Availability of occupational health services for federal employees : results of a federal agency survey.

Shipping list no.: 86-742-P.

Understanding the "black box" of a health-promotion program : keys to enable health among older persons aging in the context of migration

Although the need to make health services more accessible to persons who have migrated has been identified, knowledge about health-promotion programs (HPPs) from the perspective of older persons born abroad is lacking. This study explores the design experiences and content implemented in an adapted version of a group-based HPP developed in a researcher-community partnership. Fourteen persons aged 70-83 years or older who had migrated to Sweden from Finland or the Balkan Peninsula were included. A grounded theory approach guided the data collection and analysis. The findings showed how participants and personnel jointly helped raise awareness. The participants experienced three key processes that could open doors to awareness: enabling community, providing opportunities to understand and be understood, and confirming human values and abilities. Depending on how the HPP content and design are being shaped by the group, the key processes could both inhibit or encourage opening doors to awareness. Therefore, this study provides key insights into how to enable health by deepening the understanding of how the exchange of health-promoting messages is experienced to be facilitated or hindered. This study adds to the scientific knowledge base of how the design and content of HPP may support and recognize the capabilities of persons aging in the context of migration.

Implementing the Global Plan of Action on workers' health: Components to protect health care workers

Health care workers are at risk for percutaneous injuries and infection with blood born pathogens due to needle stick injuries with contaminated needles. The most common pathogens transmitted are hepatitis B, and C and HIV/AIDS. According to the WHO Global Plan of Action (GPA) a large gap exist between and within countries with regards to the health status of workers and their exposure to occupational risk. Less than 15% of the world's work forces have access to occupational health services despite the availability of effective interventions that can prevent occupational hazards, or protect and promote health in the workplace. The 2006 World Health Report declared that there is a global crisis in the health care work force. 1 in 400 of the world's health care workers work in Sub-Saharan Africa. 1 in 3 work in the U.S or Canada. The shortage of health care workers is worst in Southeast Asia and Sub-Saharan Africa. These countries have the highest burden of exposure to contaminated sharps. They rarely, if ever monitor the exposure or health impact of occupational ailments and injuries on workers. Many injuries are unreported. Occupational health services in the developing world are virtually non existent. Many health care workers leave their home countries and go to work in other countries where the working conditions, occupational services included, are better. The inability of countries to provide the necessary numbers of health care workers to provide a high level of health coverage is a threat to national and international public health security. Immunizing health care workers against hepatitis B and providing them PEP, PPE, education and safety training is an essential part of increasing and maintaining the numbers of health care workers in the critical shortage areas. ^

A metasynthesis of qualitative studies regarding opinions and perceptions about barriers and determinants of health services’ accessibility in economic migrants

Background: Access to health services is an important health determinant. New research in health equity is required, especially amongst economic migrants from developing countries. Studies conducted on the use of health services by migrant populations highlight existing gaps in understanding which factors affect access to these services from a qualitative perspective. We aim to describe the views of the migrants regarding barriers and determinants of access to health services in the international literature (1997–2011). Methods: A systematic review was conducted for Qualitative research papers (English/Spanish) published in 13 electronic databases. A selection of articles that accomplished the inclusion criteria and a quality evaluation of the studies were carried out. The findings of the selected studies were synthesised by means of metasynthesis using different analysis categories according to Andersen’s conceptual framework of access and use of health services and by incorporating other emergent categories. Results: We located 3,025 titles, 36 studies achieved the inclusion criteria. After quality evaluation, 28 articles were definitively synthesised. 12 studies (46.2%) were carried out in the U.S and 11 studies (42.3%) dealt with primary care services. The participating population varied depending mainly on type of host country. Barriers were described, such as the lack of communication between health services providers and migrants, due to idiomatic difficulties and cultural differences. Other barriers were linked to the economic system, the health service characteristics and the legislation in each country. This situation has consequences for the lack of health control by migrants and their social vulnerability. Conclusions: Economic migrants faced individual and structural barriers to the health services in host countries, especially those with undocumented situation and those experimented idiomatic difficulties. Strategies to improve the structures of health systems and social policies are needed.

Reauthorization of the federal-aid highway program : field hearings before the Committee on Environment and Public Works and thee Subcommittee on Water Resources, Transportation, and Infrastructure, United States Senate, One Hundred Second Congress, first session, March 25, 1991--Houston, TX ... April 22, 1991--Billings, MT.

Shipping list no.: 91-498-P.

Library Services and Construction Act long range program.

Description based on: 1991/94; title from cover.

Federal aid for education : a history of proposals which have received consideration by the Congress of the United States, 1789-1960 / c Committee on Education and Labor, House of Representatives, Eighty-seventh Congress, first session. Prepared in the Legislative Reference Service, Library of Congress, by Helen A. Miller, assisted by Anne F. McGrath and Maryann D. Ellsworth.

At head of title: 87th Cong., 1st sess. Committee print.

Library Services and Technology Act ... subgrant program /

"Includes: Guidelines & Funding Areas."

Library Services and Technology Act : five year state plan for Michigan, October 1, 1997-September 30, 2002.

Includes "Library of Michigan FY 1999 LSTA Subgrant Application" (11 leaves).

Library Services & Technology Act, report for ... : LSTA.

Title from cover.

Funding for the federal-aid highway program [microform] : hearings before the Subcommittee on Transportation of the Committee on Environment and Public Works, United States Senate, Ninety-sixth Congress, second session, on S. 2913 ... August 19 and September 9, 1980.

""Serial no. 96-H59.''

Investigation of selected cases under the aid to dependent children program : Department of Public Welfare, District of Columbia Government : special report to the Subcommittee on District of Columbia, Committee on Appropriations, United States Senate.

Mode of access: Internet.

Federal aid for education: a history of proposals which have received consideration by the Congress of the United States, 1789-1960.

At head of title: 87th Congress, 1st session, Committee print.

Oversight of the federal-aid highway program : hearings before the Subcommittee on Water Resources, Transportation, and Infrastructure of the Committee on Environment and Public Works, United States Senate, One Hundred First Congress, first session ....

"August 21, 1989--Twin Falls, ID; August 22, 1989--Idaho Falls, ID"--Pt. 1; "November 11, 1989--Lewiston, MT"--Pt. 2.

Financing federal-aid highways.

Revised to incorporate changes in the financing procedures brought about by the 1982 Surface Transportation Assistance Act.