Quasi-Experimental Study in Rural Pakistan

PubMed Central

Khurram Azmat, Syed; Tasneem Shaikh, Babar; Hameed, Waqas; Mustafa, Ghulam; Hussain, Wajahat; Asghar, Jamshaid; Ishaque, Muhammad; Ahmed, Aftab; Bilgrami, Mohsina

2013-01-01

Background Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society – a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan. Methodology We used a quasi-experimental study design with controls, selecting one intervention district and one control district from the Sindh and Punjab provinces. In each district, we chose a total of four service providers. A baseline survey was carried out among 4,992 married women of reproductive age (MWRA) in February 2009. Eighteen months after the start of intervention, an independent endline survey was conducted among 4,003 women. We used multilevel logistic regression for analysis using Stata 11. Results Social franchising used alongside free vouchers for long term contraceptive choices significantly increased the awareness of modern contraception. Awareness increased by 5% in the intervention district. Similarly, the ever use of modern contraceptive increased by 28.5%, and the overall contraceptive prevalence rate increased by 19.6%. A significant change (11.1%) was recorded in the uptake of IUCDs, which were being promoted with vouchers. Conclusion Family planning franchise model promotes awareness and uptake of contraceptives. Moreover, supplemented with vouchers, it may enhance the use of IUCDs, which have a significant cost attached. Our research also supports a multi-pronged approach- generating demand through counselling, overcoming financial constraints by offering vouchers, training, accreditation and branding of the service providers, and ensuring uninterrupted contraceptive supplies. PMID:24069287

DNA barcoding of Bemisia tabaci complex (Hemiptera: Aleyrodidae) reveals southerly expansion of the dominant whitefly species on cotton in Pakistan.

PubMed

Ashfaq, Muhammad; Hebert, Paul D N; Mirza, M Sajjad; Khan, Arif M; Mansoor, Shahid; Shah, Ghulam S; Zafar, Yusuf

2014-01-01

Although whiteflies (Bemisia tabaci complex) are an important pest of cotton in Pakistan, its taxonomic diversity is poorly understood. As DNA barcoding is an effective tool for resolving species complexes and analyzing species distributions, we used this approach to analyze genetic diversity in the B. tabaci complex and map the distribution of B. tabaci lineages in cotton growing areas of Pakistan. Sequence diversity in the DNA barcode region (mtCOI-5') was examined in 593 whiteflies from Pakistan to determine the number of whitefly species and their distributions in the cotton-growing areas of Punjab and Sindh provinces. These new records were integrated with another 173 barcode sequences for B. tabaci, most from India, to better understand regional whitefly diversity. The Barcode Index Number (BIN) System assigned the 766 sequences to 15 BINs, including nine from Pakistan. Representative specimens of each Pakistan BIN were analyzed for mtCOI-3' to allow their assignment to one of the putative species in the B. tabaci complex recognized on the basis of sequence variation in this gene region. This analysis revealed the presence of Asia II 1, Middle East-Asia Minor 1, Asia 1, Asia II 5, Asia II 7, and a new lineage "Pakistan". The first two taxa were found in both Punjab and Sindh, but Asia 1 was only detected in Sindh, while Asia II 5, Asia II 7 and "Pakistan" were only present in Punjab. The haplotype networks showed that most haplotypes of Asia II 1, a species implicated in transmission of the cotton leaf curl virus, occurred in both India and Pakistan. DNA barcodes successfully discriminated cryptic species in B. tabaci complex. The dominant haplotypes in the B. tabaci complex were shared by India and Pakistan. Asia II 1 was previously restricted to Punjab, but is now the dominant lineage in southern Sindh; its southward spread may have serious implications for cotton plantations in this region.

Knowledge, attitudes and practices (KAP) relating to brucellosis in smallholder dairy farmers in two provinces in Pakistan

PubMed Central

Arif, Shumaila; Thomson, Peter C.; Hernandez-Jover, Marta; McGill, David M.; Warriach, Hassan Mahmood; Heller, Jane

2017-01-01

The present study aimed to assess the extent of knowledge and understanding of brucellosis in smallholder dairy farmers and identify practices at the farm and household level that might pose a risk for humans contracting brucellosis. Between February and June 2015 a cross-sectional study was conducted among smallholder farms (n = 420) in five districts of Punjab and two districts of Sindh province. Farmers were interviewed using a questionnaire to obtain information on farmers’ knowledge about brucellosis and the potential risks for contracting the disease that are present for dairy farmers and their families. Logistic regression and ordinal logistic models were used to investigate potential predictors for risky behaviours. The results show almost all farmers (97%) were not aware of the modes of transmission of brucellosis. Relating to risk, the majority (66%) of the farmers’ families were reported to consume raw milk and its products, live in shared housing with animals (49%) and not cover hand cuts during contact with animals (74%). All farmers performed at least one risky practice on a regular basis for brucellosis transmission from animal to human. A multivariable analysis highlighted that the respondents with no formal education and those who had not heard of the disease displayed greater risky behaviour. Poor understanding of the disease, presence of multiple risky practices on farm and at the household, and incorrect perception supports the need for an educational awareness program in order to ensure uptake of improved practices. PMID:28301498

Knowledge, attitudes and practices (KAP) relating to brucellosis in smallholder dairy farmers in two provinces in Pakistan.

PubMed

Arif, Shumaila; Thomson, Peter C; Hernandez-Jover, Marta; McGill, David M; Warriach, Hassan Mahmood; Heller, Jane

2017-01-01

The present study aimed to assess the extent of knowledge and understanding of brucellosis in smallholder dairy farmers and identify practices at the farm and household level that might pose a risk for humans contracting brucellosis. Between February and June 2015 a cross-sectional study was conducted among smallholder farms (n = 420) in five districts of Punjab and two districts of Sindh province. Farmers were interviewed using a questionnaire to obtain information on farmers' knowledge about brucellosis and the potential risks for contracting the disease that are present for dairy farmers and their families. Logistic regression and ordinal logistic models were used to investigate potential predictors for risky behaviours. The results show almost all farmers (97%) were not aware of the modes of transmission of brucellosis. Relating to risk, the majority (66%) of the farmers' families were reported to consume raw milk and its products, live in shared housing with animals (49%) and not cover hand cuts during contact with animals (74%). All farmers performed at least one risky practice on a regular basis for brucellosis transmission from animal to human. A multivariable analysis highlighted that the respondents with no formal education and those who had not heard of the disease displayed greater risky behaviour. Poor understanding of the disease, presence of multiple risky practices on farm and at the household, and incorrect perception supports the need for an educational awareness program in order to ensure uptake of improved practices.

Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan.

PubMed

Broughton, Edward Ivor; Hameed, Waqas; Gul, Xaher; Sarfraz, Shabnum; Baig, Imam Yar; Villanueva, Monica

2017-01-01

This study reports on the effectiveness and efficiency from the program funder's perspective of the Suraj Social Franchise (SSF) voucher program in which private health-care providers in remote rural areas were identified, trained, upgraded, and certified to deliver family planning services to underserved women of reproductive age in 29 districts of Sindh and 3 districts of Punjab province, Pakistan between October 2013 and June 2016. A decision tree compared the cost of implementing SSF to the program funder and its effects of providing additional couple years of protection (CYPs) to targeted women, compared to business-as-usual. Costs included vouchers given to women to receive a free contraceptive method of their choice from the SSF provider. The vouchers were then reimbursed to the SSF provider by the program. A total of 168,206 married women of reproductive age (MWRA) received SSF vouchers between October 2013 and June 2016, costing $3,278,000 ($19.50/recipient). The average effectiveness of the program per voucher recipient was an additional 1.66 CYPs, giving an incremental cost-effectiveness of the program of $4.28 per CYP compared to not having the program (95% CI: $3.62-5.31). The result compares favorably to other interventions with similar objectives and appears affordable for the Pakistan national health-care system. It is therefore recommended to help address the unmet need for contraception among MWRA in these areas of Pakistan and is worthy of trial implementation in the country more widely.

Multilocus enzyme electrophoresis and cytochrome B gene sequencing-based identification of Leishmania isolates from different foci of cutaneous leishmaniasis in Pakistan.

PubMed

Marco, Jorge D; Bhutto, Abdul M; Soomro, Farooq R; Baloch, Javed H; Barroso, Paola A; Kato, Hirotomo; Uezato, Hiroshi; Katakura, Ken; Korenaga, Masataka; Nonaka, Shigeo; Hashiguchi, Yoshihisa

2006-08-01

Seventeen Leishmania stocks isolated from cutaneous lesions of Pakistani patients were studied by multilocus enzyme electrophoresis and by polymerase chain reaction amplification and sequencing of the cytochrome b (Cyt b) gene. Eleven stocks that expressed nine zymodemes were assigned to L. (Leishmania) major. All of them were isolated from patients in the lowlands of Larkana district and Sibi city in Sindh and Balochistan provinces, respectively. The remaining six, distributed in two zymodemes (five and one), isolated from the highland of Quetta city, Balochistan, were identified as L. (L.) tropica. The same result at species level was obtained by the Cyt b sequencing for all the stocks examined. No clear-cut association between the clinical features (wet or dry type lesions) and the Leishmania species involved was found. Leishmania (L.) major was highly polymorphic compared with L. (L.) tropica. This difference may be explained by the fact that humans may act as a sole reservoir of L. (L.) tropica in anthroponotic cycles; however, many wild mammals can be reservoirs of L. (L.) major in zoonotic cycles.

A mixed methods study to assess the effectiveness of food-based interventions to prevent stunting among children under-five years in Districts Thatta and Sujawal, Sindh Province, Pakistan: study protocol.

PubMed

Kureishy, Sumra; Khan, Gul Nawaz; Arrif, Shabina; Ashraf, Khizar; Cespedes, Angela; Habib, Muhammad Atif; Hussain, Imtiaz; Ullah, Asmat; Turab, Ali; Ahmed, Imran; Zaidi, Shehla; Soofi, Sajid Bashir

2017-01-05

Maternal and child malnutrition is widely prevalent in low and middle income countries. In Pakistan, widespread food insecurity and malnutrition are the main contributors to poor health, low survival rates and the loss of human capital development. The nutritional status trends among children exhibit a continuous deteriorating with rates of malnutrition exceeding the WHO critical threshold. With the high prevalence of maternal and child malnutrition, it is important to identify effective preventative approaches, especially for reducing stunting in children under-five years of age. The primary aim of this study is to assess the effectiveness of food-based interventions to prevent stunting in children under-five years. A mixed methods study design will be conducted to evaluate the effectiveness of food-based interventions to prevent stunting among children under-five years in districts Thatta and Sujawal, Sindh Province, Pakistan. The study will include cross sectional surveys, a community-based cluster randomized controlled trial and a process evaluation. The study participants will be pregnant women, lactating mothers and children under-five years. The cross-sectional surveys will be conducted with 7360 study participants at baseline and endline. For the randomized control trial, 5000 participants will be recruited and followed monthly for compliance of food-based supplements, dietary diversity, pregnancy outcomes, and maternal and child morbidity and mortality. Anthropometric measurements and hemoglobin levels will be measured at baseline, quarterly and at endline. The interventions will consist of locally produced lipid-based nutrient supplement (Wawamum) for children 6-23 months, micronutrient powders for children 24-59 months, and wheat soya blends for pregnant and lactating mothers. Government lady health workers will deliver interventions to participants. The effectiveness of the project will be measured in terms of the impact of the proposed interventions on stunting, nutritional status, micronutrient deficiencies, and other key indicators of the participants. The process evaluation will assess the acceptability, feasibility and potential barriers of project implementation through focus group discussions, key informant interviews and household surveys. Data analysis will be conducted using STATA version 12. There is considerable evidence on the effectiveness of food-based interventions in managing stunting in developing countries. However, these studies do not account for the local environmental factors and widespread nutrient deficiencies in Pakistan. These studies are often conducted in controlled environments, where the results cannot be generalized to programs operating under field conditions. The findings of this study will provide sufficient evidence to develop policies and programs aimed to prevent stunting in children 6-59 months and to improve maternal and child health and growth outcomes in poor resource settings. NCT02422953 . Registered on April 15, 2015.

Health care provider knowledge and routine management of pre-eclampsia in Pakistan.

PubMed

Sheikh, Sana; Qureshi, Rahat Najam; Khowaja, Asif Raza; Salam, Rehana; Vidler, Marianne; Sawchuck, Diane; von Dadelszen, Peter; Zaidi, Shujat; Bhutta, Zulfiqar

2016-09-30

Maternal mortality ratio is 276 per 100,000 live births in Pakistan. Eclampsia is responsible for one in every ten maternal deaths despite the fact that management of this disease is inexpensive and has been available for decades. Many studies have shown that health care providers in low and middle-income countries have limited training to manage patients with eclampsia. Hence, we aimed to explore the knowledge of different cadres of health care providers regarding aetiology, diagnosis and treatment of pre-eclampsia and eclampsia and current management practices. We conducted a mixed method study in the districts of Hyderabad and Matiari in Sindh province, Pakistan. Focus group discussions and interviews were conducted with community health care providers, which included Lady Health Workers and their supervisors; traditional birth attendants and facility care providers. In total seven focus groups and 26 interviews were conducted. NVivo 10 was used for analysis and emerging themes and sub-themes were drawn. All participants were providing care for pregnant women for more than a decade except one traditional birth attendant and two doctors. The most common cause of pre-eclampsia mentioned by community health care providers was stress of daily life: the burden of care giving, physical workload, short birth spacing and financial constraints. All health care provider groups except traditional birth attendants correctly identified the signs, symptoms, and complications of pre-eclampsia and eclampsia and were referring such women to tertiary health facilities. Only doctors were aware that magnesium sulphate is recommended for eclampsia management and prevention; however, they expressed fears regarding its use at first and secondary level health facilities. This study found several gaps in knowledge regarding aetiology, diagnosis and treatment of pre-eclampsia among health care providers in Sindh. Findings suggest that lesser knowledge regarding management of pre-eclampsia is due to lack of refresher trainings and written guidelines for management of pre-eclampsia and presentation of fewer pre-eclamptic patients at first and secondary level health care facilities. We suggest to include management of pre-eclampsia in regular trainings of health care providers and to provide management protocols at all health facilities. NCT01911494.

Estimation of Land Surface Temperature for the Quantitative Analysis of Land Cover of Lower Areas of Sindh to Assess the Impacts of Climate Variability

NASA Astrophysics Data System (ADS)

Qaisar, Maha

2016-07-01

Due to the present land use practices and climate variability, drastic shifts in regional climate and land covers are easily seen and their future reduction and gain are too well predicted. Therefore, there is an increasing need for data on land-cover changes at narrow and broad spatial scales. In this study, a remote sensing-based technique for land-cover-change analysis is applied to the lower Sindh areas for the last decade. Landsat satellite products were analyzed on an alternate yearly basis, from 1990 to 2016. Then Land-cover-change magnitudes were measured and mapped for alternate years. Land Surface Temperature (LST) is one of the critical elements in the natural phenomena of surface energy and water balance at local and global extent. However, LST was computed by using Landsat thermal bands via brightness temperature and a vegetation index. Normalized difference vegetation index (NDVI) was interpreted and maps were achieved. LST reflected NDVI patterns with complexity of vegetation patterns. Along with this, Object Based Image Analysis (OBIA) was done for classifying 5 major classes of water, vegetation, urban, marshy lands and barren lands with significant map layouts. Pakistan Meteorological Department provided the climate data in which rainfall, temperature and air temperature are included. Once the LST and OBIA are performed, overlay analysis was done to correlate the results of LST with OBIA and LST with meteorological data to ascertain the changes in land covers due to increasing centigrade of LST. However, satellite derived LST was also correlated with climate data for environmental analysis and to estimate Land Surface Temperature for assessing the inverse impacts of climate variability. This study's results demonstrate the land-cover changes in Lower Areas of Sindh including the Indus Delta mostly involve variations in land-cover conditions due to inter-annual climatic variability and temporary shifts in seasonality. However it is too concluded that transitory alteration of the biophysical characteristics of the surface driven by variations in rainfall is the prevailing progression. Moreover, future work will focus on finer-scale analysis and validations of patterns of changes due to rapid urbanization and population explosion in poverty stricken areas of Sindh which are posing an adverse impact on the land utilization and in turn increasing the land surface temperature and ultimately more stress on the low lying areas of Sindh i.e. Indus Delta will be losing its productivity and capacity to bear biodiversity whether the fauna or flora. Hence, this regional scale problem will become a global concern. Therefore, it is needed to stop the menace in its starting phase to mitigate the problem and to bring minds on this horrendous situation.

DNA Barcoding of Bemisia tabaci Complex (Hemiptera: Aleyrodidae) Reveals Southerly Expansion of the Dominant Whitefly Species on Cotton in Pakistan

PubMed Central

Ashfaq, Muhammad; Hebert, Paul D. N.; Mirza, M. Sajjad; Khan, Arif M.; Mansoor, Shahid; Shah, Ghulam S.; Zafar, Yusuf

2014-01-01

Background Although whiteflies (Bemisia tabaci complex) are an important pest of cotton in Pakistan, its taxonomic diversity is poorly understood. As DNA barcoding is an effective tool for resolving species complexes and analyzing species distributions, we used this approach to analyze genetic diversity in the B. tabaci complex and map the distribution of B. tabaci lineages in cotton growing areas of Pakistan. Methods/Principal Findings Sequence diversity in the DNA barcode region (mtCOI-5′) was examined in 593 whiteflies from Pakistan to determine the number of whitefly species and their distributions in the cotton-growing areas of Punjab and Sindh provinces. These new records were integrated with another 173 barcode sequences for B. tabaci, most from India, to better understand regional whitefly diversity. The Barcode Index Number (BIN) System assigned the 766 sequences to 15 BINs, including nine from Pakistan. Representative specimens of each Pakistan BIN were analyzed for mtCOI-3′ to allow their assignment to one of the putative species in the B. tabaci complex recognized on the basis of sequence variation in this gene region. This analysis revealed the presence of Asia II 1, Middle East-Asia Minor 1, Asia 1, Asia II 5, Asia II 7, and a new lineage “Pakistan”. The first two taxa were found in both Punjab and Sindh, but Asia 1 was only detected in Sindh, while Asia II 5, Asia II 7 and “Pakistan” were only present in Punjab. The haplotype networks showed that most haplotypes of Asia II 1, a species implicated in transmission of the cotton leaf curl virus, occurred in both India and Pakistan. Conclusions DNA barcodes successfully discriminated cryptic species in B. tabaci complex. The dominant haplotypes in the B. tabaci complex were shared by India and Pakistan. Asia II 1 was previously restricted to Punjab, but is now the dominant lineage in southern Sindh; its southward spread may have serious implications for cotton plantations in this region. PMID:25099936

Does the antenatal care visit represent a missed opportunity for increasing contraceptive use in Pakistan? An analysis of household survey data from Sindh province.

PubMed

Agha, Sohail; Williams, Emma

2016-04-01

During the last two decades, the use of maternal health services has increased dramatically in Pakistan, with nearly 80% of Pakistani women making an antenatal care (ANC) visit during their pregnancy. Yet, this increase in use of modern health services has not translated into significant increases in the adoption of contraception. Even though Pakistan has had a national family planning programme and policies since the 1950s, contraceptive use has increased slowly to reach only 35% in 2012-13. No evidence is currently available to demonstrate whether the utilization of maternal health services is associated with contraceptive adoption in Pakistan. This study uses data from a large-scale survey conducted in Sindh province in 2013 to examine whether ANC utilization is a significant predictor of subsequent contraceptive use among women. In an analysis which controls for a range of variables known to be important for family planning adoption, the findings show that ANC is the strongest predictor of subsequent family planning use among women in Sindh. The antenatal visit represents an enormous opportunity to promote the adoption of family planning in Pakistan. The family planning programme should ensure that high-quality family planning counselling is provided to women during their ANC visits. This approach has the potential for contributing to substantial increases in contraceptive use in Pakistan. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Measles cases among adolescents in southern Pakistan 2012-2015: The case for revisiting vaccination strategies.

PubMed

Shakoor, Sadia; Khan, Erum; Rajput, Muhammad Imran; Rahimoon, Wali Muhammad

2017-07-03

Surveillance of adult measles in Pakistan is a challenge as it does not enjoy the status of a reportable disease unlike childhood cases and therefore cases remain undetected and unreported or misdiagnosed. Consequently no data or estimates of young adult cases, seroprevalence, or estimates of susceptible preadolescent or young adult population exist. We have presented both laboratory conformed and clinically suspected cases of measles occurring in adolescents and adults in the southern province of Sindh in Pakistan. Through an examination of 2 independent databases, i.e. a laboratory database of measles IgM positive cases and clinically detected cases on surveillance performed by the Disease Early Warning System, we have analyzed and reported age-specific positivity rates from 2012 to 2015 in Sindh, Pakistan. High rates of laboratory confirmed measles were observed in those aged 9 y and younger. Among adolescents and adults, significantly higher positivity rates were observed among those aged 10-19 y. Clinically detected cases from Sindh showed similar distribution of cases. High burden of cases among children <9 y of age confirm that supplementary immunization activities (SIAs) among this age group are inadequate and need to be strengthened. Cases among those 10-19 y further demonstrate the need for consolidating SIAs with an additional strategy to vaccinate those who remain non-immune at college entry and in institutions where outbreaks can be prevented. Such measures are essential to achieving the goal of measles elimination in the country and region.

Contractors perspective for critical factors of cost overrun in highway projects of Sindh, Pakistan

NASA Astrophysics Data System (ADS)

Sohu, Samiullah; Abdullah, Abd Halid; Nagapan, Sasitharan; Fattah, Abdul; Ullah, Kaleem; Kumar, Kanesh

2017-10-01

Construction industry of Pakistan is creating a number of opportunities in employment as well as plays a role model for economy development of the country. This construction industry has a serious issue of cost overrun in all construction projects especially in construction of highway projects. Cost overrun is a serious and critical issue in construction of highway projects which gives negative impact to construction practitioners because it is not only cross the approved budget but also approved time of the project. The main objective of this study is to find out critical factors causing cost overrun in highway projects of Sindh according to contractors' perspectives. Deep literature review was carried out and a total of 64 factors of cost overrun were identified. To achieve the objective, a questionnaire was designed and distributed among 16 selected respondents who have more than 20 years of experience in construction of highway projects. The results from analysis found that most critical factors of cost overrun in the order of importance include financial and cash flow difficulties faced by contractor, frequent changes in design, changes in price of materials, poor planning by client, change in scope of project, change in specification of materials and delay in taking decisions. This study will assist contractors to narrow down some of the critical factors that would lead to cost overrun, and therefore be prepared with the ways to mitigate these problems in construction of highway projects of Sindh province.

NASA MISR Tracks Massive Flooding in Pakistan

NASA Image and Video Library

2010-08-18

In late July 2010, flooding caused by heavy monsoon rains began in several regions of Pakistan, including the Khyber Pakhtunkhwa, Sindh, Punjab and parts of Baluchistan. This image was acquired by NASA Terra spacecraft on August 11, 2010.

The Dwarfs of Sindh: severe growth hormone (GH) deficiency caused by a mutation in the GH-releasing hormone receptor gene.

PubMed

Baumann, G; Maheshwari, H

1997-11-01

We report the discovery of a cluster of severe familial dwarfism in two villages in the Province of Sindh in Pakistan. Dwarfism is proportionate and occurs in members of a kindred with a high degree of consanguinity. Only the last generation is affected, with the oldest dwarf being 28 years old. The mode of inheritance is autosomal recessive. Phenotype analysis and endocrine testing revealed isolated growth hormone deficiency (GHD) as the reason for growth failure. Linkage analysis for the loci of several candidate genes yielded a high lod score for the growth hormone-releasing hormone receptor (GHRH-R) locus on chromosome 7. Amplification and sequencing of the GHRH-R gene in affected subjects demonstrated an amber nonsense mutation (GAG-->TAG; Glu50-->Stop) in exon 3. The mutation, in its homozygous form, segregated 100% with the dwarf phenotype. It predicts a truncation of the GHRH-R in its extracellular domain, which is likely to result in a severely disabled or non-existent receptor protein. Subjects who are heterozygous for the mutation show mild biochemical abnormalities in the growth hormone-releasing hormone (GHRH)--growth hormone--insulin-like growth factor axis, but have only minimal or no growth retardation. The occurrence of an offspring of two dwarfed parents indicates that the GHRH-R is not necessary for fertility in either sex. We conclude that Sindh dwarfism is caused by an inactivating mutation in the GHRH-R gene, resulting in the inability to transmit a GHRH signal and consequent severe isolated GHD.

Evaluating The Risk Of Osteoporosis Through Bone Mass Density.

PubMed

Sayed, Sayeeda Amber; Khaliq, Asif; Mahmood, Ashar

2016-01-01

Osteoporosis is a bone disorder, characterized by loss of bone mass density. Osteoporosis affects more than 30% of post-menopausal women. Osteoporosis is often associated with restricted body movement, pain and joint deformities. Early identification and early intervention can help in reducing these complications. The primary objective of this study was to estimate the burden of Osteoporosis in Urban setting of Sindh among women of different age groups and to access the effect of different protective measures that can reduce the risk of Osteoporosis. In this study, 500 women's of 3 major cities of Sindh were approached by non-probability convenience sampling technique. Women bearing age 20 years or more were included. Women who fall under inclusion criteria were screened for BMD (Bone mineral density) test and were classified as Healthy, Osteopenic and Osteoporotic based on their T-score. The association of different protective measures and risk of osteoporosis was assessed by prevalence relative risk (PRR). The result of this study indicate that the burden of Osteoporosis is very high among the women of Sindh, only 17.4% (84) women were found to have normal BMD score. The life style of majority of women was sedentary. The PRR calculated for Exposure to sunlight, regular exercise, and use of nutritional supplement was 12.5, 5.19 and 2.72 folds respectively. The results of study reveal that exposure to sunlight, regular physical exercise and use of nutritional supplements found to be effective in reducing the risk of osteoporosis among women of all age group. Health education and promotion toward osteoporosis prevention can significantly contribute in reducing the morbidity of osteoporosis.

ASTER Captures New Image of Pakistan Flooding

NASA Image and Video Library

2010-08-20

NASA Terra spacecraft captured this cloud-free image over the city of Sukkur, Pakistan, on Aug. 18, 2010. Sukkur, located in southeastern Pakistan Sindh Province, is visible as the grey, urbanized area in the lower left center of the image.

Correlation of respiratory symptoms and spirometric lung patterns in a rural community setting, Sindh, Pakistan: a cross sectional survey

PubMed Central

2012-01-01

Background Symptom-based questionnaires can be a cost effective tool enabling identification and diagnosis of patients with respiratory illnesses in resource limited setting. This study aimed to determine the correlation of respiratory symptoms and spirometric lung patterns and validity of ATS respiratory questionnaire in a rural community setting. Methods This cross sectional survey was conducted between January – March 2009 on a sample of 200 adults selected from two villages of district Khairpur, Sindh, Pakistan. A modified version of the American thoracic society division of lung disease questionnaire was used to record the presence of respiratory symptoms. Predicted lung volumes i.e. forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and their ratio (FEV1/FVC) were recorded using portable spirometer. Results In the study sample there were 91 (45.5%) males and 109 (54.5%) females with overall mean age of 34 years (±11.69). Predominant respiratory symptom was phlegm (19%) followed by cough (17.5%), wheeze (14%) and dyspnea (10.5%). Prevalence of physician diagnosed and self-reported asthma was 5.5% and 9.5% respectively. Frequency of obstructive pattern on spirometry was 28.72% and that of restrictive pattern was 19.68%. After adjustment for age, gender, socioeconomic status, spoken dialect, education, smoking status, height, weight and arsenic in drinking water, FVC was significantly reduced for phlegm (OR 3.01; 95% CI: 1.14 – 7.94), wheeze (OR 7.22; 95% CI: 2.52 – 20.67) and shortness of breath (OR 4.91; 95% CI: 1.57 – 15.36); and FEV1 was significantly reduced for cough (OR 2.69; 95% CI: 1.12 – 6.43), phlegm (OR 3.01; 95% CI: 1.26 – 7.16) and wheeze (OR 10.77; 95% CI: 3.45 – 33.6). Presence of respiratory symptoms was significantly associated with restrictive and/or obstructive patterns after controlling for confounders. Similar findings were observed through linear regression where respiratory symptoms were found to be significantly associated with decrements in lung volumes. Specificity and positive predictive values were found to be higher for all the symptoms compared to sensitivity and negative predictive values. Conclusion Symptoms based respiratory questionnaires are a valuable tool for screening of respiratory symptoms in resource poor, rural community setting. PMID:23249311

Prevalence and risk factors of symptoms of pelvic inflammatory disease in a rural community of Jamshoro, Sindh, Pakistan.

PubMed

Bhurt, A W; Fikree, F F; Bhurt, A M; Channa, G Z; Soomro, R A; Bhurt, N

1999-08-01

(1). To estimate the prevalence of symptoms of pelvic inflammatory disease (PID) in rural Jamshoro, Sindh, (2). To assess specific social and biological risk factors of symptoms of PID. Trained females conducted the interviews using a pre-tested Sindhi questionnaire during a cross-sectional survey carried out in 8 villages of rural Jamshoro, Sindh. Women reporting either lower abdominal pain or vaginal discharge with continuous or intermittent fever during the 6 months prior to interview, were classified as having PID symptoms. We approached 753 ever-married women and successfully interviewed 738 (98%) from July-September 1997. Sixty-five women (9%) had symptoms consistent with PID, and 156 (24%) reported ever using a modern contraceptive. Symptomatic women were 3.6 times more likely to have ever used IUCD/tubal ligation (95% CI, 1.9-6.9), 1.8 times more likely to have married at earlier age (< 15) (95% CI, 1.1-3), and 3 times more likely to be housewives by occupation (95% CI, 10-8.4) as compared to women who did not have PID symptoms. Symptoms of PID among tubal ligation/IUCD users may reflect existence of unhygienic conditions during application of procedure, delay in replacement of IUCD and mismatching in the size of IUCD with uterus. The quality of life is affected in women with PID symptoms and may have serious consequences like infertility. These symptoms need thorough evaluation/investigation to gauge the magnitude and nature of the problem and to guide intervention, effective promotion of women's socio-economic status, health education regarding counselling for delaying age at marriage and hygienic/safe use of family planning methods.

Problems Associated With Access to Renal Replacement Therapy: Experience of the Sindh Institute of Urology and Transplantation.

PubMed

Mazhar, Farida; Nizam, Naveeda; Fatima, Nazia; Siraj, Sana; Rizvi, Syed Adibul Hasan

2017-02-01

The prevalence of end-stage renal disease is increasing worldwide. It is also one of the main health problems in Pakistan. Currently, hemodialysis represents the main mode of treatment for patients with end-stage renal disease in this country. Despite 24-hour free dialysis at the Sindh Institute of Urology and Transplantation (Karachi, Pakistan), a significant number of patients do not turn up for regular dialysis or miss regular sessions of dialysis. We conducted this study to identify and highlight the factors leading to poor compliance with regular hemodialysis treatment despite free dialysis treatment offered at our center. In 2014, 4565 patients with end-stage renal disease were registered at the Sindh Institute of Urology and Transplantation. Among these, 610 patients (13.4%) missed more than 2 sessions of dialysis and were included in the present study. Patients provided written informed consent before study participation. Data were collected from a questionnaire survey and analyzed by SPSS software (SPSS: An IBM Company, version 20.0, Chicago, IL, USA). Despite 24-hour dialysis facilities, the patient drop-out rate (779; 18%) was high. In addition, a significant minority of patients (610; 13.4%) was erratic in adherence to maintenance hemodialysis schedules, with > 2 missed appointments. The mean age of these 610 patients was 33.4 ± 7.4 years, and 345 patients (57%) were males. The main factors leading to poor compliance included cost of travel (33.2%), lack of affordable lodging and boarding facilities near dialysis center (30.9%), long distances from dialysis center (20.1%), and lack of family support (15.6%). This study shows that there is significant drop-out and poor compliance rates for regular dialysis despite free dialysis facilities.

Health care seeking behaviours in pregnancy in rural Sindh, Pakistan: a qualitative study.

PubMed

Qureshi, Rahat Najam; Sheikh, Sana; Khowaja, Asif Raza; Hoodbhoy, Zahra; Zaidi, Shujaat; Sawchuck, Diane; Vidler, Marianne; Bhutta, Zulfiqar A; von Dadeslzen, Peter

2016-06-08

Pakistan has alarmingly high numbers of maternal mortality along with suboptimal care-seeking behaviour. It is essential to identify the barriers and facilitators that women and families encounter, when deciding to seek maternal care services. This study aimed to understand health-seeking patterns of pregnant women in rural Sindh, Pakistan. A qualitative study was undertaken in rural Sindh, Pakistan as part of a large multi-country study in 2012. Thirty three focus group discussions and 26 in-depth interviews were conducted with mothers [n = 173], male decision-makers [n = 64], Lady Health Workers [n = 64], Lady Health Supervisors [n = 10], Women Medical Officers [n = 9] and Traditional Birth Attendants [n = 7] in the study communities. A set of a priori themes regarding care-seeking during pregnancy and its complications as well as additional themes as they emerged from the data were used for analysis. Qualitative analysis was done using NVivo version 10. Women stated they usually visited health facilities if they experienced pregnancy complications or danger signs, such as heavy bleeding or headache. Findings revealed the importance of husbands and mothers-in-law as decision makers regarding health care utilization. Participants expressed that poor availability of transport, financial constraints and the unavailability of chaperones were important barriers to seeking care. In addition, private facilities were often preferred due to the perceived superior quality of services. Maternal care utilization was influenced by social, economic and cultural factors in rural Pakistani communities. The perceived poor quality care at public hospitals was a significant barrier for many women in accessing health services. If maternal lives are to be saved, policy makers need to develop processes to overcome these barriers and ensure easily accessible high-quality care for women in rural communities. NCT01911494.

Determination of Risk Factors and Treatment of Dry Eye Disease in Type 1 Diabetes Before Corneal Complications at Sindh Institute of Ophthalmology And Visual Sciences.

PubMed

Shujaat, Shehnilla; Jawed, Muhammad; Memon, Shahzad; Talpur, Khalid Iqbal

2017-01-01

The objective of this study was to assess and determine the risk factors and treatment of dry eye disease in type 1 diabetes before any ocular surface or corneal complication occurs. This study was conducted at Sindh Institute of Ophthalmology And Visual Sciences, Hyderabad, Pakistan. Subjects and methods for observational study were undertaken at the Department of Ophthalmology Sindh Institute Of Ophthalmology And Visual Sciences, Hyderabad, Pakistan. Hundred confirmed cases of type 1 diabetes were included in the study by non probability convenience sampling. Tear film breakup time and schrimer test were carried out to determine dry eye disease. Data was collected by self-prepared questionnaire and entered and analyzed by using Statistical Program for Social Sciences (SPSS, version 20.0). The frequencies and percentage were recorded and any associations with predisposing factors were statistically analyzed by t test. Out of hundred patients, 71 (71%) were found to have dry eyes (P<0.001). The mean age of the subject in this study was 50.97 years (range 30-70 years). Old age was related to high risk of dry eye disease (P<0.001). There was no big difference in the incidence of dry eyes in males and females. Long duration was found to be related with increased occurrence of dry eyes (P<0.001). We found higher values for abnormal tear film break up time than schirmer test values leading to increased occurrence of evaporative dry eyes. There is marked increase in frequency/ risk of developing dry eye disease in type 1 diabetes patients. Therefore, it is recommended to have periodic ophthalmic examination for type 1 diabetic patients.

Good governance and sustainability: a case study from Pakistan.

PubMed

Israr, Syed Muhammad; Islam, Anwar

2006-01-01

On the basis of a case study in Pakistan, the paper argues that good governance, characterized by transparency, accountability and meaningful community participation, plays a critical role in the sustainability of donor-funded health systems projects in the public health sector. The Family Health Project (FHP) (1992-1999), funded by the World Bank, has been used as a case study. Critical analysis of secondary data mainly obtained from the Department of Health (DoH) in the province of Sindh in Pakistan is the major tool used for the study. Data from other sources including the World Bank have also been used. The analysis reveals that the existing health care system could not fully absorb and sustain major "sociopolitical" thrusts of the project, meaningful community participation and "democratic" decision-making processes being the most important ones. The hierarchical structure and management process made it difficult to produce a sense of ownership of the project among all managers and the rank and file staff. The Provincial Health Development Center (PHDC) and District Health Development Centers (DHDCs) established by the FHP did not receive adequate financial and political support from DoH and the Ministry of Health to have much control of the project at the local level. Consequently, these Centers largely failed to institutionalize a continuing training program for district level health officials/professionals. Due to lack of political support, the District Health Management Teams (DHMTs) could not be institutionalized. Community participation in the DHMTs was symbolic rather than forceful. Improved coordination among all stakeholders, more stable and competent leadership, more meaningful community participation, greater devolution of project management to the district level, and better management of resources would have resulted in more effective and efficient implementation of the project. Based on these findings, the paper introduces a Sustainable Management Approach (SMA) as a tool that can be used to ensure the sustainability of health systems projects, particularly those funded by international organizations in developing countries. Good governance and a conducive organizational culture are important prerequisites for incorporating any new project within an existing system. This includes prior consensus building among all stakeholders, a meaningful and inclusive participatory planning, implementation and evaluation process involving communities, political commitment, and the identification and use of appropriate leadership for project management.

Assessment of groundwater quality in the coastal area of Sindh province, Pakistan.

PubMed

Alamgir, Aamir; Khan, Moazzam Ali; Schilling, Janpeter; Shaukat, S Shahid; Shahab, Shoaib

2016-02-01

Groundwater is a highly important resource, especially for human consumption and agricultural production. This study offers an assessment of groundwater quality in the coastal areas of Sindh province in Pakistan. Fifty-six samples of groundwater were taken at depths ranging from 30 to 50 m. Bacteriological and physico-chemical analyses were performed using the Standard Methods for the Examination of Water and Wastewater. These were supplemented with expert interviews and observations to identify the usage of water and potential sources of pollution. The quality of the groundwater was found to be unsuitable for human consumption, despite being used for this purpose. The concentrations of sulfate and phosphate were well within the tolerance limits. Most critical were the high levels of organic and fecal pollution followed by turbidity and salinity. Metal concentrations (As, Ca, Cr, Cu, Fe, Mg, Mn, Ni, Pb, and Zn) were also determined, and Ni and Pb strongly exceeded health standards. The study stresses the need for significant improvements of the irrigation, sanitation, and sewage infrastructure.

The timing of antenatal care initiation and the content of care in Sindh, Pakistan.

PubMed

Agha, Sohail; Tappis, Hannah

2016-07-27

Policymakers and program planners consider antenatal care (ANC) coverage to be a primary measure of improvements in maternal health. Yet, evidence from multiple countries indicates that ANC coverage has no necessary relationship with the content of services provided. This study examines the relationship between the timing of the first ANC check-up, a potential predictor of the content of services, and the provision of WHO recommended services to women during their pregnancy. The study uses data from a representative household survey of Sindh with a sample comprising of 4,000 women aged 15-49 who had had a live birth in the two years before the survey. The survey obtained information about the elements of care provided during pregnancy, the timing of the first ANC check-up, the number of ANC visits made during the last pregnancy and women's socio-economic and demographic characteristics. Bivariate analysis was conducted to examine the relationship between the proportion of women who receive six WHO recommended services and the timing of their first ANC check-up. Multivariate analysis was conducted to identify predictors of the number of elements of care provided. While most women in Sindh (87 %) receive an ANC check-up, its timing varies by parity, education and household wealth. The median time to the first ANC check-up was 3 months for women in the richest and 7 months for women in the poorest wealth quintiles. In multivariate analysis, wealth, education, parity and age at marriage were significant predictors of the number of elements of care provided. Women who received an early ANC check-up were much more likely to receive WHO recommended services than other women, independent of a range of socio-economic and demographic variables and independent of the number of ANC visits made during pregnancy. In Sindh, the timing of the first ANC check-up has an independent effect on the content of care provided to pregnant women. While it is extremely important that providers are adequately trained and motivated to provide the WHO recommended standards of care, these findings suggest that motivating women to make an early first ANC check-up may be another mechanism through which the quality of care provided may be improved. Such a focus is most likely to benefit the poorest, least educated and highest parity women. Based on these findings, we recommend that routine data collected at health facilities in Pakistan should include the month of pregnancy at the time of the first ANC check-up.

