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Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on safe...Michelle Mills
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Can a social cash transfer program improve youth mental health in Kenya?Michelle Mills
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Using evidence from a cash transfer program in Zimbabwe, the presentation covers how quantitative measures can capture vulnerability and resilience at the household level
Impacts of Cash Transfers on Adolescents' & Young Women's Well-Being Globally...The Transfer Project
Tia Palermo's presentation for the joint UNICEF & Gates Foundation Tanzania Adolescent Symposium in Dar es Salaam on 7 February 2018.
Using evidence from around the world, Tia outlines what we know about cash transfers impacts on youth and young women's well-being.
The webinar, “Getting to Permanence: The Practices of High-Performing Child Welfare Agencies,” highlights the importance of prioritizing family relationships and ensuring children and teens in foster care have enduring connections to loving, nurturing adults in their lives.
Putting Children First: Session 2.1.A Winnie Sambu - Child poverty and hunger...The Impact Initiative
Putting Children First: Identifying solutions and taking action to tackle poverty and inequality in Africa.
Addis Ababa, Ethiopia, 23-25 October 2017
This three-day international conference aimed to engage policy makers, practitioners and researchers in identifying solutions for fighting child poverty and inequality in Africa, and in inspiring action towards change. The conference offered a platform for bridging divides across sectors, disciplines and policy, practice and research.
Derek Headey, Elisa Maria Maffioli, Sophie Goudet
POLICY SEMINAR
Assessing the Impact of COVID-19 on Food and Nutrition Security in Myanmar
SEP 15, 2020 - 09:00 AM TO 10:30 AM MMT
The New Jersey Chapter’s CPAP team was invited by the South Ward Children’s Alliance in Newark’s South Ward to support the creation of a community needs assessment that could be used in their efforts to improve public education in the South Ward. The Alliance has become increasingly aware that addressing problems in the community, such as housing, crime and recreation, is a critical part of improving the South Ward’s public schools. The CPAP was asked to support their efforts to identify social issues in the surrounding neighborhoods and how they should be prioritized. The long list of social issues in the area creates unstable environments where education becomes a huge challenge for students. The overarching goal is to create a stable life for students so they can do better in school. A major component of the field work was to work with parents of children in the schools to ensure their points of view. The team conducted a review of data provided by the Alliance, researched additional sources for data, combined them with the views of the parents and produced a final presentation of the work, including maps, data, and results.
While this was a very different kind of project for the team, considering the close link with public education, the team was enthusiastic to do it. Two of the team members brought strong backgrounds in urban public education to the project. The team’s analytical approach provided the Alliance with important information they will use to consider programs to address the neighborhood’s most urgent needs.
The team members were:
• Molly Coon
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• Christopher Kok
• Nadia Mian
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PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
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According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
Dr. hasselback's presentation gneyp research event
1. Putting Nanaimo’s Children First:
Using routinely collected information
to build momentum for addressing
children’s issues
Paul Hasselback MD MSc FRCPC
Medical Health Officer
Central Vancouver Island
2. Data Driven Action
• Information as a catalyst for change.
• Positive examples from peer organizations in
BC.
• Data empowers people.
• Data enables decision makers to improve the
quality of their decisions.
– Data may dissuade poorer decisions.
9. Why?
• Children are our future.
• Efforts to improve child wellbeing result in
improvements in community health and
vitality.
• Thriving communities = Healthy people.
• Personal passion for the wellbeing of children.
10. Why
• Early Years Network in Nanaimo for over a decade.
‒ Strong foundation to build from.
• Draft city strategic plan with minimal emphasis on
families and scarce reference to children.
• Island Health services having room for improvement
in coordination.
‒ Also with scarce emphasis on children and families
• Public Health and Children’s Health “bounced”
between portfolios.
11.
12. Greater Nanaimo Early Years
Partnership
• Success by Six parent survey 2012 (276
respondents).
– Parenting information
• 80% friends
• 73% family
• 42% internet
• 22% professional
13.
14. Why
• A sense of decreasing success of children.
• Need for a documentation of a foundation of
benchmarks.
• A stepping stone for moving forward.
• Increasing awareness of the current state of
children in the community.
