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Moriarty P.,International Water and Sanitation Center | Batchelor C.,International Water and Sanitation Center | Laban P.,International Union for Conservation of Nature | Fahmy H.,CARE
Water Alternatives | Year: 2010

This paper outlines the development of an approach (and a set of tools) for 'light' integrated water resources management (IWRM): that is, IWRM that is opportunistic, adaptive and incremental in nature and clearly focused on sustainable service delivery. The approach was developed as part of the EC funded EMPOWERS project in three middle-eastern countries: Egypt, Jordan and Palestine. Developed specifically for use at the intermediate and local levels (that is, sub-national and sub-basin) it is based on a facilitated process of stakeholder dialogue for concerted action supported by a strategic planning framework. The paper describes and discusses the justification for the approach, and sets out its main elements as well as experiences gained during its application. The main lesson of the EMPOWERS project is the seemingly simple - in fact, rather complex and time-consuming - work on facilitating dialogue, taking a structured approach to examining problems, collecting and sharing context-specific information, and helping to formulate a shared vision and strategies to achieve it all of which contribute to improved decision making. However, a major limitation to effective action is lack of appropriately decentralised finance, with local authorities reliant on financing from the national level that is often earmarked and over which they had very little control. © 2010 Water Alternatives.


Casey S.E.,Columbia University | Gallagher M.C.,Columbia University | Makanda B.R.,CARE | Meyers J.L.,CARE International | And 2 more authors.
American Journal of Public Health | Year: 2011

In February 2008, trained female interviewers collected data on sexual violence and use of medical services following sexual assault from 607 women in the Democratic Republic of the Congo (DRC). Exposure to sexual violence during the DRC's civil war was reported by 17.8% of the women; 4.8% of the women reported exposure to sexual violence after the war. Few sexual as sault survivors accessed timely medical care. Facility assessments showed that this care was rarely available. Clinical care for sexual as sault survivors must be integrated into primary health care for DRC women.


Smith S.L.,University of New Mexico | Rodriguez M.A.,CARE
Health Policy and Planning | Year: 2016

Nearly 300 000 women - almost all poor women in low-income countries - died from pregnancy-related complications in 2010. This represents a decline since the 1980s, when an estimated half million women died each year, but is still far higher than the aims set in the United Nations Millennium Development Goals (MDGs) at the turn of the century. The 1970s, 1980s and 1990s witnessed a shift from near complete neglect of the issue to emergence of a network of individuals and organizations with a shared concern for reducing maternal deaths and growth in the number of organizations and governments with maternal health strategies and programmes. Maternal health experienced a marked change in agenda status in the 2000s, attracting significantly higher level attention (e.g. from world leaders) and greater resource commitments (e.g. as one issue addressed by US$40 billion in pledges to the 2010 Global Strategy for Women's and Children's Health) than ever before. Several differences between network and actor features, issue characteristics and the policy environment pre- and post-2000 help to explain the change in agenda status for global maternal mortality reduction. Significantly, a strong poverty reduction norm emerged at the turn of the century; represented by the United Nations MDGs framework, the norm set unusually strong expectations for international development actors to advance included issues. As the norm grew, it drew policy attention to the maternal health goal (MDG 5). Seeking to advance the goals agenda, world leaders launched initiatives addressing maternal and child health. New network governance and framing strategies that closely linked maternal, newborn and child health shaped the initiatives. Diverse network composition - expanding beyond a relatively narrowly focused and technically oriented group to encompass allies and leaders that brought additional resources to bear on the problem - was crucial to maternal health's rise on the agenda in the 2000s. © 2015 The Author; all rights reserved.


