Perceived barriers to accessing health services among people with disabilities in rural northern Namibia

People living with disabilities (PWD) face unique problems in dealing with conventional healthcare facilities. We investigate the experiences of PWD as they access healthcare facilities in rural Namibia. More specifically, we investigate structural–environmental and process barriers to accessing health facilities. The study relied on semi-structured interviews and purposive sampling. The results showed PWD find it difficult to walk to health centers for treatment due to lack of transport, money to pay for treatment and toilet facilities and the distance is too far for people with lower-limb disabilities. There is a need to consider the unique issues affecting access to healthcare for people living with disabilities to achieve equitable access to healthcare services.     

Identifying habitat sinks: a case study of Cooper’s hawks in an urban environment

We studied a population of Cooper’s hawks (Accipiter cooperii) in Tucson, Arizona from 1994 to 2005. High rates of mortality of nestlings from an urban-related disease prompted speculation that the area represented an ecological trap and habitat sink for Cooper’s hawks. In this paper, we used estimates of survival and productivity from 11years of monitoring to develop an estimate of the rate of population change, λ, for Cooper’s hawks in the area. We used a Cormack–Jolly–Seber approach to estimate survival of breeding hawks, and a stochastic, stage-based matrix to estimate λ. Despite the urban-related disease, the estimate of λ indicated that the area does not function as a habitat sink for Cooper’s hawks (= 1.11 ± 0.047; P = 0.0073 for the null of λ ≤ 1). Because data required to reliably identify habitat sinks are extensive and difficult to acquire, we suggest that the concept of habitat sinks be applied cautiously until substantiated with reliable empirical evidence.     

BRAC: Anatomy of a “poverty enterprise”

Management of the poverty alleviation process has created a new form of poverty enterprise. This enterprise provides poverty‐production‐market linkages, and in the process, it combines three features: a nonprofit nongovernmental organization, a for‐profit nongovernmental organization that has established an internal market, and a profit‐making industrial and business concern. This article explains how BRAC (Building Resources Across Community) in Bangladesh has used poverty to transform itself from a tiny relief distribution organization into the world's largest poverty enterprise. This enterprise is characterized by contradictions between its public claims and actual practices.     

Correlation of Quantitative Risk Results for High Hazard Processes

A quantitative risk analysis was conducted to evaluate the design of the VX neutralization subsystem and related support facilities of the U.S. Army Newport Chemical Agent Disposal Facility. Three major incidents including agent release, personnel injury, and system loss were studied using fault tree analysis methodology. Each incident was assigned a risk assessment code based on the severity level and probability of occurrence of the incident. Safety mitigations or design changes were recommended to bring the "undesired" risk level (typical agent release events) to be "acceptable with controls" or "acceptable."