15. Method
• Greater Nanaimo and Ladysmith Early Years
Partnership members were asked to contribute their
indicators and information.
• Mostly existing sources of information were utilized.
• Released in conjunction with the International
Children’s Day, November 20 – a celebration of the
UN Rights of the Child 1989 (and previous
declaration of 1958).
16. Key Notes
• Data are presented without comparison and without time
trends.
– Some trend information is available.
• Agency specific information is available annually, often
with 1-3 year lag times.
• Used 2006 census information, 2011 census and national
household survey now available.
• Used wave 4 of the Early Development Index, wave 5
available.
• Used 2008 McCreary information, 2013 now being
released.
17. Key Points - Socioeconomic
• 19.0% of children living in poverty.
– 7.7 at less than $20,000
– 11.3% additional below LICO
• 6% of children in families receiving income
assistance.
• 21% of homeowners spending >30% on housing.
• 1.2% of children in need of protection.
• 1.5% of children in care.
18. Key Points – Aboriginal Children
• At least 6.4% of region is of Aboriginal
ancestry.
• 2040 Aboriginal students in School District.
– Proportion increasing
19. Key Points – Pre and Post Natal
• 44% of first time mothers received prenatal
education.
• Smoking in pregnancy below 14%
• Low birth weight rate 3.8%
• Breastfeeding initiation 84%
– Sustaining to 6 months 47%
• Audiology program a huge success.
20. Key Points – Toddler Health
• 86% of kindergarten students had no visible
tooth decay.
• Fully immunized rates are only 61% for two
year olds and 55% for 7 year olds.
• Minimal activity levels are achieved by only
54%.
21. 2 – Year Immunization Coverage
• Decreasing ~1/2-1% absolute per year.
• Island Health on par with province.
• Central Island 5-10% less than both North
and South Island on all vaccines.
• Nanaimo rates below Central Island
average.
22. 7 Year Old
• 68% coverage for DaPTP
‒ lowest on Island
‒ 7% less than province
‒ is dropping about 1% absolute per year
• 88% coverage for measles (MR similar)
‒ Stable
‒ On par for province, but 2% less than Central Island and North
Island.
• 90% Varicella protection
• 91% Meningococcal C coverage
23. Grade 6 and 9 Immunization
• Hepatitis B and Meningococcal coverage near 90.
‒ Central Island 1-3% below province and Island.
• HPV coverage 72% and increasing each year.
‒ Nanaimo – slightly better than other Central Island areas.
‒ Central island above Island average and near province.
• Grade 9 TdaP booster
‒ ~ 80%
‒ 4 % less than provincial average.
25. Key Points – Early Learning
• EDI vulnerability levels looked like they were
improving, but re-released data shows a
different trend.
• Access to child care is tight.
26. Key Points – Children’s
Environment
• Library use.
• Low cost recreation access.
• Development policies on park and playground
access.
• Aboriginal culture of support to children.
27. Birth Statistics
-10 -5 0 5 10 15 20 25 30
Preterm
Teen Mother
Live Birth
Low Birth Weight
Cesarean
Mother Greater than 35
Stillbirth
Percentage Variation from Island Health Rate 2013 2012 2011
31. -220 -195 -170 -145 -120 -95 -70 -45 -20 5 30 55 80
Alberni
VI North
Cowichan
Nanaimo
Ladysmith
Sooke
VIHA
Greater Victoria
Courtenay
CRVI
Lake Cowichan
Saanich
Qualicum
Gulf Islands
Percentage Variation from BC Rate
Children in Care Island Health 2010 - 2011
2011 2010
32. -340 -310 -280 -250 -220 -190 -160 -130 -100 -70 -40 -10 20 50
Lake Cowichan
Cowichan
Ladysmith
Alberni
VI North
VIHA
Nanaimo
Greater Victoria
Sooke
Qualicum
CRVI
Courtenay
Gulf Islands
Saanich
Percentage Variation from BC Rate
Children in Need of Protection Island Health 2010 - 2011
Children in Need of Protection 2011 Child Abuse 2010
36. BC EDI Vulnerability on One or More Scales
26
27
28
29
30
31
32
33
II III IV V
Any Dimension
Any dimension
37. BC EDI Vulnerability on Specific
Dimensions
0
2
4
6
8
10
12
14
16
18
II III IV V
Physical
Social comp
Emotional mat
Lang & Cog
Communication
38. Nanaimo Early Development Index
2004-2013
0
10
20
30
40
50
60
2004-2007 2007-2009 2009-2011 2011-2013
Vulnerability on One or More Scales, 2004 to 2013
North Nanaimo
Nanaimo West
Cedar - Wellington -
Gabriola
Northfield - Diver Lake
Long Lake -
Departure Bay
SD 68
Townsite - Nanaimo
Downtown
South Nanaimo
42. From Hastings Street to Haida Gwaii
Provincial results of the 2013 BC
McCreary Adolescent Health Survey.