Few models of how community mobilisation works have been elaborated in the scientific literature, and evaluation of the impact of these programmes on HIV and other health outcomes is extremely limited. Avahan, the India AIDS Initiative, has been implementing community mobilisation as part of its prevention programming with groups of high-risk individuals across six states since 2005. To articulate a programme theory and evaluation framework for evaluation of Avahan's approach to community mobilisation among female sex workers in four southern states in India. The authors use a goal-based evaluation approach to describe the programme goals and an underlying programme theory that specifies how the programme is expected to work. Using multilevel structural equation modelling with propensity score matching, the evaluation will compare what is observed in the data with the predicted relationships specified by the model. The Avahan model of community mobilisation posits that meaningful participation in high-risk group intervention, structural intervention and organisational development activities leads to identification, collectivisation and ownership, which in turn leads to improved programme outcomes. Strong community groups and an enabling environment reinforce social norm and behaviour change outcomes and lead to sustained impact. Specifying an explicit programme theory can aid in the evaluation of complex interventions, especially when the evaluation design is observational. In addition to articulating Avahan's community mobilisation approach in a model that can be tested, we recommend some specific measures and methods that could be used to improve evaluation efforts in the future.


Shiffman J.,American University of Washington | Quissell K.,American University of Washington | Schmitz H.P.,University of San Diego | Pelletier D.L.,Cornell University | And 7 more authors.
Health Policy and Planning | Year: 2016

Since 1990 mortality and morbidity decline has been more extensive for some conditions prevalent in low- and middle-income countries than for others. One reason may be differences in the effectiveness of global health networks, which have proliferated in recent years. Some may be more capable than others in attracting attention to a condition, in generating funding, in developing interventions and in convincing national governments to adopt policies. This article introduces a supplement on the emergence and effectiveness of global health networks. The supplement examines networks concerned with six global health problems: tuberculosis (TB), pneumonia, tobacco use, alcohol harm, maternal mortality and newborn deaths. This article presents a conceptual framework delineating factors that may shape why networks crystallize more easily surrounding some issues than others, and once formed, why some are better able than others to shape policy and public health outcomes. All supplement papers draw on this framework. The framework consists of 10 factors in three categories: (1) features of the networks and actors that comprise them, including leadership, governance arrangements, network composition and framing strategies; (2) conditions in the global policy environment, including potential allies and opponents, funding availability and global expectations concerning which issues should be prioritized; (3) and characteristics of the issue, including severity, tractability and affected groups. The article also explains the design of the project, which is grounded in comparison of networks surrounding three matched issues: TB and pneumonia, tobacco use and alcohol harm, and maternal and newborn survival. Despite similar burden and issue characteristics, there has been considerably greater policy traction for the first in each pair. The supplement articles aim to explain the role of networks in shaping these differences, and collectively represent the first comparative effort to understand the emergence and effectiveness of global health networks. © 2015 The Author; all rights reserved.


Avent J.,CARE
Journal of Architectural Conservation | Year: 2011

This paper looks at some of the challenges faced in the stabilization of ruins. It covers the approach to dealing with ruined masonry structures and the need to understand the structure before embarking on conservation strategies. It considers the process from initial survey through to the implementation of remedial works. Case studies are presented on a selection of ruined structures, including Piercefield House in South Wales, Astley Castle in Warwickshire, and sites in North Wales and Northern Ireland where in situ jacking techniques were used to stabilize the ruined masonry remains of St Malachy's Wall and Cymer Abbey. The works enabled these medieval structures to be protected with minimum intervention and avoided the need for alternative, more intrusive solutions.


Galavotti C.,CARE | Wheeler T.,Bill and Melinda Gates Foundation | Kuhlmann A.S.,Manila Consulting Group Inc. | Saggurti N.,Population Council | And 3 more authors.
Journal of Epidemiology and Community Health | Year: 2012

Background: Few models of how community mobilisation works have been elaborated in the scientific literature, and evaluation of the impact of these programmes on HIV and other health outcomes is extremely limited. Avahan, the India AIDS Initiative, has been implementing community mobilisation as part of its prevention programming with groups of high-risk individuals across six states since 2005. Purpose: To articulate a programme theory and evaluation framework for evaluation of Avahan's approach to community mobilisation among female sex workers in four southern states in India. Methods: The authors use a goal-based evaluation approach to describe the programme goals and an underlying programme theory that specifies how the programme is expected to work. Using multilevel structural equation modelling with propensity score matching, the evaluation will compare what is observed in the data with the predicted relationships specified by the model. Results: The Avahan model of community mobilisation posits that meaningful participation in high-risk group intervention, structural intervention and organisational development activities leads to identification, collectivisation and ownership, which in turn leads to improved programme outcomes. Strong community groups and an enabling environment reinforce social norm and behaviour change outcomes and lead to sustained impact. Discussion: Specifying an explicit programme theory can aid in the evaluation of complex interventions, especially when the evaluation design is observational. In addition to articulating Avahan's community mobilisation approach in a model that can be tested, we recommend some specific measures and methods that could be used to improve evaluation efforts in the future. Copyright Article author (or their employer) 2012.


