Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / This thesis is based on two facts. l) Corporate foundations are giving increasingly large sums of money to charitable causes, especially to health and welfare causes. 2) State health and welfare programs have large financial and nonfinancial needs which neither the federal nor state governments are adequately meeting. Thus, this thesis is concerned with determining what possibility exists for state health and welfare programs to receive a portion of this growing corporate foundation giving. [TRUNCATED] / 2999-01-01

Darbo tikslas. Įvertinti tėvų, mokyklos administracijos, bei mokyklų visuomenės sveikatos specialistų požiūrį į vykdomos vaikų sveikatos programos reikaligumą. Uždaviniai. Nustatyti tėvų ir mokyklos administracijos požiūrį į mokyklose vykdomą vaikų sveikatos programą. Įvertinti visuomenės sveikatos specialistų požiūrį į mokyklose vykdomą vaikų sveikatos programą. Palyginti vaikų sveikatos programos reikalingumą vertinusių žmonių grupių požiūrį. Tyrimo metodika. Kauno rajono mokyklose dirbančių dirbančių visuomenės sveikatos specialistų ir mokyklos adminsitracijos anoniminė anketinė apklausa (n = 50 t.y., atsako dažnis 100proc). Tėvams buvo išdalintos sutikimo formos ir informaciniai lapeliai apie vykdomą sveikatos programą (n = 3379 t.y., atsako dažnis 70,1 proc.). Apklausos rezultatai buvo analizuojami naudojant SPSS 17,0 versijos statistinių duomenų analizės programą. Statistinių duomenų reikšmingumas tikrintas pagal χ2 kriterijų, laisvės laipsnių skaičių ir statistinį reikšmingumą (p). Rezultatai. Visos respondentų grupės (80 proc.) teigiamai vertina vaikų sveikatos programas. Respondentų nuomonės išsiskyrė atsakant į klausimą ar trukdomas pamokų laikas sveikatos programų metų, (53 proc) visuomenės sveikatos specialistų teigia, kad laikas trukdomas, o (66 proc.) mokyklos administracijos, kad netrukdomas. Net (77 proc.) mokyklos administracijos darbuotojų teigia, kad jų darbo praktikoje buvo vykdytos sveikatos programos, tuo tarpu visuomenės sveikatos specialistai „taip“... [toliau žr. visą tekstą] / Aim of the study. Rate parents, school administration, and school of public health professionals in the treatment of the children's health program need. Objectives. Of parental and school administration's approach to the schools of the children's health program. To estimate the public health professionals approach the schools of the children's health program. Compare child health need for the program evaluated the groups approach. Methods. Kaunas district schools, working professionals working in public health and schools administration anonymous questionnaire (n = 50, the response rate 100 percent). Parents were handed out consent forms and information sheets on current health program (n = 3379, response rate 70,1 percent.). The survey results were analyzed using SPSS version 17,0 statistical analysis program. Statistical significance of data was checked according to the criteria χ2, number of degrees of freedom and statistical significance (p). Results. All groups of respondents (80 percent). Welcomes children's health programs. Respondents' opinions divorced in response to a question or disturbed lesson time health programs for years (53 percent) of public health experts argue that time is disturbed, while (66 percent.) School administration that interruption. Net (77 percent.) School administrators say that their work has been carried out in practice, health programs, while public health practitioners 'yes' said less than half of the respondents (44proc.). For more than... [to full text]

Este trabalho investiga a situação do aleitamento materno em São Luís, Maranhão, numa tentativa para oferecer subsídios às autoridades quando na implantação o Programa Nacional de Incentivo ao Aleitamento Materno, do Ministério da Saúde. Foram entrevistadas 500 mães multíparas e 319 primíparas, num total de 819 mães, entre as idades de 15 e 40 anos. Os resultados revelaram que os conhecimentos das mulheres em relação às propriedades do leite e ao aleitamento materno são insuficientes, inadequados ou incorretos. Entretanto, surpreendeu a constatação de que a maioria (91,8 por cento ) das mães entrevistadas ainda adota o aleitamento materno. Recomendaç5es foram propostas do ponto de vista educativo como sugestões às autoridades para reforço da prática do aleitamento natural. / This paper investigates the situation of breast feeding in São Luís, Maranhão, Brazil, in an effort to offer subsidies to the authorithies when the National Breast Feeding Programme is introduced in the State. Eigth hundred and nineteen mothers ranging from 15 to 40 years of age were interviewed after delivery in two local Maternities. Results show that women\'s knowledge about milk and advantages of breast feeding is insufficient, inadequate or incorrect. However, it was surprising to find out that the majority (91,8 per cent ) of mothers interviewed still breast fed their babies. Recommendations concerning educational aspects Df the programme were presented emphasizing the need to maintain or increase breast feeding.

