scholarly journals Perspectives of the Health Extension Program Enhancing Contraceptive Provision in Southern Ethiopia: A Qualitative Exploration

Author(s):  
Abraham Alano

Aim: To uncover information gap on the health extension program contribution in improving access, the study explored the lived experiences towards creating enabling environments for contraceptive service provision and use in light of the health extension program. Methods: Interpretative phenomenological design was employed for the study. Data were collected using focus group discussions, individual in-depth interviews and key informant interviews. Analysis was done using an interpretive phenomenological analysis framework including phases of data immersion, transcribing, coding, theme development and phenomenological interpretation through the hermeneutic circle. Results: The finding captures the contribution of the health extension program in accelerating/decelerating contraceptive use in the study area. Contraceptive services organization, access and extension in the era of the health extension program were presented. Since the beginning of the program, contraceptive use has alarmingly improved as witnessed by both the service users and providers. The linkage of primary health care with the community organization, a women development army and the one-to-five network are among the major contributed factors for the outcomes. Conclusion and Recommendation: The study concludes that the health extension program has given a special momentum in shaping the principles of PHC. The study revealed that women witnessed encouraging involvements in contraceptive service access and use. Hence, the study recommends that the experiences of women development armies and other networks have to be strengthened. Moreover, the existing community networks should be strengthened through proper evaluation and feedback.

Author(s):  
Birhannu Jikamo ◽  
Temesegen Woelamo ◽  
Mekonen Samuel

Abstract Abstract Background: In 2009, in Hadiya zone reported that establishment of Urban Health Extension Program (UHEP) which is subsequent declaration of after the country of Ethiopia. Major contribution of the declared UHEP is to provide accessible service to the potentially vulnerable groups of <5children pregnant women. Therefore, the aim of this study was to assess the utilization and associated factors of the urban health extension program services in Hossana Town, Hadiya Zone, southern Ethiopia, 2018 Methods: we conducted community based cross-sectional study in Hossana town, Hadiya Zone southern Ethiopia. Households were recruited by using systematic random sampling technique and study participants also by using random sampling techniques. A total of 403 study participants were participated in this study. Strength of measure of association between explanatory variables with outcome variable reported using the Odds Ratio (OR) with 95% confidence interval. Bivariate and multivariate binary logistic regression analysis was performed to identify predictors. P-value < 0.05 used to identify factors significantly associated with outcome variable. Results: Out of 403 households, 397(98.5%) of response rate obtained. The mean score of community knowledge about the utilization of urban health extension program service (UHEP) was 2.352 (SD ±1.156. Regarding knowledge towards UHEP, of 166 (42%) of the respondents had good knowledge towards UHEP service while 231 (58%) had poor knowledge towards UHEP service utilization. The total number of households which graduated as a model family was 79 (19.9%). In the adjusted multivariate model, those respondents in the age group of 36-45 year were 3.73 times(AOR = 3.73; 95% CI:1.04-3.37) more likely to be utilized health extension program services as compared with those respondents in the age group of 18-24year. Those households which graduated as a model family were 2.2 times (AOR = 2.18; 95% CI: 1.36- 3.51) higher odds of utilized health extension program service as compared with those households which didn’t graduated as a model family. Conclusions: The coverage of utilization of urban health extension program service was low in the study setting compared with previous study. There were also identified predictors that were associated with utilization of urban health extension program service.


Author(s):  
Денис Алексеевич Кудрин

В статье рассматривается результат исследования динамики личностного роста курсантов ведомственного вуза, а также необходимость изучения данной проблемы в рамках подготовки кадров для Федеральной службы исполнения наказаний. Анализируются исторические этапы формирования термина «личностный рост». Рассматриваются различные подходы к содержанию понятия. Дается современная интерпретация понятия «личностный рост». Определено, что профессиональный личностный рост курсанта вуза ФСИН России представляет собой динамический процесс профессионального становления. В статье описывается проведенное лонгитюдное исследование курсантов Академии ФСИН России. В исследовании использовался Многоуровневый личностный опросник (МЛО). Анализ полученных данных позволил прийти к выводу, что личностные изменения курсантов являются, с одной стороны, результатом взросления, которому способствуют условия обучения в вузе ФСИН России, а с другой стороны, результатом профессионального становления (освоение своей новой социальной роли). Также анализировались отдельные стимулы методики. В результате анализа было выявлено, что личностные изменения, происходящие с некоторыми курсантами в процессе обучения в специализированном вузе, носят негативный характер и схожи по симптоматике с синдромом «эмоционального выгорания». The article discusses the results of the study of the dynamics of personal growth of students of a departmental university, as well as the need to study this problem in the framework of training personnel for the Federal Penitentiary System. The historical stages of the formation of the term «personal growth» are analyzed. Various approaches to the content of the concept are considered. A modern interpretation of the concept of «Personal growth» is given. It is determined that the professional personal growth of a cadet of a departmental university of the Federal Penitentiary Service of Russia is a dynamic process of professional development. The article analyzes the statistics of the expelled cadets for 2017-2020, which may be a consequence of the lack of dynamics of personal growth. The article describes a longitudinal study of cadets of the Academy of the Federal Penitentiary Service of Russia in Ryazan. The study used a multi-level personal questionnaire. In the course of the study, data were obtained, the analysis of which can lead to the conclusion that the personal changes that occur in cadets are, on the one hand, the result of growing up, which is facilitated by the conditions of education in the departmental university of the Federal Penitentiary Service of Russia, and, on the other hand, the result of professional formation (mastering their new social role). Individual stimuli of the methodology were also analyzed. As a result of the analysis, it was revealed that the personal changes that occur with some cadets in the course of training at a specialized university are negative in nature and are similar in symptoms to the «emotional burnout syndrome»