Integrated use of SRS Data &GIS Technique for Monitoring Changes in Riverine Forest of Sindh, Pakistan

NASA Astrophysics Data System (ADS)

Siddiqui, M.; Ali, Z.

Deforestation / depletion in forest area threaten the sustainability of agricultural production systems and en-danger the economy of the country. Every year extensive areas of arable agricultural and forestlands are degraded and turned into wastelands, due to natural causes or human interventions. There are several causes of deforestation, such as expansion in agricultural area, urban development, forest fires, commercial logging, illicit cutting, grazing, constructions of dams / reservoirs and barrages, com munication links, etc. Depletion in forest cover, therefore, has an important impact on socio - economic development and ecological balance. High population growth rate in Pakistan is one of the main causes for the rapid deterioration of physical environment and natural resource base. In view of this, it is felt necessary to carryout land -u s e studies focusing on strategies for mapping the past and present conditions and extent of forests and rangelands using Satellite Remote Sensing (SRS) data and GIS t echnology. The SRS and GIS technology provides a possible means of monitoring and mapping changes occurring in natural resources and the environment on a continuing basis. The riverine forests of Sindh mostly grow along the River Indus in the flood plains, spread over an area of 241,000 ha are disappearing very rapidly. Construction of dams / barrages on the upper reaches of the River Indus for hydroelectric power and irrigation works have significantly reduced the discharge of fresh water into the lower Indus basin and as a result, 100,000 acres of forests have disappeared. Furthermore, the heavy floods that occurred in 1978, 1988, 1992 and 1997, altered the course of the River Indus in many places, especially in the lower reaches, this has also damaged the riverine forests of Sindh. An integrated approach involving analysis of SRS data from 1977 to 1998 and GIS technique have been used to evaluate the geographic ex-tent and distribution of the riverine forests of Sindh and to monitor temporal changes in the forest cover between 1977 &1990 and 1990 &1998. The integrated landuse forest cover maps of riverine forest, shows temporal changes in the forest cover between 1977 &1990 and 1990 &1998, as well as in the River Indus course. The digital thematic maps based on SRS data and GIS technology can supplement existing conventional ground based sources of information for monitoring changes in forest cover on a regular basis, which can be helpful for forest resource management and planning and monitoring environmental changes.

Effective genes for resistance to stripe rust and virulences of Puccinia striiformis f. sp. tritici in Pakistan

USDA-ARS?s Scientific Manuscript database

Virulence patterns of wheat stripe rust were studied under the field conditions across four environmentally different locations: Quaid-i-Azam University (Islamabad), Pirsabak (NWFP), Faisalabad (Punjab) and Sakrand (Sindh) by planting trap nursery of tester lines and Pakistan varieties. The results ...

Pakistan’s Impact on Afghanistan

DTIC Science & Technology

2009-10-01

Abu Bakar Sheikhani Business with N Sharif $ 600 m 16 Real Estate , Gwadar Razzaq Dawood (UAE) Bhutto Exprop 1970s $ 500 m 17 Construction, M.E...estate , gold Dewan Yousaf Farooqui* Sindhi $ 800 m 10 Textile , automotive Sultan Ali Lakhani* Sindh/v mil anti-corrupt $ 800 m 11 Textile , consumer

Communication Gap in Education in Sindh, Pakistan.

ERIC Educational Resources Information Center

Panhwar, Farzana

Exposure to industrialization, urbanization, and commercial activities in the past 45 years has improved attitudes towards women in Pakistan, but they are still considered subordinate to men and the property of parents or husband. Traditional social values do not allow women full integration and participation in social and economic activities.…

Democracy and Education in Pakistan

ERIC Educational Resources Information Center

Nazir, Muhammad

2010-01-01

This paper explores the potential for democratic change in educational practice in Pakistan. Using focus group discussions in urban and rural areas of Sindh and Balochistan, it builds up a picture of educational practices from policy-making to implementation level and identifies the barriers to democratic approaches in education. It suggests that…

Dealing with Terrorist Sanctuary in Pakistan’s Federally Administered Tribal Areas

DTIC Science & Technology

2009-03-27

Frontier Province (NWFP), on the south by the province of Balochistan , and in the south-east, the FATA joins the Punjab province. The Afghanistan...were those that were living in North West Frontier Province (NWFP), 13% were from Balochistan , 3% from Sindh, and the remaining 4% from Punjab and

Regional characterization and resource evaluation of Paleocene and Eocene coal-bearing rocks in Pakistan

USGS Publications Warehouse

Durrani, N.A.; Warwick, Peter D.

1991-01-01

Field work drilling, and other related studies carried out from 1985 to 1988 to assess the quantity and quality of the coal resources of southern Sindh. Sixty-eight holes drilled in the Lakhra/Jherruck, Thatta, and Indus East coal fields indicate that presently known and mined coal fields in southern Sindh are not isolated coal occurrences. Rather, much of southern Sindh, including the Thar Desert, is underlain by strata that contain coal beds.More than 400 core and mine samples were collected for proximate and ultimate analysis and determination of major, minor and trace elements; also, lithologie logs were prepared from description of rock cuttings and core. Original coal resources of 1,080 million tones have been estimated for 7 out of 9 coal zones in parts of the Lakhra area, where coal-bed thicknesses range from a few centimeters to 5 m. In the Sonda/Jherruk area, 3,700 million tones of coal have been identified, the thickest coal bed intercepted being 6.3 meters. The apparent rank of the coal in these fields ranges from lignite A to sub-bituminous C. Averaged analytical results on an as received basis indicate the coal beds contain 28.4 % moisture, 18,3 % ash, 4.7 % sulfur, 25,2 % fixed carbon, 27.9 % volatile matter, and 33.1% oxygen. Average calorific value for Lakhra coal samples is about 3,660 Kcal/kg, whereas that of Sonda/Jherruk samples is about 3,870 Kcal/kg. Geophysical logs were obtained for the drill holes, and cores and rock cuttings are available from the GSP for further study and reference.The second phase of the project began in 1987 with surface exploration in the Salt Range coal field of Punjab Province, the Sor Range and Khost-Sharig-Harnai coal fields of Baluchistan, and the Makarwal and Cherat coal fields of NWFP. These are briefly discussed here.

Effect of Time Management on the Job Satisfaction and Motivation of Teacher Educators: A Narrative Analysis

ERIC Educational Resources Information Center

Sahito, Zafarullah; Vaisanen, Pertti

2017-01-01

The present study was conducted to investigate the relationship between time management, job satisfaction and motivation among teacher educators in university departments, institutes and faculties of education in the Sindh province of Pakistan. Using an interview approach, the researchers recorded the professional stories of 40 teacher educators.…

Analysing Institutional Influences on Teaching-Learning Practices of English as Second Language Programme in a Pakistani University

ERIC Educational Resources Information Center

Rind, Irfan Ahmed; Kadiwal, Laila

2016-01-01

This paper examines the institutional influences on the teaching-learning practices within English as Second Language (ESL) programme in the University of Sindh (UoS), Pakistan. The study uses qualitative case study approach, basing its findings on documentary review, observations, and responses of teachers and students. The analysis of the data…

Dimensions of Job Satisfaction of Teacher Educators: A Qualitative Study of the Universities of Sindh Province of Pakistan

ERIC Educational Resources Information Center

Sahito, Zafarullah; Vaisanen, Pertti

2016-01-01

This research study examines the job satisfaction level and its dimensions of teacher educators-who are working at the departments, faculties and institutes of education. In-depth semi-structured interviews were conducted and field-work observations were recorded on TEs (n = 40), working as lecturers, assistant professors, associate professors and…

Stress Faced by Pakistani Mothers of Children with Intellectual Disabilities and Its Impact on Their Family Life

ERIC Educational Resources Information Center

Sajjad, Shahida

2011-01-01

This exploratory study was designed to examine the stress faced by mothers of children with intellectual disabilities in Pakistan and the impact of the stress on their family life. One hundred mothers of children with intellectual disabilities in Karachi city, which is in Sindh region of Pakistan, were invited and interviewed. The results indicate…

Effect of ICT Skills on the Job Satisfaction of Teacher Educators: Evidence from the Universities of the Sindh Province of Pakistan

ERIC Educational Resources Information Center

Sahito, Zafarullah; Vaisanen, Pertti

2017-01-01

This research paper is a reflection of the results of collected data from Teacher Educators (TEs) regarding their skills and expertise in Information and Communication Technologies (ICT). Seven themes were inductively identified and called, 7Es like as: (a). Expertise in use of windows programmes; (b). Expertise in use of security measures; (c).…

Determinants of Method Switching among Social Franchise Clients Who Discontinued the Use of Intrauterine Contraceptive Device

PubMed Central

Hameed, Waqas; Ali, Moazzam; Hussain, Wajahat; Mustafa, Ghulam; Ishaque, Muhammad; Ali, Safdar; Ahmed, Aftab; Temmerman, Marleen

2015-01-01

Introduction. Women who do not switch to alternate methods after contraceptive discontinuation, for reasons other than the desire to get pregnant or not needing it, are at obvious risk for unplanned pregnancies or unwanted births. This paper examines the factors that influence women to switch from Intrauterine Contraceptive Device (IUCD) to other methods instead of terminating contraceptive usage altogether. Methods. The data used for this study comes from a larger cross-sectional survey conducted in nine (9) randomly selected districts of Sindh and Punjab provinces of Pakistan, during January 2011. Using Stata 11.2, we analyzed data on 333 women, who reported the removal of IUCDs due to reasons other than the desire to get pregnant. Results. We found that 39.9% of the women do not switch to another method of contraception within one month after IUCD discontinuation. Use of contraception before IUCD insertion increases the odds for method switching by 2.26 times after removal. Similarly, postremoval follow-up by community health worker doubles (OR = 2.0) the chances of method switching. Compared with women who received free IUCD service (via voucher scheme), the method switching is 2.01 times higher among women who had paid for IUCD insertion. Conclusion. To increase the likelihood of method switching among IUCD discontinuers this study emphasizes the need for postremoval client counseling, follow-up by healthcare provider, improved choices to a wider range of contraceptives for poor clients, and user satisfaction. PMID:26576454

Determinants of Method Switching among Social Franchise Clients Who Discontinued the Use of Intrauterine Contraceptive Device.

PubMed

Hameed, Waqas; Azmat, Syed Khurram; Ali, Moazzam; Hussain, Wajahat; Mustafa, Ghulam; Ishaque, Muhammad; Ali, Safdar; Ahmed, Aftab; Temmerman, Marleen

2015-01-01

Introduction. Women who do not switch to alternate methods after contraceptive discontinuation, for reasons other than the desire to get pregnant or not needing it, are at obvious risk for unplanned pregnancies or unwanted births. This paper examines the factors that influence women to switch from Intrauterine Contraceptive Device (IUCD) to other methods instead of terminating contraceptive usage altogether. Methods. The data used for this study comes from a larger cross-sectional survey conducted in nine (9) randomly selected districts of Sindh and Punjab provinces of Pakistan, during January 2011. Using Stata 11.2, we analyzed data on 333 women, who reported the removal of IUCDs due to reasons other than the desire to get pregnant. Results. We found that 39.9% of the women do not switch to another method of contraception within one month after IUCD discontinuation. Use of contraception before IUCD insertion increases the odds for method switching by 2.26 times after removal. Similarly, postremoval follow-up by community health worker doubles (OR = 2.0) the chances of method switching. Compared with women who received free IUCD service (via voucher scheme), the method switching is 2.01 times higher among women who had paid for IUCD insertion. Conclusion. To increase the likelihood of method switching among IUCD discontinuers this study emphasizes the need for postremoval client counseling, follow-up by healthcare provider, improved choices to a wider range of contraceptives for poor clients, and user satisfaction.

Teachers' Time Management and the Performance of Students: A Comparison of Government and Private Schools of Hyderabad, Sindh, Pakistan

ERIC Educational Resources Information Center

Sahito, Zafarullah; Khawaja, Mumtaz; Panhwar, Uzma Murad; Siddiqui, Abida; Saeed, Humera

2016-01-01

Time is a precious and so important thing as well as the blessing of the Creator in the world. It is the time which makes, changes, creates, decorates, maintains, develops, strengthens, and successes the present and secures the future of the people and the nations. Time considers a great cure and care for any unethical, unsocial and invaluable…

A heartrending burden of gynaecological cancers in advance stage at nuclear institute of medicine and radiotherapy Jamshoro Sindh

PubMed Central

Bibi, Seema; Ashfaque, Sanober; Laghari, Naeem Ahmed

2016-01-01

Objectives: In Pakistan gynaecological cancers are among the leading causes of women’s morbidity and mortality posing huge financial burden on families, communities and state. Due to lack of national cancer registry exact facts and figures are unknown therefore this study was planned to find out prevalence, age, site and stage of presentation of gynaecological cancers at Nuclear Institute of Medicine and Radiotherapy (NIMRA), Jamshoro. Methods: A retrospective, cross sectional study was conducted from 1st January 2011 to 31st December 2011 at NIMRA Jamshoro. All cases of genital tract cancers were evaluated, required data was entered on predesigned performa and results were analyzed manually. Results: Out of 2401 total registered cancer cases, 231 (9.6%) patients were suffering from gynaecological cancer making it third most common cancer. Ovary was commonest site followed by cervix and uterus. More than 60% cases presented in advanced stage, mostly during 4th and 5th decade of life. Conclusion: Gynecological cancer was among top three cancers at one of the busiest public sector cancer institute in Sindh province and significant number presented in advance stage making treatment difficult and expensive. There is urgent need for development and implementation of an effective health policy regarding cancer prevention and treatment. PMID:27022358

JPRS Report, Near East & South Asia, Pakistan

DTIC Science & Technology

1992-06-11

of emotion , and, at the end of the 14-year crisis in Afghanistan, form an interim council government of the mujaheddin; and, with unanimous...masses of Afghanistan came to our country, they were accompanied by their criminal, terrorist, antisocial , and enemy agents. There was no way for us to...Sindh is the irresponsible behaviour , incompetence and lack of action by the police. Had it not been for the police department’s failure to carry

The Future of US-Pakistan Relations

DTIC Science & Technology

2012-01-18

occupied by roughly 71 million Punjabis , comprising 75% of its total population.9 The Sindh, more varied in population than the Punjab, contains...is the fact that over 20 languages are spoken in Pakistan. The most common are: Punjabi (48% of the population), Sindhi (12%), and Urdu – which is...include: Siraiki, which is a Punjabi variant (10%), Pakhtu or Pashton (8%), Balochi (3%), Hindko (2%), Brahuci (1%), other languages (8%).13 This language

Physiotherapy and pharmacy students perception of educational environment in a medical university from Pakistan.

PubMed

Memon, Aamir Raoof; Ali, Bahadur; Kiyani, Mubin Mustafa; Ahmed, Imran; Memon, Attiq-Ur-Rehman; Feroz, Jam

2018-01-01

To assess and compare the perceptions of the educational environment between physiotherapy and pharmacy students in a public-sector medical university. This cross-sectional study was conducted at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, and comprised undergraduate physiotherapy and pharmacy students. The Dundee Ready Educational Environment Measure questionnaire was used to assess the perceptions of students about their educational environment. Global and subscale scores were computed and compared between the respondents. P<0.05 was considered statistically significant. Of the 300 questionnaires, 281(93.66%) were returned duly filled in. The overall mean global score was 127.2±16.0. For physiotherapy students, the mean global score was 124.9±14.0 while it was 131.7±18.9 for pharmacy students (p=0.16). The domain scores were comparable for both specialties (p>0.05). There was no significance difference in the global and domain scores for preclinical and clinical years in the students (p>0.05). However, in the physiotherapy students, the global and domain scores for Dundee Ready Educational Environment Measure were significantly lower in clinical than preclinical students (p<0.05) except for students' social self-perception (p>0.05). Students were overall positive about their educational environment.

DNA typing of Pakistani cattle breeds Tharparkar and Red Sindhi by microsatellite markers.

PubMed

Azam, Amber; Babar, Masroor Ellahi; Firyal, Sehrish; Anjum, Aftab Ahmad; Akhtar, Nabeela; Asif, Muhammad; Hussain, Tanveer

2012-02-01

Microsatellite markers are used for any individual identity and breed characterization in animals that is an efficient and successful way of investigation. They are used for multiple purposes as genetic detectors including, rapid mutation rate, high level of polymorphism, and range of variety of microsatellite markers available. A panel of 19 microsatellite markers was developed for breed characterization in Tharparkar and Red Sindhi breeds of cattle in Pakistan. Forty four blood samples of cattle (each breed) were collected from Department of Livestock Management, Sindh Agriculture University, Tandojam, Tando Qaiser, Tharparkar Cattle Farm Nabi sar Road, Umer Kot, Sindh, and Govt. Red Sindhi Cattle Breeding Farm, Tando Muhammad Khan Pakistan. Breed characterization was 100% successful. Average PIC, He and Power of Exclusion values were found to be 0.91, 0.62 and 13.28, respectively. Pattern of allelic frequencies of most of the microsatellite markers were clearly distinct between two breeds. As a result of present study a reliable, efficient and very informative panel of microsatellite markers was successfully developed which was capable to interpret individual identity, forensic cases and breed characterization in cattle. This facility is ready to be provided to local cattle breeder at commercial level for DNA testing of cattle. This study will also be highly helpful for breed conservation of cattle. In addition this study can also become a basis to open up new disciplines of animal forensics in Pakistan.

Maternal Mortality In Pakistan: Is There Any Metamorphosis Towards Betterment?

PubMed

Nisar, Nusrat; Abbasi, Razia Mustafa; Chana, Shehla Raza; Rizwan, Noushaba; Badar, Razia

2017-01-01

Every year more than half million mother die due to pregnancy related preventable causes like haemorrhage, hypertensive disorders, sepsis, and obstructed labour and unsafe abortion. Among these deaths 99% occur in developing countries. The study was conducted to assess the maternal death rate and to analyse its trends over a period of 20 years in tertiary care hospital in Sindh Province Pakistan. A retrospective analysis of maternal mortality records were carried out for a period of 20 years from 1986-1995 and 2011-2015 at the Department of Obstetrics and gynaecology Liaquat University of Medical and Health Sciences Hyderabad Sindh Pakistan. The record retrieved was categorized into four 5 yearly periods 1986- 1990, 1991-995, 2006-2010 and 2011-2015 for comparison of trends. The cumulative maternal mortality ratio (MMR) was 1521.5 per 100,000 live births. The comparison of first 5 years' period (1986-1990) and last 5 years (2011-2015) showed downward trend in maternal mortality rate from 2368.6-1265.1. Direct causes of death have accounted for 2820 (84.78%) of total maternal death. Sepsis was the major cause of death for first 5 years accounted for 196(35.1%) of maternal death while in the last 5 years' eclampsia causes 284 (27.84%) of direct maternal deaths. The reduction in the maternal deaths has been very slow. The direct causes were still the main reasons for obstetrical deaths.

Do We Need To Give Measles Vaccine To Children Earlier Than The Currently Recommended Age?

PubMed

Jamal, Ammarah; SYahya, Yousuf; Karim, Muhammad Tariq

2018-01-01

Measles is a leading cause of death among children. No specific drug has yet been discovered to treat measles but an available vaccine can effectively prevent the infection. In Pakistan children are vaccinated against measles by two doses given at age of nine months onward. The last few years have witnessed an increasing number of measles cases at age lower than nine months. Secondary data analysis of the records of Expanded Program on Immunization from all districts of Sindh was performed from January-April 2016. Data included all patients of any age or gender, fulfilling the World Health Organization case definition of measles, along with positive IgM antibodies for measles in their blood. Data was analysed using windows SPSS version 21.0. Analysis of 658 confirmed measles cases showed an age range of 3 months to 336 months with a mean of 32.82. Most patients (41.4%) belonged to age group 10-24months. Some noteworthy18% of cases were ≤9 months old including 1.8% patients who were ≤6 months age. An unexpected 76 (11.6%) were >60 months of age. 50.6% of the cases were male while 49.4% were female. Most of the patients (73.9%) belonged to urban areas. We conclude that a sizeable number of children are infected by measles before reaching the age of first recommended inoculation against measles. It is affecting people at both extremes of life ranging from as young as three months up to 28 years of age.

Return levels of temperature extremes in southern Pakistan

NASA Astrophysics Data System (ADS)

Zahid, Maida; Blender, Richard; Lucarini, Valerio; Caterina Bramati, Maria

2017-12-01

Southern Pakistan (Sindh) is one of the hottest regions in the world and is highly vulnerable to temperature extremes. In order to improve rural and urban planning, it is useful to gather information about the recurrence of temperature extremes. In this work, return levels of the daily maximum temperature Tmax are estimated, as well as the daily maximum wet-bulb temperature TWmax extremes. We adopt the peaks over threshold (POT) method, which has not yet been used for similar studies in this region. Two main datasets are analyzed: temperatures observed at nine meteorological stations in southern Pakistan from 1980 to 2013, and the ERA-Interim (ECMWF reanalysis) data for the nearest corresponding locations. The analysis provides the 2-, 5-, 10-, 25-, 50-, and 100-year return levels (RLs) of temperature extremes. The 90 % quantile is found to be a suitable threshold for all stations. We find that the RLs of the observed Tmax are above 50 °C at northern stations and above 45 °C at the southern stations. The RLs of the observed TWmax exceed 35 °C in the region, which is considered as a limit of survivability. The RLs estimated from the ERA-Interim data are lower by 3 to 5 °C than the RLs assessed for the nine meteorological stations. A simple bias correction applied to ERA-Interim data improves the RLs remarkably, yet discrepancies are still present. The results have potential implications for the risk assessment of extreme temperatures in Sindh.

A primer on the occurrence of coalbed methane in low-rank coals, with special reference to its potential occurrence in Pakistan

USGS Publications Warehouse

SanFilipo, John R.

2000-01-01

Introduction: This report compiles and updates a series of correspondence that took place between 1998 and early 2000 among the author and representatives of various consulting groups operating in the coal sector of Pakistan. The purpose of the original correspondence was to introduce basic concepts of coalbed methane (CBM) in low-rank coals to planners and other parties interested in the development of Pakistan's coal, particularly the large deposits of the Thar desert area of Sindh Province that were recently discovered (SanFilipo and Khan, 1994) by the Geological Survey of Pakistan (GSP) and the U.S. Geological Survey (USGS). The author tested two shallow boreholes in Sindh Province for CBM in 1992, including one in Thar, with very marginal results. Additional targets with better CBM prospects were recommended shortly thereafter (SanFilipo and others, 1994), but these were not followed up during subsequent drilling, nor were any other sites tested. Recent events, notably the rapid pace of CBM development in low-rank coals of the Powder River Basin of the U.S., and a show of CBM in commercial quantities in the Cambay Basin of India - both of which are similar in age and rank to most of Pakistan's coal - have indicated a need for reevaluating the initial CBM investigations made in Pakistan in 1992 and for a reassessment of the CBM prospects for the country at large.

Ethnobotany of medicinal plants in the Thar Desert (Sindh) of Pakistan.

PubMed

Yaseen, Ghulam; Ahmad, Mushtaq; Sultana, Shazia; Suleiman Alharrasi, Ahmed; Hussain, Javid; Zafar, Muhammad; Shafiq-Ur-Rehman

2015-04-02

The traditional use of medicinal plants in health-care practices among the rural communities provides the basis for natural drug discovery development. To the best of our knowledge, this is the first quantitative ethnobotanical investigation on the use of medicinal plants in the Thar Desert (Sindh) of Pakistan. In total, 530 local informants and traditional healers were interviewed, using semistructured interviews. Various quantitative indices such as relative frequency of citation (RFC), use value (UV), informant consensus factor (ICF), fidelity level (FL), relative importance (RI), and the Jaccard Index (JI) were applied to the documented data. The traditional medical uses of 87 plant species belonging to 32 families were reported on. Amaranthaceae was the most-frequently cited (nine species), followed by Cucurbitaceae and Euphorbiaceae (six species each). The most dominant life form was herbs (73.56%). The most-used plant parts were leaves, with 65 reports (28.88%), followed by seeds (16%). The common mode of preparation reported was powder (25.75%), with 74% herbal medicines obtained from fresh plant materials. The ethnobotanical result documented in this study provides practical evidence about the use of medicinal plants among the inhabitants of the Thar Desert. Further, the findings revealed that the medicinal plants of the area are a major source of herbal drugs for primary health care used among the rural communities. This survey can be used as baseline information for further scientific investigation to develop new plant-based commercial drugs. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Impact of an IEC (Information, Education and Communication) intervention on key family practices of mothers related to child health in Jamshoro, Sindh.

PubMed

Shaikh, Salma; Memon, Shazia; Ahmed, Imran; Amna; Manzoor, Rabia; Shaikh, Saleem

2014-05-01

To determine change in practice of mothers having children less than five years of age in five key areas related to child health, growth and development including immunization, feeding during illness, appropriate home treatment for infections and care seeking behavior. This was a community based interventional study of Information, Education and Communication (IEC) intervention in the UC Jamshoro, Taluka Kotri, district Jamshoro of 15 months duration from March 2011 to June 2012. Ninety five mothers having children less than five years of age were selected by systematic random sampling for house hold based survey by questionnaire designed by EPP evaluation and health section of UNICEF during baseline and post-intervention phases. Base line data was collected from the interventional area then health education messages were given through written and pictorial material by LHWs for 9 months. To measure the impact helath education messages, data was again collected by same questionnaire are from the same union council during post-intervention phase. During baseline survey except immunization all other key family practices were poor. After 9 months of intervention of repeated heath education sessions through LHW during their routine visits all practices were improved with statistically significant difference. Regarding the comparison of the results between baseline and post-intervention surveys we found that except immunization which was already better, all those practices which requires mother's knowledge and practice were improved after our intervention with significant P-values. Improving the mother's education level is very important, to empower the first care provider of child in the community. However, in the mean time, health educational messages related to the limited number of key family practices should be disseminated.

Impact of an IEC (Information, Education and Communication) intervention on key family practices of mothers related to child health in Jamshoro, Sindh

PubMed Central

Shaikh, Salma; Memon, Shazia; Ahmed, Imran; Amna; Manzoor, Rabia; Shaikh, Saleem

2014-01-01

Objective: To determine change in practice of mothers having children less than five years of age in five key areas related to child health, growth and development including immunization, feeding during illness, appropriate home treatment for infections and care seeking behavior. Methods: This was a community based interventional study of Information, Education and Communication (IEC) intervention in the UC Jamshoro, Taluka Kotri, district Jamshoro of 15 months duration from March 2011 to June 2012. Ninety five mothers having children less than five years of age were selected by systematic random sampling for house hold based survey by questionnaire designed by EPP evaluation and health section of UNICEF during baseline and post-intervention phases. Base line data was collected from the interventional area then health education messages were given through written and pictorial material by LHWs for 9 months. To measure the impact helath education messages, data was again collected by same questionnaire are from the same union council during post-intervention phase. Results: During baseline survey except immunization all other key family practices were poor. After 9 months of intervention of repeated heath education sessions through LHW during their routine visits all practices were improved with statistically significant difference. Regarding the comparison of the results between baseline and post-intervention surveys we found that except immunization which was already better, all those practices which requires mother’s knowledge and practice were improved after our intervention with significant P-values. Conclusions: Improving the mother’s education level is very important, to empower the first care provider of child in the community. However, in the mean time, health educational messages related to the limited number of key family practices should be disseminated. PMID:24948990

Circulating serotypes of dengue virus and their incursion into non-endemic areas of Pakistan; a serious threat.

PubMed

Ali, Amjad; Ahmad, Habib; Idrees, Muhammad; Zahir, Fazli; Ali, Ijaz

2016-08-26

Dengue virus is circulating in Pakistan since 1994, which causes major and minor outbreaks in many areas of the country. The incidence of dengue in Pakistan in past years mainly restricted to parts of Sindh and Punjab provinces. As such, a severe dengue outbreak appeared in Pakistan in 2011, particularly in Punjab province with Lahore as the most hit city (290 deaths). In 2013, for the first time in the history of Pakistan, dengue outbreak erupted in Swat District, Khyber Pakhtunkhwa, which claimed more than 57 lives. Hence this study was conducted to document circulating serotypes of dengue virus in Pakistan in 2011 and 2013 dengue outbreaks in two different territories/areas of the country. In total, 1340 blood samples from people having dengue (ELISA positive) and/or dengue like symptoms from various cities/areas of Punjab and Swat, Khyber Pakhtunkhwa (KP) were collected and analyzed by reverse transcription polymerase chain reaction (RT-PCR) using serotype specific primers. The results indicated that all the four dengue virus serotypes were circulating in Punjab Province with highest frequency of DENV-2 (41.64 %) and DENV-3 (41.05 %). Similarly, DENV-2 (41.66 %) and DENV-3 (35.0 %) were dominant serotypes detected in KP-based people lived in Punjab. On the other hand only DENV-2 (40.0 %) and DENV-3 (60.0 %) were detected in Swat District. Furthermore an important observation noted in this study was mixed infection of DENV-2 and DENV-3 in Punjab in 2011 (3.81 %) and in people from KP infected in Punjab (8.33 %) which may account for the high mortality and morbidity rates as compared to previous outbreaks. Over all male population was mostly infected as compared to females and people in the age group between 15 to 45 was the highest infected group. The findings of this study indicate that all four serotypes of dengue virus are circulating in Punjab whereas serotypes 2 and 3 introduced for the first time into Swat, KP in 2013; about 600 km away from Lahore, Punjab. Overall dengue virus serotypes 2 and 3 were the major outbreak-causing serotypes in Pakistan in 2011 and 2013. Dengue outbreak in Swat may be the continuation of previous dengue outbreaks in Punjab but it needs further research and investigation.

The REFANI Pakistan study--a cluster randomised controlled trial of the effectiveness and cost-effectiveness of cash-based transfer programmes on child nutrition status: study protocol.

PubMed

Fenn, Bridget; Sangrasi, Ghulam Murtaza; Puett, Chloe; Trenouth, Lani; Pietzsch, Silke

2015-10-12

Cash-based transfer programmes are an emerging strategy in the prevention of wasting in children, especially targeted at vulnerable households during periods of food insecurity or during emergencies. However, the evidence surrounding the use of either cash or voucher transfer programmes in the humanitarian context and on nutritional outcomes is elusive. More evidence is needed not only to inform the global community of practice on best practices in humanitarian settings, but also to help strengthen national mitigation responses. The Research for Food Assistance on Nutrition Impact Pakistan study (REFANI-P) sets out to evaluate the impact of three cash-based interventions on nutritional outcomes in children aged less than five years from poor and very poor households in Dadu District. This four-arm parallel cluster randomised controlled trial is set among Action Against Hunger (ACF) programme villages in Dadu District, Sindh Province. Mothers are the target recipients of either seasonal unconditional cash transfers or fresh food vouchers. A comparison group receives 'standard care' provided by the ACF programme to which all groups have the same access. The primary outcomes are prevalence of wasting and mean weight-for-height Z-score (WHZ) in children. Impact will be assessed at 6 months and at 1 year from baseline. Using a theory-based approach we will determine 'how' the different interventions work by looking at the processes involved and the impact pathways following the theory of change developed for this context. Quantitative and qualitative data are collected on morbidity, health seeking, hygiene and nutrition behaviours, dietary diversity, haemoglobin concentration, women's empowerment, household food security and expenditures and social capital. The direct and indirect costs of each intervention borne by the implementing organisation and their partners as well as by beneficiaries and their communities are also assessed. The results of this trial will provide robust evidence to help increase knowledge about the predictability of how different modalities of cash-based transfer work best to reduce the risk of child wasting during a season where food insecurity is at its highest. Evidence on costing and cost-effectiveness will further aid decisions on choice of modality in terms of effectiveness and sustainability. Current Controlled Trials ISRCTN10761532 . Registered 26 March 2015.

Volutidae (Mollusca: Gastropoda) of the Lakhra Formation (Earliest Eocene, Sindh, Pakistan): systematics, biostratigraphy and paleobiogeography.

PubMed

Merle, Didier; Pacaud, Jean-Michel; Métais, Grégoire; Bartolini, Annachiara; Lashari, Rafiq A; Brohi, Imdad A; Solangi, Sarfraz H; Marivaux, Laurent; Welcomme, Jean-Loup

2014-06-27

The paleobiodiversity of the Volutidae (Mollusca: Gastropoda) of the Ranikot Group (Sindh, Pakistan) and particularly of the Lakhra Formation (SBZ 5 biozone, Earliest Eocene), is reconsidered on the basis of new material collected during recent field trips. Ten new species are described (Mitreola brohii sp. nov., Lyrischapa vredenburgi sp. nov., L. brevispira sp. nov., Athleta (Volutopupa) citharopsis sp. nov., A. (Volutocorbis) lasharii sp. nov., Volutilithes welcommei sp. nov., V. sindhiensis sp. nov., Pseudaulicina coxi sp. nov., Sindhiluta lakhraensis sp. nov. and Pakiluta solangii sp. nov.) and one species is in open nomenclature (Lyria sp.). Three new genera are described: Lyriopsis gen. nov. [Volutinae, ?Lyriini, type species: Lyriopsis cossmanni (Vredenburg, 1923)], Sindhiluta gen. nov. [Volutilithinae, type species: Sindhiluta lakhraensis n. sp.] and Pakiluta gen. nov. [?Volutodermatinae, type species: Pakiluta solangii n. sp.]. Two new combinations are proposed: Lyriopsis cossmanni (Vredenburg, 1923) comb. nov. and Athleta (Volutopupa) intercrenatus (Cossmann & Pissarro, 1909) comb. nov. Lectotypes are designated for Lyria cossmanni Vredenburg, 1923, L. feddeni Vredenburg, 1923, Volutospina noetlingi Cossmann & Pissarro, 1909, V. intercrenata Cossmann & Pissarro, 1909 and Athleta (Volutocorbis) victoriae Vredenburg, 1923. With 21 species, this volutid fauna is the most diverse recorded from the Tethys Ocean during Earliest Eocene time. The assemblage is characterized by a strong turnover marked by regional speciation and the appearance of many western Tethyan invaders. Although at the species level, the assemblage documents a strong provincialism, at the genus level, the high number of shared genera between Eastern Tethyan and Old World Tethyan realms begins a phase of long-term homogeneity of volutid assemblages from the Tethyan paleobiogeographic province.

Biosafety perspective of clinical laboratory workers: a profile of Pakistan.

PubMed

Nasim, Sadia; Shahid, Anjum; Mustufa, Muhammad Ayaz; Arain, Ghazala Mohyuddin; Ali, Ghazanfer; Taseer, Ijaz-ul-Haque; Talreja, Kanaya Lal; Firdous, Rukhsana; Iqbal, Rizwan; Siddique, Shameem Ahmed; Naz, Saima; Akhter, Tasleem

2012-08-21

Biosafety during lab work is an important concern in developing countries. Some critical issues concerning biosafety are lack of training, exceeding workload, working too fast, deciding not to follow safe practices, and skepticism about biohazards. This study aimed to determine biosafety perception and practices of laboratory technicians during routine work in clinical laboratories of Pakistan. A total of 1,782 laboratory technicians were interviewed from major public sector hospitals and a few private hospital laboratories throughout Pakistan. A total of 1,647 (92.4%) males and 135 (7.6%) females participated in the study, with over half (59.7%) having more than five years of work experience. Results showed that 28.4% of the laboratory technicians from Punjab, 35.7% from Sindh, 32% from Balochistan and 38.4% from Khyber Pakhtoon Khawa (KPK) did not use any personal protective equipment. Almost 46% of the respondents (34.2% from Punjab, 61.9% from Sindh, 25.2% from Balochistan and 85% from KPK) said they reused syringes either occasionally or regularly. Furthermore, 30.7% of the respondents said they discard used syringes directly into municipal dustbins. The majority (66.7%) claimed there are no separate bins for sharps, so they throw these in municipal dustbins. Mouth pipetting was reported by 28.3% technicians. Standard operating procedures were not available in 67.2% labs, and accident records were not maintained in 83.4%. No formal biosafety training had been provided to 84.2% of the respondents. Laboratory technicians in Pakistan lack awareness of good laboratory practices and biosafety measures, and also face a lack of resources.

Complete mitochondrial genome of freshwater shark Wallago attu (Bloch & Schneider) from Indus River Sindh, Pakistan.

PubMed

Laghari, Muhammad Younis; Lashari, Punhal; Xu, Peng; Zhao, Zixia; Jiang, Li; Narejo, Naeem Tariq; Xin, Baoping; Sun, Xiaowen; Zhang, Yan

2016-01-01

Complete mitochondrial genome of fresh water giant catfish, Wallago attu, was isolated by LA PCR (TakaRa LAtaq, Dalian, China); and sequenced by Sanger's method to obtain the complete mitochondrial genome. The complete mitogenome was 15,639 bp in length and contains 13 typical vertebrate protein-coding genes, 2 rRNA and 22 tRNA genes. The whole genome base composition was estimated to be 31.17% A, 28.15% C, 15.55% G and 25.12% T. The complete mitochondrial genome of catfish, W. attu, provides the fundamental tools for genetic breeding.

Toxic Risk Assessment of Arsenic in Males Through Drinking Water in Tharparkar Region of Sindh, Pakistan.

PubMed

Brahman, Kapil Dev; Kazi, Tasneem Gul; Afridi, Hassan Imran; Arain, Sadaf Sadia; Kazi, Atif Gul; Talpur, Farah Naz; Baig, Jameel Ahmed; Panhwar, Abdul Haleem; Arain, Mariam Shezadi; Ali, Jamshed; Arain, Mohammad Balal; Naeemullah

2016-07-01

Humans are exposed to arsenic (As) through air, drinking water, and food. The arsenic (As) hazardous quotient was calculated on the basis of its concentration in drinking water of different origin and scalp hair of male subjects (n = 313), residents of different exposed and non-exposed areas of Sindh, Pakistan. The total As was determined in water and scalp hair samples, while As species were determined in water samples by advance extraction methodologies. The total As concentrations in drinking water of less-exposed (LE) and high-exposed (HE) areas was found to be 2.63 to 4.46 and 52 to 235, fold higher than the permissible limit, respectively, than recommended by World Health Organization (2004) for drinking water. While the levels of As in drinking water of non-exposed (NE) areas was within the permissible limit. The resulted data indicated that the dominant species was As(+5) in groundwater samples. The levels of As in scalp hair samples of male subjects of two age groups (18-30 and 31-50 years), belonging to NE, LE, and HE areas, ranged from 0.26 to 0.69, 0.58 to 1.34, and 15.6 to 60.9 μg/g, respectively. A significant correlation between As levels in drinking water and scalp hair was observed in HE area (r = 0.86-0.90, p < 0.001) as compared to those subjects belonging to LE area. A toxicity risk assessment was calculated as hazard quotient (HQ), which indicates that the study subjects of HE area have significantly higher values of HQ than LE. The population of As exposed areas is at high risk of non-carcinogenic and carcinogenesis effects.

Determination of reference values for elevated fasting and random insulin levels and their associations with metabolic risk factors among rural Pakistanis from Sindh Province.

