Science.gov

Sample records for national voucher programme

  1. A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programmes

    PubMed Central

    Conlon, Claudia M.; Higgs, Elizabeth S.; Townsend, John W.; Nahed, Matta G.; Cavanaugh, Karen; Grainger, Corinne G.; Okal, Jerry; Gorter, Anna C.

    2013-01-01

    -based distribution of vouchers; and tracking individual claims for performance purposes. Maternal voucher programmes differed on whether contracted providers were given training on clinical or administrative issues; whether some form of service verification was undertaken at facility or community-level; and the relative size of programme management costs in the overall programme budget. Evidence suggests voucher programmes can serve populations with national-level impact. Reaching scale depends on whether the voucher programme can: (i) keep management costs low, (ii) induce a large demand-side response among the bottom two quintiles, and (iii) achieve a quality of care that translates a greater number of facility-based deliveries into a reduction in maternal morbidity and mortality.

  2. A taxonomy and results from a comprehensive review of 28 maternal health voucher programmes.

    PubMed

    Bellows, Ben W; Conlon, Claudia M; Higgs, Elizabeth S; Townsend, John W; Nahed, Matta G; Cavanaugh, Karen; Grainger, Corinne G; Okal, Jerry; Gorter, Anna C

    2013-12-01

    -based distribution of vouchers; and tracking individual claims for performance purposes. Maternal voucher programmes differed on whether contracted providers were given training on clinical or administrative issues; whether some form of service verification was undertaken at facility or community-level; and the relative size of programme management costs in the overall programme budget. Evidence suggests voucher programmes can serve populations with national-level impact. Reaching scale depends on whether the voucher programme can: (i) keep management costs low, (ii) induce a large demand-side response among the bottom two quintiles, and (iii) achieve a quality of care that translates a greater number of facility-based deliveries into a reduction in maternal morbidity and mortality. PMID:24992806

  3. Community-level impact of the reproductive health vouchers programme on service utilization in Kenya

    PubMed Central

    Obare, Francis; Warren, Charlotte; Njuki, Rebecca; Abuya, Timothy; Sunday, Joseph; Askew, Ian; Bellows, Ben

    2013-01-01

    This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15–49 years) from voucher and comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests and significant tests of proportions as well as estimation of multi-level logit models to predict service utilization by exposure to the programme. The results show that for births occurring after the voucher programme began, women from communities that had been exposed to the programme since 2006 were significantly more likely to have delivered at a health facility and to have received skilled care during delivery compared with those from communities that had not been exposed to the programme at all. There were, however, no significant differences in the timing of first trimester utilization of antenatal care (ANC) and making four or more ANC visits by exposure to the programme. In addition, poor women were significantly less likely to have used safe motherhood services (health facility delivery, skilled delivery care and postnatal care) compared with their non-poor counterparts regardless of exposure to the programme. Nonetheless, a significantly higher proportion of poor women from communities that had been exposed to the programme since 2006 used the services compared with their poor counterparts from communities that had not been exposed to the programme at all. The findings suggest that the programme is associated with increased health facility deliveries and skilled delivery care especially among poor women. However, it has had limited community-level impact on the first trimester timing of antenatal care use and making four or more visits, which remain a challenge despite the high proportion of women in the country that make at least one antenatal care visit during pregnancy. PMID:22492923

  4. Costs and effects of the Tanzanian national voucher scheme for insecticide-treated nets

    PubMed Central

    Mulligan, Jo-Ann; Yukich, Joshua; Hanson, Kara

    2008-01-01

    Background The cost-effectiveness of insecticide-treated nets (ITNs) in reducing morbidity and mortality is well established. International focus has now moved on to how best to scale up coverage and what financing mechanisms might be used to achieve this. The approach in Tanzania has been to deliver a targeted subsidy for those most vulnerable to the effects of malaria while at the same time providing support to the development of the commercial ITN distribution system. In October 2004, with funds from the Global Fund to Fight AIDS Tuberculosis and Malaria, the government launched the Tanzania National Voucher Scheme (TNVS), a nationwide discounted voucher scheme for ITNs for pregnant women and their infants. This paper analyses the costs and effects of the scheme and compares it with other approaches to distribution. Methods Economic costs were estimated using the ingredients approach whereby all resources required in the delivery of the intervention (including the user contribution) are quantified and valued. Effects were measured in terms of number of vouchers used (and therefore nets delivered) and treated nets years. Estimates were also made for the cost per malaria case and death averted. Results and Conclusion The total financial cost of the programme represents around 5% of the Ministry of Health's total budget. The average economic cost of delivering an ITN using the voucher scheme, including the user contribution, was $7.57. The cost-effectiveness results are within the benchmarks set by other malaria prevention studies. The Government of Tanzania's approach to scaling up ITNs uses both the public and private sectors in order to achieve and sustain the level of coverage required to meet the Abuja targets. The results presented here suggest that the TNVS is a cost-effective strategy for delivering subsidized ITNs to targeted vulnerable groups. PMID:18279509

  5. Safe motherhood voucher programme coverage of health facility deliveries among poor women in South-western Uganda.

    PubMed

    Kanya, Lucy; Obare, Francis; Warren, Charlotte; Abuya, Timothy; Askew, Ian; Bellows, Ben

    2014-07-01

    There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands of targeted consumers to improve the uptake of healthcare services in low-income settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a maternal health voucher programme in South-western Uganda and examines whether such coverage is correlated with district-level characteristics such as poverty density and the number of contracted facilities. Analysis entails estimating the voucher coverage of health facility deliveries among the general population and poor population (PP) using programme data for 2010, which was the most complete calendar year of implementation of the Uganda safe motherhood (SM) voucher programme. The results show that: (1) the programme paid for 38% of estimated deliveries among the PP in the targeted districts, (2) there was a significant negative correlation between the poverty density in a district and proportions of births to poor women that were covered by the programme and (3) improving coverage of health facility deliveries for poor women is dependent upon increasing the sales and redemption rates. The findings suggest that to the extent that the programme stimulated demand for SM services by new users, it has the potential of increasing facility-based births among poor women in the region. In addition, the significant negative correlation between the poverty density and the proportions of facility-based births to poor women that are covered by the voucher programme suggests that there is need to increase both voucher sales and the rate of redemption to improve coverage in districts with high levels of poverty.

  6. Private School Diversity in Denmark's National Voucher System

    ERIC Educational Resources Information Center

    Rangvid, Beatrice Schindler

    2008-01-01

    The voucher system in Denmark combines unrestricted generous subsidies with substantial autonomy of private schools as to schedule and teaching methods. This has produced a private school sector with a wide variety of school types. This paper uses data on eight cohorts of students (over 510,000 individuals) to compare educational attainment in…

  7. Educational Vouchers

    ERIC Educational Resources Information Center

    Pickard, Brent W.; Richards, Donald M.

    1976-01-01

    Summarizes the rationale for educational voucher systems, outlines model voucher systems, discusses implications of voucher systems, and suggests a generalized plan for applying voucher systems in continuing education. (Available from the Department of Educational Administration, The University of Alberta, Edmonton, Alberta, Canada, T6G 2G5;…

  8. Capacity Issue Looms for Vouchers

    ERIC Educational Resources Information Center

    Zehr, Mary Ann

    2011-01-01

    State-level momentum in support of vouchers and tax credits that help students go to private schools highlights what has been a largely theoretical issue: private school capacity to support voucher-financed enrollment. Academics say the national supply of seats in secular and religious private schools is sufficient to meet short-term demand from…

  9. Teaching and Learning National Transformation Programme

    ERIC Educational Resources Information Center

    Browne, Liz

    2006-01-01

    This article reports on a research project undertaken on behalf of the Standards Unit to research the impact of the Teaching and Learning National Transformation Programme for the Learning and Skills sector. The transformational programme is best described as having three enablers, namely teaching and learning resources to support practitioners,…

  10. Voucherizing Medicare.

    PubMed

    Oberlander, Jonathan

    2014-04-01

    This article explores the evolving language of Medicare reform and recent conflicts over "voucherizing" Medicare. The Medicare reform debate is, in part, a contest over how to frame policy alternatives in order to enhance (or diminish) their political viability. "Voucherizing" has emerged as a powerful rhetorical weapon in that fight. Yet the accompanying debate is often misleading about both the current state of Medicare and the necessity of altering its programmatic structure to ensure future stability. PMID:24305847

  11. Launch vouchers for space science research

    NASA Technical Reports Server (NTRS)

    Macauley, Molly K.

    1989-01-01

    Recent national space policy proposes the use of space transportation vouchers to increase opportunities for space-based science research and to support the U.S. space transportation industry. Vouchers issued and financially backed by the government would be given to researchers for redemption on any mode of space transportation. This paper examines the economic costs and benefits of vouchers; incentive-based strategies for effective program design; and areas where the voucher scheme is weak. It is concluded that, under plausible assumptions, vouchers may well be a cost-effective way to achieve near-term space transportation for space research payloads.

  12. United Nations Environment Programme. Annual Review 1981.

    ERIC Educational Resources Information Center

    United Nations Environment Programme, Nairobi (Kenya).

    This edition of the United Nations Environment Programme (UNEP) annual report is structured in three parts. Part 1 focuses on three contemporary problems (ground water, toxic chemicals and human food chains and environmental economics) and attempts to solve them. Also included is a modified extract of "The Annual State of the Environment Report"…

  13. Can food vouchers improve nutrition and reduce health inequalities in low-income mothers and young children: a multi-method evaluation of the experiences of beneficiaries and practitioners of the Healthy Start programme in England

    PubMed Central

    2014-01-01

    Background Good nutrition is important during pregnancy, breastfeeding and early life to optimise the health of women and children. It is difficult for low-income families to prioritise spending on healthy food. Healthy Start is a targeted United Kingdom (UK) food subsidy programme that gives vouchers for fruit, vegetables, milk, and vitamins to low-income families. This paper reports an evaluation of Healthy Start from the perspectives of women and health practitioners. Methods The multi-method study conducted in England in 2011/2012 included focus group discussions with 49 health practitioners, an online consultation with 620 health and social care practitioners, service managers, commissioners, and user and advocacy groups, and qualitative participatory workshops with 85 low-income women. Additional focus group discussions and telephone interviews included the views of 25 women who did not speak English and three women from Traveller communities. Results Women reported that Healthy Start vouchers increased the quantity and range of fruit and vegetables they used and improved the quality of family diets, and established good habits for the future. Barriers to registration included complex eligibility criteria, inappropriate targeting of information about the programme by health practitioners and a general low level of awareness among families. Access to the programme was particularly challenging for women who did not speak English, had low literacy levels, were in low paid work or had fluctuating incomes. The potential impact was undermined by the rising price of food relative to voucher value. Access to registered retailers was problematic in rural areas, and there was low registration among smaller shops and market stalls, especially those serving culturally diverse communities. Conclusions Our evaluation of the Healthy Start programme in England suggests that a food subsidy programme can provide an important nutritional safety net and potentially improve

  14. National Radiobiology Archives distributed access programmer's guide

    SciTech Connect

    Prather, J. C.; Smith, S. K.; Watson, C. R.

    1991-12-01

    The National Radiobiology Archives is a comprehensive effort to gather, organize, and catalog original data, representative specimens, and supporting materials related to significant radiobiology studies. This provides researchers with information for analyses which compare or combine results of these and other studies and with materials for analysis by advanced molecular biology techniques. This Programmer's Guide document describes the database access software, NRADEMO, and the subset loading script NRADEMO/MAINT/MAINTAIN, which comprise the National Laboratory Archives Distributed Access Package. The guide is intended for use by an experienced database management specialist. It contains information about the physical and logical organization of the software and data files. It also contains printouts of all the scripts and associated batch processing files. It is part of a suite of documents published by the National Radiobiology Archives.

  15. For Democrats, Some Nuance on Vouchers

    ERIC Educational Resources Information Center

    Cavanagh, Sean

    2012-01-01

    This year's presidential campaign offers at least one unequivocal contrast on education issues: The Republican candidate supports private school vouchers, and the Democratic incumbent does not. But at the state and local levels, Democrats' views on vouchers are more diverse and nuanced than what is suggested by the party's national platform, which…

  16. Education and Selective Vouchers

    ERIC Educational Resources Information Center

    Piolatto, Amedeo

    2010-01-01

    A widely accepted result in the literature is that the majority of voters are against the introduction of universal vouchers. Chen and West (2000) predict that voters' attitudes towards selective vouchers (SV) may be different. They claim that voters are indifferent between the no-voucher and SV regimes, unless competition leads to a reduction in…

  17. Education Vouchers. A Primer.

    ERIC Educational Resources Information Center

    Richter, Philip C.; Hollender, Mary Jo

    This document is intended to serve both as a primer and as an annotated bibliography about educational vouchers. As a primer, it introduces the reader to the concept of vouchers and to the variety of issues--including political, economic, legal, and educational issues--associated with vouchers. As an annotated bibliography, it provides a summary…

  18. Voting down Vouchers

    ERIC Educational Resources Information Center

    Bolick, Clint

    2008-01-01

    In 1999 the Ohio Supreme Court found the Cleveland school voucher program to be constitutional, thereby allowing the three-year-old initiative to continue. However, the school voucher program was ended when Judge Solomon Oliver enjoined the program after the anti-voucher coalition filed suit asking for a preliminary injunction. The judge's…

  19. High-Stakes Choice: Achievement and Accountability in the Nation's Oldest Urban Voucher Program

    ERIC Educational Resources Information Center

    Witte, John F.; Wolf, Patrick J.; Cowen, Joshua M.; Carlson, Deven E.; Fleming, David J.

    2014-01-01

    This article considers the impact of a high-stakes testing and reporting requirement on students using publicly funded vouchers to attend private schools. We describe how such a policy was implemented during the course of a previously authorized multi-year evaluation of the Milwaukee Parental Choice Program, which provided us with data on voucher…

  20. Education Vouchers: Boon or Bane?

    ERIC Educational Resources Information Center

    Young, David G.

    The idea of educational vouchers goes back to Adam Smith in 1778, according to this examination of past and present discussions about vouchers. The author begins by defining educational vouchers and summarizing the idea's history, especially since its revival in 1955 by economist Milton Friedman. Seven models of voucher systems are briefly…

  1. School Vouchers: Examining the Evidence.

    ERIC Educational Resources Information Center

    Carnoy, Martin

    This study reviews recent empirical research on the effect of school vouchers on student achievement (particularly for low-income minorities attending private schools) and the effect of the threat of vouchers on low-performing public schools. The study examines the Milwaukee voucher experiment, the Cleveland voucher program, and new voucher…

  2. Lessons from sexual and reproductive health voucher program design and function: a comprehensive review

    PubMed Central

    2014-01-01

    Background Developing countries face challenges in financing healthcare; often the poor do not receive the most basic services. The past decade has seen a sharp increase in the number of voucher programs, which target output-based subsidies for specific services to poor and underserved groups. The dearth of literature that examines lessons learned risks the wheel being endlessly reinvented. This paper examines commonalities and differences in voucher design and implementation, highlighting lessons learned for the design of new voucher programmes. Methodology The methodology comprised: discussion among key experts to develop inclusion/exclusion criteria; up-dating the literature database used by the DFID systematic review of voucher programs; and networking with key contacts to identify new programs and obtain additional program documents. We identified 40 programs for review and extracted a dataset of more than 120 program characteristics for detailed analysis. Results All programs aimed to increase utilisation of healthcare, particularly maternal health services, overwhelmingly among low-income populations. The majority contract(ed) private providers, or public and private providers, and all facilitate(d) access to services that are well defined, time-limited and reflect the country’s stated health priorities. All voucher programs incorporate a governing body, management agency, contracted providers and target population, and all share the same incentive structure: the transfer of subsidies from consumers to service providers, resulting in a strong effect on both consumer and provider behaviour. Vouchers deliver subsidies to individuals, who in the absence of the subsidy would likely not have sought care, and in all programs a positive behavioural response is observed, with providers investing voucher revenue to attract more clients. A large majority of programs studied used targeting mechanisms. Conclusions While many programs remain too small to address

  3. Proving the Viability of a School Choice Voucher. Policy Brief

    ERIC Educational Resources Information Center

    Haller, Scott

    2015-01-01

    A recent Pioneer Institute report written by Ken Ardon and Cara Stilling Candal, "Modeling Urban Scholarship Vouchers in Massachusetts," explores the viability of a school choice voucher program in the Commonwealth. Nationally, school choice has been shown to improve parent satisfaction and student achievement, reduce racial segregation,…

  4. United Nations Environment Programme, Annual Review, 1978.

    ERIC Educational Resources Information Center

    Sarsfield, Mairuth, Ed.; Emes, John, Ed.

    The 1978 Annual State of the Environment Report of the United Nations Environment Program (UNEP) focused on four selected environmental problems of international significance: (1) chemicals and the environment; (2) malaria; (3) the use of agricultural and agro-industrial residues to increase the base for food production; and (4) the conservation…

  5. Vaccines in the national immunization programme.

    PubMed

    Bass, A G

    1993-06-01

    Papua New Guinea has been providing expanded immunization services for more than 14 years. While immunization coverage has risen dramatically, recent surveys have raised serious questions regarding vaccine potency at the service delivery level. Operational practices in vaccine distribution and in the delivery system have been identified in this paper. The international and national standards for vaccine management are described along with the main requirements for maintaining vaccine potency. Quality assurance measures, the responsible personnel and the appropriate intervention points are detailed, along with easily applied guidelines for implementation. An approach to assessing the effectiveness of the quality assurance measures is proposed.

  6. Great Expectations: Teacher Learning in a National Professional Development Programme

    ERIC Educational Resources Information Center

    Armour, Kathleen M.; Makopoulou, Kyriaki

    2012-01-01

    This paper reports findings from an evaluation of a national continuing professional development (CPD) programme for teachers in England. Data showed that the localised implementation, opportunities for interactive learning, and "collective participation" were positive factors. Research participants reported difficulties, however, in "cascading"…

  7. National Conference on Urban Family Planning Programme.

    PubMed

    Zhang, G

    1997-02-01

    This news insert relays information on the Second National Conference on China's Urban Family Planning Program held in Nanjing, Jiangsu province, during December 1996. Conference participants included Mme. Peng Peiyun as Minister of the State Family Planning Commission and 200 participants from 30 provinces and State Council departments. The conference aimed to discuss the family planning system in relation to the socialist market economy, improvements in delivery of more and better services to reproductive age couples, and more scientific and reasonable family planning management. The conference was sponsored by the State Family Planning Commission. The program offered the opportunity to exchange experiences in implementing urban family planning programs. The first conference was held in Shanghai in 1992. Significant changes have taken place over the past 10 years. There is now a low birth rate, a low rate of natural increase, and changes in attitudes toward fertility. Family planning is a voluntary practice. The urban population has experienced improvements in the quality of life. People demand more and better services and services for maternal and child health and reproductive health. The process of urbanization is accelerating as more people move to cities and towns and new towns are formed. An increasing number of workers are engaged in joint-venture businesses and in the private sector.

  8. Somalia: a national programme in population education.

    PubMed

    Awale, A I; Johnston, T

    1985-06-01

    In January 1981, a project proposal was signed by the Somalian government and the UN Fund for Population Activities (UNFPA) governing project assistance in the implementation of population education activities in the Republic. The objectives of the program involve the institutionalization of population-family life education within the formal educational system of Somalia. An analysis of existing primary and post-primary curricular was undertaken to ascertain the possibilities of infusing population-related concepts, content, or themes into the traditional subject areas: social studies, general science, and mathematics. A broad spectrum of teachers were selected from each of the 16 regions of Somalia, and they were trained in 3 stages: 1) an initial background content providing phase, 2) an implementation phase focussing on content and method in a classroom setting, and 3) an apprenticeship phase where assistance was given in training 5 apprentices. The population family life project in Somalia is currently in a stage of mass vitalization of in-school and out-of-school programs. Mobile audi-visual vans work during the day out of a regional center to reinforce school activities. The National Program of Population Education in Somalia is now in its 4th year of implementation; it is in the last stages of institutionalizing the in-school program. The strengths of the program stem from its fundamental location within the planning department, the quality of the project staff, and the extremely low level of turnover. The weaknesses of the program are due to isolation from the world outside Somalia. The scarcity of skilled manpower and having to train specialists and technicians are also difficult to overcome.

  9. Efficacy of the Revised National Tuberculosis Programme.

    PubMed

    Jhunjhunwala, B

    1995-01-01

    In India, the standard regimen (SR) for treating tuberculosis consisted of a 2-month intensive treatment by 2-3 inexpensive drugs followed by a 10-month course using 2 drugs. In the 1980s, this course was shortened to 6 months owing to the powerful drugs rifampicin and pyrazinamide. Thiacetazone was also replaced by the more expensive but less toxic ethambutol. The result was a short-course chemotherapy (SCC) employing 4 drugs for 2 months, followed by 2-3 drugs for 4 months of follow-up. The SCC is being pilot-tested as the Revised National Tuberculosis Program (RNTP); this RNTP strategy is being implemented in Delhi, Bombay, and Mehsana with the assistance of the Swedish international agency. The World Bank also endorsed RNTP, as SCC regimens under it were cost-effective. The SR and SCC regimens were also compared for Malawi, Mozambique, and Tanzania, and relatively minor differences were found in lives saved for expenditures. The claim that the rates of default under SR and SCC remain unchanged over time and the cure rates of the regimens must be challenged. The estimated cure rates of 60% for SR and 85% for SCC do not correspond to the reality in India, where 41% of patients completed treatment under SR versus 47% under SCC. The cost of treatment under SR does not have to be a 5-drug regimen; re-treatment can be a 3-drug regimen, whereby the cost would be lower than assumed. The Ministry of Health and Family Welfare (MHF) was probing 253 district SCCs even in 1992-93 and accepted SCC because the World Health Organization recommended a vastly improved administration for implementation and there was a felt need from patients for speedy cure. If the SCC is administered properly, it may increase the cure rate, even if cost-ineffective; if poorly managed, increased drug resistance of TB bacteria could result, which may be the present situation.

  10. Argentina's national telemedicine programme: reasons for a premature failure.

    PubMed

    Urtubey, Xavier; Petrich, Marcelo

    2002-01-01

    In July 1999, the Argentinean government decided to extend the national telemedicine network from eight to 108 hospitals and medical schools. In April 2000, a telemedicine workstation was donated to every hospital, although there was no training, no guidelines and no overall objectives. We have been leading this project since June 2000 as part of the National Information Society Programme, with an initial 50,000 US dollars budget for the first semester. Since then, we have raised funds, deployed a large cooperative network, and developed training, seminars and content. We have also proposed an overall action plan. Nevertheless, the programme in that time has twice suffered a change of government, the budget has changed five times and the priorities have changed three times. At present, the team finds itself with no contract and no political action plan in a national context which is not favourable to information and communications technology projects.

  11. Introducing vouchers for malaria prevention in Ghana and Tanzania: context and adoption of innovation in health systems.

    PubMed

    de Savigny, Don; Webster, Jayne; Agyepong, Irene Akua; Mwita, Alex; Bart-Plange, Constance; Baffoe-Wilmot, Aba; Koenker, Hannah; Kramer, Karen; Brown, Nick; Lengeler, Christian

    2012-10-01

    There are striking similarities in health system and other contexts between Tanzania and Ghana that are relevant to the scaling up of continuous delivery of insecticide treated nets (ITNs) for malaria prevention. However, specific contextual factors of relevance to ITN delivery have led implementation down very different pathways in the two countries. Both countries have made major efforts and investments to address this intervention through integrating consumer discount vouchers into the health system. Discount vouchers require arrangements among the public, private and non-governmental sectors and constitute a complex intervention in both health systems and business systems. In Tanzania, vouchers have moved beyond the planning agenda, had policies and programmes formulated, been sustained in implementation at national scale for many years and have become as of 2012 the main and only publicly supported continuous delivery system for ITNs. In Ghana national-scale implementation of vouchers never progressed beyond consideration on the agenda and piloting towards formulation of policy; and the approach was replaced by mass distribution campaigns with less dependency on or integration with the health system. By 2011, Ghana entered a phase with no publicly supported continuous delivery system for ITNs. To understand the different outcomes, we compared the voucher programme timelines, phases, processes and contexts in both countries in reference to the main health system building blocks (governance, human resources, financing, informatics, technologies and service delivery). Contextual factors which provided an enabling environment for the voucher scheme in Tanzania did not do so in Ghana. The voucher scheme was never seen as an appropriate national strategy, other delivery systems were not complementary and the private sector was under-developed. The extensive time devoted to engagement and consensus building among all stakeholders in Tanzania was an important and

  12. Is Colorado's Voucher System Worth Vouching for?

    ERIC Educational Resources Information Center

    Prescott, Brian T.

    2010-01-01

    In 2004 Colorado passed legislation enacting the nation's first voucher-based approach to financing higher education, known as the College Opportunity Fund (COF). The work of an unusual coalition that included higher education leaders, generally conservative policymakers, and others, COF completely replaced the traditional approach of subsidizing…

  13. Kidney paired donation: a plea for a Swiss National Programme.

    PubMed

    Hadaya, Karine; Fehr, Thomas; Rüsi, Barbara; Ferrari-Lacraz, Sylvie; Jean, Villard; Ferrari, Paolo

    2015-01-01

    Growing incidence of end-stage renal disease, shortage of kidneys from deceased donors and a better outcome for recipients of kidneys from living donor have led many centres worldwide to favour living donor kidney transplantation programmes. Although criteria for living donation have greatly evolved in recent years with acceptance of related and unrelated donors, an immunological incompatibility, either due to ABO incompatibility and/or to positive cross-match, between a living donor and the intended recipient, could impede up to 40% of such procedures. To avoid refusal of willing and healthy living donors, a number of strategies have emerged to overcome immunological incompatibilities. Kidney paired donation is the safest way for such patients to undergo kidney transplantation. Implemented with success in many countries either as national or multiple regional independent programmes, it could include simple exchanges between any number of incompatible pairs, incorporate compatible pairs and non-directed donors (NDDs) to start a chain of compatible transplantations, lead to acceptance of ABO-incompatible matching, and integrate desensitising protocols. Incorporating all variations of kidney paired donation, the Australian programme has been able to facilitate kidney transplantation in 49% of registered incompatible pairs. This review is a plea for implementing a national kidney paired donation programme in Switzerland. PMID:25742633

  14. Status of national diabetes programmes in the Americas.

    PubMed Central

    White, F.; Nanan, D.

    1999-01-01

    Reported are the responses in the latter half of 1997 of all ministries of health in the Region of the Americas to the Declaration of the Americas on Diabetes, which was adopted by the Directing Council of the Pan American Health Organization (PAHO) in 1996 as a basis for national programme development in diabetes. The short-term targets were the designation of national focal points, the preparation of national estimates of the disease burden, and the development and implementation of national strategies and plans to deal with diabetes. The survey found that most countries recognized diabetes as a significant public health problem. In terms of global relevance, a number of lessons have been learned from this exercise: the role of broadly based participation in gaining recognition at the national health policy level; the wide acceptance of an integrated programme model; the relevance of process-related targets to achieve short-term success; and the critical role of having a designated focal point within the managerial approach. PMID:10680245

  15. National radon programmes and policies: the RADPAR recommendations.

    PubMed

    Bochicchio, F; Hulka, J; Ringer, W; Rovenská, K; Fojtikova, I; Venoso, G; Bradley, E J; Fenton, D; Gruson, M; Arvela, H; Holmgren, O; Quindos, L; McLaughlin, J; Collignan, B; Gray, A; Grosche, B; Jiranek, M; Kalimeri, K; Kephalopoulos, S; Kreuzer, M; Schlesinger, D; Zeeb, H; Bartzis, J

    2014-07-01

    Results from epidemiological studies on lung cancer and radon exposure in dwellings and mines led to a significant revision of recommendations and regulations of international organisations, such as WHO, IAEA, Nordic Countries, European Commission. Within the European project RADPAR, scientists from 18 institutions of 14 European countries worked together for 3 y (2009-12). Among other reports, a comprehensive booklet of recommendations was produced with the aim that they should be useful both for countries with a well-developed radon programme and for countries with little experience on radon issues. In this paper, the main RADPAR recommendations on radon programmes and policies are described and discussed. These recommendations should be very useful in preparing a national action plan, required by the recent Council Directive 2013/59/Euratom.

  16. Small Satellites and the Nigerian National Space Programme

    NASA Astrophysics Data System (ADS)

    Borroffice, Robert; Chizea, Francis; Sun, Wei; Sweeting, Martin, , Sir

    2002-01-01

    Space technology and access to space have been elusive to most developing countries over the last half of the 21st century, which is attributed to very low par capital income and the lack of awareness of policy/decision makers about the role of space technology in national development. Space technology was seen as very expensive and prestigious, meant only for the major industrialized countries, while the developing countries should focus on building their national economy and providing food, shelter and other social amenities for their ever-growing populations. In the last decade, the trend has changed with many developing countries embracing spaced technology as one of the major ways of achieving sustainable development. The present trend towards the use of small satellites in meeting national needs has aided this transition because, apart from the small size, they are cheaper to build and to launch, with shorter development time, lower complexity, improved effectiveness and reduced operating costs. This in turn has made them more affordable and has opened up new avenues for the acquisition of satellite technology. The collaborative work between National Space Research and Development Agency of Nigeria (NASRDA) and Surrey Satellite and Technology Limited (SSTL) is a programme aimed at building two small satellites as a way of kick- starting the national space programme. The first project, NigeriaSAT-1, is an enhanced microsatellite carrying Earth observation payloads able to provide 32 metre GSD 3 band multispectral images with a 600km swath width. NigeriaSAT-1 is one of six microsatellites forming the Disaster Monitoring Constellation (DMC) alongside microsatellites contributed by Algeria, China, Turkey, Thailand and UK. Through participation in this international constellation, Nigeria will be able to receive images with a daily revisit worldwide. The EO images generated by NigeriaSAT-1 and the partner microsatellites will be used for providing rapid coverage

  17. The impact of vouchers on the use and quality of health care in developing countries: a systematic review.

    PubMed

    Brody, Carinne Meyer; Bellows, Nicole; Campbell, Martha; Potts, Malcom

    2013-01-01

    One approach to delivering healthcare in developing countries is through voucher programmes, where vouchers are distributed to a targeted population for free or subsidised health care. Using inclusion/exclusion criteria, a search of databases, key journals and websites review was conducted in October 2010. A narrative synthesis approach was taken to summarise and analyse five outcome categories: targeting, utilisation, cost efficiency, quality and health outcomes. Sub-group and sensitivity analyses were also performed. A total of 24 studies evaluating 16 health voucher programmes were identified. The findings from 64 outcome variables indicates: modest evidence that vouchers effectively target specific populations; insufficient evidence to determine whether vouchers deliver healthcare efficiently; robust evidence that vouchers increase utilisation; modest evidence that vouchers improve quality; no evidence that vouchers have an impact on health outcomes; however, this last conclusion was found to be unstable in a sensitivity analysis. The results in the areas of targeting, utilisation and quality indicate that vouchers have a positive effect on health service delivery. The subsequent link that they improve health was found to be unstable from the data analysed; another finding of a positive effect would result in robust evidence. Vouchers are still new and the number of published studies is limiting. PMID:23336251

  18. Vouchers Revisited: The Prospects for Education Vouchers in the Eighties.

    ERIC Educational Resources Information Center

    Ralph, John H.

    Political and social changes that have increased the public's interest in educational vouchers are summarized in three categories. The first category, new support for the arguments made by voucher advocates, includes Milton Friedman's suggestion of a free and competitive market for education, and John E. Coons and Stephen D. Sugarman's…

  19. Educational Vouchers -- Some Policy Issues.

    ERIC Educational Resources Information Center

    Mauch, J. E.

    The problems now confronting public education in the cities represent some of the major reasons for advocating the voucher system. This report identifies many of these problems, examines the concept of educational vouchers, and raises some policy and research issues that should be considered before such a system is tried. The author outlines a…

  20. The Case Against School Vouchers.

    ERIC Educational Resources Information Center

    Doerr, Edd; And Others

    Controversy over whether public funds should be used to support nonpublic education has raged since the early 19th century. In the 1990s the debate centers around elementary and secondary school tuition vouchers or tutorial assistance grants. This book summarizes the case against vouchers and provides evidence and documentation for each argument.…

  1. Piloting a national laboratory electronic programme status reporting system.

    PubMed

    Cassim, Naseem; Coetzee, Lindi; Motlonye, Bahule; Mpele, Nobantu; Glencross, Deborah K

    2013-01-01

    The NHLS performs close to 4 million CD4 tests per annum for the public sector in South Africa through a network of 60 CD4 testing laboratories. CD4 laboratory data provides an assessment of the number of patients on ART and HIV-positive patients in the pre-ART wellness programs. This study aims to develop a laboratory based Comprehensive Care, Management and Treatment of HIV and AIDS (CCMT) programme status reporting system for CD4 testing at three health facilities in the Ekurhuleni health district using a newly developed CCMT request form, the Laboratory Information System (LIMS) and Corporate Data Warehouse (CDW). The study will generate monitoring and evaluation data to assist in the management of health facilities through a national electronic corporate data warehouse. PMID:23920920

  2. Public Voucher Plans. Trends and Issues.

    ERIC Educational Resources Information Center

    Hadderman, Margaret

    This document provides an overview of public-school voucher plans. Educational vouchers originated in the 1960s when Milton Friedman argued that vouchers would improve educational efficiency. Parents would receive the equivalent of per-pupil expenditures in the form of vouchers that could then be used at any school, either public and private. But…

  3. Embedding operational research into national disease control programme: lessons from 10 years of experience in Indonesia.

    PubMed

    Mahendradhata, Yodi; Probandari, Ari; Widjanarko, Bagoes; Riono, Pandu; Mustikawati, Dyah; Tiemersma, Edine W; Alisjahbana, Bachti

    2014-01-01

    There is growing recognition that operational research (OR) should be embedded into national disease control programmes. However, much of the current OR capacity building schemes are still predominantly driven by international agencies with limited integration into national disease control programmes. We demonstrated that it is possible to achieve a more sustainable capacity building effort across the country by establishing an OR group within the national tuberculosis (TB) control programme in Indonesia. Key challenges identified include long-term financial support, limited number of scientific publications, and difficulties in documenting impact on programmatic performance. External evaluation has expressed concerns in regard to utilisation of OR in policy making. Efforts to address this concern have been introduced recently and led to indications of increased utilisation of research evidence in policy making by the national TB control programme. Embedding OR in national disease control programmes is key in establishing an evidence-based disease control programme.

  4. Launch vouchers for space science research

    NASA Technical Reports Server (NTRS)

    Macauley, Molly K.

    1989-01-01

    Consideration is given to the proposed use of space transportation vouchers for space science payloads. The vouchers would be financially backed by the government, and would be issued to researches for redemption on any mode of space transportation. The possible impact of vouchers on the pace of space science and developments in space transportation are examined, focusing on the costs and benefits of vouchers and strategies for designing a voucher program.

  5. 77 FR 46447 - Proposed Fair Market Rents for the Housing Choice Voucher Program and Moderate Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-03

    ... URBAN DEVELOPMENT Proposed Fair Market Rents for the Housing Choice Voucher Program and Moderate... each year. The primary uses of FMRs are to determine payment standards for the Housing Choice Voucher... publication on August 19, 2011 (76 FR 52058). This trend factor is based on national gross rent data and...

  6. Expanding Global Language Education in Public Primary Schools: The National English Programme in Mexico

    ERIC Educational Resources Information Center

    Sayer, Peter

    2015-01-01

    The paper examines the recent national programme of English language instruction in the Mexican public primary schools, called the "Programa Nacional de Inglés en Educación Básica" (PNIEB). The programme, initiated in 2009 by the Ministry of Education as part of the national curriculum, represents the largest expansion of English…

  7. Programmable Beam Spatial Shaping System for the National Ignition Facility

    SciTech Connect

    Heebner, J; Borden, M; Miller, P; Hunter, S; Christensen, K; Scanlan, M; Haynam, C; Wegner, P; Hermann, M; Brunton, G; Tse, E; Awwal, A; Wong, N; Seppala, L; Franks, M; Marley, E; Wong, N; Seppala, L; Franks, M; Marley, E; Williams, K; Budge, T; Henesian, M; Stolz, C; Suratwala, T; Monticelli, M; Walmer, D; Dixit, S; Widmayer, C; Wolfe, J; Bude, J; McCarty, K; DiNicola, J M

    2011-01-21

    A system of customized spatial light modulators has been installed onto the front end of the laser system at the National Ignition Facility (NIF). The devices are capable of shaping the beam profile at a low-fluence relay plane upstream of the amplifier chain. Their primary function is to introduce 'blocker' obscurations at programmed locations within the beam profile. These obscurations are positioned to shadow small, isolated flaws on downstream optical components that might otherwise limit the system operating energy. The modulators were designed to enable a drop-in retrofit of each of the 48 existing Pre Amplifier Modules (PAMs) without compromising their original performance specifications. This was accomplished by use of transmissive Optically Addressable Light Valves (OALV) based on a Bismuth Silicon Oxide photoconductive layer in series with a twisted nematic liquid crystal (LC) layer. These Programmable Spatial Shaper packages in combination with a flaw inspection system and optic registration strategy have provided a robust approach for extending the operational lifetime of high fluence laser optics on NIF.

  8. The National Programme for Information Technology--an overview.

    PubMed

    Crompton, Paul

    2007-06-01

    The National Health Service (NHS) in England is in the middle of an Information and Communications (ICT) revolution. The NHS National Programme for IT (NPfIT) has been described as one of the world's biggest IT projects, costing pound6.2bn. 'Over the next ten years, state-of-the-art computer systems will be installed across the NHS. Once the work is complete, those systems will, for the first time, connect more than 117,000 doctors, 397,000 nurses and 128,900 other healthcare professions in England'. The improvement of services through the application of ICT surrounds our everyday life, whether at the bank, in supermarkets or in the entertainment industry. Whilst major technological advances have taken place in medical imaging, diagnosis, treatment and surgery, the same level of advancement in information and communication management, across the whole organization, has proved far more elusive. The concept of the Electronic Patient Record (EPR) in the NHS was first introduced to readers of this journal in 2000. The idea of using information management and technology to ease the burden on NHS staff had been developing for years, with some success in what Brennan described as 'pockets of excellence', but on the whole these initiatives had not achieved the revolutionary change sought and were regarded as a 'frustrating failure'. The Department of Health (DH) therefore seconded Frank Burns from one of the successful EPR sites, Wirral NHS Trust, to develop a strategy to take the NHS towards the vision of an integrated, computer-savvy health service. Three years later, Brennan was back in these pages with an update. The vision of Information for Health and its spin-offs had led to disappointment, missed targets and, ultimately a major re-think. Apart from the failings of Information for Health, the DH was also having to respond to a number of other influential publications; Building the Information Core: Implementing the NHS Plan, Jan 2001; Delivering the NHS Plan; and

  9. The National Programme for Information Technology--an overview.

    PubMed

    Crompton, Paul

    2007-06-01

    The National Health Service (NHS) in England is in the middle of an Information and Communications (ICT) revolution. The NHS National Programme for IT (NPfIT) has been described as one of the world's biggest IT projects, costing pound6.2bn. 'Over the next ten years, state-of-the-art computer systems will be installed across the NHS. Once the work is complete, those systems will, for the first time, connect more than 117,000 doctors, 397,000 nurses and 128,900 other healthcare professions in England'. The improvement of services through the application of ICT surrounds our everyday life, whether at the bank, in supermarkets or in the entertainment industry. Whilst major technological advances have taken place in medical imaging, diagnosis, treatment and surgery, the same level of advancement in information and communication management, across the whole organization, has proved far more elusive. The concept of the Electronic Patient Record (EPR) in the NHS was first introduced to readers of this journal in 2000. The idea of using information management and technology to ease the burden on NHS staff had been developing for years, with some success in what Brennan described as 'pockets of excellence', but on the whole these initiatives had not achieved the revolutionary change sought and were regarded as a 'frustrating failure'. The Department of Health (DH) therefore seconded Frank Burns from one of the successful EPR sites, Wirral NHS Trust, to develop a strategy to take the NHS towards the vision of an integrated, computer-savvy health service. Three years later, Brennan was back in these pages with an update. The vision of Information for Health and its spin-offs had led to disappointment, missed targets and, ultimately a major re-think. Apart from the failings of Information for Health, the DH was also having to respond to a number of other influential publications; Building the Information Core: Implementing the NHS Plan, Jan 2001; Delivering the NHS Plan; and

  10. Accreditation of Library and Information Science Programmes in the Gulf Cooperation Council Nations

    ERIC Educational Resources Information Center

    Rehman, Sajjad ur

    2012-01-01

    This paper investigates the accreditation possibilities and prospects for the library and information science education programmes located in the six member nations of the Gulf Cooperation Council. This paper has been based on the findings of a study focused on the evaluation practices of these programmes and the perceptions of the leading…

  11. Front-Line Advocacy: Fighting Off a Voucher Measure

    ERIC Educational Resources Information Center

    Grimesey, Robert P., Jr.

    2012-01-01

    In September 2010, the U.S. Senate's Armed Services Committee approved an amendment to the proposed National Defense Authorization Act. The amendment, known as Section 583, authorized a Defense Department pilot voucher program to mitigate the cost of private school tuition for special-needs children of military parents. Sen. Jim Webb, a member of…

  12. Book Vouchers: An Exploratory Analysis of Their Use and Effectiveness

    ERIC Educational Resources Information Center

    Hurley, Peter M.

    2011-01-01

    Book vouchers serve as one component of need-based financial aid packages at the College of Southern Nevada (CSN), one of the nation's largest community colleges. This study compared the academic performance of Free Application for Federal Student Aid (FAFSA) applicants in attendance at CSN during the 2008-09 and 2009-10 academic years. A basic…

  13. Individual-level outcomes from a national clinical leadership development programme.

    PubMed

    Patton, Declan; Fealy, Gerard; McNamara, Martin; Casey, Mary; Connor, Tom O; Doyle, Louise; Quinlan, Christina

    2013-08-01

    A national clinical leadership development programme was instituted for Irish nurses and midwives in 2010. Incorporating a development framework and leadership pathway and a range of bespoke interventions for leadership development, including workshops, action-learning sets, mentoring and coaching, the programme was introduced at seven pilot sites in the second half of 2011. The programme pilot was evaluated with reference to structure, process and outcomes elements, including individual-level programme outcomes. Evaluation data were generated through focus groups and group interviews, individual interviews and written submissions. The data provided evidence of nurses' and midwives' clinical leadership development through self and observer-reported behaviours and dispositions including accounts of how the programme participants developed and displayed particular clinical leadership competencies. A key strength of the new programme was that it involved interventions that focussed on specific leadership competencies to be developed within the practice context.

  14. Individual-level outcomes from a national clinical leadership development programme.

    PubMed

    Patton, Declan; Fealy, Gerard; McNamara, Martin; Casey, Mary; Connor, Tom O; Doyle, Louise; Quinlan, Christina

    2013-08-01

    A national clinical leadership development programme was instituted for Irish nurses and midwives in 2010. Incorporating a development framework and leadership pathway and a range of bespoke interventions for leadership development, including workshops, action-learning sets, mentoring and coaching, the programme was introduced at seven pilot sites in the second half of 2011. The programme pilot was evaluated with reference to structure, process and outcomes elements, including individual-level programme outcomes. Evaluation data were generated through focus groups and group interviews, individual interviews and written submissions. The data provided evidence of nurses' and midwives' clinical leadership development through self and observer-reported behaviours and dispositions including accounts of how the programme participants developed and displayed particular clinical leadership competencies. A key strength of the new programme was that it involved interventions that focussed on specific leadership competencies to be developed within the practice context. PMID:24099226

  15. Tracing It Back: Identifying the Impact of a Trans-National Language Teacher Education Programme on Classroom Practice

    ERIC Educational Resources Information Center

    Macalister, John

    2016-01-01

    Language teacher education programmes can be viewed as "change" programmes, particularly in their endeavours to re-shape cognition. However, often such programmes are found to be relatively ineffective in this regard. As a means of facilitating the desired change, trans-national language teacher education programmes, in which students…

  16. Nutrition advocacy and national development: the PROFILES programme and its application.

    PubMed Central

    Burkhalter, B. R.; Abel, E.; Aguayo, V.; Diene, S. M.; Parlato, M. B.; Ross, J. S.

    1999-01-01

    Investment in nutritional programmes can contribute to economic growth and is cost-effective in improving child survival and development. In order to communicate this to decision-makers, the PROFILES nutrition advocacy and policy development programme was applied in certain developing countries. Effective advocacy is necessary to generate financial and political support for scaling up from small pilot projects and maintaining successful national programmes. The programme uses scientific knowledge to estimate development indicators such as mortality, morbidity, fertility, school performance and labour productivity from the size and nutritional condition of populations. Changes in nutritional condition are estimated from the costs, coverage and effectiveness of proposed programmes. In Bangladesh this approach helped to gain approval and funding for a major nutrition programme. PROFILES helped to promote the nutrition component of an early childhood development programme in the Philippines, and to make nutrition a top priority in Ghana's new national child survival strategy. The application of PROFILES in these and other countries has been supported by the United States Agency for International Development, the United Nations Children's Fund, the World Bank, the Asian Development Bank, the Micronutrient Initiative and other bodies. PMID:10361758

  17. Cultural Voucher Program; Program Abstract.

    ERIC Educational Resources Information Center

    Museums Collaborative, Inc., New York, NY.

