Collaboration and Integration of Community Based Health and Human Services In a NonProfit Managed Care System (original) (raw)
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2004
The purpose of this research was to examine how indigenous issues fit into current theories and procedures of development discourse. The current definition of development has changed with the inclusion of the issues and concerns of indigenous peoples. My evaluation of the discourse on development supported this through the examination of the policies and projects of two international development agencies, the World Bank and the Inter-American Development Bank as they pertained to the lives of the aboriginal people in Guyana, South America. However, I argued that the inclusion of indigenousness in development policies has not led to any real changes in the development paradigm. Despite awareness of global issues, such as indigenousness, modernization and its new variant, neoliberalism, continues to be the prevailing model in the development sphere.
THEATER FOR SOCIAL CHANGE IN THE PUNJAB STATE OF INDIA by S u k h w a n t H u n d al
This thesis is about the theater for social change (TSC) in the Punjab State of India. It looks at how the TSC is being carried on and what is its importance in the process of social change in Punjab. The analytical framework used in this thesis contends that the role of TSC is to make people aware of their oppressive reality as well as to explore with them the various ways and means to change this reality. On the basis of this contention, this thesis examines and analyzes the subject matter and the practice of TSC in Punjab. It is found that the subject matter of TSC in Punjab deals with the difficulties and problems faced by the oppressed people. To fully understand the causes of these problems, the TSC's subject matter analyzes these problems at the macro level in connection to the social, cultural, political and economic conditions of Punjab and India. The TSC is Punjab has adopted its practice according to the material conditions in Punjab. It meets its needs from resources available within society. It has close links with people and organizations, which play a crucial role in its functioning. To counter various challenges faced by TSC, on one hand, the practitioners do theater in a way that minimizes the constraints and limits resulting from these challenges and on the other hand, they work to change those conditions that give rise to these challenges.
Growth recovery and bone mineral density in Egyptian children
Dissertation, 2000
Prepubertal children who were stunted as toddlers were reexamined after ten years to determine if growth recovery had occurred, and if, it had occurred, the magnitude of catchup growth and the factors involved in this process. Fifty-six percent of the children exhibited growth recovery defined as an increase in height-for-age z-score (HAZ) greater than −2.00 sd of the WHO reference median. The strongest predictor of HAZ in 1995 was the child's height as a young child. Other factors implicated in growth recovery were male gender, fewer younger siblings within the household, and lower father's years of education. Bone mineral density measures of the distal radius site were not found to be significantly different for children who showed growth recovery in comparison to age and size matched peers. However, those children who remained stunted had smaller bone widths as expected due to their smaller overall body size. Other significant findings were that pubertal delay appears to foster continued education for girls in the study village. Girls who exhibited pubertal maturation were removed from school attendance in keeping with cultural perceptions of modesty and appropriate behavior for young women. Anemia levels were high for all children and particularly for girls. As these young women marry and bear children, it is likely that iron-deficiency anemia will continue if not worsen posing health risks for future generations. Further investigation of child growth in this community is warranted in light of the continued effects early childhood growth stunting has had upon these prepubertal children. The study site provides an ideal setting for non-intervention based research on this topic. Detailed anthropometric, demographic, and socioeconomic variables are available for the sample children's parents, and themselves in 1983–85, 1992, and 1995.