43. Decrease in Serious Injuries
45%
39%
33%
30%
34%
29%
25% 24%
0%
25%
50%
1998 2003 2008 2013
Injured in the Past Year
Males Females
Note: The difference for females between 2008 and 2013 was not statistically significant.
44. More Youth ate Breakfast
50%
53%
54%
18%
15%
13%
0%
20%
40%
60%
2003 2008 2013
Eating Breakfast on School Days
Always ate breakfast Never ate breakfast
45. Risky Sexual Behaviour
Decreased
Among those who had ever had sex:
• 3% ever had an STI
• 69% used a condom the last time they had
sex.
• 5% had ever been pregnant or caused a
pregnancy.
• 24% used drugs or alcohol last time they
had sex.
46. Decreases in Substance Use
58%
54%
45%
37%
30%
26%34%
26%
21%
0%
35%
70%
2003 2008 2013
Ever Tried Different Substances
Alcohol Marijuana Tobacco
47. School Safety Increased
83%
63% 66%
85%
71%
56%
94%
88% 90%
96%
91%
87%
Classroom Washrooms Hallways Library Cafeteria Outside on
school
property
Always or Usually Felt Safe at School
2008 2013
48. Ratings of Mental Health
3%
11%
38%
49%
6%
18%
43%
33%
Poor Fair Good Excellent
Males Females
49. Rise in Overweight and Obesity
Rates
Males Females
Healthy weight
Underweight
Overweight
Obese
51. 2011 NHS
• 52% of renters spending >30% of income on
housing c.f. BC 45.3%.
• 23.8% of homeowners spending >30% of
income on housing (same as BC).
• Unemployment rate of 9.2% c.f. with BC 7.8%.
• Education levels of 25-65 age group
comparable.
• 6.6% self identify as Aboriginal c.f. BC 5.4%.
52. BC Stats Socio-economic Index
-0.8-0.6-0.4-0.200.20.40.60.81
Alberni (9)
VI North (11)
Lake Cowichan (14)
Nanaimo (25)
CRVI
Cowichan
Ladysmith (44)
Greater Victoria (55)
Qualicum (62)
Courtenay
Sooke (67)
Gulf Islands (74)
Saanich (75)
Socio-Economic Index - 2012 BC Stats
55. What is Next?
• Data can drive action
‒ Bring attention to issues some consider “unacceptable”.
‒ Fix immediate issues identified by the data and within
scope of specific group.
‒ Bring similar thinking people together around specific
issues of concern to plan.
‐ Stimulate a community dialogue.
‐ Wet the appetite for more information.
‐ Issue specific “data dives”.
‐ Plan for a second report on State of the Child Nanaimo.
56. Thanks, Resources and
Questions
• Early years Table partners – Greater Nanaimo
• Amber Bruner – Children First Early Years Coordinator
• Christal Lawson – MHO office, Central Island
• http://www.uwcnvi.ca/web_documents/state_of_the_child_report_2013_-_nanaimo-ladysmith.pdf
• http://www.mcs.bc.ca/ahs
• http://www.nanaimofoundation.com/vital-signs/
• http://earlylearning.ubc.ca/edi/
• http://www.bcstats.gov.bc.ca/StatisticsBySubject/SocialStatistics/SocioEconomicProfilesIndices/SocioEconomicI
ndices/LHAReports.aspx