PubMed

Ahmadani, Muhammad Yakoob; Hakeem, Rubina; Fawwad, Asher; Basit, Abdul; Shera, A Samad

2008-06-01

To assess insulin levels and their association with metabolic risk factors (family history of diabetes, abnormal glucose tolerance, hypertension, overweight and android obesity) among a representative group of Pakistan. The study data was taken from the database of a population-based survey conducted in Sindh Province, Pakistan, in 1994 to assess the prevalence of diabetes mellitus and impaired glucose tolerance (IGT). Through stratified random sampling; oral glucose tolerance tests were performed in 967 adults; every fifth sample was estimated for fasting and random (2-hour post-75 gm glucose load) insulin levels. The total number of metabolic risk factors was counted for each subject, and their association with insulin levels studied. Of the 130 subjects, 56.1% were females and 95.4% were Sindhi. The mean age of males and females was 43.84 and 40.61 years, respectively. Family history for diabetes and frequency of overweight had significant positive associations with both fasting and random insulin levels (P < 0.05). Association between hypertension and insulin levels was significant only for random insulin levels, and between android obesity, abnormal glucose tolerance, or male gender and insulin levels only for fasting insulin levels (P < 0.05). Metabolic risk factors had significant positive associations with both fasting (r = 0.351 P = 0.000) as well as random insulin levels (r = 0.364 P = 0.000). This paper provides baseline pioneering information applicable to the Pakistani population. Furthermore, the observations made in this study about differences in association of fasting or random insulin levels with various metabolic risk factors highlight the possibility of using either of them for risk assessment. This finding needs to be assessed in a larger and nationally representative sample.

Diversity and Distribution of Cryptic Species of the Bemisia tabaci (Hemiptera: Aleyrodidae) complex in Pakistan.

PubMed

Masood, Mariyam; Amin, Imran; Hassan, Ishtiaq; Mansoor, Shahid; Brown, Judith K; Briddon, Rob W

2017-12-05

Bemisia tabaci (Gennadius; Hempitera: Aleyrodidae) is considered to be a cryptic (sibling) species complex, the members of which exhibit morphological invariability while being genetically and behaviorally distinct. Members of the complex are agricultural pests that cause direct damage by feeding on plants, and indirectly by transmitting viruses that cause diseases leading to reduced crop yield and quality. In Pakistan, cotton leaf curl disease, caused by multiple begomovirus species, is the most economically important viral disease of cotton. In the study outlined here, the diversity and geographic distribution of B. tabaci cryptic species was investigated by analyzing a taxonomically informative fragment of the mitochondrial cytochrome c oxidase 1 gene (mtCOI-3'). The mtCOI-3' sequence was determined for 285 adult whiteflies and found to represent six cryptic species, the most numerous being Asia II-1 and Middle East Asia Minor 1 (MEAM-1), the later also referred to as the B-biotype, which was previously thought to be confined to Sindh province but herein, was also found to be present in the Punjab province. The endemic Asia I was restricted to Sindh province, while an individual in the Asia II-8 was identified in Pakistan for the first time. Also for the first time, samples were collected from northwestern Pakistan and Asia II-1 was identified. Results indicate that in Pakistan the overall diversity of B. tabaci cryptic species is high and, based on comparisons with findings from previous studies, the distribution is dynamic. © The Author(s) 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The seasonal evolution of fruit, vegetable and yard wastes by mono, co and tri-digestion at Hyderabad, Sindh Pakistan.

PubMed

Korai, Muhammad Safar; Mahar, Rasool Bux; Uqaili, Muhammad Aslam

2018-01-01

The contribution of biowastes in municipal solid waste (MSW) is increasing day by day and being dumped in open atmosphere along with other wastes in every city of Pakistan. This study was formulated to evaluate the feasibility of biowastes such as fruit, vegetable and yard wastes of different seasons individual and mixing at different ratios to optimize methane production at Hyderabad Sindh, Pakistan. Batch digestion of selected samples was conducted for 40 days under mesophilic condition. Methane yield of individual fruit, vegetable and yard wastes (FrVYW) of summer and winter season was obtained in the range of 0.36-0.40 L/g VS and 0.39-0.44 L/g VS added respectively. The results of co-digestion of FrVYW of summer and winter season were observed in the range of 0.42-0.45 L/g VS added and 0.46 to 0.54 L/g VS added respectively. The results of tri-digestion of FrVYW of summer and winter season were achieved in the range of 0.46-0.53 L/g VS added and 0.56-0.62 L/g VS added respectively. Findings of study showed that methane production potential of tri-digestions were highest than all of others and that of co-digestion were higher than mono-digestion of FrVYW. Overall results of study concluded that tri-digestion of FrVYW at the equal blending ratio reported highest methane potential. Therefore, the study recommended that tri-digestion of FrVYW at equal mixing ratio is an optimal ratio for anaerobic digestion process to yield maximum methane production from FrVYW. Copyright © 2017 Elsevier Ltd. All rights reserved.

Monitoring the distribution of tropospheric ozone concentration over Pakistan by using OMI/MLS satellite observations

NASA Astrophysics Data System (ADS)

Noreen, Asma; Fahim Khokhar, Muhammad; Murtaza, Rabbia; Zeb, Naila

2016-07-01

Pakistan is a semi-arid, agricultural country located in Indian Sub-continent, Asia. Due to exponential population growth, poor control and regulatory measures and practices in industries, it is facing a major problem of air pollution. The concentration of greenhouse gases and aerosols are showing an increasing trend in general. One of these greenhouse gases is tropospheric ozone, one of the criteria pollutant, which has a radiative forcing (RF) of about 0.4 ± 0.2 Wm-2, contributing about 14% of the present total RF. Spatial distribution and temporal evolution of tropospheric ozone concentration over Pakistan during 2004 to 2014 was studied by using combined OMI/MLS product, which was derived by tropospheric ozone residual (TOR) method. Results showed an overall increase of 3.2 ± 2.2 DU in tropospheric ozone concentration over Pakistan since October 2004. The mean spatial distribution showed high concentrations of ozone in the Punjab and southern Sindh where there is high population densities along with rapid urbanization and enhanced anthropogenic activities. The seasonal variations were observed in the provinces of the country and TO3 VCDs were found to be high during summer while minimum during winter. The statistical analysis by using seasonal Mann Kendal test also showed strong positive trends over the four provinces as well as in major cities of Pakistan. These variations were driven by various factors such as seasonality in UV-B fluxes, seasonality in ozone precursor gases such as NOx and VOCs and agricultural fire activities in Pakistan. A strong correlation of 97% was found between fire events and tropospheric ozone concentration over the country. The results also depicted the influence of UV-B radiations on the tropospheric ozone concentration over different regions of Pakistan especially in Baluchistan and Sindh provinces.

Rationale, design, and cohort enrolment of a prospective observational study of the clinical performance of the new contraceptive implant (Femplant) in Pakistan.

PubMed

Azmat, Syed Khurram; Hameed, Waqas; Lendvay, Anja; Shaikh, Babar Tasneem; Mustafa, Ghulam; Siddiqui, Muhammad Ahmed; Brohi, Sajid; Karim, Asif; Ishaque, Muhammad; Hussain, Wajahat; Bilgrami, Mohsina; Feldblum, Paul J

2014-01-01

The use of hormonal implants has gained positive traction in family planning programs in recent times. Compared to other popular methods, such as long-term reversible intrauterine devices, the use of hormonal implants as a family planning method has distinct advantages in terms of long-term efficiency and better user compliance and availability. This paper presents a study protocol to document and evaluate the efficacy, safety, and acceptability of Femplant (contraceptive implant) in Pakistan during the first year of its use among married women of reproductive age (18-44 years) at clinics in two provinces of Pakistan (Sindh and Punjab). A total of 724 married women were enrolled in a noncomparative prospective observational study. The study involved six government clinics from the Population Welfare Department in Sindh Province and 13 clinics run by the Marie Stopes Society (a local nongovernmental organization) in both provinces. The participation of women was subject to voluntary acceptance and medical eligibility. All respondents were interviewed at baseline and subsequently at each scheduled visit during the study period. Side effects, complications and adverse events, if any, were recorded for every participant at each visit to the facility. Over the next 5-year period (2013-2018), 27 million hormonal implants will be made available in lower- to middle-income countries by international donors and agencies. The evidence generated from this study will identify factors affecting the acceptability and satisfaction of end users with Femplant (Sino-implant II). This will help to guide policies to enhance access to and the use of long-acting contraceptive implants in Pakistan and similar developing countries.

Comparative Analysis of Seasonal Variation in Tropospheric Nitrogen Dioxide over Pakistan and Saudi Arabia

NASA Astrophysics Data System (ADS)

Fahim Khokhar, Muhammad; Wagner, Thomas; Jamil, Mohsin

2016-07-01

In this study, spatial and temporal distributions of tropospheric NO2 vertical column densities over Pakistan and Saudi Arabia during the time period of 2004-2015 are discussed. Data products from the satellite instrument OMI are used. The results show a large NO2 growth over major cities of both countries, particularly the areas with rapid urbanization. Different seasonal cycles were observed over both countries. Especially, seasonal variation in tropospheric NO2 over Pakistan is largely impacted by the photolysis rate, OH radical and monsoon rains in addition to soil emissions, agriculture fires and other anthropogenic activities. While in the case of Saudi Arabia, the seasonal variation in tropospheric NO2 is completely driven by thermal power generation. Furthermore, different regions of Pakistan exhibited different seasonal trends. In the provinces of Punjab (north-east), Khyber Paktunkhwa (north-west) and Sindh (south-east), NO2 columns are maximum in winter and minimum in summer months while a reversed seasonality was observed in the province of Baluchistan (south-west). We compared the observed Spatio-temporal patterns to existing emission inventories and found that for the most populated provinces the NOx emissions are clearly dominated by anthropogenic sources. In these areas also the strongest positive trends were observed. NOx released from soils and produced by lightning both together contribute about 20% for the provinces of Punjab, Sindh, and Khyber Pakhtunkhwa, while its contribution in Baluchistan is much stronger (~50%). NOx emissions from biomass burning are negligible. This finding can also explain the observed summer maximum in Baluchistan since the highest lightning activity occurs during the Monsoon season. Our comparison also indicates that the inventories of anthropogenic NOx emissions over Pakistan seem to underestimate the true emissions by about a factor of two.

Emergence of an Extensively Drug-Resistant Salmonella enterica Serovar Typhi Clone Harboring a Promiscuous Plasmid Encoding Resistance to Fluoroquinolones and Third-Generation Cephalosporins.

PubMed

Klemm, Elizabeth J; Shakoor, Sadia; Page, Andrew J; Qamar, Farah Naz; Judge, Kim; Saeed, Dania K; Wong, Vanessa K; Dallman, Timothy J; Nair, Satheesh; Baker, Stephen; Shaheen, Ghazala; Qureshi, Shahida; Yousafzai, Mohammad Tahir; Saleem, Muhammad Khalid; Hasan, Zahra; Dougan, Gordon; Hasan, Rumina

2018-02-20

Antibiotic resistance is a major problem in Salmonella enterica serovar Typhi, the causative agent of typhoid. Multidrug-resistant (MDR) isolates are prevalent in parts of Asia and Africa and are often associated with the dominant H58 haplotype. Reduced susceptibility to fluoroquinolones is also widespread, and sporadic cases of resistance to third-generation cephalosporins or azithromycin have also been reported. Here, we report the first large-scale emergence and spread of a novel S  Typhi clone harboring resistance to three first-line drugs (chloramphenicol, ampicillin, and trimethoprim-sulfamethoxazole) as well as fluoroquinolones and third-generation cephalosporins in Sindh, Pakistan, which we classify as extensively drug resistant (XDR). Over 300 XDR typhoid cases have emerged in Sindh, Pakistan, since November 2016. Additionally, a single case of travel-associated XDR typhoid has recently been identified in the United Kingdom. Whole-genome sequencing of over 80 of the XDR isolates revealed remarkable genetic clonality and sequence conservation, identified a large number of resistance determinants, and showed that these isolates were of haplotype H58. The XDR S  Typhi clone encodes a chromosomally located resistance region and harbors a plasmid encoding additional resistance elements, including the bla CTX-M-15 extended-spectrum β-lactamase, and carrying the qnrS fluoroquinolone resistance gene. This antibiotic resistance-associated IncY plasmid exhibited high sequence identity to plasmids found in other enteric bacteria isolated from widely distributed geographic locations. This study highlights three concerning problems: the receding antibiotic arsenal for typhoid treatment, the ability of S  Typhi to transform from MDR to XDR in a single step by acquisition of a plasmid, and the ability of XDR clones to spread globally. IMPORTANCE Typhoid fever is a severe disease caused by the Gram-negative bacterium Salmonella enterica serovar Typhi. Antibiotic-resistant S  Typhi strains have become increasingly common. Here, we report the first large-scale emergence and spread of a novel extensively drug-resistant (XDR) S  Typhi clone in Sindh, Pakistan. The XDR S  Typhi is resistant to the majority of drugs available for the treatment of typhoid fever. This study highlights the evolving threat of antibiotic resistance in S  Typhi and the value of antibiotic susceptibility testing and whole-genome sequencing in understanding emerging infectious diseases. We genetically characterized the XDR S  Typhi to investigate the phylogenetic relationship between these isolates and a global collection of S  Typhi isolates and to identify multiple genes linked to antibiotic resistance. This S  Typhi clone harbored a promiscuous antibiotic resistance plasmid previously identified in other enteric bacteria. The increasing antibiotic resistance in S  Typhi observed here adds urgency to the need for typhoid prevention measures. Copyright © 2018 Klemm et al.

Knowledge, attitude and perception regarding dengue fever among university students of interior Sindh.

PubMed

Bota, Rafaqat; Ahmed, Mushtaq; Jamali, Muhammad Salah; Aziz, Adnan

2014-01-01

Dengue is among the most common mosquito-borne viral diseases that affect humans. It has now become a major public health dilemma, annually affecting approximately 50-100 million people worldwide. This study aimed to assess the knowledge, attitude and perception of dengue fever among university students of interior Sindh. A cross-sectional study was conducted during the period of April-June 2012. Four hundred and fifty students were surveyed. A structured pre-tested questionnaire was used to collect data. The data were analyzed using SPSS version 17. Overall, 94.6% of participants (43.3% male and 56.7% female, p-value 0.03) reported that they had heard about dengue, and 58.6% of participants reported "Aedes mosquito" as a vector of dengue virus, with gender difference (37.5% male vs 62.5% females with p-value <0.001). The Aedes mosquito is "A small dark mosquito having white stripes on its leg" was reported by 54.8% students. The Aedes mosquito breeds in "Stagnant clean water" was reported by 47.6% (male 40.2% vs female 59.8%, p-value 0.003) and usually bites at "Dusk" by 44.7% and at "Dawn" by 51%. Regarding symptoms of dengue fever, "Prolonged high fever" was reported by 52.6%, "Muscular pain" by 39.6% (p-value 0.009), "Bleeding" by 41.3% (p-value 0.001) and "Headache, nausea and vomiting" by 44.7% (p-value 0.001). Approximately half of the participants in our study were unable to correctly identify the Aedes mosquito as a transmission source (41.4%), its appearance (45.2%), its breeding place (52.4%) and its bite time (52.2%). The enhancement of knowledge through different educational programs is needed to increase awareness of dengue fever. Copyright © 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis

PubMed Central

Tappis, Hannah; Dahar, Zaib; Ali, Anayat; Agha, Sohail

2015-01-01

Introduction Rapid population growth, stagnant contraceptive prevalence, and high unmet need for family planning present significant challenges for meeting Pakistan’s national and international development goals. Although health behaviors are shaped by multiple social and environmental factors, research on contraceptive uptake in Pakistan has focused on individual and household determinants, and little attention has been given to community characteristics that may affect access to services and reproductive behavior. Methods Individual and community determinants of contraceptive use were identified using multivariable multilevel logistic regression to analyze data from a 2014 cross-sectional survey of 6,200 mothers in 503 communities in Sindh, Pakistan. Results Only 27% of women who had given birth in the two years before the study reported using contraceptives. After adjusting for individual and community characteristics, there was no difference in the odds of contraceptive use between urban and rural women. Women who had delivered at a health facility had 1.4 times higher odds of contraceptive use than women who delivered at home. Those who received information about birth spacing from a doctor or relatives/friends had 1.81 and 1.38 times higher odds of contraceptive use, respectively, than those who did not. Living in a community where a higher proportion of women received quality antenatal care and where discussion of birth spacing was more common was significantly associated with contraceptive use. Community-wide poverty lowered contraceptive use. Conclusions Quality of care at the community level has strong effects on contraceptive use, independent of the characteristics of individual households or women. These findings suggest that powerful gains in contraceptive use may be realized by improving the quality of antenatal care in Pakistan. Community health workers should focus on generating discussion of birth spacing in the community. Outreach efforts should target communities where the demand for contraception appears to be depressed due to high levels of poverty. PMID:26485524

Suitable Site Selection of Small Dams Using Geo-Spatial Technique: a Case Study of Dadu Tehsil, Sindh

NASA Astrophysics Data System (ADS)

Khalil, Zahid

2016-07-01

Decision making about identifying suitable sites for any project by considering different parameters, is difficult. Using GIS and Multi-Criteria Analysis (MCA) can make it easy for those projects. This technology has proved to be an efficient and adequate in acquiring the desired information. In this study, GIS and MCA were employed to identify the suitable sites for small dams in Dadu Tehsil, Sindh. The GIS software is used to create all the spatial parameters for the analysis. The parameters that derived are slope, drainage density, rainfall, land use / land cover, soil groups, Curve Number (CN) and runoff index with a spatial resolution of 30m. The data used for deriving above layers include 30 meter resolution SRTM DEM, Landsat 8 imagery, and rainfall from National Centre of Environment Prediction (NCEP) and soil data from World Harmonized Soil Data (WHSD). Land use/Land cover map is derived from Landsat 8 using supervised classification. Slope, drainage network and watershed are delineated by terrain processing of DEM. The Soil Conservation Services (SCS) method is implemented to estimate the surface runoff from the rainfall. Prior to this, SCS-CN grid is developed by integrating the soil and land use/land cover raster. These layers with some technical and ecological constraints are assigned weights on the basis of suitability criteria. The pair wise comparison method, also known as Analytical Hierarchy Process (AHP) is took into account as MCA for assigning weights on each decision element. All the parameters and group of parameters are integrated using weighted overlay in GIS environment to produce suitable sites for the Dams. The resultant layer is then classified into four classes namely, best suitable, suitable, moderate and less suitable. This study reveals a contribution to decision making about suitable sites analysis for small dams using geo-spatial data with minimal amount of ground data. This suitability maps can be helpful for water resource management organizations in determination of feasible rainwater harvesting structures (RWH).

The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis.

PubMed

Tappis, Hannah; Kazi, Anis; Hameed, Waqas; Dahar, Zaib; Ali, Anayat; Agha, Sohail

2015-01-01

Rapid population growth, stagnant contraceptive prevalence, and high unmet need for family planning present significant challenges for meeting Pakistan's national and international development goals. Although health behaviors are shaped by multiple social and environmental factors, research on contraceptive uptake in Pakistan has focused on individual and household determinants, and little attention has been given to community characteristics that may affect access to services and reproductive behavior. Individual and community determinants of contraceptive use were identified using multivariable multilevel logistic regression to analyze data from a 2014 cross-sectional survey of 6,200 mothers in 503 communities in Sindh, Pakistan. Only 27% of women who had given birth in the two years before the study reported using contraceptives. After adjusting for individual and community characteristics, there was no difference in the odds of contraceptive use between urban and rural women. Women who had delivered at a health facility had 1.4 times higher odds of contraceptive use than women who delivered at home. Those who received information about birth spacing from a doctor or relatives/friends had 1.81 and 1.38 times higher odds of contraceptive use, respectively, than those who did not. Living in a community where a higher proportion of women received quality antenatal care and where discussion of birth spacing was more common was significantly associated with contraceptive use. Community-wide poverty lowered contraceptive use. Quality of care at the community level has strong effects on contraceptive use, independent of the characteristics of individual households or women. These findings suggest that powerful gains in contraceptive use may be realized by improving the quality of antenatal care in Pakistan. Community health workers should focus on generating discussion of birth spacing in the community. Outreach efforts should target communities where the demand for contraception appears to be depressed due to high levels of poverty.

Pattern of sexually transmitted infections in males in interior Sindh: a 10-year-study.

PubMed

Bhutto, Abdul Manan; Shah, Aftab Hussain; Ahuja, Dileep Kumar; Solangi, Aijaz Hussain; Shah, Sharaf Ali

2011-01-01

Sexually transmitted infections (STIs) are widespread in Pakistan and have not been fully documented particularly in Sindh Province. The aim of this study is to determine the number and clinical pattern of various types of STIs in general population of Larkana division and its surrounding cities. A hospital based prospective study was carried out at Male-STD-Clinic in the Department of Dermatology, Shaheed Muhtarma Benazir Bhutto Medical University Hospital Larkana from January 2000 to December 2009. Among 4,288 patients, 3,947 (92.04%) had the history of extra marital sexual contact and simultaneously had developed the clinical signs of STIs; 341 (7.95%) had history of extra marital sexual contact but did not have the manifestation of STIs. Majority of the patients (3,860, 90.01%) had the history of heterosexual contact with different partners, but only few 171 (3.98%) of them had the history of homosexual contact. According the syndromic diagnosis 1930 (45.00%) patients had genital ulcer (including herpes genitals) with or without skin manifestations, 690 (16.09%) had urethral discharge, 431 (10.05%) had genital warts, 349 (8.14%) had lesions other than STIs related, 304 (7.08%) had more than one syndrome, 193 (4.50%) had scrotal swelling, 46 (1.07%) had inguinal bubo, 3 (0.06%) were human immunodeficiency virus (HIV) positive, and 1 (0.02%) had ophthalmia neonatorum. Based on the clinical and etiological grounds: 2560 (59.70%) had syphilis, 640 (14. 92%) had gonorrhoea, 399 (9.30%) had mixed infections, 40 (0.93%) had chancroid, 431 (10.05%) had genital warts, 40 (0.93%) had lymphogranuloma venerum (LGV) and granuloma inguinale (GI), 3 (0.06%) were HIV positive, 208 (4.85%) had genital herpes, 120 (2.79%) had orchitis, 56 (1.30%) had non gonococcal urethritis (chlamydia were 19), and 1 (0.02%) had ophthalmia neonatorum. Mode of transmission of STIs in this region is mainly by heterosexual contact and syphilis is the commonest followed by gonorrhoea.

Estimating of Soil Texture Using Landsat Imagery: a Case Study in Thatta Tehsil, Sindh

NASA Astrophysics Data System (ADS)

Khalil, Zahid

2016-07-01

Soil texture is considered as an important environment factor for agricultural growth. It is the most essential part for soil classification in large scale. Today the precise soil information in large scale is of great demand from various stakeholders including soil scientists, environmental managers, land use planners and traditional agricultural users. With the increasing demand of soil properties in fine scale spatial resolution made the traditional laboratory methods inadequate. In addition the costs of soil analysis with precision agriculture systems are more expensive than traditional methods. In this regard, the application of geo-spatial techniques can be used as an alternative for examining soil analysis. This study aims to examine the ability of Geo-spatial techniques in identifying the spatial patterns of soil attributes in fine scale. Around 28 samples of soil were collected from the different areas of Thatta Tehsil, Sindh, Pakistan for analyzing soil texture. An Ordinary Least Square (OLS) regression analysis was used to relate the reflectance values of Landsat8 OLI imagery with the soil variables. The analysis showed there was a significant relationship (p<0.05) of band 2 and 5 with silt% (R2 = 0.52), and band 4 and 6 with clay% (R2 =0.40). The equation derived from OLS analysis was then used for the whole study area for deriving soil attributes. The USDA textural classification triangle was implementing for the derivation of soil texture map in GIS environment. The outcome revealed that the 'sandy loam' was in great quantity followed by loam, sandy clay loam and clay loam. The outcome shows that the Geo-spatial techniques could be used efficiently for mapping soil texture of a larger area in fine scale. This technology helped in decreasing cost, time and increase detailed information by reducing field work to a considerable level.

The Lakhra Anticline - An Active Structure of Pleistocene to Holocene Age in Southern Pakistan

USGS Publications Warehouse

Outerbridge, William F.; SanFilipo, John R.; Khan, Rafiq Ahmed

2007-01-01

The Lakhra anticline is a breached north-trending structure northwest of Hyderabad in Sindh Province, Pakistan. About 340 meters (m) of Paleocene to Holocene strata have been eroded from the core of the anticline. North-trending normal faults transect the anticline at a low angle, are vertical, and form a set of nested grabens. Lakhra Nala and Siph Nala were formed where antecedent streams eroded the nalas (canyons, gullies, ravines, or watercourses and the streams in them) as the anticline rose. Lakhra Nala flows onto the Indus River flood plain, which is accumulating about 6.1 m of alluvium per 1,000 years. If the anticline rose at an equivalent rate, it started to rise about 60,000 years ago.

Vouchers in Fragile States: Reducing Barriers to Long-Acting Reversible Contraception in Yemen and Pakistan

PubMed Central

Boddam-Whetham, Luke; Gul, Xaher; Al-Kobati, Eman; Gorter, Anna C

2016-01-01

ABSTRACT In conflict-affected states, vouchers have reduced barriers to reproductive health services and have enabled health programs to use targeted subsidies to increase uptake of specific health services. Vouchers can also be used to channel funds to public- and private-service providers and improve service quality. The Yamaan Foundation for Health and Social Development in Yemen and the Marie Stopes Society (MSS) in Pakistan—both working with Options Consultancy Services—have developed voucher programs that subsidize voluntary access to long-acting reversible contraceptives (LARCs) and permanent methods (PMs) of family planning in their respective fragile countries. The programs focus on LARCs and PMs because these methods are particularly difficult for poor women to access due to their cost and to provider biases against offering them. Using estimates of expected voluntary uptake of LARCs and PMs for 2014 based on contraceptive prevalence rates, and comparing these with uptake of LARCs and PMs through the voucher programs, we show the substantial increase in service utilization that vouchers can enable by contributing to an expanded method choice. In the governorate of Lahj, Yemen, vouchers for family planning led to an estimated 38% increase in 2014 over the expected use of LARCs and PMs (720 vs. 521 expected). We applied the same approach in 13 districts of Punjab, Khyber Pakhtunkhwa (KPK), and Sindh provinces in Pakistan. Our calculations suggest that vouchers enabled 10 times more women than expected to choose LARCs and PMs in 2014 in those areas of Pakistan (73,639 vs. 6,455 expected). Voucher programs can promote and maintain access to family planning services where existing health systems are hampered. Vouchers are a flexible financing approach that enable expansion of contraceptive choice and the inclusion of the private sector in service delivery to the poor. They can keep financial resources flowing where the public sector is prevented from offering services, and ensure that alternative sources are available for reproductive health services such as family planning. Programs should consider using vouchers in fragile states to facilitate access to family planning services and support the countries’ health systems. PMID:27540129

Arsenic contamination, subsequent water toxicity, and associated public health risks in the lower Indus plain, Sindh province, Pakistan.

PubMed

Shahab, Asfandyar; Qi, Shihua; Zaheer, Muhammad

2018-06-18

Arsenic (As) contamination in drinking water is a global public health risk. The present study highlighted the geological and anthropogenic causes of As contamination in groundwater (GW) and surface water (SW) and assessment of their potential health risks in Sindh province of Pakistan. Upon analyzing 720 GW and SW samples from 18 different sites, the estimates of As in groundwater and surface water was observed in the range of 0 to 125 and 0 to 35 μg/L with mean values of 46.8 and 15.43 μg/L respectively. Majority of the samples exceeded WHO permissible limit of As (10 μg/L) with higher concentration detected in groundwater samples compared to surface water. Moreover, both of these sample sources were found not potable based on physicochemical characteristics. The results of statistical analysis (correlation analysis, principal component analysis (PCA), and hierarchy cluster analysis (HCA)) indicate that natural mobilization of As in groundwater is believed to be enhanced by the pH-based reductive dissolution of iron hydroxide (FeOH) and competitive sorption of bicarbonate minerals in the presence of microorganisms along with evaporative enrichment while water logging, coal mining, and excessive use of pesticides are believed to be the anthropogenic causes of As enrichment. Furthermore, enormous health risk was associated with As in terms of chronic daily intake (CRI), hazard quotient (HQ), and cancer risk probability (CR) in GW and SW. Mean HQ values in GW were 4.47 mg/kg/day in adults and 3.89 mg/kg/day in children (standard HQ ≤ 1) and was 1.43 and 1.28 mg/kg/day in SW. Mean CR value in both GW and SW was found higher than the safe limit (10 -6 ) having a mean of 2 × 10 -3 in GW and 7 × 10 -4 (mg/kg/day) in SW. These findings suggest that majority of the sampling sites carry serious public health risk due to high As values and hence demands exigent remedial and management measures.

Monitoring Environmental Impacts on Mangrove Ecosystem in the Indus Delta of Pakistan

NASA Astrophysics Data System (ADS)

Siddiqui, Mehrun-Nisa

Monitoring Environmental Impacts on Mangrove Ecosystem in the Indus Delta of Pakistan The mangrove forests growing in intertidal region along the tropical coastlines form a unique ecosystem with rich floral species and marine resources. In Pakistan, large mangrove forests are found all along the muddy coast of Sindh province at Indus Deltaic region. These mangroves are threatened by a variety of environmental pollution, like: dumping of untreated industrial and urban waste, sewage water; hazardous chemical released during ship breaking, oil spills, mangroves cutting, over fishing, scarcity of fresh water, seawater intrusion and unplanned urban development, etc. Dams and barrages, constructed on the mighty Indus River have reduced the supply of freshwater into the delta and consequently, seawater intruding into the riverine tract. The Tidal Link, constructed in 1995 to drain the agriculture effluents of cultivated areas of Sindh to sea, has also greatly damaged the ecology of the area. This study is based on integrated use of RS & GIS techniques for monitoring environmental impacts on the mangroves ecosystem of Indus Delta, for management and planning of this coastal ecosystem. Temporal satellite remote sensing (SRS) data acquired between 1976 to 2005 have been analysed using image processing and GIS techniques and coastal landuse maps representing coverage of the deltaic region have been prepared, which enabled to monitor dynamic and geomorphological changes occurred in the area. The tidal boundaries derived from temporal SRS data have been integrated to understand the coastal processes and their impact on mangroves ecosystem, and on tidal / intertidal zones. From the analysis, it was observed that the surface salt accumulation and dryness in the deltaic region and waterlogging & salinity in inland areas have been increased over the last 30 years, indicate the intrusion of seawater in groundwater aquifers and reduction in over all biomass in the area. This study demonstrated that the temporal SRS data used in this study are found suitable for monitoring environmental impacts on mangrove ecosystem and in identification of dynamic changes taking place in the Indus Delta of Pakistan. Key Words: Indus Delta, mangroves, ecosystem, temporal SRS data, environmental pollution, environmental impacts, seawater intrusion, coastal process, waterlogging & salinity

Mapping vulnerability to climate change and its repercussions on human health in Pakistan.

PubMed

Malik, Sadia Mariam; Awan, Haroon; Khan, Niazullah

2012-09-03

Pakistan is highly vulnerable to climate change due to its geographic location, high dependence on agriculture and water resources, low adaptive capacity of its people, and weak system of emergency preparedness. This paper is the first ever attempt to rank the agro-ecological zones in Pakistan according to their vulnerability to climate change and to identify the potential health repercussions of each manifestation of climate change in the context of Pakistan. A climate change vulnerability index is constructed as an un-weighted average of three sub-indices measuring (a) the ecological exposure of each region to climate change, (b) sensitivity of the population to climate change and (c) the adaptive capacity of the population inhabiting a particular region. The regions are ranked according to the value of this index and its components. Since health is one of the most important dimensions of human wellbeing, this paper also identifies the potential health repercussions of each manifestations of climate change and links it with the key manifestations of climate change in the context of Pakistan. The results indicate that Balochistan is the most vulnerable region with high sensitivity and low adaptive capacity followed by low-intensity Punjab (mostly consisting of South Punjab) and Cotton/Wheat Sindh. The health risks that each of these regions face depend upon the type of threat that they face from climate change. Greater incidence of flooding, which may occur due to climate variability, poses the risk of diarrhoea and gastroenteritis; skin and eye Infections; acute respiratory infections; and malaria. Exposure to drought poses the potential health risks in the form of food insecurity and malnutrition; anaemia; night blindness; and scurvy. Increases in temperature pose health risks of heat stroke; malaria; dengue; respiratory diseases; and cardiovascular diseases. The study concludes that geographical zones that are more exposed to climate change in ecological and geographic terms- such as Balochistan, Low-Intensity Punjab, and Cotton-Wheat Sindh -also happen to be the most deprived regions in Pakistan in terms of socio-economic indicators, suggesting that the government needs to direct its efforts to the socio-economic uplift of these lagging regions to reduce their vulnerability to the adverse effects of climate change.

Mapping vulnerability to climate change and its repercussions on human health in Pakistan

PubMed Central

2012-01-01

Background Pakistan is highly vulnerable to climate change due to its geographic location, high dependence on agriculture and water resources, low adaptive capacity of its people, and weak system of emergency preparedness. This paper is the first ever attempt to rank the agro-ecological zones in Pakistan according to their vulnerability to climate change and to identify the potential health repercussions of each manifestation of climate change in the context of Pakistan. Methods A climate change vulnerability index is constructed as an un-weighted average of three sub-indices measuring (a) the ecological exposure of each region to climate change, (b) sensitivity of the population to climate change and (c) the adaptive capacity of the population inhabiting a particular region. The regions are ranked according to the value of this index and its components. Since health is one of the most important dimensions of human wellbeing, this paper also identifies the potential health repercussions of each manifestations of climate change and links it with the key manifestations of climate change in the context of Pakistan. Results The results indicate that Balochistan is the most vulnerable region with high sensitivity and low adaptive capacity followed by low-intensity Punjab (mostly consisting of South Punjab) and Cotton/Wheat Sindh. The health risks that each of these regions face depend upon the type of threat that they face from climate change. Greater incidence of flooding, which may occur due to climate variability, poses the risk of diarrhoea and gastroenteritis; skin and eye Infections; acute respiratory infections; and malaria. Exposure to drought poses the potential health risks in the form of food insecurity and malnutrition; anaemia; night blindness; and scurvy. Increases in temperature pose health risks of heat stroke; malaria; dengue; respiratory diseases; and cardiovascular diseases. Conclusion The study concludes that geographical zones that are more exposed to climate change in ecological and geographic terms- such as Balochistan, Low-Intensity Punjab, and Cotton-Wheat Sindh -also happen to be the most deprived regions in Pakistan in terms of socio-economic indicators, suggesting that the government needs to direct its efforts to the socio-economic uplift of these lagging regions to reduce their vulnerability to the adverse effects of climate change. PMID:22938568

Comparing risk factors of HIV among hijra sex workers in Larkana and other cities of Pakistan: an analytical cross sectional study.

PubMed

Altaf, Arshad; Zahidie, Aysha; Agha, Ajmal

2012-04-10

In 2005, Pakistan was first labeled as a country with concentrated epidemic of Human Immunodeficiency Virus (HIV). This was revealed through second generation surveillance conducted by HIV/AIDS Surveillance Project (HASP). While injection drug users (IDUs) were driving the epidemic, subsequent surveys showed that Hijra (transgender) sex workers (HSWs) were emerging as the second most vulnerable group with an average national prevalence of 6.4%. An exceptionally high prevalence (27.6%) was found in Larkana, which is a small town on the right bank of river Indus near the ruins of Mohenjo-Daro in the province of Sindh. This paper presents the risk factors associated with high prevalence of HIV among HSWs in Larkana as compared to other cities of the country. Data were extracted for secondary analysis from 2008 Integrated behavioral and biological survey (IBBS) to compare HSWs living in Larkana with those living in other cities including Karachi and Hyderabad in Sindh; Lahore and Faisalabad in Punjab; and Peshawar in Khyber Pakhtunkhwa provinces. After descriptive analysis, univariate and multivariate analyses were performed to identify risk factors. P value of 0.25 or less was used to include factors in multivariate analysis. We compared 199 HSWs from Larkana with 420 HSWs from other cities. The average age of HSWs in Larkana was 26.42 (±5.4) years. Majority were Sindhi speaking (80%), uneducated (68%) and unmarried (97%). In univariate analysis, factors associated with higher prevalence of HIV in Larkana included younger age i.e. 20-24 years (OR: 5.8, CI: 2.809-12.15), being unmarried (OR: 2.4, CI: 1.0-5.7), sex work as the only mode of income (OR: 5.5, CI: 3.70-8.2) and longer duration of being involved in sex work 5-10 years (OR: 3.3, CI: 1.7-6.12). In multivariate logistic regression the HSWs from Larkana were more likely to lack knowledge regarding preventive measures against HIV (OR 11.9, CI: 3.4-41.08) and were more prone to use of alcohol during anal intercourse (OR: 6.3, CI: 2.77-17.797). Outreach programs focusing on safer sexual practices and VCT are urgently needed to address the upsurge of HIV among HSWs in Larkana.

Overview of the infant and young child feeding policy environment in Pakistan: Federal, Sindh and Punjab context.

PubMed

Mahmood, Hana; Suleman, Yasmeen; Hazir, Tabish; Akram, Durre Samin; Uddin, Shahadat; Dibley, Michael J; Abassi, Saleem; Shakeel, Amara; Kazmi, Narjis; Thow, Anne Marie

2017-06-13

Appropriate infant and young child feeding (IYCF) practices have been identified as important for appropriate child growth and development. (Ministry of Planning and Development, Ministry of National Health Services, Regulations and Coordination (2012)) Children in Pakistan still experience high rates of malnutrition, indicating a likely need for stronger IYCF policy. The purpose of this study was to identify major stakeholders who shape the IYCF policy environment and analyze which policies protect, promote and support IYCF practices, either directly or indirectly. This study was conducted at the federal level, and in the provinces of Sindh and Punjab. We identified policies relevant to IYCF using a matrix developed by the South Asian Infant Feeding Research Network (SAIFRN), designed to capture policies at a range of levels (strategic policy documents through to implementation guidelines) in sectors relevant to IYCF. We analyzed the content using predetermined themes focused on support for mothers, and used narrative synthesis to present our findings. For the stakeholder analysis, we conducted four Net-Map activities with 49 interviewees using the Net-Map methodology. We analyzed the quantitative data using Organizational Risk Analyzer ORA and used the qualitative data to elucidate further information regarding relationships between stakeholders. We identified 19 policy documents for analysis. Eleven of these were nutrition and/or IYCF focused and eight were broader policies with IYCF as a component. The majority lacked detail relevant to implementation, particularly in terms of: ownership of the policies by a specific government body; sustainability of programs/strategies (most are donor funded), multi-sectoral collaboration; and effective advocacy and behavior change communication. Data collected through four Net-Map activities showed that after devolution of health ministry, provincial health departments were the key actors in the government whereas UNICEF and WHO were the key donors who were also highly influential and supportive of the objective. This analysis identified opportunities to strengthen IYCF policy in Pakistan through increased clarity on roles and responsibilities, improved multisectoral collaboration, and strong and consistent training guidelines and schedules for community health workers. The current policy environment presents opportunities, despite limitations. Our Net-Map analysis indicated several key government and international stakeholders, who differed across Federal and Provincial study sites. The detailed information regarding stakeholder influence can be used to strengthen advocacy.

Social franchising and vouchers to promote long-term methods of family planning in rural Pakistan: a qualitative stocktaking with stakeholders.

