Afghan families and health professionals’ access to health information during and after pregnancy

BackgroundHaving a baby in a new country can be challenging, especially if unable to communicate in a preferred language. The aim of this paper is to explore the provision of health information for Afghan women and men during pregnancy, childbirth and the first year after birth in Melbourne, Australia.MethodsCommunity engagement underpinned the study design. Qualitative study with bicultural researchers conducting semi-structured interviews. Interviews and focus groups were also conducted with health professionals.ResultsSixteen Afghan women and 14 Afghan men with a baby aged 4–12 months participated. Thirty four health professionals also participated. Verbal information provided by a health professional with an interpreter was the most common way in which information was exchanged, and was generally viewed favourably by Afghan women and men. Families had limited access to an interpreter during labour and some families reported difficulty accessing an interpreter fluent in their dialect. Availability of translated information was inconsistent and health professionals occasionally used pictures to support explanations. Women and men were unsure of the role of health professionals in providing information about issues other than pregnancy and infant wellbeing.ConclusionBoth individual and health system issues hinder and enable the availability and use of information. Consistent, understandable and ‘actionable’ information is required to meet the needs of diverse families. Health professionals need to be supported with adequate alternatives to written information and access to appropriate interpreters. Inconsistent provision of information is likely to contribute to low health literacy and poor maternal and child health outcomes.     

价值链网络结构范型下社区公共物品协同供给创新

社区公共物品供给治理本质上是一个开放演化、利益关联、耦合自洽和情境适应的复杂网络系统。由于供给手段智慧化、供给过程复杂性、个体能力失败和主体关系不确定性，传统由单中心主导的分立、单一和线性供给模式不能对整体网络化供给问题给出有效释义和策应方案，需要引入价值链网络结构治理新范式。从价值链理论出发，社区公共物品供给是适应协同供给的价值链网络结构系统，价值链网络系统理论与社区公共物品协同供给具有内在契合性。价值链网络结构范型下社区公共物品协同供给的内在要求体现在现实问题逻辑、供给价值诉求和主体关系博弈三方面；价值系统表征为克服供给碎片化、提供“三变”供给路径和技术手段嵌入支撑；构建基础体现在良好的社区文化、坚实的网络基础和规范的政治环境。建构多中心价值链网络协同供给模型，需要从管理协同、运作协同以及消费反馈协同三个层面展开施加管控。     

重大公共卫生事件中应如何作为:来自医学人类学哈佛学派的启示

聚焦人类学者在针对重大公共卫生事件的跨学科研究中应该有何作为这一议题,通过借鉴来自医学人类学哈佛学派的民族志洞见和研究经验,为当下2019新型冠状病毒疫情危机中所进行的田野观察和分析,以期获得灵感和启示,并探索有可行性和操作性的研究策略和方法。     

Scholarly Communications Training: Professional Development for the Next Generation of Scholars

Abstract

Many campuses are seeing increased needs for support in scholarly communications areas such as open access, research identity management, scholarship metrics, and related topics. This article discusses a professional development program that addresses scholarly communications needs for online and in-person graduate students and faculty at UNC Greensboro (UNCG), through a collaborative, interdepartmental effort that brings together librarians from the departments of Research, Outreach, and Instruction (ROI) and Technical Services. The authors provide a brief overview of the literature related to scholarly communications needs and training in academic libraries and discuss the UNCG program’s inception, modules, format, assessment, and future directions.     

Parent/carer views on personal health budgets for disabled children who use rehabilitation therapy services

Personalised budgets are promoted as the person-centred alternative to generically provided services. Nine parents/carers of disabled children (aged 18 years or younger) who accessed at least two rehabilitation therapy services (physiotherapy, occupational therapy, and speech and language therapy) were recruited from one region in England. Focus group/interviews explored their views on the proposed introduction of personalised budgets. Parents and carers viewed a personal health budget with caution and perceived benefits were tempered by their experiences of current provision. Concerns were raised about entitlement and how a personal budget would work in practice.     