    A description of the Museums Collaborative Voucher Program, a system through which cultural institutions conduct programs with large, heterogeneous, adult populations in New York City is provided in this paper. The program began with two goals: to broaden the audience served by New York City's cultural institutions and to provide the institutions…

  18. Charters, Vouchers, and Public Education.

    ERIC Educational Resources Information Center

    Peterson, Paul E., Ed.; Campbell, David E., Ed.

    This book presents 15 papers on charters, vouchers, and public education: (1) "Introduction: A New Direction in Public Education?" (Paul E. Peterson and David E. Campbell); (2) "Charter Schools: Taking Stock" (Chester E. Finn, Jr, Bruno V. Manno, and Gregg Vanourek); (3) "School Choice in Michigan" (Michael Mintrom and David N. Plank); (4)…

  19. National tuberculosis programme review: experience over the period 1990-95.

    PubMed Central

    Pio, A.; Luelmo, F.; Kumaresan, J.; Spinaci, S.

    1997-01-01

    Since 1990 the WHO Global Tuberculosis Programme (GTB) has promoted the revision of national tuberculosis programmes to strengthen the focus on directly observed treatment, short-course (DOTS) and close monitoring of treatment outcomes. GTB has encouraged in-depth evaluation of activities through a comprehensive programme review. Over the period 1990-95, WHO supported 12 such programme reviews. The criteria for selection were as follows: large population (Bangladesh, Brazil, China, Ethiopia, India, Indonesia, Mexico, and Thailand); good prospects of developing a model programme for a region (Nepal, Zimbabwe); or at advanced stage of implementation of a model programme for a region (Guinea, Peru). The estimated combined incidence of smear-positive pulmonary tuberculosis was 82 per 100,000 population, about 43% of the global incidence. The prevalence of infection with human immunodeficiency virus (HIV) was variable, being very high in Ethiopia and Zimbabwe, but negligible in Bangladesh, China, Nepal and Peru. The programme reviews were conducted by teams of 15-35 experts representing a wide range of national and external institutions. After a 2-3-month preparatory period, the conduct of the review usually lasted 2-3 weeks, including a first phase of meetings with authorities and review of documents, a second phase for field visits, and a third phase of discussion of findings and recommendations. The main lessons learned from the programme reviews were as follows: programme review is a useful tool to secure government commitment, reorient the tuberculosis control policies and replan the activities on solid grounds; the involvement of public health and academic institutions, cooperating agencies, and nongovernmental organizations secured a broad support to the new policies; programme success is linked to a centralized direction which supports a decentralized implementation through the primary health care services; monitoring and evaluation of case management functions

  20. Issues in Business Education Programme: Challenges to National Transformation

    ERIC Educational Resources Information Center

    Ajisafe, Olatunbosun Emmanuel; Bolarinwa, Kayode Omotayo; Tuke, Edeh

    2015-01-01

    Transformation engenders change, and change denotes a departure from the old order to a new one. National transformation therefore implies fundamental change in the building block of a nation; change in the social, economic, infrastructural and political landscape of a nation. For transformation to be achieved, it must encompass all levels of…

  1. On Thin Ice: How Advocates and Opponents Could Misread the Public's Views on Vouchers and Charter Schools.

    ERIC Educational Resources Information Center

    Farkas, Steve; Johnson, Jean; Foleno, Anthony

    This study explored public opinion with regard to educational vouchers and charter schools. It summarizes findings from an in-depth national survey conducted in 1999 of 1,200 members of the public, including 394 parents of school-age children. The study also examined parents' attitudes in several areas where vouchers and charter schools are now…

  2. Peaceful Uses for Tuition Vouchers: Looking Back and Looking Forward.

    ERIC Educational Resources Information Center

    Lines, Patricia M.

    This paper reviews the theoretical basis for educational voucher proposals, the various types of vouchers proposed, and the experience that has been had with voucher systems so far. The paper looks first at the claims made by voucher supporters that vouchers will redistribute political and economic power and simplify the administration of…

  3. National programme of official control of animal feedingstuffs under surveillance of veterinary inspection in Poland.

    PubMed

    Kwiatek, K

    2004-01-01

    Poland as a new EC country is obliged in agree with Directive 95/53/EC to drawn up one, coherent and coordinated national programme of official inspection, irrespective of the organisational structure, and the number of inspection authorities in a country. Taking these facts into account the author has worked out the Polish National Programme of an official control conducted by the Veterinary Inspection in the field of animal feedingstuffs sector in Poland. The objective of the programme is to lay down the substantive scope of official inspections and laboratory control testing of animal feedingstuffs, appropriate for the surveillance exercised by the Veterinary Inspection. The programme is under implementation process which has begun in 2004. PMID:15478870

  4. The Commercial Market For Priority Review Vouchers.

    PubMed

    Ridley, David B; Régnier, Stephane A

    2016-05-01

    In 2007 the US Congress created the priority review voucher program to encourage the development of drugs for neglected diseases. Under the program, the developer of a drug that treats a neglected disease receives both a faster review of the drug by the Food and Drug Administration and a voucher for a faster review of a different drug. The developer can sell the voucher. We estimated the commercial value of the voucher using US sales of new treatments approved in the period 2007-09. A third of the commercial value of a voucher comes from capturing market share from competitors, nearly half from the value of earlier sales because of the expedited review, and less than a quarter from lengthening the time between approval and the launch of a generic competitor. We estimate that if only one priority review voucher is available in a year, it will be worth more than $200 million, but if four vouchers are available, the value could fall below $100 million. Congress should be cautious about expanding the voucher program, because increasing the number of vouchers sharply decreases the expected price. Lower voucher prices could undermine the incentive to develop new medicines for neglected diseases.

  5. The Commercial Market For Priority Review Vouchers.

    PubMed

    Ridley, David B; Régnier, Stephane A

    2016-05-01

    In 2007 the US Congress created the priority review voucher program to encourage the development of drugs for neglected diseases. Under the program, the developer of a drug that treats a neglected disease receives both a faster review of the drug by the Food and Drug Administration and a voucher for a faster review of a different drug. The developer can sell the voucher. We estimated the commercial value of the voucher using US sales of new treatments approved in the period 2007-09. A third of the commercial value of a voucher comes from capturing market share from competitors, nearly half from the value of earlier sales because of the expedited review, and less than a quarter from lengthening the time between approval and the launch of a generic competitor. We estimate that if only one priority review voucher is available in a year, it will be worth more than $200 million, but if four vouchers are available, the value could fall below $100 million. Congress should be cautious about expanding the voucher program, because increasing the number of vouchers sharply decreases the expected price. Lower voucher prices could undermine the incentive to develop new medicines for neglected diseases. PMID:27140982

  6. The Impact of the National Newborn Hearing Screening Programme on Educational Services in England

    ERIC Educational Resources Information Center

    McCracken, Wendy; Young, Alys; Tattersall, Helen; Uus, Kai; Bamford, John

    2005-01-01

    This article presents results related to the impact on educational support services of the introduction of the first phase of the national Newborn Hearing Screening Programme (NHSP) in England. This study was funded by the Department of Health and undertaken as one element of a national evaluation of NHSP across a range of domains. It presents…

  7. [Does the National HIV /AIDS Control programme provide support for district hospitals in Cameroon?].

    PubMed

    Keugoung, Basile; Fotsing, Richard; Macq, Jean; Buve, Anne; Marchal, Bruno; Meli, Jean; Criel, Bart

    2015-01-01

    The aim of this study was to investigate the effects of the national HIV/AIDS control programme on district hospitals in Cameroon. A multiple case study was conducted in two district hospitals- one public and one faith-based. Data were collected by document review, semi-structured interviews and observation of managerial processes and health care delivery. Programme interventions result in a series of positive and negative effects on the functioning of district hospitals and local health systems. High input and support of staff skills were observed for antiretroviral therapy and the management of opportunistic infections. However, the impact of the programme on the stewardship function is problematic. The low implication of district management teams in the implementation of HIV /AIDS activities reduces their structural capacity to run the local health systems. Programme and health system managers failed to take advantage of opportunities to develop synergies between the HIV/AIDS programme and local health systems. The HIV/AIDS programme weakens the systemic and structural capacity of local health systems. Managers of both programmes and general health systems should analyse and adapt their interventions in order to effective' strengthen health systems. One of the research questions is to understand why health system stakeholders do not seize opportunities to develop synergies between programmes and the general system and to strengthen health systems.

  8. Privatization And Vouchers In Colombia And Chile

    NASA Astrophysics Data System (ADS)

    Arenas, Alberto

    2004-07-01

    The voucher model of financing schooling is becoming increasingly common throughout Latin America, with at least 12 countries using vouchers or voucher-like schemes. The present study focuses on the voucher models of Colombia and Chile, which have the most extensive programs of this type and those of the longest standing in the region. Using empirical evidence, the author compares the two models along four evaluative dimensions: educational quality, segregation, choice and socialization. After weighing the successes and weaknesses of each system, he concludes that, among other characteristics, the most effective and equitable voucher model features: (a) a flexible interpretation of educational quality; (b) financial grants which target solely the poor; (c) vouchers which cover the entire cost of tuition; (d) open enrolment at participating schools; (e) the participation of both secular and religious private schools; (f) accessible and meaningful information to parents; and (g) strong systems of accountability.

  9. The Environment Programme for the Whole of the United Nations 1990-95: 13 Broad Programmes, Emphasizing Research, Assessment, Technical Assistance and Training.

    ERIC Educational Resources Information Center

    UNEP News, 1988

    1988-01-01

    Lists titles of 31 environmental programs over 13 broad categories including terrestrial ecosystems, oceans, health and welfare, and energy, industry and transportation. Describes the general objectives, implementing agencies, and the role of UNEP (United Nations Environment Programme). (YP)

  10. Why Indiana Voucher Parents Choose Private Schools

    ERIC Educational Resources Information Center

    Friedman Foundation for Educational Choice, 2014

    2014-01-01

    In 2011, Indiana enacted the broadest school voucher program in the country. In the program's first year, almost 4,000 families used vouchers to attend participating private schools, with the number of students applying for vouchers more than doubling in each of the following two years, to 9,324 students in 2012-13, and 19,809 in 2013-14. The…

  11. Why vouchers matter in botanical research1

    PubMed Central

    Culley, Theresa M.

    2013-01-01

    What is a voucher and why is it important in research? As a preserved specimen of an identified taxon deposited in a permanent and accessible storage facility, the voucher serves as the supporting material for published studies of the taxon and ensures that the science is repeatable. Vouchers are crucial in authenticating the taxonomy of an organism, as a tool for identifying localities of the taxon, and for additional taxonomic, genetic, ecological, and/or environmental research. PMID:25202501

  12. Reaching targets in the national cervical screening programme: are current practices unethical?

    PubMed Central

    Foster, P; Anderson, C M

    1998-01-01

    The principle of informed consent is now well established within the National Health Service (NHS) in relation to any type of medical treatment. However, this ethical principle appears to be far less well established in relation to medical screening programmes such as Britain's national cervical screening programme. This article will critically examine the case for health care providers vigorously pursuing women to accept an invitation to be screened. It will discuss the type of information which women would need in order to make an informed decision about whether or not to be screened. The lack of such information in current patient leaflets on the "smear test" will then be documented. Finally, the article will explore possible ways of maximising women's autonomy in relation to the cervical screening programme without sacrificing any of its main benefits. PMID:9650108

  13. The State of the World Environment, 1987. United Nations Environment Programme.

    ERIC Educational Resources Information Center

    United Nations Environment Programme, Nairobi (Kenya).

    One of the main activities assigned to the Governing Council of the United Nations Environment Programme (UNEP) is to review the world environmental situation to insure that emerging environmental problems of wide international significance receive appropriate and adequate consideration by governments. Accordingly, UNEP has assessed the state of…

  14. Malaysia. National Studies. Asia-Pacific Programme of Education for All.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This study examines the work of the Asia-Pacific Programme of Education for All (APPEAL) since its 1987 inception. Efforts to assess educational achievement at the local, regional, and national levels in Malaysia are examined with a view to achieving universal primary education; eradicating illiteracy; and providing continuing education in support…

  15. Perceived Effects of the Malaysian National Tobacco Control Programme on Adolescent Smoking Cessation: A Qualitative Study

    PubMed Central

    Hizlinda, Tohid; Noriah, Mohd Ishak; Noor Azimah, Muhammad; Farah Naaz, Momtaz Ahmad; Anis Ezdiana, Abdul Aziz; Khairani, Omar

    2012-01-01

    Background: The prevalence of teenage smoking has decreased over the past decade following the implementation of the national tobacco control programme. However, the effect of the programme on smoking cessation in teenagers has not been determined. Methods: Twenty-eight participants (12 teenagers, 8 teachers, and 8 doctors) were interviewed using 5 in-depth interviews and 3 group discussions. Social cognitive theory (SCT) was applied as the theoretical framework. Semi-structured interview protocols were used, and thematic analysis and analytic generalisation utilising SCT were performed. Results: The current national tobacco control programme was found to be ineffective in promoting smoking cessation among teenagers. The participants attributed the ineffective campaign to the followings: inadequacy of message content, lack of exposure to the programme, and poor presentation and execution. In addition, the participants perceived the developed tobacco control policies to be a failure based on poor law enforcement, failure of retailers to comply with the law, social availability of cigarettes to teenagers, and easy availability of cheap, smuggled cigarettes. This study highlighted that the programme-related problems (environmental factors) were not the only factors contributing to its perceived ineffectiveness. The cunning behaviour of the teenagers (personal factor) and poor self-efficacy to overcome nicotine addiction (behavioural factor) were also found to hinder cessation. Conclusion: Tobacco control programmes should include strategies beyond educating teenagers about smoking and restricting their access to cigarettes. Strategies to manage the cunning behaviour of teenagers and strategies to improve their self-efficacy should also be implemented. These comprehensive programmes should have a foundation in SCT, as this theory demonstrates the complex interactions among the environmental, personal, and behavioural factors that influence teenage smoking. PMID

  16. What Is the Verdict on School Vouchers?

    ERIC Educational Resources Information Center

    McCarthy, Martha M.

    2000-01-01

    The central federal question surrounding vouchers is whether participation of sectarian schools violates the First Amendment's Establishment clause. The U.S. Supreme Court, through its interpretation of the federal Constitution, may have the final word in determining voucher proposals' future. Litigation in Cleveland, Milwaukee, Vermont, and Maine…

  17. Administrative Costs of Education Voucher Programs.

    ERIC Educational Resources Information Center

    Hill, Paul T.

    This paper focuses on the administrative costs of vouchers programs. It considers the tasks that public and private agencies must undertake and estimates the administrative burdens and cash flow that local programs create. It assumes that all voucher programs, including those meant in part to reduce overcrowding, will be voluntary. The paper…

  18. Vouchers--An Illusion of Choice.

    ERIC Educational Resources Information Center

    Ferguson, Janet M.

    2002-01-01

    Vouchers have been touted as a means to give parents more choice in their child's education, with the rationale that this choice will improve their child's chances of succeeding in school. Studies have produced mixed and inconclusive results. Critics argue that only the more motivated and higher income families will use the vouchers, thus…

  19. Vouchers and the Provision of Public Services.

    ERIC Educational Resources Information Center

    Steuerle, C. Eugene, Ed.; Ooms, Van Doorn, Ed.; Peterson, George E., Ed.; Reischauer, Robert D., Ed.

    Studies in this volume provide a comprehensive examination of the use of vouchers. The contributions to this book examine a variety of applications in such areas as education, child care, employment training, housing, food, and health care, and they discuss the dimensions along which vouchers should be compared to alternative delivery mechanisms.…

  20. Mitchell v. Helms: Implications for Vouchers.

    ERIC Educational Resources Information Center

    Gittins, Naomi E., Ed.

    2000-01-01

    This issue deals with the Supreme Court's recent decision in "Mitchell v. Helms" that is viewed by many as additional legal fire power for voucher proponents in the battle over the constitutionality of such programs. The discussion attempts to sort out how the High Court's decision may affect the future of voucher programs. Specifically, the Court…

  1. National Report France: The French Balloon Programme 2013-2016

    NASA Astrophysics Data System (ADS)

    Dubourg, V.; Vassaux, D.; Vargas, A.; Cocquerez, P.; Louvel, S.; Douchin, F.; Saccocio, M.; Mirc, F.

    2015-09-01

    With over 50 years' experience in the field, the French Centre National dEtudes Spatiales (CNES) goes on supporting a significant scientific ballooning program. In particular so because balloons still give a unique access to near space science. Over the past 6 years, most of the systems, beginning by the Zero Pressure Balloons, had to be renewed to comply with more stringent Safety constraints and to growing performance and reliability requirements from the scientific missions. This paper will give an overview of the CNES new capabilities and services for operational balloon activities, and their availability status. The scientific launch campaigns of the past two years will be presented. A focus will be made on the results of the Stratoscience 2014 flight campaign from Timmins, Ontario, using the NOSYCA command and control system for zero pressure balloons, qualified in 2013. The ChArMEx campaign (Chemistry-AeRosol Mediterranean Experiment) performed in 2013 from the Baleares islands and from the south of France, with Boundary Layer Pressurized Balloons will also be presented as well as the LOAC-VOLTAIRE experiment, carried out from Aire-sur-l'Adour (France), through the flights of 20 instrumented light expandable balloons. An outlook of the new stratospheric long duration flight systems currently studied at CNES will be given. The scientific launch campaigns and the main payloads in the study for the near future will also be presented.

  2. The United Nations development programme initiative for sustainable energy

    SciTech Connect

    Hurry, S.

    1997-12-01

    Energy is central to current concerns about sustainable human development, affecting economic and social development; economic growth, the local, national, regional, and global environment; the global climate; a host of social concerns, including poverty, population, and health, the balance of payments, and the prospects for peace. Energy is not an end in itself, but rather the means to achieve the goals of sustainable human development. The energy systems of most developing countries are in serious crisis involving insufficient levels of energy services, environmental degradation, inequity, poor technical and financial performance, and capital scarcity. Approximately 2.5 billion people in the developing countries have little access to commercial energy supplies. Yet the global demand for energy continues to grow: total primary energy is projected to grow from 378 exajoules (EJ) per year in 1990 to 571 EJ in 2020, and 832 EJ in 2050. If this increase occurs using conventional approaches and energy sources, already serious local (e.g., indoor and urban air pollution), regional (eg., acidification and land degradation), and global (e.g., climate change) environmental problems will be critically aggravated. There is likely to be inadequate capital available for the needed investments in conventional energy sources. Current approaches to energy are thus not sustainable and will, in fact, make energy a barrier to socio-economic development. What is needed now is a new approach in which energy becomes an instrument for sustainable development. The two major components of a sustainable energy strategy are (1) more efficient energy use, especially at the point of end-use, and (2) increased use of renewable sources of energy. The UNDP Initiative for Sustainable Energy (UNISE) is designed to harness opportunities in these areas to build upon UNDP`s existing energy activities to help move the world toward a more sustainable energy strategy by helping program countries.

  3. Advanced energy systems and technologies - National R and D programme

    NASA Astrophysics Data System (ADS)

    Lund, P. D.

    1992-08-01

    The energy R and D in Finland is accomplished through the energy research programs of the Ministry of Trade and Industry. Today there are some 12 R and D programs in operation covering the various aspects of the energy sector. The NEMO-program deals with advanced new energy technologies and systems. The NEMO-program was launched in 1988 and it ends at the end of 1992. Helsinki University of Technology has been responsible for the coordination and most of the universities, research centers, and companies on new advanced energy technologies have been involved in the realization of NEMO. The objectives of the program have been to assess the potential of new technologies in the Finnish energy supply system, encourage and support businesses, and to create necessary research tradition in Finland. At the beginning in year 1988, several new technologies were included, but as the knowledge has increased, focusing on the most promising fields has taken place. Wind and solar energy show the best promises in respect to business activities and possibilities for utilization in Finland. Energy storage some other advanced technologies such as fuel cells and hydrogen technologies represented in the NEMO-program have an important role, but the commercial applications lie more distant in the future. The NEMO-program has reached its objectives. The international evaluation in fall 1990 gave very positive feedback and the scientific quality of the work was found good. At the same time, the contents was still focused more on commercial applications to support national industries in the field. The descriptions of the ongoing NEMO research projects are included in this report.

  4. Prevention indicators for evaluating the progress of national AIDS programmes.

    PubMed

    Mertens, T; Caraël, M; Sato, P; Cleland, J; Ward, H; Smith, G D

    1994-10-01

    Major interventions to reduce HIV transmission involve increasing knowledge about preventing HIV transmission for sustained behavioral changes; and enhancing the control of sexually transmitted diseases (STD), which increase the probability of HIV transmission. Activities have also been developed to prevent the transmission of HIV by blood, donor selection, and more rational use of transfusions. Behavioral changes among injecting drug users have also been promoted. Recommendations are made for the evaluation of AIDS programs, focusing on prevention of sexual transmission of HIV, and outlining the approach developed by the Global Program on AIDS (GPA; Geneva, Switzerland) for use by national programs. Based on the feasibility, accuracy, reliability and validity of the quantitative assessment of programs, 10 indicators of progress and outcomes of prevention activities have been developed by GPA. These include indicators of population knowledge regarding preventive practices, reported sexual behavior and use of condoms in the general population, STD service evaluation, and indicators of program impact. The latter are measured through the reported STD incidence in the general male population, and syphilis and HIV prevalence in women. The four methods are proposed for measuring the 10 core prevention indicators (PI). Five PIs are measured during a population survey: reported knowledge of preventive practices (PI-1), condom availability at peripheral level (PI-3), reported frequency of nonregular sexual partners (PI-4), reported condom use during nonregular sexual encounters (PI-5), and reported STD incidence among men (PI-9). Condom availability at central level (PI-2) is assessed through key-informant interviews with major distributors. Structured health facility surveys allow assessment of the appropriateness of STD case management (PI-6 and PI-7). A serosurvey among antenatal clinic attenders aged 15-24 years allows the measurement of HIV and syphilis seroprevalence

  5. The Voucher Movement as a Freedom of Choice Issue.

    ERIC Educational Resources Information Center

    Picus, Larry

    After describing the history of the educational voucher movement, this paper briefly discusses the various voucher models that have been proposed and considers some of the issues for and against the establishment of voucher systems. Tracing the voucher concept back to Adam Smith, Thomas Paine, and John Stuart Mill, the author notes that after the…

  6. Some Thoughts on the Evaluation of the Chilean Voucher System

    ERIC Educational Resources Information Center

    Sapelli, Claudio

    2010-01-01

    Many papers describe the Chilean voucher system as the "textbook" voucher case. But this is mistaken and has prevented research to undertake the key question of how the particular design of the Chilean voucher system determines the results obtained in Chile. This also prevents discussion of how a voucher system with a different design could lead…

  7. National Tuberculosis Programme in Romania 1997-2000: how it works.

    PubMed

    Ditiu, L

    1999-11-01

    Romania displays one of the highest epidemiological parameters of tuberculosis among European countries: the incidence reached 113.3 per 100,000 in 1998, the prevalence of chronic cases was 18.9 and mortality 11.5 per 100,000 in 1996. A National Tuberculosis Programme aimed at decreasing the present burden of the disease has been elaborated according to the WHO strategy in 1997 and for its implementing. The National Committee on Pneumophtisiology and the Central Unit of the National Institute of Pneumophtisiology were made responsible. Tuberculosis managers and supervisors were nominated in each of the 48 counties and a total of 18,000 family doctors were involved in this programme at the primary health care level. Tuberculosis has been declared the second health priority in Romania and the following budget providers for its effective control were acquired: Ministry of Health, World Bank, Open Society Foundation, Funds of Romania and World Health Organization. The following achievements can be mentioned so far: A technical manual on the National Programme has been published, WHO modules on DOTS strategy were translated into Romanian, a training course on the WHO-DOTS strategy was organized for tuberculosis managers and laboratory chiefs, a pilot project on the WHO-DOTS strategy started in lasi, first control visits in counties and pneumophtisiologists were implemented, training for family doctors was organized and a project for health education with video shots was presented on the national TV channel. PMID:10659380

  8. National Tuberculosis Programme in Romania 1997-2000: how it works.

    PubMed

    Ditiu, L

    1999-11-01

    Romania displays one of the highest epidemiological parameters of tuberculosis among European countries: the incidence reached 113.3 per 100,000 in 1998, the prevalence of chronic cases was 18.9 and mortality 11.5 per 100,000 in 1996. A National Tuberculosis Programme aimed at decreasing the present burden of the disease has been elaborated according to the WHO strategy in 1997 and for its implementing. The National Committee on Pneumophtisiology and the Central Unit of the National Institute of Pneumophtisiology were made responsible. Tuberculosis managers and supervisors were nominated in each of the 48 counties and a total of 18,000 family doctors were involved in this programme at the primary health care level. Tuberculosis has been declared the second health priority in Romania and the following budget providers for its effective control were acquired: Ministry of Health, World Bank, Open Society Foundation, Funds of Romania and World Health Organization. The following achievements can be mentioned so far: A technical manual on the National Programme has been published, WHO modules on DOTS strategy were translated into Romanian, a training course on the WHO-DOTS strategy was organized for tuberculosis managers and laboratory chiefs, a pilot project on the WHO-DOTS strategy started in lasi, first control visits in counties and pneumophtisiologists were implemented, training for family doctors was organized and a project for health education with video shots was presented on the national TV channel.

  9. Assessing the Higher National Diploma Chemical Engineering programme in Ghana: students' perspective

    NASA Astrophysics Data System (ADS)

    Boateng, Cyril D.; Cudjoe Bensah, Edem; Ahiekpor, Julius C.

    2012-05-01

    Chemical engineers have played key roles in the growth of the chemical and allied industries in Ghana but indigenous industries that have traditionally been the domain of the informal sector need to be migrated to the formal sector through the entrepreneurship and innovation of chemical engineers. The Higher National Diploma Chemical Engineering programme is being migrated from a subject-based to a competency-based curriculum. This paper evaluates the programme from the point of view of students. Data were drawn from a survey conducted in the department and were analysed using SPSS. The survey involved administering questionnaires to students at all levels in the department. Analysis of the responses indicated that the majority of the students had decided to pursue chemical engineering due to the career opportunities available. Their knowledge of the programme learning outcomes was, however, poor. The study revealed that none of the students was interested in developing indigenous industries.

  10. Generating Quitline calls during Australia's National Tobacco Campaign: effects of television advertisement execution and programme placement

    PubMed Central

    Carroll, T; Rock, B

    2003-01-01

    Objective: The study sought to measure the relative efficiency of different television advertisements and types of television programmes in which advertisements were placed, in generating calls to Australia's national Quitline. Design: The study entailed an analysis of the number of calls generated to the Quitline relative to the weight of advertising exposure (in target audience rating points (TARPs) for particular television advertisements and for placement of these advertisements in particular types of television programmes. A total of 238 television advertisement placements and 1769 calls to the Quitline were analysed in Sydney and Melbourne. Results: The more graphic "eye" advertisement conveying new information about the association between smoking and macular degeneration leading to blindness was more efficient in generating quitline calls than the "tar" advertisement, which reinforced the message of tar in a smoker's lungs. Combining the health effects advertisements with a quitline modelling advertisement tended to increase the efficiency of generating Quitline calls. Placing advertisements in lower involvement programmes appears to provide greater efficiency in generating Quitline calls than in higher involvement programmes. Conclusions: Tobacco control campaign planners can increase the number of calls to telephone quitlines by assessing the efficiency of particular advertisements to generate such calls. Pairing of health effect and quitline modelling advertisements can increase efficiency in generating calls. Placement of advertisements in lower involvement programme types may increase efficiency in generating Quitline calls. PMID:12878772

  11. The Appeal of Vouchers for Failing Large City School Districts: Voting in Congress on Two Very Different Voucher Proposals

    ERIC Educational Resources Information Center

    Kenny, Lawrence W.

    2010-01-01

    Virtually all voucher programs in the United States limit vouchers to a large struggling city such as Cleveland, Milwaukee, or the District of Columbia. This study examines the votes cast by 188 Republicans in the U.S. House of Representatives who cast votes on (a) a nationwide voucher plan in 2001 and (b) a 2003 proposal for vouchers for DC. This…

  12. Impact of Voucher Design on Public School Performance: Evidence from Florida and Milwaukee Voucher Program. Working Paper #09-03

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2009-01-01

    This paper examines the impact of vouchers in general and voucher design in particular on public school performance. It argues that all voucher programs are not created equal. There are often fundamental differences in voucher designs that affect public school incentives differently and induce different responses from them. It analyzes two voucher…

  13. Impact of Voucher Design on Public School Performance: Evidence from Florida and Milwaukee Voucher Programs. Staff Report No. 315

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2008-01-01

    This paper examines the impact of vouchers in general and voucher design in particular on public school performance. It argues that all voucher programs are not created equal. There are often fundamental differences in voucher designs that affect public school incentives differently and induce different responses from them. It analyzes two voucher…

  14. Factors affecting defaulting from DOTS therapy under the national programme of tuberculosis control in Alexandria, Egypt.

    PubMed

    El-Din, M Nour; Elhoseeny, T; Mohsen, A M M A

    2013-02-01

    This unmatched case-control study aimed to identify factors affecting default from therapy under the national programme of TB control in Alexandria, Egypt. Record reviews and structured interviews were made with 57 defaulters and 187 randomly selected controls. Univariate analysis showed 13 out of 54 factors, investigated were significantly associated with defaulting and, after stepwise logistic regression, 5 factors remained in the model: younger age (adjusted OR = 0.16), rural area of residence (OR = 12.9), long waiting times (OR = 5.81), poor physician-patient communication (OR = 3.06) and fear of information leakage (OR = 3.62). Reasons cited by defaulters included long distance to the clinic, unsuitable clinic times and long waiting times. The main factors associated with defaulting from the national programme of TB control in Alexandria, Egypt were service-related factors, which are amenable to improvement.

  15. UNAIDS says sex education does not promote promiscuity. Joint United Nations Programme on HIV/AIDS.

    PubMed

    1997-11-28

    A review of 68 studies from around the world commissioned by the Joint United Nations Programme on HIV/AIDS determined that providing children with sex education does not promote promiscuity. The most effective prevention education programs are those that foster open communication regarding sex, negotiation skills, social and media influences, and safer sex methods. Zimbabwe was cited as a country with an effective prevention educational program.

  16. Evaluation of the national control of diarrhoeal disease programme in the Philippines, 1980-93.

    PubMed Central

    Baltazar, Jane C.; Nadera, Dinah P.; Victora, Cesar G.

    2002-01-01

    OBJECTIVE: To evaluate the impact of the National Control of Diarrhoeal Disease Programme (NCDDP) in the Philippines over the period 1980-93, describing levels and trends in programme activities, and relating them to severe diarrhoea morbidity and mortality among under-5-year-olds. METHODS: Routinely collected data on morbidity and mortality trends were obtained from health statistics reports of the Health Intelligence Service and the NCDDP. Socioeconomic indicators, including annual average family income and expenditures, gross national product, and unemployment rates, were derived from the Philippine population census data collected by the National Statistics Office. FINDINGS: In relation to baseline levels, diarrhoea mortality among infants and young children fell by about 5% annually over the 18-year period under review. The decline was faster than those related to acute respiratory infections (ARIs) among children of similar age and to perinatal causes. Diarrhoea hospital admission rates registered an annual decline of 2.4% relative to the baseline level. CONCLUSION:These findings suggest that the programme had a substantial impact; the period under review also witnessed some degree of improvement in other factors with positive influences on health, such as exclusive breastfeeding, nutrition and environmental sanitation. The quality, particularly completeness and reliability, of the existing data did not allow further analysis, thus, making it difficult to conclude beyond doubt that the observed trends indicate that they were solely due to NCDDP. PMID:12219155

  17. Levels of cardiovascular disease risk factors in Singapore following a national intervention programme.

    PubMed Central

    Cutter, J.; Tan, B. Y.; Chew, S. K.

    2001-01-01

    OBJECTIVE: To evaluate the impact of the National Healthy Lifestyle Programme, a noncommunicable disease intervention programme for major cardiovascular disease risk factors in Singapore, implemented in 1992. METHODS: The evaluation was carried out in 1998 by the Singapore National Health Survey (NHS). The reference population was 2.2 million multiracial Singapore residents, 18-69 years of age. A population-based survey sample (n = 4723) was selected by disproportionate stratified and systematic sampling. Anthropometric and blood pressure measurements were carried out on all subjects and blood samples were taken for biochemical analysis. FINDINGS: The 1998 results suggest that the National Healthy Lifestyle Programme significantly decreased regular smoking and increased regular exercise over 1992 levels and stabilized the prevalence of obesity and diabetes mellitus. However, the prevalence of high total blood cholesterol and hypertension increased. Ethnic differences in the prevalence of diabetes mellitus, hypertension, and smoking; and in lipid profile and exercise levels were also observed. CONCLUSION: The intervention had mixed results after six years. Successful strategies have been continued and strengthened. PMID:11693972

  18. National programmes for validating physician competence and fitness for practice: a scoping review

    PubMed Central

    Horsley, Tanya; Lockyer, Jocelyn; Cogo, Elise; Zeiter, Jeanie; Bursey, Ford; Campbell, Craig

    2016-01-01

    Objective To explore and categorise the state of existing literature for national programmes designed to affirm or establish the continuing competence of physicians. Design Scoping review. Data sources MEDLINE, ERIC, Sociological Abstracts, web/grey literature (2000–2014). Selection Included when a record described a (1) national-level physician validation system, (2) recognised as a system for affirming competence and (3) reported relevant data. Data extraction Using bibliographic software, title and abstracts were reviewed using an assessment matrix to ensure duplicate, paired screening. Dyads included both a methodologist and content expert on each assessment, reflective of evidence-informed best practices to decrease errors. Results 45 reports were included. Publication dates ranged from 2002 to 2014 with the majority of publications occurring in the previous six years (n=35). Country of origin—defined as that of the primary author—included the USA (N=32), the UK (N=8), Canada (N=3), Kuwait (N=1) and Australia (N=1). Three broad themes emerged from this heterogeneous data set: contemporary national programmes, contextual factors and terminological consistency. Four national physician validation systems emerged from the data: the American Board of Medical Specialties Maintenance of Certification Program, the Federation of State Medical Boards Maintenance of Licensure Program, the Canadian Revalidation Program and the UK Revalidation Program. Three contextual factors emerged as stimuli for the implementation of national validation systems: medical regulation, quality of care and professional competence. Finally, great variation among the definitions of key terms was identified. Conclusions There is an emerging literature focusing on national physician validation systems. Four major systems have been implemented in recent years and it is anticipated that more will follow. Much of this work is descriptive, and gaps exist for the extent to which systems build

  19. Kuwait National Programme for Healthy Living: first 5-year plan (2013-2017).

    PubMed

    Behbehani, Kazem

    2014-01-01

    The Kuwait National Programme for Healthy Living is an initiative to promote the health and well-being for individuals residing in the country. The plan has been created based on current data and available information pertaining to the various lifestyles of the populations living in Kuwait and their impact on health in general and chronic diseases in particular. Leading a healthy lifestyle is important because it means living in an environment, such as the Kuwaiti society, where chronic conditions such as obesity, diabetes, hypertension and coronary heart diseases are significantly reduced. Several factors regarding lifestyles among the various ethnic groups residing in Kuwait have been identified, including inactivity resulting from the lack of need for physical exertion in daily-life activities and social rituals involving the serving of food amongst the various ethnic groups residing in Kuwait. For Kuwaitis and other ethnicities as well, traditional social gatherings include serving food as an integral element of the social ritual. The environments of school and work also contribute to an individual's lifestyle. The goal of the programme is to address the contribution of lifestyle choices and the social environment to health with the goal of creating a healthy environment that will sustain good health and social well-being. This can be accomplished by involving the various stakeholders in promoting the aim of the programme. Finally, addressing the research needs for healthy lifestyle issues can have a huge impact on the outcome of the programmes designed and would aid in creating a healthy living environment.

  20. Battlelines on Vouchers Are Drawn Clearly.

    ERIC Educational Resources Information Center

    Scherer, Joseph J., Ed.; Stimson, Jim

    1986-01-01

    Proponents of the Chapter 1 voucher proposal claim it will give parents of disadvantaged children an educational choice; opponents claim the bill would siphon off limited Chapter 1 funds and serve fewer children. (MLF)

  1. The Australian National University Music Education Programme: Developing a New Approach to Ongoing Engagement in Music Making for All Ages

    ERIC Educational Resources Information Center

    West, Susan

    2009-01-01

    The Music Education Programme at the Australian National University has developed a new, system-wide model in music education, focusing on peer and inter-generational social engagement through music making during and beyond the school years. One aim of the programme is to find alternative ways of fostering lifelong engagement in music making. A…

  2. Collaborative Framework for Designing a Sustainability Science Programme: Lessons Learned at the National Autonomous University of Mexico

    ERIC Educational Resources Information Center

    Charli-Joseph, Lakshmi; Escalante, Ana E.; Eakin, Hallie; Solares, Ma. José; Mazari-Hiriart, Marisa; Nation, Marcia; Gómez-Priego, Paola; Pérez-Tejada, César A. Domínguez; Bojórquez-Tapia, Luis A.

    2016-01-01

    Purpose: The authors describe the challenges and opportunities associated with developing an interdisciplinary sustainability programme in an emerging economy and illustrate how these are addressed through the approach taken for the development of the first postgraduate programme (MSc and PhD) in sustainability science at the National Autonomous…

  3. 32 CFR 536.70 - Preparation and forwarding of payment vouchers.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Preparation and forwarding of payment vouchers. 536.70 Section 536.70 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Investigation and Processing of Claims §...

  4. Delivering a national programme of anticipatory care in primary care: a qualitative study

    PubMed Central

    O'Donnell, Catherine A; Mackenzie, Mhairi; Reid, Maggie; Turner, Fiona; Clark, Julia; Wang, Yinging; Sridharan, Sanjeev; Platt, Stephen

    2012-01-01

    Background Primary prevention often occurs against a background of inequalities in health and health care. Addressing this requires practitioners and systems to acknowledge the contribution of health-related and social determinants and to deal with the lack of interconnectedness between health and social service providers. Recognising this, the Scottish Government has implemented a national programme of anticipatory care targeting individuals aged 45–64 years living in areas of socioeconomic deprivation and at high risk of cardiovascular disease. This programme is called Keep Well. Aim To explore the issues and tensions underpinning the implementation of a national programme of anticipatory care. Design and setting A qualitative study in five Wave 1 Keep Well pilot sites, located in urban areas of Scotland, and involving 79 general practices. Method Annual semi-structured interviews were conducted with 74 key stakeholders operating at national government level, local pilot level and within general practices, resulting in 118 interviews. Interview transcripts were analysed using the framework approach. Results Four underlying tensions were identified. First, those between a patient-focused general-practice approach versus a population-level health-improvement approach, linking disparate health and social services; secondly, medical approaches versus wider social approaches; thirdly, a population-wide approach versus individual targeting; and finally, reactive versus anticipatory care. Conclusion Implementing an anticipatory care programme to address inequalities in cardiovascular disease identified several tensions, which need to be understood and resolved in order to inform the development of such approaches in general practice and to develop systems that reduce the degree of fragmentation across health and social services. PMID:22520917

  5. Sounding Rockets within Swedish National Balloon and Rocket Programme- Providing Access to Space from Esrange

    NASA Astrophysics Data System (ADS)

    Sjolander, K.; Karlsson, T.; Lockowandt, C.

    2015-09-01

    Initiated in 2012 by the Swedish National Space Board (SNSB), a new programme dedicated for Swedish scientists to gain access to space using balloons and sounding rockets was started. This programme promotes the possibility to ensure continuity in both the science and the technology used. The sounding rocket part of this national programme started with three possible missions. SPIDER (Small Payloads for Investigation of Disturbances in Electrojet by Rockets) from the Space and Plasma physics department of KTH, 0-STATES (Oxygen Species and Thermospheric Airglow in The Earth's Sky) from the Department of Meteorology Stockholm University (MISU) and LEEWAVES (Local Excitation and Effects of Waves on Atmospheric VErtical Structure) that is collaboration between KTH and MISU. These three missions were planned for launches in 2015 and 2016. SSc has been contracted on a launch ticket basis to provide the launch and service to the scientific instrumentation. This paper presents the SPIDER, 0-STATES and LEEWAVES missions focussing on a mission related technical solutions perspective.

  6. Educational Vouchers in New Rochelle. Phase I: General Design of Voucher Plan.

    ERIC Educational Resources Information Center

    Peat, Marwick, Mitchell and Co., New York, NY.

    Part 1 of this report outlines the concept of vouchers and the nature and objectives of the New Rochelle study. The more pertinent work tasks undertaken to accomplish the objectives are contained in the appendix. The authors describe their position regarding the voucher plan, highlight its major elements, and outline the steps the district should…

  7. Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana

    PubMed Central

    Kweku, Margaret; Webster, Jayne; Taylor, Ian; Burns, Susan; Dedzo, McDamien

    2007-01-01

    Background Coverage of vulnerable groups with insecticide-treated nets (ITNs) in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scale-up to other regions. Successful scale-up of public health interventions depends upon optimal delivery processes but operational research for delivery processes in large-scale implementation has been inadequate. Methods A simple tool was developed to monitor numbers of vouchers given to each health facility, numbers issued to pregnant women by the health staff, and numbers redeemed by the distributors back to the management agent. Three rounds of interviews were undertaken with health facility staff, retailers and pregnant women who had attended antenatal clinic (ANC). Results During the one year pilot 25,926 vouchers were issued to eligible women from clinics, which equates to 50.7% of the 51,658 ANC registrants during this time period. Of the vouchers issued 66.7% were redeemed by distributors back to the management agent. Initially, non-issuing of vouchers to pregnant women was mainly due to eligibility criteria imposed by the midwives; later in the year it was due to decisions of the pregnant women, and supply constraints. These in turn were heavily influenced by factors external to the programme: current household ownership of nets, competing ITN delivery strategies, and competition for the limited number of ITNs available in the country from major urban areas of other regions. Conclusion Both issuing and redemption of vouchers should be monitored as factors assumed to influence voucher redemption had an influence on issuing, and vice versa. More evidence is needed on how specific contextual factors influence the success of voucher schemes and other models of delivery of ITNs. Such an evidence base will facilitate optimal strategic decision making so that the delivery model

  8. Vouchers for Day Care of Children: Evaluating a Program Model.

    ERIC Educational Resources Information Center

    Parker, Michael D.

    1989-01-01

    Examined effects of a pilot voucher program on the price, supply, and quality of day care. Findings offered no conclusive evidence concerning expected benefits. Discusses vouchers' potential for easing the day care crisis. (RJC)

  9. A cost-outcome approach to pre and post-implementation of national sports injury prevention programmes.

    PubMed

    Gianotti, Simon; Hume, Patria A

    2007-12-01

    In New Zealand (NZ), the Accident Compensation Corporation (ACC) has developed a pre and post-implementation cost-outcome formulae for sport injury prevention to provide information regarding the success of a prevention programme. The ACC provides for the cost of all personal injuries in NZ and invests in prevention programmes to offset 1.6 million annual claims that cost $NZD 1.9 billion. The ACC invests in nine national community sport injury prevention programmes that represent 40% of sport claims and costs. Pre-implementation is used to determine the decision whether to invest in implementation and to determine the level of such investment for the injury prevention programme. Post-implementation is calculated two ways: unadjusted, assuming ceteris paribus; and adjusted assuming no prevention programme was in place. Post-implementation formulae provide a return on investment (ROI) for each dollar invested in the programme and cost-savings. The cost-outcome formulae approach allows ACC to manage expectations of the prevention programme as well as when it will provide a ROI, allowing it to take a long-term view for investment in sport injury prevention. Originally developed for its sport injury prevention programmes, the cost-outcome formulae have now been applied to the other prevention programmes ACC invests in such as home, road and workplace injury prevention. PMID:17353149

  10. Monitoring HIV Prevention Programme Outcomes among Key Populations in Kenya: Findings from a National Survey

    PubMed Central

    Musyoki, Helgar; Anthony, John; Kioko, Japheth; Kaosa, Shem; Ogwang, Bernard E.; Githuka, George; Sirengo, Martin; Birir, Sarah; Blanchard, James F.; Muraguri, Nicholas; Isac, Shajy; Moses, Stephen

    2015-01-01

    In preparation for the implementation of the Kenya AIDS Strategic Framework 2014/15-2018/19, the Kenya National AIDS and STI Control Programme facilitated a national polling booth survey as part of a baseline assessment of HIV-related risk behaviours among FSWs, MSM, and PWID, and their utilization of existing preventive interventions, as well as structural factors that may influence KPs’ vulnerability to HIV. The survey was conducted among “key populations” (female sex workers, men who have sex with men, and people who inject drugs) to understand current HIV risk and prevention behaviours, utilization of existing programmes and services, and experiences of violence. In total, 3,448 female sex workers, 1,308 men who have sex with men, and 690 people who inject drugs were randomly selected to participate in polling booth survey sessions from seven priority sites. Survey responses were aggregated and descriptive statistics derived. In general, reported condom use among all key populations was quite high with paying clients, and lower with regular, non-paying partners. Many participants reported unavailability of condoms or clean injecting equipment within the past month. Exposure to, and utilization of, existing HIV prevention services varied significantly among the groups, and was reported least commonly by female sex workers. Encouragingly, approximately three-quarters of all key population members reported receiving an HIV test in the past three months. All key population groups reported experiencing high levels of physical and sexual violence from partners/clients, and/or arrest and violence by law enforcement officials. Although some of the findings are encouraging, there is room for improvement in HIV prevention programmes and services for key populations across Kenya. PMID:26313642

  11. Colorado's Voucher Legislation and the Consequences for Community Colleges

    ERIC Educational Resources Information Center

    Harbour, Clifford P.; Davies, Timothy Gray; Lewis, Chance W.