PubMed

Azmat, Syed Khurram; Mustafa, Ghulam; Hameed, Waqas; Asghar, Jamshaid; Ahmed, Aftab; Shaikh, Babar T

2013-04-01

The overall use of modern contraception in Pakistan is quite low, especially in rural areas. Several studies have demonstrated the effectiveness of social franchising (SF) approaches in increasing access to modern contraception and improving the quality of healthcare in resource-poor areas in Asia and Africa. Drawing on best practices in SF, the Marie Stopes Society (MSS) implemented an SF model in certain rural areas of Pakistan to increase access to affordable and quality family planning (FP) services. The model was branded as Suraj (sun) and complemented with an innovative voucher scheme for intrauterine contraceptive devices (IUCDs). This paper describes the perspectives of Suraj clients, field workers mobilization (FWMs), and providers on various components of the Suraj model. A qualitative exploratory study was conducted in six randomly selected intervention districts in the Sindh and Punjab provinces. Data were collected using focus group discussions (FGDs) with clients and in-depth interviews (IDIs) with providers and FWMs. Data were manually analyzed using constant comparison and the thematic analysis approach. Clients showed positive attitudes towards modern contraceptive methods and identified Suraj FWMs and signboards as sources of information. Almost all clients reported IUCDs as effective methods as they have manageable side effects and require fewer visits to clinics. They spoke highly of voucher schemes as these enabled them to avail free IUCD services. Clients also appreciated many components of Suraj clinics, including cleanliness, privacy, confidentiality, the sterilization of instruments, and courteous Suraj providers and FWMs. Most Suraj providers said that IUCD insertion and infection-prevention training enhanced their ability to provide IUCD services and increased their standing in local communities. They reported that the role of FWMs was crucial in mobilizing the community and increasing their FP clientele. The FWMs said that attitudes towards FP were changing because of economic pressure at the household level, increases in literacy, and community mobilization efforts. The Suraj intervention influenced attitudes towards FP and modern contraception, positively. Women using IUCDs showed greater satisfaction with the method. The findings emphasize that SF approaches like Suraj, when complemented with vouchers and community mobilization efforts, can improve the utilization of long-term contraceptive methods among rural and underserved women. The study also identified the need for integrating FP, antenatal care, and safe delivery services.

Potential for task-sharing to Lady Health Workers for identification and emergency management of pre-eclampsia at community level in Pakistan.

PubMed

Salam, Rehana A; Qureshi, Rahat Najam; Sheikh, Sana; Khowaja, Asif Raza; Sawchuck, Diane; Vidler, Marianne; von Dadelszen, Peter; Zaidi, Shujaat; Bhutta, Zulfiqar

2016-09-30

An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10 % of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible to provide a comprehensive package of antenatal services. However, there is a need to increase focus on early identification and prompt diagnosis of pre-eclampsia in community settings, since women with mild pre-eclampsia often present without symptoms. This study aims to explore the potential for task-sharing to LHWs for the community-level management of pre-eclampsia and eclampsia in Pakistan. A qualitative exploratory study was undertaken February-July 2012 in two districts, Hyderabad and Matiari, in the southern province of Sindh, Pakistan. Altogether 33 focus group discussions (FGDs) were conducted and the LHW curriculum and training materials were also reviewed. The data was audio-recorded, then transcribed verbatim for thematic analysis using QSR NVivo-version10. Findings from the review of the LHW curriculum and training program describe that in the existing community delivery system, LHWs are responsible for identification of pregnant women, screening women for danger signs and referrals for antenatal care. They are the first point of contact for women in pregnancy and provide nutritional counselling along with distribution of iron and folic acid supplements. Findings from FGDs suggest that LHWs do not carry a blood pressure device or antihypertensive medications; they refer to the nearest public facility in the event of a pregnancy complication. Currently, they provide tetanus toxoid in pregnancy. The health advice provided by lady health workers is highly valued and accepted by pregnant women and their families. Many Supervisors of LHWs recognized the need for increased training regarding pre-eclampsia and eclampsia, with a focus on identifying women at high risk. The entire budget of the existing lady health worker Programme is provided by the Government of Pakistan, indicating a strong support by policy makers and the government for the tasks undertaken by these providers. There is a potential for training and task-sharing to LHWs for providing comprehensive antenatal care; specifically for the identification and management of pre-eclampsia in Pakistan. However, the implementation needs to be combined with appropriate training, equipment availability and supervision. ClinicalTrial.gov, NCT01911494.

Spatio-temporal assessment and seasonal variation of tropospheric ozone in Pakistan during the last decade.

PubMed

Noreen, Asma; Khokhar, Muhammad Fahim; Zeb, Naila; Yasmin, Naila; Hakeem, Khalid Rehman

2018-03-01

This study uses the tropospheric ozone data derived from combined observations of Ozone Monitoring Instrument/Microwave Limb Sounder instruments by using the tropospheric ozone residual method. The main objective was to study the spatial distribution and temporal evolution in the troposphere ozone columns over Pakistan during the time period of 2004 to 2014. Results showed an overall increase of 3.2 ± 1.1 DU in tropospheric ozone columns over Pakistan. Spatial distribution showed enhanced ozone columns in the Punjab and southern Sindh consistent to high population, urbanization, and extensive anthropogenic activities, and exhibited statistically significant temporal increase. Seasonal variations in tropospheric ozone columns are driven by various factors such as seasonality in UV-B fluxes, seasonality in ozone precursor gases such as NO x and volatile organic compounds (caused by temperature dependent biogenic emission) and agricultural fire activities in Pakistan. A strong correlation of 96% (r = 0.96) was found between fire events and tropospheric ozone columns in Pakistan.

Unusual sex differences in tuberculosis notifications across Pakistan and the role of environmental factors.

PubMed

Khan, M S; Khan, M S; Hasan, R; Godfrey-Faussett, P

2013-09-01

In developing countries, only one-third of new tuberculosis cases notified are from women. It is not clear whether tuberculosis incidence is lower in women than men, or whether notification figures reflect under-detection of tuberculosis in women. Pakistan, however, presents an unusual pattern of sex differences in tuberculosis notifications. While 2 of the 4 provinces (Sindh and Punjab) report more notifications from men (female to male ratios 0.81 and 0.89 respectively in 2009), the other 2 provinces (Khyber-Pakhtunkhwa and Balochistan) consistently report higher numbers of smear-positive tuberculosis notifications from women than men (1.37 and 1.40). No other country is known to have such a large variation in the sex ratios of notifications across regions. Large variations in female to male smear-positive notification ratios in different settings across a single country may indicate that environmental factors, rather than endogenous biological factors, are important in influencing the observed sex differences in tuberculosis notifications.

The changing epidemiological pattern of Dengue in Swat, Khyber Pakhtunkhwa.

PubMed

Khan, Jehangir; Ghaffar, Abdul; Khan, Shujaat Ali

2018-01-01

Pakistan is suffering from dengue fever since 1994. In the country, major dengue outbreaks have been documented in 2010, 2011 and 2013 in Punjab (Lahore) and Sindh (Karachi) Provinces. District Swat was hit for the first time by dengue virus in 2013, claiming 57 deaths and 8000 morbidities. The molecular and entomological aspects along with the ecological and social context of the dengue outbreaks were investigated in this study. In addition to entomological survey, the data collected from patients' files (Saidu Sharif Teaching Hospital, Swat) and by directly questioning the patients (field data) was analyzed for epidemiological trends, molecular identification (RT-PCR based serotyping of DENV), clinical profile, socioeconomic status (SES) and demographic features. The peak prevalence of dengue was documented in September (56% in 2013, 38% in 2014) and October (33% in 2013, 24% in 2014), whereas in 2015, in October (54.5%) and November (30.5%). The serotype 3 (≤60%) and serotype 2 (≤40%) were found dominant in the area. Among the reported patients (5513), 69% were males and 31% females. Majority of them were found in the age of 14-30 years (52.5%) as compared to 31-60 years (34.5%) (Chi-square: 3219.463, p-value: 0.00). About 63% cases reported in low SES. Among the different categories of government employees affected with dengue, majority (4%) were belonging to health department (Chi-square: 4541.011, p-value: 0.00). Similarly, dengue targeted the dwellers living in multiple-storey houses (65%) as compared to those in the single-storeyed houses (35%) (Chi-square: 495.630, p-value: 0.00). The overall death toll observed was of 57 persons. Dengue prevailed more (38.4%) among low qualified individuals as compared to high qualified (11.5%) (Chi-square: 884.315, p-value: 0.00). Our analysis indicated a decrease in the epidemiological trend of dengue (now) in the area, though initially it was observed affecting all types of communities on a larger scale. However, the DENV-2 and DENV-3 were dominantly circulating in the area and the prevalence (with usual peaks in post-monsoon) found high in males, illiterate (less educated) individuals and in those with low SES. Urbanization, infected human travelling, climate change, socioeconomic, sociodemographic as well as the wide range adaptation of vector mosquitoes, altogether, are the important factors playing role in the expansion of dengue. Further studies are needed to determine the association of these variables with the dengue spread in the area.

Induced Abortions and Unintended Pregnancies in Pakistan

PubMed Central

Sathar, Zeba; Singh, Susheela; Rashida, Gul; Shah, Zakir; Niazi, Rehan

2015-01-01

During the past decade, unmet need for family planning has remained high in Pakistan and gains in contraceptive prevalence have been small. Drawing upon data from a 2012 national study on postabortion-care complications and a methodology developed by the Guttmacher Institute for estimating abortion incidence, we estimate that there were 2.2 million abortions in Pakistan in 2012, an annual abortion rate of 50 per 1,000 women. A previous study estimated an abortion rate of 27 per 1,000 women in 2002. After taking into consideration the earlier study’s underestimation of abortion incidence, we conclude that the abortion rate has likely increased substantially between 2002 and 2012. Varying contraceptive-use patterns and abortion rates are found among the provinces, with higher abortion rates in Baluchistan and Sindh than in Khyber Pakhtunkhwa and Punjab. This suggests that strategies for coping with the otherwise uniformly high unintended pregnancy rates will differ among provinces. The need for an accelerated and fortified family planning program is greater than ever, as is the need to implement strategies to improve the quality and coverage of postabortion services. PMID:25469930

Estimation and correlation of stress and cholesterol levels in college teachers and housewives of Hyderabad-Pakistan.

PubMed

Wattoo, Feroza Hamid; Memon, Muhammad Saleh; Memon, Allah Nawaz; Wattoo, Muhammad Hamid Sarwar; Tirmizi, Syed Ahmed; Iqbal, Javed

2008-01-01

To evaluate environmental, psychological and physiological stresses in college teachers and housewives, and to correlate with their serum total cholesterol, HDL cholesterol, and LDL cholesterol, and triglyceride levels. This cohort study was performed at the Institute of Biochemistry, University of Sindh, Jamshoro, Pakistan during 2003-2005. Eighty females from middle socioeconomic groups, college teachers (40) and housewives (40) aged between 25-45 years participated in this study and subjects were selected from Hyderabad and its adjoining areas. Environmental, psychological and physiological stress levels were measured with Likert scale. Total cholesterol, LDL cholesterol and HDL cholesterol were measured by CHOD-PAP method and triglyceride levels were measured by GPO method. Housewives had high levels of total cholesterol, LDL cholesterol and triglyceride but low levels of HDL cholesterol were found in college teachers. Environmental, psychological and physiological stresses were significantly higher in housewives as compared to college teachers. Housewives were under more stress than college teachers. High levels of total cholesterol, LDL cholesterol and triglyceride but low levels of HDL cholesterol were found in housewives compared to college teachers.

Pulmonary Tuberculosis Is Associated With Biomass Fuel Use Among Rural Women in Pakistan: An Age- and Residence-Matched Case-Control Study.

PubMed

Rabbani, Unaib; Sahito, Ambreen; Nafees, Asaad Ahmed; Kazi, Ambreen; Fatmi, Zafar

2017-04-01

Facility-based, age- and residential area-matched case-control study was conducted in Sindh, Pakistan to determine association between biomass fuel use for cooking and pulmonary tuberculosis (TB). Cases were women with pulmonary TB, and controls were those suffering from other diseases. Current users of biomass fuel were at higher risk of pulmonary TB (adjusted matched odds ratio [mOR] = 3.0; 95% CI = 1.1-4.9) compared with nonusers. In comparison with former biomass users (women not using biomass for >10 years), recent biomass users (women who switched from biomass to nonbiomass ≤10 years ago), and current (lifetime) users were at a higher risk in a dose-response manner (adjusted mOR = 2.8, 95% CI = 0.9-8.2 and adjusted mOR = 3.9, 95% CI = 1.4-10.7, respectively). Population attributable fraction for TB related to biomass fuel use was 40.6% (95% CI = 35.5%-45.7%). This study strengthens the evidence that biomass fuel use for cooking is associated with pulmonary TB and risk increases with duration of exposure.

Karo-kari: a form of honour killing in pakistan.

PubMed

Patel, Sujay; Gadit, Amin Muhammad

2008-12-01

Karo-Kari is a type of premeditated honour killing, which originated in rural and tribal areas of Sindh, Pakistan. The homicidal acts are primarily committed against women who are thought to have brought dishonour to their family by engaging in illicit pre-marital or extra-marital relations. In order to restore this honour, a male family member must kill the female in question. We conducted a systematic review of the published literature other sources on karo-kari and related forms of honour killing or violence against women. Media and non-governmental organization reports were utilized for case studies and analysis. Although legally proscribed, socio-cultural factors and gender role expectations have given legitimacy to karo-kari within some tribal communities. In addition to its persistence in areas of Pakistan, there is evidence that karo-kari may be increasing in incidence in other parts of the world in association with migration. Moreover, perpetrators of ;honour killings' often have motives outside of female adultery. Analysis of the socio-cultural and psycho-pathological factors associated with the practice of karo-kari can guide the development of prevention strategies.

Evaluation of Massachusetts Office of District and School Turnaround Assistance to Commissioner's Districts and Schools: Impact of School Redesign Grants

ERIC Educational Resources Information Center

LiCalsi, Christina; Citkowicz, Martyna; Friedman, Lawrence B.; Brown, Megan

2015-01-01

The Massachusetts Office of District and School Turnaround (ODST) assists the Commissioner's Districts (the 10 largest districts in the state) and schools within those districts. The assistance focuses on turning around the lowest performing schools in the district while building district capacity to support improvement in other district schools.…

77 FR 63326 - Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-16

... FXRS1265066CCP0] Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland... assessment (EA) involving Huron, Madison, and Sand Lake Wetland Management Districts (Districts). In this..., Madison Wetland Management District, Sand Lake Wetland Management District final CCP'' in the subject line...

Understanding School District Budgets: A Guide For Local Leaders

ERIC Educational Resources Information Center

Perry, Mary

2005-01-01

A school district budget is more than numbers. It is a record of a district?s past decisions and a spending plan for its future. It shows a district?s priorities whether they have been clearly articulated or simply occurred by default. And it is a communications document that can tell constituents a lot about the district?s priorities and goals. A…

Publications - SR 68 | Alaska Division of Geological & Geophysical Surveys

Science.gov Websites

Mining District; Base Metals; Bethel Mining District; Bismuth; Black Mining District; Bluff (Place ; Livengood Mining District; Lode; Marshall Mining District; Massive Sulfide Deposit; Massive Sulfide Occurrence; Massive Sulfide Prospect; Massive Sulfides; McGrath Mining District; Melozitna Mining District

Comparison of indoor air quality management strategies between the school and district levels in New York State.

PubMed

Lin, Shao; Kielb, Christine L; Reddy, Amanda L; Chapman, Bonnie R; Hwang, Syni-An

2012-03-01

Good school indoor air quality (IAQ) can affect the health and functioning of school occupants. Thus, it is important to assess the degree to which schools and districts employ strategies to ensure good IAQ management. We examined and compared the patterns of IAQ management strategies between public elementary schools and their school districts in New York State. District-level information obtained from surveys of district facilities managers in 326 districts was described and stratified by district size and socioeconomic status. School-level information obtained from surveys of head custodians in 770 elementary schools was then compared with the district-level information in 241 districts. About 47% of participating school districts reported having a district-wide IAQ program, with a large range in the prevalence of specific IAQ management strategies. Airing out newly painted areas was the most commonly reported (92%) and having a classroom animal policy was the least commonly reported (29%). Larger districts and districts with a district-wide IAQ program were more likely to report certain IAQ strategies than other districts. Elementary schools and their districts were most likely to report airing out newly painted areas (76%). The most common area of disagreement was construction after hours (50%). The top strategy not reported at either level was having an IAQ coordinator (53%). Many school districts lack key IAQ management strategies, and differences exist between district-level policy and school-level practice. Districts and schools should work together to formalize and expand existing IAQ policies and inform stakeholders about these strategies. © 2012, American School Health Association.

Healthy Schools Initiative: Implementation Study in Four San Mateo County School Districts

ERIC Educational Resources Information Center

Westrich, Lisa; Sanchez, Monika; Strobel, Karen; Duong, Nina

2012-01-01

The Sequoia Healthcare District (SHD), in collaboration with four local school districts--Belmont-Redwood Shores School District (BRSSD), Redwood City School District (RCSD), San Carlos School District (SCSD), and Sequoia Union High School District (SUHSD)--launched the Healthy Schools Initiative (HSI) in August 2010. This three-year initiative is…

Prevalence of trachoma at sub-district level in ethiopia: determining when to stop mass azithromycin distribution.

PubMed

King, Jonathan D; Teferi, Tesfaye; Cromwell, Elizabeth A; Zerihun, Mulat; Ngondi, Jeremiah M; Damte, Mesele; Ayalew, Frew; Tadesse, Zerihun; Gebre, Teshome; Mulualem, Ayelign; Karie, Alemu; Melak, Berhanu; Adugna, Mitku; Gessesse, Demelash; Worku, Abebe; Endashaw, Tekola; Admassu Ayele, Fisseha; Stoller, Nicole E; King, Mary Rose A; Mosher, Aryc W; Gebregzabher, Tesfaye; Haileysus, Geremew; Odermatt, Peter; Utzinger, Jürg; Emerson, Paul M

2014-03-01

To eliminate blinding trachoma, the World Health Organization emphasizes implementing the SAFE strategy, which includes annual mass drug administration (MDA) with azithromycin to the whole population of endemic districts. Prevalence surveys to assess impact at the district level are recommended after at least 3 years of intervention. The decision to stop MDA is based on a prevalence of trachomatous inflammation follicular (TF) among children aged 1-9 years below 5% at the sub-district level, as determined by an additional round of surveys limited within districts where TF prevalence is below 10%. We conducted impact surveys powered to estimate prevalence simultaneously at the sub-district and district in two zones of Amhara, Ethiopia to determine whether MDA could be stopped. Seventy-two separate population-based, sub-district surveys were conducted in 25 districts. In each survey all residents from 10 randomly selected clusters were screened for clinical signs of trachoma. Data were weighted according to selection probabilities and adjusted for correlation due to clustering. Overall, 89,735 residents were registered from 21,327 households of whom 72,452 people (80.7%) were examined. The prevalence of TF in children aged 1-9 years was below 5% in six sub-districts and two districts. Sub-district level prevalence of TF in children aged 1-9 years ranged from 0.9-76.9% and district-level from 0.9-67.0%. In only one district was the prevalence of trichiasis below 0.1%. The experience from these zones in Ethiopia demonstrates that impact assessments designed to give a prevalence estimate of TF at sub-district level are possible, although the scale of the work was challenging. Given the assessed district-level prevalence of TF, sub-district-level surveys would have been warranted in only five districts. Interpretation was not as simple as stopping MDA in sub-districts below 5% given programmatic challenges of exempting sub-districts from a highly regarded program and the proximity of hyper-endemic sub-districts.

Intra-Operational Area Coordination: The Zone EOC Concept

DTIC Science & Technology

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

Public funding of health at the district level in Indonesia after decentralization – sources, flows and contradictions

PubMed Central

Heywood, Peter; Harahap, Nida P

2009-01-01

Background During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility of district governments. In addition, public funding for health services more than doubled between 2001 and 2006. It was widely expected that services would improve as district governments now had both more adequate funds and the responsibility for services. To date there has been little improvement in services. Understanding why services have not improved requires careful study of what is happening at the district level. Methods We collected information on public expenditure on health services for the fiscal year 2006 in 15 districts in Java, Indonesia from the district health offices and district hospitals. Data obtained in the districts were collected by three teams, one for each province. Information on district government revenues were obtained from district public expenditure databases maintained by the World Bank using data from the Ministry of Finance. Results The public expenditure information collected in 15 districts as part of this study indicates district governments are reliant on the central government for as much as 90% of their revenue; that approximately half public expenditure on health is at the district level; that at least 40% of district level public expenditure on health is for personnel, almost all of them permanent civil servants; and that districts may have discretion over less than one-third of district public expenditure on health; the extent of discretion over spending is much higher in district hospitals than in the district health office and health centers. There is considerable variation between districts. Conclusion In contrast to the promise of decentralization there has been little increase in the potential for discretion at the district level in managing public funds for health – this is likely to be an important reason for the lack of improvement in publicly funded health services. Key decisions about money are still made by the central government, and no one is held accountable for the performance of the sector – the district blames the center and the central ministries (and their ministers) are not accountable to district populations. PMID:19371410

Public funding of health at the district level in Indonesia after decentralization-sources, flows and contradictions.

PubMed

Heywood, Peter; Harahap, Nida P

2009-04-16

During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility of district governments. In addition, public funding for health services more than doubled between 2001 and 2006. It was widely expected that services would improve as district governments now had both more adequate funds and the responsibility for services. To date there has been little improvement in services. Understanding why services have not improved requires careful study of what is happening at the district level. We collected information on public expenditure on health services for the fiscal year 2006 in 15 districts in Java, Indonesia from the district health offices and district hospitals. Data obtained in the districts were collected by three teams, one for each province. Information on district government revenues were obtained from district public expenditure databases maintained by the World Bank using data from the Ministry of Finance. The public expenditure information collected in 15 districts as part of this study indicates district governments are reliant on the central government for as much as 90% of their revenue; that approximately half public expenditure on health is at the district level; that at least 40% of district level public expenditure on health is for personnel, almost all of them permanent civil servants; and that districts may have discretion over less than one-third of district public expenditure on health; the extent of discretion over spending is much higher in district hospitals than in the district health office and health centers. There is considerable variation between districts. In contrast to the promise of decentralization there has been little increase in the potential for discretion at the district level in managing public funds for health - this is likely to be an important reason for the lack of improvement in publicly funded health services. Key decisions about money are still made by the central government, and no one is held accountable for the performance of the sector - the district blames the center and the central ministries (and their ministers) are not accountable to district populations.

The comprehensive community-based traffic safety program : phase I, problem identification for District 2 and District 7.

DOT National Transportation Integrated Search

1986-01-01

This report contains the initial Problem Identification for the Comprehensive Community-Based Traffic Safety Program (CCBP). Two DMV districts, District 2 and District 7, have been selected as the pilot areas for the CCBP, and because both districts ...

7 CFR 7.27 - Political activity.

Code of Federal Regulations, 2012 CFR

2012-01-01

... members of school boards, soil conservation district boards, weed control district boards, or of similar..., irrigation district boards, drainage district boards, weed control district boards, or for similar boards are...

7 CFR 7.27 - Political activity.

Code of Federal Regulations, 2011 CFR

2011-01-01

... members of school boards, soil conservation district boards, weed control district boards, or of similar..., irrigation district boards, drainage district boards, weed control district boards, or for similar boards are...

Suburban District Leaders' Perception of Their Practices

ERIC Educational Resources Information Center

Garcia France, Roxanne

2013-01-01

In the field of district leadership, most studies focus only on the context and conditions existing in large urban districts in need of reform. This study examined whether district leadership practices have applicability to district leaders working within the suburban context. In addition, it determined whether district conditions (i.e., district…

State and district policy influences on district-wide elementary and middle school physical education practices.

PubMed

Chriqui, Jamie F; Eyler, Amy; Carnoske, Cheryl; Slater, Sandy

2013-01-01

To examine the influence of state laws and district policies on district-wide elementary school and middle school practices related to physical education (PE) time and the percentage of moderate-to-vigorous physical activity (MVPA) time during PE. Multivariate, cross-sectional analysis of state laws, district wellness and PE policies, and district PE practices for school year 2010-2011 controlling for district-level urbanicity, region, size, race/ethnicity of students, and socioeconomic status and clustered on state. One hundred ninety-five public school districts located in 42 states. District-level PE coordinators for the included districts who responded to an online survey. Minutes and days of PE per week and percent time spent in MVPA during PE time. District PE coordinators reported significantly less PE time than national standards-82.9 and 189.6 minutes at the elementary school and middle school levels, respectively. Physical education was provided an average of 2.5 and 3.7 days per week, respectively; and the percentage of MVPA time in PE was 64.4% and 65.7%, respectively. At the elementary school level, districts in either states with laws governing PE time or in a state and district with a law/policy reported significantly more days of PE (0.63 and 0.67 additional days, respectively), and districts in states with PE time laws reported 18 more minutes of PE per week. At the middle school level, state laws were associated with 0.73 more days of PE per week. Neither state laws nor district policies were positively associated with percent MVPA time in PE. State laws and district policies can influence district-level PE practices-particularly those governing the frequency and duration of PE-although opportunities exist to strengthen PE-related laws, policies, and practices.

Analysis of County School Districts in Arkansas.

ERIC Educational Resources Information Center

Budd, Karol B.; Charlton, J.L.

The 1948, Arkansas School District Reorganization Act was passed in an effort to reduce the 1589 small school districts to a smaller number. Those districts not consolidated would form county districts. As of the 1967-68 school year, 26 of these county districts remained. The purpose of this study was to provide information drawing attention to…

36 CFR 28.3 - Boundaries: The Community Development District; The Dune District; The Seashore District.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Boundaries: The Community Development District; The Dune District; The Seashore District. 28.3 Section 28.3 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR FIRE ISLAND NATIONAL SEASHORE: ZONING STANDARDS...

36 CFR 28.3 - Boundaries: The Community Development District; The Dune District; The Seashore District.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Boundaries: The Community Development District; The Dune District; The Seashore District. 28.3 Section 28.3 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR FIRE ISLAND NATIONAL SEASHORE: ZONING STANDARDS...

Cultural and Religious Perspective on the Sufi Shrines.

PubMed

Charan, Iftikhar Ahmed; Wang, Banghu; Yao, Dewei

2018-06-01

This paper explains the Sufi shrines which hold great importance in Pakistani society. The Shrines inhabit a vital position in the cultural and social as well as religious and culture life of rituals, Saints, traditional belief, sounds, trance, dance, music in ethnic healing, and spiritual illness/disease. It is not only a place of belief and devotion based on Sufi shrines but a place where Muslims and non-Muslim take part in happiness activities together. The design and architecture of the Sufi Shrines have local as well as worldwide influences, representative spiritual, belief systems, economic, and esthetic dimensions of Muslim social institute. Therefore, Muslims' association with the Sufi Shrines has much importance from traditional, political, social and economic perspectives. Centered on an ethnographic illustration, this research aims to highlight the use of Sufi Shrines space and Peoples' Perceptions about Visiting Sufi shrines in the ethnic perspective of rural and urban Sindh. In addition to discuss the socio spatial interactions about the Sufi shrines, this study has discovered that majority of the people and visitors have strong belief systems upon the blessings of Sufis and they visit shrines to fulfill their social, economic, physical, mental and spiritual wishes.

Frequency of depression, anxiety and stress among the undergraduate physiotherapy students.

PubMed

Syed, Annosha; Ali, Syed Shazad; Khan, Muhammad

2018-01-01

To assess the frequency of Depression, Anxiety and Stress (DAS) among the undergraduate physiotherapy students. A descriptive cross sectional study was conducted in various Physiotherapy Institutes in Sindh, Pakistan among undergraduate physiotherapy students. The total duration of this study was 4 months from September, 2016 to January, 2017. Data was collected from 267 students with no physical and mental illness; more than half were female students 75.3%. They were selected through Non probability purposive sampling technique. A self-administered standardized DASS (depression, anxiety and stress scale) was used to collect data and result was analyzed using its severity rating index. Data was entered and analyzed by using SPSS version 21. Descriptive statistics including the frequency of depression, anxiety, stress and demographic characteristic of the participant was collected. The mean age of students was 19.3371±1.18839 years. The Frequency of depression, anxiety and stress found among undergraduates Physiotherapy students was 48.0%, 68.54% and 53.2%, respectively. It was observed that the frequency of depression, anxiety and stress among physiotherapy undergraduates students were high. It suggests the urgent need of carrying out evidence based Psychological health promotion for undergraduate Physiotherapy students to control this growing problem.

Earth observations taken during STS-83 mission

NASA Image and Video Library

2016-08-12

STS083-747-052 (4-8 April 1997) --- Sunglint on the Indus River, Sukkar, and Rohri, Pakistan. Sukkar city (27.42 north 68.52 east), Sindh province, southeastern Pakistan lies on the west bank of the Indus River, connected with Rohri on the opposite bank by a cantilever bridge. Midstream between the two cities is the strategic island fortress of Bukkur. The old town contains many historic tombs and mosques, including the Mir Ma'sum Shah Minaret (c. AD 1607). An industrial and trade center, it has biscuit, cigarette, oil, lime, and cement factories, and cotton, silk, thread, and flour mills; boat building is also significant. The surrounding region is a vast alluvial plain broken only occasionally by low limestone hills. A portion of the Thar Desert is reaching from the south to Rohri. The Sukkur Barrage, highlighted by the sunglint, was completed in 1932. Nearly 1 mile (1.6 kilometers) long it crosses the Indus River 3 miles (4.8 kilometers) below Sukkur Gorge and feeds irrigation canals. The canals originating from it serve a cultivable area of about five million acres of land producing both food and cash crops, such as wheat, cotton, rice, oilseed, and fruit cultivation.

Effect of sugar industry spentwash (diluted) on the characteristics of soil and sugarcane (Saccharum officinarum L.) growth in the subtropical environment of Sindh, Pakistan.

PubMed

Kaloi, Ghulam Muhiyuddin; Memon, Mehrunisa; Memon, Kazi Suleman; Ahmad, Sagheer; Sheikh, Saghir Ahmed; Jamro, Ghulam Murtaza

2017-03-01

Spentwash is a rich source of organic matter and essential plant nutrients in addition to excess salts. Sugar mills in Pakistan discharge about 3.48 million tons of spentwash annually, with no proper procedures for its disposal or utilization. To test the effect of diluted spentwash on soil and the soil's ability to support plant growth, sugarcane (Saccharum officinarum L.) variety CPF-237 was planted. The experiment was conducted in a randomized complete block design involving factorial combination of four concentrations of each spentwash (0, 10, 20, and 30%) and mineral fertilizers (0, 1/3, 2/3, and the full recommended rate of NP). The 10% spentwash plus 2/3 mineral fertilizer treatment substituted 33% each of N and P and 100% of K, saving mineral fertilizer cost (Rs. 48600 ∼ US$458) in addition to 29.54% increase in yield over full NP fertilizer. The same treatment also improved the soil organic matter (65%), N (20%), P (25%), and K (230%) over full NP treatment alone. An increase in the salt content of the soil was detected within the prescribed limits, with the exception of HCO 3 .

Long term changes of tropospheric Nitrogen Dioxide over Pakistan derived from Ozone Monitoring Instrument (OMI) during the time period of October 2004 to December 2014

NASA Astrophysics Data System (ADS)

Murtaza, Rabbia; Fahim Khokhar, Muhammad

2016-07-01

Urban air pollution is causing huge number of diseases and deaths annually. Nitrogen dioxide is an important component of urban air pollution and a precursor to particulate matter, ground level ozone, and acid rain. The satellite based measurements of nitrogen dioxide from Ozone Monitoring Instrument (OMI) can help in analyzing spatio temporal variability in ground level concentrations within a large urban area. In this study, the spatial and temporal distributions of tropospheric nitrogen dioxide Vertical Column Densities (VCDs) over Pakistan are presented from 2004 to 2014. The results showed that the winter season is having high nitrogen dioxide levels as compared to summers. The increase can be attributed to the anthropogenic activities especially thermal power generation and traffic count. Punjab is one of the major provinces with high nitrogen dioxide levels followed by Sindh, Khyber Pakhtunkhwa and Balochistan. Six hotspots have been examined in the present study such as Lahore, Islamabad, Karachi, Faisalabad, Okara and Multan. Emissions of nitrogen compounds from thermal power plants and transportation sector represent a significant fraction of the total nitrogen dioxide emissions to the atmosphere.

Early Miocene reef- and mudflat-associated gastropods from Makran (SE-Iran).

PubMed

Harzhauser, Mathias; Reuter, Markus; Mohtat, Tayebeh; Piller, Werner E

2017-01-01

A new gastropod fauna of Burdigalian (early Miocene) age is described from the Iranian part of Makran. The fauna comprises 19 species and represents three distinct assemblages from turbid water coral reef, shallow subtidal soft-bottom and mangrove-fringed mudflat environments in the northern Indian Ocean. Especially the reef-associated assemblage comprises largely new species. This is explained by the rare occurrence of reefs along the northern margin of the Miocene Indian Ocean and the low number of scientific studies dealing with the region. In terms of paleobiogeography, the fauna corresponds well to coeval faunas from the Pakistani Balochistan and Sindh provinces and the Indian Kathiawar, Kutch and Kerala provinces. During the early Miocene, these constituted a discrete biogeographic unit, the Western Indian Province, which documents the near complete biogeographic isolation from the Proto-Mediterranean Sea. Some mudflat taxa might represent examples of vicariance following the Tethys closure. The fauna also displays little connection with coeval faunas from Indonesia, documenting a strong provincialism within the Indo-West Pacific Region during early Miocene times. Neritopsis gedrosiana sp. nov., Calliostoma irerense sp. nov., Calliostoma mohtatae sp. nov. and Trivellona makranica sp. nov. are described as new species.

Predicting impacts of climate change on medicinal asclepiads of Pakistan using Maxent modeling

NASA Astrophysics Data System (ADS)

Khanum, Rizwana; Mumtaz, A. S.; Kumar, Sunil

2013-05-01

Maximum entropy (Maxent) modeling was used to predict the potential climatic niches of three medicinally important Asclepiad species: Pentatropis spiralis, Tylophora hirsuta, and Vincetoxicum arnottianum. All three species are members of the Asclepiad plant family, yet they differ in ecological requirements, biogeographic importance, and conservation value. Occurrence data were collected from herbarium specimens held in major herbaria of Pakistan and two years (2010 and 2011) of field surveys. The Maxent model performed better than random for the three species with an average test AUC value of 0.74 for P. spiralis, 0.84 for V. arnottianum, and 0.59 for T. hirsuta. Under the future climate change scenario, the Maxent model predicted habitat gains for P. spiralis in southern Punjab and Balochistan, and loss of habitat in south-eastern Sindh. Vincetoxicum arnottianum as well as T. hirsuta would gain habitat in upper Peaks of northern parts of Pakistan. T. hirsuta is predicted to lose most of the habitats in northern Punjab and in parches from lower peaks of Galliat, Zhob, Qalat etc. The predictive modeling approach presented here may be applied to other rare Asclepiad species, especially those under constant extinction threat.

Comparisons of Student Achievement Levels by District Performance and Poverty. ACT Research Report Series 2016-11

ERIC Educational Resources Information Center

Dougherty, Chrys; Shaw, Teresa

2016-01-01

This report looks at student achievement levels in Arkansas school districts disaggregated by district poverty and by the district's performance relative to other districts. We estimated district performance statistics by subject and grade level (4, 8, and 11-12) for longitudinal student cohorts, using statistical models that adjusted for district…

40 CFR 81.302 - Alaska.

Code of Federal Regulations, 2011 CFR

2011-07-01

... District Northwest Arctic Borough Southeast Fairbanks Election District Upper Yukon Election District Yukon... Election District Northwest Arctic Borough Southeast Fairbanks Election District Upper Yukon Election... Nome Census Area North Slope Borough Northwest Arctic Borough Southeast Fairbanks Census Area Yukon...

The Need for District Support for School Reform: What the Researchers Say. Research Brief.

ERIC Educational Resources Information Center

Appelbaum, Deborah

This article focuses on the school district's role in implementing Comprehensive School Reform (CSR). Research shows that effective district support for CSR varies from district to district. This is due, in part, to the fact that many prior models bypassed the district, operating under the belief that reform would be more effective if it targeted…

26 CFR 301.7514-1 - Seals of office.

Code of Federal Regulations, 2010 CFR

2010-04-01

... District Director for: Arkansas-Oklahoma District (Oklahoma City) Brooklyn District Central California...) Upstate New York District (Buffalo) Virginia-West Virginia District (Richmond) Office of Director of Computing Centers in: Detroit Memphis Martinsburg Office of Director of Submission Processing Centers in...

A Research Report of Small/Rural School Districts in New Mexico Compared to School Districts of Similiar Size Nationwide.

ERIC Educational Resources Information Center

Barker, Bruce O.; Muse, Ivan D.

A 1982-83 survey produced data used to compare 17 small/rural K-12 New Mexico school districts (900 students or fewer) with 642 similar districts nationwide. Of New Mexico's 88 school districts, 43 were identified as qualifying (48.9%, enrolling 16,648 students), for comparison to 4,125 similar districts nationwide. A questionnaire mailed to…

Factors influencing the work efficiency of district health managers in low-resource settings: a qualitative study in Ghana.

PubMed

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.

Leadership Academies: A District Office Perspective

ERIC Educational Resources Information Center

Doll, Rick

2016-01-01

This article investigates district-level administrators' perceptions regarding the value of the partnership academies. The article uses input from seven district administrators who provided feedback regarding the value of the district and university partnership, specific benefits to the district, the differences between participants who envision…

School Improvement Change Grant Community Survey, Final Report. A Report to Toluca Community Unit School District #2, El Paso Community Unit School District #375, Lowpoint-Washburn Community Unit School District #21, Minonk-Dana-Rutland Community Unit School District #108, and Roanoke-Benson Community Unit School District #60.

ERIC Educational Resources Information Center

O'Connell, Patricia A.; And Others

This report presents the results of a collaborative study undertaken by five rural, unit school districts in Illinois to provide data to be used in planning for school improvement. Information was gathered from on-site visits by teams of constituents from other districts and through a survey of perceptions of local community persons regarding…

75 FR 24406 - Revisions to the California State Implementation Plan, Placer County Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... Metropolitan Air Quality Management District, San Joaquin Valley Unified Air Pollution Control District, and South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION... Air Pollution Control District (PCAPCD), Sacramento Metropolitan Air Quality Management District...

75 FR 24544 - Revisions to the California State Implementation Plan, Placer County Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... Metropolitan Air Quality Management District, San Joaquin Valley Unified Air Pollution Control District, and South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION... District (PCAPCD), Sacramento Metropolitan Air Quality Management District (SMAQMD), San Joaquin Valley...

The Role of School District Science Coordinators in the District-Wide Appropriation of an Online Resource Discovery and Sharing Tool for Teachers

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.

Differences in Food and Beverage Marketing Policies and Practices in US School Districts, by Demographic Characteristics of School Districts, 2012

PubMed Central

Michael, Shannon; Brener, Nancy D.; Coffield, Edward; Kingsley, Beverly S.; Zytnick, Deena; Blanck, Heidi

2016-01-01

Introduction Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students’ exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. Methods We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students. Results Most practices varied significantly by district size: a higher percentage of large districts than small or medium-sized districts restricted marketing of unhealthful foods and promoted healthful options. Compared with districts whose student populations were majority (>50%) non-Hispanic white, a higher percentage of districts whose student populations were minority non-Hispanic white (≤50% non-Hispanic white) prohibited advertising of soft drinks in school buildings and on school grounds, made school meal menus available to students, and provided families with information on school nutrition programs. Compared with suburban and rural districts, a higher percentage of urban districts prohibited the sale of soft drinks on school grounds and used several practices to promote healthful options. Conclusion Preliminary findings showing significant associations between district demographics and marketing policies and practices can be used to help states direct resources, training, and technical assistance to address food and beverage marketing and promotion to districts most in need of improvement. PMID:27978408

Differences in Food and Beverage Marketing Policies and Practices in US School Districts, by Demographic Characteristics of School Districts, 2012.