Antenatal care utilisation among Syrian refugees in Tehran: A respondent driven sampling method

AimTo assess the antenatal care utilisation among Syrian refugees in Tehran.MethodsThis cross-sectional study was performed in 2016 in Tehran. As the refugees live in the city, we used Respondent Driven Sampling method for finding participants. Data were collected from interviews by a newly graduated Syrian general practitioner.FindingsIn total, 231 women participated in the study. The mean (standard deviation) number of antenatal care visits was 3.73 (1.41) and 131(56.7%) women received at least four visits. The mean (standard deviation) number of antenatal care visits was higher among women with four or more living children compared with those with four or more: 3.47 (1.35); 95% confidence interval 3.28 to 3.66 vs. 2.82 (1.64); 95% confidence interval 2.25 to 3.40, p = 0.01. The mean (standard deviation) number of antenatal care visits was higher among women whose spouses had academic degrees compared with those with lower education: 4.13 (1.37); 95% confidence interval 3.86–4.40 vs. 3.28 (1.31); 95% confidence interval 3.05–3.52, p < 0.001.ConclusionsAntenatal care utilisation of Syrian women in Tehran complied with neither national guidelines of Iran nor the recommendations of World Health Organization. However, antenatal care utilisation of Syrian women in Tehran was higher than the main destinations of Syrian refugees. Syrian women kept their own cultural behaviour in terms of antenatal care utilisation.     

城市居民公共服务满意度及其影响因素——源于河北省的调查

提升城市居民公共服务满意度,不仅是提高城市化质量的重要举措,也是保障民生和增强居民幸福感的重要途径。以河北省实地调研为例,在考察了新型城镇化背景下城市居民公共服务满意度情况,并实证分析了影响城市居民公共服务满意度的因素后,研究结果表明:城市居民对商业设施、公共交通以及城市信息化的满意度较高,但对就业和创业机会、市场秩序以及经济环境的满意度较低。同时,年龄、文化程度、经济条件以及家庭特征是影响城市居民公共服务满意度的重要因素。因此,政府要加大对三、四线城市公共服务投资力度,加快交通设施建设,鼓励绿色出行方式,稳定物价水平,扩大市场开放,规范市场秩序,营造良好环境。     

The 2015 welfare reform of the National Basic Livelihood Security System in South Korea: Effects on economic outcomes

In July 2015, South Korea’s National Basic Livelihood Security System (NBLSS) was reformed for the purposes of eliminating welfare blind spots and reducing poverty. The reform is expected to affect the recipients’ economic behaviours and choices. In this study, we used changes in benefits and eligibility for the NBLSS under the customised benefit system to identify the effects of the change in the NBLSS on a proposed set of economic outcomes – income, labour supply, consumption, savings, poverty reduction. To estimate the effects, we used data from the 10th–12th waves of the Korea Welfare Panel Study and employed a difference‐in‐differences framework integrated with the propensity scores. We found that the NBLSS helps the poor to reduce financial and material hardships through income and consumption increments, but that it does not provide disincentives to the recipients from participating in the labour market or from saving.     

Social investment effects of public education,health care,and welfare service expenditures on economic growth

The purpose of this study is to theoretically and empirically examine whether public spending in education, health care, and welfare service operates as a fruitful investment in welfare states, which has been implied in the literature of social investment arguments. Based on comprehensive review of existing literature, this study suggested a tripartite mechanism of social investment effect of such spending, that is “enhancement of human capital,” “support for labor force participation,” and “job creation.” To find the empirical evidence, a pooled time‐series cross‐section analysis was conducted with the data of 15 advanced welfare states from 1980 to 2015 using estimation technique of fixed‐effect model. The results confirmed that public spending in education, health care, and welfare service had a positive medium‐term as well as long‐term effect on economic performance, while cash‐type welfare spending had an obscure or no visible effect on economy. Government consumption that is a proxy and control variable of size of the welfare state showed a positive effect on real GDP in the medium term but a negative effect in the long run. In conclusion, this study suggests that reinforcing social services should be recognized and dealt with as essence of social investment strategy.