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Public Facilities (public + facility)

Distribution by Scientific Domains

Medical Sciences	40%

Selected Abstracts

Resource Accessibility and Vulnerability in Andhra Pradesh: Caste and Non-Caste Influences

DEVELOPMENT AND CHANGE, Issue 4 2007
Lee Bosher
ABSTRACT Coastal Andhra Pradesh in southern India is prone to tropical cyclones. Access to key resources can reduce the vulnerability of the local population to both large-scale disasters, such as cyclones, and to the sort of small-scale crises that affect their everyday lives. This article uses primary fieldwork to present a resource accessibility vulnerability index for over 300 respondents. The index indicates that caste is the key factor in determining who has assets, who can access public facilities, who has political connections and who has supportive social networks. The ,lower' castes (which tend to be the poorest) are marginalized to the extent that they lack access to assets, public facilities and opportunities to improve their plight. However, the research also indicates that the poor and powerless lower castes are able to utilize informal social networks to bolster their resilience, typically by women's participation with CBOs and NGOs. Nevertheless it is doubtful whether this extra social capital counterbalances the overall results which show that , despite decades of counteractions by government , caste remains a dominant variable affecting the vulnerability of the people of coastal Andhra Pradesh to the hazards that they face. [source]

Costs of maternal health care services in three anglophone African countries

INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, Issue 1 2003
Ann Levin
Abstract This paper is a synthesis of a case study of provider and consumer costs, along with selected quality indicators, for six maternal health services provided at one public hospital, one mission hospital, one public health centre and one mission centre, in Uganda, Malawi and Ghana. The study examines the costs of providing the services in a selected number of facilities in order to examine the reasons behind cost differences, assess the efficiency of service delivery, and determine whether management improvements might achieve cost savings without hurting quality. This assessment is important to African countries with ambitious goals for improving maternal health but scarce public health resources and limited government budgets. The study also evaluates the costs that consumers pay to use the maternal health services, along with the contribution that revenues from fees for services make to recovering health facility costs. The authors find that costs differ between hospitals and health centres as well as among mission and public facilities in the study sample. The variation is explained by differences in the role of the facility, use and availability of materials and equipment, number and level of personnel delivering services, and utilization levels of services. The report concludes with several policy implications for improvements in efficiency, financing options and consumer costs. Copyright © 2003 John Wiley & Sons, Ltd. [source]

Institutional design and the closure of public facilities in transition economies

THE ECONOMICS OF TRANSITION, Issue 3 2002
William Jack
As part of the reforms of their systems for financing and delivering health care, many transition economies, particularly in central and eastern Europe, have adopted national insurance funds that are institutionally separate from ministries of health. Most of these countries have also grappled with the problem of restructuring the delivery system, especially the need to reduce hospital capacity. Although improving the performance of medical care providers through a shift from passive budgeting to explicitly incentive mechanisms is important, why this change in financial relations between the government and providers could not be implemented simply by reforming the role of health ministries is not obvious. This paper presents an explicit rationale for the separation of powers between the regulator (the ministry of health) and the financing body (the insurance fund), based on the inability of a single agency to commit to closing hospitals. JEL classification: L51, P20, P35, I18. [source]

Effects of parental perception of neighbourhood deprivation and family environment characteristics on pro-social behaviours among 4,12 year old children

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2010
Andre M. N. Renzaho
Abstract Objective: To assess the effect family environment stressors (e.g. poor family functioning and parental psychological distress) and neighbourhood environment on child prosocial behaviour (CPB) and child difficulty behaviour (CDB) among 4-to-12 year old children. Methods: Analysis of the 2006 Victorian Child Health and Wellbeing Survey (VCHWS) dataset derived from a statewide cross-sectional telephone survey, with a final total sample of 3,370 children. Results: Only family functioning, parental psychological distress, child gender, and age were associated with CPB, explaining a total of 8% of the variance. Children from healthily functioning families and of parents without any psychological distress exhibited greater prosocial behaviours than those from poorly functioning families and of parents with mental health problems. Neighbourhood environment was not found to contribute to CPB. A total of eight variables were found to predict CDB, explaining a total of 16% of the variance. Poor family and parental psychological functioning as well as poor access to public facilities in the neighbourhood were associated with conduct problems in children. Conclusion: Our results point to the importance of the family environment in providing a context that fosters the development of empathic, caring and responsible children; and in buffering children in exhibiting behaviour difficulties during the formative years of life. Programs aimed at promoting prosocial behaviours in children need to target stressors on the family environment. [source]

EURONEAR: Data mining of asteroids and Near Earth Asteroids

ASTRONOMISCHE NACHRICHTEN, Issue 7 2009
O. Vaduvescu
Abstract Besides new observations, mining old photographic plates and CCD image archives represents an opportunity to recover and secure newly discovered asteroids, also to improve the orbits of Near Earth Asteroids (NEAs), Potentially Hazardous Asteroids (PHAs) and Virtual Impactors (VIs). These are the main research aims of the EURONEAR network. As stated by the IAU, the vast collection of image archives stored worldwide is still insufficiently explored, and could be mined for known NEAs and other asteroids appearing occasionally in their fields. This data mining could be eased using a server to search and classify findings based on the asteroid class and the discovery date as "precoveries" or "recoveries". We built PRECOVERY, a public facility which uses the Virtual Observatory SkyBoT webservice of IMCCE to search for all known Solar System objects in a given observation. To datamine an entire archive, PRECOVERY requires the observing log in a standard format and outputs a database listing the sorted encounters of NEAs, PHAs, numbered and un-numbered asteroids classified as precoveries or recoveries based on the daily updated IAU MPC database. As a first application, we considered an archive including about 13 000 photographic plates exposed between 1930 and 2005 at the Astronomical Observatory in Bucharest, Romania. Firstly, we updated the database, homogenizing dates and pointings to a common format using the JD dating system and J2000 epoch. All the asteroids observed in planned mode were recovered, proving the accuracy of PRECOVERY. Despite the large field of the plates imaging mostly 2.27° × 2.27° fields, no NEA or PHA could be encountered occasionally in the archive due to the small aperture of the 0.38m refractor insufficiently to detect objects fainter than V , 15. PRECOVERY can be applied to other archives, being intended as a public facility offered to the community by the EURONEAR project. This is the first of a series of papers aimed to improve orbits of PHAs and NEAs using precovered data derived from archives of images to be data mined in collaboration with students and amateurs. In the next paper we will search the CFHT Legacy Survey, while data mining of other archives is planned for the near future (© 2009 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source]