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Racial differences in health care utilization betwen older African American and Caucasian Medicare beneficiariesClay, Olivio J. January 2007 (has links) (PDF)
Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. / Title from PDF title page (viewed Sept. 21, 2009). Additional advisors: Richard M. Allman, Karlene K. Ball, Monika M. Safford, David E. Vance. Includes bibliographical references (p. 62-72).
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The new Medicare prescription drug coverage how well do seniors understand the program? /Linscott, Abbe E. January 2006 (has links)
Thesis (M.G.S.)--Miami University, Dept. of Sociology and Gerontology, 2006. / Title from first page of PDF document. Includes bibliographical references (p. 37-38).
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Examination of socio-economic benefits of land restitution in the Makuleke community of Limpopo ProvinceMkhombo, Vusiwana Veronica 11 February 2016 (has links)
Institute for Rural Development / MRDV
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Drought and famine in Somalia : an evaluation of the effectiveness of the international community's responseGure, Abdirahim Salah 16 April 2014 (has links)
This study aimed at evaluating the effectiveness of the 2011 to 2012 famine response in Somalia in
saving lives and livelihoods, offering livelihood opportunities, supporting quick recovery and complying
with accountability standards in the delivery of humanitarian assistance. Understanding the
performance and effectiveness of the humanitarian response to emergencies such as the 2011 to 2012
famine in Somalia is important for managing similar large-scale disasters which tend to be more
frequent than ever before. It is also vital for addressing the chronic food insecurity in sub-Saharan Africa.
The study was conducted in the Dolow district, Gedo region, Somalia. The study was largely rooted in
the qualitative paradigm even though quantitative methodologies were employed to explain certain
aspects in order to adequately answer some of the research questions. The case study approach was
employed to conduct this study and achieve the research objectives. Despite the need for more
evidence-based and local community-driven response to droughts, the 2011 to 2012 famine response
was largely relevant to meet the priority needs of affected populations. The response was too late to
prevent the death of hundreds of thousands and the suffering of millions of people and the response
had to struggle for quite some time to stabilise and reverse a devastating situation. Although the
response was not adequate to cover the needs of all affected populations, it had a commendable impact
by saving the lives of malnourished children and mothers; minimising suffering from lack of food, water
and shelter; restoring livelihoods for host communities; and creating livelihood opportunities for
internally displaced families. Compliance with the NGO Code of Conduct and the application of Sphere
standards were fair. Strong accountability mechanisms are required to ensure effective beneficiary
targeting and curb aid diversion. The beneficiaries of the response stated that they are equally
vulnerable to droughts despite an increase in income and agricultural production as a result of the
response. Long-term livelihood projects that address structural vulnerabilities and create multipleincome
sources are essential for strengthening resilience to droughts. / Development Studies / M.A. (Development Studies)
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A study of welfare-to-work policy in Hong KongLiu, Yuch-lam., 廖若男. January 2006 (has links)
published_or_final_version / Public Administration / Master / Master of Public Administration
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An analysis of community participation, in income generating projects at the Tembisa/Kempton Park Development Center.Chikadzi, Victor 10 September 2009 (has links)
In South Africa, citizen participation is regarded as an integral part of all social, economic and political activity. There is always an attempt to either involve citizens/communities in different programmes or at least to pretend to have involved people. Community participation is a constitutional prerogative that the broader masses should meaningfully participate in issues affecting their lives. Thus overgrowing concern by development practitioners to utilize participatory methods has become notable in recent years and participation has become an established orthodoxy within the development discourse in South Africa. The practice of participation has become embodied in what is popularly known to be people-centered development in which it is favored that community needs take precedence over those of other stakeholders when designing and implementing development projects. This study explores community participation in income generating projects at the Tembisa / Kempton Park Development Center. Using a case study as a qualitative inquiry method, the researcher sought to establish the evidence of community participation and the extent to which participants in income generating projects were involved as the main role players. The research sample constituted of 15 participants; ten were beneficiaries of income generating projects, three were staff members at the Tembisa / Kempton Park Development Center and two participants where drawn from the main funders of the Tembisa / Kempton Park Development Center. The different categories of the participants drawn into the sample enabled the researcher to holistically capture how the development process unfolded. The findings of the research indicated that the development model used at Tembisa / Kempton Park Development Center is largely participatory. The model allowed community members to have more say and control in the initiation, design, implementation, monitoring and evaluation of the projects. However this model has challenges that are institutional, social and structural of nature and barriers which hinder effective and meaningful community participation. Government intervention was recommended to address some of the challenges to community participation on a macro level.
