Situating the best interests of the child in community-based arbitration of marriage disputes: Reflections from a pilot intervention of Terre des Hommes Foundation in Assiut, Egypt

2015 ◽  
Vol 2015 (1) ◽  
pp. 5
Author(s):  
Kristen Hope ◽  
Yann Colliou
Keyword(s):  
Best Interests ◽  
Community Based ◽  
Pilot Intervention

scholarly journals IMPROVING SUPPORT FOR CAREGIVERS OF SERIOUSLY ILL OLDER VETERANS: STEPS TOWARD LAY NAVIGATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S679-S679
Author(s):  
Nathan A Boucher
Keyword(s):  
Training Curriculum ◽  
Federally Funded ◽  
Quality Improvements ◽  
Community Based ◽  
Caregiver Support ◽  
Lay Navigation ◽  
Pilot Intervention ◽  
Caregiver Role ◽  
Multiple Health ◽  
Seriously Ill

Abstract This session will discuss mid-stage findings from a five-year, federally-funded study to develop lay navigation supporting informal caregivers, often family/friends, of older Veterans with advanced stage illness. Caregivers of Veterans report numerous burdens in their caregiver role related to food, clothing, shelter, utilities, and transportation. Current programs focus on Veterans’ needs rather than caregivers’ needs. Few programs focus on practical needs that can be met with VA and community-based supports. Lay navigator programs may be used to support caregivers’ social/practical needs. Lay navigation is used with patient populations, but models focused on caregivers do not readily exist. Dr. Boucher will discuss establishment of and input from the study’s Stakeholder Advisory Board and data from sample of caregiver and Veteran interviews informing a lay navigation training curriculum and pilot intervention. Feedback from audience members will be encouraged in this session exploring quality improvements in caregiver support applicable to multiple health systems.

scholarly journals Barbershop Communications on Prostate Cancer Screening Using Barber Health Advisers

2010 ◽  
Vol 5 (2) ◽  
pp. 129-139 ◽  
Author(s):  
John S. Luque ◽  
Brian M. Rivers ◽  
Clement K. Gwede ◽  
Maisha Kambon ◽  
B. Lee Green ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Cultural Consensus ◽  
Educational Materials ◽  
Community Based ◽  
Pilot Intervention ◽  
Priority Population

Objective: The authors report the outcomes of a community-based, barber health adviser pilot intervention that aims to develop customized educational materials to promote knowledge and awareness of prostate cancer (CaP) and informed decision making about prostate cancer screening (PCS) among a predominantly African American clientele. Method: First, the authors implemented a series of learner verification processes with barbershop clients ( n = 15) to adapt existing CaP health promotion materials. Following intervention implementation in the barbershop, they conducted structured surveys with barbershop clients ( n = 40) to evaluate the intervention. Results: Findings from the posttest showed both a significant increase in barbershop clients’ self-reported knowledge of CaP and in the likelihood of discussing PCS with a health care provider ( p < .001). The client’s cultural model of CaP risk factors revealed cultural consensus (eigenratio = 3.3) and mirrored the biomedical model. All clients surveyed reported positively on the contents of the educational materials, and more than half (53%) had discussed CaP at least twice with their barber in the last month. Conclusion: Based on the pilot results, the barber-administered intervention was an appropriate and viable communication channel for promoting CaP knowledge and awareness in a priority population, African American men.

scholarly journals Turning The Tide on Private Profit-Focused Provision In Early Childhood Education

2020 ◽  
Vol 24 ◽  
pp. 75
Author(s):  
Linda Mitchell
Keyword(s):  
Early Childhood ◽  
New Zealand ◽  
Early Childhood Education ◽  
Best Interests ◽  
Community Based ◽  
Childhood Education ◽  
For Profit ◽  
Aotearoa New Zealand ◽  
Private Profit ◽  
Democratic System

The article analyses a market-based approach to early childhood education (ECE) provision and the growth of for-profit ECE provision, evidence about ‘quality’ and accessibility, and problems occurring when a need for private profit conflicts with the best interests of families and children. The issue of for-profit provision is set within the context of international developments and solutions in Europe, UK, US and Canada. Immediate steps that might be taken for a democratic system of community-based and public early childhood education in Aotearoa New Zealand are pinpointed. Overall, the article offers possibilities for asserting democratic values as a way towards alternatives in Aotearoa New Zealand’s early childhood education provision.

Can we improve community adjuvant treatment reporting to a hospital tumor registry?

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 136-136
Author(s):  
Nina Bickell ◽  
Jill Wellner ◽  
Rebeca Franco ◽  
Ann McAlearney
Keyword(s):  
Adjuvant Treatment ◽  
Full Time ◽  
Breast Cancer Patients ◽  
Community Based ◽  
Tumor Registry ◽  
Hospital Leadership ◽  
Medical Oncologists ◽  
Potential Impact ◽  
Outpatient Settings ◽  
Pilot Intervention

136 Background: Accurate cancer treatment reporting to a hospital tumor registry (TR) is critical as data measurement is the foundation for improvement. Yet as adjuvant treatment moves to outpatient settings, reporting is problematic. We undertook a solutions-focused exercise to identify reporting barriers and facilitators and devise a pilot intervention to improve reporting. Methods: We convened a multidisciplinary group of community-based surgical and medical oncologists, TR staff, and hospital leadership. The group identified 3 key barriers: 1) inability to identify correct managing MD, 2) poor communication, and 3) manual reporting burden. The intervention focused on the 1st 2 barriers—those with easy fixes and great potential impact: TR obtained correct information, changed contact forms, worked with pathology to ascertain cases in real-time, tracked and reported practice responses weekly; MDs primed office staff to respond to TR requests. Results: Pre-intervention, the TR identified none of 20 pilot patients’ managing medical oncologist or adjuvant treatment. During the April to May 2012 intervention, 22 breast cancer patients listed our volunteer surgeon as managing MD. The TR sent 22 treatment letters to the surgeon’s office, received 20 (91%) responses with managing MD data provided for all. Patients were referred to full-time (26%) and community (74%) medical oncologists; 64% of required adjuvant treatment was reported. 47% of cases were closed; 53% remain open. Closed cases required 5.9 contacts (38.9 mins; sd=8.99), open cases had 8.2 contacts (48.4 mins; sd=2.85). Surgical staff spent ~1/2 hour per case to identify the oncologist prescribing adjuvant treatment. Conclusions: The solutions-focused exercise successfully improved identification of managing oncologists from 0% to 86% for patients treated by community oncologists. Treatment reporting increased from 2.6% to 64%. The pilot did not address the burden of reporting which remains great for both TR and community oncologists. While electronic access can reduce this burden through direct interface between an EMR and TR software, this approach is not currently feasible for community-based oncologists.

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