Four criteria to evaluate providers' service-delivery response to new contraceptive introduction

This article presents an evaluation framework developed to assess the first-level effects of introducing the Standard Days Method (SDM) in Peru Ministry of Health clinics. Four questions are asked: 1) To what extent do providers routinely achieve SDM service delivery standards? 2) Is the time invested in SDM delivery consistent with program norms? 3) How does SDM delivery compare with delivery of established methods? and 4) How does SDM introduction affect delivery of established methods? A study at 62 clinics demonstrated the framework's usefulness. The Standard Days Method introduction had positive overall effects on the quality of care but provider training needed adjustments.     

Do marriages forget their past? Marital stability in post-Khmer Rouge Cambodia

This paper assesses the impact of three main destabilizing factors on marital stability in Cambodia: the radical reformation of marriage under the Khmers Rouges (KR); the imbalanced gender ratio among marriageable adults resulting from gendered mortality during the KR regime; and, after decades of isolation from the West, a period of rapid social change. Although there is evidence of declining marital stability in the most recent period, marriages contracted under the KR appear as stable as adjacent marriage cohorts. Thesefindings suggest that the conditions under which spouses were initially paired matter less for marital stability than does their contemporaneous environment.     

Factors associated with 'feeling suicidal': the role of sexual identity

This paper examines factors associated with feeling suicidal in a large sample of urban men in Sydney and Melbourne, aged 18-50, including heterosexual, gay and bisexual men, HIV antibody positive and HIV antibody negative. As in previous research, sexuality (being homosexual or bisexual) was found to be a major predictor of suicidality. The research went some way towards explaining the close relationship between feeling suicidal and sexual orientation. Sexuality interacts with feeling bad in that, once men feel moderately bad/depressed, they are more likely to feel suicidal if they are homosexual or bisexual than if they are heterosexual. In addition, the research found that experience of verbal abuse and physical assault (harassment) increased feeling suicidal for both heterosexual and gay/bisexual men, not just for homosexual men as suggested by previous research, and that social isolation in the form of living alone is a further risk factor. Seeking counseling help and taking sexual risks were also independently associated with feeling suicidal. These actions may result from feeling suicidal rather than the reverse, and their association with feeling suicidal warrants further research. Many of the 46 independent variables examined in the research, including HIV antibody status and closeness to the HIV/ AIDS epidemic, were related to feeling suicidal only through their association with being gay/bisexual. Celibacy and general risk taking were not related to feeling suicidal in this study.     

公司文化:美国高等教育的新威胁

为民主而斗争是一项政治任务,也是一项教育任务.要促进充满活力的民主文化的产生,最根本的就是要认识到,教育必须被作为公共利益来看待.使高等教育沦为公司文化的附庸违反了教育支持和发展包含民主在内的公共空间的重要社会规则.从汤姆斯·杰佛逊到约翰·杜威,再到C.赖特·米尔斯,赞颂教育对于民主公共生活的根本的重要性成为一个悠久的传统.     

人类的自救

在这个过于巨大和复杂的世界中,对数量庞大、形色各异的人群进行有效和严格的控制是行不通的.尽管我们有着最好的专家学者和最精密的电脑辅助,自然灾害仍超出了人类的理解范围.