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Bienestar en beneficiarios de un proyecto de voluntariado de Lima Metropolitana / Wellbeing in beneficiaries of a volunteer project in Lima MetropolitanaOscar Renzo, Cardoso Goicochea 15 January 2019 (has links)
La investigación tiene como objetivo comprender la percepción de bienestar de los beneficiarios de un proyecto de voluntariado. Toma protagonismo de los beneficiarios: vendedores ambulantes y cuidadores de carros. Presenta como base teórica la percepción de bienestar subjetivo y psicológico. La técnica cualitativa de investigación usada fue la dinámica conversacional con ocho participantes voluntarios. Se realizó análisis hermenéutico de contenido deductivo e inductivo que permite conseguir trechos de información mediante análisis de la subjetividad en las conversaciones. Se determinaron seis categorías: cumplir con sus hijos, relaciones positivas con familia extensa, concepción de éxito laboral, relación positiva con los demás, percepción de satisfacción vital y experiencias religiosas. La quinta categoría incluye una dimensión del bienestar subjetivo, la cual difiere de la teoría tomada. En síntesis, la percepción del bienestar de los participantes se encuentra dentro del bienestar psicológico. Sin embargo, presenta particularidades, destaca el valor de las relaciones interpersonales. / [The research aims to understand the perception of well-being of the beneficiaries of a volunteer project. It takes protagonism of the beneficiaries: peddlers and caretakers of cars. Presents as a theoretical basis the perception of subjective and psychological well-being. The qualitative research technique used was the conversational dynamics with eight volunteer participants. A hermeneutic analysis of deductive and inductive content was carried out, which allows to obtain stretches of information through analysis of subjectivity in conversations. Six categories were determined: compliance with their children, positive relationships with extended family, conception of work success, positive relationship with others, perception of life satisfaction and religious experiences. The fifth category includes a subjective well-being (wellness) dimension, which differs from the theory taken. In summary, the perception of the well-being of the participants lies within psychological well-being. However, it presents particularities, highlights the value of interpersonal relationships. / Tesis
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PATIENT ACTIVATION AND MEDICATION ADHERENCE AMONG MEDICARE BENEFICIARIES WITH TYPE 2 DIABETESDandan Zheng (5930957) 17 January 2019 (has links)
The objectives of this study were to assess
patient activation levels, to assess association between sociodemographic
characteristics and patient activation, to assess association between health
status characteristics and patient activation, and to assess association
between patient activation and medication adherence among Medicare
beneficiaries with type 2 diabetes. A
retrospective cohort study was conducted using data from the 2009 through 2013 Medicare
Current Beneficiary Survey (MCBS).
Patient activation was measured with the Patient Activation Supplement
in the MCBS and was categorized as low, moderate, and high levels based on
activation scores. Medication adherence was assessed with
proportion of days covered (PDC) using Medicare Part D administrative records
from the MCBS within a period of six months after measurement of patient
activation. The
sample included Medicare beneficiaries who completed the MCBS Patient Activation
questionnaire, who were diagnosed with type 2 diabetes, and who were 18 or
older. Beneficiaries were excluded if
they responded “Not ascertained,” “Not Applicable,” “Don’t know” or “Refused”
to more than 50 percent of the Patient Activation questions, did not have
continuous Medicare Part A and Part D coverage throughout the assessment
period, had less than two Medicare Part D claims for an antidiabetic medication
throughout the assessment period, used insulin during the assessment period,
resided in long-term care facilities, or had Alzheimer’s disease, dementia,
mental retardation or mental disorder. All analyses were conducted in SAS 9.4 for Unix environment. An <i>a
priori</i> alpha level of 0.05 was used to determine significance. Bivariate and multivariable
weighted ordinal logistic regression were applied for assessing associations. A
total of 571 individuals met sample selection criteria. The mean age was 72.4
years. Of the 571 persons in the sample,
27.5 percent were at low activation level, 38.7 percent were at moderate
activation level, and 33.7 percent were at high activation level. Approximately three-fourths of the sample persons were adherent to antidiabetic medications. Low activation was more
likely to be found in males, less educated patients, and patients without
arrhythmia. Ex-smokers as compared to
non-smokers and overweight patients as compared to those with healthy weight
were less likely to report low activation.
In multivariable logistic analysis adjusting for race, gender,
osteoporosis, Charlson Comorbidity Index score, and number of prescribed
medications, patient activation level was not significantly associated with
medication adherence. Non-Whites
and patients with a Charlson Comorbidity Index score of 1 as
compared to those with a score of 0 were more likely to be non-adherent. A lower number of prescribed medications was
associated with higher odds of non-adherence.
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Evaluation of land use development following a successful land restitution claim with reference to Chatleka land claim in the Capricorn District Municipality , Limpopo ProvinceMakgaba, Pompa Phestina January 2011 (has links)
Thesis (M.Dev.) --University of Limpopo, 2012
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Evaluation of post-settlement support to beneficiaries of land restitution in Mbombela Municipality, Mpumalanga ProvinceMokoena, Andrew Walter January 2013 (has links)
Thesis (M.Dev.) -- University of Limpopo, 2013 / The purpose of this study was to evaluate post-settlement support given to
beneficiaries of land restitution on selected farms in Mpumalanga Province.
The study used qualitative and quantitative research methods. Data collection
was done using focus group discussions and semi-structured questionnaires.
Three groups of respondents participated in the study: the beneficiaries
(n=193), government officials (n=13) and private sector [NGOs] (n=5). The
study highlighted the inadequacy of support provided to beneficiaries. Support
was inadequate in terms of infrastructure, provision of training services and
improving access to markets. The findings revealed that there is poor
participation by the youth and educated people in the projects. The study also
found that strategic partners did not significantly contribute towards viability of
projects, primarily, because of conflicting interests between the two. The study
recommends that the government, with the private sector, should make enough
resources available and attract the youth and educated people to participate in
the projects.
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