    2006-01-01

    In this article, the authors examine the new voucher program used to subsidize undergraduate education at Colorado community colleges and four-year institutions. The authors explain the voucher program and discuss the fiscal and policy conditions that led to its adoption. This baseline account of the voucher program and the underlying conditions…

  12. Utah's Broad Voucher Plan Would Break New Ground

    ERIC Educational Resources Information Center

    McNeil, Michele

    2007-01-01

    This article reports on the provisions of a new Utah voucher plan that is hoped to embolden other states to embrace universal-voucher programs. The legislation, the product of a six-year statehouse battle, would provide every public school student who wanted one, a voucher worth $500 per year, while low-income children would receive as much as…

  13. School Vouchers and Student Outcomes: Experimental Evidence from Washington, DC

    ERIC Educational Resources Information Center

    Wolf, Patrick J.; Kisida, Brian; Gutmann, Babette; Puma, Michael; Eissa, Nada; Rizzo, Lou

    2013-01-01

    School vouchers are the most contentious form of parental school choice. Vouchers provide government funds that parents can use to send their children to private schools of their choice. Here we examine the empirical question of whether or not a school voucher program in Washington, DC, affected achievement or the rate of high school graduation…

  14. A Public School Voucher Demonstration: The First Year at Alum Rock. Technical Appendix.

    ERIC Educational Resources Information Center

    Weiler, Daniel; And Others

    The Education Voucher Demonstration is a large-scale educational and social intervention that began in the Alum Rock Union Elementary School District, San Jose, California, in September 1972. First funded by the Office of Economic Opportunity, it is now sponsored by the National Institute of Education. This technical appendix is the third of four…

  15. Utah's Vote Raises Bar on Choice: Voucher Program's Defeat May Lead to Strategy Shift

    ERIC Educational Resources Information Center

    Robelen, Erik W.

    2007-01-01

    The Utah plan, which would have been the nation's first universal voucher program, was effectively vetoed by voters before it ever took effect. The defeat of the Utah program through a ballot referendum highlighted again the political vulnerability of such controversial school choice measures. The law's enactment had set off an intense political…

  16. From methadone to buprenorphine: changes during a 10 year period within a national opioid maintenance treatment programme.

    PubMed

    Riksheim, Marianne; Gossop, Michael; Clausen, Thomas

    2014-03-01

    Opioid maintenance treatment (OMT) is the most widely used treatment for opioid dependence. Maintenance programmes differ in various aspects and may also change over time. This paper investigates the changes in treatment practices within a national OMT programme during a 10 year period (2002-2011), especially with regard to the prescribing of methadone and buprenorphine. Data (n=34,001) were collected by annual assessments questionnaires. In 2002, only 16% of the OMT patients received buprenorphine as their maintenance medication. By 2011 this percentage had increased significantly (p<.001) to 50.3%. In the same period the number of patients more than tripled (from 1,984 to 6,640, p<.001), and programme attrition rates decreased (p=.020). This relatively rapid shift is a part of the increasing reliance of addiction medicine upon a range of medications administered by different routes which has not been previously charted within a national treatment programme.

  17. Introducing auto-disable syringes to the national immunization programme in Madagascar.

    PubMed Central

    Drain, Paul K.; Ralaivao, Josoa S.; Rakotonandrasana, Alexander; Carnell, Mary A.

    2003-01-01

    OBJECTIVE: To evaluate the safety and coverage benefits of auto-disable (AD) syringes, weighed against the financial and logis- tical costs, and to create appropriate health policies in Madagascar. METHODS: Fifteen clinics in Madagascar, trained to use AD syringes, were randomized to implement an AD syringe only, mixed (AD syringes used only on non-routine immunization days), or sterilizable syringe only (control) programme. During a five-week period, data on administered vaccinations were collected, interviews were conducted, and observations were recorded. FINDINGS: The use of AD syringes improved coverage rates by significantly increasing the percentage of vaccines administered on non-routine immunization days (AD-only 4.3%, mixed 5.7%, control 1.1% (P<0.05)). AD-only clinics eliminated sterilization sessions for vaccinations, whereas mixed clinics reduced the number of sterilization sessions by 64%. AD syringes were five times more expensive than sterilizable syringes, which increased AD-only and mixed clinics' projected annual injection costs by 365% and 22%, respectively. However, introducing AD syringes for all vaccinations would only increase the national immunization budget by 2%. CONCLUSION: The use of AD syringes improved vaccination coverage rates by providing ready-to-use sterile syringes on non-routine immunization days and decreasing the number of sterilization sessions, thereby improving injection safety. The mixed programme was the most beneficial approach to phasing in AD syringes and diminishing logistical complications, and it had minimal costs. AD syringes, although more expensive, can feasibly be introduced into a developing country's immunization programme to improve vaccination safety and coverage. PMID:14576886

  18. Lessons from the English National Programme for IT about structure, process and utility.

    PubMed

    Swindells, Matthew; de Lusignan, Simon

    2012-01-01

    Sharing of health data though the effective deployment of information systems should allow safer and more efficient health systems. However, to date many large IT system deployments in health care have had major short comings. This paper critically appraises the UK National Programme for IT and suggests where there are important lessons of for other large scale eHealth projects. Our method combined the classic evaluation methods of Donnabedian with Pawson's realistic review to analyze the impact of the program at health service, locality or major provider, and client-service impact levels. Financial incentives promoted uptake and use of IT systems at all levels. Health service level interventions that were capable of incorporation into clinical workflow were used. These included: a national unique identifier, creation of national registries and electronic transfer of data, records, and results. At the regional and major provider level we identified how vendors offer very different electronic patient record (EPR) systems which influence what is recorded and health care delivery. Using the EPR at the point of care takes longer, but this investment of time creates a more usable record and facilitates quality. National IT systems need to be clinically orientated, patient accessible, and underpinned by a secure, standardized back office system that enables messaging and information sharing between authenticated users. Learning the lessons from the UK and other large system deployments might enable other countries to leap to the forefront of health care computing.

  19. Preventive and treatment measures to reduce drug abuse: summary of responses to a survey of national programmes. United Nations Secretariat.

    PubMed

    1983-01-01

    This article summarizes the salient points extracted from the responses of 67 Governments to a survey of national drug-abuse prevention and treatment programmes. The results of the survey were presented in more detail in E/CN.7/673, which was considered by the Commission on Narcotic Drugs at its seventh special session in February 1982. Most responses indicated that heavy reliance was placed on control and drug law enforcement to reduce the availability of illicit drugs. Some concern was expressed over the possibility that drug information or drug education that was ill-conceived or inaccurately targeted might arouse curiosity and experimentation. There had been relatively little in-depth evaluation of the effectiveness of either preventive or treatment measures that had been undertaken. The involvement of voluntary organizations, families, communities and groups of "high-risk" youth was generally regarded, however, as an essential feature of successful preventive and treatment work. A few responses indicated that the maintenance of heroin or other opiate addicts had been successful in reducing drug-related crime and other undesirable behaviour. Preventive education was most effective when presented within the broader context of health education, as well as civics or similar studies within the curriculum of schools and universities. School programmes were more effective when they involved communities. A considerable effort had been made to train medical personnel and those likely to come into professional contact with persons at risk. Shortages of trained staff and other resources were frequently mentioned as inhibiting factors.

  20. Indian National GNSS Programme: Crustal deformation measurements in the Indian Sub-continent

    NASA Astrophysics Data System (ADS)

    Verma, Mithila; Bansal, Brijesh K.

    2012-05-01

    The Indian National GNSS Programme was launched about one and half decades ago with a view to provide a boost to crustal deformation measurements for constraining the movement of Indian plate, identifying the regions of strain accumulation, and to estimate the convergence rates across some identified faults/boundaries. Under this programme, a network of 50 permanent GPS receivers has been established, which is fully functional for the last about 8 yrs. The network has generated very important data sets, which in turn have helped in the estimation of Indian plate motion, regions and rate of strain accumulation, rate of convergence across some identified faults, etc. The measurements have also been utilized in monitoring co-seismic and postseismic deformation related to recent earthquakes that occurred in India and adjoining regions, such as the 2001 Bhuj, 2004 Sumatra-Andaman and 2005 Kashmir earthquake. This article presents some salient results obtained for specific corridors in the Himalaya, Indo-Burmese arc region, Andaman-Nicobar Island region and Indian plate interior region.

  1. Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011.

    PubMed

    Amin, Sarina; Patel, Rikin; Beilan, Jonathan; Helveston, Eugene M; Shaikh, Saad

    2014-05-29

    ORBIS International has provided a web-based ophthalmic disease consultation service, Cyber-Sight, for developing nations since 2003. The system connects partner physicians with mentor physicians. We have reviewed consultations concerning retinal cases submitted from June 2003 to December 2011. Of 943 retinal consultations reviewed, 117 were excluded, mainly for reasons of technical limitations at the partner sites. Of the 826 included cases, 504 patients were male and 322 were female. The average age of the patients was 43 years (range 2 months to 86 years). Cases were submitted from partner physicians in 30 countries, with five countries accounting for 82% of the cases (India, Vietnam, Indonesia, China, Jordan). There was a rise in the case submission rate to a peak of 251 cases in 2010. The mean consultant response time was 5 days (SD 9). The mean time to case closure was 19 days (SD 92). The most common diagnoses were diabetic retinopathy (n = 101), retinal vascular occlusion (n = 75) and retinal detachment (n = 61). The working diagnosis submitted by the partner did not match the mentor's diagnosis in 153 cases (19%). The number of incorrect initial partner diagnoses demonstrates that the teleretinal programme serves a useful diagnostic role for partner physicians. The Cyber-Sight programme is a viable method of delivering advanced retinal expertise to partner institutions and increasing capacity for partner doctors in the developing world.

  2. Expanding the comprehensive national neonatal screening programme in the United Arab Emirates from 1995 to 2011.

    PubMed

    Al Hosani, H; Salah, M; Osman, H M; Farag, H M; El-Assiouty, L; Saade, D; Hertecant, J

    2014-02-11

    The national neonatal screening programme in the United Arab Emirates currently includes 16 disorders: congenital hypothyroidism, sickle-cell diseases, congenital adrenal hyperplasia, biotinidase deficiency and 12 amino acid, organic acid and fatty acid disorders. This paper reports data since the programme started in January 1995 up to December 2011 on the incidence of screened disorders and the molecular basis of positive screened cases. Screening used a combination of tandem mass spectrometry, molecular technologies and biochemical analysis. A total of 750 365 infants were screened and 717 babies saved from associated morbidity and/or mortality. The incidence of screened disorders were 1:1 873 for congenital hypothyroidism, 1:14 544 for phenylketonuria, 1:3 526 for amino acid, organic acid and fatty acid disorders, 1:9 030 for classical congenital adrenal hyperplasia, 1:8 300 for biotinidase deficiency, 1:2 384 for sickle-cell disease and 1:121 for sickle-cell traits. Coverage of neonatal screening in the population reached 95% in 2010.

  3. Human papillomavirus infection in Bhutan at the moment of implementation of a national HPV vaccination programme

    PubMed Central

    2014-01-01

    Background Cervical cancer is the most common female cancer in Bhutan, the first low/middle-income country to implement a national human papillomavirus (HPV) vaccination programme. Methods To provide a robust baseline for future evaluations of vaccine effectiveness, cervical cell specimens were obtained from 2,505 women aged 18–69 years from the general population, and biopsies from 211 cervical intraepithelial neoplasia grade 3 (CIN3) and 112 invasive cervical cancer (ICC) cases. Samples were tested for HPV using GP5+/6+ PCR. Results Among the general population, HPV prevalence was 26%, being highest (33%) in women ≤24 years, but remaining above 15% in all age-groups. Determinants of HPV included age, marital status, and number of sexual partners. Among the eight percent with cytological abnormalities, 24 CIN3 and 4 ICC were histologically confirmed. Even after additional testing with a sensitive E7 PCR, no infections with vaccine-targeted HPV types were detected in the few vaccinated women (n = 34) compared to 6% prevalence in unvaccinated women of similar age (p = 0 · 215). Conclusion Based upon type-specific prevalence among biopsies, at least 70% of ICC in Bhutan are theoretically preventable by HPV16/18 vaccination, but screening programmes should be expanded among older women, who have an important underlying burden of CIN3 and ICC. PMID:25047665

  4. Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011.

    PubMed

    Amin, Sarina; Patel, Rikin; Beilan, Jonathan; Helveston, Eugene M; Shaikh, Saad

    2014-05-29

    ORBIS International has provided a web-based ophthalmic disease consultation service, Cyber-Sight, for developing nations since 2003. The system connects partner physicians with mentor physicians. We have reviewed consultations concerning retinal cases submitted from June 2003 to December 2011. Of 943 retinal consultations reviewed, 117 were excluded, mainly for reasons of technical limitations at the partner sites. Of the 826 included cases, 504 patients were male and 322 were female. The average age of the patients was 43 years (range 2 months to 86 years). Cases were submitted from partner physicians in 30 countries, with five countries accounting for 82% of the cases (India, Vietnam, Indonesia, China, Jordan). There was a rise in the case submission rate to a peak of 251 cases in 2010. The mean consultant response time was 5 days (SD 9). The mean time to case closure was 19 days (SD 92). The most common diagnoses were diabetic retinopathy (n = 101), retinal vascular occlusion (n = 75) and retinal detachment (n = 61). The working diagnosis submitted by the partner did not match the mentor's diagnosis in 153 cases (19%). The number of incorrect initial partner diagnoses demonstrates that the teleretinal programme serves a useful diagnostic role for partner physicians. The Cyber-Sight programme is a viable method of delivering advanced retinal expertise to partner institutions and increasing capacity for partner doctors in the developing world. PMID:24875929

  5. Buruli Ulcer in Cameroon: The Development and Impact of the National Control Programme

    PubMed Central

    Tabah, Earnest Njih; Nsagha, Dickson Shey; Bissek, Anne-Cécile Zoung-Kanyi; Njamnshi, Alfred Kongnyu; Bratschi, Martin W.; Pluschke, Gerd; Um Boock, Alphonse

    2016-01-01

    Background Cameroon is endemic for Buruli ulcer (BU) and organised institutional BU control began in 2002. The objective was to describe the evolution, achievements and challenges of the national BU control programme (NBUCP) and to make suggestions for scaling up the programme. Methods We analysed collated data on BU from 2001 to 2014 and reviewed activity reports NBUCP in Cameroon. Case-detection rates and key BU control indicators were calculated and plotted on a time scale to determine trends in performance. A linear regression analysis of BU detection rate from 2005–2014 was done. The regression coefficient was tested statistically for the significance in variation of BU detection rate. Principal findings In 14 years of BU control, 3700 cases were notified. The BU detection rate dropped significantly from 3.89 to 1.45 per 100 000 inhabitants. The number of BU endemic health districts rose from two to 64. Five BU diagnostic and treatment centres are functional and two more are planned for 2015. The health system has been strengthened and BU research and education has gained more interest in Cameroon. Conclusion/Significance Although institutional BU control Cameroon only began 30 years after the first cases were reported in 1969, a number of milestones have been attained. These would serve as stepping stones for charting the way forward and improving upon control activities in the country if the major challenge of resource allocation is dealt with. PMID:26760499

  6. Integration of hepatitis B vaccination into national immunisation programmes. Viral Hepatitis Prevention Board.

    PubMed Central

    Van Damme, P.; Kane, M.; Meheus, A.

    1997-01-01

    Hepatitis B is a major public health problem even though safe and effective vaccines have been available for over 10 years. Because hepatitis B infection is largely asymptomatic with long term complications occurring after many years it has not received the attention it deserves. Strategies to immunise those at high risk have failed to control the disease. Delegates to the World Health Assembly of the World Health Organisation recommended in May 1992 that all countries should integrate hepatitis B vaccination into their national immunisation programmes by 1997. Some western European countries remain unconvinced that the burden of disease warrants the expense of universal vaccination. However, epidemiological data and economic evaluation show that universal hepatitis B vaccination is cost effective in countries with low endemicity and that it will control hepatitis B, reinforcing the necessity for action. PMID:9112852

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

    ERIC Educational Resources Information Center

    Stern, Jonathan M. B.

    2014-01-01

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

  8. 78 FR 49374 - Rural Development Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-14

    ...-income housing, Public housing, Rent subsidies. For the reasons set forth in the preamble, chapter XXXV... the voucher holder to an assisted living or nursing home facility, or divorce. Upon receiving... specify, in detail, the reason(s) that the assistance was determined to be unauthorized, the amount...

  9. Economic Modeling and Analysis of Educational Vouchers

    ERIC Educational Resources Information Center

    Epple, Dennis; Romano, Richard

    2012-01-01

    The analysis of educational vouchers has evolved from market-based analogies to models that incorporate distinctive features of the educational environment. These distinctive features include peer effects, scope for private school pricing and admissions based on student characteristics, the linkage of household residential and school choices in…

  10. RAND Report on Charter Schools and Vouchers.

    ERIC Educational Resources Information Center

    Perkins-Gough, Deborah

    2002-01-01

    Highlights some of the major findings of the December 2001 RAND report on charter schools and vouchers prepared by Brain P. Gill, P. Michael Timpane, Karen E. Ross, and Dominic J. Brewer. The report can be ordered from RAND at www.rand.org/publications. (PKP)

  11. The Case for Special Education Vouchers

    ERIC Educational Resources Information Center

    Buck, Stuart; Greene, Jay P.

    2010-01-01

    The big battles over school vouchers in American education have focused on programs serving low-income children who live in urban areas. Milwaukee's program, begun in 1990, is the biggest and oldest in the country, and the District of Columbia effort, funded by the federal government, has been the most carefully studied. Both have been focal…

  12. Fact Sheet on Vouchers. Argument and Evidence.

    ERIC Educational Resources Information Center

    American Educator, 1995

    1995-01-01

    Much controversy surrounds the idea of vouchers parents could apply to private education. Information about existing private school admission policies, student characteristics, student achievement, market competition, and costs is summarized in this fact sheet. The superiority claimed for private school education can be explained by student…

  13. Milwaukee Voucher Schools: 2009-2010

    ERIC Educational Resources Information Center

    Public Policy Forum, 2010

    2010-01-01

    This brochure provides charted reference information for Milwaukee Voucher Schools for the 2009-2010 school year. Schools are grouped by grade level. The following is included: Name, Address, Telephone, Grades; Religion/Denomination; Enrollment; Choice Student Enrollment; Number of Teachers; School Hours; Before/After School Programs;…

  14. 16 CFR 1105.9 - Itemized vouchers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Itemized vouchers. 1105.9 Section 1105.9 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS CONTRIBUTIONS TO COSTS OF PARTICIPANTS IN DEVELOPMENT OF CONSUMER PRODUCT SAFETY STANDARDS § 1105.9...

  15. 31 CFR 250.3 - Voucher applications.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Voucher applications. 250.3 Section 250.3 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE... in 250.4 and returned to the Credit Accounting Branch with the relevant information and...

  16. 31 CFR 250.3 - Voucher applications.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 2 2011-07-01 2011-07-01 false Voucher applications. 250.3 Section 250.3 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE... in 250.4 and returned to the Credit Accounting Branch with the relevant information and...

  17. Indiana Grapples with Impact of Voucher Law

    ERIC Educational Resources Information Center

    Zubrzycki, Jaclyn

    2012-01-01

    As the 3,919 students who participated in the first year of Indiana's new, wide-reaching school voucher program near the end of the first semester in their new schools, the program faces its next challenge: A state court hearing opened on Dec. 19 on a lawsuit arguing the program violates Indiana's constitution. The Choice Scholarship program, one…

  18. [Alum Rock Voucher Project. Information Packet.

    ERIC Educational Resources Information Center

    Alum Rock Union Elementary School District, San Jose, CA.

    This packet contains (1) informational booklets for parents in the Alum Rock Union Elementary School District, (2) a booklet on the pros and cons of a voucher system, (3) promotional material, (4) a progress report on the project, (5) the project proposal to OEO, and (6) a sample school and program preferences form. The program, according to the…

  19. Educational Vouchers for Universal Pre-Schools

    ERIC Educational Resources Information Center

    Levin, Henry M.; Schwartz, Heather L.

    2007-01-01

    This article considers two issues regarding preschool education. First, it provides a brief set of arguments for government funding of universal, pre-school education. Second, it explores the applicability of a voucher plan using a regulated market approach for the funding of universal, pre-school education. Four criteria are used to assess the…

  20. National Population Programme, Ministry of National Planning and Economic Policy, October 1987.

    PubMed

    1987-01-01

    This document reprints major provisions of Costa Rica's 1987 National Population Program. The document states that Costa Rica bases its population policy on respect for human rights and, recognizing the family as the basic unit of society, protects the right to procreate and the right to life from the moment of conception (which leads to rejection of abortion and sterilization for family planning [FP]). Specific directives contained in the population policy include: 1) augmentation of maternal and infant health care services and FP; 2) promotion of shared responsibility of men in all spheres of familial responsibility, including FP, child rearing, and domestic tasks; 3) protection of children's rights regardless of the circumstances of filial relationships; 4) equality for women and improvement in women's status; 5) support to the family by providing access to education, employment, nourishment, health, housing, social security, justice, and liberty; 6) promotion of rational population distribution; and 7) protection of the rights of immigrants.

  1. The Educational Voucher Intrigue: An Analysis of Its Impact on the Alum Rock Community.

    ERIC Educational Resources Information Center

    Gutierrez, Felix; Chacon, Gloria

    The 2 essays on educational vouchers given in this publication are: (1) "The Economics of Educational Vouchers: Schools and Parents", and (2) "The Alum Rock Voucher Program". "The Economics of Educational Vouchers: Schools and Parents" traces the roots of the voucher concept from Adam Smith to the conservative economist, Milton Friedman, to its…

  2. Diffusion of an e-learning programme among Danish General Practitioners: A nation-wide prospective survey

    PubMed Central

    Waldorff, Frans Boch; Steenstrup, Annette Plesner; Nielsen, Bente; Rubak, Jens; Bro, Flemming

    2008-01-01

    Background We were unable to identify studies that have considered the diffusion of an e-learning programme among a large population of general practitioners. The aim of this study was to investigate the uptake of an e-learning programme introduced to General Practitioners as part of a nation-wide disseminated dementia guideline. Methods A prospective study among all 3632 Danish GPs. The GPs were followed from the launching of the e-learning programme in November 2006 and 6 months forward. Main outcome measures: Use of the e-learning programme. A logistic regression model (GEE) was used to identify predictors for use of the e-learning programme. Results In the study period, a total of 192 different GPs (5.3%) were identified as users, and 17% (32) had at least one re-logon. Among responders at first login most have learnt about the e-learning programme from written material (41%) or from the internet (44%). A total of 94% of the users described their ability of conducting a diagnostic evaluation as good or excellent. Most of the respondents used the e-learning programme due to general interest (90%). Predictors for using the e-learning programme were Males (OR = 1.4, 95% CI 1.1; 2.0) and members of Danish College of General Practice (OR = 2.2, 95% CI 1.5; 3.1), whereas age, experience and working place did not seem to be influential. Conclusion Only few Danish GPs used the e-learning programme in the first 6 months after the launching. Those using it were more often males and members of Danish College of General Practice. Based on this study we conclude, that an active implementation is needed, also when considering electronic formats of CME like e-learning. Trial Registration ClinicalTrials.gov Identifier: NCT00392483. PMID:18439279

  3. Biomarkers of diabetes risk in the National Diet and Nutrition Survey rolling programme (2008–2011)

    PubMed Central

    Almoosawi, S; Cole, D; Nicholson, S; Bayes, I; Teucher, B; Bates, B; Mindell, J; Tipping, S; Deverill, C; Stephen, A M

    2014-01-01

    This study describes the distribution of glycosylated haemoglobin (HbA1c) and glucose concentrations in the combined year 1 (2008–2009), year 2 (2009–2010) and year 3 (2010–2011) of the National Diet and Nutrition Survey (NDNS) rolling programme. The NDNS rolling programme is a nationally representative survey of food consumption, nutrient intakes and nutritional status of people aged 1.5 years and over living in England, Wales, Scotland and Northern Ireland. The study population comprised survey members who completed three or four days of dietary recording and who provided a blood sample. After excluding survey members with self-reported diabetes (n=25), there were 1016 results for HbA1c and 942 for glucose (not the same individuals in each case). Around 5.4% of men and 1.7% of women aged 19–64 years, and 5.1% of men and 5.9% of women aged ≥65 years had impaired fasting glucose (glucose concentrations 6.1–6.9 mmol/L). Over 20% of men aged ≥65 years had fasting glucose concentrations above the clinical cut-off for diabetes (≥7 mmol/L) compared to 2.1% of women of similar age (p=0.007). Similarly, 16.4% of men had HbA1c concentrations ≥6.5%, compared to 1.5% of women (p=0.003). Children and teenagers had fasting glucose and HbA1c values largely within the normal range. To conclude, this is the first study to provide data on the distribution of HbA1c and glucose concentrations in a nationally representative sample of the British population. The high prevalence of men aged ≥65 years with HbA1c and glucose concentrations above the clinical cut-off of diabetes warrants further attention. PMID:24052516

  4. Donor exclusion in the National Blood Service Tissue Services living bone donor programme.

    PubMed

    Pink, F; Warwick, R M; Purkis, J; Pearson, J

    2006-01-01

    National Blood Service (NBS) Tissue Services (TS) operates living donor and deceased donor tissue banking programmes. The living bone donor programme operates in collaboration with 91 orthopaedic departments across the country and collects bone donations, in the form of surgically removed femoral heads (FHs), from over 5,000 patients per annum undergoing total hip replacement. Bone donated via the living programme constitutes approximately 55% of the total bone donated to NBS. Non-NBS tissue banks, primarily in hospital orthopaedic departments, also bank donated bone for the UK. A survey of information received from 16 collaborating orthopaedic centres, between April 2003 and August 2004, identified 709 excluded donors. The total number of donations banked from these sites was 1,538. Donations can be excluded before collection if there are contraindications noted in a potential donor's medical history before their operation. Donors may also be excluded after collection of the FH, for instance because of reactive microbiology tests for blood borne viruses, or if the donation storage conditions or related documentation have not met stringent quality requirements. In this survey, bone or joint conditions were the major reasons for excluding potential donors before donation (154 of 709 exclusions, 22%), followed by a current or a past history of malignancy (139 of 709 exclusions, 20%). Local staffing and operational difficulties sometimes resulted in potential donors being missed, or specific reasons for exclusion not being reported (117 exclusions). These out numbered exclusions due to patient refusal (80 exclusions). A small number (< 5) appear to have been excluded erroneously. There was considerable local variation in the reasons given for exclusion and certainly under-reporting. A survey of donations discarded after collection in the same period highlighted that 43% were donor related; 110 of 370 did not provide a follow-up blood sample. More than 30% were due to

  5. Donor exclusion in the National Blood Service Tissue Services living bone donor programme.

    PubMed

    Pink, F; Warwick, R M; Purkis, J; Pearson, J

    2006-01-01

    National Blood Service (NBS) Tissue Services (TS) operates living donor and deceased donor tissue banking programmes. The living bone donor programme operates in collaboration with 91 orthopaedic departments across the country and collects bone donations, in the form of surgically removed femoral heads (FHs), from over 5,000 patients per annum undergoing total hip replacement. Bone donated via the living programme constitutes approximately 55% of the total bone donated to NBS. Non-NBS tissue banks, primarily in hospital orthopaedic departments, also bank donated bone for the UK. A survey of information received from 16 collaborating orthopaedic centres, between April 2003 and August 2004, identified 709 excluded donors. The total number of donations banked from these sites was 1,538. Donations can be excluded before collection if there are contraindications noted in a potential donor's medical history before their operation. Donors may also be excluded after collection of the FH, for instance because of reactive microbiology tests for blood borne viruses, or if the donation storage conditions or related documentation have not met stringent quality requirements. In this survey, bone or joint conditions were the major reasons for excluding potential donors before donation (154 of 709 exclusions, 22%), followed by a current or a past history of malignancy (139 of 709 exclusions, 20%). Local staffing and operational difficulties sometimes resulted in potential donors being missed, or specific reasons for exclusion not being reported (117 exclusions). These out numbered exclusions due to patient refusal (80 exclusions). A small number (< 5) appear to have been excluded erroneously. There was considerable local variation in the reasons given for exclusion and certainly under-reporting. A survey of donations discarded after collection in the same period highlighted that 43% were donor related; 110 of 370 did not provide a follow-up blood sample. More than 30% were due to

  6. The impact of the National Institute for Health Research Health Technology Assessment programme, 2003-13: a multimethod evaluation.

    PubMed Central

    Guthrie, Susan; Bienkowska-Gibbs, Teresa; Manville, Catriona; Pollitt, Alexandra; Kirtley, Anne; Wooding, Steven

    2015-01-01

    BACKGROUND The National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme supports research tailored to the needs of NHS decision-makers, patients and clinicians. This study reviewed the impact of the programme, from 2003 to 2013, on health, clinical practice, health policy, the economy and academia. It also considered how HTA could maintain and increase its impact. METHODS Interviews (n = 20): senior stakeholders from academia, policy-making organisations and the HTA programme. Bibliometric analysis: citation analysis of publications arising from HTA programme-funded research. Researchfish survey: electronic survey of all HTA grant holders. Payback case studies (n = 12): in-depth case studies of HTA programme-funded research. RESULTS We make the following observations about the impact, and routes to impact, of the HTA programme: it has had an impact on patients, primarily through changes in guidelines, but also directly (e.g. changing clinical practice); it has had an impact on UK health policy, through providing high-quality scientific evidence - its close relationships with the National Institute for Health and Care Excellence (NICE) and the National Screening Committee (NSC) contributed to the observed impact on health policy, although in some instances other organisations may better facilitate impact; HTA research is used outside the UK by other HTA organisations and systematic reviewers - the programme has an impact on HTA practice internationally as a leader in HTA research methods and the funding of HTA research; the work of the programme is of high academic quality - the Health Technology Assessment journal ensures that the vast majority of HTA programme-funded research is published in full, while the HTA programme still encourages publication in other peer-reviewed journals; academics agree that the programme has played an important role in building and retaining HTA research capacity in the UK; the HTA programme

  7. International Education in a National Context: Introducing the International Baccalaureate Middle Years Programme in Dutch Public Schools

    ERIC Educational Resources Information Center

    Visser, Alderik

    2010-01-01

    Some bilingual secondary schools in the Netherlands have introduced or are introducing the International Baccalaureate (IB) Middle Years Programme (MYP).The implementation of this international scheme at (semi-) public national Dutch schools proves anything but unproblematic. Based on a series of questionnaires filled out by school managers and…

  8. Policies Regulating the Assignments of the Bachelor of Education Programme of Indira Gandhi National Open University: A Case Study

    ERIC Educational Resources Information Center

    Bose, Sutapa

    2016-01-01

    This case study examines the policies formulated by the Indira Gandhi National Open University (IGNOU), an open and distance learning university of India for regulating the practices related to the assignments of its Bachelor of Education programme. Following the examination it argues that some policies are formulated in the context of the…

  9. The African Social Studies Programme: An Effort to Improve Curriculum and Instruction across 17 African Nations. ERIC Digest.

    ERIC Educational Resources Information Center

    Merryfield, Merry M.

    This ERIC digest examines: (1) the origins and goals of the African Social Studies Programme (ASSP); (2) ASSP's organization and operation; and (3) ASSP's major achievements and current challenges. The ASSP is a non-political, non-profit intergovernmental organization of 17 African nations that stimulates, promotes, and monitors innovative…

  10. ASE and the New National Curriculum Programme of...Study for Primary Science--Your Views "Were" Heard!

    ERIC Educational Resources Information Center

    Naylor, Stuart

    2013-01-01

    The new National Curriculum Programme of Study for primary science in England includes most of the topics with which primary teachers are familiar. However, when looking at the science enquiry section, the changes are much more far-reaching. Science enquiry has been renamed as "working scientifically" and is integrated with developing…

  11. Knowledge and Practice of Sun Protection in Schools in South Africa Where No National Sun Protection Programme Exists

    ERIC Educational Resources Information Center

    Wright, Caradee Y.; Reeder, Anthony I.; Albers, Patricia N.

    2016-01-01

    Interventions in primary schools that increase sun-protective behaviours and decrease ultraviolet radiation exposure, sunburn incidence and skin cancer risk can be effective. SunSmart School Accreditation Programmes (SSAP) are recommended. Prior to SSAP implementation in South Africa, we explored the feasibility of obtaining national baseline…

  12. Phare Special Preparatory Programme for the European Social Fund: A Composite Report on the National, Supplementary and Local Seminars.

    ERIC Educational Resources Information Center

    European Training Foundation, Turin (Italy).

    This document reports on phases 2 and 3 of the Phare Special Preparatory Programme for the European Social Fund (SPP-ESF), which involved national, supplementary, and local seminars to assess the following countries' needs for assistance from the ESF: Bulgaria, the Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, the Slovak…

  13. Understanding Heterogeneity in the Impact of National Neglected Tropical Disease Control Programmes: Evidence from School-Based Deworming in Kenya

    PubMed Central

    Nikolay, Birgit; Mwandawiro, Charles S.; Kihara, Jimmy H.; Okoyo, Collins; Cano, Jorge; Mwanje, Mariam T.; Sultani, Hadley; Alusala, Dorcas; Turner, Hugo C.; Teti, Caroline; Garn, Josh; Freeman, Matthew C.; Allen, Elizabeth; Anderson, Roy M.; Pullan, Rachel L.; Njenga, Sammy M.; Brooker, Simon J.

    2015-01-01

    Background The implementation of soil-transmitted helminth (STH) treatment programmes occurs in varied environmental, social and economic contexts. Programme impact will be influenced by factors that affect the reduction in the prevalence and intensity of infections following treatment, as well as the subsequent rate of reinfection. To better understand the heterogeneity of programme impact and its underlying reasons, we investigated the influence of contextual factors on reduction in STH infection as part of the national school based deworming (SBD) programme in Kenya. Materials and Methods Data on the prevalence and intensity of infection were collected within the monitoring and evaluation component of the SBD programme at baseline and after delivery of two annual treatment rounds in 153 schools in western Kenya. Using a framework that considers STH epidemiology and transmission dynamics, capacity to deliver treatment, operational feasibility and financial capacity, data were assembled at both school and district (county) levels. Geographic heterogeneity of programme impact was assessed by descriptive and spatial analyses. Factors associated with absolute reductions of Ascaris lumbricoides and hookworm infection prevalence and intensity were identified using mixed effects linear regression modelling adjusting for baseline infection levels. Principal Findings The reduction in prevalence and intensity of A. lumbricoides and hookworms varied significantly by county and within counties by school. Multivariable analysis of factors associated with programme impact showed that absolute A. lumbricoides reductions varied by environmental conditions and access to improved sanitation at schools or within the community. Larger reduction in prevalence and intensity of hookworms were found in schools located within areas with higher community level access to improved sanitation and within counties with higher economic and health service delivery indicator scores. Conclusions

  14. Preparing the Dutch delta for future droughts: model based support in the national Delta Programme

    NASA Astrophysics Data System (ADS)

    ter Maat, Judith; Haasnoot, Marjolijn; van der Vat, Marnix; Hunink, Joachim; Prinsen, Geert; Visser, Martijn

    2014-05-01

    Keywords: uncertainty, policymaking, adaptive policies, fresh water management, droughts, Netherlands, Dutch Deltaprogramme, physically-based complex model, theory-motivated meta-model To prepare the Dutch Delta for future droughts and water scarcity, a nation-wide 4-year project, called Delta Programme, is established to assess impacts of climate scenarios and socio-economic developments and to explore policy options. The results should contribute to a national adaptive plan that is able to adapt to future uncertain conditions, if necessary. For this purpose, we followed a model-based step-wise approach, wherein both physically-based complex models and theory-motivated meta-models were used. First step (2010-2011) was to make a quantitative problem description. This involved a sensitivity analysis of the water system for drought situations under current and future conditions. The comprehensive Dutch national hydrological instrument was used for this purpose and further developed. Secondly (2011-2012) our main focus was on making an inventory of potential actions together with stakeholders. We assessed efficacy, sell-by date of actions, and reassessed vulnerabilities and opportunities for the future water supply system if actions were (not) taken. A rapid assessment meta-model was made based on the complex model. The effects of all potential measures were included in the tool. Thirdly (2012-2013), with support of the rapid assessment model, we assessed the efficacy of policy actions over time for an ensemble of possible futures including sea level rise and climate and land use change. Last step (2013-2014) involves the selection of preferred actions from a set of promising actions that meet the defined objectives. These actions are all modeled and evaluated using the complex model. The outcome of the process will be an adaptive management plan. The adaptive plan describes a set of preferred policy pathways - sequences of policy actions - to achieve targets under

  15. The economics of priority review vouchers.

    PubMed

    Dimitri, Nicola

    2010-11-01

    Priority review vouchers (PRVs) were introduced in 2007 by the US Congress as an incentive mechanism to spur pharmaceutical firms' R&D efforts for neglected diseases (NDs). A voucher, which a firm can obtain upon approval of a new treatment for NDs, entitles the holder to prioritize the FDA review for any drug. The proposal generated much controversy regarding its ability to effectively stimulate R&D for NDs. Here, after reviewing the main issues of the debate, i use a stylized economic model to discuss the strength of PRVs as an economic incentive to invest in research. My findings suggest that R&D investments might be higher when the developer could prioritize a valuable compound.

  16. The difficulty with audit of high grade cervical cytology in the absence of a national screening programme.

    PubMed

    Redmond, M; Ockochinski, L; Kay, E; Nixon, S; McBrearty, P; Leader, M; Grace, A

    2008-06-01

    Audit is an essential requirement of a cervical screening programme to ensure that laboratories are practising to agreed standards, and to ensure high quality patient care. The aim of this study was to assess the ability to audit high-grade cytology smear reports in a large cervical cytology laboratory in Ireland, where a nationally organised screening programme does not exist. Seven hundred and five questionnaires were forwarded to smear takers requesting follow-up data regarding high grade smear results from 2003. Seventy-four percent of the questionnaires were returned containing insufficient data, with a "don't know result" rate of >50%. This attempt at detailed audit took place 5 years ago. Annual internal audit continues to the best of the laboratory's ability but the situation, in terms of a centralised database in the context of a national screening programme, remains unchanged. A National Cervical Cytology Screening Programme is essential to centralise patient data, to allow for improved patient care, patient follow-up and audit.

  17. Preventing and Confronting School Bullying: A Comparative Study of Two National Programmes in Norway

    ERIC Educational Resources Information Center

    Stephens, Paul

    2011-01-01

    Efforts to prevent and curb school bullying have resulted in a proliferation of anti-school-bullying programmes, many based on intuitive appeal rather than systematic evidence. This article presents a comparative analysis of two Norwegian programmes whose developers have demonstrated the effectiveness of their interventions: the Olweus Programme…

  18. Born to Fail? Some Lessons from a National Programme to Improve Education in Poor Districts

    ERIC Educational Resources Information Center

    Abrantes, Pedro; Roldao, Cristina; Amaral, Patricia; Mauritti, Rosario

    2013-01-01

    The article analyses the main benefits of a Portuguese programme, launched in 1996, which was designed to support schools in segregated districts (TEIPs). The first part of the article presents a theoretical framework, before moving on to the main features of the TEIP programme in contemporary Portuguese society and education. An explanation of…

  19. An assessment of opportunities and challenges for public sector involvement in the maternal health voucher program in Uganda

    PubMed Central

    2013-01-01

    Background Continued inequities in coverage, low quality of care, and high out-of-pocket expenses for health services threaten attainment of Millennium Development Goals 4 and 5 in many sub-Saharan African countries. Existing health systems largely rely on input-based supply mechanisms that have a poor track record meeting the reproductive health needs of low-income and underserved segments of national populations. As a result, there is increased interest in and experimentation with results-based mechanisms like supply-side performance incentives to providers and demand-side vouchers that place purchasing power in the hands of low-income consumers to improve uptake of facility services and reduce the burden of out-of-pocket expenditures. This paper describes a reproductive health voucher program that contracts private facilities in Uganda and explores the policy and implementation issues associated with expansion of the program to include public sector facilities. Methods Data presented here describes the results of interviews of six district health officers and four health facility managers purposefully selected from seven districts with the voucher program in southwestern Uganda. Interviews were transcribed and organized thematically, barriers to seeking RH care were identified, and how to address the barriers in a context where voucher coverage is incomplete as well as opportunities and challenges for expanding the program by involving public sector facilities were investigated. Results The findings show that access to sexual and reproductive health services in southwestern Uganda is constrained by both facility and individual level factors which can be addressed by inclusion of the public facilities in the program. This will widen the geographical reach of facilities for potential clients, effectively addressing distance related barriers to access of health care services. Further, intensifying ongoing health education, continuous monitoring and evaluation, and

  20. Parents' views of the National Autistic Society's EarlyBird Plus Programme.

    PubMed

    Cutress, Anna L; Muncer, Steven J

    2014-08-01

    Parent training interventions are recommended for parents soon after their child's autism spectrum condition diagnosis with the aim of improving parents' psychological well-being and coping, as well as the child's behaviour. This report explores parents' views of the EarlyBird Plus Programme through data collected routinely in the post-programme questionnaire. Participants' reported increased understanding of autism and improvements in their communication with their child and their ability to manage their child's behaviour. Parents appeared to value the opportunity to meet with other parents, and the programme seemed acceptable to the majority of parents who attended.

  1. Anthrax control and research, with special reference to national programme development in Africa: memorandum from a WHO meeting.

    PubMed Central

    1994-01-01

    The prevalence of anthrax in both animal and human populations has been increasing in Africa. It was therefore appropriate for this WHO meeting to be convened in an endemic area of the Western Province of Zambia in 1992. The participants reviewed anthrax epidemiology and control in some African countries, elaborated national anthrax control and research programmes in Africa, discussed international cooperation and work plans, and elaborated recommendations for anthrax control in Africa. The discussions centred on anthrax surveillance and reporting systems, diagnosis, vaccine production and immunization, disinfection and decontamination, carcass disposal, treatment of human cases, health systems, as well as intersectorial cooperation between public health services, veterinary services and other services such as wildlife conservation, so that national control programmes could take full account of the conditions prevailing in epidemic situations in Africa. The recommendations are applicable in other regions where anthrax poses similar problems in public, animal and environmental health. PMID:8131249

  2. School Vouchers in a Climate of Political Change

    ERIC Educational Resources Information Center

    Sutton, Lenford C.; King, Richard A.

    2011-01-01

    Legal scrutiny of school voucher policies initially focused on the establishment clause concerning with allocating public dollars to schools sponsored by religious organizations. In recent years, advocates asserted that the exclusion of faith-based organizations from voucher plans that permit expenditures in secular private organizations violates…

  3. Parental Decision Making in an Education Voucher System.

    ERIC Educational Resources Information Center

    Bridge, R. Gary

    Parental decisionmaking is the keystone of any voucher model. This paper examines the parental decisionmaking process as it has unfolded in the educational voucher experiment in the Alum Rock school system near San Jose, California. The author assumed at the outset that parents cannot make intelligent choices between schooling alternatives if they…

  4. Under the Law: Vouchers Multiply Even without Public Support

    ERIC Educational Resources Information Center

    Underwood, Julie

    2015-01-01

    Public funding of private K-12 schooling through vouchers continues to be a contentious issue across the U.S., even though a solid majority of Americans continues to oppose them. The voucher plans run the risk of legal challenge for how they handle the rights of students with disabilities and whether they violate state constitutional provisions…

  5. Special Education Voucher Programs, Reflective Judgment, and Future Legislative Recommendations

    ERIC Educational Resources Information Center

    Bon, Susan C.; Decker, Janet R.; Strassfeld, Natasha

    2016-01-01

    As of 2015, 17 special education voucher programs (SVPs) existed in 13 states and proposals continue to emerge. Eligible parents utilize these vouchers to enroll their children in private schools and thereby relinquish special education services and protections provided under the Individuals with Disabilities Education Act (IDEA). Using a…

  6. The Saturation Campaign of Lies and Distortions about Educational Vouchers.

    ERIC Educational Resources Information Center

    Fuller, Howard L.

    This paper asserts that a campaign of "distortions and lies" about educational vouchers is being conducted by opponents of expanded educational options for low-income parents. It suggests that aspects of the voucher debate are subject to frequent distortion, refuting myths that are being spread. These focus on such issues as: overall admission…

  7. Colorado's Voucher Law: Examining the Claim of Fiscal Neutrality

    ERIC Educational Resources Information Center

    Welner, Kevin G.

    2004-01-01

    Colorado's voucher law was declared unconstitutional by the Colorado Supreme Court on June 28, 2004. Voucher supporters have begun drafting revised legislation designed to address the legal problem. This article calls into question the key financial claim of revenue neutrality--a claim that was central to the promotion and passage of the departing…

  8. Educational Voucher Demonstration Archive: Project-Level Documentation.

    ERIC Educational Resources Information Center

    Leinwand (C.M.) Associates, Inc., Newton, MA.