Este trabalho investiga a situação do aleitamento materno em São Luís, Maranhão, numa tentativa para oferecer subsídios às autoridades quando na implantação o Programa Nacional de Incentivo ao Aleitamento Materno, do Ministério da Saúde. Foram entrevistadas 500 mães multíparas e 319 primíparas, num total de 819 mães, entre as idades de 15 e 40 anos. Os resultados revelaram que os conhecimentos das mulheres em relação às propriedades do leite e ao aleitamento materno são insuficientes, inadequados ou incorretos. Entretanto, surpreendeu a constatação de que a maioria (91,8 por cento ) das mães entrevistadas ainda adota o aleitamento materno. Recomendaç5es foram propostas do ponto de vista educativo como sugestões às autoridades para reforço da prática do aleitamento natural. / This paper investigates the situation of breast feeding in São Luís, Maranhão, Brazil, in an effort to offer subsidies to the authorithies when the National Breast Feeding Programme is introduced in the State. Eigth hundred and nineteen mothers ranging from 15 to 40 years of age were interviewed after delivery in two local Maternities. Results show that women\'s knowledge about milk and advantages of breast feeding is insufficient, inadequate or incorrect. However, it was surprising to find out that the majority (91,8 per cent ) of mothers interviewed still breast fed their babies. Recommendations concerning educational aspects Df the programme were presented emphasizing the need to maintain or increase breast feeding.

With rapidly rising health care expenditures, health care cost containment has become a major issue facing this nation. A phenomenal growth in worksite health promotion has occurred with the recognition that these programs have the potential to reduce these costs. However, to be effective as a cost containment strategy, health promotion programs must successfully attract participants, particularly those whose health is most at-risk. Due to limited research on issues of participation, there is a need to investigate the characteristics of individuals attracted to worksite health promotion programs and the factors that influence their participation. The purpose of this study was to explore the characterization of participants and nonparticipants and to examine the factors that influence participation in health promotion programs. A self-selected participant group (n=173) was compared to a nonparticipant group (n =146) with respect to sociodemographic characteristics, health care costs, health status, and health risk behaviors. Qualitative and quantitative data were collected from the employer's records and from a questionnaire designed to address specific components of the program. Results indicated that management/administrative staff were more likely to participate in the health promotion program than were classified or faculty staff. For the period of the survey, participants were also more likely to be nonsmokers and were less likely to be injured on-the-job during one of the survey years. The workers' compensation claims costs for nonparticipants were significantly higher in one survey year and over the two-year average period considered. However, the nonparticipant claims were strongly influenced by one costly claim in 1988. The two groups did not differ when the absenteeism data from the employer's records were analyzed. In addition, it was found that subjects with the highest levels of participation also had the fewest number of children living in the household. Time constraints as a result of job schedule, work/activity load, and meeting times of the activities were the most important factors limiting participation in the program. Further research is needed to assess program effectiveness and program impact upon employee health and health care costs. The analysis should be conducted over a longer period of time and comparisons should be made within as well as between groups. / Graduation date: 1992

The Nurse Family Partnership (NFP) program is a home visitation program that targets low income parents expecting their first child. With the nurse delivering services, the program is designed to facilitate positive changes that improve health outcomes for the woman and her baby. Despite successful program implementation in mostly urban communities across the United States, obstacles exist to implement Nurse Family Partnership in rural communities. The purpose of this practice inquiry was to collaborate with Pima County Health Department and Nurse Family Partnership to evaluate the feasibility of implementing the Nurse Family Partnership program in Pima County rural communities. As part of this practice inquiry collaboration, the first aim completed a community assessment of Arivaca to identify rural community strengths and potential barriers to implementation and thus serve as an implementation prototype for Pima County Health Department. Descriptive statistics were utilized from the Arizona Department of Health Services Arizona Vital Statistics, U.S. Census Bureau, and Arizona Department of Health Services needs assessment data sets to assess population characteristics and the Nurse Family Partnership eligible population in Arivaca. Additionally, a windshield survey was conducted to assess community referral capacity and/or program champions, existing public/community health programs or services linkages, and issues due to rurality such as transportation challenges and driving time/distances. The second practice inquiry aim developed an implementation plan, including an evaluation component, alongside Pima County Health Department that expands Nurse Family Partnership into additional rural communities in Pima County. The Nurse Family Partnership implementation plan template was utilized to identify community need and population characteristics, Pima County Health Department mission and culture, organization capacity, nursing practice and support, community linkages, sustainability, and financing and fiscal policy support. Descriptive statistics were utilized from the Arizona Department of Health Services Arizona Vital Statistics, U.S. Census Bureau, and Arizona Department of Health Services needs assessment data sets to describe a community profile to complete the Nurse Family Partnership implementation plan template. This practice inquiry demonstrated that completion of a windshield survey and review of descriptive data sets in the proposed service areas helps to identify community referral capacity and/or program champions, existing public/community health programs or services linkages, and issues due to rurality. This process can be used as a prototype for Pima County Health Department prior to implementation in the entire proposed service area.

This study has presented findings on the correlations of the attitudes of the health promotion program provider and the program decision-maker in measuring the success of their worksite health promotion programs. The purpose of this study was to answer the following three questions: 1) Do company decision-makers and primary program providers agree upon which evaluation methods are currently being used in their worksite health promotion program? 2) Do the company decision-makers and primary program providers rank the top five evaluation criteria in the same order of importance? and 3) In rank order, what are the top five preferred evaluation criteria of the program provider? Results indicate a strong correlation of agreement for questions 1 and 2 (0.937 and 0.951 respectively). The data suggests that primary health promotion program providers and company decision-makers share strong agreement on which evaluation criteria should measure program success. Justification of worksite health promotion requires that the program provider be accountable for the criteria on which the decision-maker bases the programs' success. / Fisher Institute for Wellness

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2003.

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2004.