Shadi S.,Emory University | Alex M.,CARE | Rheingans R.D.,Emory University
Waterlines | Year: 2010

Despite the known health benefits of washing hands with soap, global handwashing rates are low. In Nyanza Province, Kenya, a follow-up of 55 pilot primary schools three years after the implementation of a safe water and hygiene intervention revealed that only 2 per cent (one school) provided soap for handwashing on the day of the assessment. After identifying barriers to soap provision, SWASH+ partners piloted a handwashing intervention using powdered soap mixed with water to create soapy water in place of bar soap in 11 schools. The first six months of unannounced visits showed high uptake (10 schools). A one-year follow-up visit revealed a decrease of soapy water use (four schools). This paper discusses the soapy water intervention, initial and follow-up monitoring findings, potential sustainability drivers of handwashing programmes in rural primary schools and next steps. © Practical Action Publishing, 2010.


News Article | November 15, 2016
Site: www.prweb.com

Care to Care is pleased to announce that Rachel Title, MD has accepted the position of Chief Medical Officer. She will oversee all clinical initiatives and programs for Care to Care. Dr. Title joined Care to Care in April 2015 as a Senior Medical Director and immediately engaged with clients, referring physicians and industry leaders in building our Radiation Therapy and Medical Oncology programs. Since joining Care to Care she has worked alongside Drs. Julian Safir and Michael Komarow, former Chief Medical Officers, and will continue to implement Care to Care’s patient centered and physician friendly approach to benefit management. Dr. Title is a Board Certified Diagnostic Radiologist specializing in Body and Breast Imaging. She graduated summa cum laude, and first in her class, from Boston University’s Accelerated Seven Year Medical Program with a major in Medical Sciences and a minor in Mathematics. While at Boston University Dr. Title received honors and awards including Phi Beta Kappa, Trustee Scholarship, and Alpha Omega Alpha honor society, where she served as president. She completed an internship in Internal Medicine at Mercy Medical Center in Baltimore, Maryland, a radiology residency at New York-Presbyterian Hospital Weill Cornell Medical Center and a fellowship in Breast & Body Imaging at Memorial Sloan Kettering Cancer Center in New York City. Prior to joining Care to Care, Dr. Title was an Assistant Attending Radiologist in Breast & Body Imaging at Memorial Sloan Kettering Cancer Center and Assistant Professor of Radiology at New York-Presbyterian Hospital Weill Cornell. Her training and experience at Memorial Sloan Kettering Cancer Center have given her a strong background in oncologic imaging. She also has years of experience in private practice where she served as Director of Breast MRI. Dr. Title has published several journal articles and has presented her research at the RSNA annual meeting. “Her principles are completely aligned with our mission to Deliver evidence-based solutions to promote the most efficient and effective use of medical resources, across a range of specialties, for the benefit of patients, payers, physicians, and providers.” stated Barbara Kelman, Chief Operating Officer. About Care to Care, LLC Care to Care is a URAC-Accredited Multi Specialty Benefit Utilization Management company that provides evidence based solutions to ensure payers, their network providers and their beneficiaries receive appropriate and cost-effective care. We reduce redundant or unnecessary procedures, testing and specialty referrals thus improving care and decreasing delays in treatment. Care to Care’s proprietary guidelines are the most advanced in the industry continuously updated by small, focused teams of board certified physicians. We are agile, efficient, and focused on excellence, building the industry’s best programs with the most talented thought leaders.


ATLANTA, Dec. 8, 2016 /PRNewswire-USNewswire/ -- In response to the recent U.S. presidential election, a quarter (25 percent) of Americans either already have or plan to increase their support for nonprofits and charities, according to a new online survey commissioned by the global...

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