    This report describes the Educational Voucher Demonstration, serves as a guide for its documentation, and offers an extensive bibliography. Part 1 gives background information and summarizes the implementation of the Alum Rock Demonstration based on a transitional voucher model and involving six public schools, each offering at least two distinct…

  9. A Nineteenth-Century French Proposal to Use School Vouchers.

    ERIC Educational Resources Information Center

    Van Vliet, W.; Smyth, J. A.

    1982-01-01

    In light of the current American interest in school vouchers as proposed by economist Milton Friedman, recapitulates the origins, content, and fate of an 1872 law drafted by a French parliamentary commission to establish a countrywide voucher scheme for primary schools. (NEC)

  10. Lies and Distortions: The Campaign against School Vouchers.

    ERIC Educational Resources Information Center

    Fuller, Howard; Caire, Kaleem

    This report suggests that organized opponents of tax-supported school vouchers purposely issue inaccurate statements about parental school choice, suggesting that their widespread efforts seriously contaminate discussion of this policy issue. Section one suggests that a "big lie" strategy is being used by organized school voucher opponents,…

  11. Competitive Effects of Means-Tested School Vouchers

    ERIC Educational Resources Information Center

    Figlio, David N.; Hart, Cassandra M. D.

    2010-01-01

    School choice options--including both voucher and neo-voucher options like tuition tax credit funded scholarship programs--have become increasingly prevalent in recent years (Howell, Peterson, Wolf and Campbell, 2006). One popular argument for school choice policies, drawing from economic theory, is that public schools will improve the education…

  12. Evaluating Voucher Programs: The Milwaukee Parental Choice Program

    ERIC Educational Resources Information Center

    Witte, John F.

    2016-01-01

    This paper is the first summary of two studies and 10 years of evaluating the Milwaukee Parental Choice (voucher) Program (MPCP). This paper discusses school voucher evaluations in general terms and how these studies are carried out. The paper outlines the types of studies completed in "Study I" and "Study II" and the results…

  13. The Voucher Decision: Charting the New Landscape of School Choice.

    ERIC Educational Resources Information Center

    Walsh, Mark; Gehring, John; Gewertz, Catherine; Zehr, Mary Ann; Robelen, Eric W.

    2002-01-01

    These articles highlight reactions to the U.S. Supreme Court's landmark ruling upholding the Cleveland voucher program. "Justices Settle Case, Nettle Policy Debate" (Mark Walsh) discusses how the ruling has rejuvenated the school choice movement and reinvigorated debates over how best to improve education for all students. "Voucher Battles Head to…

  14. 23 CFR 1200.23 - Vouchers and project agreements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... TRANSPORTATION PROCEDURES FOR STATE HIGHWAY SAFETY PROGRAMS UNIFORM PROCEDURES FOR STATE HIGHWAY SAFETY PROGRAMS Implementation and Management of the Highway Safety Program § 1200.23 Vouchers and project agreements. Each State... 23 Highways 1 2010-04-01 2010-04-01 false Vouchers and project agreements. 1200.23 Section...

  15. 23 CFR 1200.23 - Vouchers and project agreements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... TRANSPORTATION PROCEDURES FOR STATE HIGHWAY SAFETY PROGRAMS UNIFORM PROCEDURES FOR STATE HIGHWAY SAFETY PROGRAMS Implementation and Management of the Highway Safety Program § 1200.23 Vouchers and project agreements. Each State... 23 Highways 1 2011-04-01 2011-04-01 false Vouchers and project agreements. 1200.23 Section...

  16. Market-Based Higher Education: Does Colorado's Voucher Model Improve Higher Education Access and Efficiency?

    ERIC Educational Resources Information Center

    Hillman, Nicholas W.; Tandberg, David A.; Gross, Jacob P. K.

    2014-01-01

    In 2004, Colorado introduced the nation's first voucher model for financing public higher education. With state appropriations now allocated to students, rather than institutions, state officials expect this model to create cost efficiencies while also expanding college access. Using difference-in-difference regression analysis, we find…

  17. Educational Vouchers and Social Cohesion: A Statistical Analysis of Student Civic Attitudes in Sweden, 1999-2009

    ERIC Educational Resources Information Center

    Shafiq, M. Najeeb; Myers, John P.

    2014-01-01

    This study examines the Swedish national educational voucher scheme and changes in social cohesion. We conduct a statistical analysis using data from the 1999 and 2009 rounds of the International Association for the Evaluation of Educational Achievement's civic education study of 14-year-old students and their attitudes toward the rights of…

  18. Voucher-based incentives. A substance abuse treatment innovation.

    PubMed

    Higgins, Stephen T; Alessi, Sheila M; Dantona, Robert L

    2002-01-01

    In this report we provide an overview of research on the voucher-based incentives approach to substance abuse treatment. This approach was originally developed as a novel method for improving retention and increasing cocaine abstinence among cocaine-dependent outpatients. The efficacy of vouchers for those purposes is now well established, and plans are underway to move the intervention into effectiveness testing in community clinics. The use of vouchers also has been extended to the treatment of alcohol, marijuana, nicotine, and opioid dependence. Particularly noteworthy is that vouchers hold promise as an efficacious intervention with special populations of substance abusers, including pregnant and recently postpartum women, adolescents, and those with serious mental illness. Overall, voucher-based incentives hold promise as an innovative treatment intervention that has efficacy across a wide range of substance abuse problems and populations.

  19. Looking Inside the Black Box: What School Factors Explain Voucher Gains in Washington, DC?

    ERIC Educational Resources Information Center

    Wolf, Patrick J.; Hoople, Daniel S.

    2006-01-01

    Several evaluations of private school voucher programs in the United States have reported achievement gains for voucher users, particularly African Americans. These studies tend to be structured as Randomized Field Trials (RFTs) in which participants are assigned to treatment (offered a voucher) and control (not offered a voucher) groups by…

  20. Looking inside the Black Box: What School Factors Explain Voucher Gains in Washington, D.C.?

    ERIC Educational Resources Information Center

    Wolf, Patrick J.

    Recently, a number of evaluations of private school voucher programs in the United States have reported achievement gains for voucher users, especially African Americans. These studies tend to be structured as Randomized Field Trials (RFTs), where participants are assigned to treatment (offered a voucher) and control (not offered a voucher) groups…

  1. From Theory to Practice: Considerations for Implementing a Statewide Voucher System.

    ERIC Educational Resources Information Center

    Doyle, Denis P.

    This monograph analyzes trends in American educational philosophy and history in its proposal to implement an all-public statewide school voucher system. Following an introduction, section 1, "Alternative Voucher Systems," discusses three concepts: universal unregulated vouchers, favored by Milton Friedman; regulated compensatory vouchers,…

  2. 48 CFR 13.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...-Invoice-Voucher. 13.306 Section 13.306 Federal Acquisition Regulations System FEDERAL ACQUISITION... Methods 13.306 SF 44, Purchase Order—Invoice—Voucher. The SF 44, Purchase Order—Invoice—Voucher, is a... can be used as a receiving report, invoice, and public voucher. (a) This form may be used if all...

  3. 48 CFR 13.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...-Invoice-Voucher. 13.306 Section 13.306 Federal Acquisition Regulations System FEDERAL ACQUISITION... Methods 13.306 SF 44, Purchase Order—Invoice—Voucher. The SF 44, Purchase Order—Invoice—Voucher, is a... can be used as a receiving report, invoice, and public voucher. (a) This form may be used if all...

  4. 48 CFR 13.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-Invoice-Voucher. 13.306 Section 13.306 Federal Acquisition Regulations System FEDERAL ACQUISITION... Methods 13.306 SF 44, Purchase Order—Invoice—Voucher. The SF 44, Purchase Order—Invoice—Voucher, is a... can be used as a receiving report, invoice, and public voucher. (a) This form may be used if all...

  5. 48 CFR 13.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-Invoice-Voucher. 13.306 Section 13.306 Federal Acquisition Regulations System FEDERAL ACQUISITION... Methods 13.306 SF 44, Purchase Order—Invoice—Voucher. The SF 44, Purchase Order—Invoice—Voucher, is a... can be used as a receiving report, invoice, and public voucher. (a) This form may be used if all...

  6. 48 CFR 13.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...-Invoice-Voucher. 13.306 Section 13.306 Federal Acquisition Regulations System FEDERAL ACQUISITION... Methods 13.306 SF 44, Purchase Order—Invoice—Voucher. The SF 44, Purchase Order—Invoice—Voucher, is a... can be used as a receiving report, invoice, and public voucher. (a) This form may be used if all...

  7. Going beyond the vertical: leveraging a national HIV quality improvement programme to address other health priorities in Haiti.

    PubMed

    Joseph, Jean Paul; Jerome, Gregory; Lambert, Wesler; Almazor, Patrick; Cupidon, Colette Eugene; Hirschhorn, Lisa R

    2015-07-01

    Although the central role of quality to achieve targeted population health goals is widely recognized, how to spread the capacity to measure and improve quality across programmes has not been widely studied. We describe the successful leveraging of expertise and framework of a national HIV quality improvement programme to spread capacity and improve quality across a network of clinics in HIV and other targeted areas of healthcare delivery in rural Haiti.The work was led by Zamni LaSante, a Haitian nongovernment organization and its sister organization, Partners In Health working in partnership with the Haitian Ministry of Health in the Plateau Central and Lower Artibonite regions in 12 public sector facilities.Data included routinely collected organizational assessments of facility quality improvement capacity, national HIV performance measures and Zamni LaSante programme records.We found that facility quality improvement capacity increased with spread from HIV to other areas of inpatient and outpatient care, including tuberculosis (TB), maternal health and inpatient services in all 12 supported healthcare facilities. A significant increase in the quality of HIV care was also seen in most areas, including CD4 monitoring, TB screening, HIV treatment (all P < 0.01) and nutritional assessment and prevention of mother-to-child transmission (both P < .05), with an increase in average facility performance from 39 to 72% (P < .01).In conclusion, using a diagonal approach to leverage a national vertical programme for wider benefit resulted in accelerated change in professional culture and increased capacity to spread quality improvement activities across facilities and areas of healthcare delivery. This led to improvement within and beyond HIV care and contributed to the goal of quality of care for all. PMID:26102627

  8. 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

  9. Expanding safer sex options: introducing the female condom into national programmes.

    PubMed

    Warren, Mitchell; Philpott, Anne

    2003-05-01

    Although the female condom has been introduced into over 90 countries since 1997, it has only been accepted in sexual and reproductive health programmes as a mainstream method in a few. This paper describes introductory strategies developed by Ministries of Health and non-governmental organisations in Brazil, Ghana, Zimbabwe and South Africa, supported by UNAIDS, and the manufacturers of the female condom, which have significantly expanded the number of female condoms being used. These projects have several key similarities: a focus on training for providers and peer educators, face-to-face communication with potential users to equip them with information and skills, an identified target audience, a consistent supply, a long assessment period to gauge actual use beyond the initial novelty phase, and a mix of public and private sector distribution. Female condom programmes require the sanction, leadership and funding of governments and donors. However, the non-governmental and private sectors have also played a major role in programme implementation. To ensure successful introduction of the female condom, it is crucial to involve a range of decision-makers, programme managers, service providers, community leaders and women's and youth groups. The rising cost of inaction and unprotected sex in the spread of HIV and AIDS force us to recognise the high cost of not providing female condoms alongside male condoms in family planning and AIDS prevention programmes. PMID:12800710

  10. Healthy universities--time for action: a qualitative research study exploring the potential for a national programme.

    PubMed

    Dooris, Mark; Doherty, Sharon

    2010-03-01

    Despite the absence of national or international steers, there is within England growing interest in the Healthy University approach. This article introduces Healthy Universities; reports on a qualitative study exploring the potential for a national programme contributing to health, well-being and sustainable development; and concludes with reflections and recommendations. The study used questionnaires and interviews with key informants from English higher education institutions and national stakeholder organizations. The findings confirmed that higher education offers significant potential to impact positively on the health and well-being of students, staff and wider communities through education, research, knowledge exchange and institutional practice. There was strong support for extending the healthy settings approach beyond schools and further education, through a National Healthy Higher Education Programme that provides a whole system Healthy University Framework. Informants argued that although there are important public health drivers, it will also be necessary to show how a Healthy Universities can help achieve core business objectives and contribute to related agendas such as sustainability. Two models were discussed: an accreditation scheme with externally assessed standardized achievement criteria; and a flexible and light-touch framework focusing on change-related processes and utilizing self-assessment. While highlighting the appeal of league tables, many informants feared that a top-down approach could backfire, generating resistance and resulting in minimal compliance. In contrast, the majority felt that a process-focused aspirational model would be more likely to win hearts and minds and facilitate system-level change. Key recommendations relate to national programme development, research and evaluation and international collaboration and networking.

  11. The quality assurance programme for the national radioactivity surveillance network in Italy.

    PubMed

    De Felice, P

    2001-01-01

    The quality assurance programme (QAP) carried out by the ENEA and ANPA for the laboratories belonging to the radioactivity surveillance network in Italy is outlined. The organisation of the QAP and the measurement campaigns performed from 1983 to 2000 are reviewed under different aspects such as network evolution, measurement types, standard sources needed for the calibration and intercomparison campaigns. network homogeneity and accuracy level, and main sources of systematic errors. The results show the effectiveness of the programme in obtaining a uniform accuracy level among the participating laboratories. Nevertheless a few sources of systematic errors are still present.

  12. Contingency Management Voucher Redemption as an Indicator of Delayed Gratification

    PubMed Central

    Fletcher, Jesse B.; Dierst-Davies, Rhodri; Reback, Cathy J.

    2014-01-01

    This prospective analysis tested whether frequency of voucher redemptions during a contingency management (CM) substance use intervention was significantly associated with participants’ ongoing substance use. Homeless, substance-dependent men who have sex with men (N=131) were randomized into either a “full” or “lite” voucher-based CM intervention. All participants earned vouchers for attendance and participation; participants in the CM-full condition also received vouchers for substance abstinence and enactment of prosocial and/or health-promoting behaviors. Multivariate longitudinal negative binomial regression analyses (n = 118) assessed the association between substance use during the intervention and frequency of voucher redemptions. Participants who used methamphetamine (IRR = 0.66; 95% CI=0.44–0.99) and/or opiates (IRR=0.60; 95% CI=0.40–0.99) during the intervention exhibited less time between voucher redemptions than individuals who achieved abstinence from these substances. Voucher redemption logs can be cost-effective and unobtrusive tools for measuring study participants’ tendency to delay gratification. PMID:24674235

  13. Contingency management voucher redemption as an indicator of delayed gratification.

    PubMed

    Fletcher, Jesse B; Dierst-Davies, Rhodri; Reback, Cathy J

    2014-07-01

    This prospective analysis tested whether frequency of voucher redemptions during a contingency management (CM) substance use intervention was significantly associated with participants' ongoing substance use. Homeless, substance-dependent men who have sex with men (N=131) were randomized into either a "full" or "lite" voucher-based CM intervention. All participants earned vouchers for attendance and participation; participants in the CM-full condition also received vouchers for substance abstinence and enactment of prosocial and/or health-promoting behaviors. Multivariate longitudinal negative binomial regression analyses (n=118) assessed the association between substance use during the intervention and frequency of voucher redemptions. Participants who used methamphetamine (IRR=0.66; 95% CI=0.44-0.99) and/or opiates (IRR=0.60; 95% CI=0.40-0.99) during the intervention exhibited less time between voucher redemptions than individuals who achieved abstinence from these substances. Voucher redemption logs can be cost-effective and unobtrusive tools for measuring study participants' tendency to delay gratification.

  14. New Wine in Old Bottles? A Critique of Sweden's New National Training Programme for Head Teachers: Does It Strengthen or Undermine School Equality and Students' Educational Rights and Guarantees?

    ERIC Educational Resources Information Center

    Rapp, Stephan

    2012-01-01

    This research seeks to look at the effect of the new Swedish training programme for head teachers by comparing it with the previous national training programme and does so primarily through an analysis of documents and texts that served to underpin the two different programmes. To put the Swedish teacher-training programme in an international…

  15. The development of a national bicultural and interprofessional programme in clinical teaching and supervision in New Zealand.

    PubMed

    Sheehan, Dale; Jansen, David

    2006-12-01

    Throughout the world, particularly in colonized countries, the health status of indigenous people and the unequal representation of indigenous people within the health workforce is of concern. In 2002, as part of a national health workforce development strategy, a qualification was developed to provide Maori (Indigenous New Zealander) health professionals with the skills and confidence to teach and supervise students on clinical placements in Maori health environments. This project required close collaboration between two education providers, one a Maori private education provider and the other a traditional government-funded tertiary institution; and for both organizations to work cooperatively with Maori communities and Maori health providers. The Christchurch College of Education (CCE) and Mauri Ora Associates are jointly involved in the administration, design and delivery of the programme, recruitment of guest lecturers, and ongoing curriculum updates. The content for the programme is mainstream, international and interprofessional but the pedagogy is Maori, with Maori customs, values and traditions upheld and practised. A national Maori health workforce development organization contracts independently with both organizations and provides an oversight and quality monitoring role. Together, the three organizations work with other Maori health professional groups and Maori elders to deliver the qualification. This paper describes how this course was designed, how it is delivered within a Maori paradigm, and how the outcomes are achieved. It also describes the cooperation between Maori and Pakeha (white New Zealanders) across health, community and educational organizations that was required to sustain this programme over five years and identifies some themes that may be applied in a global context. In sharing our experiences, we hope to inspire others to consider ways they can meet the needs of indigenous learners within their mainstream programmes. PMID:17095438

  16. The development of a national bicultural and interprofessional programme in clinical teaching and supervision in New Zealand.

    PubMed

    Sheehan, Dale; Jansen, David

    2006-12-01

    Throughout the world, particularly in colonized countries, the health status of indigenous people and the unequal representation of indigenous people within the health workforce is of concern. In 2002, as part of a national health workforce development strategy, a qualification was developed to provide Maori (Indigenous New Zealander) health professionals with the skills and confidence to teach and supervise students on clinical placements in Maori health environments. This project required close collaboration between two education providers, one a Maori private education provider and the other a traditional government-funded tertiary institution; and for both organizations to work cooperatively with Maori communities and Maori health providers. The Christchurch College of Education (CCE) and Mauri Ora Associates are jointly involved in the administration, design and delivery of the programme, recruitment of guest lecturers, and ongoing curriculum updates. The content for the programme is mainstream, international and interprofessional but the pedagogy is Maori, with Maori customs, values and traditions upheld and practised. A national Maori health workforce development organization contracts independently with both organizations and provides an oversight and quality monitoring role. Together, the three organizations work with other Maori health professional groups and Maori elders to deliver the qualification. This paper describes how this course was designed, how it is delivered within a Maori paradigm, and how the outcomes are achieved. It also describes the cooperation between Maori and Pakeha (white New Zealanders) across health, community and educational organizations that was required to sustain this programme over five years and identifies some themes that may be applied in a global context. In sharing our experiences, we hope to inspire others to consider ways they can meet the needs of indigenous learners within their mainstream programmes.

  17. Impact of a National Programme of Professional Development in Science Education

    ERIC Educational Resources Information Center

    Kudenko, Irina; Ratcliffe, Mary; Redmore, Alison; Aldridge, Catherine

    2011-01-01

    Evaluation of large-scale professional development programmes in a cost-effective but detailed manner presents challenges. Much of the research evidence on the effectiveness of professional development in science education has been the result of small-scale studies that use clustered or stratified sampling methods. Using the evidence collected…

  18. The experience of Chinese physicians in the national health diplomacy programme deployed to Sudan.

    PubMed

    Wang, Kai; Gimbel, Sarah; Malik, Elfatih; Hassen, Sara; Hagopian, Amy

    2012-01-01

    Chinese Medical Teams have been working in developing countries since 1963 as a health diplomacy strategy. In 2010, 1252 Chinese medical personnel were assigned to 48 countries. We conducted a review of Chinese literature and governmental websites to describe the history and current distribution of Chinese Medical Teams around the world. In addition, we interviewed members of a 36-member Chinese Medical Team deployed to Sudan (primarily about their motivations to join the programme and the challenges and benefits they face), along with their Sudanese hosts. The most significant challenge health workers described was homesickness. Most members said they were able to maintain motivation through their curiosity and the doctor-friendly environment. All but two rated their own working performance as 'good' or 'very good', while their Sudanese colleagues consistently rated them even higher. Participants reported conflicting beliefs regarding the perceived responsibilities of the team and challenges around communication. Three pillars support the Chinese Medical Team programme in Sudan: bilateral government commitment, the professionalism of the Medical Teams, and the welcoming medical environment. Future success of this or similar Chinese programmes depend on the willingness of both governments to participate, the ongoing commitment of younger Chinese doctors, and the hospitality of physicians in the host country. There are also some threats to the programme, including a potentially diminishing need for Chinese doctors to support increasingly well-trained host country physicians. PMID:21728741

  19. A Critical Evaluation of Training within the South African National Public Works Programme

    ERIC Educational Resources Information Center

    Mccord, Anna

    2005-01-01

    This article explores the ability of the training and work experience offered under public works programmes to promote employment in South Africa. Public works are a key component of South African labour market policy and are ascribed considerable potential in terms of addressing the core challenge of unemployment. However, despite this policy…

  20. The experience of Chinese physicians in the national health diplomacy programme deployed to Sudan.

    PubMed

    Wang, Kai; Gimbel, Sarah; Malik, Elfatih; Hassen, Sara; Hagopian, Amy

    2012-01-01

    Chinese Medical Teams have been working in developing countries since 1963 as a health diplomacy strategy. In 2010, 1252 Chinese medical personnel were assigned to 48 countries. We conducted a review of Chinese literature and governmental websites to describe the history and current distribution of Chinese Medical Teams around the world. In addition, we interviewed members of a 36-member Chinese Medical Team deployed to Sudan (primarily about their motivations to join the programme and the challenges and benefits they face), along with their Sudanese hosts. The most significant challenge health workers described was homesickness. Most members said they were able to maintain motivation through their curiosity and the doctor-friendly environment. All but two rated their own working performance as 'good' or 'very good', while their Sudanese colleagues consistently rated them even higher. Participants reported conflicting beliefs regarding the perceived responsibilities of the team and challenges around communication. Three pillars support the Chinese Medical Team programme in Sudan: bilateral government commitment, the professionalism of the Medical Teams, and the welcoming medical environment. Future success of this or similar Chinese programmes depend on the willingness of both governments to participate, the ongoing commitment of younger Chinese doctors, and the hospitality of physicians in the host country. There are also some threats to the programme, including a potentially diminishing need for Chinese doctors to support increasingly well-trained host country physicians.

  1. Media in Distance Learning: The Nigerian National Teachers Institute Distance Education Programme

    ERIC Educational Resources Information Center

    Yusuf, Mudasiru Olalere; Falade, Ayotunde Atanda

    2005-01-01

    This study investigated the use of media by distance learners enrolled in the NTI distance education programme. Two hundred and fifty five distance learners drawn from Oyo State, Nigeria, completed a questionnaire to determine the use of media, and factors militating against their effective use by distance learners. Research data were analyzed…

  2. A maternal health voucher scheme: what have we learned from the demand-side financing scheme in Bangladesh?

    PubMed

    Ahmed, Shakil; Khan, M Mahmud

    2011-01-01

    It is now more than 2 years since the Ministry of Health and Family Welfare of the Government of Bangladesh implemented the Maternal Health Voucher Scheme, a specialized form of demand-side financing programme. To analyse the early lessons from the scheme, information was obtained through semi-structured interviews with stakeholders at the sub-district level. The analysis identified a number of factors affecting the efficiency and performance of the scheme in the program area: delay in the release of voucher funds, selection criteria used for enrolling pregnant women in the programme, incentives created by the reimbursement system, etc. One of the objectives of the scheme was to encourage market competition among health care providers, but it failed to increase market competitiveness in the area. The resources made available through the scheme did not attract any new providers into the market and public facilities remained the only eligible provider both before and after scheme implementation. However, incentives provided through the voucher system did motivate public providers to offer a higher level of services. The beneficiaries expressed their overall satisfaction with the scheme as well. Since the local facility was not technically ready to provide all types of maternal health care services, providing vouchers may not improve access to care for many pregnant women. To improve the performance of the demand-side strategy, it has become important to adopt some supply-side interventions. In poor developing countries, a demand-side strategy may not be very effective without significant expansion of the service delivery capacity of health facilities at the sub-district level.

  3. An Analysis of Voucher Advocacy: Taking a Closer Look at the Uses and Limitations of "Gold Standard" Research

    ERIC Educational Resources Information Center

    Lubienski, Christopher; Brewer, T. Jameson

    2016-01-01

    Voucher proponents have increasingly pursued empirical evidence on the effectiveness of vouchers as a form of education improvement, in addition to advocating for vouchers on moral or ethical grounds. Voucher proponents contend that randomized assignment studies of students in voucher programs have consistently confirmed the effectiveness of…

  4. The Feasibility of Vouchered Training in WIN: Report on the First Phase of a Study. Paper No. 538.

    ERIC Educational Resources Information Center

    Richardson, Ann; Sharp, Laure M.

    The preliminary study explores the feasibility of a voucher system for purchase of skill training by participants in the Work Incentive Program (WIN) and describes the Portland, Oregon voucher system. Time limits on vouchers, voucherable occupations, dollar limits on vouchers, eligibility of clients, eligibility of vendors, timing and financial…

  5. Results from a survey of national immunization programmes on home-based vaccination record practices in 2013

    PubMed Central

    Young, Stacy L.; Gacic-Dobo, Marta; Brown, David W.

    2015-01-01

    Background Data on home-based records (HBRs) practices within national immunization programmes are non-existent, making it difficult to determine whether current efforts of immunization programmes related to basic recording of immunization services are appropriately focused. Methods During January 2014, WHO and the United Nations Children's Fund sent a one-page questionnaire to 195 countries to obtain information on HBRs including type of record used, number of records printed, whether records were provided free-of-charge or required by schools, whether there was a stock-out and the duration of any stock-outs that occurred, as well as the total expenditure for printing HBRs during 2013. Results A total of 140 countries returned a completed HBR questionnaire. Two countries were excluded from analysis because they did not use a HBR during 2013. HBR types varied across countries (vaccination only cards, 32/138 [23.1%]; vaccination plus growth monitoring records, 31/138 [22.4%]; child health books, 48/138 [34.7%]; combination of these, 27/138 [19.5%] countries). HBRs were provided free-of-charge in 124/138 (89.8%) respondent countries. HBRs were required for school entry in 62/138 (44.9%) countries. Nearly a quarter of countries reported HBR stock-outs during 2013. Computed printing cost per record was national immunization programmes to develop, implement and monitor corrective activities to improve the availability and utilization of HBRs. Much work remains to improve forecasting where appropriate, to prevent HBR stock-outs, to identify and improve sustainable financing options and to explore viable market shaping opportunities. PMID:25733540

  6. Peer mentors, mobile phone and pills: collective monitoring and adherence in Kenyatta National Hospital's HIV treatment programme

    PubMed Central

    Moyer, Eileen

    2014-01-01

    In 2006, the Kenyan state joined the international commitment to make antiretroviral treatment free in public health institutions to people infected with HIV. Less than a decade later, treatment has reached over 60% of those who need it in Kenya. This paper, which is based on an in-depth ethnographic case study of the HIV treatment programme at Kenyatta National Hospital, conducted intermittently between 2008 and 2014, examines how HIV-positive peer mentors encourage and track adherence to treatment regimens within and beyond the clinic walls using mobile phones and computer technology. This research into the everyday practices of patient monitoring demonstrates that both surveillance and adherence are collective activities. Peer mentors provide counselling services, follow up people who stray from treatment regimens, and perform a range of other tasks related to patient management and treatment adherence. Despite peer mentors’ involvement in many tasks key to encouraging optimal adherence, their role is rarely acknowledged by co-workers, hospital administrators, or public health officials. Following a biomedical paradigm, adherence at Kenyatta and in Kenya is framed by programme administrators as something individual clients must do and for which they must be held accountable. This framing simultaneously conceals the sociality of adherence and undervalues the work of peer mentors in treatment programmes. PMID:25175291

  7. Improving quality outcomes in a single-payer system: lessons learned from the UK National Health Service Breast Screening Programme.

    PubMed

    Wallis, Matthew G; Lawrence, Gill; Brenner, R James

    2008-06-01

    The success of pay-for-performance initiatives in the United States as a function of improved quality of care is likely to be conditioned on the participation of all stakeholders. The ability of providers to develop quality improvement programs that receive sufficient resource support from the government represents a dynamic that has proved successful for the Breast Screening Programme, a part of the National Health Service, in the United Kingdom. A review of selected aspects of the program should serve as a template for consideration of how the deliberate coordination of clinical care can be improved under such circumstances.

  8. Experience with the European quality assurance guidelines for digital mammography systems in a national screening programme.

    PubMed

    McCullagh, J; Keavey, E; Egan, G; Phelan, N

    2013-02-01

    The transition to a fully digital breast screening programme, utilising three different full-field digital mammography (FFDM) systems has presented many challenges to the implementation of the European guidelines for physico-technical quality assurance (QA) testing. An analysis of the QA results collected from the FFDM systems in the screening programme over a 2-y period indicates that the three different systems have similar QA performances. Generally, the same tests were failed by all systems and failure rates were low. The findings provide some assurance that the QA guidelines are being correctly implemented. They also suggest that there is more scope for the development of the relevance of the guidelines with respect to modern FFDM systems. This study has also shown that a summary review of the QA data can be achieved by simple organisation of the QA data storage and by automation of data query and retrieval using commonly available software.

  9. The transmigration programme in Indonesian national development strategy: current status and future requirements.

    PubMed

    Leinbach, T R

    1989-01-01

    The author reviews the Indonesian transmigration program. He notes that over four million people moved in the period from the program's 1904 inception through mid-1986. "Despite considerable success the programme has been plagued by numerous problems. These include inadequate income levels, improper site selection, poor matching of settlement models to the specific sites, environmental deterioration, migrant adjustment, land conflicts and financing." Current efforts to improve existing settlements, encourage spontaneous migraton, and involve the private sector are also described.

  10. Do Vouchers Lead to Sorting under Random Private School Selection? Evidence from the Milwaukee Voucher Program. Working Paper #09-02

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2009-01-01

    This paper analyzes the impact of voucher design on student sorting, and more specifically investigates whether there are feasible ways of designing vouchers that can reduce or eliminate student sorting. It studies these questions in the context of the first five years of the Milwaukee voucher program. Much of the existing literature investigates…

  11. 'The one with the purse makes policy': Power, problem definition, framing and maternal health policies and programmes evolution in national level institutionalised policy making processes in Ghana.

    PubMed

    Koduah, Augustina; Agyepong, Irene Akua; van Dijk, Han

    2016-10-01

    This paper seeks to advance our understanding of health policy agenda setting and formulation processes in a lower middle income country, Ghana, by exploring how and why maternal health policies and programmes appeared and evolved on the health sector programme of work agenda between 2002 and 2012. We theorized that the appearance of a policy or programme on the agenda and its fate within the programme of work is predominately influenced by how national level decision makers use their sources of power to define maternal health problems and frame their policy narratives. National level decision makers used their power sources as negotiation tools to frame maternal health issues and design maternal health policies and programmes within the framework of the national health sector programme of work. The power sources identified included legal and structural authority; access to authority by way of political influence; control over and access to resources (mainly financial); access to evidence in the form of health sector performance reviews and demographic health surveys; and knowledge of national plans such as Ghana Poverty Reduction Strategy. Understanding of power sources and their use as negotiation tools in policy development should not be ignored in the pursuit of transformative change and sustained improvement in health systems in low- and middle income countries (LMIC). PMID:27614028

  12. 'The one with the purse makes policy': Power, problem definition, framing and maternal health policies and programmes evolution in national level institutionalised policy making processes in Ghana.

    PubMed

    Koduah, Augustina; Agyepong, Irene Akua; van Dijk, Han

    2016-10-01

    This paper seeks to advance our understanding of health policy agenda setting and formulation processes in a lower middle income country, Ghana, by exploring how and why maternal health policies and programmes appeared and evolved on the health sector programme of work agenda between 2002 and 2012. We theorized that the appearance of a policy or programme on the agenda and its fate within the programme of work is predominately influenced by how national level decision makers use their sources of power to define maternal health problems and frame their policy narratives. National level decision makers used their power sources as negotiation tools to frame maternal health issues and design maternal health policies and programmes within the framework of the national health sector programme of work. The power sources identified included legal and structural authority; access to authority by way of political influence; control over and access to resources (mainly financial); access to evidence in the form of health sector performance reviews and demographic health surveys; and knowledge of national plans such as Ghana Poverty Reduction Strategy. Understanding of power sources and their use as negotiation tools in policy development should not be ignored in the pursuit of transformative change and sustained improvement in health systems in low- and middle income countries (LMIC).

  13. Knowledge and work performance of multi-purpose workers under national leprosy eradication programme in Satara district, Maharashtra.

    PubMed

    Mohite, R V; Mohite, V R

    2012-01-01

    After integration of leprosy services into general health care services, peripheral health care workers played important role in leprosy elimination. The objectives of present study are to assess the knowledge and work performance of multi-purpose workers and it's correlation towards eradication of leprosy under national leprosy eradication programme in Satara district. The cross sectional study was conducted over a period of 6 months includes 71 Primary health centres (PHCs) and 6 Urban leprosy centres (ULCs) providing leprosy services to whole Satara district, Maharashtra. Random sampling technique was used to select study subjects (Multi-purpose workers, MPWs) and data was collected by using pre-tested semi structured proforma by personal interview method. Percentage distribution and statistical association between knowledge and work performance was analysed. More than 88.31% MPWs had good knowledge about leprosy and National leprosy eradication programme (NLEP), similarly more than 88.42% showed good work performance under NLEP in Satara district. Significant statistical association was existed between age and work experience of MPWs with their work performance under NLEP (chi2=11.2, p=0.023* and chi2=10.1, p=0.038*). Significant correlation was also observed between knowledge of MPWs about leprosy and NLEP with their work performance under NLEP (r=0.66, p=0.001*). Satara district achieved leprosy elimination which was mainly due to very good knowledge and quality work performance by multi-purpose workers.

  14. Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study

    PubMed Central

    Caljouw, Monique A.A.; Zekveld, Ineke G.; van Balen, Romke; de Groot, Aafke J.; van Haastregt, Jolanda C.M.; Schols, Jos M.G.A.; Hertogh, Cees M.P.M.; Gussekloo, Jacobijn; Achterberg, Wilco P.

    2015-01-01

    Objective To describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health service delivery processes. Study setting Sixteen skilled nursing facilities. Study design Prospective study, comparing three consecutive cohorts. Data collection Professionals (elderly care physicians, physiotherapists and nursing staff) rated four domains of health service delivery at admission and at discharge of 1075 patients. In addition, these patients [median age 79 (Interquartile range 71–85) years, 63% females] and their informal caregivers rated their experiences on these domains 4 weeks after discharge. Principal findings During the three consecutive cohorts, professionals reported improvement on the domain team cooperation, including assessment for intensive treatment and information transfer among professionals. Fewer improvements were reported within the domains alignment with patients’ needs, care coordination and care quality. Between the cohorts, according to patients (n = 521) and informal caregivers (n = 319) there were no changes in the four domains of health service delivery. Conclusion This national programme resulted in small improvements in team cooperation as reported by the professionals. No effects were found on patients’ and informal caregivers’ perceptions of health service delivery. PMID:27118962

  15. Systematic review of the use of data from national childhood obesity surveillance programmes in primary care: a conceptual synthesis.

    PubMed

    Henderson, E J; Ells, L J; Rubin, G P; Hunter, D J

    2015-11-01

    This study reviewed the use in primary care of national surveillance data for children to determine the data's potential utility to inform policy and practice decisions on how to prevent and treat childhood obesity. We reviewed the 28 countries identified by the World Obesity Federation as having high-quality comparable body mass index data for children. Literature published from any period up to December 2013 was included. Peer review literature was searched using Web of Science (Core Collection, MEDLINE). Grey literature was searched using the Internet by country name, programme name and national health and government websites. We included studies that (i) use national surveillance obesity data in primary care, or (ii) explore practitioner or parent perspectives about the use of such data. The main uses of national surveillance data in primary care were to identify and recruit obese children and their parents to participate in school and general practice-based research and/or interventions, and to inform families of children's measurements. Findings indicate a need for school staff and practitioners to receive additional training and support to sensitively communicate with families. Translation of these findings into policy and practice could help to improve current uses of national child obesity surveillance data in primary care.

  16. The Private Cost of National Certificate in Education (NCE) through National Teachers Institute Distance Learning Programme in Ekiti State, Nigeria

    ERIC Educational Resources Information Center

    Borode, Matthew

    2010-01-01

    The study set out to examine the private cost of a National Certificate in Education, through the distance learning mode as organized by the National Teachers Institute (NTI) Ekiti State branch in Nigeria. This was to open the eyes of the prospective students to know what on the average he has to spend, and also to provide data for the state…

  17. Need for a roadmap for development of a coordinated national registry programme.

    PubMed

    Wilkins, S; Best, R L; Evans, S M

    2015-11-01

    Clinical quality registries are an overlooked and under-funded arm of clinical research in Australia. Registries are databases for patients with a particular disease, or who undergo a procedure, or use a health resource. Registries, where properly funded and universally adopted, have provided substantial benefits to the quality of healthcare and, in some cases, have had demonstrable effect in reducing costs. There is a lack of a coordinated programme for both funding and development of registries in Australia. A coordinated effort is required to address key gaps in registry coverage and ensure registries comply with appropriate technical and operating principles, and target areas where registries can add value to the health system. This will ensure that Australia is competitive with its international peers in this dynamic environment.

  18. The National Programme for IT: will it be good for children?

    PubMed

    Low, David C

    2009-01-01

    NHS Connecting for Health set up a Child Health Programme in 2007 to map out and make the case for a common core content for electronic child health records. Because of the relatively low level of integration of existing systems, sharing is technically difficult, and a consistent community-based detailed care record does not yet exist. However, Government policy and good clinical care, emphasised by Lord Laming in 2003 and again this year, stress the importance of information sharing and a common record. A record with a common core content, readily available for every child and parent or carer and for each professional delivering their health care, would be an advantage. The basis of one already exists as the Personal Child Health Record. Systems are developing and are in operation in different parts of the country which are beginning to share information between different health organisations as well as integrating different systems.

  19. Community-based health insurance programmes and the national health insurance scheme of Nigeria: challenges to uptake and integration

    PubMed Central

    2014-01-01

    Background Nigeria has included a regulated community-based health insurance (CBHI) model within its National Health Insurance Scheme (NHIS). Uptake to date has been disappointing, however. The aim of this study is to review the present status of CBHI in SSA in general to highlight the issues that affect its successful integration within the NHIS of Nigeria and more widely in developing countries. Methods A literature survey using PubMed and EconLit was carried out to identify and review studies that report factors affecting implementation of CBHI in SSA with a focus on Nigeria. Results CBHI schemes with a variety of designs have been introduced across SSA but with generally disappointing results so far. Two exceptions are Ghana and Rwanda, both of which have introduced schemes with effective government control and support coupled with intensive implementation programmes. Poor support for CBHI is repeatedly linked elsewhere with failure to engage and account for the ‘real world’ needs of beneficiaries, lack of clear legislative and regulatory frameworks, inadequate financial support, and unrealistic enrolment requirements. Nigeria’s CBHI-type schemes for the informal sectors of its NHIS have been set up under an appropriate legislative framework, but work is needed to eliminate regressive financing, to involve scheme members in the setting up and management of programmes, to inform and educate more effectively, to eliminate lack of confidence in the schemes, and to address inequity in provision. Targeted subsidies should also be considered. Conclusions Disappointing uptake of CBHI-type NHIS elements in Nigeria can be addressed through closer integration of informal and formal programmes under the NHIS umbrella, with increasing involvement of beneficiaries in scheme design and management, improved communication and education, and targeted financial assistance. PMID:24559409

  20. Teenagers and young adults with cancer in Europe: from national programmes to a European integrated coordinated project.

    PubMed

    Stark, D; Bielack, S; Brugieres, L; Dirksen, U; Duarte, X; Dunn, S; Erdelyi, D J; Grew, T; Hjorth, L; Jazbec, J; Kabickova, E; Konsoulova, A; Kowalczyk, J R; Lassaletta, A; Laurence, V; Lewis, I; Monrabal, A; Morgan, S; Mountzios, G; Olsen, P R; Renard, M; Saeter, G; van der Graaf, W T; Ferrari, A

    2016-05-01

    Over 14 000 patients aged 15-24 are estimated to be diagnosed with cancer in the European Union (EU) each year. Teenagers and young adults (TYA) often fall down gaps between children's and adults cancer services. The specific challenges of providing optimal care to them are described, but we present a summary of recent progress. Progress to overcome these challenges is happening at different rates across Europe. We summarise the European national projects in this field but more recently we have seen the beginnings of European coordination. Within the EU 7th Funding Programme (FP7) European Network for Cancer Research in Children and Adolescents programme (ENCCA), a specific European Network for Teenagers and Young Adults with Cancer has held a series of scientific meetings, including professionals, patients and caregivers. This group has proposed unanswered research questions and agreed key features of a high-quality service that can improve outcomes for TYA with cancer, including the primacy of collaboration between adult and paediatric services to eliminate the gap in the management of TYA with cancer.

  1. Preparation and Use of Voucher Specimens for Documenting Research in Weed Science

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Historically voucher specimens and herbarium collections have provided the basis for research in plant science. Available for study and verification by contemporary and future workers, voucher specimens are permanent records documenting identification, distribution, and interspecific and intraspeci...

  2. 77 FR 13619 - Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher... following information: Title of Proposal: Housing Choice Voucher Program. OMB Approval Number:...

  3. 76 FR 52675 - Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher... is soliciting public comments on the subject proposal. The Housing Choice Voucher Program... responses. This Notice Also Lists the Following Information Title of Proposal: Housing Choice...

  4. 76 FR 35232 - Notice of Proposed Information Collection for Public Comment; Housing Choice Voucher Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-16

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment; Housing Choice Voucher... following information: Title of Proposal: Housing Choice Voucher Program Administrative Fee Study Pretest... data collection from public housing agencies (PHAs) to test the methodology for the Housing...

  5. 77 FR 2682 - Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... Wide Area WorkFlow to process vouchers. DATES: Comments on the proposed rule should be submitted in... updates DoD's internal voucher processing procedures and better accommodates the use of Wide Area...

  6. The International Polar Year in Portugal: A New National Polar Programme and a Major Education and Outreach project

    NASA Astrophysics Data System (ADS)

    Mendes-Victor, L.; Vieira, G.; Xavier, J.; Canario, A.

    2008-12-01

    Before the International Polar Year, in Portugal polar research was conducted by a very small group of scientists integrated in foreign projects or research institutions. Portugal was not member of the Scientific Committee for Antarctic Research (SCAR), the European Polar Board (EPB), neither a subscriber of the Antarctic Treaty. In 2004 Portuguese Polar researchers considered the IPY as an opportunity to change this situation and organized the national Committee for the IPY. The objectives were ambitious: to answer the aforementioned issues in defining and proposing a National Polar Programme. In late 2008, close to the end of the IPY, the objectives were attained, except the Antarctic Treaty signature that is, however, in an advanced stage, having been approved by consensus at the National Parliament in early 2007. Portugal joined SCAR in July 2006, the EPB in 2007 and a set of 5 Antarctic research projects forming the roots of the National Polar Programme (ProPolar) have been approved by the Foundation for Science and Technology (FCT-MCTES). Scientifically, the IPY can already be considered a major success in Portugal with an improvement in polar scientific research, in the number of scientists performing field work in the Antarctic, organizing polar science meetings and producing an expected increase in the number of polar science peer- reviewed papers. The Portuguese IPY scientific activities were accompanied by a major education and outreach project funded by the Agencia Ciência Viva (MCTES): LATITUDE60! Education for the Planet in the IPY. This project lead by the universities of Algarve, Lisbon and by the Portuguese Association of Geography Teachers is heavily interdisciplinary, programmed for all ages, from kindergarten to adults, and hoped to bring together scientists and society. LATITUDE60! was a major success and focussed on showing the importance of the polar regions for Earth's environment, emphasising on the implications of polar change for

  7. Integrated approaches to natural resources management in practice: the catalyzing role of National Adaptation Programmes for Action.

    PubMed

    Stucki, Virpi; Smith, Mark

    2011-06-01

    The relationship of forests in water quantity and quality has been debated during the past years. At the same time, focus on climate change has increased interest in ecosystem restoration as a means for adaptation. Climate change might become one of the key drivers pushing integrated approaches for natural resources management into practice. The National Adaptation Programme of Action (NAPA) is an initiative agreed under the UN Framework Convention on Climate Change. An analysis was done to find out how widely ecosystem restoration and integrated approaches have been incorporated into NAPA priority adaptation projects. The data show that that the NAPAs can be seen as potentially important channel for operationalizing various integrated concepts. Key challenge is to implement the NAPA projects. The amount needed to implement the NAPA projects aiming at ecosystem restoration using integrated approaches presents only 0.7% of the money pledged in Copenhagen for climate change adaptation.

  8. Integrating NASA Remote Sensing Products into the Decision Support Systems of the United Nations World Food Programme

    NASA Astrophysics Data System (ADS)

    Liu, Z.; Milich, L.; Teng, W.; Rui, H.; Kempler, S.