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ceren Varer Akpinar ◽  
Seyfi Durmaz

Abstract Objectives One Health approach to health considers human, animal, and ecosystem health as a whole and advocates cooperation across disciplines to reach the highest level of health. The aim of the study is to determine the attitudes of the medical interns’ toward the One Health approach and to evaluate related factors. Methods This cross-sectional study targeted all interns of the Faculty of Medicine of 2019–2020 academic year (n=356). Sociodemographic characteristics, health status, habits, and attitudes toward One Health were asked in the questionnaire, which was created by the researchers using the literature. The study data were collected based on self-report during occupational health and safety training, before the COVID-19 pandemic. Chi-square and logistic regression analyses were also performed. Results The study group included a fair gender distribution (47.8% female), and the average age was 23.6 ± 1.2. Out of the 316 participants, 40.2% had not heard the One Health concept before. In total, 85.4% of them declared a positive attitude toward the concept. The probability of high attitude was found to be 5.03 times (95% CI 1.10–23.12) higher in those with above-average success status and 4.08 times (95% CI 1.15–14.52) higher in those who had kept animals. In students’ responses to the attitude questionnaire items, the epidemic sub-dimension had the highest level as 86.1%, and the antibiotic resistance sub-dimension had the lowest level as 77.2%. Conclusions The current study revealed that the awareness on One Health concept among medical interns is limited, however, students’ attitudes are positive. Recent SARS-CoV 2 pandemic showed us the urgent need for proper implementation of’ One Health approach in the medical education curriculum. Meanwhile, One Health focused courses should be introduced into the curriculum of final year medicine and related programs.


2014 ◽  
Vol 5 (3) ◽  
pp. 11-28
Author(s):  
Ljiljana Kašćelan ◽  
Vladimir Kašćelan ◽  
Milijana Novović-Burić

This paper has proposed a data mining approach for risk assessment in car insurance. Standard methods imply classification of policies to great number of tariff classes and assessment of risk on basis of them. With application of data mining techniques, it is possible to get functional dependencies between the level of risk and risk factors as well as better results in predictions. On the case study data it has been proved that data mining techniques can, with better accuracy than the standard methods, predict claim sizes and occurrence of claims, and this represents the basis for calculation of net risk premium and risk classification. This paper, also, discusses advantages of data mining methods compared to standard methods for risk assessment in car insurance, as well as the specificities of the obtained results due to small insurance market, such is the one in Montenegro.


2013 ◽  
Vol 41 (5) ◽  
pp. 709-729 ◽  
Author(s):  
Kristin Cavoukian

Russia's Armenians have begun to form diaspora institutions and engage in philanthropy and community organization, much as the pre-Soviet “established” diaspora in the West has done for years. However, the Russian Armenian diaspora is seen by Armenian elites as being far less threatening due to a shared “mentality.” While rejecting the mentality argument, I suggest that the relationship hinges on their shared political culture and the use of symbols inherited from the Soviet Union in the crafting of new diaspora and diaspora-management institutions. Specifically, “Friendship of the Peoples” symbolism appears to be especially salient on both sides. However, the difference between old and new diasporas may be more apparent than real. The Russian Armenian diaspora now engages in many of the same activities as the Western diaspora, including the one most troublesome to Armenia's elites: involvement in politics.


Author(s):  
Alp Karaca

Homosapiens is the common family name for contemporary human beings. There are different kinds of homo species but the most recent one with the most improved abilities are human beings of the present era, who have adapted themselves to the new technologies and life conditions by improving themselves. The substantial improvements in technology started with the French Revolution in 1799. Initially, technology helped human beings in the production and industry sectors. Thereafter, in the 1990s, technology penetrated living spaces, firstly helping with household duties and then impacting social life, first with the radio and later with the television. Living spaces started to change through the organisation of spaces, and most houses were organised according to location reserved for the television. This is the biggest change brought about by technology in living spaces. The expectations of human beings were on the rise simultaneously with economic welfare and consumption-based demands. In the 2000s, phyisical limitations occurred, while expectations increased even more. These were constraints over time, materials and economy, and the solution came from technology via virtual reality and generated cyber spaces, which were without limits, economical and surpassed the built environments. Due to the lack of physical conditions, built envionments ceded their place to virtual living spaces and virtual cities. In the present study, data collection was undertaken via a study of innovations within living spaces and also via an observation of social lives within living spaces. The present article aims to present what can be foreseen, on the basis of cause and effect, concerning the impacts of the current evolution on the one hand and massive outbreaks of viruses on the other hand, the impacts on the physical spaces of the homosapiens species that have succeeded in adapting to all the changes that they have come across from their beginnings until the present era, the impacts that both phenomena will have on the current living standards and living spaces of humans and what changes human living spaces will undergo in the ongoing process of evolution. Human beings will continue renewing themselves throughout the said phenomena before concluding their process of evolution.   Keywords: Innovative, technology, living spaces, living standards, homosapiens.


Big Data ◽  
2016 ◽  
pp. 2028-2046
Author(s):  
Ljiljana Kašćelan ◽  
Vladimir Kašćelan ◽  
Milijana Novović-Burić

This paper has proposed a data mining approach for risk assessment in car insurance. Standard methods imply classification of policies to great number of tariff classes and assessment of risk on basis of them. With application of data mining techniques, it is possible to get functional dependencies between the level of risk and risk factors as well as better results in predictions. On the case study data it has been proved that data mining techniques can, with better accuracy than the standard methods, predict claim sizes and occurrence of claims, and this represents the basis for calculation of net risk premium and risk classification. This paper, also, discusses advantages of data mining methods compared to standard methods for risk assessment in car insurance, as well as the specificities of the obtained results due to small insurance market, such is the one in Montenegro.


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