PubMed

Merlo, Caitlin L; Michael, Shannon; Brener, Nancy D; Coffield, Edward; Kingsley, Beverly S; Zytnick, Deena; Blanck, Heidi

2016-12-15

Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students' exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students. Most practices varied significantly by district size: a higher percentage of large districts than small or medium-sized districts restricted marketing of unhealthful foods and promoted healthful options. Compared with districts whose student populations were majority (>50%) non-Hispanic white, a higher percentage of districts whose student populations were minority non-Hispanic white (≤50% non-Hispanic white) prohibited advertising of soft drinks in school buildings and on school grounds, made school meal menus available to students, and provided families with information on school nutrition programs. Compared with suburban and rural districts, a higher percentage of urban districts prohibited the sale of soft drinks on school grounds and used several practices to promote healthful options. Preliminary findings showing significant associations between district demographics and marketing policies and practices can be used to help states direct resources, training, and technical assistance to address food and beverage marketing and promotion to districts most in need of improvement.

Fighting Fraud in Schools

ERIC Educational Resources Information Center

Dessoff, Alan

2009-01-01

It's no surprise that school districts are as vulnerable to fraud as the private sector or any other segment of government. Crimes in districts include collusion with outside vendors who provide kickbacks to employees, misuse of district-issued credit cards, embezzlement of district funds, and theft of district property. "Fraud happens…

20 CFR 702.272 - Informal recommendation by district director.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Informal recommendation by district director... Procedures Discrimination § 702.272 Informal recommendation by district director. (a) If the district... employee accept the district director's recommendation, it will be incorporated in an order and mailed to...

22 CFR 92.3 - Consular districts.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Consular districts. 92.3 Section 92.3 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES NOTARIAL AND RELATED SERVICES Introduction § 92.3 Consular districts. Where consular districts have been established, the geographic limits of the district...

76 FR 60376 - Revisions to the California State Implementation Plan, Santa Barbara Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-29

... Municipal Air Quality Management District and South Coast Air Quality Management District AGENCY... Quality Management District (SMAQMD) and South Coast Air Quality Management District (SCAQMD) portions of...,'' revised September 20, 2010. (D) Sacramento Metropolitan Air Quality Management District. (1) Rule 466...

76 FR 60405 - Revisions to the California State Implementation Plan, Santa Barbara Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-29

... Municipal Air Quality Management District and South Coast Air Quality Management District AGENCY... the Santa Barbara Air Pollution Control District (SBAPCD), Sacramento Municipal Air Quality Management District (SMAQMD) and South Coast Air Quality Management District (SCAQMD) portions of the California State...

7 CFR 932.129 - Nomination procedures for producer members.

Code of Federal Regulations, 2010 CFR

2010-01-01

... producers) who produced olives within the district shall participate in the nomination and election of... district may participate in nominations and elections in only one district. The district in which the... each odd-numbered year, in each producing district for the purpose of selecting candidates for member...

7 CFR 1206.30 - Establishment and membership.

Code of Federal Regulations, 2011 CFR

2011-01-01

... INFORMATION Mango Promotion, Research, and Information Order Definitions National Mango Promotion Board § 1206... on the volume of mangos imported into the Customs Districts identified by their name and Code Number... seats for District I, three seats for District II, two seats for District III, and one seat for District...

Making the Grade in America's Cities: Assessing Student Achievement in Urban Districts

ERIC Educational Resources Information Center

Blagg, Kristin

2016-01-01

Many US education reform efforts focus on student performance in large, urban school districts. The National Assessment of Educational Progress's Trial Urban District Assessment (TUDA) program provides data on student achievement in these districts, but differences in student characteristics complicate comparisons of district performance. I use…

Drawing the Line: Student Reassignment Policies in South Carolina

ERIC Educational Resources Information Center

Simmons, Naomi Rachel

2013-01-01

This study investigates the complex nature of student reassignment plans developed between 2006 and 2008 in three South Carolina school districts: York School District 3, Dorchester School District 2, and Greenville School District. The study is guided by the following research question: How are the district policies for student reassignment…

An Analysis of a High Performing School District's Culture

ERIC Educational Resources Information Center

Corum, Kenneth D.; Schuetz, Todd B.

2012-01-01

This report describes a problem based learning project focusing on the cultural elements of a high performing school district. Current literature on school district culture provides numerous cultural elements that are present in high performing school districts. With the current climate in education placing pressure on school districts to perform…

The Relationship of Rurality and Education Accountability Outcomes.

ERIC Educational Resources Information Center

Peevely, Gary; Ray, John R.

This paper examines accountability outcomes of Tennessee school districts, comparing rural versus urban districts and litigant versus nonlitigant districts from a 1993 fiscal equity lawsuit. School districts were assigned a measure of rurality using the Cleland Rurality Index, and comparisons were made among the 29 low-rurality districts, 66…

7 CFR 1465.3 - Definitions.

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...

East Europe Report.

DTIC Science & Technology

1986-06-19

deputy chairman. 74. Vidin Electoral District. Kiril Dimitrov Zarev, BCP Central Committee secretary. 75. Vidin Electoral District. Georgi Vulkanov...Blagoevgrad. 4. Simitli Electoral District. Boris Dimitrov Karanfilov, BCP Central Committee member, deputy minister of national defense. 5. Strumyan...Electoral District. Emiliya Mircheva Kostova, chairman okrug BZNS management. 6. Sandanski Electoral District. Lalyu Ivanov Dimitrov , BCP Central

78 FR 29683 - Approval and Promulgation of Implementation Plans; Kentucky; Approval of Revisions to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-21

... of the Louisville Metro Air Pollution Control District (District), which has jurisdiction over... County Air Pollution Control District'' was renamed the ``Louisville Metro Air Pollution Control District... subheading ``Air Pollution Control District of Jefferson County.'' Thus, to be consistent with the...

Systematic Research and Evaluation in a Rural Pennsylvania School District.

ERIC Educational Resources Information Center

Leopold, Greg; And Others

This report summarizes the evaluation of a rural school district in Pennsylvania and offers recommendations reflecting the district's goals for school improvement and construction. Specifically, the objectives of the study were to identify curricular needs of the district and individual schools; review and assess district facilities with respect…

School District Mergers: What One District Learned

ERIC Educational Resources Information Center

Kingston, Kathleen

2009-01-01

Throughout the planning process for a school district merger in a northwestern Pennsylvania school district, effective communication proved to be a challenge. Formed in 1932, this school district of approximately 1400 students was part of a utopian community; one established by a transportation system's corporation that was a major industrial…

Scaling and Multifractality in Road Accidental Distances

NASA Astrophysics Data System (ADS)

Qiu, Tian; Wan, Chi; Zou, Xiang-Xiang; Wang, Xiao-Fan

Accidental distance dynamics is investigated, based on the road accidental data of the Great Britain. The distance distribution of all the districts as an ensemble presents a power law tail, which is different from that of the individual district. A universal distribution is found for different districts, by rescaling the distribution functions of individual districts, which can be well fitted by the Weibull distribution. The male and female drivers behave similarly in the distance distribution. The multifractal characteristic is further studied for the individual district and all the districts as an ensemble, and different behaviors are also revealed between them. The accidental distances of the individual district show a weak multifractality, whereas of all the districts present a strong multifractality when taking them as an ensemble.

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

Andersson, B.

This paper will present the status of the development of district cooling systems in Scandinavia over the last 5 years. It will describe the technologies used in the systems that have been constructed as well as the options considered in different locations. It will identify the drivers for the development of the cooling business to-date, and what future drivers for a continuing development of district cooling in Sweden. To-date, approximately 25 different cities of varying sizes have completed feasibility studies to determine if district cooling is an attractive option. In a survey, that was conducted by the Swedish District Heatingmore » Association, some 25 cities expected to have district cooling systems in place by the year 2000. In Sweden, district heating systems with hot water is very common. In many cases, it is simply an addition to the current service for the district heating company to also supply district cooling to the building owners. A parallel from this can be drawn to North America where district cooling systems now are developing rapidly. I am convinced that in these cities a district heating service will be added as a natural expansion of the district cooling company`s service.« less

Geography of Alaska Lake Districts: Identification, Description, and Analysis of Lake-Rich Regions of a Diverse and Dynamic State

USGS Publications Warehouse

Arp, Christopher D.; Jones, Benjamin M.

2009-01-01

Lakes are abundant landforms and important ecosystems in Alaska, but are unevenly distributed on the landscape with expansive lake-poor regions and several lake-rich regions. Such lake-rich areas are termed lake districts and have landscape characteristics that can be considered distinctive in similar respects to mountain ranges. In this report, we explore the nature of lake-rich areas by quantitatively identifying Alaska's lake districts, describing and comparing their physical characteristics, and analyzing how Alaska lake districts are naturally organized and correspond to climatic and geophysical characteristics, as well as studied and managed by people. We use a digital dataset (National Hydrography Dataset) of lakes greater than 1 hectare, which includes 409,040 individual lakes and represents 3.3 percent of the land-surface area of Alaska. The selection criteria we used to identify lake districts were (1) a lake area (termed limnetic ratio, in percent) greater than the mean for the State, and (2) a lake density (number of lakes per unit area) greater than the mean for the State using a pixel size scaled to the area of interest and number of lakes in the census. Pixels meeting these criteria were grouped and delineated and all groups greater than 1,000 square kilometers were identified as Alaska's lake districts. These lake districts were described according to lake size-frequency metrics, elevation distributions, geology, climate, and ecoregions to better understand their similarities and differences. We also looked at where lake research and relevant ecological monitoring has occurred in Alaska relative to lake districts and how lake district lands and waters are currently managed. We identified and delineated 20 lake districts in Alaska representing 16 percent of the State, but including 65 percent of lakes and 75 percent of lake area. The largest lake districts identified are the Yukon-Kuskokwim Delta, Arctic Coastal Plain, and Iliamna lake districts with high limnetic ratios of 19, 17, and 21 percent, respectively. The three smallest districts we considered were Tetlin in the eastern interior, Menhiskof on the Alaska Peninsula, and Matanuska-Susitna at the head of Cook Inlet with limnetic ratios of 14, 9, and 9 percent, respectively. Lake density and limnetic ratio were poorly related among lake districts, such that some districts had a few large lakes like Iliamna with Lakes Iliamna and Becharof - the two largest in the State, compared to other districts with many very small lakes like Yukon-Kuskokwim Delta with 111,130 lakes and 63 percent of these less than 10 hectares. Most lake districts are in regions with relatively low precipitation, but temperature regimes varied widely among lake districts. Approximately one-half of lake districts were glaciated during the Pleistocene and similar numbers occur in regions classified as having continuous, discontinuous, and sporadic permafrost, or perennially unfrozen soils. Most districts are at low elevations (less than 250 meters) with two important exceptions being Tetlin with a mean elevation of 530 meters and Ahtna with a mean elevation of 760 meters. These higher elevation districts, particularly Ahtna, had distinct characteristics from other lake districts such as continuous permafrost and Pleistocene glaciation. Several lake districts share similar boundaries to defined ecoregions with lake districts occurring in less than one-half of these 32 ecoregions of Alaska. Most lake districts are lands fully or partly managed by the U.S. Fish and Wildlife Service and the National Park Service, with other land management by the Bureau of Land Management and State and borough government. Much of the U.S. Geological Survey's lake water-quality sampling efforts has been done in the Arctic Coastal Plain, Matanuska-Susitna, and Iliamna districts but no recorded collections in nine lake districts. Similarly, most lake limnological studies in Alaska were site-specific an

Accountability and Educational Equity in the Transformation of an Urban District.

ERIC Educational Resources Information Center

Koschoreck, James W.

2001-01-01

Highlights how one Texas school district moved from being a district in which token representations of minority achievement were considered evidence of districtwide success to being a district where success for all children is the operating paradigm. Guided by vision, culture, and district support, teachers have raised student achievement levels…

Technology Finds Its Place in Silicon Valley Schools

ERIC Educational Resources Information Center

Hundley, Paula; Scigliano, Marie

2012-01-01

Technology today is poised to usher in the best of times. Exploring what other districts do highlights the common themes as well as the unique challenges. Three very different districts in Silicon Valley--Portola Valley School District, Campbell Union School District and San Jose Unified School District--explain the strategies they use to enhance…

46 CFR 4.07-25 - Testimony of witnesses in other districts, depositions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Testimony of witnesses in other districts, depositions... other districts, depositions. When witnesses are available in a district other than the district in... conducting the investigation. Depositions may be taken in the manner prescribed by regulations in subpart 4...

School District Personnel Describe One Example of Effective Change Implementation.

ERIC Educational Resources Information Center

Jones, Toni Griego

Three large urban school districts located in the Midwest, Southwest, and West Coast regions were involved in a study designed to reveal district personnel's perceptions of change within their school district. After describing the study, this document analyzes perceptions of change related to one district's new bilingual program that was…

The Fiscal Condition of School Districts in Nebraska: Is Small Beautiful?

ERIC Educational Resources Information Center

Ratcliffe, Kerri; And Others

1990-01-01

Using a methodology previously applied to municipalities, this paper examines the fiscal condition of Nebraska's school districts. Nebraska contains over 900 districts, ranging from very small to large full-service districts in Lincoln and Omaha. The largest and smallest districts are in best fiscal condition. State aid inequities could be…

Analysis of Superintendent Longevity in Large School Districts: A Qualitative Study

ERIC Educational Resources Information Center

Mouton, Nikki Golar

2013-01-01

School district leadership matters, as evidenced by a meta-analysis of 27 reports and 1,210 districts conducted by Waters and Marzano (2006) which highlights a statistically significant correlation between district leadership and student achievement. Because this relationship is significant, it is important for school districts to have effective…

School District Employment Reductions Slow. Get the Facts. #1

ERIC Educational Resources Information Center

Tallman, Mark

2012-01-01

Kansas school districts reduced employment by 327 full-time equivalent positions this school year, the smallest reduction in three years of cuts to district operating budgets. Districts reduced positions by 561 in FY 2010 and 1,626 in FY 2011. Districts eliminated nearly 400 "regular" teaching positions this year, but added 114 special…

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...

46 CFR 50.10-5 - Coast Guard District Commander or District Commander.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 2 2010-10-01 2010-10-01 false Coast Guard District Commander or District Commander. 50.10-5 Section 50.10-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 50.10-5 Coast Guard District...

Preschool Guidelines: Rural Model (Trimble Local School District).

ERIC Educational Resources Information Center

Ohio State Dept. of Education, Columbus. Div. of Educational Services.

The purpose of this handbook is to guide rural school districts intending to establish a preschool program. The program described was established in the Trimble Local School District in the rural Appalachian area of northern Athens County, the third poorest district in Ohio. Contents concern: (1) the district's beliefs about children; (2)…

Small Districts in Big Trouble: How Four Arizona School Systems Responded to Charter Competition.

ERIC Educational Resources Information Center

Hess, Frederick; Maranto, Robert; Milliman, Scott

2001-01-01

Examined the responses to charter school competition of four small Arizona school districts. Overall, districts lost students to charter schools because they did not satisfy significant constituencies. Their responses depended on overall enrollment trends, quality of charter competition, quality of district leadership, and district size. Responses…

County Variation in Children's and Adolescent's Health Status and School District Performance in California

PubMed Central

Jung, Sunyoung

2008-01-01

Objectives. We examined the association between county-level estimates of children's health status and school district performance in California. Methods. We used 3 data sources: the California Health Interview Survey, district archives from the California Department of Education, and census-based estimates of county demographic characteristics. We used logistic regression to estimate whether a school district's failure to meet adequate yearly progress goals in 2004 to 2005 was a function of child and adolescent's health status. Models included district- and county-level fixed effects and were adjusted for the clustering of districts within counties. Results. County-level changes in children's and adolescent's health status decreased the likelihood that a school district would fail to meet adequate yearly progress goals during the investigation period. Health status did not moderate the relatively poor performance of predominantly minority districts. Conclusions. We found empirical support that area variation in children's and adolescent's health status exerts a contextual effect on school district performance. Future research should explore the specific mechanisms through which area-level child health influences school and district achievement. PMID:18309137

Water withdrawals in Florida, 2012

USGS Publications Warehouse

Marella, Richard L.

2015-09-01

The largest percentage of freshwater withdrawals was from the South Florida Water Management District (46 percent), followed by the St. Johns River Water Management District (20 percent), Southwest Florida Water Management District (19 percent), Northwest Florida Water Management District (9 percent), and Suwannee River Water Management District (6 percent). The South Florida Water Management District accounted for the largest percentage of freshwater withdrawals for public-supply use (46 percent), commercial-industrial-mining self-supplied use (24 percent), agricultural self-supplied use (59 percent), and recreational-landscape irrigation use (63 percent). The Northwest Florida Water Management District accounted for the largest percentage of freshwater withdrawals for power-generation use (44 percent), and the Southwest Florida Water Management District accounted for the largest percentage of saline-water withdrawals for power-generation use (58 percent).

State-Level Guidance and District-Level Policies and Practices for Food Marketing in US School Districts.

PubMed

Merlo, Caitlin L; Michael, Shannon; Brener, Nancy D; Blanck, Heidi

2018-06-07

State agencies play a critical role in providing school districts with guidance and technical assistance on school nutrition issues, including food and beverage marketing practices. We examined associations between state-level guidance and the policies and practices in school districts regarding food and beverage marketing and promotion. State policy guidance was positively associated with districts prohibiting advertisements for junk food or fast food restaurants on school property. Technical assistance from states was negatively associated with 2 district practices to restrict marketing of unhealthy foods and beverages, but positively associated with 1 practice to promote healthy options. These findings may help inform the guidance that states provide to school districts and help identify which districts may need additional assistance to address marketing and promotion practices.

District wellness policies and school-level practices in Minnesota, USA.

PubMed

Larson, Nicole; Davey, Cynthia; Hoffman, Pamela; Kubik, Martha Y; Nanney, Marilyn S

2016-01-01

To compare the strength of district wellness policies with corresponding school-level practices reported by principals and teachers. District-level wellness policy data were collected from school district websites and, if not available online, by requests made to district administrators in the autumn of 2013. The strength of district policies was scored using the Wellness School Assessment Tool. School-level data were drawn from the 2012 Minnesota School Health Profiles principal and teacher surveys and the National Center for Education Statistics Common Core Data. Generalized estimating equations which accounted for school-level demographics and the nesting of up to two schools within some districts were used to examine ten district policy items and fourteen school-level practices of relevance to nutrition standards, nutrition education and wellness promotion, and physical activity promotion. State-wide sample of 180 districts and 212 public schools in Minnesota, USA. The mean number of energy-dense, nutrient-poor snack foods and beverages available for students to purchase at school was inversely related to the strength of district wellness policies regulating vending machines and school stores (P=0·01). The proportion of schools having a joint use agreement for shared use of physical activity facilities was inversely related to the strength of district policies addressing community use of school facilities (P=0·03). No associations were found between the strength of other district policies and school-level practices. Nutrition educators and other health professionals should assist schools in periodically assessing their wellness practices to ensure compliance with district wellness policies and environments supportive of healthy behaviours.

District wellness policies and school-level practices in Minnesota

PubMed Central

Larson, Nicole; Davey, Cynthia; Hoffman, Pamela; Kubik, Martha Y.; Nanney, Marilyn S.

2015-01-01

Objective To compare the strength of district wellness policies with corresponding school-level practices reported by principals and teachers. Design District-level wellness policy data was collected from school district websites and, if not available online, by requests made to district administrators in the fall of 2013. The strength of district policies was scored using the Wellness School Assessment Tool. School-level data were drawn from the 2012 Minnesota School Health Profiles principal and teacher surveys and National Center for Education Statistics Common Core Data. Generalized estimating equations which accounted for school-level demographics and the nesting of up to two schools within some districts were used to examine 10 district policy items and 14 school-level practices of relevance to nutrition standards, nutrition education and wellness promotion, and physical activity promotion. Setting/Subjects Statewide sample of 180 districts and 212 public schools in Minnesota. Results The mean number of energy-dense, nutrient-poor snack foods and beverages available for students to purchase at school was inversely related to the strength of district wellness policies regulating vending machines and school stores (p=0.01). The proportion of schools having a joint use agreement for shared use of physical activity facilities was inversely related to the strength of district policies addressing community use of school facilities (p=0.03). No associations were found between the strength of other district policies and school-level practices. Conclusions Nutrition educators and other health professionals should assist schools in periodically assessing their wellness practices to ensure compliance with district wellness policies and environments supportive of healthy behaviors. PMID:25990324

Exploring the ethos of district nursing, 1885-1985.

PubMed

Madsen, Wendy

2013-06-01

The history of district nursing in Australia explored in this paper reveals a continuity in the essential values held by district nurses for over a century. These nurses practised holistic, family-centred nursing from the very origins of district nursing service. The events surrounding the establishment of Community Health Centres in the 1970s challenged district nurses to reconsider their role, while at the same time reconfirming their essential ethos. These values that underpinned district nursing practice and challenges to these values are examined in this paper.

Compatible poliomyelitis cases in India during 2000.

PubMed Central

Kohler, Kathryn A.; Hlady, W. Gary; Banerjee, Kaushik; Gupta, Dhananjoy; Francis, Paul; Durrani, Sunita; Zuber, Patrick L. F.; Sutter, Roland W.

2003-01-01

OBJECTIVE: To describe the characteristics of compatible poliomyelitis cases and to assess the programmatic implications of clusters of such cases in India. METHODS: We described the characteristics of compatible poliomyelitis cases, identified clusters of compatible cases (two or more in the same district or neighbouring districts within two months), and examined their relationship to wild poliovirus cases. FINDINGS: There were 362 compatible cases in 2000. The incidence of compatible cases was higher in districts with laboratory-confirmed poliomyelitis cases than in districts without laboratory-confirmed cases. Of 580 districts, 96 reported one compatible case and 72 reported two or more compatible cases. Among these 168 districts with at least one compatible case, 123 had internal or cross- border clusters of compatible cases. In 27 districts with clusters of compatible cases, no wild poliovirus was isolated either in the same district or in neighbouring districts. Three of these 27 districts presented laboratory-confirmed poliomyelitis cases during 2001. CONCLUSION: Most clusters of compatible cases occurred in districts identified as areas with continuing wild poliovirus transmission and where mopping-up vaccination campaigns were carried out. As certification nears, areas with compatible poliomyelitis cases should be investigated and deficiencies in surveillance should be corrected in order to ensure that certification is justified. PMID:12640469

7 CFR 1781.4 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... III of the Bankhead-Jones Farm Tenant Act (7 U.S.C. 1011). (c) Watershed plan. A plan agreed upon by..., irrigation districts, drainage districts, flood prevention and control districts, school districts, other...

7 CFR 1781.4 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... III of the Bankhead-Jones Farm Tenant Act (7 U.S.C. 1011). (c) Watershed plan. A plan agreed upon by..., irrigation districts, drainage districts, flood prevention and control districts, school districts, other...

7 CFR 1781.4 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... III of the Bankhead-Jones Farm Tenant Act (7 U.S.C. 1011). (c) Watershed plan. A plan agreed upon by..., irrigation districts, drainage districts, flood prevention and control districts, school districts, other...

Reforming Districts: How Districts Support School Reform. A Research Report. Document R-03-6

ERIC Educational Resources Information Center

McLaughlin, Milbrey; Talbert, Joan

2003-01-01

School districts have participated in multiple rounds of education reform activity in the past few decades, yet few have made headway on system-wide school improvement. This paper addresses the questions of whether districts matter for school reform progress and what successful "reforming" districts do to achieve system change and to…

Full-Day Kindergarten: A Case Study on the Perceptions of District Leaders in Four Suburban Pennsylvania School Districts

ERIC Educational Resources Information Center

Santoro, Elizabeth A.

2011-01-01

This qualitative study explored the reasons why suburban district leaders opted for full-day or half-day kindergarten programming in a sample of four local suburban districts operating such programs in Southeastern, Pennsylvania. The primary data source was interviews with key district leaders including school board members, superintendents,…

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...

The Role of the Superintendent in Closing the Achievement Gap in Diverse Small School Districts

ERIC Educational Resources Information Center

Wright, Howell, Jr.; Harris, Sandra

2010-01-01

The purpose of this qualitative, narrative study was to investigate the role of the superintendent in leading the district to be more culturally proficient, resulting in the narrowing of the achievement gap in culturally diverse small districts. Eight superintendents of small school districts were purposefully selected based on their district size…

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…

The Interrelationship of School District Expenditures and Student Academic Achievement in Oklahoma Public Elementary School Districts

ERIC Educational Resources Information Center

Moore, Glenn M.

2012-01-01

Purpose and Method of Study. The primary purpose of this quantitative study was to analyze the relationship between school district expenditures and student academic achievement in 102 public elementary school districts in the state of Oklahoma. The secondary purpose was to investigate the relationship between school district expenditures and…

Equity for Rural School Districts: The Final Report of the Countryside Council's School Finance Task Force.

ERIC Educational Resources Information Center

Wiener, Steve

Soaring values of agricultural land have created inequities in funding between urban and rural school districts in Minnesota. The state's Foundation Aid to school districts is formulated so that districts of high property valuation receive less Foundation Aid than those districts with low property valuation. In recent years inflation has had…

Land Acquisition Practices of the Miami-Dade County School District. Special Review.

ERIC Educational Resources Information Center

Florida State Legislature, Tallahassee. Office of Program Policy Analysis and Government Accountability.

This review, requested by the Florida Legislature, answers six questions about Miami-Dade County School District's land acquisition practices. The six questions are: (1) Does the district effectively identify its facility needs and plan for those needs? (2) Does the district acquire the land it needs? (3) Has the district adopted land acquisition…

33 CFR 3.40-1 - Eighth district.

Code of Federal Regulations, 2010 CFR

2010-07-01

... District § 3.40-1 Eighth district. (a) The District Office is in New Orleans, La. (b) The Eighth Coast..., Missouri, Kentucky, West Virginia, Tennessee, Arkansas, Oklahoma, New Mexico, Texas, Louisiana, Mississippi...

77 FR 65905 - Meeting of the California Desert District Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-31

... updates by council members, the BLM California Desert District manager, five field office managers, and...) 697-5220. Dated: October 23, 2012. Teresa A. Raml, District Manager, California Desert District. [FR...

Promoting Children's and Adolescents' Social and Emotional Development: District Adaptations of a Theory of Action.

PubMed

Kendziora, Kimberly; Osher, David

2016-01-01

This article contributes to the broader discussion of promotion, prevention, and intervention in child and adolescent mental health by describing implementation and early outcomes of an 8-school district demonstration project aimed at making the promotion of social and emotional learning a systemic part of school districts' practice. Eight districts are 2-3 years in to their participation in the 6-year project. The districts are large, are predominantly urban, and serve many students who are at disadvantage. The evaluation involved collection of qualitative data to measure the degree to which the districts realized the goals established in the initiative's theory of action, as well as school climate data, extant student records, and surveys of students' social and emotional competence. To date, results show that districts have followed highly individual pathways toward integrating social and emotional learning systemically, and all have made progress over time. Although school-level implementation remains at moderate levels, 2 districts in which we could examine school climate showed gains from preinitiative years. Four of 6 measured districts showed improvement in social and emotional competence for students in Grade 3, and achievement and discipline showed overall improvements across all districts. Overall findings show that implementation of the initiative's theory of action by school districts is feasible, even in times of budgetary stress and leadership turnover. This establishes the potential for school districts to serve as a lever of change in the promotion of students' social and emotional development and mental wellness.

Circles of Leadership: Oregon District Redefines Coaching Roles to Find a Balance between School and District Goals

ERIC Educational Resources Information Center

Petti, Amy D.

2010-01-01

In this article, the author describes how an Oregon district redefines coaching roles to find a balance between school and district goals. As director of improvement for North Clackamas School District in Milwaukie, Oregon, near Portland, the author's role of coaching the coach was new, and the coaches welcomed the immediate feedback. Through the…

Anchorage School District Profile of Performance, 1999-2000. Part 1 District Overview. Assessment and Evaluation Report.

ERIC Educational Resources Information Center

Anchorage School District, AK.

This profile is the report card of the Anchorage, Alaska, School District on the academic achievement of Anchorage students. Part 1 provides a summary of performance across the entire district on a variety of important indicators of success. Part 2, published separately, profiles each of the district's schools. Part 1 contains an overview of the…

Budget Stability, Revenue Volatility, and District Relations: Determinants of Georgia ELOST Distribution to Municipal School Districts

ERIC Educational Resources Information Center

Reinagel, Tyler P.

2014-01-01

School districts across the United States are often forced into situations where limited public funds must be distributed among multiple districts. These are often reliant on distribution rates negotiated by district leadership and elected officials. An example of this is Georgia's 1% Education Local Option Sales Tax (ELOST). The tax is collected…

Lessons Learned in Systemic District Reform: A Cross-District Analysis from the Comprehensive Aligned Instructional System (CAIS) Benchmarking Study

ERIC Educational Resources Information Center

Waters, Louise Bay; Vargo, Merrill

2008-01-01

Urban district reform has been hampered by the challenge of understanding and supporting the tremendous complexity of district change. Improving this understanding through actionable, practice-based research is the purpose of this study. The authors began the study with the hypothesis that achieving districts both align their instructional systems…

Excerpts from inside the Black Box School District Spending on Professional Development in Education: Lessons from Five Urban Districts

ERIC Educational Resources Information Center

Miles, Karen Hawley; Odden, Allan; Fermanich, Mark; Archibald, Sarah

2005-01-01

As districts struggle to meet the demands of standards-based reform and requirements for "highly qualified" teachers in the face of increasing fiscal constraints, professional development has the potential to be a significant part of a district's improvement strategy. To use dollars effectively, districts need to think about how to best integrate…

Standards-Based Assessment, Grading, and Reporting in Classrooms: Can District Training and Support Change Teacher Practice?

ERIC Educational Resources Information Center

McMunn, Nancy; Schenck, Patricia; McColskey, Wendy

Whether school district support and training in standards-based assessment, grading, and reporting in classrooms can change teacher practice in these areas was studied in a Florida school district. This district, Bay District Schools of Panama City, has been working with the SERVE Regional Educational Laboratory on a project that involves teachers…

Elementary and Secondary Civil Rights Survey, 1984. District Summary Volumes 1 and 2.

ERIC Educational Resources Information Center

DBS Corp., Arlington, VA.

This 1984 survey was conducted to obtain data on the characteristics of public school students in the 50 states and the District of Columbia. The 3,510 school districts selected to participate were statistically sampled from approximately 16,000 U.S. school districts, and the schools within the selected districts were subsampled: (1) all special…

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,…

Small Rural School District Consolidation in Texas: An Analysis of Its Impact on Cost and Student Achievement

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…

The Nation's Report Card Reading 2009 Trial Urban District Snapshot Report. Austin Independent School District. Grade 4, Public Schools

ERIC Educational Resources Information Center

National Center for Education Statistics, 2010

2010-01-01

Each district that participated in the National Assessment of Educational Progress (NAEP) 2009 Trial Urban District Assessment in reading receives a one-page snapshot report that presents key findings and trends in a condensed format. This report presents the results for Austin Independent School District's student achievement in reading. In 2009,…

The Nation's Report Card Reading 2009 Trial Urban District Snapshot Report. Austin Independent School District. Grade 8, Public Schools

ERIC Educational Resources Information Center

National Center for Education Statistics, 2010

2010-01-01

Each district that participated in the National Assessment of Educational Progress (NAEP) 2009 Trial Urban District Assessment in reading receives a one-page snapshot report that presents key findings and trends in a condensed format. This report presents the results for Austin Independent School District's student achievement in reading. In 2009,…

Reinstating district nursing: A UK perspective.

PubMed

Morris, Hannah

2017-09-01

As policy directives gather pace for service provision to be delivered in primary care, district nursing has not been recognised as a valuable asset to facilitate this agenda. Investment in district nursing and specialist district nursing education has fallen. This is concurrent with an ageing district nursing workforce, a lack of recruitment and growing caseloads, as district nursing adapts to meet the challenges of the complexities of contemporary healthcare in the community. The district nurse role is complex and multifaceted and includes working collaboratively and creatively to coordinate care. Redressing the shortages of specialist district nurse practitioners with increased numbers of health care support workers will not replace the skill, knowledge, experience required to meet the complex care needs of today's society. District nursing needs to be reinstated as the valuable asset it is, through renewed investment in the service, research development and in specialist practice education. To prevent extinction district nurses need to be able to demonstrate and articulate the complexities and dynamisms of the role to reinstate themselves to their commissioners as a valuable asset for contemporary practice that can meet current health and social care needs effectively. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

The impact of area-based initiatives on physical activity trends in deprived areas; a quasi-experimental evaluation of the Dutch District Approach.

PubMed

Kramer, Daniëlle; Droomers, Mariël; Jongeneel-Grimen, Birthe; Wingen, Marleen; Stronks, Karien; Kunst, Anton E

2014-03-11

Numerous area-based initiatives (ABIs) have been implemented in deprived neighbourhoods across Europe. These large-scale initiatives aim to tackle the socio-economic and environmental problems in these areas that might influence physical activity (PA). There is little robust evidence of their impact on PA. This study aimed to assess the impact of a Dutch ABI called the District Approach on trends in leisure-time PA in deprived districts. Repeated cross-sectional data on 48401 adults across the Netherlands were obtained from the Integrated Survey on Household Living Conditions (POLS) 2004-2011. 1517 of these adults resided in deprived target districts and 46884 adults resided elsewhere in the Netherlands. In a quasi-experimental interrupted time-series design, multilevel logistic regression analyses were performed to assess trends in leisure-time walking, cycling, and sports before and during the intervention. Trends in deprived target districts were compared with trends in various control groups. The role of the intensity of environmental interventions was also assessed. Deprived target districts showed a significantly positive change in walking trend between the pre-intervention and intervention period. The trend change in the deprived target districts was significantly larger compared to the rest of the Netherlands, but not compared to other deprived districts. For cycling and sports, neither deprived districts nor control districts showed a significant trend change. For all leisure-time PA outcomes, trend changes were not related to the intensity of environmental interventions in the deprived target districts. Some evidence was found to suggest that ABIs like the District Approach have a positive impact on leisure-time PA in deprived districts, regardless of the intensity of environmental interventions.

The impact of area-based initiatives on physical activity trends in deprived areas; a quasi-experimental evaluation of the Dutch District Approach

PubMed Central

2014-01-01

Background Numerous area-based initiatives (ABIs) have been implemented in deprived neighbourhoods across Europe. These large-scale initiatives aim to tackle the socio-economic and environmental problems in these areas that might influence physical activity (PA). There is little robust evidence of their impact on PA. This study aimed to assess the impact of a Dutch ABI called the District Approach on trends in leisure-time PA in deprived districts. Methods Repeated cross-sectional data on 48401 adults across the Netherlands were obtained from the Integrated Survey on Household Living Conditions (POLS) 2004–2011. 1517 of these adults resided in deprived target districts and 46884 adults resided elsewhere in the Netherlands. In a quasi-experimental interrupted time-series design, multilevel logistic regression analyses were performed to assess trends in leisure-time walking, cycling, and sports before and during the intervention. Trends in deprived target districts were compared with trends in various control groups. The role of the intensity of environmental interventions was also assessed. Results Deprived target districts showed a significantly positive change in walking trend between the pre-intervention and intervention period. The trend change in the deprived target districts was significantly larger compared to the rest of the Netherlands, but not compared to other deprived districts. For cycling and sports, neither deprived districts nor control districts showed a significant trend change. For all leisure-time PA outcomes, trend changes were not related to the intensity of environmental interventions in the deprived target districts. Conclusion Some evidence was found to suggest that ABIs like the District Approach have a positive impact on leisure-time PA in deprived districts, regardless of the intensity of environmental interventions. PMID:24612770

School District Crisis Preparedness, Response, and Recovery Plans - United States, 2012.

PubMed

Silverman, Brenda; Chen, Brenda; Brener, Nancy; Kruger, Judy; Krishna, Nevin; Renard, Paul; Romero-Steiner, Sandra; Avchen, Rachel Nonkin

2016-09-16

The unique characteristics of children dictate the need for school-based all-hazards response plans during natural disasters, emerging infectious diseases, and terrorism (1-3). Schools are a critical community institution serving a vulnerable population that must be accounted for in public health preparedness plans; prepared schools are adopting policies and plans for crisis preparedness, response, and recovery (2-4). The importance of having such plans in place is underscored by the development of a new Healthy People 2020 objective (PREP-5) to "increase the percentage of school districts that require schools to include specific topics in their crisis preparedness, response, and recovery plans" (5). Because decisions about such plans are usually made at the school district level, it is important to examine district-level policies and practices. Although previous reports have provided national estimates of the percentage of districts with policies and practices in place (6), these estimates have not been analyzed by U.S. Census region* and urbanicity.(†) Using data from the 2012 School Health Policies and Practices Study (SHPPS), this report examines policies and practices related to school district preparedness, response, and recovery. In general, districts in the Midwest were less likely to require schools to include specific topics in their crisis preparedness plans than districts in the Northeast and South. Urban districts tended to be more likely than nonurban districts to require specific topics in school preparedness plans. Southern districts tended to be more likely than districts in other regions to engage with partners when developing plans. No differences in district collaboration (with the exception of local fire department engagement) were observed by level of urbanicity. School-based preparedness planning needs to be coordinated with interdisciplinary community partners to achieve Healthy People 2020 PREP-5 objectives for this vulnerable population.

Texas ports and navigation districts : overview.

DOT National Transportation Integrated Search

2017-01-01

The first Navigation District was established in 1909, and there are now 24 Navigation Districts statewide.1 Navigation districts generally provide for the construction and improvement of waterways in Texas for the purpose of navigation. The creation...

Simple versus composite indicators of socioeconomic status in resource allocation formulae: the case of the district resource allocation formula in Malawi

PubMed Central

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

[Effect of fluoride on human hypothalamus-hypophysis-testis axis hormones].

PubMed

Hao, Pengfei; Ma, Xiaoying; Cheng, Xuemin; Ba, Yue; Zhu, Jingyuan; Cui, Liuxin

2010-01-01

To study of endocrine disturbing effect of fluoride on human hypothalamus-hypophysis-testis axis hormones. Sunying County, Kaifeng City was selected as polluted district which the fluoride in drinking water was 3.89 mg/L, and Shenlilou county was selected as control district which the fluoride was less than 1.0 mg/L. 150 individual lived there more than 5 years were srlected randomly. And investigated by medical examination, then blood and urine sample were collected, and the serum level of gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), testosterone (T) and estradiol (E2) were measured by RIA method, and the urine level of fluoride were measured. Other than that, the concentration of fluoride in the water, food, soil and air were detected by the standard methods. The concentrations of fluoride in the water, food and soil of the fluoride polluted district were significantly higher than those of control district (P < 0.05), and the concentration fluoride in the air of two district were not found. There was no significant difference of serum level of GnRH between fluoride polluted district and control district (P > 0.05). The serum level of LH in men of fluoride polluted district was significantly higher than that of control group (P < 0.05), and the serum level of T in men of fluoride polluted district was significantly less than that of control group (P < 0.05). There was no significant difference of serum level of LH between fluoride polluted district and control district (P > 0.05), and the serum level of T in women of fluoride polluted district was significantly higher than that of control group (P < 0.05). There was no significant difference of serum level of E2 between fluoride polluted district and control district (P > 0.05). Fluoride could effect hormone levels of each layer of the hypothalamus-hypophysis-testis axis, and show the reproductive endocrine disturbing effects. The reproductive endocrine disturbing effects of male maybe more severe than those of female.

The path dependence of district manager decision-space in Ghana

PubMed Central

Kwamie, Aku; van Dijk, Han; Ansah, Evelyn K; Agyepong, Irene Akua

2016-01-01

The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970–85); (2) Strengthening District Health Systems Initiative (1986–93); (3) health sector reform planning and creation of the Ghana Health Service (1994–96) and (4) health sector reform implementation (1997–2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of power has remained at national level, with strong vertical accountabilities and dependence of the district on national level. This study demonstrates that the rhetoric of decentralization does not always mirror actual implementation, nor always result in empowered local actors. PMID:26318537

Variability in the implementation of the No Child Left Behind Act in Wisconsin school districts and science departments

NASA Astrophysics Data System (ADS)

Miller, Christopher L.