    2005-12-01

    This presentation will describe our collaborative work with the World Food Programme of the United Nations, including web-based information services and tools to address global and regional water related issues, such as, floods and droughts. Set-up in 1963, the World Food Programme (WFP) is the United Nations frontline agency in the fight against global hunger. WFP depends on donors worldwide. The United States of America has been the largest donor. Natural disasters, such as, floods and droughts, occur every year in third world countries and often require emergency food aid. Moving large quantities of foods is not an easy task. Time and planning are required. Accurate and timely environmental information will facilitate decision-making and food distribution and maximize the use of contributions. Few observational data are available for disaster monitoring in remote and poor countries. Satellite observations provide a unique way in providing such data from space. The NASA Goddard Earth Sciences Data and Information Services Center (GES DISC) and Dr. Lenard Milich of WFP have been collaborating for the past three years on ways to integrate Tropical Rainfall Measuring Mission (TRMM) data into forward planning exercises for establishing geographic areas (e.g., sub-equatorial Africa, Indonesia, and North Korea) in need of food assistance. To monitor and assess current conditions, the GES DISC has developed a number of rainfall products derived from TRMM and online based tools to facilitate data and information access. These tools will not only benefit the WFP decision-making activities, but also other local agencies and the general public. All data and services are web-based to minimize the cost for data accessing and maximize the use of global rainfall data products.

  9. RUBELLA--SHOULD IT BE A PRIORITY IN THE NATIONAL IMMUNIZATION PROGRAMMES?

    PubMed

    Wazir, Mohammad Salim; Iqbal, Shahid

    2015-01-01

    Rubella is a mild infection of childhood and young adults with 75% of cases occurring in age group 15-45 years. In unvaccinated populations, rubella usually occurs in spring with epidemics in 6-9 years cycles. Rubella has devastating effects on growing foetus if contracted by women in the first trimester of pregnancy. Perinatal infection of Rubella contributes to 2-3% of all congenital anomalies. Over the past three decades many resource risk countries have introduced universal or selective immunization programs against rubella with evidence that such interventions reduce the incidence of congenital rubella syndrome. In Pakistan the schedules of the Expanded Program on Immunization (EPI) do not include immunization against rubella and evidence is needed to estimate the risk of congenital rubella with a view to start immunization programmes to combat the menace of Congenital Rubella Syndrome (CRS). Logistically it is easy to add rubella vaccine to the already existing EPI schedules as measles is given on 9th and 15 month with little implications for cost, resulting in great reduction in CRS.

  10. Sleeping with the enemy: the United Nations Development Programme and its position on the non-communicable disease epidemic.

    PubMed

    Jacob, Anil G; Lal, Pranay G; Buragohain, Anita

    2014-02-01

    The United Nations Development Programme's (UNDP) position on non-communicable diseases (NCDs) is undermined by a key issue at the global institutional level. Fundamentally, the nature of the relationship between international development agencies and the tobacco industry is at odds with the professed public health priorities of the former. At its core, the business model of the tobacco industry is premised on the sale of addictive and disease-causing substances that fuel NCDs in the first place. The role of the United Nations system and, in particular, UNDP is to 'build nations that can withstand crisis', not to collaborate with entities that profit from crises. This simple and well-established fact cannot be overlooked. We outline an array of conflict of interests. If the effects of NCDs are ever to be reversed, then international agencies such as the UNDP ought to adhere to ethical standards in choosing partners and avoid conflict of interests. In the absence of this, the UNDP may well compromise its own agenda and proliferate NCDs rather than containing them.

  11. Præventis, the immunisation register of the Netherlands: a tool to evaluate the National Immunisation Programme.

    PubMed

    van Lier, A; Oomen, P; de Hoogh, P; Drijfhout, I; Elsinghorst, B; Kemmeren, J; Conyn-van Spaendonck, M; de Melker, H

    2012-01-01

    Vaccination coverage is an important performance indicator of any national immunisation programme (NIP). To monitor the vaccination coverage in the Netherlands, an electronic national immunisation register called ‘Præventis’ was implemented in 2005. Præventis has a link with the population register and can produce letters of invitation for the NIP, register and validate administered vaccinations. The database is used to monitor the vaccination process, produce reminder letters, control the stock of vaccines and provides information used for paying the fees to the different executive organisations involved. Præventis provides a crucial tool for the evaluation of the NIP by producing (sub)national vaccination coverage estimates with high accuracy and allowing additional research: identifying populations at high risk for low coverage based on existing data, conducting specific studies where individuals included in the immunisation register are approached for further research, using vaccination coverage data for the interpretation of (sero)surveillance data, and linking the immunisation register with disease registers to address vaccine safety or vaccine effectiveness. The ability to combine Præventis data with data from other databases or disease registers and the ability to approach individuals with additional research questions offers opportunities to identify areas of priority for improving the Dutch NIP. PMID:22551495

  12. National biosecurity approaches, plans and programmes in response to diseases in farmed aquatic animals: evolution, effectiveness and the way forward.

    PubMed

    Håstein, T; Binde, M; Hine, M; Johnsen, S; Lillehaug, A; Olesen, N J; Purvis, N; Scarfe, A D; Wright, B

    2008-04-01

    The rapid increase in aquaculture production and trade, and increased attention to the negative effects of disease, are becoming stimuli for developing national biosecurity strategies for farmed fisheries, for which the World Organisation for Animal Health (OIE) Aquatic Animal Health Code and Manual of Diagnostic Tests for Aquatic Animals serve as an excellent framework. Using examples from a few countries and selected diseases, this paper provides a general overview of the development of approaches to implementing biosecurity strategies, including those emerging in the national legislation and regulations of some countries, and those being initiated by industries themselves. The determination of disease status in different epidemiological units (from a farm to a nation), appropriate approaches for preventing the introduction of disease and developing contingencies for disease control and eradication are also discussed. Important to the effectiveness of such strategies are provision of financial, personnel and other resources to implement them, including incentives such as indemnification or compensation in eradication programmes, and practical linkage to regulatory or government policy initiatives. PMID:18666484

  13. Præventis, the immunisation register of the Netherlands: a tool to evaluate the National Immunisation Programme.

    PubMed

    van Lier, A; Oomen, P; de Hoogh, P; Drijfhout, I; Elsinghorst, B; Kemmeren, J; Conyn-van Spaendonck, M; de Melker, H

    2012-04-26

    Vaccination coverage is an important performance indicator of any national immunisation programme (NIP). To monitor the vaccination coverage in the Netherlands, an electronic national immunisation register called ‘Præventis’ was implemented in 2005. Præventis has a link with the population register and can produce letters of invitation for the NIP, register and validate administered vaccinations. The database is used to monitor the vaccination process, produce reminder letters, control the stock of vaccines and provides information used for paying the fees to the different executive organisations involved. Præventis provides a crucial tool for the evaluation of the NIP by producing (sub)national vaccination coverage estimates with high accuracy and allowing additional research: identifying populations at high risk for low coverage based on existing data, conducting specific studies where individuals included in the immunisation register are approached for further research, using vaccination coverage data for the interpretation of (sero)surveillance data, and linking the immunisation register with disease registers to address vaccine safety or vaccine effectiveness. The ability to combine Præventis data with data from other databases or disease registers and the ability to approach individuals with additional research questions offers opportunities to identify areas of priority for improving the Dutch NIP.

  14. Sleeping with the enemy: the United Nations Development Programme and its position on the non-communicable disease epidemic.

    PubMed

    Jacob, Anil G; Lal, Pranay G; Buragohain, Anita

    2014-02-01

    The United Nations Development Programme's (UNDP) position on non-communicable diseases (NCDs) is undermined by a key issue at the global institutional level. Fundamentally, the nature of the relationship between international development agencies and the tobacco industry is at odds with the professed public health priorities of the former. At its core, the business model of the tobacco industry is premised on the sale of addictive and disease-causing substances that fuel NCDs in the first place. The role of the United Nations system and, in particular, UNDP is to 'build nations that can withstand crisis', not to collaborate with entities that profit from crises. This simple and well-established fact cannot be overlooked. We outline an array of conflict of interests. If the effects of NCDs are ever to be reversed, then international agencies such as the UNDP ought to adhere to ethical standards in choosing partners and avoid conflict of interests. In the absence of this, the UNDP may well compromise its own agenda and proliferate NCDs rather than containing them. PMID:24382292

  15. National biosecurity approaches, plans and programmes in response to diseases in farmed aquatic animals: evolution, effectiveness and the way forward.

    PubMed

    Håstein, T; Binde, M; Hine, M; Johnsen, S; Lillehaug, A; Olesen, N J; Purvis, N; Scarfe, A D; Wright, B

    2008-04-01

    The rapid increase in aquaculture production and trade, and increased attention to the negative effects of disease, are becoming stimuli for developing national biosecurity strategies for farmed fisheries, for which the World Organisation for Animal Health (OIE) Aquatic Animal Health Code and Manual of Diagnostic Tests for Aquatic Animals serve as an excellent framework. Using examples from a few countries and selected diseases, this paper provides a general overview of the development of approaches to implementing biosecurity strategies, including those emerging in the national legislation and regulations of some countries, and those being initiated by industries themselves. The determination of disease status in different epidemiological units (from a farm to a nation), appropriate approaches for preventing the introduction of disease and developing contingencies for disease control and eradication are also discussed. Important to the effectiveness of such strategies are provision of financial, personnel and other resources to implement them, including incentives such as indemnification or compensation in eradication programmes, and practical linkage to regulatory or government policy initiatives.

  16. English-Medium Programmes at Austrian Business Faculties: A Status Quo Survey on National Trends and a Case Study on Programme Design and Delivery

    ERIC Educational Resources Information Center

    Unterberger, Barbara

    2012-01-01

    Internationalisation processes have accelerated the implementation of English-medium programmes (EMPs) across European higher education institutions. The field of business and management studies has been particularly affected by this trend (Wachter & Maiworm 2008: 46) with numerous new EMPs introduced each year. This paper presents key findings of…

  17. Vouchers--A Legal Draw. A Response to Benjamin Dowling-Sendor.

    ERIC Educational Resources Information Center

    Underwood, Julie

    1999-01-01

    A court-approved Milwaukee voucher program permits up to 15% of the city's public schoolchildren to attend private/religious schools at state expense. This represents no victory for vouchers. Although the Wisconsin Supreme Court found vouchers constitutional, it may not believe they are valid under the federal constitution. (MLH)

  18. 19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...; DEPARTMENT OF THE TREASURY CUSTOMS FINANCIAL AND ACCOUNTING PROCEDURE § 24.34 Vouchers; vendors' bills of... that the above bill is correct and just and that payment has not been received. Vouchers,...

  19. 19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...; DEPARTMENT OF THE TREASURY CUSTOMS FINANCIAL AND ACCOUNTING PROCEDURE § 24.34 Vouchers; vendors' bills of... that the above bill is correct and just and that payment has not been received. Vouchers,...

  20. 19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...; DEPARTMENT OF THE TREASURY CUSTOMS FINANCIAL AND ACCOUNTING PROCEDURE § 24.34 Vouchers; vendors' bills of... that the above bill is correct and just and that payment has not been received. Vouchers,...

  1. 19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...; DEPARTMENT OF THE TREASURY CUSTOMS FINANCIAL AND ACCOUNTING PROCEDURE § 24.34 Vouchers; vendors' bills of... that the above bill is correct and just and that payment has not been received. Vouchers,...

  2. 19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...; DEPARTMENT OF THE TREASURY CUSTOMS FINANCIAL AND ACCOUNTING PROCEDURE § 24.34 Vouchers; vendors' bills of... that the above bill is correct and just and that payment has not been received. Vouchers,...

  3. Dynamic Selection Effects in Means-Tested, Urban School Voucher Programs

    ERIC Educational Resources Information Center

    Howell, William G.

    2004-01-01

    Much of the controversy surrounding school vouchers, and privatization schemes generally, stems from concerns about social stratification. This paper identifies the form and magnitude of selection effects in a means-tested New York City voucher program. It compares students who applied for vouchers, with the eligible population of public-school…

  4. An Analysis of the Ideas Behind, and the Evidence on, Education Vouchers.

    ERIC Educational Resources Information Center

    Hind, Ian

    An evaluation of the merits of education vouchers as a means of implementing educational reform is explored in this publication. The paper is divided into five sections. First, the historical and philosophical origins of the concept of vouchers are examined. The second section focuses on education vouchers in the context of recent developments in…

  5. 24 CFR 290.39 - Nondiscrimination in admitting certificate and voucher holders.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... any tenant or purchaser is a certificate or voucher holder under 24 CFR part 982. (b) Inapplicability... certificate and voucher holders. 290.39 Section 290.39 Housing and Urban Development Regulations Relating to... Nondiscrimination in admitting certificate and voucher holders. (a) Nondiscrimination requirement. For any...

  6. Racial Segregation in American Churches and Its Implications for School Vouchers.

    ERIC Educational Resources Information Center

    Vischer, Robert K.

    2001-01-01

    Examines how school vouchers could lead to further racial segregation in education. Addresses the likelihood that widespread implementation of vouchers could increase segregation by fostering the creation and expansion of church-affiliated elementary and secondary schools. Focuses on vouchers, schools, and race; racial segregation in U.S.…

  7. 76 FR 53910 - Fee for Using a Priority Review Voucher in Fiscal Year 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... section 351 of the Public Health Service Act (21 U.S.C. 262), or transfer (including by sale) the voucher... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... priority review voucher awarded by the Secretary of Health and Human Services. These vouchers are...

  8. 76 FR 60854 - Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher... Housing Choice Voucher (HCV) Program Administrative Fee study. The purpose of the study is to collect... following information: Title of Proposal: Housing Choice Voucher Program Administrative Fee Study...

  9. 76 FR 52057 - Proposed Fair Market Rents for the Housing Choice Voucher Program and Moderate Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-19

    ... Housing Choice Voucher Program and Moderate Rehabilitation Single Room Occupancy Program; Fiscal Year 2012... of Housing and Urban Development Proposed Fair Market Rents for the Housing Choice Voucher Program... Housing Choice Voucher (HCV) program, to determine initial renewal rents for some expiring...

  10. A Win-Win Solution: The Empirical Evidence on School Vouchers. Second Edition

    ERIC Educational Resources Information Center

    Forster, Greg

    2011-01-01

    This report collects the results of all available empirical studies using the best available scientific methods to measure how school vouchers affect academic outcomes for participants, and all available studies on how vouchers affect outcomes in public schools. Contrary to the widespread claim that vouchers do not benefit participants and hurt…

  11. 48 CFR 1852.216-87 - Submission of vouchers for payment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... original voucher should be submitted to: (2) For any period that the Defense Contract Audit Agency has... payment, subject to final audit. (3) Copies of vouchers should be submitted as directed by the Contracting...) Public vouchers for payment of fee shall be prepared similarly to the procedures in paragraphs (b) or...

  12. A Painful Price: How the Milwaukee Voucher Surcharge Undercuts Wisconsin's Education Priorities.

    ERIC Educational Resources Information Center

    Neas, Ralph G.; Pathak, Arohi; Holmes, Dwight; Mincberg, Elliot

    This paper suggests that Wisconsin taxpayers are being overcharged to pay for Milwaukee's private school voucher program, noting that this hefty surcharge is being paid legally due to a fundamental flaw in the voucher law. This surcharge is unique in that the voucher program pays private schools more than the price of tuition. Many groups oppose…

  13. 75 FR 19353 - Notice of Funding Availability: Rural Development Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-14

    ... Rural Housing Service Notice of Funding Availability: Rural Development Voucher Program AGENCY: Rural... funding is now available for the Rural Development Voucher Program. The notice also sets forth the general..., the Rural Development Voucher will become void, any funding will be cancelled, and the tenant will...

  14. On the Political Economy of Educational Vouchers. NBER Working Paper No. 17986

    ERIC Educational Resources Information Center

    Epple, Dennis N.; Romano, Richard

    2012-01-01

    Two significant challenges hamper analyses of collective choice of educational vouchers. One is the multi-dimensional choice set arising from the interdependence of the voucher, public education spending, and taxation. The other is that household preferences between public and private schooling vary with the policy chosen. Even absent a voucher,…

  15. Assessing the Higher National Diploma Chemical Engineering Programme in Ghana: Students' Perspective

    ERIC Educational Resources Information Center

    Boateng, Cyril D.; Bensah, Edem Cudjoe; Ahiekpor, Julius C.

    2012-01-01

    Chemical engineers have played key roles in the growth of the chemical and allied industries in Ghana but indigenous industries that have traditionally been the domain of the informal sector need to be migrated to the formal sector through the entrepreneurship and innovation of chemical engineers. The Higher National Diploma Chemical Engineering…

  16. Thirty years of vaccination in Vietnam: Impact and cost-effectiveness of the national Expanded Programme on Immunization

    PubMed Central

    Jit, Mark; Huyen, Dang Thi Thanh; Friberg, Ingrid; Van Minh, Hoang; Kiet, Pham Huy Tuan; Walker, Neff; Van Cuong, Nguyen; Duong, Tran Nhu; Toda, Kohei; Hutubessy, Raymond; Fox, Kimberley; Hien, Nguyen Tran

    2015-01-01

    Introduction Countries like Vietnam transitioning to middle-income status increasingly bear the cost of both existing and new vaccines. However, the impact and cost-effectiveness of the Expanded Programme on Immunization (EPI) as a whole has never been assessed on a country level. Methods Data on vaccine-preventable disease incidence and mortality from Vietnam's national surveillance was analysed to estimate the likely impact that vaccination in 1980–2010 may have had. Adjustment for under-reporting was made by examining trends in reported mumps incidence and in case-fatality risks for each disease. The same data were separately analysed using the Lives Saved Tool (LiST) to give an alternative estimate of impact. The financial cost of EPI in 1996–2010 was also estimated from the perspective of service provider. Results National surveillance data suggests that up to 5.7 million diseases cases and 26,000 deaths may have been prevented by EPI. Analysis using LiST suggests that even more deaths (370,000) may have been prevented by measles and pertussis vaccination alone. The cost-effectiveness of EPI is estimated to be around $1000–$27,000 per death prevented. Conclusion Two separate approaches to assessing EPI impact in Vietnam give different quantitative results but a common conclusion: that EPI has made a substantial impact on mortality and represents good value for money. PMID:25919167

  17. From marginal to marginalised: The inclusion of men who have sex with men in global and national AIDS programmes and policy.

    PubMed

    McKay, Tara

    2016-01-01

    In the last decade, gay men and other men who have sex with men (msm) have come to the fore of global policy debates about AIDS prevention. In stark contrast to programmes and policy during the first two decades of the epidemic, which largely excluded msm outside of the Western countries, the Joint United Nations Programme on HIV/AIDS now identifies gay men and other msm as 'marginalized but not marginal' to the global response. Drawing on archival data and five waves of United Nations Country Progress Reports on HIV/AIDS (2001-2012), this paper examines the productive power of international organisations in the development and diffusion of the msm category, and considers how international organisations have shaped the interpretation of msm in national policies and programmes. These data show that the increasing separation of sexual identity and sexual behaviour at the global level helped to construct notions of risk and disease that were sufficiently broad to accommodate the diverse interests of global policy-makers, activists, and governments. However, as various international and national actors have attempted to develop prevention programmes for msm, the failure of the msm category to map onto lived experience is increasingly apparent. PMID:26878655

  18. Learning Our Way into Communication: The Making of the Communication and Information Strategy "with" the National Agricultural Advisory Services Programme in Uganda

    ERIC Educational Resources Information Center

    Ramirez, Ricardo

    2005-01-01

    This paper reports on the making of the Communication and Information Strategy with the National Agricultural Advisory Services Programme (NAADS) in Uganda. The NAADS is a new organization in government responsible for the implementation of a demand-driven agricultural extension approach. The new extension approach calls for fundamental changes in…

  19. Implementation of the national programme for prevention of mother-to-child transmission of HIV: a rapid assessment in Cacadu district, South Africa.

    PubMed

    Peltzer, Karl; Phaswana-Mafuya, Nancy; Ladzani, Rendani

    2010-04-01

    To conduct a rapid assessment of the prevention-of-mother-to-child-transmission-of-HIV (PMTCT) programme in two of the three local service areas in Cacadu district, Eastern Cape province, South Africa, we designed an exploratory study using a mixed-methods approach. Quantitative and qualitative data on PMTCT programme implementation were collected in 2008 through a structured assessment at the 44 health facilities implementing the programme in the province. This included in-depth interviews with 11 clinic supervisors, 31 clinic programme coordinators, and 8 hospital/maternity staff members in order to examine their perceived problems and suggestions regarding PMTCT programme implementation; an assessment of the clinic registers and recording systems; a meeting with stakeholders; and one feedback meeting with clinic managers, sub-district management and other stakeholders in regard to the results of the rapid assessment. Overall, most of the national criteria for PMTCT programme implementation were fulfilled across the health facilities. However, shortcomings were found relating to health policy, health services delivery and clients' health-seeking behaviour. The findings show the need for a well-functioning health system with adequate and trained staff, a reduced staff workload, proper case recording, an improved patient follow-up system, better support for staff, the empowerment of PMTCT clients, strong leadership, and coordination and collaboration between partners.

  20. Scientific Programmes with India's National Large Solar Telescope and their contribution to Prominence Research

    NASA Astrophysics Data System (ADS)

    Hasan, S. S.

    2014-01-01

    The primary objective of the 2-m National Large Solar Telescope (NLST) is to study the solar atmosphere with high spatial and spectral resolution. With an innovative optical design, NLST is an on-axis Gregorian telescope with a low number of optical elements and a high throughput. In addition, it is equipped with a high order adaptive optics system to produce close to diffraction limited performance. NLST will address a large number of scientific questions with a focus on high resolution observations. With NLST, high spatial resolution observations of prominences will be possible in multiple spectral lines. Studies of magnetic fields, filament eruptions as a whole, and the dynamics of filaments on fine scales using high resolution observations will be some of the major areas of focus.

  1. Immunosurveillance and the evaluation of national immunization programmes: a population-based approach.

    PubMed Central

    De Melker, H. E.; Conyn-van Spaendonck, M. A.

    1998-01-01

    Mass vaccination can change the epidemiological dynamics of infectious diseases. It may result in a limited persistence of natural and vaccine-induced immunity and a higher mean age of infection, which may lead to a greater risk of complications. The epidemiological situation should be monitored and immunosurveillance based on the assessment of specific antibodies against vaccine-preventable diseases in human serum is one of the tools. In order to estimate the immunity of the Dutch population reliably, a large-scale, population-based, collection of serum samples was established (8359 sera in a nation-wide sampling and 1589 sera from municipalities with low vaccine coverage). In contrast to collecting residual sera from laboratories, this approach gains extensive information by means of a questionnaire regarding the determinants of the immune status and the risk factors for the transmission of infectious diseases in general. The population-based approach gives a better guarantee that the data are representative than collecting sera from laboratories does. PMID:10030714

  2. 48 CFR 49.303 - Procedure after discontinuing vouchers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Procedure after discontinuing vouchers. 49.303 Section 49.303 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TERMINATION OF CONTRACTS Additional Principles for...

  3. 48 CFR 49.304-3 - Submission of vouchers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Submission of vouchers. 49.304-3 Section 49.304-3 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TERMINATION OF CONTRACTS Additional Principles for Cost-Reimbursement Contracts Terminated...

  4. 48 CFR 49.302 - Discontinuance of vouchers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Discontinuance of vouchers. 49.302 Section 49.302 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TERMINATION OF CONTRACTS Additional Principles for Cost-Reimbursement Contracts Terminated...

  5. Racial Desegregation: Magnet Schools, Vouchers, Privatization, and Home Schooling.

    ERIC Educational Resources Information Center

    Meeks, Loretta F.; Meeks, Wendell A.; Warren, Claudia A.

    2000-01-01

    Discusses whether the alternatives to traditional education that were promoted in the past decade have lived up to their promise of creating a school environment that is conducive to learning for all students, focusing on magnet schools, educational vouchers, privatization and charter schools, and home schooling. (SM)

  6. 23 CFR 140.609 - Progress and final vouchers.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Progress and final vouchers. 140.609 Section 140.609 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PAYMENT PROCEDURES REIMBURSEMENT... submitted for the Federal share of bonds retired or about to be retired, including eligible interest...

  7. 23 CFR 140.609 - Progress and final vouchers.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Progress and final vouchers. 140.609 Section 140.609 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PAYMENT PROCEDURES REIMBURSEMENT... submitted for the Federal share of bonds retired or about to be retired, including eligible interest...

  8. 23 CFR 140.609 - Progress and final vouchers.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Progress and final vouchers. 140.609 Section 140.609 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PAYMENT PROCEDURES REIMBURSEMENT... submitted for the Federal share of bonds retired or about to be retired, including eligible interest...

  9. 23 CFR 140.609 - Progress and final vouchers.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Progress and final vouchers. 140.609 Section 140.609 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PAYMENT PROCEDURES REIMBURSEMENT... submitted for the Federal share of bonds retired or about to be retired, including eligible interest...

  10. 23 CFR 140.609 - Progress and final vouchers.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Progress and final vouchers. 140.609 Section 140.609 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PAYMENT PROCEDURES REIMBURSEMENT... submitted for the Federal share of bonds retired or about to be retired, including eligible interest...

  11. 24 CFR 401.556 - Leasing units to voucher holders.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Leasing units to voucher holders. 401.556 Section 401.556 Housing and Urban Development Regulations Relating to Housing and Urban... PROGRAM (MARK-TO-MARKET) Implementation of the Restructuring Plan After Closing § 401.556 Leasing units...

  12. Vouchers and Public Policy: When Ideology Trumps Evidence

    ERIC Educational Resources Information Center

    Belfield, Clive; Levin, Henry M.

    2005-01-01

    The economic model of education policy assumes that there is a substantial consensus on educational goals among constituencies and that the major challenge is to determine the most effective strategies for reaching those goals. Unfortunately, the debate over educational vouchers is complicated by the presence of multiple and competing goals, and…

  13. Contexts Matter: Selection in Means-Tested School Voucher Programs

    ERIC Educational Resources Information Center

    Hart, Cassandra M. D.

    2014-01-01

    This study examines public school characteristics, and public and private school market characteristics, associated with participation among elementary-aged students in a means-tested school voucher program in Florida. Participants are more likely than eligible nonparticipants to come from disadvantaged public schools on multiple dimensions. On…

  14. Justices Query Lawyers in Florida Court Showdown over Voucher Program

    ERIC Educational Resources Information Center

    Richard, Alan

    2006-01-01

    Florida's Opportunity Scholarships faced their most crucial test in June 2005, as the state supreme court heard arguments in a case about the constitutionality of the voucher program. In more than an hour of oral arguments in "Bush v. Holmes," held June 7, in Tallahassee and shown live on the Internet, lawyers sparred over the implications for…

  15. California's Voucher Plan: A Private School Principal's Critique.

    ERIC Educational Resources Information Center

    Szanto, Hubert S.

    1980-01-01

    Examines the impact the Coons and Sugarman voucher plan would have on both private and public schools. Expresses fear that religious schools would have to abandon their affiliations and that public schools would become dumping grounds for disorderly and low achieving students. (IRT)

  16. False Choices: Why School Vouchers Threaten Our Children's Future.

    ERIC Educational Resources Information Center

    Lowe, Robert, Ed.; Miner, Barbara, Ed.

    1992-01-01

    A voucher system of schooling would destroy the few democratic gains made in public education in recent years, worsen inequalities that already permeate education, and block opportunities for meaningful reform. Articles included in this special issue are: (1) an introduction, "Why We Are Publishing False Choices" ("Rethinking Schools" Editorial…

  17. Parental Voucher Enrollment Decisions: Choice within Choice in New Orleans

    ERIC Educational Resources Information Center

    Beabout, Brian R.; Cambre, Belinda M.

    2013-01-01

    Set in the context of a choice-saturated public school system, this study examines the school choice process of low-income parents who participated in Louisiana's 2008 voucher program. Based on semistructured interviews with 16 parents at 1 Catholic school, we report that spirituality, small class and school size, character/values,…

  18. Responses of Private and Public Schools to Voucher Funding

    ERIC Educational Resources Information Center

    Filer, Randall K.; Munich, Daniel

    2013-01-01

    The post-communist Czech Republic provides a laboratory in which to investigate possible responses to the adoption of universal education vouchers. Private schools appear to have arisen in response to distinct market incentives. They are more common in fields where public school inertia has resulted in an under-supply of available slots. They are…

  19. Edgewood under Siege: Vouchers Come to a Texas School District.

    ERIC Educational Resources Information Center

    Mandell, Jeff

    1999-01-01

    Describes the effects the privately-funded Horizon Scholarship program, a tuition-voucher program, has on a poor urban school district in San Antonio (Texas). The program reduces funding to the public schools as fewer students attend and it often leaves the most needy students in the public schools. (SLD)

  20. The Fiscal Impact of the D.C. Voucher Program

    ERIC Educational Resources Information Center

    Aud, Susan L.; Michos, Leon

    2006-01-01

    In August 2004 the first ever federally funded school voucher program began in Washington, D.C. Eligible students could attend a private school of their choice in the District of Columbia. Each participant received up to $7,500 for school tuition, fees, and transportation. In addition, the D.C. Public School System (DCPS) and D.C. charter school…

  1. Proceedings of Hearing: Voucher Systems and Contractor Proposals.

    ERIC Educational Resources Information Center

    California State Legislature, Sacramento. Senate Committee on Education.

    The participants in these hearings that took place prior to the California Supreme Court issuing its decision in the Serrano vs Priest case discuss that case and also the use of education vouchers as one means of education finance reform. Legislators, education finance experts, and interested organizations and citizens express their views on…

  2. 7 CFR 97.7 - Deposit of Voucher Specimen.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Deposit of Voucher Specimen. 97.7 Section 97.7 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING...

  3. Voucher Subsidized Child Care: The Hudson County Project.

    ERIC Educational Resources Information Center

    Catterall, Barbara; Williams, Carol

    From October 1982 through September 1984, the New Jersey Department of Human Services, Division of Youth and Family Services (DYFS) piloted a research and demonstration project to test the outcome of using vouchers to finance the public provision of child care. Because of historical funding patterns which tied day care subsidies to particular…

  4. Women, Education and the Law: Vouchers, Tax Credits, & Legal Confusion

    ERIC Educational Resources Information Center

    First, Patricia F.

    2003-01-01

    In early 2003, two distinguished researchers in school law analyzed aspects of the law vis-a-vis vouchers and tax credits and the public schools (McCarthy, 2003; Welner, 2003). The issues were confusing, and the author wondered how educators and the public responded. How can policy makers make reasonable decisions about public education without a…

  5. School Vouchers and Privatization: A Reference Handbook. Contemporary Education Issues.

    ERIC Educational Resources Information Center

    Weil, Danny

    This book looks at the privatization of education as an ideological construct. In exploring and assessing the concept of privatized education, it focuses on the debate over private choice and school vouchers. It also looks at the development of private curriculums and educational materials created by corporations, various scholarship-funding…

  6. Measuring Competitive Effects from School Voucher Programs: A Systematic Review

    ERIC Educational Resources Information Center

    Egalite, Anna J.

    2013-01-01

    Studies of the competition effects from voucher or tuition tax credit scholarship programs on public school student academic outcomes have taken place in seven locations throughout the United States, with the majority of studies taking place in Florida, followed by Wisconsin. This article reviews 21 total studies of the impacts on student academic…

  7. Awareness and knowledge of National School Health Policy and School Health Programme among public secondary school teachers in Ibadan metropolis

    PubMed Central

    Obembe, Taiwo A.; Osungbade, Kayode O.; Ademokun, Oluwakemi M.

    2016-01-01

    Background: The awareness, knowledge, and involvement of teachers in the implementation of School Health Programme (SHP) in secondary schools are essential in ensuring the effectiveness and overall success of the School Health Policy. This study assessed the awareness and knowledge of teachers on SHP in Ibadan metropolis. Methods: A descriptive cross-sectional study was carried out using a two-stage sampling technique to select 426 secondary school teachers across all the five Urban Local Government Areas (LGAs) in Ibadan metropolis by balloting. Pretested semi-structured questionnaires were used to collect data from 426 teachers. Quantitative data were analyzed using descriptive statistics, Chi-square, and logistics regression tests at 5% level of significance. Results: About one-third of the respondents had heard of National School Health Policy (NSHP); however, few had seen the document. About half of the respondents were aware of the SHP in their schools. Many of the respondents had a good knowledge of SHP. Age and level of education of participants significantly influenced the knowledge of SHP. Above 50 years of age and postgraduate qualification were the significant predictors for the good knowledge of SHP. Conclusions: Awareness of the NSHP was low despite the good knowledge of SHP. This could be due to the tertiary education that most of the respondents had. Concerted efforts of stakeholders are required to intensify the health education awareness campaign to improve teachers’ knowledge based on NSHP.

  8. Knowledge and practice of sun protection in schools in South Africa where no national sun protection programme exists.

    PubMed

    Wright, Caradee Y; Reeder, Anthony I; Albers, Patricia N

    2016-04-01

    Interventions in primary schools that increase sun-protective behaviours and decrease ultraviolet radiation exposure, sunburn incidence and skin cancer risk can be effective. SunSmart School Accreditation Programmes (SSAP) are recommended. Prior to SSAP implementation in South Africa, we explored the feasibility of obtaining national baseline information and investigated possible associations between strategies regarding sun protection in schools and students' responses to a questionnaire. Principals from randomly selected urban government schools in all nine South African provinces completed a questionnaire and 679 students were surveyed. The mean sun-related knowledge and behaviour scores of students were 4 (range: 1-7) and 3 (range-0-8) out of 9, respectively. The mean school sun protection effort score was 4 out of 14. There were no statistically significant correlations between students' knowledge or behaviour scores and their school score. The World Health Organization recommends an SSAP to address policy, practice and curriculum changes to support sun protection of students. This cross-sectional study demonstrates the feasibility of, and need for, a larger baseline study with longitudinal, multi-variable follow-up which includes other influential factors, such as parent support. Such research could quantify the impact of the SSAP and identify which key factors influence the sun-related knowledge and behaviours of students. PMID:26936482

  9. Innovation and the English National Health Service: a qualitative study of the independent sector treatment centre programme.

    PubMed

    Turner, Simon; Allen, Pauline; Bartlett, Will; Pérotin, Virginie

    2011-08-01

    Over the past two decades, an international trend of exposing public health services to different forms of economic organisation has emerged. In the English National Health Service (NHS), care is currently provided through a quasi-market including 'diverse' providers from the private and third sector. The predominant scheme through which private sector companies have been awarded NHS contracts is the Independent Sector Treatment Centre (ISTC) programme. ISTCs were designed to produce innovative models of service delivery for elective care and stimulate innovation among incumbent NHS providers. This paper investigates these claims using qualitative data on the impact of an ISTC upon a local health economy (LHE) composed of NHS organisations in England. Using the case of elective orthopaedic surgery, we conducted semi-structured interviews with senior managers from incumbent NHS providers and an ISTC in 2009. We show that ISTCs exhibit a different relationship with frontline clinicians because they counteract the power of professional communities associated with the NHS. This has positive and negative consequences for innovation. ISTCs have introduced new routines unencumbered by the extant norms of professional communities, but they appear to represent weaker learning environments and do not reproduce cooperation across organisational boundaries to the same extent as incumbent NHS providers.

  10. Awareness and knowledge of National School Health Policy and School Health Programme among public secondary school teachers in Ibadan metropolis

    PubMed Central

    Obembe, Taiwo A.; Osungbade, Kayode O.; Ademokun, Oluwakemi M.

    2016-01-01

    Background: The awareness, knowledge, and involvement of teachers in the implementation of School Health Programme (SHP) in secondary schools are essential in ensuring the effectiveness and overall success of the School Health Policy. This study assessed the awareness and knowledge of teachers on SHP in Ibadan metropolis. Methods: A descriptive cross-sectional study was carried out using a two-stage sampling technique to select 426 secondary school teachers across all the five Urban Local Government Areas (LGAs) in Ibadan metropolis by balloting. Pretested semi-structured questionnaires were used to collect data from 426 teachers. Quantitative data were analyzed using descriptive statistics, Chi-square, and logistics regression tests at 5% level of significance. Results: About one-third of the respondents had heard of National School Health Policy (NSHP); however, few had seen the document. About half of the respondents were aware of the SHP in their schools. Many of the respondents had a good knowledge of SHP. Age and level of education of participants significantly influenced the knowledge of SHP. Above 50 years of age and postgraduate qualification were the significant predictors for the good knowledge of SHP. Conclusions: Awareness of the NSHP was low despite the good knowledge of SHP. This could be due to the tertiary education that most of the respondents had. Concerted efforts of stakeholders are required to intensify the health education awareness campaign to improve teachers’ knowledge based on NSHP. PMID:27630385

  11. Can programme theory be used as a 'translational tool’ to optimise health service delivery in a national early years’ initiative in Scotland: a case study

    PubMed Central

    2013-01-01

    Background Theory-based evaluation (TBE) approaches are heralded as supporting formative evaluation by facilitating increased use of evaluative findings to guide programme improvement. It is essential that learning from programme implementation is better used to improve delivery and to inform other initiatives, if interventions are to be as effective as they have the potential to be. Nonetheless, few studies describe formative feedback methods, or report direct instrumental use of findings resulting from TBE. This paper uses the case of Scotland’s, National Health Service, early years’, oral health improvement initiative (Childsmile) to describe the use of TBE as a framework for providing feedback on delivery to programme staff and to assess its impact on programmatic action. Methods In-depth, semi-structured interviews and focus groups with key stakeholders explored perceived deviations between the Childsmile programme 'as delivered’ and its Programme Theory (PT). The data was thematically analysed using constant comparative methods. Findings were shared with key programme stakeholders and discussions around likely impact and necessary actions were facilitated by the authors. Documentary review and ongoing observations of programme meetings were undertaken to assess the extent to which learning was acted upon. Results On the whole, the activities documented in Childsmile’s PT were implemented as intended. This paper purposefully focuses on those activities where variation in delivery was evident. Differences resulted from the stage of roll-out reached and the flexibility given to individual NHS boards to tailor local implementation. Some adaptations were thought to have diverged from the central features of Childsmile’s PT, to the extent that there was a risk to achieving outcomes. The methods employed prompted national service improvement action, and proposals for local action by individual NHS boards to address this. Conclusions The TBE approach

  12. Impact and Cost-Effectiveness Analysis of the National School-Based Sexuality Education Programme in Estonia

    ERIC Educational Resources Information Center

    Kivela, Jari; Haldre, Kai; Part, Kai; Ketting, Evert; Baltussen, Rob

    2014-01-01

    Policy-makers making decisions on the implementation of school-based sexuality education (SE) programmes face two important questions: (1) what are the costs of implementing and scaling up SE programmes, and (2) what are the impacts? This paper responds to these questions by retrospectively assessing costs, impact and cost-effectiveness of the…

  13. A systematic review of the effectiveness of school-based obesity prevention programmes for First Nations, Inuit and Métis youth in Canada.

    PubMed

    Godin, K; Leatherdale, S T; Elton-Marshall, T

    2015-06-01

    First Nations, Inuit and Métis (FNIM) youth are disproportionately affected by obesity and represent known a high-risk group in Canada. School-based prevention programmes may have the potential to effectively influence obesity-related health behaviours (i.e. healthy eating and physical activity) among this population. We conducted a systematic review of nine electronic databases (2003-2014) to identify studies that describe school-based programmes that have been developed to improve obesity-related health behaviours and outcomes among FNIM youth in Canada. The objectives of this review were to identify and evaluate the effectiveness of these programmes and assess the strength of the methodologies used to evaluate them. Fifteen studies, representing seven distinct interventions, met our inclusion criteria. The majority of these programmes did not result in significant improvements in outcomes related to obesity, healthy eating, or physical activity among FNIM youth. The studies varied in design rigour and use of evaluation activities. The lack of literature on effective school-based programmes for FNIM youth in Canada that target obesity-related outcomes highlights a priority area for future intervention development, evaluation and dissemination within the peer-reviewed literature. Further research is needed on interventions involving Métis and Inuit youth, secondary school-aged FNIM youth and FNIM youth living in urban settings.

  14. Community reinforcement approach plus vouchers among cocaine-dependent outpatients: twelve-month outcomes.

    PubMed

    Secades-Villa, Roberto; García-Rodríguez, Olaya; García-Fernández, Gloria; Sánchez-Hervás, Emilio; Fernandez-Hermida, José R; Higgins, Stephen T

    2011-03-01

    The aims of this study were to assess the effectiveness of the Community Reinforcement Approach (CRA) plus vouchers treatment in a cohort of Spanish cocaine-dependent outpatients, and to examine the maintenance of treatment effects after the voucher intervention was discontinued. Sixty-four adult outpatients were randomly assigned to one of two treatment conditions, CRA plus vouchers or standard care. The vouchers program was implemented from weeks 1 to 24. Among patients assigned to the CRA plus vouchers condition, 65.5% completed 12 months of treatment versus 28.6% of those assigned to the standard care condition (p = .003). At the 12-month assessment, 58.6% of patients assigned to the CRA plus vouchers condition were abstinent, compared with 25.7% in the standard care condition (p = .008); furthermore, 34.5% of patients assigned to the CRA plus vouchers condition achieved twelve months of continuous cocaine abstinence, versus 17.1% in the standard care condition. Those treated in the CRA plus vouchers condition also achieved greater improvements in psychosocial functioning than those treated in the standard care condition. Overall, these results reveal an extension of the effectiveness of the CRA plus vouchers treatment to a community sample of cocaine-dependent outpatients, while also supporting the maintenance of treatment effects for 6 months after completion of the voucher program.

  15. Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study

    PubMed Central

    Chen, Gang; Cheng, Allen C; Richards, Michael; Graves, Nicholas; Ratcliffe, Julie; Hall, Lisa

    2016-01-01

    Objective To identify key stakeholder preferences and priorities when considering a national healthcare-associated infection (HAI) surveillance programme through the use of a discrete choice experiment (DCE). Setting Australia does not have a national HAI surveillance programme. An online web-based DCE was developed and made available to participants in Australia. Participants A sample of 184 purposively selected healthcare workers based on their senior leadership role in infection prevention in Australia. Primary and secondary outcomes A DCE requiring respondents to select 1 HAI surveillance programme over another based on 5 different characteristics (or attributes) in repeated hypothetical scenarios. Data were analysed using a mixed logit model to evaluate preferences and identify the relative importance of each attribute. Results A total of 122 participants completed the survey (response rate 66%) over a 5-week period. Excluding 22 who mismatched a duplicate choice scenario, analysis was conducted on 100 responses. The key findings included: 72% of stakeholders exhibited a preference for a surveillance programme with continuous mandatory core components (mean coefficient 0.640 (p<0.01)), 65% for a standard surveillance protocol where patient-level data are collected on infected and non-infected patients (mean coefficient 0.641 (p<0.01)), and 92% for hospital-level data that are publicly reported on a website and not associated with financial penalties (mean coefficient 1.663 (p<0.01)). Conclusions The use of the DCE has provided a unique insight to key stakeholder priorities when considering a national HAI surveillance programme. The application of a DCE offers a meaningful method to explore and quantify preferences in this setting. PMID:27147392

  16. Resource Allocation and Budgeting for the 1972-73 Mini-Schools of the Alum Rock Voucher Demonstration. Analysis of the Education Voucher Demonstration. A Working Note.

    ERIC Educational Resources Information Center

    Haggart, S. A.; Furry, W. S.

    This Working Note documents the first year's events and outcomes in developing the budgeting system and resource allocation rules to support the Education Voucher Demonstration. The district now has systems for per pupil resource allocation and school/minischool cost center accounting. The basic voucher of $1,041 for grades 7-8, and $788 for…

  17. Do Vouchers Lead to Sorting under Random Private-School Selection? Evidence from the Milwaukee Voucher Program. Staff Report No. 379

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2011-01-01

    This paper analyzes the impact of voucher design on student sorting in the application and enrollment phases of parental choice. More specifically, it investigates whether there are feasible ways of designing vouchers that can reduce or eliminate student sorting in these phases. Much of the existing literature investigates the question of…

  18. National STDs control programme.

    PubMed

    Bhargava, N C

    1989-04-01

    In 1947 the Bhore Committee recommended that sexually transmitted diseases should be dealt with by special organizations within the provinces, but the institutions were not adequate, and there was no coordinated plan. Before the 1st 5-year plan, there were 50 state-administered sexually transmitted disease clinics in India. During the 1st 5-year plan, facilities were upgraded, the central government took over certain aspects of the program, and the World Health Organization Venereal Disease team submitted a report on control of venereal diseases in India. By the end of the 5th 5-year plan, the government had set up another 187 clinics. Until the 6th 5-year plan, the central government supplied material, equipment, and drugs to the clinics, but the operating costs were borne by the states. During the 6th 5-year plan, the central government took over all aspects of the program. It is estimated that 20 million Indians suffer from venereal disease. With World Health Organization assistance, group educational activities in sexually transmitted diseases are being organized in different parts of the country, so that all personnel will be better equipped to treat patients. Group educational activities for treatment of yaws are also being organized for paramedical personnel who will have to deal with yaws in tribal areas. The UN Childrens Fund is also providing funds for communication and social mobilization against venereal diseases. PMID:12282050

  19. Neglected user perspectives in the design of an online hospital bed-state system: implications for the National Programme for IT in the NHS.

