887 resultados para Conditionalities in the health sector


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The vast majority of Bangladesh are poor and are unable even to provide for the most basic human needs. These are the landless and marginal farmers of Bangladesh. They constitute 70% of the rural population, which in turn constitute about 90% of the country's population.^ Effective development of Bangladesh would largely mean the development of the landless and marginal farmers. Past efforts of development in this section of the population, including that of the government, have not succeeded. One of the development goals of the government of Bangladesh is to improve the quality of life of the rural population through health and population control measures. Overpopulation, malnutrition and diarrhea are the major impediments to socioeconomic development in Bangladesh.^ The current study was designed to identify whether there is effective opinion leadership among the marginal and landless peasants affecting decisions on acceptance or nonacceptance of family planning methods and oral rehydration therapy (ORT) in the selected rural areas of Bangladesh. The study was conducted in eight randomly selected villages with funding from the Ministry of Health and Family Planning, government of Bangladesh. One hundred twenty-five opinion leaders were interviewed after they were identified by 408 rural couples owning land less than 2 acres and wives' age below 50. The study was conducted in two phases; couples' interview preceded that of the leaders.^ Findings of the study reveal that the opinion leaders influencing adoption of health and family planning among the landless and marginal farmers belong to the same class. Theses opinion leaders own land much less than the rich farmers and the formal leaders in the rural areas. Majority of these of opinion leaders are friends, neighbors and relatives, some are other persons who are businessmen and professionals like doctors, while the rest few are the field workers of health and family planning. Source of influence as a factor contribute most in differentiating use and non-use of family planning and ORT among both couples and leaders. The most frequent sources of influence referred by the couples and the leaders are the field workers of health and family planning, followed by the peer opinion leaders (friends, neighbors, relatives) and spouse.^ The opinion leaders do not differ much from the poor couples on land holding, a strong indicator of economic status, they however differ considerably on social factors such as family planning practice, education, and exposure to mass media.^ The study suggests that future development efforts in Bangladesh have to ensure community participation by the landless and marginal farmers and opinion leaders belonging to their class. ^

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InGen of Creative Production in the Health Sciences is a compendium of innovative thinking exercises for individuals and groups, derived from an eclectic array of practical guides for professionals in a variety of fields. Segmented into five subcategories across twenty two chapters, the effort seeks to make techniques for increasing innovative problem solving more accessible to a diverse audience of problem solvers. The chapters of Roberta Ness. Innovation Generation (2012, Oxford University Press) provide the themes for each of the chapters in the workbook. It is intended that those who read Ness. Innovation Generation will benefit from practicing the constructs of innovative thinking exemplified in each exercise.^ The methods used to gather data, in this case mostly innovative thinking exercises, included literature reviews of existing innovative thinking tools, classroom materials, and theory-driven exploration of exercises to fill in gaps in extant materials. Specifically, Google.com and Amazon.com searches were conducted using the terms “innovation,” “innovative,” “innovator,” “creative,” “novelty,” “thinking,” together with some variance of “book,” “workbook,” and “exercise.” The results were sorted thematically to show correspondence with the themes in Ness (2012) and compared to suggested best practices of 50 years of scientific research on innovative thinking. Where themes were suggested by Ness (2012) and peer-reviewed research on innovation but unavailable in published innovation thinking workbooks, new exercises were developed. The five type subcategories into which these results were organized are: individual direct, individual indirect, group direct, group indirect and probing question. It is anticipated that the five type subcategories and spectrum of themes will equip problem solvers in a variety of capacities.^

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Chlorophyll "a" and adenozine triphosphate (ATP) concentrations together with size structure of microplankton were investigated in January-April 1989 in the Indian Ocean and in the Weddell Sea. ATP values varied from 11 to 92 ng/l, and chlorophyll "a" concentrations varied from 0.04 to 0.27 µg/l in the Indian Ocean, with prevailing nanoplankton and picoplankton fractions. Both ATP and chlorophyll "a" concentrations increased 2 times to the south of 40°S; in the Weddell Sea they exceeded 400 ng/l and 0.6 µg/l, respectively. Cells of nanophytoplankton and microphytoplankton (mainly diatoms) prevailed in size spectra. Spatial variabilities of the parameters were within one order of magnitude; their values decreased 3-4 times during 1 month. Size structure changed due to increased portion of nanoplankton and picolankton. ATP concentrations in the photic layer (0-200 m) varied from 31.96 mg/m**2 in February to 8.02 mg/m**2 in March to April. ATP concentrations were 61.5 and 98.8 mg/m**2 at depths of 4200 and 4700 m, respectively.

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The dynamic of early spring nanoprotozoa was investigated in three characteristic water masses of the Southern Ocean: the Marginal Ice Zone, the intermediate waters of the Antarctic Circumpolar Current and the Polar Frontal Zone. Biomass and feeding activities of nanoprotozoa were measured, as well as the biomass of their potential prey-bacteria and phototrophic flagellates-on the 6°W meridian in the Southern Ocean along three repetitive transects between 47 and 60° South from October to November 1992. On average, nanoprotozooplankton biomass accounted for 77% of the combined biomass of bacteria and phototrophic flagellates, and was dominated by dinoflagellates and flagellates smaller than 5 µm. As a general trend, low protozoan biomass of 2 mg C/m**3 was typical of the ice covered area, while significantly higher biomasses culminating at 15 mg C/m**3 were recorded at the Polar Front. Biomasses of bacteria and total phytoplankton were distributed accordingly, with larger values at the Polar Front. Phototrophic flagellates did not show any geographical trend. No seasonal trend could be identified in the Marginal Ice Zone and in the intermediate waters of the Antarctic Circumpolar Current. On the other hand, at the Polar Front region a three-fold increase was observed within a 2-month period for nanoprotozooplankton biomass. Such a biomass increase was also detected for bacterioplankton and total phytoplankton biomass. Half-saturation constants and maximum specific ingestion of nanoprotozoan taxons feeding on bacteria and phototrophic flagellates were determined using the technique of fluorescent labelled bacteria (FLB) and algae (FLA) over a large range of prey concentrations. Maximum ingestion rates ranged between 0.002 and 0.015/h for bactivorous nanoprotozoa and heterotrophic flagellates larger than 5 µm feeding on phototrophic flagellates. The markedly high maximum ingestion rates of 0.4/h characterising nanophytoplankton ingestion by dinoflagellates evidenced the strong ability of dinoflagellates for feeding on nanophytoplankton. Daily ingestion rates were calculated from nanoprotozoan grazing parameters and carbon biomass of prey and predators. This indicated that nanoprotozoa ingestion of daily bacterioplankton and phytoplankton production in early spring ranged from 32 to 40%.

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This paper examines the conventional assumption that bilateral transport costs are symmetric. We develop an economic geography model with transport sector in which asymmetric freight rates can occur as a result of density economies. Comparing this to models without density economies, we show that agglomeration of economic activities is more likely to emerge and that multiple equilibria can emerge for some parameters. Then we show the change in its bifurcation and stability of equilibrium and conclude that economies of density in transport flows can act as an agglomeration force.