The Health Risk Behaviours and Social Connectedness of Adolescents in Immigrant Families: Evidence from Australia

Using data from Australia, health behavior outcomes and the social connectedness of adolescents in immigrant families are contrasted with the outcomes of adolescents in non‐immigrant families. Findings suggest that first and second generation adolescents are less likely to drink alcohol and lack social support than third generation adolescents, but more likely not to be physically active and not to have membership to a social club or group than third generation adolescents. Second generation adolescents are more likely to smoke than third generation adolescents. Findings suggest that immigrant adolescents appear protected from negative risks, yet at the same time, do not benefit from Australia's cultural traditions for physical activity and social participation. Across generations, however, social participation and physical activity increase. Lastly, as length of time in Australia increases, the protective effect of the immigrant family against some negative risks wanes. Overall, the assimilation process leads adolescents in immigrant families to adopt Australia's prevailing social customs of health and social behaviors.     

Sponsored day care in a changing world

Sponsored day care is the term generally used to describe the purchase of places by local authorities in independent day care services (such as childminders, nurseries and playgroups) for children in need. This paper considers the development and operation of sponsored day care services in 12 English local authorities, in the context of current policy developments within early childhood services. It suggests that provision for children in need is in danger of being marginalised by the current focus on early education and child care for working parents, and highlights the importance of developing services for children in need within an overall strategy for children's services. Copyright © 2000 John Wiley & Sons, Ltd.     

Evaluation of the Integrated Services Pilot Program from Western Australia

Independent evaluation of refugee-focused programs in developed nations is increasingly a mandatory requirement of funding bodies and government agencies. This paper presents an evaluation of the Integrated Services Centre (ISC) Pilot Project that was conducted in Australia in 2007 and early 2008. The purpose of the ISC program was to provide integrated support to humanitarian refugees in settlement, physical health, mental health and employment. The Pilot Project was based in two primary schools in Perth, Western Australia. The evaluation utilized a flexible qualitative ‘engaged’ methodology and included interviews, focus groups and telephone interviews with the key stakeholders, project staff and a small number of refugee families. The strength of the qualitative methodology (including data that is narrative rich) is that it highlights issues as perceived by each stakeholder and provides insights into the daily work by ISC staff that helped to uncover unintended outcomes. Despite the fact that the ISC evaluation was supposed to be a ‘before and after’ design, the researchers acknowledge a common weakness in many evaluations (including the ISC) that when baseline data is required, evaluators are recruited after the project has begun. This issue is discussed in the paper. It is critical that independent evaluators are able to begin collecting baseline data as soon as programs are launched, if not before.     

A bivariate space-time downscaler under space and time misalignment

Ozone and particulate matter PM(2.5) are co-pollutants that have long been associated with increased public health risks. Information on concentration levels for both pollutants come from two sources: monitoring sites and output from complex numerical models that produce concentration surfaces over large spatial regions. In this paper, we offer a fully-model based approach for fusing these two sources of information for the pair of co-pollutants which is computationally feasible over large spatial regions and long periods of time. Due to the association between concentration levels of the two environmental contaminants, it is expected that information regarding one will help to improve prediction of the other. Misalignment is an obvious issue since the monitoring networks for the two contaminants only partly intersect and because the collection rate for PM(2.5) is typically less frequent than that for ozone.Extending previous work in Berrocal et al. (2009), we introduce a bivariate downscaler that provides a flexible class of bivariate space-time assimilation models. We discuss computational issues for model fitting and analyze a dataset for ozone and PM(2.5) for the ozone season during year 2002. We show a modest improvement in predictive performance, not surprising in a setting where we can anticipate only a small gain.     

Can a Sector‐Wide Approach Underpin and Advance Universal Health Coverage?

Fragmented management approach makes the provision of comprehensive health care for achieving universal health coverage very unlikely. This article aims to explore the potential contribution of a systemic approach—the sector‐wide approach (SWAp)—to achieving universal health coverage (UHC), using the Mongolian context as an example. The paper describes UHC and factors that hinder its achievement in developing countries, based on the Mongolian experience. The analysis focuses on the root factors hindering the achievement of UHC and examines how these affect system and local capacity critical for achieving UHC. Two principally different approaches, a sector‐wide (holistic) approach and a standalone project (fragmented) approach are compared in terms of their contribution to the main indicators of achieving UHC. The current stage of the Mongolian health SWAp is identified and early rewards of a SWAp are presented. The paper proposes a SWAp as a potential approach to tackle these root factors to help in achieving UHC, because it is a promising instrument that promotes a systems‐strengthening and capacity‐building approach to enable effective coordination of standalone projects in alignment with the national priorities.     

Corporate planning for social responsibility

From his position as Senior Chaplain of a team of Industrial Chaplains, working in industry yet not part of it, the author probes the necessity for a global perspective as a setting for all decisions. The multi-national family of man with limited resources provides the context for multi-national planning and for corporate strategies. We need an ethic for society so that ethical considerations are seen to be pertinent to relationships between nations as well as relations between individuals. This paper suggests a simple model of the ethical dimensions of a global village, which will enable us to see the world perspective while operating at the corporate level and with immediate responsibilities that seem limited but are extensive.