    PubMed

    Harrop, Nick; Wood-Harper, Trevor; Gillies, Alan

    2006-12-01

    Technical aspects of the National Programme for IT in the National Health Service have run ahead of genuine engagement with front-line users. We have explored with front-line NHS staff the factors which limit their contribution to management information from operational systems. Staff place psychological distance between 'the real job' and the reporting of information. Even where accurate reporting is heavily incentivized, and operational control is shared between staff and shift leader, the reporting of information to the computer represents a division between caregiving and computer input, and between information openly declared and that waiting to be disclosed. The Programme needs to reconsider how clinicians are to be engaged. Equally, information systems designers, if they expect to obtain management information and want to understand the limitations of that process, need to be socialized into the fields where systems are to be deployed.

  20. Low whole grain intake in the UK: results from the National Diet and Nutrition Survey rolling programme 2008-11.

    PubMed

    Mann, Kay D; Pearce, Mark S; McKevith, Brigid; Thielecke, Frank; Seal, Chris J

    2015-05-28

    Increased whole grain intake has been shown to reduce the risk of many non-communicable diseases. Countries including the USA, Canada, Denmark and Australia have specific dietary guidelines on whole grain intake but others, including the UK, do not. Data from 1986/87 and 2000/01 have shown that whole grain intake is low and declining in British adults. The aim of the present study was to describe whole grain intakes in the most current dietary assessment of UK households using data from the National Diet and Nutrition Survey rolling programme 2008-11. In the present study, 4 d diet diaries were completed by 3073 individuals between 2008 and 2011, along with details of socio-economic status (SES). The median daily whole grain intake, calculated for each individual on a dry weight basis, was 20 g/d for adults and 13 g/d for children/teenagers. The corresponding energy-adjusted whole grain intake was 27 g/10 MJ per d for adults and 20 g/10 MJ per d for children/teenagers. Whole grain intake (absolute and energy-adjusted) increased with age, but was lowest in teenagers (13-17 years) and younger adults up to the age of 34 years. Of the total study population, 18% of adults and 15% of children/teenagers did not consume any whole-grain foods. Individuals from lower SES groups had a significantly lower whole grain intake than those from more advantaged classifications. The whole grain intake in the UK, although higher than in 2000/01, remains low and below that in the US and Danish recommendations in all age classes. Favourable pricing with increased availability of whole-grain foods and education may help to increase whole grain intake in countries without whole-grain recommendations. Teenagers and younger adults may need targeting to help increase whole grain consumption. PMID:25904034

  1. Contribution of medical colleges to tuberculosis control in India under the Revised National Tuberculosis Control Programme (RNTCP): Lessons learnt & challenges ahead

    PubMed Central

    Sharma, Surendra K.; Mohan, Alladi; Chauhan, L.S.; Narain, J.P.; Kumar, P.; Behera, D.; Sachdeva, K.S.; Kumar, Ashok

    2013-01-01

    Medical college faculty, who are academicians are seldom directly involved in the implementation of national public health programmes. More than a decade ago for the first time in the global history of tuberculosis (TB) control, medical colleges of India were involved in the Revised National TB Control Programme (RNTCP) of Government of India (GOI). This report documents the unique and extraordinary course of events that led to the involvement of medical colleges in the RNTCP of GOI. It also reports the contributions made by the medical colleges to TB control in India. For more than a decade, medical colleges have been providing diagnostic services (Designated Microscopy Centres), treatment [Directly Observed Treatment (DOT) Centres] referral for treatment, recording and reporting data, carrying out advocacy for RNTCP and conducting operational research relevant to RNTCP. Medical colleges are contributing to diagnosis and treatment of human immunodeficiency virus (HIV)-TB co-infection and development of laboratory infrastructure for early diagnosis of multidrug-resistant and/or extensively drug-resistant TB (M/XDR-TB) and DOTS-Plus sites for treatment of MDR-TB cases. Overall, at a national level, medical colleges have contributed to 25 per cent of TB suspects referred for diagnosis; 23 per cent of ‘new smear-positives’ diagnosed; 7 per cent of DOT provision within medical college; and 86 per cent treatment success rate among new smear-positive patients. As the Programme widens its scope, future challenges include sustenance of this contribution and facilitating universal access to quality TB care; greater involvement in operational research relevant to the Programme needs; and better co-ordination mechanisms between district, state, zonal and national level to encourage their involvement. PMID:23563371

  2. Channel Islands National Park vascular plant voucher collections: NPSpecies database

    USGS Publications Warehouse

    Chess, Katherine; McEachern, Kathryn

    2001-01-01

    Collections information for 3898 vascular plant specimens from searches at Santa Barbara Botanic Garden, Rancho Santa Ana Botanic Garden, San Diego Natural History Museum, Los Angeles County Museum of Natural History.

  3. Redeeming qualities: exploring factors that affect women’s use of reproductive health vouchers in Cambodia

    PubMed Central

    2013-01-01

    Background One approach to delivering healthcare in developing countries is through voucher programs, where vouchers are distributed to a specific population for free or subsidized health care. Recent evaluations suggest that vouchers have the potential to extend coverage of priority health services to the poor in developing countries. In Cambodia, a reproductive health voucher program was implemented in January 2011. This study aims to explore women’s early experiences accessing health services with their vouchers at accredited clinics. Methods This qualitative exploratory study used focus group methodology to gather information from five groups of older (>25 years) and four groups of younger (18–25 years) women who were eligible for the voucher program in three rural provinces. Focus groups were digitally recorded, transcribed and translated from Khmer into English. Data analysis was an iterative process, which comprised of open coding to find commonalities that reflected categories or themes and axial coding to relate initial themes to each other. Next, a basic framework for analysis was formed by integrating the themes into the framework. Results Two overarching themes were identified in the data: 1) factors that facilitate voucher use and 2) factors that inhibit voucher use. Within each of these themes, three subthemes were identified: 1) pre-existing factors, 2) distribution factors, and 3) redemption factors. Overall, women expressed positive feelings towards the voucher program, while several areas for program improvement were identified including the importance of addressing pre-existing demand-side barriers to using reproductive health services, the need for more comprehensive counselling during voucher distribution, and the persistent cost of unofficial payments expected by midwives after delivery irrespective of voucher use. Conclusions Early information from program beneficiaries can lead to timely and responsive changes that can help to maximize

  4. Using vouchers to increase access to maternal healthcare in Bangladesh.

    PubMed

    Rob, Ubaidur; Rahman, Moshiur; Bellows, Benjamin

    The maternal mortality ratio (322) is comparatively high in Bangladesh. The utilization of maternity care provided by trained professionals during and after delivery is alarmingly low, primarily due to lack of knowledge and money. The overall objective of this operations research project was to test the feasibility and effectiveness of introducing financial support (voucher scheme) for poor rural women to improve utilization of antenatal care (ANC), delivery and postnatal check-up (PNC) from trained service providers. A pretest-posttest design was utilized. A total of 436 women were interviewed before and 414 after the intervention to evaluate the impact of interventions. In-depth interviews were conducted with users and non-users of vouchers. Findings show that institutional deliveries have increased from 2% to 18%. Utilization of ANC from trained providers has increased from 42% to 89%. Similarly, utilization of PNC from trained providers has increased from 10% to 60%.

  5. Using vouchers to increase access to maternal healthcare in Bangladesh.

    PubMed

    Rob, Ubaidur; Rahman, Moshiur; Bellows, Benjamin

    The maternal mortality ratio (322) is comparatively high in Bangladesh. The utilization of maternity care provided by trained professionals during and after delivery is alarmingly low, primarily due to lack of knowledge and money. The overall objective of this operations research project was to test the feasibility and effectiveness of introducing financial support (voucher scheme) for poor rural women to improve utilization of antenatal care (ANC), delivery and postnatal check-up (PNC) from trained service providers. A pretest-posttest design was utilized. A total of 436 women were interviewed before and 414 after the intervention to evaluate the impact of interventions. In-depth interviews were conducted with users and non-users of vouchers. Findings show that institutional deliveries have increased from 2% to 18%. Utilization of ANC from trained providers has increased from 42% to 89%. Similarly, utilization of PNC from trained providers has increased from 10% to 60%. PMID:21273164

  6. Voucher-based contingent reinforcement of marijuana abstinence among individuals with serious mental illness.

    PubMed

    Sigmon, Stacey C; Higgins, Stephen T

    2006-06-01

    Previous studies by our group have used money given contingent on abstinence to reduce drug use by individuals with schizophrenia. In this study, we examined the sensitivity of marijuana use by individuals with serious mental illness to voucher-based contingent reinforcement, which represents the first study to date investigating the efficacy of voucher incentives with this population. This within-subject reversal design consisted of three conditions: 4-week baseline, 12-week voucher intervention, and 4-week baseline. During baseline periods, subjects received 10 US dollars vouchers per urine specimen, independent of urinalysis results. During voucher intervention, only specimens testing negative for marijuana earned vouchers, with total possible earnings of 930 US dollars. Seven adults with schizophrenia or other serious mental illnesses participated in the study. The percentage of marijuana-negative specimens was significantly greater during voucher intervention than during baseline periods. These results provide evidence that marijuana use among individuals with serious mental illness is sensitive to voucher-based incentives and further support the potential feasibility of using voucher-based contingency management to reduce substance abuse in this challenging population.

  7. Exploring the use of social network analysis to measure communication between disease programme and district managers at sub-national level in South Africa.

    PubMed

    Kawonga, Mary; Blaauw, Duane; Fonn, Sharon

    2015-06-01

    With increasing interest in maximising synergies between disease control programmes (DCP) and general health services (GHS), methods are needed to measure interactions between DCP and GHS actors. In South Africa, administrative integration reforms make GHS managers at decentralised level (district managers) responsible for the oversight of DCP operations within districts, with DCP managers (programme managers) providing specialist support. The reforms necessitate interdependence, but these actors work together ineffectively. Communication is crucial for joint working, but no research to assess communication between these actors has been done. This study explores the use of social network analysis (SNA) to measure the extent to which programme and district managers in South Africa communicate, using HIV monitoring and evaluation (M&E) as an exemplar. Data were collected from fifty one managers in two provinces during 2010-2011, to measure: a) one-on-one task-related communication - talking about the collation (verification, reporting) and use of HIV data for monitoring HIV interventions; and b) group communication through co-participating in management committees where HIV data are used for monitoring HIV interventions in districts. SNA measures were computed to describe actor centrality, network density (cohesion), and communication within and between respective manager groups. Block modelling was applied to identify management committees that connect respective manager groups. Results show HIV programme managers located at higher level communicated largely amongst themselves as a group (homophily), seldom talked to the district managers to whom they are supposed to provide specialist HIV M&E support, and rarely participated with them in management committees. This research demonstrates the utility of SNA as a tool for measuring the extent of communication between DCP and GHS actors at sub-national level. Actions are needed to bridge observed communication gaps in

  8. 20 CFR 645.221 - For what activities and services must local boards use contracts or vouchers?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... vouchers? (a) Local boards and PIC's must provide the following activities and services through vouchers or... is not a local board or a PIC, it may provide such services directly. (b) Local boards and...

  9. Court Showdown over Florida Vouchers Nears

    ERIC Educational Resources Information Center

    Richard, Alan

    2005-01-01

    This article reports on a nationally-watched case by educators and families which is scheduled to be heard by the Florida Supreme Court. The court is to decide whether Opportunity Scholarships, available to students enrolled in Florida's persistently lowest-rated public schools, run afoul of a prohibition on using public money in religious…

  10. First-Year Students' Perceptions of Extended National Diploma Programmes: The Case of a Comprehensive South African University (2012)

    ERIC Educational Resources Information Center

    Mavunga, George; Cachalia, Fahmida

    2014-01-01

    This study compared how the cohort of extended diploma students enrolled at a comprehensive South African university in 2012 perceived the programmes for which they were enrolled at the beginning of their first year and towards the end of the year. Data were gathered using questionnaires and semi-structured interviews involving students enrolled…

  11. Parents' Views of the National Autistic Society's EarlyBird Plus Programme

    ERIC Educational Resources Information Center

    Cutress, Anna L.; Muncer, Steven J.

    2014-01-01

    Parent training interventions are recommended for parents soon after their child's autism spectrum condition diagnosis with the aim of improving parents' psychological well-being and coping, as well as the child's behaviour. This report explores parents' views of the EarlyBird Plus Programme through data collected routinely in…

  12. Housing Voucher Receipt and the Quality of Schools Available to Recipient Children. Discussion Paper No. 1418-14

    ERIC Educational Resources Information Center

    Carlson, Deven; Haveman, Robert; Kaplan, Thomas; Wolfe, Barbara

    2014-01-01

    Using data on housing voucher recipients with school-aged children residing across the state of Wisconsin, we perform a three-stage analysis of the relationship between voucher receipt and the educational opportunities of children in recipient households. First, we examine the extent to which voucher receipt results in households relocating to a…

  13. What Works Clearinghouse Quick Review: "The Effects of School Vouchers on College Enrollment: Experimental Evidence from New York City"

    ERIC Educational Resources Information Center

    What Works Clearinghouse, 2012

    2012-01-01

    The study reviewed in this report examined the effects of private school vouchers on college enrollment outcomes. The vouchers were given to low-income elementary-age students through the New York School Choice Scholarships Foundation (SCSF) program. In 1997, the SCSF used a random assignment lottery to offer three-year vouchers to approximately…

  14. 76 FR 60967 - Final Fair Market Rents for the Housing Choice Voucher Program and Moderate Rehabilitation Single...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... Housing Choice Voucher Program and Moderate Rehabilitation Single Room Occupancy Program Fiscal Year 2012...; ] DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Final Fair Market Rents for the Housing Choice Voucher Program... Housing Choice Voucher (HCV) program, to determine initial renewal rents for some expiring...

  15. 78 FR 77144 - Announcement of Funding Awards for Fiscal Year 2013 for the Housing Choice Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... URBAN DEVELOPMENT Announcement of Funding Awards for Fiscal Year 2013 for the Housing Choice Voucher... Fiscal Year (FY) 2013 to public housing agencies (PHAs) under the Section 8 Housing Choice Voucher... Federal Fiscal Year 2013 Funding Provision for the Housing Choice Voucher Program. Awards for the...

  16. 76 FR 1450 - Announcement of Funding Awards for Fiscal Year 2010 for the Housing Choice Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... URBAN DEVELOPMENT Announcement of Funding Awards for Fiscal Year 2010 for the Housing Choice Voucher... Fiscal Year (FY) 2010 to housing agencies (HAs) under the Section 8 Housing Choice Voucher Program. The... the housing choice voucher program are published at 24 CFR part 982. The regulations for...

  17. 77 FR 61157 - Final Fair Market Rents for the Housing Choice Voucher Program and Moderate Rehabilitation Single...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ... Choice Voucher Program and Moderate Rehabilitation Single Room Occupancy Program Fiscal Year 2013; Notice... HOUSING AND URBAN DEVELOPMENT Final Fair Market Rents for the Housing Choice Voucher Program and Moderate... each year. This notice publishes the FMRs for the Housing Choice Voucher, the Moderate...

  18. 75 FR 6047 - Announcement of Funding Awards for Fiscal Year 2009 for the Housing Choice Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... URBAN DEVELOPMENT Announcement of Funding Awards for Fiscal Year 2009 for the Housing Choice Voucher... Fiscal Year (FY) 2009 to housing agencies (HAs) under the Section 8 housing choice voucher program. The... the housing choice voucher program are published at 24 CFR 982. The regulations for allocating...

  19. The Future of Vouchers as Educational Reform, Political Strategy, Economic Solution, and Public Policy in the United States

    ERIC Educational Resources Information Center

    Sullivan Brown, Kathleen

    2007-01-01

    This paper examines the burden of vouchers to be all things to all constituencies. Proponents and opponents envision vouchers as accomplishing many objectives. To some, vouchers represent an educational reform that brings change to public schools and saves children from monopolistic bureaucrats. To others, they signify a threat to the very…

  20. Vouchers, Public School Response and the Role of Incentives: Evidence from Florida. Working Paper #09-04

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2009-01-01

    In this paper, I analyze the behavior of public schools facing vouchers. The literature on the effect of voucher programs on public schools typically focuses on student and mean school scores. This paper tries to go inside the black box to investigate some of the ways in which schools facing the threat of vouchers in Florida behaved. Under the…

  1. International Experience with Demand-Led Financing: Education Vouchers in the USA, Great Britain and Chile. Occasional Paper.

    ERIC Educational Resources Information Center

    Belfield, Clive R.

    This paper reviews the research evidence on vouchers and considers the factors that make education vouchers a "live issue" in U.S. education policy. These factors can be articulated in terms of Levin's notions of freedom of choice, productive efficiency, equity, and social cohesion. It is possible to construct a reasonable case for voucher reform…

  2. A Win-Win Solution: The Empirical Evidence on How Vouchers Affect Public Schools. School Choice Issues in Depth

    ERIC Educational Resources Information Center

    Forster, Greg

    2009-01-01

    This report collects the results of all available empirical studies on how vouchers affect academic achievement in public schools. Contrary to the widespread claim that vouchers hurt public schools, it finds that the empirical evidence consistently supports the conclusion that vouchers improve public schools. No empirical study has ever found that…

  3. Occupational and School Selections: Experiences With The Portland WIN Voucher Training Program. Precis.

    ERIC Educational Resources Information Center

    Dunning, Bruce B.

    In 1974, vouchers for institutional vocational training were available in the Work Incentive Program (WIN) in Portland, Oregon, from April until the end of September. Voucher recipients were allowed up to six weeks in which to decide about a training occupation, locate an appropriate school, and make arrangements for enrollment. Relationships…

  4. Clinical Trial of Abstinence-Based Vouchers and Cognitive-Behavioral Therapy for Cannabis Dependence

    ERIC Educational Resources Information Center

    Budney, Alan J.; Moore, Brent A.; Rocha, Heath L.; Higgins, Stephen T.

    2006-01-01

    Ninety cannabis-dependent adults seeking treatment were randomly assigned to receive cognitive-behavioral therapy, abstinence-based voucher incentives, or their combination. Treatment duration was 14 weeks, and outcomes were assessed for 12 months post treatment. Findings suggest that (a) abstinence-based vouchers were effective for engendering…

  5. Why Don't Housing Choice Voucher Recipients Live Near Better Schools? Insights from Big Data

    ERIC Educational Resources Information Center

    Ellen, Ingrid Gould; Horn, Keren Mertens; Schwartz, Amy Ellen

    2016-01-01

    Housing choice vouchers provide low-income households with additional income to spend on rental housing in the private market. The assistance vouchers provide is substantial, offering the potential to dramatically expand the neighborhood--and associated public schools--that low-income households can reach. However, existing research on the program…

  6. Voucher Schools: Who Participates? ERIC-CUE Urban Disadvantaged Series, Number 46, August 1975.

    ERIC Educational Resources Information Center

    Blackman, Julie

    A brief review of a school system in Alum Rock, California that uses the voucher, this paper focuses on an educational strategy intended to maximize the school's responsiveness to the expressed needs of the parents. The ideas and values underlying the development of the voucher school, the problems of operationalization, as these are said to…

  7. Parents' Choice of Early Childhood Education Services in Hong Kong: A Pilot Study about Vouchers

    ERIC Educational Resources Information Center

    Yuen, Gail; Grieshaber, Susan

    2009-01-01

    The introduction of a voucher scheme for early childhood education in Hong Kong has resulted in significant changes in the field. This article reports data from a pilot study that aimed at understanding better how parents chose an early childhood education service following the introduction of a voucher scheme in Hong Kong. Eighty-six Chinese…

  8. Pluck & Tenacity: How Five Private Schools in Ohio Have Adapted to Vouchers

    ERIC Educational Resources Information Center

    Belcher, Ellen

    2014-01-01

    State-funded voucher programs have stoked political controversy, culture clashes, and pitched court battles. Sometimes referred to as "scholarships," these vouchers enable students of limited means (or without access to a good public school) to attend a private school. Roughly 30,000 children in Ohio take advantage of a publicly funded…

  9. Private School Enrollment in an Italian Region after Implementing a Change in the Voucher Policy

    ERIC Educational Resources Information Center

    Agasisti, Tommaso; Barbieri, Gianna; Murtinu, Samuele

    2015-01-01

    This article estimates the effect of an administrative change in a voucher policy implemented by an Italian Regional government. The voucher was initiated in 2000, and is intended to help families that want to enroll their children in private schools. In 2008, the policy was changed, making the administrative procedure required for obtaining the…

  10. On Negative Effects of Vouchers. Evidence Speaks Reports, Vol 1, #18

    ERIC Educational Resources Information Center

    Dynarski, Mark

    2016-01-01

    Recent research on statewide voucher programs in Louisiana and Indiana has found that public school students that received vouchers to attend private schools subsequently scored lower on reading and math tests compared to similar students that remained in public schools. The magnitudes of the negative impacts were large. A case to use taxpayer…

  11. 24 CFR 290.19 - Restrictions concerning nondiscrimination against Section 8 certificate holders and voucher holders.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... nondiscrimination against Section 8 certificate holders and voucher holders. 290.19 Section 290.19 Housing and Urban... Multifamily Projects § 290.19 Restrictions concerning nondiscrimination against Section 8 certificate holders and voucher holders. The purchaser of any multifamily housing project shall not refuse unreasonably...

  12. Toward Market Education: Are Vouchers or Tax Credits the Better Path? Policy Analysis No. 392.

    ERIC Educational Resources Information Center

    Coulson, Andrew J.

    This paper compares voucher and tax credit programs on how well they manifest the necessary conditions for market education and allow all families to participate in that market. Voucher programs include targeted and universal programs. The tax credit proposal is a nonrefundable, education credit composed of: a parental choice credit for taxpayers…

  13. Freedom of Choice: Vouchers in American Education. Praeger Series on American Political Culture

    ERIC Educational Resources Information Center

    Carl, Jim

    2011-01-01

    This book reveals that, far from being the result of a groundswell of support for parental choice in American education, the origins of school vouchers are seated in identity politics, religious schooling, and educational entrepreneurship. As the most radical form of "school choice," vouchers remain controversial in education today. The U.S.…

  14. Freedom from Racial Barriers: The Empirical Evidence on Vouchers and Segregation. School Choice Issues in Depth

    ERIC Educational Resources Information Center

    Forster, Greg

    2006-01-01

    This report collects the results of all available studies using valid empirical methods to compare segregation in public and private schools, both in general and in the context of school voucher programs. Examining the widespread claims that private schools have high segregation levels and vouchers will lead to greater segregation, this report…

  15. School Voucher Program and Its Enlightenments to the Education Reform in China

    ERIC Educational Resources Information Center

    Shen, Youlu

    2005-01-01

    This article roughly retrospects the idea of school voucher program proposed by Milton Friedman, lately developed by Peacock, Wiseman and Jencks. The reasons like privatization in education, deterioration of public schooling and school choice promote this program. Then taking a simple look at the ramification of voucher program and its value…

  16. Flame On: The Fight Over Vouchers will be a War within the States.

    ERIC Educational Resources Information Center

    Darden, Edwin C.

    This short paper is part of a collection of 54 papers from the 48th annual conference of the Education Law Association held in November 2002. It discusses educational voucher programs. It states that proponents of voucher programs, having scored a major victory in the U.S. Supreme Court with "Zelman v. Simmons-Harris" (2002), will continue to…

  17. 75 FR 55589 - Fee for Using a Priority Review Voucher in Fiscal Year 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ... section 351 of the Public Health Service Act (21 U.S.C. 262), or transfer (including by sale) the voucher... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... applications use a priority review voucher awarded by the Secretary of Health and Human Services....

  18. 76 FR 59711 - Notice of Submission of Proposed Information Collection to OMB Housing Choice Voucher Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-27

    ... URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB Housing Choice Voucher... Department is soliciting public comments on the subject proposal. The Housing Choice Voucher (HCV) program is the federal government's largest low-income housing assistance program. As of 2010, the Housing...

  19. 75 FR 46958 - Proposed Fair Market Rents for the Housing Choice Voucher Program and Moderate Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... URBAN DEVELOPMENT Proposed Fair Market Rents for the Housing Choice Voucher Program and Moderate... for the Housing Choice Voucher (HCV) program, to determine initial renewal rents for some expiring... reasonable rent standards. The interim rule published on October 2, 2000 (65 FR 58870), established...

  20. 78 FR 6334 - Housing Choice Voucher Program; Office of Public and Indian Housing Announcement of Funding...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ... URBAN DEVELOPMENT Housing Choice Voucher Program; Office of Public and Indian Housing Announcement of... Section 8 Housing Choice Voucher Program (HCVP). The purpose of this notice is to publish the names... 2010-27, Implementation of the Federal Fiscal Year 2012 Funding Provision for the Housing...

  1. 78 FR 45257 - 60-Day Notice of Proposed Information Collection: Housing Choice Voucher (HCV) Family Self...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 60-Day Notice of Proposed Information Collection: Housing Choice Voucher (HCV) Family... programs (now known as the Housing Choice Voucher Program) with public and private resources to...

  2. 75 FR 55596 - Notice of Submission of Proposed Information Collection to OMB Housing Choice Voucher Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Notice of Submission of Proposed Information Collection to OMB Housing Choice Voucher...: Title of Proposal: Housing Choice Voucher Program. OMB Approval Number: 2577-0169. Form Numbers:...

  3. 75 FR 19417 - Notice of Proposed Information Collection for Public Comment for Housing Choice Voucher (HCV...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-14

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment for Housing Choice... also lists the following information: Title of Proposal: Housing Choice Voucher (HCV) Family Self... assistance under the Section 8 rental certificate and voucher programs (now known as the Housing...

  4. Keeping Informed about School Vouchers: A Review of Major Developments and Research

    ERIC Educational Resources Information Center

    Usher, Alexandra; Kober, Nancy

    2011-01-01

    This report examines a decade's worth of research on school vouchers and concludes that vouchers have had no clear positive effect on student academic achievement, and mixed outcomes for students overall. Effects on graduation rates, parental satisfaction, public school achievement and cost to taxpayers are discussed. The report also notes that…

  5. Educational Vouchers: Panacea or Pandora's Box? Prepared for the New Jersey Education Reform Project.

    ERIC Educational Resources Information Center

    Warren, Constancia

    This discussion about voucher education is based largely upon the model developed by Christopher Jencks and his associates. Its major features include: equal tuition grants to all children; compensatory grants to the disadvantaged child; tuition maximum equal to the voucher value in all eligible schools; no parental supplementation of vouchers…

  6. Vouchers Versus Prizes: Contingency Management Treatment of Substance Abusers in Community Settings

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Alessi, Sheila M.; Marx, Jacqueline; Austin, Mark; Tardif, Michelle

    2005-01-01

    Contingency management (CM) interventions usually use vouchers as reinforcers, but a new technique awards chances of winning prizes. This study compares these approaches. In community treatment centers, 142 cocaine- or heroin-dependent outpatients were randomly assigned to standard treatment (ST), ST with vouchers, or ST with prizes for 12 weeks.…

  7. A Model of Cultural Leadership. The Achievements of Privately Funded Vouchers.

    ERIC Educational Resources Information Center

    Meyerson, Adam

    1999-01-01

    Describes the privately-funded voucher movement implemented by J. Patrick Rooney, James R. Leininger, Michael S. Joyce, John T. Walton, and Theodore J. Forstmann. An important feature of most of the programs is that parents have to pay partial tuition. Vouchers resources are focused on poor children in inner cities. (MMU)

  8. Randomized Trial of Contingent Prizes versus Vouchers in Cocaine-Using Methadone Patients

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Alessi, Sheila M.; Hanson, Tressa; Sierra, Sean

    2007-01-01

    Contingency management (CM) interventions frequently utilize vouchers as reinforcers, but a prize-based system is also efficacious. This study compared these approaches. Seventy-four cocaine-dependent methadone outpatients were randomly assigned to standard treatment (ST), ST plus a maximum of $585 in contingent vouchers, or ST plus an expected…

  9. Free Marketeers, Policy Wonks, and Yankee Democracy: School Vouchers in New Hampshire, 1973-1976

    ERIC Educational Resources Information Center

    Carl, Jim

    2008-01-01

    In this article, Jim Carl uses archival sources and interviews to chronicle the effort to bring school vouchers to New Hampshire. In 1973, the New Hampshire Department of Education initiated a plan, funded by the U.S. Office of Economic Opportunity, to institute vouchers in a handful of school districts. Though the initiative had the support of…

  10. School Vouchers and Student Achievement: Recent Evidence, Remaining Questions. WP 2008-08

    ERIC Educational Resources Information Center

    Rouse, Cecilia Elena; Barrow, Lisa

    2008-01-01

    In this article, we review the empirical evidence on the impact of education vouchers on student achievement, and briefly discuss the evidence from other forms of school choice. The best research to date finds relatively small achievement gains for students offered education vouchers, most of which are not statistically different from zero.…

  11. Vouchers, Tests, Loans, Privatization: Will They Help Tackle Corruption in Russian Higher Education?

    ERIC Educational Resources Information Center

    Osipian, Ararat L.

    2009-01-01

    Higher education in Russia is currently being reformed. A standardized computer-graded test and educational vouchers were introduced to make higher education more accessible, fund it more effectively, and reduce corruption in admissions to public colleges. The voucher project failed and the test faces furious opposition. This paper considers…

  12. The Effects of School Vouchers on College Enrollment: Experimental Evidence from New York City

    ERIC Educational Resources Information Center

    Chingos, Matthew M.; Peterson, Paul E.

    2012-01-01

    In the first study, using a randomized experiment to measure the impact of school vouchers on college enrollment, Matthew Chingos and Paul Peterson, professor of government at Harvard University, examine the college-going behavior through 2011 of students who participated in a voucher experiment as elementary school students in the late 1990s.…

  13. Can Markets Make Citizens? School Vouchers, Political Tolerance, and Civic Engagement

    ERIC Educational Resources Information Center

    Fleming, David J.; Mitchell, William; McNally, Michael

    2014-01-01

    School voucher programs challenge the traditional role of the public school as the builder of citizens, raising the question of whether private schools can provide a civic education of equal quality. In this study, we use survey data from the Milwaukee voucher program to investigate the relative benefits in civic outcomes of attending a voucher…

  14. The Effectiveness of Private Voucher Education: Evidence from Structural School Switches

    ERIC Educational Resources Information Center

    Lara, Bernardo; Mizala, Alejandra; Repetto, Andrea

    2011-01-01

    In this article the authors analyze the effect of private voucher education on student academic performance using new data on Chilean students and a novel identification strategy. Most schools in Chile provide either primary or secondary education. The authors analyze the effect of private voucher education on students who are forced to enroll at…

  15. 48 CFR 413.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false SF 44, Purchase Order-Invoice-Voucher. 413.306 Section 413.306 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE....306 SF 44, Purchase Order-Invoice-Voucher. The Standard Form 44 (and the previously prescribed...

  16. 48 CFR 213.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false SF 44, Purchase Order-Invoice-Voucher. 213.306 Section 213.306 Federal Acquisition Regulations System DEFENSE ACQUISITION... PROCEDURES Simplified Acquisition Methods 213.306 SF 44, Purchase Order-Invoice-Voucher. (a)(1) The...

  17. 48 CFR 213.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false SF 44, Purchase Order-Invoice-Voucher. 213.306 Section 213.306 Federal Acquisition Regulations System DEFENSE ACQUISITION... PROCEDURES Simplified Acquisition Methods 213.306 SF 44, Purchase Order-Invoice-Voucher. (a)(1) The...

  18. 48 CFR 1413.306 - Standard Form 44, Purchase order-invoice-voucher.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Standard Form 44, Purchase order-invoice-voucher. 1413.306 Section 1413.306 Federal Acquisition Regulations System DEPARTMENT OF... Acquisition Methods 1413.306 Standard Form 44, Purchase order-invoice-voucher. HCAs are responsible...

  19. 48 CFR 413.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false SF 44, Purchase Order-Invoice-Voucher. 413.306 Section 413.306 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE....306 SF 44, Purchase Order-Invoice-Voucher. The Standard Form 44 (and the previously prescribed...

  20. 48 CFR 213.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false SF 44, Purchase Order-Invoice-Voucher. 213.306 Section 213.306 Federal Acquisition Regulations System DEFENSE ACQUISITION... PROCEDURES Simplified Acquisition Methods 213.306 SF 44, Purchase Order-Invoice-Voucher. (a)(1) The...

  1. 48 CFR 413.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false SF 44, Purchase Order-Invoice-Voucher. 413.306 Section 413.306 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE....306 SF 44, Purchase Order-Invoice-Voucher. The Standard Form 44 (and the previously prescribed...

  2. 48 CFR 1413.306 - Standard Form 44, Purchase order-invoice-voucher.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Standard Form 44, Purchase order-invoice-voucher. 1413.306 Section 1413.306 Federal Acquisition Regulations System DEPARTMENT OF... Acquisition Methods 1413.306 Standard Form 44, Purchase order-invoice-voucher. HCAs are responsible...

  3. 48 CFR 213.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false SF 44, Purchase Order-Invoice-Voucher. 213.306 Section 213.306 Federal Acquisition Regulations System DEFENSE ACQUISITION... PROCEDURES Simplified Acquisition Methods 213.306 SF 44, Purchase Order-Invoice-Voucher. (a)(1) The...

  4. 48 CFR 1413.306 - Standard Form 44, Purchase order-invoice-voucher.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Standard Form 44, Purchase order-invoice-voucher. 1413.306 Section 1413.306 Federal Acquisition Regulations System DEPARTMENT OF... Acquisition Methods 1413.306 Standard Form 44, Purchase order-invoice-voucher. HCAs are responsible...

  5. 48 CFR 1413.306 - Standard Form 44, Purchase order-invoice-voucher.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Standard Form 44, Purchase order-invoice-voucher. 1413.306 Section 1413.306 Federal Acquisition Regulations System DEPARTMENT OF... Acquisition Methods 1413.306 Standard Form 44, Purchase order-invoice-voucher. HCAs are responsible...

  6. 48 CFR 213.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false SF 44, Purchase Order-Invoice-Voucher. 213.306 Section 213.306 Federal Acquisition Regulations System DEFENSE ACQUISITION... PROCEDURES Simplified Acquisition Methods 213.306 SF 44, Purchase Order-Invoice-Voucher. (a)(1) The...

  7. 48 CFR 413.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false SF 44, Purchase Order-Invoice-Voucher. 413.306 Section 413.306 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE....306 SF 44, Purchase Order-Invoice-Voucher. The Standard Form 44 (and the previously prescribed...

  8. 48 CFR 1413.306 - Standard Form 44, Purchase order-invoice-voucher.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Standard Form 44, Purchase order-invoice-voucher. 1413.306 Section 1413.306 Federal Acquisition Regulations System DEPARTMENT OF... Acquisition Methods 1413.306 Standard Form 44, Purchase order-invoice-voucher. HCAs are responsible...

  9. 48 CFR 413.306 - SF 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false SF 44, Purchase Order-Invoice-Voucher. 413.306 Section 413.306 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE....306 SF 44, Purchase Order-Invoice-Voucher. The Standard Form 44 (and the previously prescribed...

  10. Health workforce planning and service expansion during an economic crisis: A case study of the national breast screening programme in Ireland.

    PubMed

    McHugh, S M; Tyrrell, E; Johnson, B; Healy, O; Perry, I J; Normand, C

    2015-12-01

    This article aims to estimate the workforce and resource implications of the proposed age extension of the national breast screening programme, under the economic constraints of reduced health budgets and staffing levels in the Irish health system. Using a mixed method design, a purposive sample of 20 participants were interviewed and data were analysed thematically (June-September 2012). Quantitative data (programme-level activity data, screening activity, staffing levels and screening plans) were used to model potential workload and resource requirements. The analysis indicates that over 90% operational efficiency was achieved throughout the first six months of 2012. Accounting for maternity leave (10%) and sick leave (3.5%), 16.1 additional radiographers (whole time equivalent) would be required for the workload created by the age extension of the screening programme, at 90% operational efficiency. The results suggest that service expansion is possible with relatively minimal additional radiography resources if the efficiency of the skill mix and the use of equipment are improved. Investing in the appropriate skill mix should not be limited to clinical groups but should also include administrative staff to manage and support the service. Workload modelling may contribute to improved health workforce planning and service efficiency.

  11. The experiences of mentors on a career development and mentoring programme for female mental health nurses in the UK National Health Service.

    PubMed

    Woolnough, Helen M; Davidson, Marilyn J; Fielden, Sandra L

    2006-08-01

    This paper presents the experiences of executive and non-executive UK National Health Service (NHS) Trust directors and senior managers as mentors in a career development and mentoring programme for a cohort of 27 female mental health nurses from six NHS mental health trusts. Baseline interview data was collated from 27 mentors prior to the programme. Twenty-four mentors participated in semi-structured telephone interviews investigating their experiences of being a mentor at the end of the programme. The interview transcripts were analysed using thematic content analysis. Experience as a mentor impacted on mentors in a variety of ways and the common themes which emerged from the data included: increased understanding of the mentoring role, increased awareness of career barriers for female mental health nurses, improved ground-level insight in relation to nursing staff and the patients they care for, improved professional reputation, increased networks, new insights into organizational issues, personal enjoyment and fulfilment and desire to implement organizational change. All mentors interviewed stated that they would consider becoming a mentor again. The mentoring relationship was an invaluable learning experience for mentors and results from this study suggested that trained mentors have an important role to play as change agents in the NHS.

  12. Health workforce planning and service expansion during an economic crisis: A case study of the national breast screening programme in Ireland.

    PubMed

    McHugh, S M; Tyrrell, E; Johnson, B; Healy, O; Perry, I J; Normand, C

    2015-12-01

    This article aims to estimate the workforce and resource implications of the proposed age extension of the national breast screening programme, under the economic constraints of reduced health budgets and staffing levels in the Irish health system. Using a mixed method design, a purposive sample of 20 participants were interviewed and data were analysed thematically (June-September 2012). Quantitative data (programme-level activity data, screening activity, staffing levels and screening plans) were used to model potential workload and resource requirements. The analysis indicates that over 90% operational efficiency was achieved throughout the first six months of 2012. Accounting for maternity leave (10%) and sick leave (3.5%), 16.1 additional radiographers (whole time equivalent) would be required for the workload created by the age extension of the screening programme, at 90% operational efficiency. The results suggest that service expansion is possible with relatively minimal additional radiography resources if the efficiency of the skill mix and the use of equipment are improved. Investing in the appropriate skill mix should not be limited to clinical groups but should also include administrative staff to manage and support the service. Workload modelling may contribute to improved health workforce planning and service efficiency. PMID:26421598

  13. Beyond "Cain v. Horne": Comment on Tim Keller's "The National Implications of 'Cain v. Horne'"

    ERIC Educational Resources Information Center

    Harmon, Corinne

    2010-01-01

    This commentary is in response to Tim Keller's article "The National Implications of 'Cain v. Horne.'" In his analysis, Keller asserts that the Arizona Supreme Court wrongfully struck down a voucher program for students with special needs by characterizing the voucher as aid to schools rather than aid to students. In this response to Keller, I…

  14. National Report Germany: Sounding Rocket and Balloon Research Activities Supported by the German Space Programme in 2013-2015

    NASA Astrophysics Data System (ADS)

    Kuhl, R.; Gritzner, C.; Friedrichs, D.

    2015-09-01

    Mainly sounding rockets but also stratospheric balloons have played a crucial role in implementing the German Space Programme since many years. Research activities were conducted in the fields of Microgravity Research, Space Science, Earth Observation, Space Technology Development, and Education. Currently, the mesosphere and ionosphere of the Earth and the photosphere and chromosphere of the Sun are in the focus of German research activities in the field of Space Science. Microgravity related topics are studied in the disciplines of Life and Physical Sciences during ballistic TEXUS and MAPHEUS rocket flights. A lot of student activities are currently supported by the agencies SNSB and DLR under the auspices of the Swedish-German programme REXUS/BEXUS.

  15. Case study of evaluations that go beyond clinical outcomes to assess quality improvement diabetes programmes using the Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE)

    PubMed Central

    Harris, Stewart B.; Naqshbandi Hayward, Mariam; Tompkins, Jordan W.

    2016-01-01

    Abstract Rationale, aims and objectives Investments in efforts to reduce the burden of diabetes on patients and health care are critical; however, more evaluation is needed to provide evidence that informs and supports future policies and programmes. The newly developed Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE) incorporates the theoretical concepts needed to facilitate the capture of critical information to guide investments, policy and programmatic decision making. The aim of the study is to assess the applicability and value of DEFINE in comprehensive real‐world evaluation. Method Using a critical and positivist approach, this intrinsic and collective case study retrospectively examines two naturalistic evaluations to demonstrate how DEFINE could be used when conducting real‐world comprehensive evaluations in health care settings. Results The variability between the cases and the evaluation designs are described and aligned to the DEFINE goals, steps and sub‐steps. The majority of the theoretical steps of DEFINE were exemplified in both cases, although limited for knowledge translation efforts. Application of DEFINE to evaluate diverse programmes that target various chronic diseases is needed to further test the inclusivity and built‐in flexibility of DEFINE and its role in encouraging more comprehensive knowledge translation. Conclusions This case study shows how DEFINE could be used to structure or guide comprehensive evaluations of programmes and initiatives implemented in health care settings and support scale‐up of successful innovations. Future use of the framework will continue to strengthen its value in guiding programme evaluation and informing health policy to reduce the burden of diabetes and other chronic diseases. PMID:26804339

  16. Differences in results of breast cancer curative treatment between urban/rural female population in Podlaskie Voivodship of Poland before introduction of the National Cancer Control Programme.

    PubMed

    Maślach, Dominik; Krzyżak, Michalina; Szpak, Andrzej; Owoc, Alfred; Gębska-Kuczerowska, Anita; Bielska-Lasota, Magdalena

    2013-01-01

    The aim of the study was to evaluate differences in the results of the curative treatment received by women with breast cancer in urban and rural area in Podlaskie Voivodship in 2001-2002 before the introduction of the National Cancer Control Programme. The analysis was based on 449 women with breast cancer, who received curative treatment in years 2001-2002. Relative 5-year survival rates as function of age and stage among urban and rural women population were calculated. The results showed that survival rates in Podlaskie Voivodship among curatively treated women with breast cancer were 81.9% but they differed between urban and rural areas. Patients living in rural areas had much lower survivals than those living in urban areas at local and regional stage of disease. In all age groups considered in the study survivals in rural areas were lower than in urban ones in which survivals were higher in 55-64 age group. These results indicated the necessity intervention in order to increase the access to the health care system and effectiveness of early detection and also improved treatment standards for more disadvantaged rural areas. These results should be also considered in monitoring of the National Cancer Control Programme introduction in Poland in 2006.

  17. A database for animal tuberculosis (mycoDB.es) within the context of the Spanish national programme for eradication of bovine tuberculosis.

    PubMed

    Rodriguez-Campos, Sabrina; González, Sergio; de Juan, Lucía; Romero, Beatriz; Bezos, Javier; Casal, Carmen; Álvarez, Julio; Fernández-de-Mera, Isabel G; Castellanos, Elena; Mateos, Ana; Sáez-Llorente, José L; Domínguez, Lucas; Aranaz, Alicia

    2012-06-01

    Spoligotyping and mycobacterial interspersed repetitive unit-variable number tandem repeat (MIRU-VNTR) analysis are the international standard techniques for molecular typing of members of the Mycobacterium tuberculosis complex. To enable the exploitation of molecular typing data for epidemiological purposes, the creation of large databases is indispensable. Here we describe mycoDB.es, a database for animal tuberculosis which forms part of the Spanish national programme for eradication of bovine tuberculosis. This database has been created as an epidemiological tool at national level and contains spoligotype patterns of 17,273 isolates clustered in 401 different spoligotypes of Mycobacterium bovis, Mycobacterium caprae and M. tuberculosis. The database offers an overview of the present spoligotypes, to a lower extent also of MIRU-VNTR types, affected animal species and furthermore of the spatial distribution of these genotypes.

  18. Contingency management for cocaine treatment: cash vs. vouchers.

    PubMed

    Festinger, David S; Dugosh, Karen L; Kirby, Kimberly C; Seymour, Brittany L

    2014-08-01

    The efficacy of contingency management (CM) for treating drug abuse is well supported. The most widely used form of CM is voucher-based reinforcement therapy (VBRT), where clients receive an escalating schedule of vouchers that can be redeemed for goods and services for meeting treatment goals. Though generally rejected due to concerns about potential harms to drug using participants, research suggests that cash may be a more effective reinforcer. This three-group randomized trial compared the efficacy of cash-based reinforcement therapy (CBRT) to VBRT and a non-CM condition on cocaine abstinence and treatment attendance; and examined whether CBRT resulted in greater levels of harm than VBRT. Findings indicated that the CBRT was as effective as VBRT when compared to the non-CM condition and that it did not increase rates of drug use, cravings, or high-risk behaviors. Future research should examine potential cost savings associated with a cash-based CM approach as this could have important implications for the wider adoption of the CM model.

  19. Contingency Management for Cocaine Treatment: Cash vs. Vouchers

    PubMed Central

    Festinger, David S.; Dugosh, Karen L.; Kirby, Kimberly C.; Seymour, Brittany L.