In the United States of America, the public education system is comprised of over 14,000 school districts. Each of these unique districts is being affected by the enactment of the No Child Left Behind Act of 2001. In turn, this diverse population of school districts is determining the impact on education of this sweeping federal education policy. This study examines eight of those school districts to determine their actions related to the early phase of the implementation of one portion of NCLB, the accountability provisions prescribing standardized assessment for the determination of Adequate Yearly Progress. Specifically, this study examines what these eight Wisconsin school districts, serving from 1,000 to over 5,000 students, did with the student achievement data resulting from their state assessment, the Wisconsin Knowledge and Concepts Examinations (WKCE). A wide variety of responses were found in how school districts used the WKCE data. The eight school districts were examined to determine what features of their organizations were responsible for how they responded to the enactment of the AYP provisions, specifically how they used the WCKE data. District responses were found to be determined by district size, governance structures, personnel, and dispositions. The interactions of these characteristics were considered in light of organizational studies using conceptualizations borrowed from ecology and the theory of evolution and by studies of school districts.

7 CFR 946.31 - Districts.

Code of Federal Regulations, 2010 CFR

2010-01-01

... included in either the Quincy or South Irrigation Districts which lies east of township vertical line R27E... Irrigation Districts which lies west of township line R28E. (c) District No. 3—The counties of Benton...

7 CFR 946.31 - Districts.

Code of Federal Regulations, 2011 CFR

2011-01-01

... included in either the Quincy or South Irrigation Districts which lies east of township vertical line R27E... Irrigation Districts which lies west of township line R28E. (c) District No. 3—The counties of Benton...

Person-centred communication for emotional support in district nursing: SAGE and THYME model.

PubMed

Griffiths, Jane

2017-12-02

Patients on district nursing caseloads have multiple physical morbidities, and related emotional concerns. District nurses are ideally placed to assess and meet patients' emotional needs but in increasingly stretched workplaces, it is difficult to find time. There is also evidence that district nurses sometimes believe they lack skills to address patients' concerns. Traditional communication skills training is useful for encouraging patients to open up about their concerns, but less helpful at finding workable solutions. District nurses can be afraid to open a 'can of worms' of concerns that they are unable to deal with. SAGE and THYME is a person-centred, evidence-based communication skills model that addresses district nurses' concerns about time and skills. It provides a structure for conversations about concerns, and empowers patients to work with district nurses to find solutions. Research suggests that it is a promising model for district nursing practice.

75 FR 13330 - Bureau of Political-Military Affairs; Statutory Debarment Under the Arms Export Control Act and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-19

.... District Court, Southern District of Texas, Case 7:08CR01610-001. (24) Reynol Garcia, June 12, 2009, U.S... Quilantan-Garcia, December 9, 2009, U.S. District Court, Southern District of Texas, Case 7:09CR00874-001... Texas, Case 7:09CR01019- 001. (28) Roberto Carlos Garcia-Salazar, January 31, 2009, U.S. District Court...

e-Learning Programs Come in All Shapes and Sizes: From Alaska to Arkansas, Districts Are Experimenting with Online Learning to Solve Access Problems

ERIC Educational Resources Information Center

Coyle, Shawn; Jones, Thea; Pickle, Shirley Kirk

2009-01-01

This article presents a sample of online learning programs serving very different populations: a small district spread over a vast area, a large inner school district, and a statewide program serving numerous districts. It describes how these districts successfully implemented e-learning programs in their schools and discusses the positive impact…

The Role of School District Science Coordinators in the District-Wide Appropriation of an Online Resource Discovery and Sharing Tool for Teachers

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…

The Nation's Report Card Reading 2009 Trial Urban District Snapshot Report. San Diego Unified School District. Grade 8, Public Schools

ERIC Educational Resources Information Center

National Center for Education Statistics, 2010

2010-01-01

Each district that participated in the National Assessment of Educational Progress (NAEP) 2009 Trial Urban District Assessment in reading receives a one-page snapshot report that presents key findings and trends in a condensed format. This report presents the results for San Diego Unified School District's student achievement in reading. In 2009,…

The Nation's Report Card Reading 2009 Trial Urban District Snapshot Report. San Diego Unified School District. Grade 4, Public Schools

ERIC Educational Resources Information Center

National Center for Education Statistics, 2010

2010-01-01

Each district that participated in the National Assessment of Educational Progress (NAEP) 2009 Trial Urban District Assessment in reading receives a one-page snapshot report that presents key findings and trends in a condensed format. This report presents the results for San Diego Unified School District's student achievement in reading. In 2009,…

One Approach to Increasing Revenues for Your School District. (A Small School District's Successful Struggle).

ERIC Educational Resources Information Center

Dombrowski, Richard J.

In 1983, Channahon School District 17 in Illinois was $1.3 million in debt. Real estate taxes constituted the school district's chief source of revenue, but because the state's oil industry kept its assessed valuations below the actual value of its property through the use of experts and lawyers, the school district was denied much of its income.…

Fiscal Response of School Districts to District Fiscal Capacity and State Aid. Working Papers in Education Finance, Paper No. 15.

ERIC Educational Resources Information Center

Adams, E. Kathleen; Vincent, Phillip E.

Data on 174 Colorado school districts were used to measure districts' responses (as indicated by per-pupil expenditures) to their own fiscal capacity and to state aid that changes over time. Colorado's modified guaranteed tax base (GTB) formula was analyzed and a model constructed that took into account the formula's limits on district spending…

Achieving Competitive Advantage in Human Resource Management in General School District of Riyadh in Saudi Arabia

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…

Cost-Efficacy Analysis of Out-of-District Special Education Placements: An Evaluative Measure of Behavior Support Intervention in Public Schools.

ERIC Educational Resources Information Center

Putnam, Robert F.; Luiselli, James K.; Sennett, Kenneth; Malonson, Joanne

2002-01-01

Evaluation of out-of-district special education placement costs in the 15 largest Massachusetts public school districts found the criterion school district (which had developed a system-wide approach to behavioral intervention) had the lowest per capita cost, lowest percentage of total school budget consumed by out-of-district placements, and the…

What variables should be considered in allocating Primary health care Pharmaceutical budgets to districts in Uganda?

PubMed

Mujasi, Paschal N; Puig-Junoy, Jaume

2015-01-01

A key policy question for the government of Uganda is how to equitably allocate primary health care pharmaceutical budgets to districts. This paper seeks to identify variables influencing current primary health care pharmaceutical expenditure and their usefulness in allocating prospective pharmaceutical budgets to districts. This was a cross sectional, retrospective observational study using secondary administrative data. We collected data on the value of pharmaceuticals procured by primary health care facilities in each district from National Medical Stores for the financial year 2011/2012. The dependent variable was expressed as per capita district pharmaceutical expenditure. By reviewing literature we identified 26 potential explanatory variables. They include supply, need and demand, and health system organization variables that may influence the demand and supply of health services and the corresponding pharmaceutical expenditure. We collected secondary data for these variables for all the districts in Uganda (n = 112). We performed econometric analysis to estimate parameters of various regression models. There is a significant correlation between per capita district pharmaceutical expenditure and total district population, rural poverty, access to drinking water and outpatient department (OPD) per capita utilisation.(P < 0.01). The percentage of health centre IIIs (HC III) among each district's health facilities is significantly correlated with per capita pharmaceutical expenditure (P < 0.05). OPD per capita utilisation has a relatively strong correlation with per capita pharmaceutical expenditure (r = 0.498); all the other significant factors are weakly correlated with per capita pharmaceutical expenditure (r < 0.5). From several iterations of an initially developed model, the proposed final model for explaining per capita pharmaceutical expenditure explains about 53% of the variation in pharmaceutical expenditure among districts in Uganda (Adjusted R(2) = 0.528). All variables in the model are significant (p < 0.01). From evaluation of the various models, proposed variables to consider in allocating prospective primary health care pharmaceutical budgets to districts in Uganda are: district outpatient department attendance per capita, total district population, total number of government health facilities in the district and the district human poverty index.

Accountability in district nursing practice: key concepts.

PubMed

Griffith, Richard

2015-03-01

Public trust and confidence in district nurses is essential to the nurse-patient relationship that underpins effective care and treatment. That trust and confidence has even greater focus for district nurses who care for patients in their own homes. Those patients need to be able to count on the professionalism and probity of their district nurses. The professionalism and probity of district nurses is based on their accountability, which protects the public by imposing standards on district nurses and holds them answerable for their acts and omissions. This is the first of a series of articles on accountability in district nursing practice to mark the introduction of the revised Nursing and Midwifery Code on the 31 March 2015. This month's article considers the key concepts of accountability.

The cost of the district hospital: a case study in Malawi.

PubMed

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.

PubMed Central

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

Cultivating Labor Management Collaboration

ERIC Educational Resources Information Center

Spector, Stacy

2013-01-01

In many districts, the notion of labor groups and district administration working together conjures descriptions of war and battle rather than cooperation and collaboration. However, in San Juan Unified School District, the headline, "Union and District Exhibit Positive Partnership" exemplifies the changing relationship between teacher…

77 FR 69707 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-20

..., Hazarjuft Area, Garmsir District, Helmand Province, Afghanistan; alt. POB Laki Village, Garmsir District, Helmand Province, Afghanistan; alt. POB Lakari Village, Garmsir District, Helmand Province, Afghanistan; alt. POB Darvishan, Garmsir District, Helmand Province, Afghanistan; alt. POB De Luy Wiyalah Village...

7 CFR 958.27 - Districts.

Code of Federal Regulations, 2010 CFR

2010-01-01

...; (2) changes in the relative position of existing districts with respect to onion production; (3) the... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED... Districts. (a) For the purpose of selecting committee members, the following districts of the production...

Do Schools in Rural and Nonrural Districts Allocate Resources Differently? An Analysis of Spending and Staffing Patterns in the West Region States. Summary. Issues & Answers. REL 2011-No. 099

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 Report Card on District Achievement: How Low-Income, African-American, and Latino Students Fare in California School Districts. K-12 Policy

ERIC Educational Resources Information Center

Stuart, Lindsey; Hahnel, Carrie

2011-01-01

In this report, The Education Trust-West grades the 146 largest unified school districts in California on four key indicators of student performance to see how well they are serving their African-American, Latino, and low-income students. While most districts in California earn Cs and Ds on these indicators, some districts prove that more is…

Epidemiological Perspective of National Leprosy Eradication Programme in Maharashtra: Focusing on "Tribal Hot-spot" of Tribal District.

PubMed

Katkar, Dhananjay; Mote, Balu Natha; Adhav, Ambadas; Muthuvel, Thirumugam; Kadam, Suhas

2017-01-01

Leprosy or Hansen's disease, a chronic infectious disease caused by Mycobacterium leprae is a serious public health concern because of associated case load, morbidity and stigma attached to it. India achieved elimination of leprosy as a public health problem (prevalence rate [PR]<1 case/10,000 population) at the national level on January 1, 2006, still 19% districts in the country report PR more than one. In Maharashtra, it is found that very few districts within the state or very few pockets within the district are actually having leprosy burden. (1) Identification of region-wise actual "hot-spot" districts/pockets within state of Maharashtra.(2) Further drop-down below the district and block to tribal belt for understanding the actual high risk area/belt within the tribal districts. Secondary data analysis of leprosy patients registered in the State during the period 2008-2015. PR per 10,000 was found more in Vidharbha region followed by rest of Maharashtra and then Marathwada. Analysis showed that, there are tribal districts and tribal area within tribal districts which are having higher leprosy burden as compared to the all other districts indicating need of allocation of programme funds and facilities to these tribal belts for the effective control and elimination of leprosy. National Leprosy Eradication Programme should focus on tribal belt for effective control. Without giving extra attention to these tribal areas within high risk district/pockets efforts of eradication of leprosy by 2018 would be unrealistic and impractical.

76 FR 43183 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-20

... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... Metropolitan Air Quality Management District (SMAQMD or District) portion of the California State... Designee. (i) Incorporation by Reference. (A) Sacramento Metropolitan Air Quality Management District. (1...

76 FR 31935 - District Export Council Nomination Opportunity

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-02

... DEPARTMENT OF COMMERCE International Trade Administration District Export Council Nomination... of opportunity for appointment to serve as a District Export Council member. SUMMARY: The Department... Secretary of Commerce to serve as members of one of the 60 District Export Councils (DECs) nationwide. DECs...

Preparing Future Principals

ERIC Educational Resources Information Center

Whitaker, Kathryn

2006-01-01

Nationwide, school district administrators are puzzling about how to increase the number of high quality principal candidates. Some districts have started programs to grow their own administrators. These districts, sometimes in conjunction with university programs, are providing training and mentoring for future school leaders. Some districts are…

DNR Recorder's Office

Science.gov Websites

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

Sexual Harassment Policies in Florida School Districts.

ERIC Educational Resources Information Center

Rienzo, Barbara A.; Moore, Michele Johnson

1998-01-01

Investigated the extent to which Florida's school districts complied with the Florida Department of Education's (FDOE) recommendations for addressing sexual harassment in schools. Surveys of district equity coordinators and analysis of policies indicated that most districts approved sexual harassment policies incorporating many FDOE…

Decentralization in Zambia: resource allocation and district performance.

PubMed

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.

Regional health accounts for Pakistan--expenditure disparities on provincial and district level.

PubMed

Lorenz, Christian; Khalid, Muhammad

2011-05-01

Since May 2009 the first National Health Accounts (NHA) for Pakistan have been finalised and published by Federal Bureau of Statistics (FBS) in cooperation with German Technical Cooperation (GTZ). This paper goes one step ahead of the report and analyses in more detail the regional differences in health expenditure structures in Pakistan. The further analyses can be divided into four parts: health expenditures in provinces (Provincial Health Accounts, PHA), Punjab provincial and district governments health expenditures and its comparison with ADB figures, all districts of Pakistan and comparison between total district government and provincial government expenditure for each province; the latter calculation is applied as indication for the degree of fiscal autonomy of the districts in each province. Consequently, first the provincial health expenditures by Financial Agents is analysed and compared between the provinces which leads to very heterogeneous results (section 2); the per capita health expenditures differ from 16 to 23 USD. Secondly, NHA results on Punjab district government are compared with available ADB results and differences in methods as possible reasons for different results are presented (section 3). Third, district data of all district governments in all four Pakistani provinces are analysed on the level of detailed function codes in section 4; the aim is to discover regional differences between districts of the same as well as of different provinces. Fourth, in section 5 the degree of fiscal autonomy on health of the districts in each province is analysed; therefore the ordinance description is reviewed and total district government with total provincial government expenditures are compared per province. Finally recommendations for future rounds of NHA in Pakistan are given regarding formats and necessities of detailed health expenditure data collection to ensure evidence based decision making not only on federal, but also on provincial and district level.

Prevalenceinstigating factors and help seeking behavior of physical domestic violence among married women of HyderabadSindh

PubMed Central

Bibi, Seema; Ashfaq, Sanober; Shaikh, Farhana; Qureshi, Pir Mohammad Ali

2014-01-01

Background and Objectives : Domestic violence against women is highly prevalent but under reported issue having social, legal, health and economic implications. It needs to be identified and addressed in order to decrease the sufferings of women. Our objective was to find out prevalence, instigating factors and help seeking behavior of physical domestic violence against married women. Methods: A total of 378 married women who were attending Department of Obstetrics & Gynaecology, Liaquat University Hospital from January 1, 2013 to March 31, 2013 for different obstetrical & gynaecological problems were randomly selected and interviewed. After informed consent, required information was collected on predesigned performa including demographic details, prevalence, instigating factors, help seeking behavior for physical domestic violence. Results: About 31% (120) of women reported lifetime physical domestic violence. Husbands and in-laws were perpetrators in 70% (84) and 30% (36) cases respectively. Wives being disobedient and making arguments were the most common instigating factors for violence followed by husband’s drug addiction, extra marital relationship and infertility. It was severe enough to require medical care in 24% (29) cases. Only 2% (2) women sought social and legal aid. Conclusion: Domestic violence was quite common among married women, however help seeking was minimal. There is need to identify and address this menace effectively. PMID:24639844

Frequency of depression, anxiety and stress among the undergraduate physiotherapy students

PubMed Central

Syed, Annosha; Ali, Syed Shazad; Khan, Muhammad

2018-01-01

Objectives: To assess the frequency of Depression, Anxiety and Stress (DAS) among the undergraduate physiotherapy students. Methods: A descriptive cross sectional study was conducted in various Physiotherapy Institutes in Sindh, Pakistan among undergraduate physiotherapy students. The total duration of this study was 4 months from September, 2016 to January, 2017. Data was collected from 267 students with no physical and mental illness; more than half were female students 75.3%. They were selected through Non probability purposive sampling technique. A self-administered standardized DASS (depression, anxiety and stress scale) was used to collect data and result was analyzed using its severity rating index. Data was entered and analyzed by using SPSS version 21. Descriptive statistics including the frequency of depression, anxiety, stress and demographic characteristic of the participant was collected. Results: The mean age of students was 19.3371±1.18839 years. The Frequency of depression, anxiety and stress found among undergraduates Physiotherapy students was 48.0%, 68.54% and 53.2%, respectively. Conclusions: It was observed that the frequency of depression, anxiety and stress among physiotherapy undergraduates students were high. It suggests the urgent need of carrying out evidence based Psychological health promotion for undergraduate Physiotherapy students to control this growing problem. PMID:29805428

Histopathological spectrum of childhood nephrotic syndrome in Pakistan.

PubMed

Mubarak, Muhammed; Lanewala, Ali; Kazi, Javed Iqbal; Akhter, Fazal; Sher, Atika; Fayyaz, Amir; Bhatti, Sajid

2009-12-01

There is no information in international literature on the pattern of glomerulopathies in children with idiopathic nephrotic syndrome (INS) in Pakistan. We undertook this study to determine the pattern of glomerulopathies based on renal biopsies studied by light (LM), immunofluorescence (IF), and electron microscopy (EM). The study was conducted at Sindh Institute of Urology and Transplantation (SIUT), Karachi over 12 years (1996-2008). All children (

Posttransplant malignancies in renal transplant recipients: 22-years experience from a single center in Pakistan.

PubMed

Yunus, Mahira; Aziz, Tahir; Mubarak, Muhammed

2012-01-01

To study the incidence, types and distribution pattern of malignant tumors in renal transplant recipients at a single center in Pakistan. This retrospective study was conducted at Sindh Institute of Urology and Transplantation (SIUT) and included all transplant patients on regular follow-up from November 1986 to December 2008. The original biopsy reports and case files of all patients who developed posttransplant malignancies were reviewed and relevant demographic, clinical, radiological, and histopathological data were retrieved and analyzed. SPSS version 10.0 was used for statistical analysis. Over 22 years of study period, 1816 renal transplants were carried out at our center. Among these, 44 patients developed malignancies constituting an overall incidence rate of 2.4%. All patients in this study were males with a mean age of 34.9±9.5 years (range: 9 to 60 years). The most common type of malignancy was lymphoma (27 patients, 61.4%), followed by Kaposi's sarcoma (11 patients, 25%) and skin malignancies (3 patients, 6.8%). One case each of adenocarcinoma of the gallbladder, acute myeloid leukemia (AML), conjunctival carcinoma-in-situ and seminoma were also diagnosed. Posttransplant malignancies occurring in our renal transplant recipients show different incidence rates and patterns as compared with western studies.

Frequency of Candida albicans in Patients with Funguria.

PubMed

Jamil, Sana; Jamil, Naz; Saad, Uzma; Hafiz, Saleem; Siddiqui, Sualleha

2016-02-01

To determine the frequency of Candida albicansin patients with funguria. Descriptive cross-sectional study. Department of Microbiology, Sindh Institute of Urology and Transplantation, from July to December 2012. Patients’ urine samples with fungus/Candida were included. Candida albicans was identified by the production of tubular structures (germ tubes) on microscopy as per standard procedure followed by inoculation on Chrom agar (Oxoid) and Corn Meal-Tween 80 agar (Oxoid). The identification of other non-albicans Candidaspecies was also done both microscopically and macroscopically as per standard procedure. Out of the 289 isolates, 204 (70.6%) were male patients and 85 (29.4%) were female patients, with 165 (57.1%) from the out-patients and 124 (42.9%) from the in-patients. Five species of Candidawere found to be prevalent including 87 (30.1%) Candida albicans, 176 (60.9%) Candida tropicalis, 14 (4.8%) Candida parapsilosis, 8 (2.8%) Candida glabrata and 4 (1.4%) Candida lusitaniae. Majority of patients with funguria were aged above 50 years (60.2%). In the present study, 30.1% patients with funguria had Candida albicans. The most frequently isolated species was Candida tropicalis(60.9%), followed by other non-albicansCandida. This study has shown the emergence of non-albicans Candidaas a major cause of candiduria.

Prevalence and distribution of human Plasmodium infection in Pakistan.

PubMed

Khattak, Aamer A; Venkatesan, Meera; Nadeem, Muhammad F; Satti, Humayoon S; Yaqoob, Adnan; Strauss, Kathy; Khatoon, Lubna; Malik, Salman A; Plowe, Christopher V

2013-08-28

Both Plasmodium vivax and Plasmodium falciparum are prevalent in Pakistan, yet up-to-date data on the epidemiology of malaria in Pakistan are not available. This study was undertaken to determine the current prevalence and distribution of Plasmodium species across the country. A malariometric population survey was conducted in 2011 using blood samples collected from 801 febrile patients of all ages in four provinces and the capital city of Islamabad. Microscopically confirmed Plasmodium-positive blood samples were reconfirmed by polymerase chain reaction (PCR). Confirmed parasite-positive samples were subjected to species-specific PCR capable of detecting four species of human malaria. Of the 707 PCR-positive samples, 128 (18%) were P. falciparum, 536 (76%) were P. vivax, and 43 (6%) were mixed P. falciparum and P. vivax. Ninety-four microscopy-positive samples were PCR-negative, and Plasmodium malariae and Plasmodium ovale were not detected. Prevalence of P. vivax ranged from 2.4% in Punjab Province to 10.8% in Sindh Province and prevalence of P. falciparum ranged from 0.1% in Islamabad to 3.8% in Balochistan. Plasmodium infections in Pakistan are largely attributed to P. vivax but P. falciparum and mixed species infections are also prevalent. In addition, regional variation in the prevalence and species composition of malaria is high.

Prevalence and distribution of human Plasmodium infection in Pakistan

PubMed Central

2013-01-01

Background Both Plasmodium vivax and Plasmodium falciparum are prevalent in Pakistan, yet up-to-date data on the epidemiology of malaria in Pakistan are not available. This study was undertaken to determine the current prevalence and distribution of Plasmodium species across the country. Methods A malariometric population survey was conducted in 2011 using blood samples collected from 801 febrile patients of all ages in four provinces and the capital city of Islamabad. Microscopically confirmed Plasmodium-positive blood samples were reconfirmed by polymerase chain reaction (PCR). Confirmed parasite-positive samples were subjected to species-specific PCR capable of detecting four species of human malaria. Results Of the 707 PCR-positive samples, 128 (18%) were P. falciparum, 536 (76%) were P. vivax, and 43 (6%) were mixed P. falciparum and P. vivax. Ninety-four microscopy-positive samples were PCR-negative, and Plasmodium malariae and Plasmodium ovale were not detected. Prevalence of P. vivax ranged from 2.4% in Punjab Province to 10.8% in Sindh Province and prevalence of P. falciparum ranged from 0.1% in Islamabad to 3.8% in Balochistan. Conclusions Plasmodium infections in Pakistan are largely attributed to P. vivax but P. falciparum and mixed species infections are also prevalent. In addition, regional variation in the prevalence and species composition of malaria is high. PMID:23984968

1993-1994 Final technical report for establishing the SECME Model in the District of Columbia

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

Vickers, R.G.

1995-12-31

This is the final report for a program to establish the SECME Model in the District of Columbia. This program has seen the development of a partnership between the District of Columbia Public Schools, the University of the District of Columbia, the Department of Energy, and SECME. This partnership has demonstrated positive achievement in mathematics and science education and learning in students within the District of Columbia.

Districts for 104th Congress

USGS Publications Warehouse

,

1990-01-01

This is a polygon coverage of 104th Congressional District boundaries obtained from the U.S. Bureau of the Census. The 103rd Congress was the first Congress that reflected the reapportionment and delineation of congressional districts based on the 1990 census. The next (104th) Congress reflects redelineation of districts that occurred for six states: Georgia, Louisiana, Maine, Minnesota, South Carolina, and Virginia. Congressional Districts U.S. House of Representatives Census TIGER/Line Files

Geology and uranium deposits of the Cochetopa and Marshall Pass districts, Saguache and Gunnison counties, Colorado

USGS Publications Warehouse

Olson, Jerry C.

1988-01-01

The Cochetopa and Marshall Pass uranium districts are in Saguache and Gunnison Counties, south-central Colorado. Geologic mapping of both districts has shown that their structural history and geologic relationships have a bearing on the distribution and origin of their uranium deposits. In both districts, the principal uranium deposits are situated at the intersection of major faults with Tertiary erosion surfaces. These surfaces were buried by early Tertiary siliceous tuffs-- a likely source of the uranium. That uranium deposits are related to such unconformities in various parts of the world has been suggested by many other authors. The purpose of this study is to understand the geology of the two districts and to define a genetic model for uranium deposits that may be useful in the discovery and evaluation of uranium deposits in these and other similar geologic settings. The Cochetopa and Marshall Pass uranium districts produced nearly 1,200 metric tons of uranium oxide from 1956 to 1963. Several workings at the Los Ochos mine in the Cochetopa district, and the Pitch mine in the Marshall Pass district, accounted for about 97 percent of this production, but numerous other occurrences of uranium are known in the two districts. As a result of exploration of the Pitch deposit in the 1970's, a large open-pit mining operation began in 1978. Proterozoic rocks in both districts comprise metavolcanic, metasedimentary, and igneous units. Granitic rocks, predominantly quartz monzonitic in composition, occupy large areas. In the northwestern part of the Cochetopa district, metavolcanic and related metasedimentary rocks are of low grade (lower amphibolite facies). In the Marshall Pass district, layered metamorphic rocks are predominantly metasedimentary and are of higher (sillimanite subfacies) grade than the Cochetopa rocks. Paleozoic sedimentary rocks in the Marshall Pass district range from Late Cambrian to Pennsylvanian in age and are 700 m thick. The Paleozoic rocks include, from oldest to youngest, the Sawatch Quartzite, Manitou Dolomite, Harding Quartzite, Fremont Dolomite, Parting Formation and Dyer Dolomite of the Chaffee Group, Leadville Dolomite, and Belden Formation. In the Cochetopa district, Paleozoic rocks are absent. Mesozoic sedimentary rocks overlie the Precambrian rocks in the Cochetopa district and comprise the Junction Creek Sandstone, Morrison Formation, Dakota Sandstone, and Mancos Shale. In the Marshall Pass district, Mesozoic rocks are absent and were presumably removed by pre-Tertiary erosion. Tertiary volcanic rocks were deposited on an irregular surface of unconformity; they blanketed both districts but have been eroded, away from much of the area. They include silicic ash flows as well as andesitic lava flows and breccias. In the Marshall Pass district, a 20to 20D-m thickness of waterlaid tuff of early Tertiary age indicates the former presence of a lake over much of the district. In the Cochetopa district, faults have a predominantly east-west trend, and the major Los Ochos fault shows displacement during Laramide time. In the Marshall Pass district, the Chester fault is a major north-trending reverse fault along which Proterozoic rocks have been thrust westward over Paleozoic and Proterozoic rocks. Displacement on the Chester fault was almost entirely of Laramide age. Both faults and old erosion surfaces or unconformities are important in the origin of uranium deposits because of their influence on the movement and localization of ore-forming solutions. In the Cochetopa district, all the known uranium occurrences crop out within 100 m of the inferred position of the unconformity surface beneath the Tertiary volcanic rocks. Much of the district was part of the drainage of an ancestral Cochetopa Creek. The principal uranium deposit, at the Los Ochos mine, is localized along the Los Ochos fault and is near the bottom of the paleovalley where the paleovalley crosses the fault. This

Improving malaria treatment and prevention in India by aiding district managers to manage their programmes with local information: a trial assessing the impact of Lot Quality Assurance Sampling on programme outcomes.

PubMed

Valadez, Joseph J; Devkota, Baburam; Pradhan, Madan Mohan; Meherda, Pramod; Sonal, G S; Dhariwal, Akshay; Davis, Rosemary

2014-10-01

This paper reports the first trial of Lot Quality Assurance Sampling (LQAS) assessing associations between access to LQAS data and subsequent improvements in district programming. This trial concerns India's approach to addressing an increase in malaria-attributable deaths by training community health workers to diagnose, treat and prevent malaria, while using LQAS to monitor sub-district performance and make programme improvements. The Ministry of Health introduced LQAS into four matched high malaria burden districts (Annual Parasite Incidence >5) (N > 5 million). In each sub-district, we sampled four populations in three 6-monthly surveys: households, children <5 years, people with fever in the last 2 weeks and community health workers. In three districts, trained local staff collected, analysed and used data for programme management; in one control district, non-local staff collected data and did not disseminate results. For eight indicators, we calculated the change in proportion from survey one to three and used a Difference-in-Differences test to compare the relative change between intervention and control districts. Coverage increased from survey one to three for 24 of 32 comparisons. Difference-in-Differences tests revealed that intervention districts exhibited significantly greater change in four of six vertical strategies (insecticide treated bed-nets and indoor residual spraying), one of six treatment-seeking behaviours and four of 12 health worker capacity indicators. The control district displayed greater improvement than two intervention districts for one health worker capacity indicator. One district with poor management did not improve. In this study, LQAS results appeared to support district managers to increase coverage in underperforming areas, especially for vertical strategies in the presence of diligent managers. © 2014 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

The Abrams report--communicable disease control; how do Health Districts measure up to the recommendations?

PubMed

Grime, L P; Horsley, S D

1995-12-01

The aims of the study were to examine whether Health Districts in the North Western Region complied with the recommendations in the Abrams report regarding the control of communicable disease [incorporated into the Annex to Circular HSG(93)56], and to identify areas that need further attention. The recommendations were extracted and arranged in questionnaire form. Further items were included dealing with the use of Epinet in communicating with the profession. A compliance score was derived from affirmative and qualified affirmative responses. Many recommendations were met by all or most Districts. Compliance was 90 percent or over for 58 percent of the questions where an assessment was appropriate. Of the 16 Districts in consortia, 75 percent did not have a consortium plan. Day-to-day plans were informal in 21 percent of Districts. In 63 percent of Districts the Family Health Services Authority (FHSA) was not involved to the extent that it should be. The Consultant in Communicable Disease Control (CCDC) had insufficient District Health Authority support in 42 percent of Districts and insufficient Local Authority support in 16 percent of Districts. In 58 percent of Districts there was lack of inclusion of matters relating to the control of infectious disease in contractual statements between purchaser and provider. There was a lack of audit in 47 percent of Districts. One plan or a compatible series of plans are required across each District. Informal day-to-day plans should be formalized. The FHSA should be fully involved in infectious disease control plans. Certain Districts require a Community Infection Control Nurse, accountable to the CCDC and/or administrative support to input and scan surveillance data. Contractual statements between purchaser and provider should include appropriate infection control requirements when this is not already the case. Communicable disease control audit should be a regular part of CCDC duties.

7 CFR 982.31 - Grower districts.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Grower districts. 982.31 Section 982.31 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... importance of production in each district and the number of growers in each district; (2) the geographic...

76 FR 44535 - Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-26

... the California State Implementation Plan, Northern Sierra Air Quality Management District, Sacramento Metropolitan Air Quality Management District, and South Coast Air Quality Management District AGENCY... the Northern Sierra Air Quality Management District (NSAQMD), Sacramento Metropolitan Air Quality...

78 FR 21540 - Revisions to the California State Implementation Plan, Butte County Air Quality Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-11

... the California State Implementation Plan, Butte County Air Quality Management District and Sacramento Metropolitan Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Direct... Quality Management District (BCAQMD) and Sacramento Metropolitan Air Quality Management District (SMAQMD...

75 FR 40726 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-14

... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District and South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION... Metropolitan Air Quality Management District (SMAQMD) and South Coast Air Quality Management District (SCAQMD...

78 FR 53270 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-29

... Quality Implementation Plan; California; Sacramento Metropolitan Air Quality Management District... to the Sacramento Metropolitan Air Quality Management District (SMAQMD or District) portion of the..., Sacramento Metropolitan Air Quality Management District, Rule 214 (Federal New Source Review), Rule 203...

76 FR 44493 - Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-26

... California State Implementation Plan, Northern Sierra Air Quality Management District, Sacramento Metropolitan Air Quality Management District, and South Coast Air Quality Management District AGENCY... approve revisions to the Northern Sierra Air Quality Management District (NSAQMD), Sacramento Metropolitan...

75 FR 40762 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-14

... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District and South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION... Management District (SMAQMD) and South Coast Air Quality Management District (SCAQMD) portions of the...

7 CFR 1210.401 - District conventions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false District conventions. 1210.401 Section 1210.401 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... multi-State districts, no one State shall have nominees for more than three of the four district...

78 FR 32622 - District Export Council Nomination Opportunity

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-31

... Administration District Export Council Nomination Opportunity AGENCY: International Trade Administration, Department of Commerce. ACTION: Notice of Opportunity for Appointment to serve as a District Export Council... consideration for appointment by the Secretary of Commerce to serve as members of one of the 59 District Export...

Spatial Dependency and Contextual Effects on Academic Achievement

ERIC Educational Resources Information Center

Matlock, Ki; Song, Joon Jin; Goering, Christian Z.

2014-01-01

This study investigated the influences of district-related variables on a district's academic performance. Arkansas augmented benchmark examination scores were used to measure a district's scholastic achievement. Spatial analysis fit each district's performance to its geographical location; spatial autocorrelation measured the amount of influence…

District Learning Tied to Student Learning

ERIC Educational Resources Information Center

McFadden, Ledyard

2009-01-01

Winners and finalists for the annual Broad Prize for Urban Education have consistently outperformed peer districts serving similar student populations. What makes the difference? These districts consistently demonstrate a learning loop that influences the district's ability to learn, which ultimately influences student opportunities to learn.…

7 CFR 636.3 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 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... name. Conservation practice means one or more conservation improvements and activities, including...

76 FR 39357 - Revisions to the California State Implementation Plan, Imperial County Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-06

... the California State Implementation Plan, Imperial County Air Pollution Control District, Kern County Air Pollution Control District, and Ventura County Air Pollution Control District AGENCY... the Imperial County Air Pollution Control District (ICAPCD), Kern County Air Pollution Control...

76 FR 5277 - Revisions to the California State Implementation Plan, Santa Barbara Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-31

... the California State Implementation Plan, Santa Barbara Air Pollution Control District, Antelope Valley Air Quality Management District, Ventura County Air Pollution Control District and Placer County Air Pollution Control District AGENCY: Environmental Protection Agency (EPA). ACTION: Direct final...

76 FR 5319 - Revisions to the California State Implementation Plan, Santa Barbara Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-31

... the California State Implementation Plan, Santa Barbara Air Pollution Control District, Placer County Air Pollution Control District, Antelope Valley Air Quality Management District, and Ventura County Air Pollution Control District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule...

7 CFR 1468.3 - Definitions.

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...

7 CFR 1468.3 - Definitions.

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...

7 CFR 1468.3 - Definitions.

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...

26 CFR 301.7701-10 - District director.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 18 2010-04-01 2010-04-01 false District director. 301.7701-10 Section 301.7701-10 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) PROCEDURE AND ADMINISTRATION PROCEDURE AND ADMINISTRATION Definitions § 301.7701-10 District director. The term district...

Data-Driven Districts.

ERIC Educational Resources Information Center

LaFee, Scott

2002-01-01

Describes the use of data-driven decision-making in four school districts: Plainfield Public Schools, Plainfield, New Jersey; Palo Alto Unified School District, Palo Alto, California; Francis Howell School District in eastern Missouri, northwest of St. Louis; and Rio Rancho Public Schools, near Albuquerque, New Mexico. Includes interviews with the…

Drought disaster vulnerability mapping of agricultural sector in Bringin District, Semarang Regency

NASA Astrophysics Data System (ADS)

Lestari, D. R.; Pigawati, B.

2018-02-01

Agriculture sector is a sector that is directly affected by drought. The phenomenon of drought disaster on agriculture sector has occurred in Semarang regency. One of districts in Semarang which is affected by drought is Bringin district. Bringin district is a productive agricultural area. However, the district experienced the most severe drought in 2015. The question research of this study is, “How is the spatial distribution of drought vulnerability on agriculture sector in Bringin district, Semarang regency?” The purpose of this study is to determine the spatial distribution of drought vulnerability on agriculture sector to village units in Bringin district. This study investigated drought vulnerability based on Intergovernmental Panel on Climate Change (IPCC) by analyzing exposure, sensitivity, and adaptive capacity through mapping process. This study used quantitative approach. There were formulation analysis, scoring analysis, and overlay analysis. Drought vulnerability on agriculture sector in Bringin district was divided into three categories: low, medium, and high.

Population genetic analysis and sub-structuring of Theileria parva in the northern and eastern parts of Zambia

PubMed Central

2012-01-01

Background Theileriosis, caused by Theileria parva, is an economically important disease in Africa. It is a major constraint to the development of the livestock industry in some parts of eastern, central and southern Africa. In Zambia, theileriosis causes losses of up to 10,000 cattle annually. Methods Cattle blood samples were collected for genetic analysis of Theileria parva from Isoka and Petauke districts in Zambia. Microsatellite analysis was then performed on all Theileria parva positive samples for PCR using a panel of 9 microsatellite markers. Microsatellite data was analyzed using microsatellite toolkit, GenAlEx ver. 6, Fstat ver. 2.9.3.2, and LIAN computer softwares. Results The combined percentage of positive samples in both districts determined by PCR using the p104 gene primers was 54.9% (95% CI: 46.7 – 63.1%, 78/142), while in each district, it was 44.8% (95% CI: 34.8 – 54.8%) and 76.1% (95% CI = 63.9 – 88.4%) for Isoka and Petauke districts, respectively. We analyzed the population genetic structure of Theileria parva from a total of 61 samples (33 from Isoka and 28 from Petauke) using a panel of 9 microsatellite markers encompassing the 4 chromosomes of Theileria parva. Wright’s F index (FST = 0.178) showed significant differentiation between the Isoka and Petauke populations. Linkage disequilibrium was observed when populations from both districts were treated as a single population. When analyzed separately, linkage disequilibrium was observed in Kanyelele and Kalembe areas in Isoka district, Isoka district overall and in Petauke district. Petauke district had a higher multiplicity of infection than Isoka district. Conclusion Population genetic analyses of Theileria parva from Isoka and Petauke districts showed a low level of genotype exchange between the districts, but a high level of genetic diversity within each district population, implying genetic and geographic sub-structuring between the districts. The sub-structuring observed, along with the lack of panmixia in the populations, could have been due to low transmission levels at the time of sampling. However, the Isoka population was less diverse than the Petauke population. PMID:23146577

The path dependence of district manager decision-space in Ghana.

PubMed

Kwamie, Aku; van Dijk, Han; Ansah, Evelyn K; Agyepong, Irene Akua

2016-04-01

The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970-85); (2) Strengthening District Health Systems Initiative (1986-93); (3) health sector reform planning and creation of the Ghana Health Service (1994-96) and (4) health sector reform implementation (1997-2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of power has remained at national level, with strong vertical accountabilities and dependence of the district on national level. This study demonstrates that the rhetoric of decentralization does not always mirror actual implementation, nor always result in empowered local actors. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Guidelines for preparing a quality assurance plan for district offices of the U.S. Geological Survey

USGS Publications Warehouse

Schroder, L.J.; Shampine, W.J.