    2014-01-01

    The efficacy of contingency management (CM) for treating drug abuse is well supported. The most widely used form of CM is voucher-based reinforcement therapy (VBRT), where clients receive an escalating schedule of vouchers that can be redeemed for goods and services for meeting treatment goals. Though generally rejected due to concerns about potential harms to drug using participants, research suggests that cash may be a more effective reinforcer. This three-group randomized trial compared the efficacy of cash-based reinforcement therapy (CBRT) to VBRT and a non-CM condition on cocaine abstinence and treatment attendance; and examined whether CBRT resulted in greater levels of harm than VBRT. Findings indicated that the CBRT was as effective as VBRT when compared to the non-CM condition and that it did not increase rates of drug use, cravings, or high-risk behaviors. Future research should examine potential cost savings associated with a cash-based CM approach as this could have important implications for the wider adoption of the CM model. PMID:24746956

  20. VoSeq: a voucher and DNA sequence web application.

    PubMed

    Peña, Carlos; Malm, Tobias

    2012-01-01

    There is an ever growing number of molecular phylogenetic studies published, due to, in part, the advent of new techniques that allow cheap and quick DNA sequencing. Hence, the demand for relational databases with which to manage and annotate the amassing DNA sequences, genes, voucher specimens and associated biological data is increasing. In addition, a user-friendly interface is necessary for easy integration and management of the data stored in the database back-end. Available databases allow management of a wide variety of biological data. However, most database systems are not specifically constructed with the aim of being an organizational tool for researchers working in phylogenetic inference. We here report a new software facilitating easy management of voucher and sequence data, consisting of a relational database as back-end for a graphic user interface accessed via a web browser. The application, VoSeq, includes tools for creating molecular datasets of DNA or amino acid sequences ready to be used in commonly used phylogenetic software such as RAxML, TNT, MrBayes and PAUP, as well as for creating tables ready for publishing. It also has inbuilt BLAST capabilities against all DNA sequences stored in VoSeq as well as sequences in NCBI GenBank. By using mash-ups and calls to web services, VoSeq allows easy integration with public services such as Yahoo! Maps, Flickr, Encyclopedia of Life (EOL) and GBIF (by generating data-dumps that can be processed with GBIF's Integrated Publishing Toolkit).

  1. Social inequality in health: dichotomy or gradient? A comparative study of problematizations in national public health programmes.

    PubMed

    Vallgårda, Signild

    2008-01-01

    Recent public health programmes from four countries: Denmark, England, Norway, and Sweden, are studied to analyse how social inequality in health is described, explained and suggested to be tackled, i.e., the problematization or the discursive process whereby the issue is framed and made accessible to political action. Social inequality in health is defined in these programmes both as a disadvantaged minority with major health problems, in contrast to the rest of the population, i.e., as a dichotomy; and as a gradient in which health problems are seen as increasing with lower social class or educational level. The causes of health inequality are identified as behaviour, social relations and underlying social structures. Policies aimed at reducing health inequality can be characterized as either in accordance with a residual welfare state model, targeting the disadvantaged, or a universal model, addressing the whole population. All countries have policies that are mixtures of these problematizations, but with some systematic differences between the countries. In this field England resembles the Scandinavian countries, as much as they resemble each other dispelling the idea of a Nordic or Scandinavian welfare state model. PMID:17706317

  2. Can vouchers deliver? An evaluation of subsidies for maternal health care in Cambodia

    PubMed Central

    Flores, Gabriela; Ir, Por; O’Donnell, Owen; Van Doorslaer, Eddy

    2014-01-01

    Abstract Objective To evaluate the effect of vouchers for maternity care in public health-care facilities on the utilization of maternal health-care services in Cambodia. Methods The study involved data from the 2010 Cambodian Demographic and Health Survey, which covered births between 2005 and 2010. The effect of voucher schemes, first implemented in 2007, on the utilization of maternal health-care services was quantified using a difference-in-differences method that compared changes in utilization in districts with voucher schemes with changes in districts without them. Findings Overall, voucher schemes were associated with an increase of 10.1 percentage points (pp) in the probability of delivery in a public health-care facility; among women from the poorest 40% of households, the increase was 15.6 pp. Vouchers were responsible for about one fifth of the increase observed in institutional deliveries in districts with schemes. Universal voucher schemes had a larger effect on the probability of delivery in a public facility than schemes targeting the poorest women. Both types of schemes increased the probability of receiving postnatal care, but the increase was significant only for non-poor women. Universal, but not targeted, voucher schemes significantly increased the probability of receiving antenatal care. Conclusion Voucher schemes increased deliveries in health centres and, to a lesser extent, improved antenatal and postnatal care. However, schemes that targeted poorer women did not appear to be efficient since these women were more likely than less poor women to be encouraged to give birth in a public health-care facility, even with universal voucher schemes. PMID:24839322

  3. Can reproductive health voucher programs improve quality of postnatal care? A quasi-experimental evaluation of Kenya's safe motherhood voucher scheme.

    PubMed

    Watt, Claire; Abuya, Timothy; Warren, Charlotte E; Obare, Francis; Kanya, Lucy; Bellows, Ben

    2015-01-01

    This study tests the group-level causal relationship between the expansion of Kenya's Safe Motherhood voucher program and changes in quality of postnatal care (PNC) provided at voucher-contracted facilities. We compare facilities accredited since program inception in 2006 (phase I) and facilities accredited since 2010-2011 (phase II) relative to comparable non-voucher facilities. PNC quality is assessed using observed clinical content processes, as well as client-reported outcome measures. Two-tailed unpaired t-tests are used to identify differences in mean process quality scores and client-reported outcome measures, comparing changes between intervention and comparison groups at the 2010 and 2012 data collection periods. Difference-in-differences analysis is used to estimate the reproductive health (RH) voucher program's causal effect on quality of care by exploiting group-level differences between voucher-accredited and non-accredited facilities in 2010 and 2012. Participation in the voucher scheme since 2006 significantly improves overall quality of postnatal care by 39% (p=0.02), where quality is defined as the observable processes or components of service provision that occur during a PNC consultation. Program participation since phase I is estimated to improve the quality of observed maternal postnatal care by 86% (p=0.02), with the largest quality improvements in counseling on family planning methods (IRR 5.0; p=0.01) and return to fertility (IRR 2.6; p=0.01). Despite improvements in maternal aspects of PNC, we find a high proportion of mothers who seek PNC are not being checked by any provider after delivery. Additional strategies will be necessary to standardize provision of packaged postnatal interventions to both mother and newborn. This study addresses an important gap in the existing RH literature by using a strong evaluation design to assess RH voucher program effectiveness on quality improvement.

  4. Evaluation of a national programme to reduce inappropriate use of antibiotics for upper respiratory tract infections: effects on consumer awareness, beliefs, attitudes and behaviour in Australia.

    PubMed

    Wutzke, Sonia E; Artist, Margaret A; Kehoe, Linda A; Fletcher, Miriam; Mackson, Judith M; Weekes, Lynn M

    2007-03-01

    The over-use of antibiotics, in particular, inappropriate use to treat upper respiratory tract infections (URTIs), is a global public health concern. In an attempt to reduce inappropriate use of antibiotics for URTIs, and, in particular, to modify patient misconceptions about the effectiveness of antibiotics for URTIs, Australia's National Prescribing Service Ltd (NPS) has undertaken a comprehensive, multistrategic programme for health professionals and the community. Targeted strategies for the community, via the NPS common colds community campaign, commenced in 2000 and have been repeated annually during the winter months. Community strategies were closely integrated, using the same tagline, key messages and visual images, and were delivered in numerous settings including general practice, community pharmacy, child-care centres and community groups. Strategies included written information via newsletters and brochures, mass media activity using billboards, television, radio and magazines and small grants to promote local community education. The evaluation used multiple methods and data sources to measure process, impact and outcomes. Consistent with intervention messages, the integrated nationwide prescriber and consumer programme is associated with modest but consistent positive changes in consumer awareness, beliefs, attitudes and behaviour to the appropriate use of antibiotics for URTIs. These positive changes among the community are corroborated by a national decline in total antibiotic prescriptions dispensed in the community (from 23.08 million prescriptions in 1998-99 to 21.44 million in 2001-02) and, specifically, by a decline among the nine antibiotics commonly used for URTI such that by 2003 nationally 216,000 fewer prescriptions for URTI are written each year by general practitioners.

  5. [Research in biomedicine in collaboration with third country nationals within the 7th framework programme for years 2007-2013].

    PubMed

    Kinkorová, Judita

    2012-01-01

    International cooperation, in EU -funded health research with research partners on five continents, with project opportunities is open to applicants from every country on the map, with generous funding for international teams exploring issues of relevance to the global community, the EU is fostering ambitious undertakings involving scientists and organisations from Europe and beyond. This commitment to scientific collaboration characterises the EUs approach to research and innovation. The European Commission is considering further ways of boosting the impact of its research contribution. Throughout successive Framework Programmes, international cooperation in EU -funded health research has matured into a proud tradition. All health research topics are now potentially open to applicants from any country. All the projects are advancing the understanding of human health or striving to address an unmet need in prevention, diagnosis, treatment or healthcare provision.

  6. Perspectives and concerns of clients at primary health care facilities involved in evaluation of a national mental health training programme for primary care in Kenya

    PubMed Central

    2013-01-01

    Background A cluster randomised controlled trial (RCT) of a national Kenyan mental health primary care training programme demonstrated a significant impact on the health, disability and quality of life of clients, despite a severe shortage of medicines in the clinics (Jenkins et al. Submitted 2012). As focus group methodology has been found to be a useful method of obtaining a detailed understanding of client and health worker perspectives within health systems (Sharfritz and Roberts. Health Transit Rev 4:81–85, 1994), the experiences of the participating clients were explored through qualitative focus group discussions in order to better understand the potential reasons for the improved outcomes in the intervention group. Methods Two ninety minute focus groups were conducted in Nyanza province, a poor agricultural region of Kenya, with 10 clients from the intervention group clinics where staff had received the training programme, and 10 clients from the control group where staff had not received the training during the earlier randomised controlled trial. Results These focus group discussions suggest that the clients in the intervention group noticed and appreciated enhanced communication, diagnostic and counselling skills in their respective health workers, whereas clients in the control group were aware of the lack of these skills. Confidentiality emerged from the discussions as a significant client concern in relation to the volunteer cadre of community health workers, whose only training comes from their respective primary care health workers. Conclusion Enhanced health worker skills conferred by the mental health training programme may be responsible for the significant improvement in outcomes for clients in the intervention clinics found in the randomised controlled trial, despite the general shortage of medicines and other health system weaknesses. These findings suggest that strengthening mental health training for primary care staff is worthwhile even

  7. Outcome of a grocery voucher incentive scheme for low-income tuberculosis patients on directly observed therapy in Singapore

    PubMed Central

    Chua, Angeline Poh-Gek; Lim, Leo Kang-Yang; Ng, Huiyi; Chee, Cynthia Bin-Eng; Wang, Yee Tang

    2015-01-01

    INTRODUCTION The ‘DOT & Shop’ scheme is sponsored by SATA CommHealth, a local non-governmental organisation. It was launched in July 2009, in collaboration with Singapore’s Tuberculosis Control Unit (TBCU). Under this scheme, grocery vouchers are disbursed to low-income patients with tuberculosis (TB) at each clinic visit if they have been adherent to directly observed therapy (DOT). This study aimed to determine the effect of this incentive scheme on treatment completion rates and to report the characteristics of patients who were non-adherent to the scheme. METHODS This descriptive study used data from the TBCU medical social worker database and the National TB Registry. RESULTS From July 2009 to December 2012, a total of 883 TB patients were enrolled in the scheme. The overall treatment completion rates of the patients before (July 2006–June 2009) and after (July 2009–December 2012) the implementation of the scheme improved from 85.3% to 87.2% (p = 0.02). Patients under this scheme had a higher treatment completion rate (90.0%) than those not under this scheme (86.4%) (p < 0.01). It was found that the non-adherent patients were more likely to be of Malay ethnicity, younger and unemployed. CONCLUSION We demonstrate the salutary effect of a non-governmental organisation-funded grocery voucher incentive scheme for low-income TB patients on DOT in Singapore. PMID:25788246

  8. Quality control of food products purchased by the National School-Feeding Programme in Pernambuco, northeast Brazil, from 1985 to 1988.

    PubMed

    Guerra, N B; Pires, E M; Martins, G de C; Lima Filho, J B; Guerra, G N; Borges, L B; Tavares, M O; Cavalcante, M L; de Melo Filho, A B; de Oliveira, A R

    1992-12-01

    The effectiveness of the Quality Control System (QCS) implemented by the Fundação de Assistência ao Escolar (FAE) for quality control of food products from different types and origins purchased by the National School-Feeding Programme (NSFP) in Pernambuco, Northeast Brazil, was evaluated. Physicochemical, microbiological, microscopical and organopetical analyses were performed in 4,860 food samples and the main causes of alterations were detected. Perishability was the characteristic used for distribution of food items into 3 main groups: A, B, and C. In accordance with 972 Quality Certificates between 1985 and 1988, 31.89 of the samples were rejected. The main reasons for rejection were innacuracies of net weight and drained weight and high moisture contents. Group B presented the smallest number of altered samples (27%); for Groups A and C these values were 33% and 44%, respectively. Our data lead to the conclusion that the QCS implemented by FAE is of paramount importance for an adequate quality control of foods provided to beneficiaries and for a good cost effectiveness of the school-feeding programme. PMID:1342181

  9. Coverage of the English national human papillomavirus (HPV) immunisation programme among 12 to 17 year-old females by area-level deprivation score, England, 2008 to 2011.

    PubMed

    Hughes, A; Mesher, D; White, J; Soldan, K

    2014-01-16

    The English national human papillomavirus (HPV) immunisation programme has offered vaccination to girls aged 12 years at the start of each school year since September 2008. A catch-up programme has offered vaccination to girls up to 18 years. Delivery is predominantly school-based, with some general practitioner (GP)-based immunisation. The relationship between HPV immunisation coverage and deprivation (index of multiple deprivation, IMD) was assessed by geographical area (N=151) for each school year offered the HPV vaccine between 2008 to 2011 using the Spearman’s rank correlation coefficient, and compared to that for adequate cervical screening of women aged 25 to 49 years. Coverage at age 12 showed no significant association with IMD at the area-level (p=0.12). Within the catch-up years, there was some suggestion of higher deprivation being associated with lower coverage. This was not significant for girls offered immunisation under 16 years (in compulsory education) (p=0.09), but was more marked and statistically significant for older girls (p<0.0001). The proportion of women aged 25 to 49 years with an adequate cervical screen was negatively associated with deprivation (p<0.0001). School-based HPV immunisation delivery appears to be successfully reducing inequalities in cervical cancer control at area-level. However, the catch-up cohorts above the age of compulsory education may face increased inequality. Further investigation is needed into individual-level factors associated with coverage.

  10. The introduction of the meningococcal B (MenB) vaccine (Bexsero®) into the national infant immunisation programme--New challenges for public health.

    PubMed

    Ladhani, Shamez N; Campbell, Helen; Parikh, Sydel R; Saliba, Vanessa; Borrow, Ray; Ramsay, Mary

    2015-12-01

    The United Kingdom is the first country to introduce Bexsero(®) (GSK Biologicals), a multicomponent, protein-based vaccine against meningococcal group B (MenB), into the national infant immunisation programme. This vaccine is like no other licensed vaccine and poses a number of implementation and surveillance challenges in England. From 01 September 2015, UK infants were offered a reduced two dose primary immunisation schedule at 2 and 4 months followed by a booster at 12 months. Because of high rates of fever post-vaccination, parents were advised to give their infants three doses of prophylactic paracetamol, with the first dose given as soon as possible after the primary MenB vaccination dose. Since the vaccine only protects against 73-88% of MenB strains causing invasive disease in England, clinical isolates and PCR-positive samples will require extensive characterisation by the Meningococcal Reference Unit (MRU) at Public Health England (PHE) in order to monitor vaccine effectiveness and identify potential vaccine failures. PHE is also conducting detailed clinical and epidemiological surveillance to assess the impact of the MenB immunisation programme on the morbidity and mortality associated with invasive meningococcal disease in infants and young children.

  11. Developing Industry-Sponsored Entrepreneurship Education Programmes. The Experiences of the Coca-Cola National Enterprise Award.

    ERIC Educational Resources Information Center

    Henry, Colette; Titterington, Albert; Wiseman, Kate

    1998-01-01

    A partnership among Dundalk Institute of Technology (Ireland), Coca Cola, and government encourages young entrepreneurs through formal education in business management, workshops, mentoring, and financial rewards provided by the corporation's National Enterprise Award. (SK)

  12. Studying policy implementation using a macro, meso and micro frame analysis: the case of the Collaboration for Leadership in Applied Health Research & Care (CLAHRC) programme nationally and in North West London

    PubMed Central

    2012-01-01

    Background The publication of Best research for best health in 2006 and the “ring-fencing” of health research funding in England marked the start of a period of change for health research governance and the structure of research funding in England. One response to bridging the ‘second translational gap’ between research knowledge and clinical practice was the establishment of nine Collaborations for Leadership in Applied Health Research and Care (CLAHRCs). The goal of this paper is to assess how national-level understanding of the aims and objectives of the CLAHRCs translated into local implementation and practice in North West London. Methods This study uses a variation of Goffman’s frame analysis to trace the development of the initial national CLAHRC policy to its implementation at three levels. Data collection and analysis were qualitative through interviews, document analysis and embedded research. Results Analysis at the macro (national policy), meso (national programme) and micro (North West London) levels shows a significant common understanding of the aims and objectives of the policy and programme. Local level implementation in North West London was also consistent with these. Conclusions The macro-meso-micro frame analysis is a useful way of studying the transition of a policy from high-level idea to programme in action. It could be used to identify differences at a local (micro) level in the implementation of multi-site programmes that would help understand differences in programme effectiveness. PMID:23067208

  13. Between Prevention and Therapy: Gio Batta Gori and the National Cancer Institute’s Diet, Nutrition and Cancer Programme, 1974–1978

    PubMed Central

    Cantor, David

    2012-01-01

    This paper explores the origins of the Diet, Nutrition and Cancer Programme (DNCP) of the National Cancer Institute (NCI) and its fate under its first director, Gio Batta Gori. The DNCP is used to explore the emergence of federal support for research on diet, nutrition and cancer following the 1971 Cancer Act, the complex relations between cancer prevention and therapeutics in the NCI during the 1970s, the broader politics around diet, nutrition and cancer during that decade, and their relations to Senator George McGovern’s select committee on Nutrition and Human Needs. It also provides a window onto the debates and struggles over whether NCI research should be funded by contracts or grants, the nature of the patronage system within the federal cancer research agency, how a director, Gio Gori, lost patronage within that system and how a tightening of the budget for cancer research in the mid-to-late 1970s affected the DNCP. PMID:23112384

  14. NSF announces diversity programme

    NASA Astrophysics Data System (ADS)

    Kruesi, Liz

    2016-04-01

    The US National Science Foundation (NSF) has initiated a new funding programme that will create schemes to increase diversity in science, technology, engineering and mathematics (STEM). The initiative - Inclusion across the Nation of Communities of Learners of Underrepresented Discoverers in Engineering and Science (INCLUDES) - aims to increase the participation of women, those with a low socioeconomic status, people with disabilities and those from minority racial backgrounds.

  15. NSF announces diversity programme

    NASA Astrophysics Data System (ADS)

    Kruesi, Liz

    2016-04-01

    The US National Science Foundation (NSF) has initiated a new funding programme that will create schemes to increase diversity in science, technology, engineering and mathematics (STEM). The initiative – Inclusion across the Nation of Communities of Learners of Underrepresented Discoverers in Engineering and Science (INCLUDES) – aims to increase the participation of women, those with a low socioeconomic status, people with disabilities and those from minority racial backgrounds.

  16. 48 CFR 53.301-44 - Standard Form 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 2 2014-10-01 2014-10-01 false Standard Form 44, Purchase Order-Invoice-Voucher. 53.301-44 Section 53.301-44 Federal Acquisition Regulations System FEDERAL..., Purchase Order—Invoice—Voucher. EC01MY91.021 EC01MY91.022 EC01MY91.023 EC01MY91.024...

  17. 48 CFR 53.301-44 - Standard Form 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 2 2012-10-01 2012-10-01 false Standard Form 44, Purchase Order-Invoice-Voucher. 53.301-44 Section 53.301-44 Federal Acquisition Regulations System FEDERAL..., Purchase Order—Invoice—Voucher. EC01MY91.021 EC01MY91.022 EC01MY91.023 EC01MY91.024...

  18. 48 CFR 53.301-44 - Standard Form 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 2 2013-10-01 2013-10-01 false Standard Form 44, Purchase Order-Invoice-Voucher. 53.301-44 Section 53.301-44 Federal Acquisition Regulations System FEDERAL..., Purchase Order—Invoice—Voucher. EC01MY91.021 EC01MY91.022 EC01MY91.023 EC01MY91.024...

  19. 48 CFR 53.301-44 - Standard Form 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 2 2011-10-01 2011-10-01 false Standard Form 44, Purchase Order-Invoice-Voucher. 53.301-44 Section 53.301-44 Federal Acquisition Regulations System FEDERAL..., Purchase Order—Invoice—Voucher. EC01MY91.021 EC01MY91.022 EC01MY91.023 EC01MY91.024...

  20. 48 CFR 53.301-44 - Standard Form 44, Purchase Order-Invoice-Voucher.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Standard Form 44, Purchase Order-Invoice-Voucher. 53.301-44 Section 53.301-44 Federal Acquisition Regulations System FEDERAL..., Purchase Order—Invoice—Voucher. EC01MY91.021 EC01MY91.022 EC01MY91.023 EC01MY91.024...

  1. A model-based evaluation of the national immunization programme against rubella infection and congenital rubella syndrome in The Netherlands.

    PubMed Central

    van der Heijden, O. G.; Conyn-van Spaendonck, M. A.; Plantinga, A. D.; Kretzschmar, M. E.

    1998-01-01

    In order to improve the prevention of cases of congenital rubella syndrome in The Netherlands, in 1987 the selective vaccination strategy against rubella infection in girls was replaced by mass vaccination. This decision was supported by mathematical model analyses carried out by Van Druten and De Boo. In order to compare the predicted impact of the rubella vaccination programme with the current available data in more detail, a similar model was built. Although the model predicts elimination of the rubella virus, data show that virus circulation is still present at a higher level than expected by the model. Simulation studies indicate that import of infection and a lower vaccine effectiveness, related to possible asymptomatic reinfection of vaccinated people, could be sources contributing to the present virus circulation. Even though the number of infections is much higher than the number of reported cases of disease, limited serosurveillance data and case notification data show that females of childbearing age are well protected by immunization. PMID:10030716

  2. Meningococcal disease epidemiology in Australia 10 years after implementation of a national conjugate meningococcal C immunization programme.

    PubMed

    Lawrence, G L; Wang, H; Lahra, M; Booy, R; McINTYRE, P B

    2016-08-01

    Australia implemented conjugate meningococcal C immunization in 2003 with a single scheduled dose at age 12 months and catch-up for individuals aged 2-19 years. Several countries have recently added one or more booster doses to their programmes to maintain disease control. Australian disease surveillance and vaccine coverage data were used to assess longer term vaccine coverage and impact on invasive serogroup C disease incidence and mortality, and review vaccine failures. Coverage was 93% in 1-year-olds and 70% for catch-up cohorts. In 10 years, after adjusting for changes in diagnostic practices, population invasive serogroup C incidence declined 96% (95% confidence interval 94-98) to 0·4 and 0·6 cases/million in vaccinated and unvaccinated cohorts, respectively. Only three serogroup C deaths occurred in 2010-2012 vs. 68 in 2000-2002. Four (<1/million doses) confirmed vaccine failures were identified in 10 years with no increasing trend. Despite published evidence of waning antibody over time, an ongoing single dose of meningococcal C conjugate vaccine in the second year of life following widespread catch-up has resulted in near elimination of serogroup C disease in all age groups without evidence of vaccine failures in the first decade since introduction. Concurrently, serogroup B incidence declined independently by 55%. PMID:27094814

  3. Tuberculosis situation among tribal population of Car Nicobar, India, 15 years after intensive tuberculosis control project and implementation of a national tuberculosis programme.

    PubMed Central

    Murhekar, M. V.; Kolappan, C.; Gopi, P. G.; Chakraborty, A. K.; Sehgal, S. C.

    2004-01-01

    OBJECTIVE: To assess the tuberculosis (TB) situation in the tribal community of Car Nicobar island 15 years after the national TB programme was implemented in this area after an intensive phase of TB control in 1986. METHODS: The entire population of Car Nicobar was enumerated through a house-to-house survey. Children aged <14 years were tuberculin tested and read for reaction sizes. Individuals aged >15 years were asked about the presence of chest symptoms (cough, chest pain, and unexplained fever for two weeks or longer and haemoptysis), and sputum samples were collected from patients with chest symptoms. Sputum samples were examined for presence of acid-fast bacilli. FINDINGS: Among the 4,543 children enumerated, 4,351 (95.8%) were tuberculin tested and read. Of the 981 children without bacille Calmette-Guerin scars, 161 (16.4%) were infected with TB. A total of 77 cases who were smear-positive for TB were detected from among 10,570 people aged >15 years; the observed smear-positive case prevalence was 728.5 per 100,000. The standardized prevalence of TB infection, annual risk of TB infection, and prevalence of cases smear-positive for TB were 17.0%, 2.5%, and 735.3 per 100,000, respectively. CONCLUSION: The prevalence of TB infection and smear-positive cases of TB increased significantly between 1986 and 2002. Such escalation took place despite the implementation of the national TB programme on this island, which was preceded by a set of special anti-TB measures that resulted in sputum conversion in a substantially large proportion of the smear-positive cases prevalent in the community. The most likely reason for the increase seems to be the absence of a district TB programme with enough efficiency to sustain the gains made from the one-time initial phase of special anti-TB measures. High risk of transmission of TB infection currently observed on this island calls for a drastic and sustained improvement in TB control measures. PMID:15640919

  4. Effects of internet-based voucher reinforcement and a transdermal nicotine patch on cigarette smoking.

    PubMed

    Glenn, Irene M; Dallery, Jesse

    2007-01-01

    Nicotine replacement products are commonly used to promote smoking cessation, but alternative and complementary methods may increase cessation rates. The current experiment compared the short-term effects of a transdermal nicotine patch to voucher-based reinforcement of smoking abstinence on cigarette smoking. Fourteen heavy smokers (7 men and 7 women) completed the four 5-day phases of the study: baseline, patch treatment, voucher treatment, and return to baseline. The order of the two treatment phases was counterbalanced across participants. In the patch treatment condition, participants wore a 14-mg transdermal nicotine patch every day. In the voucher treatment condition, participants received vouchers contingent on abstinence from smoking, defined as producing carbon monoxide (CO) readings of < or =4 parts per million. Participants e-mailed two video clips per day showing them breathing into a CO monitor and the resulting CO reading to clinic staff. In the voucher treatment, 24% of samples were negative, and 5% of samples were negative in the patch treatment. Results suggest that contingent vouchers were more effective than transdermal nicotine patches in promoting abstinence.

  5. Funding Antibiotic Innovation With Vouchers: Recommendations On How To Strengthen A Flawed Incentive Policy.

    PubMed

    Outterson, Kevin; McDonnell, Anthony

    2016-05-01

    A serious need to spur antibiotic innovation has arisen because of the lack of antibiotics to combat certain conditions and the overuse of other antibiotics leading to greater antibiotic resistance. In response to this need, proposals have been made to Congress to fund antibiotic research through a voucher program for new antibiotics, which would delay generic entry for any drug, even potential blockbuster lifesaving generics. We find this proposal to be inefficient, in part because of the mismatch between the private value of the voucher and the public value of the antibiotic innovation. However, vouchers have the political advantage in the United States of being able to raise sufficient amounts of money without annual appropriations from Congress. We propose that if antibiotic vouchers are to be considered, the design should include dollar and time caps to limit their volatility, sufficient advance notice to protect generic manufacturers, and market-based linkages between the value of the voucher and the value of the antibiotic innovation. We also explore a second option: The federal government could auction vouchers to the highest bidders and use the money to create an antibiotics innovation fund. PMID:27140983

  6. An Assessment of the Implementation of National Development Plans in Kenya: The Case of Education Sector Programmes

    ERIC Educational Resources Information Center

    Gor, Seth Omondi; Osoro, Kennedy O.

    2013-01-01

    This study assessed the success or failure of plan implementation in Kenya by investigating the extent to which planned estimates for educational projects were actually attained. Using six sets of five-year national development plans, we calculated an implementation ratio for each program showing actual expenditure as a ratio of planned…

  7. Effectiveness of Scotland's National Naloxone Programme for reducing opioid‐related deaths: a before (2006–10) versus after (2011–13) comparison

    PubMed Central

    McAuley, Andrew; Perry, Samantha; Hunter, Carole

    2016-01-01

    Abstract Aims To assess the effectiveness for Scotland's National Naloxone Programme (NNP) by comparison between 2006–10 (before) and 2011–13 (after NNP started in January 2011) and to assess cost‐effectiveness. Design This was a pre–post evaluation of a national policy. Cost‐effectiveness was assessed by prescription costs against life‐years gained per opioid‐related death (ORD) averted. Setting Scotland, in community settings and all prisons. Intervention Brief training and standardized naloxone supply became available to individuals at risk of opioid overdose. Measurements ORDs as identified by National Records of Scotland. Look‐back determined the proportion of ORDs who, in the 4 weeks before ORD, had been (i) released from prison (primary outcome) and (ii) released from prison or discharged from hospital (secondary). We report 95% confidence intervals for effectiveness in reducing the primary (and secondary) outcome in 2011–13 versus 2006–10. Prescription costs were assessed against 1 or 10 life‐years gained per averted ORD. Findings In 2006–10, 9.8% of ORDs (193 of 1970) were in people released from prison within 4 weeks of death, whereas only 6.3% of ORDs in 2011–13 followed prison release (76 of 1212, P < 0.001; this represented a difference of 3.5% [95% confidence interval (CI) = 1.6–5.4%)]. This reduction in the proportion of prison release ORDs translates into 42 fewer prison release ORDs (95% CI = 19–65) during 2011–13, when 12 000 naloxone kits were issued at current prescription cost of £225 000. Scotland's secondary outcome reduced from 19.0 to 14.9%, a difference of 4.1% (95% CI = 1.4–6.7%). Conclusions Scotland's National Naloxone Programme, which started in 2011, was associated with a 36% reduction in the proportion of opioid‐related deaths that occurred in the 4 weeks following release from prison. PMID:26642424

  8. Use of remote sensing and a geographical information system in a national helminth control programme in Chad.

    PubMed Central

    Brooker, Simon; Beasley, Michael; Ndinaromtan, Montanan; Madjiouroum, Ester Mobele; Baboguel, Marie; Djenguinabe, Elie; Hay, Simon I.; Bundy, Don A. P.

    2002-01-01

    OBJECTIVE: To design and implement a rapid and valid epidemiological assessment of helminths among schoolchildren in Chad using ecological zones defined by remote sensing satellite sensor data and to investigate the environmental limits of helminth distribution. METHODS: Remote sensing proxy environmental data were used to define seven ecological zones in Chad. These were combined with population data in a geographical information system (GIS) in order to define a sampling protocol. On this basis, 20 schools were surveyed. Multilevel analysis, by means of generalized estimating equations to account for clustering at the school level, was used to investigate the relationship between infection patterns and key environmental variables. FINDINGS: In a sample of 1023 schoolchildren, 22.5% were infected with Schistosoma haematobium and 32.7% with hookworm. None were infected with Ascaris lumbricoides or Trichuris trichiura. The prevalence of S. haematobium and hookworm showed marked geographical heterogeneity and the observed patterns showed a close association with the defined ecological zones and significant relationships with environmental variables. These results contribute towards defining the thermal limits of geohelminth species. Predictions of infection prevalence were made for each school surveyed with the aid of models previously developed for Cameroon. These models correctly predicted that A. lumbricoides and T. trichiura would not occur in Chad but the predictions for S. haematobium were less reliable at the school level. CONCLUSION: GIS and remote sensing can play an important part in the rapid planning of helminth control programmes where little information on disease burden is available. Remote sensing prediction models can indicate patterns of geohelminth infection but can only identify potential areas of high risk for S. haematobium. PMID:12471398

  9. Non-repeatable science: assessing the frequency of voucher specimen deposition reveals that most arthropod research cannot be verified

    PubMed Central

    2015-01-01

    Scientific findings need to be verifiable and grounded in repeatability. With specimen-level research this is in part achieved with the deposition of voucher specimens. These are labeled, curated, data-based specimens that have been deposited in a collection or museum, available for verification of the work and to ensure researchers are calling the same taxa by the same names. Voucher specimens themselves are the subject of research, from the discovery of new species by taxonomists to ecologists documenting historical records of invasive species. Our objective was to quantify the frequency of voucher specimen deposition in biodiversity and community ecology research through a survey of the peer-reviewed literature about arthropods, from 1989 until 2014. Overall rates of voucher deposition were alarmingly low, at under 25%. This rate increased significantly over time, with 35% of papers reporting on vouchers in 2014. Relative to the global mean, entomological research had a significantly higher rate of voucher deposition (46%), whereas researchers studying crustaceans deposited vouchers less than 6% of the time, significantly less than the mean. Researchers working in museums had a significantly higher frequency of voucher deposition. Our results suggest a significant culture shift about the process of vouchering specimens is required. There must be more education and mentoring about voucher specimens within laboratories and across different fields of study. Principal investigators and granting agencies need a proactive approach to ensuring specimen-level data are properly, long-term curated. Editorial boards and journals can also adopt policies to ensure papers are published only if explicit statements about the deposition of voucher specimens is provided. Although the gap is significant, achieving a higher rate of voucher specimen deposition is a worthy goal to ensure all research efforts are preserved for future generations. PMID:26339546

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

    PubMed

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

    2016-08-11

    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

  11. 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

  12. Programmable Pacemaker

    NASA Technical Reports Server (NTRS)

    1980-01-01

    St. Jude Medical's Cardiac Rhythm Management Division, formerly known as Pacesetter Systems, Inc., incorporated Apollo technology into the development of the programmable pacemaker system. This consists of the implantable pacemaker together with a physician's console containing the programmer and a data printer. Physician can communicate with patient's pacemaker by means of wireless telemetry signals transmitted through the communicating head held over the patient's chest. Where earlier pacemakers deliver a fixed type of stimulus once implanted, Programalith enables surgery free "fine tuning" of device to best suit the patient's changing needs.

  13. Programmable Pulser

    NASA Technical Reports Server (NTRS)

    Baumann, Eric; Merolla, Anthony

    1988-01-01

    User controls number of clock pulses to prevent burnout. New digital programmable pulser circuit in three formats; freely running, counted, and single pulse. Operates at frequencies up to 5 MHz, with no special consideration given to layout of components or to terminations. Pulser based on sequential circuit with four states and binary counter with appropriate decoding logic. Number of programmable pulses increased beyond 127 by addition of another counter and decoding logic. For very large pulse counts and/or very high frequencies, use synchronous counters to avoid errors caused by propagation delays. Invaluable tool for initial verification or diagnosis of digital or digitally controlled circuity.

  14. The training of women has a prominent place in the fellowship programme of the United Nations Secretariat.

    PubMed

    Rafifera, J

    1997-01-01

    The UN Secretariat has granted 105,000 fellowships, including 5000 in the past 3 years to allow citizens of developing countries the opportunity to study in developed and other developing countries. Some of the recipients include developing country officials who were, thus, enabled to attend seminars, training programs, or workshops or to visit industrial facilities. Occasionally, the UN fellowship program designed and implemented special projects to deal with emergency situations. Such a project was used to train a substantial number of Chadian nationals when the country was faced with an acute shortage of qualified people to maintain its infrastructure and socioeconomic system. About 20-30% of the total number of fellowships/scholarships has been awarded to women nominated by their national governments. This has led to an increase in the role played by women in development projects. In addition, some projects have specifically sought improvements in women's status. Additionally financing has been obtained to develop supplementary elements in projects to ensure the fullest possible involvement of women or to help women attain technical or other skills in sectors where women are underrepresented. Fellowship recipients have returned to play important leadership roles in their native countries. PMID:12294038

  15. Descriptions of the 1972-73 Mini-School Programs in the Alum Rock Voucher Demonstration. Analysis of the Education Voucher Demonstration. A Working Note.

    ERIC Educational Resources Information Center

    Rapp, M. L.; Wuchitech, J. M.

    The Education Voucher Demonstration, begun in Alum Rock in 1972, is a large-scale social intervention with a wide range of social, political, economic, and educational objectives. This document is one of three such papers describing the educational aspects of the demonstration program which involved six public schools, 22 "mini-school" programs,…

  16. La traduction territoriale du Programme national nutrition santé (PNNS) en Midi-Pyrénées, France

    PubMed Central

    Basson, Jean-Charles; Haschar-Noé, Nadine; Theis, Ivan

    2013-01-01

    Inspired by the Hygienist Movement, which associates good health with regular, moderate exercise, the National Health and Nutrition Program identifies a lack of physical activity as a risk factor for many chronic diseases. As such, the Program encourages people to take care of their bodies by inciting a moral obligation to develop a physically active lifestyle and follow a healthy diet. With the overall goal of improving the health of the population by acting on nutrition, the Program focuses on primary prevention, screening and early treatment of conditions like heart disease, cancer, obesity, osteoporosis and diabetes. As an incentive program developed in keeping with the biopolitical views of the 1970s that saw education as an alternative means to hospitals for achieving good health, the Program is also a good public action tool for controlling costs. PMID:24289937

  17. Managing Conflicts of Interest in the UK National Institute for Health and Care Excellence (NICE) Clinical Guidelines Programme: Qualitative Study

    PubMed Central

    Graham, Tanya; Alderson, Phil; Stokes, Tim

    2015-01-01

    Background There is international concern that conflicts of interest (COI) may bias clinical guideline development and render it untrustworthy. Guideline COI policies exist with the aim of reducing this bias but it is not known how such policies are interpreted and used by guideline producing organisations. This study sought to determine how conflicts of interest (COIs) are disclosed and managed by a national clinical guideline developer (NICE: the UK National Institute for Health and Care Excellence). Methods Qualitative study using semi-structured telephone interviews with 14 key informants: 8 senior staff of NICE’s guideline development centres and 6 chairs of guideline development groups (GDGs). We conducted a thematic analysis. Results Participants regard the NICE COI policy as comprehensive leading to transparent and independent guidance. The application of the NICE COI policy is, however, not straightforward and clarity could be improved. Disclosure of COI relies on self reporting and guideline developers have to take “on trust” the information they receive, certain types of COI (non-financial) are difficult to categorise and manage and disclosed COI can impact on the ability to recruit clinical experts to GDGs. Participants considered it both disruptive and stressful to exclude members from GDG meetings when required by the COI policy. Nonetheless the impact of this disruption can be minimised with good group chairing skills. Conclusions We consider that the successful implementation of a COI policy in clinical guideline development requires clear policies and procedures, appropriate training of GDG chairs and an evaluation of how the policy is used in practice. PMID:25811754

  18. Herd-level factors associated with the presence of bovine viral diarrhoea virus in herds participating in the voluntary phase of the Irish national eradication programme.

    PubMed

    Graham, D A; Clegg, T A; Lynch, M; More, S J

    2013-10-01

    A risk factor study was conducted to identify variables associated with initial positive or inconclusive results for bovine viral diarrhoea virus (BVDV) in ear punch samples collected from calves between 1st January and 15th July 2012 (the study period) as part of the voluntary phase of the Irish national BVD eradication programme based on testing of ear tag tissue samples from calves born in participating herds. Univariable analysis indicated significant associations with the following factors: herd type; the number of cows in the herd; the number of calves born in the study period; the number of calves tested in the study period; the number of cattle purchased in 2011, between 2009 and 2011 and between 2007 and 2011; the number of tested calves whose dams had been purchased within 9 months of their calving date; and the percentage of calf mortality within 28 days of birth. The percentage of the cows in each herd that was homebred, location (province) the number of separate land parcels used by each herd, the presence of an associated sheep enterprise and the purchase of cattle through marts were not found to be significant. An initial logistic regression model was developed to model the probability of a herd having one or more BVD virus-positive or inconclusive calves. When vaccination status was initially excluded, province, log of the numbers of cows in the herd, the number of cows purchased between 2009 and 2011, the number of tested calves whose dams had been purchased within 9 months of their calving date and calf mortality were significant. When vaccination status was included, using a subset of the data based on farmers responding to a survey on vaccination status, it was retained as a significant variable along with the same variables already listed, showing a significant 2-way interaction with the log of the number of cows. There was not a significant association between an initial positive or inconclusive result and the length of time for which herds

  19. Programmable Oscillator

    NASA Technical Reports Server (NTRS)

    Quirk, Kevin J.; Patawaran, Ferze D.; Nguyen, Danh H.; Lee, Clement G.; Nguyen, Huy

    2011-01-01

    A programmable oscillator is a frequency synthesizer with an output phase that tracks an arbitrary function. An offset, phase-locked loop circuit is used in combination with an error control feedback loop to precisely control the output phase of the oscillator. To down-convert the received signal, several stages of mixing may be employed with the compensation for the time-base distortion of the carrier occurring at any one of those stages. In the Goldstone Solar System Radar (GSSR), the compensation occurs in the mixing from an intermediate frequency (IF), whose value is dependent on the station and band, to a common IF used in the final stage of down-conversion to baseband. The programmable oscillator (PO) is used in the final stage of down-conversion to generate the IF, along with a time-varying phase component that matches the time-base distortion of the carrier, thus removing it from the final down-converted signal.

  20. Epidemiology of tuberculosis and evaluation of treatment outcomes in the national tuberculosis control programme, River Nile state, Sudan, 2011-2013.

    PubMed

    Elmadhoun, W M; Noor, S K; Bushara, S O; Ahmed, E O; Mustafa, H; Sulaiman, A A; Almobarak, A O; Ahmed, M H

    2016-04-28

    Tuberculosis is a major health problem in Sudan, a country that carries 11-15% of the tuberculosis burden in the Eastern Mediterranean Region. This study aimed to describe the epidemiology of tuberculosis in River Nile State and to compare treatment outcomes with WHO recommended indicators. A descriptive study was conducted on data collected from records of 1221 patients registered at tuberculosis management units over the 3 years 2011-2013. The mean age of cases was 37.7 (SD 21.5) years and 65.9% were males; 76.3% were pulmonary tuberculosis and 36.9% were sputum smear-positive cases. Average values for all outcome indicators were suboptimal, notably rates of case notification (30.8 per 100 000), case detection (10.3%), treatment success (79.6%), treatment failure (3.0%), default (8.1%) and death (8.0%). Of the 264 patients tested for HIV, 3.8% were positive. Outcome indicators for the national tuberculosis control programme are lagging behind the required targets.

  1. Exploring the Potential of a School Impact on Pupil Weight Status: Exploratory Factor Analysis and Repeat Cross-Sectional Study of the National Child Measurement Programme

    PubMed Central

    Williams, Andrew James; Wyatt, Katrina M.; Williams, Craig A.; Logan, Stuart; Henley, William E.

    2015-01-01

    Schools are common sites for obesity prevention interventions. Although many theories suggest that the school context influences weight status, there has been little empirical research. The objective of this study was to explore whether features of the school context were consistently and meaningfully associated with pupil weight status (overweight or obese). Exploratory factor analysis of routinely collected data on 319 primary schools in Devon, England, was used to identify possible school-based contextual factors. Repeated cross-sectional multilevel analysis of five years (2006/07-2010/11) of data from the National Child Measurement Programme was then used to test for consistent and meaningful associations. Four school-based contextual factors were derived which ranked schools according to deprivation, location, resource and prioritisation of physical activity. None of which were meaningfully and consistently associated with pupil weight status, across the five years. The lack of consistent associations between the factors and pupil weight status suggests that the school context is not inherently obesogenic. In contrast, incorporating findings from education research indicates that schools may be equalising weight status, and obesity prevention research, policy and practice might need to address what is happening outside schools and particularly during the school holidays. PMID:26700027

  2. 48 CFR 53.301-1035 - Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 2 2011-10-01 2011-10-01 false Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation Sheet. 53.301-1035 Section 53.301... FORMS FORMS Illustrations of Forms 53.301-1035 Standard Form 1035, Public Voucher for Purchases...

  3. 48 CFR 53.301-1035 - Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation Sheet. 53.301-1035 Section 53.301... FORMS FORMS Illustrations of Forms 53.301-1035 Standard Form 1035, Public Voucher for Purchases...

  4. 48 CFR 53.301-1034 - Standard Form 1034, Public Voucher for Purchases and Services Other Than Personal.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Illustrations of Forms 53.301-1034 Standard Form 1034, Public Voucher for Purchases and Services Other Than... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Standard Form 1034, Public Voucher for Purchases and Services Other Than Personal. 53.301-1034 Section 53.301-1034...

  5. 48 CFR 53.301-1034 - Standard Form 1034, Public Voucher for Purchases and Services Other Than Personal.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Illustrations of Forms 53.301-1034 Standard Form 1034, Public Voucher for Purchases and Services Other Than... 48 Federal Acquisition Regulations System 2 2011-10-01 2011-10-01 false Standard Form 1034, Public Voucher for Purchases and Services Other Than Personal. 53.301-1034 Section 53.301-1034...

  6. SEM vouchers and genomic data from an individual specimen: maximizing the utility of delicate and rare specimens

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Specimen vouchering is a critical aspect of systematics, especially in genetic studies where the identity of a DNA sample needs to be assured. It can be difficult to obtain a high quality voucher after DNA extraction when dealing with tiny and delicate invertebrates that often do not survive the ext...

  7. Segregation Levels in Cleveland Public Schools and the Cleveland Voucher Program. School Choice Issues in the State

    ERIC Educational Resources Information Center

    Forster, Greg

    2006-01-01

    Examining the widespread claims that private schools have high segregation levels and vouchers will lead to greater segregation, this study finds that both assertions are empirically unsupportable. Private schools participating in Cleveland's voucher program are much less segregated than Cleveland's public schools. This means that students using…

  8. The Participant Effects of Private School Vouchers across the Globe: A Meta-Analytic and Systematic Review

    ERIC Educational Resources Information Center

    Shakeel, M. Danish; Anderson, Kaitlin P.; Wolf, Patrick J.

    2016-01-01

    The objective of this meta-analysis is to rigorously assess the participant effects of private school vouchers, or in other words, to estimate the average academic impacts that the offer (or use) of a voucher has on a student. This review adds to the literature by being the first to systematically review all Randomized Control Trials (RCTs) in an…

  9. Review of "Promising Start: An Empirical Analysis of How EdChoice Vouchers Affect Ohio Public Schools"

    ERIC Educational Resources Information Center

    Lubienski, Christopher

    2008-01-01

    A Friedman Foundation report attempts to find empirical support for the contention that competition from private schools, through voucher programs, improves the effectiveness of public schools. In the first year of Ohio's new EdChoice voucher program, the report claims to have found substantial academic gains at public schools exposed to the…

  10. Florida Court: Vouchers Unconstitutional--Ruling Will End Opportunity Scholarships Program for Students in State's Lowest-Rated Schools

    ERIC Educational Resources Information Center

    Richard, Alan

    2006-01-01

    Florida's voucher program for students in the lowest-rated public schools is unconstitutional, the state supreme court ruled early January 2006 in a 5-2 decision that friends and foes of private school choice are scrutinizing for its potential impact on voucher debates nationwide. Chief Justice Barbara J. Pariente of the Florida Supreme Court…

  11. Description and Preliminary Analysis of the Effectiveness of the Childcare Voucher Program at the University of Washington.

    ERIC Educational Resources Information Center

    Morris, Ernest R.

    1984-01-01

    Describes a new system of providing portable vouchers to student-parents for the purchase of child care services at the University of Washington. A preliminary analysis of its effectiveness indicates the Childcare Voucher Program is serving its intended purpose well. (JAC)

  12. 77 FR 9617 - Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing (DFARS Case 2011-D054)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-17

    ... Supplement (DFARS) to update DoD's voucher processing procedures and better accommodate the use of Wide Area WorkFlow to process vouchers. DATES: Comments on the proposed rule published January 19, 2012, at 77 FR... clarifying the proposed rule published on January 19, 2012 (77 FR 2682), which proposes to...

  13. 77 FR 52258 - Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing (DFARS Case 2011-D054)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-29

    ... a proposed rule in the Federal Register at 77 FR 2682 on January 19, 2012. The comment period closed... the Wide Area WorkFlow (WAWF) used to process vouchers. DATES: August 29, 2012. FOR FURTHER... rule merely updates DoD's voucher processing procedures and better accommodates the Wide Area...

  14. Questioning the Role of Internationalization in the Nationalization of Higher Education: The Impact of the EU TEMPUS Programme on Higher Education in Syria

    ERIC Educational Resources Information Center

    Ayoubi, Rami M.; Massoud, Hiba K.

    2011-01-01

    Given the need for major reform of the higher education programmes in Syria, and answering the voices that question the role of European Union (EU) in assisting the development of the higher education sector, this study presents an analysis of the contribution of (TEMPUS) Programme in modernising higher education in Syria. The study compares the…

  15. Designing Targeted Educational Voucher Schemes for the Poor in Developing Countries

    NASA Astrophysics Data System (ADS)

    Shafiq, M. Najeeb

    2010-02-01

    A targeted educational voucher scheme (TEVS) is often proposed for the poor in developing countries. Essentially, TEVS involves issuing vouchers to poor households, thus enabling them to pay tuition and fees for their children's schooling at participating non-public schools. However, little is known about TEVS' design in developing countries. This article provides the foundation for constructing a TEVS and conducting subsequent scientific evaluations to support, modify or oppose such a system. Specifically, this article uses three policy instruments to design a TEVS: regulation, support services and finance. Regulation here refers to the rules that must be adhered to by participating households, children and schools. Support services refer to services facilitating the participation of children, households, schools, and financial and political supporters. Finance refers to the value of each voucher, total TEVS costs and sources of finance.

  16. Assessing the population-level impact of vouchers on access to health facility delivery for women in Kenya.

    PubMed

    Obare, Francis; Warren, Charlotte; Abuya, Timothy; Askew, Ian; Bellows, Ben

    2014-02-01

    Although available evidence indicates that vouchers improve service utilization among the target populations, we do not know whether increased utilization results from improved access (new clients who would not have used services without the voucher) or from shifting clients from non-accredited to contracted service providers. This paper examines whether the safe motherhood voucher program in Kenya is associated with improved access to health facility delivery using information on births within two years preceding the survey in voucher and comparison sites. Data were collected in 2010-2011 and in 2012 among 2933 and 3094 women aged 15-49 years reporting 962 and 1494 births within two years before the respective surveys. Analysis entails cross-tabulations and estimation of multilevel random-intercept logit models. The results show that the proportion of births occurring at home declined by more than 10 percentage points while the proportion of births delivered in health facilities increased by a similar margin over time in voucher sites. The increase in facility-based births occurred in both public and private health facilities. There was also a significant increase in the likelihood of facility-based delivery (odds ratios [OR]: 2.04; 95% confidence interval [CI]: 1.40-2.98 in the 2006 voucher arm; OR: 1.72; 95% CI: 1.22-2.43 in the 2010-2011 voucher arm) in voucher sites over time. In contrast, there were no significant changes in the likelihood of facility-based delivery in the comparison arm over time. These findings suggest that the voucher program contributed to improved access to institutional delivery by shifting births from home to health facilities. However, available evidence from qualitative data shows that some women who purchased the vouchers did not use them because of high transportation costs to accredited facilities. The implication is that substantial improvements in service uptake could be achieved if the program subsidized transportation costs as

  17. Design and internal validation of an obstetric early warning score: secondary analysis of the Intensive Care National Audit and Research Centre Case Mix Programme database.

    PubMed

    Carle, C; Alexander, P; Columb, M; Johal, J

    2013-04-01

    We designed and internally validated an aggregate weighted early warning scoring system specific to the obstetric population that has the potential for use in the ward environment. Direct obstetric admissions from the Intensive Care National Audit and Research Centre's Case Mix Programme Database were randomly allocated to model development (n = 2240) or validation (n = 2200) sets. Physiological variables collected during the first 24 h of critical care admission were analysed. Logistic regression analysis for mortality in the model development set was initially used to create a statistically based early warning score. The statistical score was then modified to create a clinically acceptable early warning score. Important features of this clinical obstetric early warning score are that the variables are weighted according to their statistical importance, a surrogate for the FI O2 /Pa O2 relationship is included, conscious level is assessed using a simplified alert/not alert variable, and the score, trigger thresholds and response are consistent with the new non-obstetric National Early Warning Score system. The statistical and clinical early warning scores were internally validated using the validation set. The area under the receiver operating characteristic curve was 0.995 (95% CI 0.992-0.998) for the statistical score and 0.957 (95% CI 0.923-0.991) for the clinical score. Pre-existing empirically designed early warning scores were also validated in the same way for comparison. The area under the receiver operating characteristic curve was 0.955 (95% CI 0.922-0.988) for Swanton et al.'s Modified Early Obstetric Warning System, 0.937 (95% CI 0.884-0.991) for the obstetric early warning score suggested in the 2003-2005 Report on Confidential Enquiries into Maternal Deaths in the UK, and 0.973 (95% CI 0.957-0.989) for the non-obstetric National Early Warning Score. This highlights that the new clinical obstetric early warning score has an excellent ability to

  18. Applied field epidemiology programme in Spain.

    PubMed

    Martinez Navarro, J F; Herrera, D; Sanchez Barco, C

    2001-03-01

    In 1994, the Instituto de Salud Carlos III (ISCIII; Carlos III Health Institute) of the Spanish Ministry of Health and the Consumer (MSC) created the Programa de Epidemiología Aplicada de Campo (PEAC; Applied Field Epidemiology Programme). The programme is managed by the Centro Nacional de Epidemiología (National Epidemiological Centre) in collaboration with the Escuela Nacional de Sanidad (National School of Health), and supported by General Direction for Health and Consumer of MSC and the Health Councils (Consejerías de Sanidad) of the autonomous regions. The PEAC runs a masters degree programme in applied field epidemiology, in which degrees are conferred by the National School of Health. As PEAC is a national programme, it forms a part of the European Program for Intervention Epidemiology Training (EPIET) and is a member of the Network Training for Epidemiology Public Health Intervention (TEPHINET), the association of 27 regional and national programmes of the acting Intervention Epidemiology Training Programs.

  19. Whole grain intake and its association with intakes of other foods, nutrients and markers of health in the National Diet and Nutrition Survey rolling programme 2008-11.

    PubMed

    Mann, Kay D; Pearce, Mark S; McKevith, Brigid; Thielecke, Frank; Seal, Chris J

    2015-05-28

    Epidemiological evidence suggests an inverse association between whole grain consumption and the risk of non-communicable diseases, such as CVD, type 2 diabetes, obesity and some cancers. A recent analysis of the National Diet and Nutrition Survey rolling programme (NDNS-RP) has shown lower intake of whole grain in the UK. It is important to understand whether the health benefits associated with whole grain intake are present at low levels of consumption. The present study aimed to investigate the association of whole grain intake with intakes of other foods, nutrients and markers of health (anthropometric and blood measures) in the NDNS-RP 2008-11, a representative dietary survey of UK households. A 4-d diet diary was completed by 3073 individuals. Anthropometric measures, blood pressure levels, and blood and urine samples were collected after diary completion. Individual whole grain intake was calculated with consumers categorised into tertiles of intake. Higher intake of whole grain was associated with significantly decreased leucocyte counts. Significantly higher concentrations of C-reactive protein were seen in adults in the lowest tertile of whole grain intake. No associations with the remaining health markers were seen, after adjustments for sex and age. Over 70% of this population did not consume the minimum recommend intake associated with disease risk reduction, which may explain small variation across health markers. Nutrient intakes in consumers compared with non-consumers were closer to dietary reference values, such as higher intakes of fibre, Mg and Fe, and lower intakes of Na, suggesting that higher intake of whole grain is associated with improved diet quality.

  20. Whole grain intake and its association with intakes of other foods, nutrients and markers of health in the National Diet and Nutrition Survey rolling programme 2008-11.

    PubMed

    Mann, Kay D; Pearce, Mark S; McKevith, Brigid; Thielecke, Frank; Seal, Chris J

    2015-05-28

    Epidemiological evidence suggests an inverse association between whole grain consumption and the risk of non-communicable diseases, such as CVD, type 2 diabetes, obesity and some cancers. A recent analysis of the National Diet and Nutrition Survey rolling programme (NDNS-RP) has shown lower intake of whole grain in the UK. It is important to understand whether the health benefits associated with whole grain intake are present at low levels of consumption. The present study aimed to investigate the association of whole grain intake with intakes of other foods, nutrients and markers of health (anthropometric and blood measures) in the NDNS-RP 2008-11, a representative dietary survey of UK households. A 4-d diet diary was completed by 3073 individuals. Anthropometric measures, blood pressure levels, and blood and urine samples were collected after diary completion. Individual whole grain intake was calculated with consumers categorised into tertiles of intake. Higher intake of whole grain was associated with significantly decreased leucocyte counts. Significantly higher concentrations of C-reactive protein were seen in adults in the lowest tertile of whole grain intake. No associations with the remaining health markers were seen, after adjustments for sex and age. Over 70% of this population did not consume the minimum recommend intake associated with disease risk reduction, which may explain small variation across health markers. Nutrient intakes in consumers compared with non-consumers were closer to dietary reference values, such as higher intakes of fibre, Mg and Fe, and lower intakes of Na, suggesting that higher intake of whole grain is associated with improved diet quality. PMID:25893512

  1. Biomass conservation potential of pottery/ceramic lined Mamta Stove: An improved stove promoted under National Programme on Improved Cookstoves in India

    SciTech Connect

    George, R.; Yadla, V.L.

    1995-10-01

    To combat biomass scarcity and ensure a cleaner cooking environment with less drudgery, among other things, a variety of improved stoves are promoted under National Programme on Improved Cookstoves (NPIC). Mamta Stove (MS) is one among such improved stoves. An indepth study was undertaken covering a sample of twenty-five rural families with the primary objective of assessing fuel saving potential of MS under field conditions through Kitchen Performance Test (KPT). Conventional stove (CS) used in almost all the families was shielded horse-shoe shaped stove with a negligible proportion using three stone open fire. Nearly 88% depended only on zero private cost fuels. The mean number of persons for whom the stoves were used on the days of field measurements in case of CS and MS were 5.6 and 5.7 respectively with an SD of 1.16 and standard adult equivalent (SAE) was approximately 4. Cooking pots included a concave roasting pan, a deep frying pan and flat bottomed pots. The mean daily fuel consumption on CS and MS were estimated to be 4.88 kg and 3.75 kg respective, thereby, resulting in fuel saving to the tune of 24% on MS. The paper discusses at length the design features of CS and MS, meal pattern, cooking habits, need for user training, consumerism in the area of cooking and stove technology, economics of switching over to MS and policy implications of commercialization of hitherto subsidized stove program. Further, salient characteristics of high and low cooking fuel consumers on MS are presented to bring to limelight their profile.

  2. Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation

    PubMed Central

    2014-01-01

    Background In an attempt to address a complex disease burden, including improving progress towards MDGs 4 and 5, South Africa recently introduced a re-engineered Primary Health Care (PHC) strategy, which has led to the development of a national community health worker (CHW) programme. The present study explored the development of a cell phone-based and paper-based monitoring and evaluation (M&E) system to support the work of the CHWs. Methods One sub-district in the North West province was identified for the evaluation. One outreach team comprising ten CHWs maintained both the paper forms and mHealth system to record household data on community-based services. A comparative analysis was done to calculate the correspondence between the paper and phone records. A focus group discussion was conducted with the CHWs. Clinical referrals, data accuracy and supervised visits were compared and analysed for the paper and phone systems. Results Compared to the mHealth system where data accuracy was assured, 40% of the CHWs showed a consistently high level (>90% correspondence) of data transfer accuracy on paper. Overall, there was an improvement over time, and by the fifth month, all CHWs achieved a correspondence of 90% or above between phone and paper data. The most common error that occurred was summing the total number of visits and/or activities across the five household activity indicators. Few supervised home visits were recorded in either system and there was no evidence of the team leader following up on the automatic notifications received on their cell phones. Conclusions The evaluation emphasizes the need for regular supervision for both systems and rigorous and ongoing assessments of data quality for the paper system. Formalization of a mHealth M&E system for PHC outreach teams delivering community based services could offer greater accuracy of M&E and enhance supervision systems for CHWs. PMID:25106499

  3. Estimation of the sensitivity of environmental sampling for detection of Salmonella in commercial layer flocks post-introduction of national control programmes.

    PubMed

    Arnold, M E; Martelli, F; McLaren, I; Davies, R H

    2014-05-01

    A key element of national control programmes (NCPs) for Salmonella in commercial laying flocks, introduced across the European Union, is the identification of infected flocks and holdings through statutory sampling. It is therefore important to know the sensitivity of the sampling methods, in order to design effective and efficient surveillance for Salmonella. However, improved Salmonella control in response to the NCP may have influenced key factors that determine the sensitivity of the sampling methods used to detect Salmonella in NCPs. Therefore the aim of this study was to compare estimates of the sensitivity of the sampling methods using data collected before and after the introduction of the NCP, using Bayesian methods. There was a large reduction in the sensitivity of dust in non-cage flocks between the pre-NCP studies (81% of samples positive in positive flocks) and post-NCP studies (10% of samples positive in positive flocks), leading to the conclusion that sampling dust is not recommended for detection of Salmonella in non-cage flocks. However, cage dust (43% of samples positive in positive flocks) was found to be more sensitive than cage faeces (29% of samples positive in positive flocks). To have a high probability of detection, several NCP-style samples need to be used. For confirmation of Salmonella, five NCP faecal samples for cage flocks, and three NCP faecal boot swab samples for non-cage flocks would be required to have the equivalent sensitivity of the EU baseline survey method, which was estimated to have an 87% and 75% sensitivity to detect Salmonella at a 5% within-flock prevalence in cage and non-cage flocks, respectively.

  4. A Choice for Etta Wallace: The Private Voucher Revolution in Urban Schools.

    ERIC Educational Resources Information Center

    Farnan, Patricia

    1993-01-01

    Describes a recent movement among business leaders and others to start privately funded voucher programs that enable low-income parents to send their children to religious and other private schools. Covers programs in Indianapolis (Indiana), Milwaukee (Wisconsin), San Antonio (Texas), and Atlanta (Georgia); and notes minority families'…

  5. Bringing the Schools Back in: The Stratification of Educational Achievement in the Chilean Voucher System

    ERIC Educational Resources Information Center

    Mizala, Alejandra; Torche, Florencia

    2012-01-01

    This paper analyzes the socioeconomic stratification of achievement in the Chilean voucher system using a census of 4th and 8th graders, a multilevel methodology, and accounting for unobserved selectivity into school sector. Findings indicate that the association between the school's aggregate family socioeconomic status (SES) and test scores is…

  6. Vouchers for Private Schooling in Colombia: Evidence from a Randomized Natural Experiment. NBER Working Paper Series.

    ERIC Educational Resources Information Center

    Angrist, Joshua D.; Bettinger, Eric; Bloom, Erik; King, Elizabeth; Kremer, Michael

    This paper examines the impact of Colombia's Programa de Ampliacion de Cobertura de la Educacion Secundaria (PACES), which provided over 125,000 poor students with private secondary school vouchers, many of which were awarded by lottery. Researchers surveyed lottery winners and losers to compare educational and other outcomes. Results showed no…

  7. What's To Negotiate? Interaction in the Absence of Dialogue: The Battle over Vouchers and Charter Schools.

    ERIC Educational Resources Information Center

    Fusarelli, Lance D.

    Research suggests that policy change can best be understood as the product of competition among advocacy coalitions within the constraints of a policy subsystem (Sabatier and Jenkins-Smith, 1993). This paper presents findings of a study that examined the rhetoric of policy change in Texas utilizing the voucher and charter-schools movements as an…

  8. Socio-economic Segregation in the Argentine Education System: School Choice without Vouchers.

    ERIC Educational Resources Information Center

    Narodowski, Mariano

    2002-01-01

    Reviews the case of school choice in Argentina, in view of recent research on socioeconomic segregation in the educational system. Reveals that Argentina has neither demand subsidy programs or voucher systems. Argues that Argentina's strong regulations encourage parents with greater economic or political capacity to choose how their children are…

  9. Effect of a Voucher Benefit on the Demand for Paid Personal Assistance

    ERIC Educational Resources Information Center

    Meng, Hongdao; Friedman, Bruce; Dick, Andrew W.; Wamsley, Brenda R.; Eggert, Gerald M.; Mukamel, Dana

    2006-01-01

    Purpose: We estimated the effect of a voucher benefit on the demand for personal assistance by Medicare beneficiaries aged 65 years or older who had functional disabilities. Design and Methods: We performed a secondary data analysis on 645 Medicare beneficiaries from the Medicare Primary and Consumer-Directed Care Demonstration (a randomized…

  10. Muffled by the Din: The Competitive Noneffects of the Cleveland Voucher Program.

    ERIC Educational Resources Information Center

    Hess, Frederick M.; McGuinn, Patrick J.

    2002-01-01

    Examines how the introduction of the Cleveland voucher experiment in 1995 affected the administration and leadership of Cleveland's public schools. As of summer 2001, the program has produced virtually no visible effects. Results suggest that choice-based reform may not spur improvement in urban school systems, at least in the short term or when…

  11. Much Ado about Nothing: The Minimal Competitive Effects of the Cleveland Voucher Program.

    ERIC Educational Resources Information Center

    Hess, Frederick M.; McGuinn, Patrick

    This paper examines how the introduction of the Cleveland, Ohio, voucher experiment in 1995 affected the administration and leadership of the city's public schools. The paper focuses on the nature of political and bureaucratic responses to competition and describes the short-term consequences of competition and how such consequences might…

  12. Innovation Vouchers and LEP Structural Funds Strategies. Innovation and Growth Factsheet Series. No. 1

    ERIC Educational Resources Information Center

    Universities UK, 2014

    2014-01-01

    This factsheet, the first in a series on innovation and growth, provides an overview of the benefits of innovation vouchers, and gives some examples of how universities and Local Enterprise Partnerships (LEPs) are including them in their European Structural and Investment Funds (ESIF) strategies. [For the second factsheet in the series,…

  13. 77 FR 56649 - Fee for Using a Priority Review Voucher in Fiscal Year 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... development of new drug and biological products for prevention and treatment of certain tropical diseases by..., including non-drug products and/or therapies, in the treatment, diagnosis, or prevention of a disease. A... HUMAN SERVICES Food and Drug Administration Fee for Using a Priority Review Voucher in Fiscal Year...

  14. How to Calculate the Costs or Savings of Tax Credit Voucher Policies. NEPC Policy Memo

    ERIC Educational Resources Information Center

    Welner, Kevin

    2011-01-01

    In this NEPC Policy Memo, Professor Welner explains that the most honest and conscientious approach to reporting the fiscal impact of tax credit vouchers is to provide a range of outcomes and let the readers--not the legislative analysts themselves--speculate on which is most likely. If a bottom line is demanded, it should be couched in as many…

  15. When Special Education Goes to the Marketplace: The Case of Vouchers

    ERIC Educational Resources Information Center

    Anastasiou, Dimitris; Kauffman, James M.

    2009-01-01

    This article examines the role of market-based policies in special education, focusing on the case of voucher programs. It examines the nature of contemporary social reforms, while discussing school choice as the theoretical linchpin of a market model for educational reforms. Moreover, it includes analysis of why the market-driven rationale of…

  16. When Private Schools Take Public Dollars: What's the Place of Accountability in School Voucher Programs?

    ERIC Educational Resources Information Center

    Finn, Chester E., Jr.; Hentges, Christina M.; Petrilli, Michael J.; Winkler, Amber M.

    2009-01-01

    Critics of school voucher programs argue that private schools that receive taxpayer dollars should be held accountable to the same standards as public schools. School choice supporters counter that private schools should be left alone to answer to the parents of their students. The authors advocate for a re-visit to the discussion of…

  17. Affordability, Accessibility, and Accountability: Perceived Impacts of the Pre-Primary Education Vouchers in Hong Kong

    ERIC Educational Resources Information Center

    Li, Hui; Wong, Jessie Ming Sin; Wang, X. Christine

    2010-01-01

    Hong Kong launched the "Pre-primary Education Voucher Scheme" (PEVS) in 2007 to promote the "3A's" of early childhood education (ECE): affordability, accessibility, and accountability. The PEVS has three unique features: discriminating against profit kindergartens, promoting teacher professional development, and limiting parents' choice to only…

  18. Child Health and Neighborhood Conditions: Results from a Randomized Housing Voucher Experiment

    ERIC Educational Resources Information Center

    Fortson, Jane G.; Sanbonmatsu, Lisa

    2010-01-01

    Using data from the Moving to Opportunity randomized housing voucher experiment, we estimate the direct effects of housing and neighborhood quality on child health. We show that, five years after random assignment, housing mobility has little impact on overall health status, asthma, injuries, and body mass index. The few effects that we observe…

  19. Designing Targeted Educational Voucher Schemes for the Poor in Developing Countries

    ERIC Educational Resources Information Center

    Shafiq, M. Najeeb

    2009-01-01

    Targeted educational voucher schemes [TEVS] are often proposed for poor children in developing countries. This article explores the design of an effective TEVS using three policy instruments: regulation, support services, and finance. The regulation design addresses the rules that must be adhered to by participating households, children, and…

  20. Effects of Internet-Based Voucher Reinforcement and a Transdermal Nicotine Patch on Cigarette Smoking

    ERIC Educational Resources Information Center

    Glenn, Irene M.; Dallery, Jesse

    2007-01-01

    Nicotine replacement products are commonly used to promote smoking cessation, but alternative and complementary methods may increase cessation rates. The current experiment compared the short-term effects of a transdermal nicotine patch to voucher-based reinforcement of smoking abstinence on cigarette smoking. Fourteen heavy smokers (7 men and 7…

  1. Market Movements and the Dispossessed: Race, Identity, and Subaltern Agency among Black Women Voucher Advocates

    ERIC Educational Resources Information Center

    Pedroni, Thomas C.

    2005-01-01

    Critical educational researchers in the United States and elsewhere are missing something essential in their inattention to considerable support among Black urban women for market-based educational reforms, including vouchers. While the educational left has engaged in important empirical and theoretical work demonstrating the particularly negative…

  2. Voucher Users and Revitalized Public-Housing Residents 6 Years after Displacement

    ERIC Educational Resources Information Center

    Brooks, Fred; Lewinson, Terri; Aszman, Jennifer; Wolk, Jim

    2012-01-01

    Objective: A total of 6 years after displacement by a Housing Opportunities for People Everywhere (HOPE VI) project, this research examines residents who returned to the redeveloped community and residents who decided to keep their vouchers and were living in private sector housing. Respondents were compared on the following variables: application…

  3. 75 FR 37825 - Notice of Proposed Information Collection for Public Comment for the Housing Choice Voucher...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-30

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment for the Housing Choice... Notice Also Lists the Following Information Title of Proposal: Housing Choice Voucher (HCV)...

  4. Spreading Freedom and Saving Money. The Fiscal Impact of the D.C. Voucher Program

    ERIC Educational Resources Information Center

    Aud, Susan L.; Michos, Leon

    2006-01-01

    In August 2004 the first ever federally funded school voucher program began in Washington, D.C. Eligible students could attend a private school of their choice in the District of Columbia. Each participant received up to $7,500 for school tuition, fees, and transportation. In addition, the D.C. Public School System (DCPS) and D.C. charter school…

  5. Preserving and vouchering butterflies and moths for large-scale museum-based molecular research.

    PubMed

    Cho, Soowon; Epstein, Samantha W; Mitter, Kim; Hamilton, Chris A; Plotkin, David; Mitter, Charles; Kawahara, Akito Y

    2016-01-01

    Butterflies and moths (Lepidoptera) comprise significant portions of the world's natural history collections, but a standardized tissue preservation protocol for molecular research is largely lacking. Lepidoptera have traditionally been spread on mounting boards to display wing patterns and colors, which are often important for species identification. Many molecular phylogenetic studies have used legs from pinned specimens as the primary source for DNA in order to preserve a morphological voucher, but the amount of available tissue is often limited. Preserving an entire specimen in a cryogenic freezer is ideal for DNA preservation, but without an easily accessible voucher it can make specimen identification, verification, and morphological work difficult. Here we present a procedure that creates accessible and easily visualized "wing vouchers" of individual Lepidoptera specimens, and preserves the remainder of the insect in a cryogenic freezer for molecular research. Wings are preserved in protective holders so that both dorsal and ventral patterns and colors can be easily viewed without further damage. Our wing vouchering system has been implemented at the University of Maryland (AToL Lep Collection) and the University of Florida (Florida Museum of Natural History, McGuire Center of Lepidoptera and Biodiversity), which are among two of the largest Lepidoptera molecular collections in the world. PMID:27366654

  6. Understanding How Universal Vouchers Have Impacted Urban School Districts' Enrollment in Chile

    ERIC Educational Resources Information Center

    Portales, Jaime; Heilig, Julian Vasquez

    2014-01-01

    Findings from this study show that educational and mobility opportunities for families and students participating in the Chilean voucher system are not homogenously distributed. Some families and students use and benefit from the system, while others will remain marginalized. The quantitative results in this study demonstrate that students of…

  7. Life after Vouchers: What Happens to Students Who Leave Private Schools for the Traditional Public Sector?

    ERIC Educational Resources Information Center

    Carlson, Deven; Cowen, Joshua M.; Fleming, David J.

    2013-01-01

    Few school choice evaluations consider students who leave such programs, and fewer still consider the effects of leaving these programs as policy-relevant outcomes. Using a representative sample of students from the citywide voucher program in Milwaukee, Wisconsin, we analyze more than 1,000 students who leave the program during a 4-year period.…

  8. Voucher-Based Reinforcement for Alcohol Abstinence Using the Ethyl-Glucuronide Alcohol Biomarker

    ERIC Educational Resources Information Center

    McDonell, Michael G.; Howell, Donelle N,; McPherson, Sterling; Cameron, Jennifer M.; Srebnik, Debra; Roll, John M.; Ries, Richard K.

    2012-01-01

    This study assessed the effects of a contingency management (CM) intervention for alcohol consumption in 10 alcohol-dependent participants. An ABCA design was used. Vouchers were provided contingent on results of ethyl glucuronide (EtG) urine tests (an alcohol biomarker with a 2-day detection period) and alcohol breath tests during the C phase.…

  9. The Voucher Veneer: The Deeper Agenda To Privatize Public Education. Special Report.

    ERIC Educational Resources Information Center

    Jacob, Matt

    This paper asserts that government responsibilities in education and the strong connection of Americans with their public schools are being tested, as a network of Religious Right groups, free-market economists, ultraconservative columnists, and others use vouchers as a vehicle to achieve their ultimate goal of privatizing education. Their…

  10. Similar Students, Different Choices: Who Uses a School Voucher in an Otherwise Similar Population of Students?

    ERIC Educational Resources Information Center

    Fleming, David J.; Cowen, Joshua M.; Witte, John F.; Wolf, Patrick J.

    2015-01-01

    We examine what factors predict why some parents enroll their children in voucher schools while other parents with similar types of children and from similar neighborhoods do not. Furthermore, we investigate how aware parents are of their educational options, where they get their information, and what school characteristics they deem the most…

  11. Financial Crisis Not Wasted: Shift in State Power and Voucher Expansion

    ERIC Educational Resources Information Center

    Sutton, Lenford C.; King, Richard A.

    2013-01-01

    School choice advocates have long opposed what they perceive as the hegemony the public sector has on the education enterprise primarily because it contravenes free-market principles. They fervently believe that competition will compel all schools to improve and become more efficient if they must adapt to remain open. Voucher opponents argue that…

  12. When Private Schools Take Public Dollars: What's the Place of Accountability in School Voucher Programs?

    ERIC Educational Resources Information Center

    Finn, Chester E., Jr.; Hentges, Christina M.; Petrilli, Michael J.; Winkler, Amber M.

    2009-01-01

    Of all the arguments that critics of school voucher programs advance, the one that may resonate loudest with the public concerns school accountability. Opponents say it's not fair to hold public schools accountable for their results (under No Child Left Behind and similar systems) and then let private schools receive taxpayer dollars--however…

  13. Vouchers in Hong Kong: A New Milestone of Early Childhood Education?

    ERIC Educational Resources Information Center

    Yuen, Gail W. K.

    2007-01-01

    The Hong Kong government has recently introduced a voucher system to early childhood education, indicating that the new policy is a milestone in the field. The overall goal of the policy is to improve the provision of early childhood education for the benefit of the children. Public debates reveal the unfamiliar nature of the subject to the local…

  14. Religious Challenges to School Voucher and Tax Benefit/Scholarship Programs

    ERIC Educational Resources Information Center

    McCarthy, Martha

    2016-01-01

    A key component of current school reform efforts focuses on increasing parental choice through voucher systems and programs that provide tax benefits for contributions to scholarship programs for private school tuition. Indeed, proposals to adopt such programs have been or currently are being considered in four-fifths of the states, and about half…

  15. Heading for a Fall: State Restrictions on Voucher Programs Rest on Shaky Foundation

    ERIC Educational Resources Information Center

    Dunn, Joshua

    2016-01-01

    In June 2015, the Colorado Supreme Court struck down a successful voucher program in Douglas County, invoking a provision of the state constitution that harks back to an era of widespread prejudice against Catholics. But because of the court's reliance on this discriminatory provision, its decision could well be overturned by the U.S. Supreme…

  16. Education Tax Credits in a Post-"Zelman" Era: Legal, Political, and Policy Alternatives to Vouchers?

    ERIC Educational Resources Information Center

    Huerta, Luis A.; d'Entremont, Chad

    2007-01-01

    This article examines an emerging preference for education tax credit programs in a post-"Zelman" era. First, the authors detail the origin of tax credits and the types of existing plans. Second, they review the assumptions underlying the supposed advantages that may favor tax credits as a feasible alternative to vouchers. Third, they analyze…

  17. Did Compromise Voucher Law Achieve Intended Purpose? Research Brief. Volume 96, Number 1

    ERIC Educational Resources Information Center

    Public Policy Forum, 2008

    2008-01-01

    Changes in the Milwaukee Parental Choice Program's enabling legislation were intended to increase program ability to enroll dissatisfied public school students while ensuring some third-party accountability for voucher schools. After changes in eligibility requirements and the lifting of the enrollment cap, enrollment did grow, but much of the…

  18. Effects of an Internet-Based Voucher Reinforcement Program for Smoking Abstinence: A Feasibility Study

    ERIC Educational Resources Information Center

    Dallery, Jesse; Glenn, Irene M.

    2005-01-01

    The present study tested the feasibility of an Internet-based method to obtain objective evidence of smoking abstinence and to deliver vouchers for evidence of abstinence. Four heavy smokers participated in this 4-week study. Twice daily, participants made video recordings of themselves providing a breath carbon monoxide (CO) sample with a Web…

  19. Final Report on Third and Fourth Year Operations of the Alum Rock Voucher Project.

    ERIC Educational Resources Information Center

    Sequoia Inst., San Jose, CA.

    Covered in this report are the main events that occurred in the Alum Rock voucher project between July 1974 and January 1976. Measures considered to be functioning effectively at the beginning of this time span were the concepts of alternative education, open enrollment, programs that vary their capacity in response to parent demand within the…

  20. Competitive Effects of Means-Tested School Vouchers. Working Paper 46

    ERIC Educational Resources Information Center

    Figlio, David N.; Hart, Cassandra M. D.

    2010-01-01

    Voucher options like tuition tax credit-funded scholarship programs have become increasingly popular in recent years. One argument for such school choice policies is that public schools will improve the quality of education they offer when faced with competition for their students. This study examines the effects of private school competition on…

  1. Vouchers, Public School Response, and the Role of Incentives. Staff Report No. 306

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2010-01-01

    This paper analyzes the incentives and responses of public schools in the context of an educational reform. The literature on the effect of voucher programs on public schools typically focuses on student and mean school scores. This paper tries to go inside the black box to investigate some of the ways in which schools facing the Florida voucher…

  2. After 60 Years, Do the Arguments for K-12 Vouchers Still Hold?

    ERIC Educational Resources Information Center

    Laitsch, Dan

    2016-01-01

    In 1955, Milton Friedman authored a foundational paper proposing a shift in funding and governance mechanisms for public K-12 schools, suggesting that parents be awarded tuition vouchers that they could use to pay for private sector education services for their children, rather than relying on government provided neighborhood schools. Friedman…

  3. Going Public: Who Leaves a Large, Longstanding, and Widely Available Urban Voucher Program?

    ERIC Educational Resources Information Center

    Cowen, Joshua M.; Fleming, David J.; Witte, John F.; Wolf, Patrick J.

    2012-01-01

    This article contributes to research concerning the determinants of student mobility between public and private schools. The authors analyze a unique set of data collected as part of a new evaluation of Milwaukee's citywide voucher program. The authors find several important patterns. Students who switch from the private to the public sector were…

  4. Alum Rock Union Elementary School District Voucher Feasibility Study. Final Report.

    ERIC Educational Resources Information Center

    Glovinsky, Sanford J.

    This report presents a chronology of events and activities which were part of the study aimed at determining the feasibility of the Alum Rock Union Elementary School District as a potential site for a voucher demonstration. In the summer of 1970, the Office of Economic Opportunity issued a general nationwide request for proposals from interested…

  5. 24 CFR 982.504 - Voucher tenancy: Payment standard for family in restructured subsidized multifamily project.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... for family in restructured subsidized multifamily project. 982.504 Section 982.504 Housing and Urban...: Payment standard for family in restructured subsidized multifamily project. (a) This section applies to...) Such tenant-based voucher assistance is provided to a family pursuant to § 401.421 of this title...

  6. Acting Neoliberal: Is Black Support for Vouchers a Rejection of Progressive Educational Values?

    ERIC Educational Resources Information Center

    Pedroni, Thomas C.

    2007-01-01

    Is the popularity of market-based educational reform among urban residents of color the epitaph of a progressive educational vision, or does it bespeak a struggle to reincarnate that vision within a postwelfare state? This article examines ethnographic work with African American voucher families in Milwaukee, Wisconsin. Discursive overlaps and…

  7. 48 CFR 1232.7002 - Invoice and voucher review and approval.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Budget (OMB) regulation at 5 CFR part 1315 as implemented by (FAR) 48 CFR Subpart 32.9, and the contract... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Invoice and voucher review... TRANSPORTATION GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Contract Payments 1232.7002 Invoice...

  8. 48 CFR 1232.7002 - Invoice and voucher review and approval.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Budget (OMB) regulation at 5 CFR part 1315 as implemented by (FAR) 48 CFR Subpart 32.9, and the contract... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Invoice and voucher review... TRANSPORTATION GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Contract Payments 1232.7002 Invoice...

  9. 48 CFR 1232.7002 - Invoice and voucher review and approval.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Budget (OMB) regulation at 5 CFR part 1315 as implemented by (FAR) 48 CFR Subpart 32.9, and the contract... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Invoice and voucher review... TRANSPORTATION GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Contract Payments 1232.7002 Invoice...

  10. 48 CFR 1232.7002 - Invoice and voucher review and approval.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Budget (OMB) regulation at 5 CFR part 1315 as implemented by (FAR) 48 CFR Subpart 32.9, and the contract... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Invoice and voucher review... TRANSPORTATION GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Contract Payments 1232.7002 Invoice...

  11. 48 CFR 1232.7002 - Invoice and voucher review and approval.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Budget (OMB) regulation at 5 CFR part 1315 as implemented by (FAR) 48 CFR Subpart 32.9, and the contract... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Invoice and voucher review... TRANSPORTATION GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Contract Payments 1232.7002 Invoice...

  12. Comments on "Another Look at the New York City Voucher Experiment."

    ERIC Educational Resources Information Center

    Myers, David E.; Mayer, Daniel P.

    This brief paper is a response to a reanalysis (Krueger & Zhu, 2003) of a report (Mayer, Peterson, Myers, Tuttle, & Howell, 2002). The response is offered by two of the authors (Myers & Mayer) of the original report. The original report presented an evaluation of the impact of vouchers on students' reading and mathematics achievement and on…

  13. Accountability with Voucher Threats, Responses, and the Test-Taking Population: Regression Discontinuity Evidence from Florida

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2013-01-01

    Florida's 1999 A-plus program was a consequential accountability program that embedded vouchers in an accountability regime. Under Florida rules, scores of students in several special education (ESE) and limited English proficient (LEP) categories were not included in the computation of school grades. One might expect these rules to induce F…

  14. Voucher reinforcement improves medication adherence in HIV-positive methadone patients: a randomized trial.

    PubMed

    Sorensen, James L; Haug, Nancy A; Delucchi, Kevin L; Gruber, Valerie; Kletter, Evan; Batki, Steven L; Tulsky, Jacqueline P; Barnett, Paul; Hall, Sharon

    2007-04-17

    This clinical trial evaluated a contingency management intervention designed to improve medication adherence among HIV-positive methadone maintenance patients. After a 4-week baseline observation phase, eligible participants (N=66) were randomly assigned to: (a) medication coaching sessions every other week to assist with adherence strategies (comparison group) or (b) medication coaching plus voucher reinforcement for opening electronic medication caps on time (voucher group). Baseline adherence (percent doses taken/percent total possible doses) was 51% using electronic measurement, 75% using self-report and 75% using pill count. The intervention was provided for 12 weeks, with a 4-week follow-up. The primary outcome results of the clinical trial indicated effectiveness during the intervention, with significant mean adherence differences between voucher and comparison groups using electronic measurement (78% versus 56%), pill count (86% versus 75%), and self-report (87% versus 69%). Differences between groups faded after vouchers were discontinued. Contingency management shows promise as a strategy to promote antiretroviral medication adherence in this population.

  15. I Would Walk 500 Miles (If It Paid): Vouchers and School Choice in Chile

    ERIC Educational Resources Information Center

    Chumacero, Romulo A.; Gomez, Daniel; Paredes, Ricardo D.

    2011-01-01

    One of the pillars of the educational voucher system is that competition among schools to attract students would improve the quality of the education. Surveys to parents and previous work suggested that families rank the distance of the school from their home as the most important factor for choosing a school. They also suggest that parents…

  16. Early Childhood Education Voucher in Hong Kong: Perspectives from Online Communities

    ERIC Educational Resources Information Center

    Li, Hui; Wong, Jessie Ming Sin; Wang, X. Christine

    2008-01-01

    Educational authorities in the Hong Kong Special Administrative Region (HKSAR) of China introduced an early childhood education voucher system in 2007 with two implicit goals: to turn profit kindergartens into non-profit ones and to curtail parental choice. This initiative has caused a great deal of controversy locally and internationally, so the…

  17. Do Vouchers and Tax Credits Increase Private School Regulation? A Statistical Analysis. CATO Working Paper

    ERIC Educational Resources Information Center

    Coulson, Andrew J.

    2010-01-01

    School voucher and education tax credit programs have proliferated in the United States over the past two decades. Advocates have argued that they will enable families to become active consumers in a free and competitive education marketplace, but some fear that these programs may in fact bring with them a heavy regulatory burden that could stifle…

  18. Do Vouchers and Tax Credits Increase Private School Regulation? A Statistical Analysis

    ERIC Educational Resources Information Center

    Coulson, Andrew J.

    2011-01-01

    School voucher and education tax credit programs have proliferated in the United States over the past 2 decades. Advocates have argued that they will enable families to become active consumers in a free and competitive education marketplace, but some fear that these programs may bring a heavy regulatory burden that could stifle market forces.…

  19. Voucher incentives increase treatment participation in telephone-based continuing care for cocaine dependence

    PubMed Central

    Van Horn, Deborah H. A.; Drapkin, Michelle; Ivey, Megan; Thomas, Tyrone; Domis, Sarah W.; Abdalla, Oubah; Herd, Daniel; McKay, James R.

    2010-01-01

    Background Telephone-based monitoring is a promising approach to continuing care of substance use disorders, but patients often do not engage or participate enough to benefit. Voucher incentives can increase retention in outpatient treatment and continuing care, but may be less effective when reinforcement is delayed, as in telephone-based care. We compared treatment utilization rates among cocaine-dependent patients enrolled in telephone continuing care with and without voucher incentives to determine whether incentives increase participation in telephone-based care. Method Participants were 195 cocaine-dependent patients who completed two weeks of community-based intensive outpatient treatment for substance use disorders and were randomly assigned to receive telephone continuing care with or without voucher incentives for participation as part of a larger clinical trial. The 12-month intervention included 2 in-person orientation sessions followed by up to 30 telephone sessions. Incentivized patients could receive up to $400 worth of gift cards. Results Patients who received incentives were not more likely to complete their initial orientation to continuing care. Incentivized patients who completed orientation completed 67% of possible continuing care sessions, as compared to 39% among non-incentivized patients who completed orientation. Among all patients randomized to receive incentives, the average number of completed sessions was 15.5, versus 7.2 for patients who did not receive incentives, and average voucher earnings were $200. Conclusions Voucher incentives can have a large effect on telephone continuing care participation, even when reinforcement is delayed. Further research will determine whether increased participation leads to better outcome among patients who received incentives. PMID:21041041

  20. Effects of Smoking Cessation with Voucher-Based Contingency Management on Birth Outcomes

    PubMed Central

    Higgins, Stephen T.; Bernstein, Ira M.; Washio, Yukiko; Heil, Sarah H.; Badger, Gary J.; Skelly, Joan M.; Higgins, Tara M.; Solomon, Laura J.

    2010-01-01

    Introduction This study combined data from three controlled trials to examine whether smoking cessation using voucher-based contingency management (CM) improves birth outcomes. Methods Participants (N = 166) were pregnant women who participated in trials examining the efficacy of voucher-based CM for smoking cessation. Women were assigned to either a contingent condition wherein they earned vouchers exchangeable for retail items by abstaining from smoking or to a noncontingent condition where they received vouchers independent of smoking status. Birth outcomes were determined by review of hospital delivery records. Results Antepartum abstinence was greater in the contingent than noncontingent condition, with late-pregnancy abstinence being 34.1% vs. 7.4% (p < .001). Mean birth weight of infants born to mothers treated in the contingent condition was greater than infants born to mothers treated in the noncontingent condition (3295.6 ± 63.8 g vs. 3093.6 ± 67.0 g, p = .03) and the percent of low birth weight (< 2500g) deliveries was less (5.9% vs. 18.5%, p = .02). No significant treatment effects were observed across three other outcomes investigated although each was in the direction of improved outcomes in the contingent vs. the noncontingent condition: mean gestational age (39.1 ± 0.2 weeks vs. 38.5 ± 0.3 weeks, p = .06), percent of preterm deliveries (5.9 vs. 13.6, p = .09), and percent admissions to the Neonatal Intensive Care Unit (4.7% vs. 13.8%, p = .06). Conclusions These results provide evidence that smoking-cessation treatment with voucher-based CM may improve important birth outcomes. PMID:20840188