1992-01-01

The U.S. Geological Survey has a policy that requires each District office to prepare a Quality Assurance Plan. This plan is a combination of a District's management principles and quality assurance processes. The guidelines presented in this report provide a framework or expanded outline that a District can use to prepare a plan. Parti- cular emphasis is given to a District's: (1) quality assurance policies; (2) organization and staff responsibilities; and (3) program and project planning. The guidelines address the 'how', 'what', and 'who' questions that need to be answered when a District Quality Assurance Plan is prepared.

State of the District Address, 1982.

ERIC Educational Resources Information Center

Koltai, Leslie

This address by the Chancellor of the Los Angeles Community College District (LACCD) discusses recent and long-term changes in the district's programs, educational quality, and financial standing, and suggests means for future improvements. First, the paper highlights the district's achievements in improving transfer education and developing new…

Conflict Management in Declining School Districts.

ERIC Educational Resources Information Center

Boyd, William Lowe; Wheaton, Dennis R.

1983-01-01

Professional literature about managing conflicts associated with declining enrollments indicates the existing tension in this area. A research study shows that, while upper-middle class districts may succeed using a rational approach to decision making, lower class districts, for various reasons, may not. Special problems of urban districts are…

Between-District Test Score Variation, 2009-2012

ERIC Educational Resources Information Center

Fahle, Erin; Reardon, Sean

2016-01-01

Describing the variation in test scores between and within school districts is critical for: (1) for policy-related and descriptive work that investigates the sorting of students among districts and the differential effectiveness of those districts; and (2) for methodological work planning future experiments or interventions. Intraclass…

7 CFR 930.6 - District.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false District. 930.6 Section 930.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... Definitions § 930.6 District. District means one of the subdivisions of the production area described in § 930...

7 CFR 930.6 - District.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false District. 930.6 Section 930.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... Definitions § 930.6 District. District means one of the subdivisions of the production area described in § 930...

Philadelphia's Renaissance Schools Initiative after Four Years

ERIC Educational Resources Information Center

Stratos, Kati; Wolford, Tonya; Reitano, Adrienne

2015-01-01

In 2010-2011, the School District of Philadelphia (the District) launched its Renaissance Schools Initiative, a program designed to dramatically improve student achievement in the District's lowest performing schools. Some schools became Promise Academies, based on the federal turnaround model, and remained District-operated neighborhood schools.…

A Political Analysis of Community Influence over School Closure

ERIC Educational Resources Information Center

Finnigan, Kara S.; Lavner, Mark

2012-01-01

This study seeks to understand community member participation in and influence over an urban school district's school closure process. Data from interviews with School Board members, district administrators, and community members, as well as district documents and newspaper articles suggest that district administrators limited participation…

77 FR 12495 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-01

... the California State Implementation Plan, Antelope Valley Air Quality Management District and Mojave Desert Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Direct final... Quality Management District (AVAQMD) and Mojave Desert Air Quality Management District (MDAQMD) portion of...

20 CFR 702.272 - Informal recommendation by district director.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Informal recommendation by district director... PROCEDURE Claims Procedures Discrimination § 702.272 Informal recommendation by district director. (a) If... employer and employee accept the district director's recommendation, it will be incorporated in an order...

School District Reorganization. Educational Management Review Series Number 12.

ERIC Educational Resources Information Center

Templeton, Ian

This review surveys recent documents previously announced in RIE that are concerned with school district reorganization. The review begins with a survey of literature on three interrelated variables that affect district consolidation and redistricting -- district size, educational quality, and educational costs. Succeeding sections present a…

School District Effects and Efficiency. Special Report.

ERIC Educational Resources Information Center

Swanson, Austin D.; Engert, Frank

This paper describes efforts to develop indices of student achievement, school district effort, and school district efficiency. The challenge was to develop measures that are simple to understand, yet allow comparison among districts that are not distorted by socioeconomic differences. Measures were developed for average student achievement,…

Stakeholder Experiences in District-University Administrator Preparation Partnerships

ERIC Educational Resources Information Center

Sanzo, Karen L.; Wilson, Jacob McKinley, III

2016-01-01

Our qualitative study explores the lived experiences of district stakeholders in university-district leadership preparation programs. Collaborative partnerships between school districts and universities focused on developing quality school leader are a part of recent efforts to provide the field of public education with exemplary leadership. The…

A District Level Planning Model.

ERIC Educational Resources Information Center

McHenry, W. E.; Achilles, C. M.

This report examines school district planning models in South Carolina. It focuses on three questions: (1) Of those school districts conducting some type of systematic planning, how many are producing strategic plans? Long-range plans? Accountability reports? (2) In those same districts, how many are preparing adequate program-management…

Selected Collective Bargaining Agreements of Northern California Two-Year Colleges.

ERIC Educational Resources Information Center

National Education Association, Washington, DC.

Collective bargaining agreements between 15 selected community college districts in northern California and their faculty associations are presented, representing contracts in effect in 1987. Contracts for the following colleges and districts are included: Butte Community College District, Cabrillo Community College District, College of the…

76 FR 39303 - Revisions to the California State Implementation Plan, Imperial County Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-06

... the California State Implementation Plan, Imperial County Air Pollution Control District, Kern County Air Pollution Control District, and Ventura County Air Pollution Control District AGENCY... approve revisions to the Imperial County Air Pollution Control District (ICAPCD), Kern County Air...

76 FR 30025 - Revisions to the California State Implementation Plan, Placer County Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-24

... the California State Implementation Plan, Placer County Air Pollution Control District and Ventura County Air Pollution Control District AGENCY: Environmental Protection Agency (EPA). ACTION: Direct final... Pollution Control District (PCAPCD) and Ventura County Air Pollution Control District (VCAPCD) portion of...

District of Columbia Public Schools: Student Enrollment Count Remains Vulnerable to Errors. Report to the Chairman, Subcommittee on the District of Columbia, Committee on Government Reform and Oversight. House of Representatives.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

The District of Columbia Public Schools (DCPS) is one of the largest public school districts in the United States. Since 1989-90, there have been questions about several aspects of DCPS's enrollment-count process. A valid enrollment-count process and an accurate count are critical to DCPS's district- and school-level planning, staffing, funding,…

Introducing quality management into primary health care services in Uganda.

PubMed Central

Omaswa, F.; Burnham, G.; Baingana, G.; Mwebesa, H.; Morrow, R.

1997-01-01

In 1994, a national quality assurance programme was established in Uganda to strengthen district-level management of primary health care services. Within 18 months both objective and subjective improvements in the quality of services had been observed. In the examples documented here, there was a major reduction in maternal mortality among pregnant women referred to Jinja District Hospital, a reduction in waiting times and increased patient satisfaction at Masaka District Hospital, and a marked reduction in reported cases of measles in Arua District. Beyond these quantitative improvements, increased morale of district health team members, improved satisfaction among patients, and greater involvement of local government in the decisions of district health committees have been observed. At the central level, the increased coordination of activities has led to new guidelines for financial management and the procurement of supplies. District quality management workshops followed up by regular support visits from the Ministry of Health headquarters have led to a greater understanding by central staff of the issues faced at the district level. The quality assurance programme has also fostered improved coordination among national disease-control programmes. Difficulties encountered at the central level have included delays in carrying out district support visits and the failure to provide appropriate support. At the district level, some health teams tackled problems over which they had little control or which were overly complex; others lacked the management capacity for problem solving. PMID:9185368

Population-Based Study of Trachoma in Guatemala.

PubMed

Silva, Juan Carlos; Diaz, Marco Antonio; Maul, Eugenio; Munoz, Beatriz E; West, Sheila K

2015-01-01

A prevalence survey for active trachoma in children aged under 10 years and trichiasis in women aged 40 years and older was carried out in four districts in the Sololá region in Guatemala, which is suspected of still having a trachoma problem. Population-based surveys were undertaken in three districts, within 15 randomly selected communities in each district. In addition, in a fourth district that borders the third district chosen, we surveyed the small northern sub-district, by randomly selecting three communities in each community, 100 children aged under 10 years were randomly selected, and all females over 40 years. Five survey teams were trained and standardized. Trachoma was graded using the World Health Organization simplified grading scheme and ocular swabs were taken in cases of clinical follicular or inflammatory trachoma. Prevalence estimates were calculated at district and sub-district level. Trachoma rates at district level varied from 0-5.1%. There were only two sub-districts where active trachoma approached 10% (Nahualá Costa, 8.1%, and Santa Catarina Costa, 7.3%). Trichiasis rates in females aged 40 years and older varied from 0-3%. Trachoma was likely a problem in the past. Trachoma is disappearing in the Sololá region in Guatemala. Health leadership may consider further mapping of villages around the areas with an especially high rate of trachoma and infection, and instituting trichiasis surgery and active trachoma intervention where needed.

School District Policies and Adolescents’ Soda Consumption

PubMed Central

Miller, Gabrielle F.; Sliwa, Sarah; Brener, Nancy D.; Park, Sohyun; Merlo, Caitlin L.

2016-01-01

Purpose Sugar-sweetened beverages (SSBs) are a significant source of calories and added sugars for youth ages 14–18 years in the United States. This study examined the relationship between district-level policies and practices and students’ consumption of regular soda, one type of SSB, in 12 large urban school districts. Methods Data from the 2012 School Health Policies and Practices Study and 2013 Youth Risk Behavior Surveillance System were linked by district. The outcome variable was soda consumption and exposure variables were district policies. We used multivariable logistic regression analyses to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) after controlling for student characteristics and district free/reduced-price meal eligibility. Results About 18% of students reported consuming regular soda at least once per day. Most districts required high schools to have nutrition education, maintain closed campuses, and required/recommended that schools restrict promotional products and sale of beverages. Fewer districts required/recommended that schools offer healthful alternative beverages. Students in districts that restricted promotional products had lower odds of regular soda consumption (AOR = .84, 95% CI = .71–1.00), as did students in districts that restricted access to SSBs and offered healthful beverages when other beverages were available (AOR = .72, 95% CI = .54–.93, AOR = .76, 95% CI = .63–.91). Conclusions This study demonstrates that certain district-level policies are associated with student consumption of regular soda. These findings add to a growing consensus that policies and practices that influence the availability of healthier foods and beverages are needed across multiple settings. PMID:27021401

School District Policies and Adolescents' Soda Consumption.

PubMed

Miller, Gabrielle F; Sliwa, Sarah; Brener, Nancy D; Park, Sohyun; Merlo, Caitlin L

2016-07-01

Sugar-sweetened beverages (SSBs) are a significant source of calories and added sugars for youth ages 14-18 years in the United States. This study examined the relationship between district-level policies and practices and students' consumption of regular soda, one type of SSB, in 12 large urban school districts. Data from the 2012 School Health Policies and Practices Study and 2013 Youth Risk Behavior Surveillance System were linked by district. The outcome variable was soda consumption and exposure variables were district policies. We used multivariable logistic regression analyses to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) after controlling for student characteristics and district free/reduced-price meal eligibility. About 18% of students reported consuming regular soda at least once per day. Most districts required high schools to have nutrition education, maintain closed campuses, and required/recommended that schools restrict promotional products and sale of beverages. Fewer districts required/recommended that schools offer healthful alternative beverages. Students in districts that restricted promotional products had lower odds of regular soda consumption (AOR = .84, 95% CI = .71-1.00), as did students in districts that restricted access to SSBs and offered healthful beverages when other beverages were available (AOR = .72, 95% CI = .54-.93, AOR = .76, 95% CI = .63-.91). This study demonstrates that certain district-level policies are associated with student consumption of regular soda. These findings add to a growing consensus that policies and practices that influence the availability of healthier foods and beverages are needed across multiple settings. Published by Elsevier Inc.

Barriers to District-Level Educational Reform: A Statewide Study of Minnesota School Superintendents

ERIC Educational Resources Information Center

Stewart, Courtney; Raskin, Candace; Zielaski, Daniel

2012-01-01

This study attempts to identify and describe Minnesota superintendents' perceptions of barriers to district-level reform as well as compare superintendents' perceptions of district reform related characteristics. This research also strives to identify factors preventing Minnesota's district-level leadership from implementing national reform…

75 FR 39365 - Revisions to the California State Implementation Plan, Imperial County Air Pollution Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-08

... Implementation Plan, Imperial County Air Pollution Control District; Final Rule #0;#0;Federal Register / Vol. 75... Implementation Plan, Imperial County Air Pollution Control District AGENCY: Environmental Protection Agency (EPA... the Imperial County Air Pollution Control District (ICAPCD or the District) portion of the California...

Mapping Panem

ERIC Educational Resources Information Center

Painter, Judith

2012-01-01

This lesson plan is based on Suzanne Collins's book, "The Hunger Games." Katniss and Gale know about District 12 and the surrounding woods. Additionally, from television coverage, they know that there are twelve districts and the Capitol. District 13 used to exist until the rebellion. But where are these districts now that the geography…

Effective Practices in High Performing Districts Serving Students in Special Education

ERIC Educational Resources Information Center

Huberman, Mette; Navo, Matt; Parrish, Tom

2012-01-01

Through a rigorous selection process based on special education performance over four years, this study identified eight unified districts in California that showed unusually strong academic performance for their special education population compared to similar districts in the state. Researchers conducted interviews with these districts' special…

Leading Implementation of 21st Century Skills: Technology

ERIC Educational Resources Information Center

Blattner, David Craig

2012-01-01

A qualitative case study was conducted on the Mooresville Graded School Districts's (MGSD) digital conversion for the entire school district. MGSD is a semi-rural small suburban school district with 5,450 students kindergarten through twelfth grade. The school district consists of three elementary schools, two intermediate schools, one middle…

76 FR 41717 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-15

... the California State Implementation Plan, South Coast Air Quality Management District AGENCY... approve revisions to the South Coast Air Quality Management District (SCAQMD) portion of the California... Governor's Designee. (i) Incorporation by reference. (A) South Coast Air Quality Management District. (1...

76 FR 55621 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-08

... California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY: Environmental...-Solano Air Quality Management District portion of the California State Implementation Plan (SIP). This... the following local rule: Yolo-Solano Air Quality Management District Rule 2.41, Expandable...

76 FR 47094 - Revisions to the California State Implementation Plan; South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-04

... the California State Implementation Plan; South Coast Air Quality Management District AGENCY... the South Coast Air Quality Management District portion of the California State Implementation Plan... following local rule: South Coast Air Quality Management District Rule 1175, Control of Emissions from the...

78 FR 18853 - Revision to the California State Implementation Plan, South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-28

... California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental... revision to the South Coast Air Quality Management District (SCAQMD) portion of the California State...) * * * (411) * * * (i) * * * (F) South Coast Air Quality Management District. (1) Rule 463, ``Organic Liquid...

77 FR 65133 - Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-25

... the California State Implementation Plan, Mojave Desert Air Quality Management District AGENCY... limited disapproval of revisions to the Mojave Desert Air Quality Management District (MDAQMD) portion of.... * * * * * (c) * * * (379) * * * (i) * * * (E) Mojave Desert Air Quality Management District. (1) Rule 1159...

76 FR 55581 - Revision to the California State Implementation Plan; Yolo-Solano Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-08

... California State Implementation Plan; Yolo-Solano Air Quality Management District AGENCY: Environmental... revision to the Yolo-Solano Air Quality Management District portion of the California State Implementation...-Solano Air Quality Management District (YSAQMD) Rule 2.41, adopted on September 10, 2008, and submitted...

75 FR 37308 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-29

... the California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY... the Yolo-Solano Air Quality Management District (YSAQMD) portion of the California State...) * * * (i) * * * (C) Yolo Solano Air Quality Management District (1) Rule 3.21, ``Rice Straw Emission...

78 FR 59249 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-26

...] Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY... the South Coast Air Quality Management District (SCAQMD) portion of the California State...'s Designee. (i) Incorporation by Reference. (A) South Coast Air Quality Management District. (1...

77 FR 12493 - Revisions to the California State Implementation Plan, Feather River Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-01

... the California State Implementation Plan, Feather River Air Quality Management District AGENCY... limited disapproval of revisions to the Feather River Air Quality Management District (FRAQMD) portion of.... * * * * * (c) * * * (378) * * * (i) * * * (E) Feather River Air Quality Management District. (1) Rule 3.22...

75 FR 25778 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-10

... the California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY... approve revisions to the Yolo-Solano Air Quality Management District (YSAQMD) portion of the California... Identification of plan. * * * * * (c) * * * (377) * * * (i) * * * (B) Yolo Solano Air Quality Management District...

77 FR 23133 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-18

... the California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY... approve revisions to the Yolo-Solano Air Quality Management District (Yolo-Solano AQMD) portion of the.... * * * * * (381) * * * (i) * * * (I) Yolo-Solano Air Quality Management District. (1) Rule 2.3, ``Ringelmann Chart...

78 FR 58459 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-24

... the California State Implementation Plan, Antelope Valley Air Quality Management District, Santa Barbara County Air Pollution Control District, South Coast Air Quality Management District and Ventura.... SUMMARY: EPA is finalizing approval of revisions to the Antelope Valley Air Quality Management District...

Rural Gifted Education and the Effect of Proximity

ERIC Educational Resources Information Center

Puryear, Jeb S.; Kettler, Todd

2017-01-01

Gifted education services in rural districts typically lag behind those in nonrural areas. Using district classifications assigned by the National Center for Education Statistics and Texas school district data (n = 1,029) from the Academic Excellence Indicator System, the role of school district classification on gifted education outcomes was…

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...

Alternative Fuels Data Center: Minnesota School District Finds Cost

Science.gov Websites

Savings, Cold-Weather Reliability with Propane Buses Minnesota School District Finds Cost Center: Minnesota School District Finds Cost Savings, Cold-Weather Reliability with Propane Buses on Facebook Tweet about Alternative Fuels Data Center: Minnesota School District Finds Cost Savings, Cold

Alternative Fuels Data Center: Mesa Unified School District Reaps Economic

Science.gov Websites

and Environmental Benefits with Propane Buses Mesa Unified School District Reaps Economic and School District Reaps Economic and Environmental Benefits with Propane Buses on Facebook Tweet about Alternative Fuels Data Center: Mesa Unified School District Reaps Economic and Environmental Benefits with

Wisconsin K-12 Career Education Consortium. Final Project Performance Report. Volume I of Two Volumes.

ERIC Educational Resources Information Center

Wisconsin State Dept. of Public Instruction, Madison.

To demonstrate career education methods and procedures, seven Wisconsin school districts were chosen to participate in an incremental improvement project. Project activities were conducted district-wide and by individual districts. District-wide dissemination activities involved promoting demonstration packets and assessment/evaluation (AE)…

Oregon School Bond Manual. Seventh Edition.

ERIC Educational Resources Information Center

Oregon State Dept. of Education, Salem.

To help school districts comply with Oregon's school bond laws, this manual provides guidelines for school district attorneys and personnel in the issuance and sale of school district bonds. The manual deals with the three primary types of Oregon school district borrowings: (1) general obligation bonds; (2) tax and revenue anticipation notes; and…

What Do Effective District Leaders Do? Strategies for Evaluating District Leadership. Policy Snapshot

ERIC Educational Resources Information Center

Hornung, Katie; Yoder, Nick

2014-01-01

In the wake of the Common Core State Standards and teacher evaluation reform, school leaders increasingly look to district leaders for support, coaching, and leadership. District leaders--superintendents, assistant or area superintendents, specialists, principal supervisors, and school business administrators--can hold varying and multiple roles…

77 FR 13585 - Three Sisters Irrigation District; Notice of Application Accepted for Filing and Soliciting...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-07

...: The proposed Three Sisters Irrigation District Hydroelectric Project would be located on the north pipe of the Three Sisters Irrigation District's Main Canal Pipeline in Deschutes County, Oregon. The... of Project: The Three Sisters Irrigation District Hydroelectric Project would consist of: (1) An...

California's Districts of Choice

ERIC Educational Resources Information Center

Kronholz, June

2014-01-01

This article describes the results of a California state law established in 2010 that created "Districts of Choice." The District of Choice law was meant to encourage districts to compete for students by offering innovative programs and this-school-fits-my-child options that parents wanted. This designation meant that children from any…

Collaborating with the Community: Lessons from a Rural School District

ERIC Educational Resources Information Center

Walker, Anne

2012-01-01

This article, based on case study research, highlights how a rural school district in the midwestern United States collaborated with local community organizations to meet the needs of English language learners after the district and community experienced rapid ethnic diversification. In particular, the district EL coordinator spearheaded the…

District Support of School Improvement: Highlights from Three Districts. Newsletter

ERIC Educational Resources Information Center

Center for Comprehensive School Reform and Improvement, 2009

2009-01-01

This newsletter addresses various supports that districts are utilizing to help keep students in school and on the path to graduation. Described herein are three districts that have been particularly successful in raising student achievement--even though they differ in their specific strategies, fund allocation, and demographic composition. A…

San Jose/Evergreen Community College District: Governing Board's Strategic Master Plan.

ERIC Educational Resources Information Center

San Jose/Evergreen Community Coll. District, San Jose, CA.

This report presents San Jose/Evergreen Community College District Governing Board's Strategic Master Plan. This report summarizes the district's mission statement, goal statements, and board priorities. The San Jose/Evergreen Community College District is committed to providing open access and opportunity for success to its multi-ethnic…

District Consolidation: Rivals Coming Together

ERIC Educational Resources Information Center

Mart, Dan

2011-01-01

District consolidation is a highly emotional process. One key to success is sticking to the facts. In Iowa, school districts facing financial difficulties or enrollment concerns do not have to move directly to consolidation. In many cases, districts begin by developing sharing agreements. These sharing agreements may start with simple sharing of…

27 CFR 9.166 - Diamond Mountain District.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2014-04-01 2014-04-01 false Diamond Mountain District... Diamond Mountain District. (a) Name. The name of the viticultural area described in this section is “Diamond Mountain District.” (b) Approved map. The appropriate maps for determining the boundary of the...

27 CFR 9.166 - Diamond Mountain District.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2013-04-01 2013-04-01 false Diamond Mountain District... Diamond Mountain District. (a) Name. The name of the viticultural area described in this section is “Diamond Mountain District.” (b) Approved map. The appropriate maps for determining the boundary of the...

27 CFR 9.166 - Diamond Mountain District.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Diamond Mountain District... Diamond Mountain District. (a) Name. The name of the viticultural area described in this section is “Diamond Mountain District.” (b) Approved map. The appropriate maps for determining the boundary of the...

The Partnership Pact: Fulfilling School Districts' Research Needs with University-District Partnerships

ERIC Educational Resources Information Center

Ralston, Nicole; Weitzel, Bruce; Waggoner, Jacqueline; Naegele, Zulema; Smith, Rebecca

2016-01-01

There has been a recent shift in university-district partnership models from traditional transactional partnerships, which lack a shared purpose, to transformational partnerships that are mutually beneficial to both universities and school districts. These transformational research-practice partnerships have gained popularity in the United States…

Estimating the Efficiency of Michigan's Rural and Urban Public School Districts

ERIC Educational Resources Information Center

Maranowski, Rita

2012-01-01

This study examined student achievement in Michigan public school districts to determine if rural school districts are demonstrating greater financial efficiency by producing higher levels of student achievement than school districts in other geographic locations with similar socioeconomics. Three models were developed using multiple regression…

Comparing District Achievement to Improve Decision Making in Clark County, Nevada. Vignette

ERIC Educational Resources Information Center

American Institutes for Research, 2012

2012-01-01

In response to changing demographics, a tightening budget, and drastic achievement gaps (white students outperform Latino students on standardized tests) the Clark County School District in Nevada (the fifth largest district in the country) commissioned, in 2011, an educational and operational efficiency review. The district commissioned the…

77 FR 43353 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-24

... 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) and...: On August 16, 2012, the Twin Falls District RAC subcommittee members for the proposed Monument and...

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 48723 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-11

... of Public Meetings, Twin Falls District Resource Advisory Council, Idaho AGENCY: Bureau of Land... (BLM) Twin Falls District Resource Advisory Council (RAC) and subcommittees will meet as indicated below. DATES: On September 9, 2010, the Twin Falls District RAC subcommittee members will meet at the...

77 FR 37705 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-22

... 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) and...: On July 10, 2012, the Twin Falls District RAC subcommittee members for the proposed Monument and...

77 FR 15388 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-15

... 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) and...: On March 28, 2012, the Twin Falls District RAC subcommittee members for the proposed Monument and...

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...

77 FR 17093 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-23

... 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...

77 FR 60101 - Newspapers To Be Used for Publication of Legal Notice of Appealable Decisions and Publication of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-02

...: Baldwin-White Cloud Districts: Lake County Star, published weekly in Baldwin, Lake County, Michigan..., Missouri District Ranger Decisions: Ava/Cassville/Willow Springs District: Springfield News-Leader... Virginia Marlinton-White Sulphur District: The Pocahontas Times, published weekly In Marlinton, Pocahontas...

29 CFR 1610.4 - Public reference facilities and current index.

Code of Federal Regulations, 2010 CFR

2010-07-01

... (New York District), 1 Newark Center, 21st Floor, Newark, NJ 07102-5233. New Orleans Field Office (Houston District), 1555 Poydras, Suite 1900, New Orleans, LA 70112. New York District Office, 33 Whitehall..., Birmingham, AL 35205-2397. Boston Area Office (New York District), John F. Kennedy Federal Building...

Sharing Local Revenue: One District's Perspective

ERIC Educational Resources Information Center

Cline, David S.

2011-01-01

The vast majority of U.S. school districts are considered independent and have taxing authority; the remaining districts rely on revenue and budgetary approval from their local government. In the latter case, localities often use some form of negotiated process to determine the amount of revenue their school districts will receive. Typically, a…

25 CFR 215.23 - Cooperation between superintendent and district mining supervisor.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Cooperation between superintendent and district mining... MINERALS LEAD AND ZINC MINING OPERATIONS AND LEASES, QUAPAW AGENCY § 215.23 Cooperation between superintendent and district mining supervisor. (a) The district mining supervisor of the Miami field office...

Developing, Managing, and Gaining Public Support for the School District Budget.

ERIC Educational Resources Information Center

Holly, William J.

1987-01-01

This bulletin focuses on four aspects of budget development and management in local school districts. Chapter 1 describes the general budget development process, highlighting variations some Oregon districts have found useful. The chapter outlines the responsibilities of educational agencies and district staff members at various levels and reviews…

Statewide Community College Employee Benefit Consortium.

ERIC Educational Resources Information Center

Guy, Jerry T.

Health insurance benefit programs in Texas community college districts fall into three groups. Comprising 25% of the districts, districts fall into three groups. Comprising 25% of the districts, the "help me now" group has experienced heavy group health insurance benefit utilization over the past few years and is unable to purchase required…

20 CFR 422.5 - District offices and branch offices.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false District offices and branch offices. 422.5... and Functions of the Social Security Administration § 422.5 District offices and branch offices. There are over 700 social security district offices and branch offices located in the principal cities and...

76 FR 65525 - Huron, Madison, and Sand Lake Wetland Management District; Comprehensive Conservation Plan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-21

...] Huron, Madison, and Sand Lake Wetland Management District; Comprehensive Conservation Plan AGENCY: Fish... (CCP) and environmental assessment (EA) for the Huron, Madison, and Sand Lake Wetland Management...), Madison Wetland Management District, and Sand Lake Wetland Management District are part of the National...

77 FR 73320 - Approval of Air Quality Implementation Plans; California; South Coast Air Quality Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-10

... Quality Implementation Plans; California; South Coast Air Quality Management District; Prevention of... Implementation Plan (SIP) revision for the South Coast Air Quality Management District (SCAQMD or District... in a August 15, 2012 letter from the South Coast Air Quality Management District regarding specific...

7 CFR 927.11 - District.

Code of Federal Regulations, 2014 CFR

2014-01-01

... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

7 CFR 927.11 - District.

Code of Federal Regulations, 2010 CFR

2010-01-01

... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

7 CFR 927.11 - District.

Code of Federal Regulations, 2011 CFR

2011-01-01

... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

7 CFR 927.11 - District.

Code of Federal Regulations, 2013 CFR

2013-01-01

... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

7 CFR 927.11 - District.

Code of Federal Regulations, 2012 CFR

2012-01-01

... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

Kentucky's Program for Educationally Deficient School Districts: A Case Study.

ERIC Educational Resources Information Center

Fry, Patricia; And Others

The development and implementation of Kentucky's Program for Educationally Deficient School Districts is examined in this case study. Implemented in 1987, the program required districts to meet certain performance, planning, and reporting criteria. Districts failing to comply could be placed in categories of noncompliance. Data were derived from…

To direct the Mayor of the District of Columbia to establish a District of Columbia National Guard Educational Assistance Program to encourage the enlistment and retention of persons in the District of Columbia National Guard by providing financial assistance to enable members of the National Guard of the District of Columbia to attend undergraduate, vocational, or technical courses.

THOMAS, 112th Congress

Rep. Norton, Eleanor Holmes [D-DC-At Large

2011-03-17

House - 04/01/2011 Referred to the Subcommittee on Health Care, District of Columbia, Census and the National Archives. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

[Health status and living conditions in medical district of Sandnes during the period 1866-1900].

PubMed

Helgaland, T; Rosvold, E O

1999-12-10

The municipality of Sandnes became a separate medical district in 1866. The district physicians' reports give us an insight into health and living conditions in this district in the last half of the 19th century. This paper is based on a study of all statistical data and physicians' comments concerning the Sandnes district for the 1866-1900 period. The incidence of various diseases is estimated. Mental illness seems to have been more frequent in Sandness than in the rest of the county. In the physicians' reports, this was explained by the dominance of religious Puritanism in the district. The incidence of other disease, such as typhoid fever, tuberculosis and scarlet fever, did not differ essentially between Sandnes and the county as a whole. The living conditions in the district were rather good during the whole period, though the physicians' reports provide interesting insight in changes from one year to another.

School district resources and identification of children with autistic disorder.

PubMed

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.

Impact of life expectancy, literacy rate, opened unemployment rate and gross domestic regional income per capita on poverty in the districts/city in Central Sulawesi Province

NASA Astrophysics Data System (ADS)

Tombolotutu, A. D.; Djirimu, M. A.; Lutfi, M.; Anggadini, F.

2018-05-01

Research was conducted in several districts/city in Central Sulawesi Province in order to determine the effect of life expectancy, literacy rate, opened unemployment rate, and gross domestic regional income per capita on poverty at the districts/city in the province. The analysis used is Panel Data Regression. The results show that first, life expectancy and gross domestic regional income have a negative and significant impact on the poverty level in the districts/city in the Province. Second, the opened unemployment rate has a positive and significant effect on the poverty level in the districts/city in the province. Third, literacy rates show a positive effect and insignificant effect on the poverty level in the districts/city in the Province of Central Sulawesi. Fourth, these four variables simultaneously affect the poverty in the districts/city in Central Sulawesi

Superintendent Response to the Financial Downturn

ERIC Educational Resources Information Center

Starrett, Teresa Martin; Casey, Pat; Dunlap, Karen

2014-01-01

In this study, 79 local school district leaders from the state of Texas were contacted and asked for their input relating to strategic practices used during an economic downturn. Findings describe how the recent funding cuts affected the varied districts; how the districts fared in comparison with similar districts in the area; steps the district…

An Analysis of Local Education Foundations as Alternative Revenue Streams for Public School Districts

ERIC Educational Resources Information Center

Busch, Douglas M.

2012-01-01

As school district revenues are reduced by state allocating agencies, local school district administrators and school boards frequently evaluate alternative sources of possible revenue. One emerging source of revenue that many school districts explore is a local education foundation. Local education foundations are 501(c)(3) nonprofit…

Universal Design for Learning and the Port Jefferson School District: A Needs Assessment

ERIC Educational Resources Information Center

Sladek-Maharg, Tara S.

2011-01-01

Purpose: This applied doctoral project purpose was to determine what was needed to implement UDL in the Port Jefferson school district, specifically determining district strengths and weaknesses. Data were collected with researcher-created surveys given to administrators, faculty members, and members of the parent organizations and the district's…

8 CFR 280.11 - Notice of intention to fine; procedure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... the triplicate copy shall be delivered directly to the district director of customs for the district in which the vessel or aircraft is located, and the district director of customs shall withhold... vessel or aircraft is located in a customs district which is outside the jurisdiction of the office of...

8 CFR 280.11 - Notice of intention to fine; procedure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... the triplicate copy shall be delivered directly to the district director of customs for the district in which the vessel or aircraft is located, and the district director of customs shall withhold... vessel or aircraft is located in a customs district which is outside the jurisdiction of the office of...

8 CFR 1280.11 - Notice of intention to fine; procedure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... copy shall be delivered directly to the district director of customs for the district in which the vessel or aircraft is located, and the district director of customs shall withhold clearance until... aircraft is located in a customs district which is outside the jurisdiction of the office of the Service...

8 CFR 280.11 - Notice of intention to fine; procedure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... the triplicate copy shall be delivered directly to the district director of customs for the district in which the vessel or aircraft is located, and the district director of customs shall withhold... vessel or aircraft is located in a customs district which is outside the jurisdiction of the office of...

8 CFR 280.11 - Notice of intention to fine; procedure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... the triplicate copy shall be delivered directly to the district director of customs for the district in which the vessel or aircraft is located, and the district director of customs shall withhold... vessel or aircraft is located in a customs district which is outside the jurisdiction of the office of...

8 CFR 280.11 - Notice of intention to fine; procedure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... the triplicate copy shall be delivered directly to the district director of customs for the district in which the vessel or aircraft is located, and the district director of customs shall withhold... vessel or aircraft is located in a customs district which is outside the jurisdiction of the office of...

20 CFR 1002.39 - Are States (and their political subdivisions), the District of Columbia, the Commonwealth of...

Code of Federal Regulations, 2013 CFR

2013-04-01

...), the District of Columbia, the Commonwealth of Puerto Rico, and United States territories, considered... States (and their political subdivisions), the District of Columbia, the Commonwealth of Puerto Rico, and.... The District of Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, and territories...

20 CFR 1002.39 - Are States (and their political subdivisions), the District of Columbia, the Commonwealth of...

Code of Federal Regulations, 2012 CFR

2012-04-01

...), the District of Columbia, the Commonwealth of Puerto Rico, and United States territories, considered... States (and their political subdivisions), the District of Columbia, the Commonwealth of Puerto Rico, and.... The District of Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, and territories...

20 CFR 1002.39 - Are States (and their political subdivisions), the District of Columbia, the Commonwealth of...

Code of Federal Regulations, 2011 CFR

2011-04-01

...), the District of Columbia, the Commonwealth of Puerto Rico, and United States territories, considered... States (and their political subdivisions), the District of Columbia, the Commonwealth of Puerto Rico, and.... The District of Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, and territories...

20 CFR 1002.39 - Are States (and their political subdivisions), the District of Columbia, the Commonwealth of...

Code of Federal Regulations, 2014 CFR

2014-04-01

...), the District of Columbia, the Commonwealth of Puerto Rico, and United States territories, considered... States (and their political subdivisions), the District of Columbia, the Commonwealth of Puerto Rico, and.... The District of Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, and territories...

20 CFR 1002.39 - Are States (and their political subdivisions), the District of Columbia, the Commonwealth of...

Code of Federal Regulations, 2010 CFR

2010-04-01

...), the District of Columbia, the Commonwealth of Puerto Rico, and United States territories, considered... States (and their political subdivisions), the District of Columbia, the Commonwealth of Puerto Rico, and.... The District of Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, and territories...

Politics First: Examining the Practice of the Multi-District Superintendent

ERIC Educational Resources Information Center

Hall, Daniella; McHenry-Sorber, Erin

2017-01-01

Over the past decade, multiple states have implemented a form of regional school district consolidation referred to as multi-district unions. Their organizational structure enables districts to retain individual school boards within regional local education agencies, all of which are overseen by a superintendent and a central board. However, no…

How Does District Principal Evaluation Affect Learning-Centered Principal Leadership? Evidence from Michigan School Districts

ERIC Educational Resources Information Center

Sun, Min; Youngs, Peter

2009-01-01

This study used Hierarchical Multivariate Linear models to investigate relationships between principals' behaviors and district principal evaluation purpose, focus, and assessed leadership activities in 13 school districts in Michigan. The study found that principals were more likely to engage in learning-centered leadership behaviors when the…

How State Takeover School Districts Shake Up Teacher Professional Development

ERIC Educational Resources Information Center

Pennington, Kaitlin

2014-01-01

Over the past few decades, many state departments of education have taken over low-performing schools or districts as a school turnaround strategy. Recently, that strategy has shifted to creating new districts--managed by the state--that include schools and parts of districts that face challenges in performance. The governance structure brings…

Comprehensive Profile of the San Antonio Indepentent School District 1983-1984.

ERIC Educational Resources Information Center

San Antonio Independent School District, TX.

This report presents statistical data about the San Antonio (Texas) Independent School District for the 1983-1984 school year. Trends for five or ten year groupings of past years are also presented. The report consolidates both district and individual school information from regular reports by the different district departments. The data is…

Governing Urban School Districts: Efforts in Los Angeles to Effect Change

ERIC Educational Resources Information Center

Augustine, Catherine H.; Epstein, Diana; Vuollo, Mirka

2006-01-01

Many urban school district students are dropping out and few of the remaining ones reach state or district achievement goals. These problems make governing urban schools both difficult and important. In 2005-06, the governance structure of the Los Angeles Unified School District (LAUSD) was examined, debated, criticized, and praised by several…

76 FR 78829 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-20

... the California State Implementation Plan, South Coast Air Quality Management District AGENCY... approve a revision to the South Coast Air Quality Management District (SCAQMD) portion of the California... Reference (A) South Coast Air Quality Management District (1) Rule 2005, ``New Source Review for RECLAIM...

76 FR 47074 - Revision to the California State Implementation Plan; South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-04

... California State Implementation Plan; South Coast Air Quality Management District AGENCY: Environmental... revision to the South Coast Air Quality Management District portion of the California State Implementation... Submittal A. What rule did the State submit? We are approving South Coast Air Quality Management District...

76 FR 29153 - Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-20

... the California State Implementation Plan, Mojave Desert Air Quality Management District AGENCY... approve revisions to the Mojave Desert Air Quality Management District (MDAQMD) portion of the California... approving with the dates that they were adopted by the Mojave Desert Air Quality Management District (MDAQMD...

The Alpha and Omega Syndrome: Is Intra-District Funding the next Ripeness Factor?

ERIC Educational Resources Information Center

Owings, William A.; Kaplan, Leslie S.

2010-01-01

Fiscal disparities within school districts may be the next area "ripe" for litigation. Equity and adequacy litigation have largely focused on between-district fiscal disparities. Research suggests that within-district disparities may be as unfair to high poverty schools. When the school funding pie is not growing, remedying…

Supplemental Educational Services and Student Achievement in Waiver Districts: Anchorage and Hillsborough

ERIC Educational Resources Information Center

Socias, Miguel; deSousa, Juliette-Marie; Le Floch, Kerstin Carlson

2009-01-01

Under federal regulations, school districts that have been identified for improvement or corrective action are not eligible to be supplemental educational service providers. However, the U.S. Department of Education granted waivers to five such districts, on a pilot basis, to allow those districts to provide supplemental educational services. Two…

76 FR 53678 - Calleguas Municipal Water District Notice of Surrender of Exemption (Conduit)

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-29

... Municipal Water District Notice of Surrender of Exemption (Conduit) Pursuant to section 4.95(a) of the Commission's regulations,\\1\\ Calleguas Municipal Water District filed with the Commission a petition to... Municipal Water District, 87 FERC ] 62,256 (1999). \\3\\ See filing of July 11, 2011 by Calleguas Municipal...

77 FR 2975 - Roosevelt Water Conservation District; Notice of Termination of Exemption by Implied Surrender...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-20

.... Project No.: 11572-001. c. Date Initiated: January 9, 2012. d. Exemptee: Roosevelt Water Conservation District. e. Name and Location of Project: The Roosevelt Water Conservation District Conduit Hydropower..., Roosevelt Water Conservation District, 2344 S. Higley Road, Gilbert, AZ 82595-4794, (480) 988-9586. [[Page...

School District Wellness Policy Quality and Weight-Related Outcomes among High School Students in Minnesota

ERIC Educational Resources Information Center

Hoffman, Pamela K.; Davey, Cynthia S.; Larson, Nicole; Grannon, Katherine Y.; Hanson, Carlie; Nanney, Marilyn S.

2016-01-01

Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between…

77 FR 58354 - Bend-Fort Rock Ranger District; Oregon; Withdrawal of Notice for Preparation of an Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-20

...-Fort Rock Ranger District; Oregon; Withdrawal of Notice for Preparation of an Environmental Impact... Administration, USDOT. ACTION: Notice of withdrawal. SUMMARY: The Bend-Fort Rock Ranger District and FHWA are..., Project Leader, Bend- Fort Rock Ranger District, 63095 Deschutes Market Road, Bend, OR 97701, phone 541...

No One Way: Differentiating School District Leadership and Support for School Improvement

ERIC Educational Resources Information Center

Anderson, Stephen E.; Mascall, Blair; Stiegelbauer, Suzanne; Park, Jaddon

2012-01-01

This article examines findings from a qualitative investigation of how school district administrators in four mid to large sized urban school districts (10,000-50,000) identify and address differences in school performance. The analysis explores the interaction between district policies and actions that centralize and standardize expectations for…

National Television News in Seven Rural Districts. Report 96-2.

ERIC Educational Resources Information Center

Nasstrom, Roy; Gierok, Anne

The implementation, delivery, and impact on students of news programs delivered to schools by Channel One and CNN-Newsroom were examined in seven rural districts in Wisconsin. Investigation covered three districts using CNN and four districts using Channel One within a three-county area. Involved administrators, teachers, and students responded to…

Are Social Networking Websites Educational? Information Capsule. Volume 0909

ERIC Educational Resources Information Center

Blazer, Christie

2009-01-01

More and more school districts across the country are joining social networking sites, such as Facebook and MySpace. This Information Capsule discusses the frequency with which school districts are using social networking sites, how districts are using the sites, and potential drawbacks associated with their use. Issues for districts to consider…

San Diego Community College District Reprographic Services Study.

ERIC Educational Resources Information Center

Beuhner, Sandra

In 1981 a study was conducted at the San Diego Community College District to: (1) identify the types and quantity of internal reprographic services currently being provided in the District; (2) identify the types of services for which the District was contracting with outside printers; (3) provide an inventory of reprographic equipment in the…

School District Consolidation: The Benefits and Costs

ERIC Educational Resources Information Center

Duncombe, William D.; Yinger, John M.

2010-01-01

School district consolidation is a striking phenomenon. According to the National Center for Education Statistics, 117,108 school districts provided elementary and secondary education in 1939-1940. By 2006-2007, the number of districts had dropped to 13,862, a decline of 88 percent. The rate of consolidation has slowed in recent years, but at…

Research Use by Leaders in Canadian School Districts

ERIC Educational Resources Information Center

Cooper, Amander; Levin, Ben

2013-01-01

This paper, part of a larger study, investigates the ways research is used by leaders in Canadian schools and districts, an area in which there is relatively little empirical evidence. The paper analyzes survey results from 188 education leaders in 11 school districts across Canada about school and district practices related to the use of…

Conceptions of Evidence Use in School Districts: Mapping the Terrain

ERIC Educational Resources Information Center

Coburn, Cynthia E.; Talbert, Joan E.

2006-01-01

Current policies place unprecedented demands on districts to use evidence to guide their educational improvement efforts. How districts respond is likely to be influenced by how individuals in the district conceptualize what it means to use evidence in their ongoing work. This study draws on sensemaking and institutional theory to investigate how…

Pewaukee School District, Wisconsin. Case Study: Measures of Academic Progress

ERIC Educational Resources Information Center

Northwest Evaluation Association, 2015

2015-01-01

For more than a decade, Pewaukee School District Superintendent JoAnn Sternke has watched her district get better and better at its mission: opening the door to each student's future. The Wisconsin district began using Measures of Academic Progress® (MAP®) computer adaptive interim assessments from Northwest Evaluation Association™ (NWEA™) in 2004…

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…

Which Districts Get into Financial Trouble and Why: Michigan's Story

ERIC Educational Resources Information Center

Arsen, David; DeLuca, Thomas; Ni, Yongmei; Bates, Michael

2016-01-01

Like other states, Michigan has implemented a number of policies to change governance and administrative arrangements in local school districts deemed to be in financial emergency. This paper examines two questions: (1) Which districts get into financial trouble and why? and (2) Among fiscally distressed districts, are there significant…

Link Data to Learning Goals: Common District Assessments Connect Teaching Effectiveness to Student Performance

ERIC Educational Resources Information Center

Psencik, Kay; Baldwin, Rhonda

2012-01-01

In 2010, district leaders of Douglas County Public Schools, Douglasville, Georgia, launched an ambitious initiative to ensure that teachers set goals that focus on increasing their effectiveness and show student growth. To achieve this goal, the district leadership team focused on common district assessments to establish common learning…

Abbott Students Attending Charter Schools: Funding Disparities and Legal Implications

ERIC Educational Resources Information Center

Bulkley, Katrina

2007-01-01

Most of New Jersey's charter schools are located in the state's poorer, urban school districts, or "Abbott" districts, and exclusively serve students from those communities. A number of other schools are located outside of the Abbott districts but enroll students from these districts. Specifically, of the 50 charter schools operating in…

78 FR 47409 - Meeting of the California Desert District Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-05

... California Desert District Advisory Council SUMMARY: Notice is hereby given, in accordance with Public Laws 92-463 and 94-579, that the California Desert District Advisory Council (DAC) to the Bureau of Land... Desert District Advisory Council, c/o Bureau of Land Management, External Affairs, 22835 Calle San Juan...

Michigan School Privatization Survey 2009

ERIC Educational Resources Information Center

Hohman, James M.; Imhoff, Eric R.

2009-01-01

With Michigan's public school districts facing a decline in per-pupil funding, more districts are contracting out for at least one of the three major school support services--food, custodial and transportation--than ever before. This year's survey of school districts found that 44.6 percent of all Michigan school districts contract out for at…

33 CFR 211.7 - Rights which may be granted by Division and District Engineers.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Division and District Engineers. 211.7 Section 211.7 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE REAL ESTATE ACTIVITIES OF THE CORPS OF ENGINEERS IN CONNECTION... be granted by Division and District Engineers. (a) Authority of Division and District Engineers...

Decision Points and Considerations for Identifying Rural Districts That Have Closed Student Achievement Gaps. REL 2016-130

ERIC Educational Resources Information Center

Culbertson, Michael J.; Billig, Shelley H.

2016-01-01

Rural districts have long faced challenges in closing achievement gaps between subgroups of students. This brief report describes key decision points and considerations for decision-makers interested in identifying rural districts that have closed academic achievement gaps. Examining practices in these districts may suggest activities associated…

77 FR 75653 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-01

... 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

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-14

... 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

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-14

... of Public Meetings, Twin Falls District Resource Advisory Council, ID AGENCY: Bureau of Land... the Interior, Bureau of Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) and..., the Twin Falls District RAC subcommittee members for the Greater sage-grouse will meet at the Twin...

78 FR 56242 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-12

... 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 September 26, 2013, the Twin Falls District RAC members will meet at...

76 FR 30388 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

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...

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...

78 FR 38071 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-25

... 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 Pocatello, Idaho, August 27-28...

78 FR 19732 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

Federal Register 2010, 2011, 2012, 2013, 2014

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...

How Do District Management and Implementation Strategies Relate to the Quality of the Professional Development That Districts Provide to Teachers?

ERIC Educational Resources Information Center

Desimone, Laura; Porter, Andrew C.; Birman, Beatrice F.; Garet, Michael S.; Yoon, Kwang Suk

2002-01-01

Examined policy mechanisms and processes that districts used to provide high quality inservice professional development to teachers. Data from a national probability sample of professional development coordinators in districts that received federal funding for professional development highlighted specific management and implementation strategies…

Beyond Backpacks and Bus Tokens: Next Steps for a District Homeless Student Initiative

ERIC Educational Resources Information Center

Hallett, Ronald E.; Low, Justin A.; Skrla, Linda

2015-01-01

How policies get translated and enacted by school districts frame how students experience reforms associated with federal law. This qualitative case study of a Northern California school district explores the importance of integrating homeless student initiatives within all aspects of the district functioning. Drawing from the equity framework of…

Reading a District Budget: Reporter Guide

ERIC Educational Resources Information Center

McNeil, Michele

2013-01-01

Every school budget tells a story--about a district's spending plan, its priorities, goals, and financial health. The challenge is to wade through the jargon and numbers to unlock that story. Although budgets can vary significantly from district to district, and state to state, this primer seeks to introduce reporters to the fundamental components…

How to Communicate Your Budget to Nonfinance People

ERIC Educational Resources Information Center

Jones, Linda

2011-01-01

A school district's budget tells the community a story about the district's visions for its students. It is also a planning vehicle that outlines the district's goals and objectives by showing the degree to which its priorities are being supported. Communicating one's district budget to the community--especially to nonfinancial people--in…

A Longitudinal Study of School Districts' Sustained Improvement

ERIC Educational Resources Information Center

Sampson, Pauline M.

2011-01-01

In this longitudinal study of one region in the state of Texas, there was an examination of district leadership and the sustaining of high student achievement for their districts. The results of this study suggest that sustained improvement of student achievement is very difficult. The districts that had sustained improvement had stable district…

Projecting Enrollment in Rural Schools: A Study of Three Vermont School Districts

ERIC Educational Resources Information Center

Grip, Richard S.

2004-01-01

Large numbers of rural districts have experienced sharp declines in enrollment, unlike their suburban counterparts. Accurate enrollment projections are required, whether a district needs to build new schools or consolidate existing ones. For school districts having more than 600 students, a quantitative method such as the Cohort-Survival Ratio…

A Study of Benefits and Selected Salaries of California Community College Districts.

ERIC Educational Resources Information Center

Kern Community Coll. District, Bakersfield, CA.

In an effort to assess the overall fringe benefit programs of community college districts in California and to determine the dollar amounts paid certificated employees, fringe benefit and salary remuneration were calculated for all 70 districts in the state. Study findings included the following: (1) 13 districts offered a "cafeteria…

42 CFR 401.130 - Materials available at social security district offices and branch offices.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 2 2013-10-01 2013-10-01 false Materials available at social security district... Confidentiality and Disclosure § 401.130 Materials available at social security district offices and branch... inspection at the social security district offices and branch offices: (1) Compilation of the Social Security...

42 CFR 401.130 - Materials available at social security district offices and branch offices.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 2 2012-10-01 2012-10-01 false Materials available at social security district... Confidentiality and Disclosure § 401.130 Materials available at social security district offices and branch... inspection at the social security district offices and branch offices: (1) Compilation of the Social Security...

42 CFR 401.130 - Materials available at social security district offices and branch offices.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 2 2014-10-01 2014-10-01 false Materials available at social security district... Confidentiality and Disclosure § 401.130 Materials available at social security district offices and branch... inspection at the social security district offices and branch offices: (1) Compilation of the Social Security...

42 CFR 401.130 - Materials available at social security district offices and branch offices.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Materials available at social security district... Confidentiality and Disclosure § 401.130 Materials available at social security district offices and branch... inspection at the social security district offices and branch offices: (1) Compilation of the Social Security...

School District Cash Management. Program Audit.

ERIC Educational Resources Information Center

New York State Legislative Commission on Expenditure Review, Albany.

New York State law permits school districts to invest cash not immediately needed for district operation and also specifies the kinds of investments that may be made in order to ensure the safety and liquidity of public funds. This audit examines cash management and investment practices in New York state's financially independent school districts.…

76 FR 12390 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filing of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-07

... By-Laws, Article VIII, Section 8.1 (Establishment of Districts) and Section 8.2 (Composition of..., Article VIII, Section 2(c) (District Committees and District Business Conduct Committees), amended...\\ See FINRA Regulation By-Laws, Article VIII, Section 8.1 (Establishment of Districts) and Section 8.2...

Increasing Poverty: How Do Leaders in One Suburban District Respond?

ERIC Educational Resources Information Center

Spencer, Jennifer Dawn

2014-01-01

This dissertation addresses the question of how suburban school district leaders in one large Midwestern school district respond to increasing student poverty. The purpose of this study was to determine how suburban school district leaders respond to increasing student poverty in their decision making and actions. Data for this study came from one…

Culture: The Missing Link to Learning

ERIC Educational Resources Information Center

Cross, Nathan; Howard, Kathleen; Pearson, Carl

2013-01-01

A high functioning school and district culture is an essential underpinning to all improvement efforts. Yet school and district culture can be difficult to assess. Culture is the cornerstone of all good districts and schools. It is the foundation for all school improvement efforts. As one looks deeper into the culture of a school or district, one…

42 CFR 401.130 - Materials available at social security district offices and branch offices.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 2 2011-10-01 2011-10-01 false Materials available at social security district... Confidentiality and Disclosure § 401.130 Materials available at social security district offices and branch... inspection at the social security district offices and branch offices: (1) Compilation of the Social Security...

Teacher Trust in District Administration: A Promising Line of Inquiry

ERIC Educational Resources Information Center

Adams, Curt M.; Miskell, Ryan C.

2016-01-01

Purpose: We set out in this study to establish a foundation for a line of inquiry around teacher trust in district administration by (1) describing the role of trust in capacity building, (2) conceptualizing trust in district administration, (3) developing a scale to measure teacher trust in district administration, and (4) testing the…

Profiles of Merit Pay Provisions in Ohio School Districts

ERIC Educational Resources Information Center

Willis, Chris; Ingle, W. Kyle

2018-01-01

A small number of districts in Ohio from a variety of locales have adopted merit pay provisions. Using Springer's (2009) taxonomy of teacher compensation, we analyzed compensation provisions of these districts. We asked: What are the characteristics of these districts? What criteria are used to determine merit? Who is determining who receives…

33 CFR 211.7 - Rights which may be granted by Division and District Engineers.

Code of Federal Regulations, 2010 CFR

2010-07-01

... WITH CIVIL WORKS PROJECTS Temporary Use by Others of Civil Works Real Estate § 211.7 Rights which may.... Division Engineers, the President of the Mississippi River Commission, and District Engineers of districts... of the Mississippi River Commission in granting leases and District Engineers will administer the...

The Academic Preparation of Idaho Science Teachers Based on School District Size.

ERIC Educational Resources Information Center

Heikkinen, Michael W.

1987-01-01

Certification records of 435 Idaho science teachers analyzed by school district size revealed significant differences: more physiology, earth science, and chemistry I teachers in largest districts had endorsements to teach assigned subjects; more earth science and chemistry I teachers in smallest districts had neither major nor minor in subjects…

Response of School Districts to the New York State Concussion Awareness and Management Act: Review of Policies and Procedures.

PubMed

Kajankova, Maria; Oswald, Jennifer M; Terranova, Lauren M; Kaplen, Michael V; Ambrose, Anne F; Spielman, Lisa A; Gordon, Wayne A

2017-06-01

By 2014, all states implemented concussion laws that schools must translate into daily practice; yet, limited knowledge exists regarding implementation of these laws. We examined the extent to which concussion management policies and procedure (P&P) documents of New York State school districts comply with the State's Concussion Awareness and Management Act (the Act). We also aimed to identify barriers to compliance. Forty-seven school districts provided P&P documents. We examined compliance with the Act and the relationship between compliance and each district's demographics. Compliance varied across school districts, with higher overall compliance in large city school districts compared to county districts. However, there was low compliance for several critical items. We found no statistically significant relationship between compliance and demographics. School districts need to increase compliance with concussion legislation to ensure the adequate implementation necessary for the law to impact health and educational outcomes. The results provide important information to individuals charged with the responsibility of implementation and ultimately reducing the negative outcomes associated with brain injuries in schools. © 2017, American School Health Association.

Is it better to invest in place or people to maximize population health? Evaluation of the general health impact of urban regeneration in Dutch deprived neighbourhoods.

PubMed

Droomers, Mariël; Jongeneel-Grimen, Birthe; Bruggink, Jan-Willem; Kunst, Anton; Stronks, Karien

2016-09-01

To study the general health impact of urban regeneration programmes in deprived Dutch districts. We compared initiatives that focused on the improvement of place with initiatives that mainly invested in people. A quasi-experimental design compared the trend in good perceived general health in the target districts with comparison districts. Generalized general mixed models assessed the rate of change in prevalence of good health per half year during a prolonged period before and after the start of the interventions. Neither the target districts that invested mainly in place nor the ones with interventions focused on people showed trends in general health different than comparison districts (p>0.05). However, only districts with interventions focused on place showed no deterioration in general health during the intervention period. The trend change in these districts differed significantly from the change in the districts that invested mainly in people (p<0.05). Urban regeneration programmes that focus on place may be effective in promoting general health. Copyright © 2016 Elsevier Ltd. All rights reserved.

Fertility transition and adverse child sex ratio in districts of India.

PubMed

Mohanty, Sanjay K; Rajbhar, Mamta

2014-11-01

Demographic research in India over the last two decades has focused extensively on fertility change and gender bias at the micro-level, and less has been done at the district level. Using data from the Census of India 1991-2011 and other sources, this paper shows the broad pattern of fertility transition and trends in the child sex ratio in India, and examines the determinants of the child sex ratio at the district level. During 1991-2011, while the Total Fertility Rate (TFR) declined by 1.2 children per woman, the child sex ratio fell by 30 points in the districts of India. However, the reduction in fertility was slower in the high-fertility compared with the low-fertility districts. The gender differential in under-five mortality increased in many districts of India over the study period. The decline in the child sex ratio was higher in the transitional compared with the low-fertility districts. The transitional districts are at higher risk of a low child sex ratio due to an increased gender differential in mortality and increase in the practice of sex-selective abortions. The sex ratio at birth and gender differential in mortality explains one-third of the variation, while region alone explains a quarter of the variation in the child sex ratio in the districts of India.

Cost analysis and efficiency of sub-district health facilities in two districts in Ghana.

PubMed

Aboagye, Anthony Q Q; Degboe, Arnold N K

2011-01-01

To establish the full costs borne by sub-district health facilities in providing services, we analysed the costs and revenues of 10 sub-district health facilities located in two districts in Ghana. The full costs were obtained by considering staff costs, cost of utilities, cost of using health facility equipment, cost of non-drug consumables, equipment maintenance expenses, amounts spent on training, community information sessions and other outreach activities as well as all other costs incurred in running the facilities. We found that (i) a large proportion of sub-district health facility costs is made up of staff salaries; (ii) at all facilities, internally generated funds (IGFs) are substantially lower than costs incurred in running the facilities; (iii) average IGF is several times higher in one district than the other; (iv) wide variations exist in efficiency indicators and (v) there is some evidence that sub-district health facilities may not necessarily be financially more efficient than hospitals in using financial resources. We suggest that the study should be replicated in other districts; but in the mean time, the health authorities should take note of the conclusions and recommendations of this study. Efforts should also be made to improve record keeping at these facilities. Copyright © 2010 John Wiley & Sons, Ltd.

What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts.

PubMed

Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

2015-01-01

Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

Theileria annulata seroprevalence among different cattle breeds in Rajshahi Division, Bangladesh.

PubMed

Ali, Md Wajed; Alauddin, Md; Azad, Md Thoufic Anam; Hasan, Md Ariful; Appiah-Kwarteng, Cornelia; Takasu, Masaki; Baba, Minami; Kitoh, Katsuya; Rahman, Moizur; Takashima, Yasuhiro

2016-11-01

An epidemiological survey of Theileria annulata infection was undertaken in a cattle population in Rajshahi Division, Bangladesh. The local cattle breeds from the area (North Bengal Gray and Deshi) and crosses between the local breeds and Holstein cattle were predominantly screened. In total, 192 cattle serum samples were collected in two areas of Rajshahi Division, the Rajshahi District (n=147) and Natore District (n=45). The samples were screened with an enzyme-linked immunosorbent assay using T. annulata surface protein (TaSP) as the antigen. The seroprevalence was 80.0% (36/45) in Natore and 20.4% (30/147) in Rajshahi. A logistic regression analysis showed that the sampling location was significantly associated with seropositivity, whereas age, sex and breed were not. Although the logistic regression analysis did not show a linear dependence on age, we considered age-specific seroprevalence separately in the two districts. Seroprevalence did not differ significantly among age categories in the Natore District. In contrast, all the cattle <1 year old in the Rajshahi District were seronegative (11/11). Seroprevalence in the 1- and 2-year-old cattle was significantly lower in the Rajshahi District than in the Natore District. In the older age categories (3, 4 and >5 years), seroprevalence did not differ significantly between the Natore and Rajshahi Districts. These results suggest that the cattle in the Rajshahi District were sporadically exposed to T. annulata, whereas most cattle in the Natore District became infected during an early phase of life.

Theileria annulata seroprevalence among different cattle breeds in Rajshahi Division, Bangladesh

PubMed Central

ALI, Md. Wajed; ALAUDDIN, Md.; AZAD, Md. Thoufic Anam; HASAN, Md. Ariful; APPIAH-KWARTENG, Cornelia; TAKASU, Masaki; BABA, Minami; KITOH, Katsuya; RAHMAN, Moizur; TAKASHIMA, Yasuhiro

2016-01-01

An epidemiological survey of Theileria annulata infection was undertaken in a cattle population in Rajshahi Division, Bangladesh. The local cattle breeds from the area (North Bengal Gray and Deshi) and crosses between the local breeds and Holstein cattle were predominantly screened. In total, 192 cattle serum samples were collected in two areas of Rajshahi Division, the Rajshahi District (n=147) and Natore District (n=45). The samples were screened with an enzyme-linked immunosorbent assay using T. annulata surface protein (TaSP) as the antigen. The seroprevalence was 80.0% (36/45) in Natore and 20.4% (30/147) in Rajshahi. A logistic regression analysis showed that the sampling location was significantly associated with seropositivity, whereas age, sex and breed were not. Although the logistic regression analysis did not show a linear dependence on age, we considered age-specific seroprevalence separately in the two districts. Seroprevalence did not differ significantly among age categories in the Natore District. In contrast, all the cattle <1 year old in the Rajshahi District were seronegative (11/11). Seroprevalence in the 1- and 2-year-old cattle was significantly lower in the Rajshahi District than in the Natore District. In the older age categories (3, 4 and >5 years), seroprevalence did not differ significantly between the Natore and Rajshahi Districts. These results suggest that the cattle in the Rajshahi District were sporadically exposed to T. annulata, whereas most cattle in the Natore District became infected during an early phase of life. PMID:27396398

Review of Prior Commercial Building Energy Efficiency Retrofit Evaluation: A Report to Snohomish Public Utilities District

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

Price, Phillip N.

2014-11-01

Snohomish County Public Utilities District (the District or Snohomish PUD) provides electricity to about 325,000 customers in Snohomish County, Washington. The District has an incentive programs to encourage commercial customers to improve energy efficiency: the District partially reimburses the cost of approved retrofits if they provide a level of energy performance improvement that is specified by contract. In 2013 the District contracted with Lawrence Berkeley National Laboratory to provide a third-party review of the Monitoring and Verification (M&V) practices the District uses to evaluate whether companies are meeting their contractual obligations. This work helps LBNL understand the challenges faced bymore » real-world practitioners of M&V of energy savings, and builds on a body of related work such as Price et al. (2013). The District selected a typical project for which they had already performed an evaluation. The present report includes the District's original evaluation as well as LBNL's review of their approach. The review is based on the document itself; on investigation of the load data and outdoor air temperature data from the building evaluated in the document; and on phone discussions with Bill Harris of the Snohomish County Public Utilities District. We will call the building studied in the document the subject building, the original Snohomish PUD report will be referred to as the Evaluation, and this discussion by LBNL is called the Review.« less

[Living conditions and pattern of acute poisonings in Oslo].

PubMed

Kolvik, Hallgeir Mæsel; Heyerdahl, Fridtjof; Bjørnaas, Mari Asphjell; Hovda, Knut Erik; Jacobsen, Dag; Ekeberg, Øivind

2011-08-09

Hospitalized patients with acute poisoning come from all classes of society. The relationship between living conditions and pattern of poisoning is, however, unclear. The aim of this study was to examine the connection between living conditions in Oslo and the pattern of acute poisonings, measured by incidence, main toxic agents and intention. A one-year multi-centre study with prospective inclusion of all patients ≥ 18 years of age with a registered address in Oslo admitted to an Oslo hospital with acute poisoning from 1 April 2003 through 31 March 2004. The 15 city districts were grouped into three, according to the official living conditions index in Oslo: city district group 1 (best living conditions), city district group 2 (average living conditions) and city district group 3 (most difficult living conditions). Of a total of 947 patients admitted with acute poisoning as their main diagnosis in the study period, 691 were included in the study, 660 of whom had self-inflicted poisoning. In city district group 3, the annual incidence of acute poisonings was 2.14 per 1000 inhabitants, significantly higher than city district group 2, with 1.50 (p < 0.001), and city district group 1, with 1.36 (p < 0.001). Measured as intention assessed by the treating physician, suicidal and drug related poisonings and those induced by a "cry for help" were more common in city district group 3 (0.74, 0.59 and 0.74 per 1000 inhabitants, respectively) than in city district group 2 (0.62, 0.40 and 0.41, respectively) and city district group 1 (0.52, 0.32 and 0.45, respectively). The main toxic agents were predominantly benzodiazepines (20 %), ethanol (18 %) and paracetamol (12 %). There were no statistically significant differences in the distribution of main toxic agents between the city district groups. The findings show a social gradient, with the highest incidence of poisonings in the city district group with the most difficult living conditions.

Research on the Positioning of Protection and Utilization of Historic Districts Under Big Data Analysis

NASA Astrophysics Data System (ADS)

Zhang, J.; Zhang, J.; Huo, X.; Zheng, W.; Zheng, X.; Zhang, M.

2017-08-01

Historic districts are a special type of cultural heritage, as living cultural heritage, the utilization and development of historical districts is an inevitable issue. How to accurately position the protection and utilization of districts and achieve its healthy and sustainable development is the key work in the protection of districts. In this paper, the Internet data including Tencent's location big data are employed to study some Chinese historic and cultural streets, establish protection and development index system for historic and cultural streets, carry out in-depth study of ten core indicators, and sum up the positioning and development direction for the protection and use of districts. Historic district, as a special type of cultural heritage, is the birthplace and supporting zone of urban context, and also the place for the daily life of the general public. It boasts profound historic and humanistic background and the characteristics of a living form. As the living cultural heritage, its use and development are necessary, and attention shall also be paid to static protection and dynamic comprehensive management. But judging from the current practice, protection and use of historic districts face a host of challenges. Some districts are devoid of popularity and vitality and become cold galleries. Some districts suffer excessive development for tourism and commercialism, and lose its "original" cultural characteristics. In addition, throngs of tourists exert a negative impact on the life of the local people and the protection of immovable cultural relics. Disorderly business format and increasingly similar landscape go against the presentation of local characteristics. We should regard historic district as a dynamic urban heritage, and achieve dynamic development and protection in accordance with its inherent development laws and the principle of "step by step" through the "organic update" mode, with emphasis on the continuous comprehensive management of material space environment and cultural society. Therefore, how to make accurate positioning of the protection and utilization of districts and achieve its healthy and sustainable development is the key work in the protection of districts.

Do Management and Leadership Practices in the Context of Decentralisation Influence Performance of Community Health Fund? Evidence From Iramba and Iringa Districts in Tanzania.

PubMed

Joseph, Chakupewa; Maluka, Stephen Oswald

2016-09-26

In early 1990s, Tanzania like other African countries, adopted health sector reform (HSR). The most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. It was within the realm of HSR process, user fees were introduced in the health sector. Along with user fees, various types of health insurances, including the Community Health Fund (CHF), were introduced. While the country's level of enrolment in the CHF is low, there are marked variations among districts. This paper highlights the role of decentralised health management and leadership practices in the uptake of the CHF in Tanzania. A comparative exploratory case study of high and low performing districts was carried out. In-depth interviews were conducted with the members of the Council Health Service Board (CHSB), Council Health Management Team (CHMT), Health Facility Committees (HFCs), in-charges of health facilities, healthcare providers, and Community Development Officers (CDOs). Minutes of the meetings of the committees and district annual health plans and district annual implementation reports were also used to verify and triangulate the data. Thematic analysis was adopted to analyse the collected data. We employed both inductive and deductive (mixed coding) to arrive to the themes. There were no differences in the level of education and experience of the district health managers in the two study districts. Almost all district health managers responsible for the management of the CHF had attended some training on management and leadership. However, there were variations in the personal initiatives of the top-district health leaders, particularly the district health managers, the council health services board and local government officials. Similarly, there were differences in the supervision mechanisms, and incentives available for the health providers, HFCs and board members in the two study districts. This paper adds to the stock of knowledge on CHFs functioning in Tanzania. By comparing the best practices with the worst practices, the paper contributes valuable insights on how CHF can be scaled up and maintained. The study clearly indicates that the performance of the community-based health financing largely depends on the personal initiatives of the top-district health leaders, particularly the district health managers and local government officials. This implies that the regional health management team (RHMT) and the Ministry of Health and Social Welfare (MoHSW) should strengthen supportive supervision mechanisms to the district health managers and health facilities. More important, there is need for the MoHSW to provide opportunities for the well performing districts to share good practices to other districts in order to increase uptake of the community-based health insurance.

Quality-Assurance/Quality-Control Manual for Collection and Analysis of Water-Quality Data in the Ohio District, US Geological Survey

USGS Publications Warehouse

Francy, D.S.; Jones, A.L.; Myers, Donna N.; Rowe, G.L.; Eberle, Michael; Sarver, K.M.

1998-01-01

The U.S. Geological Survey (USGS), Water Resources Division (WRD), requires that quality-assurance/quality-control (QA/QC) activities be included in any sampling and analysis program. Operational QA/QC procedures address local needs while incorporating national policies. Therefore, specific technical policies were established for all activities associated with water-quality project being done by the Ohio District. The policies described in this report provide Ohio District personnel, cooperating agencies, and others with a reference manual on QA/QC procedures that are followed in collecitng and analyzing water-quality samples and reporting water-quality information in the Ohio District. The project chief, project support staff, District Water-Quality Specialist, and District Laboratory Coordinator are all involved in planning and implementing QA/QC activities at the district level. The District Chief and other district-level managers provide oversight, and the Regional Water-Quality Specialist, Office of Water Quality (USGS headquarters), and the Branch of Quality Systems within the Office of Water Quality create national QA/QC polices and provide assistance to District personnel. In the literature, the quality of all measurement data is expressed in terms of precision, variability, bias, accuracy, completeness, representativeness, and comparability. In the Ohio District, bias and variability will be used to describe quality-control data generated from samples in the field and laboratory. Each project chief must plan for implementation and financing of QA/QC activities necessary to achieve data-quality objectives. At least 15 percent of the total project effort must be directed toward QA/QC activities. Of this total, 5-10 percent will be used for collection and analysis of quality-control samples. This is an absolute minimum, and more may be required based on project objectives. Proper techniques must be followed in the collection and processing of surface-water, ground-water, biological, precipitation, bed-sediment, bedload, suspended-sediment, and solid-phase samples. These techniques are briefly described in this report and are extensively documented. The reference documents listed in this report will be kept by the District librarian and District Water-Quality Specialist and updated regularly so that they are available to all District staff. Proper handling and documentation before, during, and after field activities are essential to ensure the integrity of the sample and to correct erroneous reporting of data results. Field sites are to be properly identified and entered into the data base before field data-collection activities begin. During field activities, field notes are to be completed and sample bottles appropriately labeled a nd stored. After field activities, all paperwork is to be completed promptly and samples transferred to the laboratory within allowable holding times. All equipment used by District personnel for the collection and processing of water-quality samples is to be properly operated, maintained, and calibrated by project personnel. This includes equipment for onsite measurement of water-quality characteristics (temperature, specific conductance, pH, dissolved oxygen, alkalinity, acidity, and turbidity) and equipment and instruments used for biological sampling. The District Water-Quality Specialist and District Laboratory Coordinator are responsible for preventive maintenance and calibration of equipment in the Ohio District laboratory. The USGS National Water Quality Laboratory in Arvada, Colo., is the primary source of analytical services for most project work done by the Ohio District. Analyses done at the Ohio District laboratory are usually those that must be completed within a few hours of sample collection. Contract laboratories or other USGS laboratories are sometimes used instead of the NWQL or the Ohio District laboratory. When a contract laboratory is used, the projec

Land disturbances from strip-mining in eastern Kentucky: 4. Big Sandy coal reserve district

Treesearch

William T. Plass

1967-01-01

Results of an airphoto survey to determine the extent of land disturbance by coal mining and by coal-haul roads in one of the six coal-reserve districts of eastern Kentucky. Describes the district, forest, cover, physiography and geology, and distribution and physical characteristics of the acres disturbed in this district.

Land disturbances from strip-mining in eastern Kentucky: 6. Southwestern coal reserve district

Treesearch

William T. Plass

1967-01-01

Results of an airphoto survey to determine the extent of land disturbance by coal mining and by coal-haul roads in one of the six coal-reserve districts of eastern Kentucky. Describes the district, forest cover, physiography and geology, and distribution and physical characteristics of the acres disturbed in this district.

K-12 Parents' Attitudes about Their School District's Mass Notification Service

ERIC Educational Resources Information Center

Downing, Joe R.

2011-01-01

The study examined K-12 parents' attitudes about their school district's mass notification service. Survey data were collected from 146 parents with at least one child who attended school in the district. During an emergency, most parents surveyed wanted their district to expand its mass notification service from landline phone only to also…

School District Response to the Ohio Local Option Income Tax.

ERIC Educational Resources Information Center

House, Jess E.

Ohio State Senate Bill 28 allows school districts, with voter approval, to impose a tax on the incomes of district residents. This paper examines the early response of school districts to the opportunity presented by the legislation. The paper explains the Ohio system for funding public schools, with a focus on revenue growth, describes features…

Anchorage School District Profile of Performance, 1998-1999. Assessment and Evaluation Report.

ERIC Educational Resources Information Center

Fenton, Ray

The "Profile of Performance" is the Anchorage School District, Alaska, report card to the School Board and community on academic achievement. Part 1 of the report provides a summary of performance across the entire district on a variety of indicators of achievement. It includes an overview of district performance and an examination of…

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...

Toward Addressing the Issues of Site Selection in District Effectiveness Research: A Two-Level Hierarchical Linear Growth Model

ERIC Educational Resources Information Center

Bowers, Alex J.

2010-01-01

Purpose: District effectiveness research (DER) is an emerging field concerned with identifying the organizational structures, administration, and leadership practices at the school district level that help districts find success with all of their students across the schools within the system. This work has mirrored much of the early school…

The Big Money Question: Action Research Projects Give District a Clear Picture of Professional Learning's Impact

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…

Classroom Questioning Tendencies from the Perspective of Big Data

ERIC Educational Resources Information Center

Lu, Wang; Rongxiao, Cai

2016-01-01

We are now living in an era of big data. From the perspective of data analysis of classroom questioning, the paper chooses three districts in City B that have significant differences. These are educationally developed District D, less developed District F, and developing District M. The study uses the stratified sampling method to choose from…

An Analysis of Staff Development Programs and Their Costs in Three Urban School Districts.

ERIC Educational Resources Information Center

Moore, Donald R.; Hyde, Arthur A.

This report analyzes teacher staff development programs and their costs in three large urban school districts, and discusses research and policy implications of the research results. The districts were selected through a survey of school districts serving the 75 largest U.S. cities, and were chosen because of their respectively high, medium, and…

School District Labour Conflict and Frame Analysis: A Field Study of Contentious Negotiations

ERIC Educational Resources Information Center

Gates, Gordon S.; Vesneske, Staci S.

2012-01-01

Labour conflict in school districts is a largely neglected area of educational research. This study examines the perceptions, actions, and decisions of union and district leaders using social movement theory to describe, analyze, and interpret contentious contract negotiations in three school districts in the Pacific Northwest region of the US.…

Elementary and Secondary Schools Civil Rights Survey, 1984. State Summaries.

ERIC Educational Resources Information Center

DBS Corp., Arlington, VA.

This 1984 survey was conducted to obtain data on the characteristics of public school students in the 50 states and the District of Columbia. The 3,510 school districts selected to participate were statistically sampled from approximately 16,000 U.S. school districts, and the schools within the selected districts were subsampled: (1) all special…

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…

Real-Time Learning, Real-World Teaching: University Teams with School District to Improve Curriculum and Instruction

ERIC Educational Resources Information Center

Koch, Steven; Borg, Terry

2011-01-01

An Illinois district brings a local university into the district to craft advanced learning embedded in the needs of specific schools. Community High School District 155 in Crystal Lake, Ill., and Northern Illinois University (NIU) College of Education engaged in a partnership that has provided significant benefits, posed limited challenges, and…

The Causes of Political Integration: An Application to School Districts. NBER Working Paper No. 12047

ERIC Educational Resources Information Center

Gordon, Nora; Knight, Brian

2006-01-01

This paper examines the forces behind political integration through the lens of school district consolidations, which reduced the number of school districts in the United States from around 130,000 in 1930 to under 15,000 at present. Despite this large observed decline, many districts resisted consolidation before ultimately merging and others…

Effective Strategies for District Leadership to Create Successful Inclusion Models: Special Education Directors and School Reform in Context of Least Restrictive Environment

ERIC Educational Resources Information Center

Bublitz, Gregory

2016-01-01

This qualitative mixed methods study explored how Special Education Directors transformed and maintained a successful inclusion model throughout their district. The study identified leadership strategies and inclusive behaviors utilized by Special Education Directors who have successfully transformed their district into inclusive school districts.…

Attachment of Young People to Their Home District

ERIC Educational Resources Information Center

Sinkkonen, Merja

2013-01-01

This article focuses on young people's attachment to their home district. The purpose of this study was to establish how attached young people aged 17 were to their home district and what factors were involved in young people's attachment to their home districts. The structure of the young people's lives was studied on the basis of the…

Land disturbances from strip-mining in eastern Kentucky: 5. Hazard coal reserve district

Treesearch

William T. Plass

1967-01-01

Results of an airphoto survey to determine the extent of land disturbance by coal mining and by coal-haul roads in one of the six coal-reserve districts of eastern Kentucky. Describes the district, forest cover, physiography and geology, and distribution and physical characteristics of the acres disturbed in this district.

Elementary and Secondary Civil Rights Survey, 1984. National Summaries.

ERIC Educational Resources Information Center

DBS Corp., Arlington, VA.

This 1984 survey was conducted to obtain data on the characteristics of public school students in the 50 states and the District of Columbia. The 3,510 school districts selected to participate were statistically sampled from approximately 16,000 U.S. school districts, and the schools within the selected districts were subsampled: (1) all special…

To amend the District of Columbia Home Rule Act to permit the District of Columbia to impose a tax on income earned as a professional athlete by nonresidents of the District.

THOMAS, 112th Congress

Rep. Norton, Eleanor Holmes [D-DC-At Large

2011-05-25

House - 06/20/2011 Referred to the Subcommittee on Health Care, District of Columbia, Census and the National Archives. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Which Districts Get into Financial Trouble and Why: Michigan's Story. Working Paper #51

ERIC Educational Resources Information Center

Arsen, David; DeLuca, Thomas A.; Ni, Yongmei; Bates, Michael

2015-01-01

Like other states, Michigan has implemented a number of policies to change governance and administrative arrangements in local school districts deem to be in financial emergency. This paper examines two questions: (1) Which districts get into financial trouble and why?; and (2) Among fiscally distressed districts, are there significant differences…

A Systems Theory Approach to the District Central Office's Role in School-Level Improvement

ERIC Educational Resources Information Center

Mania-Singer, Jackie

2017-01-01

This qualitative case study used General Systems Theory and social network analysis to explore the relationships between the members of a district central office and principals of elementary schools within an urban school district in the Midwest. Findings revealed sparse relationships between members of the district central office and principals,…